JOBST Opaque

Every JOBST Medical LegWear product has a specific compression level designed to help specific venous and lymphatic conditions. The compression level is printed on the package label.
The required compression class must be determined by your physician.
Medical compression garments are used for the following indications:

Compression Class 1 (CCL 1)

• Tired, heavy, aching legs
• Minor varices without edema
• Mild swelling of the feet, ankles, and legs
• Onset of pregnancy-related varices
• Controlled cardiac edema
• Arthritic patients
• Primary or secondary lymphedema in International Society of Lymphology (ISL) stages 0-II with no or minimal shape distortion (or lymphedema ISL stage III when higher compression is not tolerated)

Compression Class 2 (CCL 2)

• Tired, heavy, aching legs
• Moderate to severe varices with and without edema
• Moderate to severe pregnancy-related varices with and without edema
• Moderate edema
• Chronic venous insufficiency (CVI) C3-C5 according to CEAP: venous edema, skin alterations and healed ulcus cruris.
• Helps to prevent the recurrence of venous ulcers
• For adjunct management of superficial thrombophlebitis/ SVT
• Post–vein surgery
• Post-sclerotherapy
• Post-traumatic and post-operative edema
• Arthritic patients with reasonable dexterity
• Primary or secondary lymphedema in ISL stage II-III with some shape distortions
• Phlebolymphedema
• Lipedema

Compression Class 3 (CCL 3)

• Severe varices with or without edema
• Severe edema
• Chronic venous insufficiency (CVI) C3-C6 according to CEAP: venous edema, skin alteration, healed ulcus cruris and ulcus cruris
• To prevent recurrence of venous ulcers
• Post–thrombotic syndrome (PTS)
• For adjunct management of superficial thrombophlebitis/ SVT
• Post–vein surgery
• Post-sclerotherapy
• Active patient with lymphedema in ISL stage III
• Risk of rapid edema rebound
• Severe lipedema

Compression Class 4 (CCL 4)

• Severe post-thrombotic syndrome (PTS)
• Severe lymphedema in ISL stage IV
• Severe edema of non-arterial origin

• JOBST Medical LegWear should not be worn in cases of:
• Advanced arterial insufficiency including ischemia
• Uncontrolled congestive heart failure
• Untreated septic phlebitis
• Phlegmasia coerulea dolens
• Incompatibility to fabric
• Open wounds not covered with an appropriate dressing

Caution: long fingernails and jewelry may damage the stockings when putting them on. For easier application use rubber gloves or a donner aid.
Weeping dermatosis
Cutaneous infections
Open wounds must be covered with an appropriate dressing before the compression garment is put on.
Severely compromised skin sensibility and impaired sensitivity of the limb
Advanced peripheral neuropathy
Immobility (confinement to bed). Not recommended to wear during bed rest.
Conditions in which increased venous and lymphatic return is not desired.
Appropriate hygiene and skin care should be applied.
Appropriate footwear must be worn when walking to prevent falls.
Ill-fitting compression garments may cause constriction leading to, eg, skin necrosis, pressure ulcers, and pressure related peripheral nerve damage.
The attending physician decides whether compression in general can be applied to patients suffering from the following diseases: rheumatoid arthritis, complex regional pain syndrome (CRPS, Morbus Sudeck) malignant lymphedema, gangrene.
Medical compression garments should only be used after consultation with your doctor or therapist and checked regularly by them on the appropriateness of your therapy, also considering age and health status.
Patient measurements should be taken by a trained person to ensure the correct product fit.
When re-ordering a garment after 6 months we recommend remeasuring the patient as the limb circumference might have changed.
If you notice discomfort, pain, numbness, changes in skin color, appearance of new wounds, or swelling during wear, stop using the product and contact your health care professional.
Any serious incident that has occurred in relation to this device should be reported to the manufacturer and the competent state authority.
Caution applicable for made-to-measure products:
Federal law (USA) restricts this device to sale by or on the order of physician.