Status and history
Malík a spol.s.r.o., technical and prosthetics care, Hradec Králové is a limited liability company. For the field of prosthetics and orthotics the company has statute of private healthcare facility. In the area of orthopedic footwear, serial production of medical devices and trade business, it has a trade license under the Trade licensing Act.

Company was founded in 1992, by the privatization of the former Regional Prosthetic Department of the University Hospital Hradec Králové.

The business started in July 1, 1992. This privatization was carried out with the cooperation and support of leadership of the University Hospital. The business has started in the same place where until then the Regional prosthetic department of the University Hospital in Hradec Králové was placed.

From historic standpoint orthopedic and prosthetic care was established in Hradec Králové in 1921 as a branch of the Orthopedic co-operative of invalids of Prague. In 1961, the co-operatives operations were transferred tot he University Hospital Hradec Králové, where the Regional prosthetic department was formed.

Substantial development of this department is bound to the year 1984, when the government enacted a resolution to ensure full autonomy of the production of individual prosthetic and orthotic devices. The Regional department oriented itself to the high-tech technology from world-leader in prostetic bussiness, german company Otto Bock, which has since beenregularly training prosthetic and orthotic technicians in usage of modern construction technology for prostheses and orthoses.

Workplace in Hradec Králové was self-sufficient in the production of prostheses and orthoses, including orthopedic insoles and soft bandages, in the production of individual orthopedic footware only technical work was provided, which means taking sspecific measurements needed for its own production, testing and footwear application.

Company headquarters
The Malik company exercised their activities in the previous area of former Regional prosthetic department, but because of the limited space available, the company was forced to find another space for its residence and business in the individual prosthetics and orthotics domain.

The new building was rebuilt and expanded for the operation of medicotechnical business. After building approval, 9. 12. 2002 the business was launched in these new areas, where company currently is in long-term lease.


Company Headquarters enables performance of these activities:

Health Services
The building has doctor’s office, which provides health services in the field of orthopedic-prosthetics, through health professionals from Orthopaedic Clinic of the University Hospital in Hradec Králové.

Medico-technical care
Areas for medico-technical care provides space for work with the patient or the client. They are on the ground and first floor.

On the ground floor are:
- reception for patients
- waiting spaces for patients
- several technician’s offices
- plaster cast making room
- auxiliary workplace with parallel bars
- prosthetic doctor’s office

On the first floor are:
- waiting room
- two technician’s offices
- auxiliary shoemaker’s workshop

The Production
There is space for production without access for patients or customers.
The basement is used for technical and production work on products. It consists of four workshops and one laminating room, grinding room and four storerooms. Other production facilities are in the first and second flor. For production there are 12 workshops with appropriate storage spaces, including adequate machinery and instrumentation.

Hygienic requirements

All workplaces for contact with the patient meet specified hygienic requirements. Technical equipment also fully fulfills the specifications for the work with the patient or client. In the building are 4 toilets for patients and one toilet for the disabled. Outside of the building six parking spaces are set up.
The building can be entered by stairs or by access ramp for wheelchairs.

Company staff
Workers can be sorted to three basic groups:

Orthotic-prosthetic technicians and Footwear technicians

In our work team, we have both university-educated young workers and older workers with a long experience Our staff are not only shoemakers, but also have advanced knowledge in the field of orthopedic footwear and basic knowledge of podology necessary in the production of inserts.

Leader technicians of specialized sections


Production staff
Workers who do not come into contact with the patient, perform odd jobs in device manufacturing and have the necessary knowledge about processing parts from different types of materials.

Our partners
The company Malik is working closely with health institutions in Pardubice and Hradec Králové regions with 1.75 million inhabitans. That does not mean that it has not cooperated with medical facilities in other regions, but it is rather a specialized support in a certain area of the care.

We collaborate with both practitioners and specialists in particular with various specializations, in the first place with the prosthetic doctors, orthopedic doctors, rehabilitation physicians and other specialists. In the branch of non-medical disciplines with physiotherapists and rehabilitation workers.

We cooperate with these medical subjects
Hospitals
The first is cooperation with hospitals, especially with the University Hospital in Hradec Králové.

If we analyze, with which hospital clinics we cooperate the most, collaboration with orthopedic clinic would be on the first place. This is particularly so if , the clinic is employing specialized orthopedic-prosthetic doctor who has a office at the our company's headquarters. In this office we provide prosthetic care physicians from other sectors, which means that he is investigating patients from the perspective of the prosthetics and specifies a particular type of equipment that the patient needs. He also provides followup care for this type of patient and also provides consulting services to individual clinics. The orthopedic clinic closely cooperates with other outpatient physicians who recommend prosthetic devices.

Another close cooperation is with the rehabilitation and prosthetic clinic, where the entire range of rehabilitation is provided. In addition there is inpatient department divided into rehabilitation part and prosthetics part. In the prosthetic part patients are placed where they receive new prostheses or switch from simplied type to the more complex type and are rehabilitated and trained by the school of walking.

We have good cooperation with other clinics such as surgery, pediatric hospitals, neurosurgery, neurology, internal medicine and oncology clinic.

These clinics require individual aids mainly in the field of orthotics.

There is also cooperation with other smaller hospitals in the region, such as a hospital in Pardubice, Nachod, Jicin etc.

Private surgeons
Company Malik provides an important service and orthotic-prosthetic care for the full range of private outpatients orthopedic surgeons throughout the region. They first come into contact with the patients who need prosthetic equipment recommended by GPs. There is also desire for the entire range of prosthetic devices, but mostly devices dominated in the field of orthotics and foot.

There is further cooperation with specialized care centers or homes for disabled patients with problems in the musculoskeletal system whom require specialized and long-term care. For this group of patients we provide care in an area of orthotics and assistive devices.

Spas and specialized centers



Equally important is cooperation with spa. In the East Bohemia region are Janske Lazne spa that specializes in the musculoskeletal system defects.

To these spas patients are coming as part of treatment which usually needs orthotic devices. Collaboration is done by making new devices or modifications of existing equipment.This is predominantly in the field of orthotics, but also mobility aids.

E - MAG Active
The E-MAG Active is a trend-setting innovation in the development of orthotic knee joint systems. It sets new standards in terms of safety, dynamics and mobility.

Thanks to unique functions, the E - MAG Active offers the user noticeable advantages. It is the first electronically controlled system knee joint with a controlled stance phase and free swing phase that is not dependent on the ankle and sole of the foot. Withsig nificantly less noise and temporary enable function. The principle of the E - MAG Active is both,innovative and consistent. An intelligent sensor system measures the position of the leg during walking and causes the orthotic joint to switch accordingly.

It is suitable for patients with increased need for mobility who up to now have not been able or have declined to be adequately fitted with an orthosis for different anatomical reasons. Use of the E - MAG Active can help prevent contractures and joint damage caused by immobilization, reduce muscular atrophy, and promote the development of existing muscles. The contralateral side is relieved, and compensating movements are avoided. Less energy is required for walking, and the patient benefits from an increased mobility.



Special orthosis for diabetic foot
This orthosis manufactured individually according to a plaster cast of the foot.

A diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or "chronic") complication of diabetes mellitus.[1]Presence of several characteristic diabetic foot pathologies is called diabetic foot syndrome.

TRANSTIBIAL PROSTHESIS

• Lower limb modular transtibial prosteheses
• Indoor walker lower limb modular transtibial prosthese with Pedilin soft inner socket
• Outdoor walker lower limb modular transtibial prosthese with silicon or copolymer gel liner
• Outdoor walker lower limb modular transtibial prosthese with silicone gel–locking liner
• Trias
• C-Walk®
• Harmony system


TRANSFEMORAL PROSTHESIS

• Lower limb modular transfemoral prostheses
• Indoor walker modular transfemoral prosthese with Pedilin soft inner socket
• Restricted outdoor walker modular transfemoral prosthese with silicon or copolymer gel liner
• Unrestricted outdoor walker modular transfemoral prosthese with silicone or copolymer gel liner - variant I
• Unrestricted outdoor walker modular transfemoral prosthese with silicone or copolymer gel liner - variant II
• Trias
• C-Walk®
• The C-Leg


EXARTICULATION PROSTHESIS

• Lower limb modular knee exarticulation prostheses
• Indoor walker lower limb knee exarticulation modular prosthese with Pedilin soft inner socket
• Restricted outdoor walker lower limb modular knee exarticulation prosthese with silicon or copolymer gel liner
• Unrestricted outdoor walker lower limb modular knee exarticulation prosthese with silicone gel liner
• Modular hip exarticulation prosthese - variant I
• Modular hip exarticulation prosthese - variant II
• Helix3D
• Trias
• C-Walk®


UPPER LIMB PROSTHESIS

• Upper limb transulnar prosthese with passive hand
• Upper limb transulnar prosthese with semi-active hand
• Upper limb transhemoral prosthese with semi-active hand
• SensorHand Speed®
• DMC plus® - System Electric Hand
• System Electric Hand Digital Twin®
• DynamicArm


INDIVIDUAL ORTHOSIS

• Cervical orthoses
• Polyethylene neck brace
• Body brace
• Three-point corset with/without padded supports
• Upper limb orthoses
• Lower limb orthoses


CALCEOTICS

• Individual orthopaedic shoes
• Extension sandal
• Children orthopedic shoes
• Shoes for diabetics


ORTOPEDIC INSOLES

• Hand made individual insoles
• Individual insoles from hand made semifinished product
• Supporting insoles
• Neurological insoles


SERIAL EQUIPMENT

• Mass produced aids and soft bandages
• Wheel chairs
• Strollers


INDIVIDUAL SEATING

• Seating shells - stability orthoses