Therapy concept Diabetes.
Optimum care: Your guide through the jungle of requirements
PG31-compliant care in all risk classes
Improve the quality of patient care and navigate the complex legal requirements with confidence.
Our bespoke solutions for people with diabetes and our comprehensive range of services offer you efficiency and legal certainty as a key advantage in the management of diabetic foot syndrome.
Use our DDG-compliant configurator for medical aids approved under PG31, as well as the customisable medical information and dispensing records, to highlight your expertise and expand your network within foot care clinics. We’ll support you every step of the way.
Overview risk classes
0 no polyneuropathy (PNP), no peripheral arterial disease (PAD) prevention
Indications
- no neuropathy
- no circulatory problem
standard care
ready-to-wear shoes designed for comfort
What matters now?
- redirect pressure at an early stage
- identify stress patterns
- keep an eye on developments
SPRINGER tools
- pressure-distributing orthotic blanks
- EASYCAD – Milling or 3D-Print, „Risk foot“ or „Bedding insoles“ libraries
- EASYCAD – documentation, as a basis for follow-up care
1 deformity, but no PNP or PAD orthopedic correction
Indications
- no PNP/PAD yet, but an orthopedic deformity
standard care
orthopedic footwear solutions for orthopedic indications
What matters now?
- redirect pressure at an early stage
- identify stress patterns
- keep an eye on developments
SPRINGER tools
- pressure-distributing orthotic blanks
- EASYCAD – Milling or 3D-Print, „Risk foot“ or „Bedding insoles“ libraries
- EASYCAD – documentation, as a basis for follow-up care
2a PNP or relevant PAD protection against pressure and friction injuries
Indications
- loss of sensation, but no tissue changes yet
standard care
footwear suitable for diabetic foot syndrome with a soft cushioned sole
What matters now?
- redirect pressure at an early stage
- identify stress patterns
- keep an eye on developments
SPRINGER tools
- pressure-distributing orthotic blanks
- EASYCAD – Milling or 3D-Print, „Risk foot“ or „Bedding insoles“ libraries
- EASYCAD – documentation, as a basis for follow-up care
2b PNP + additional criteria (pre-ulcerative, dialysis, etc.) targeted pressure redistribution
Indications
- loss of sensation accompanied by early tissue changes
standard care
specialist footwear for diabetic foot syndrome with a diabetes-adapted insole (DAI)
What matters now?
- visualise pressure
- identify critical areas
- compare care provision
SPRINGER tools
- EASYCAD – Milling or 3D-Print, CAD based construction
- pressure measurement system GP Radix
- 3D foot scanner / 3D scan app
3 condition following an ulcer prevention of recurrence
Indications
- healed ulcer
- high risk of recurrence
standard care
specialist footwear for diabetic foot syndrome, featuring a DAI and, if necessary, custom fitting
What matters now?
- visualise pressure
- identify critical areas
- compare care provision
SPRINGER tools
- EASYCAD – Milling or 3D-Print, CAD based construction
- pressure measurement system GP Radix
- 3D foot scanner / 3D scan app
4 class 2 or 3, deformities / disproportions correcting structure and pressure
Indications
- cannot be fitted with a ready-made last
standard care
custom-made orthopedic shoes with DAI
What matters now?
- prompt stabilisation
- achieve a secure fit
- predictable treatment
- documentation
SPRINGER tools
- EASYCAD – Milling or 3D-Print, „3D bedding insoles“ library
- custom-made orthopedic shoes
- 3D foot scanner / 3D scan app
5 inactive CNO (Charcot neuro-osteoarthropathy) stabilisation, level control
Indications
- radiological joint or bone damage
- structural abnormalities
- pseudoexostoses
standard care
custom-made shoes extending above the ankle, with DAI and orthotics if necessary
What matters now?
- prompt stabilisation
- achieve a secure fit
- predictable treatment
- documentation
SPRINGER tools
- EASYCAD – Milling or 3D-Print, „3D bedding insoles“ library
- custom-made orthopedic shoes
- 3D foot scanner / 3D scan app
6 condition following foot amputation (≥ transmetatarsal) maintaining load-bearing capacity, gait stability, pressure redistribution
Indications
- structural shortening
- altered load-bearing capacity
standard care
care such as risk class 4 and 5, and prosthetics if necessary
What matters now?
- prompt stabilisation
- achieve a secure fit
- predictable treatment
- documentation
SPRINGER tools
- EASYCAD – Milling or 3D-Print, CAD based construction
- pressure measurement system GP Radix
- 3D foot scanner / 3D scan app
7a non-plantar lesion wound protection, pressure relief
Indications
- acute wound or lesion outside the plantar weight-bearing area (e.g. dorsal, interdigital)
- where the foot is generally stable
standard care
bandage shoe (pair)
What matters now?
- consistent off-loading
- immobilisation
- protection against further damage
SPRINGER tools
7b active CNO immobilisation of ankle movement and tibial rotation
Indications
- reddened, swollen, warm foot with no open wound
- risk of bone caking if subjected to further strain
standard care
non-removable knee-high brace / full-contact plaster cast
What matters now?
- consistent off-loading
- immobilisation
- protection against further damage
SPRINGER tools
7c plantar lesion (excluding the heel) consistent offloading of the plantar pressure zone
Indications
- active plantar ulcer in the forefoot or midfoot region associated with PNP ± a mild to moderate infection or PAD
standard care
non-removable knee-high brace / full-contact plaster cast bandage shoe
What matters now?
- consistent off-loading
- immobilisation
- protection against further damage
SPRINGER tools
7d plantar heel lesion axial unloading, condylar guidance
Indications
- active ulcer in the heel area with a high risk of deep tissue damage and amputation
standard care
custom-made knee-high heel-relief orthosis / full-contact plaster cast
What matters now?
- consistent off-loading
- immobilisation
- protection against further damage
SPRINGER tools
Overview products
Product solutions for diabetes care from a single source
DAF digital – Diabetes-adapted foot supports
Use EASYCAD and the 3D bedding library to adapt the profile of the 3D scan to the foot bedding and then design, manufacture and document it for the cost units.
More info on risk classes 2 + 3
risk class 3
Standard care DAF
risk class 2
Exception e.g. in the case of severe PNP, PAD, contralateral side in the case of amputation, abnormal foot volume → Exceptions must be sufficiently justified by image and factual argumentation (e.g. Working group "foot" diagnosis report)
Orthotic insoles customized
With EASYCAD and the risk foot library, you can design foot orthoses to suit the shoe or footbed type and individually determine the width, the height of the longitudinal arch and the modules for forefoot, arch, lowering or rearfoot. Sie können dabei direkt in der Software ihre Konstruktion auf die Messung anpassen.
Insole blanks
Bedding insole blanks optimised in terms of material, time-saving processing and functionality for use in diabetes care. You can order all models directly from the webshop - selected models are also available from the express warehouse.
View products in the webshop
Custom-made orthopaedic shoes
We manufacture high-quality, bespoke orthopaedic shoes for you, tailored to the individual needs of your patients.
Using our configurator, you can plan and design any model quickly and conveniently online. The shoes are then crafted by hand with precision from carefully inspected materials – and, of course, in compliance with the MDR.
The result combines optimum comfort and a perfect fit with an attractive design.
Interims- / Verbandschuh
WOUND-CLASS Saluped
Protective shoe for diabetics
The Saluped model from the WOUND-CLASS is a diabetic shoe that fulfils the requirements of a diabetic shoe according to current standards: Stability, protection and pressure relief for better chances of recovery and mobility for your patients.
SAFETY for diabetics
Insole blanks and shoes - type-tested in accordance with DGUV 112-191
Overview shoe manufacturers
View products in the webshop
Scanning technology for bedding construction
Whether 2D or 3D - the footprint provides you with a millimetre-precise database for designing a diabetes-adapted footbed or a customised shoe last. Our scanning technology captures all foot dimensions or a 3D sole mould and is fully integrated into our EASYCAD design software.
Flatbed scanner
Pressure measurement technology
Flexible measuring soles for pressure distribution measurement to identify ROI (Region Of Interest) and document pressure relief
with Bluetooth
Manufacturing technology
You can access Springer's expertise and design or adapt beds using EASYCAD. You can then use our centralised production service or simply send the CAD files to your own workshop.
Milling materials
Counselling
"From my previous professional experience, good and comprehensive diabetes care that focusses on the well-being of the patient and an optimal operational process is close to my heart."
Christian Krüger
Master orthopaedic technician
Orthopaedic shoemaker master