SIGVARIS 503 Class 2 Arm Sleeve with Mitten Natural

Product Overview

The SIGVARIS 503 Class 2 Arm Sleeve with Mitten is part of the manufacturer's 500 Traditional Series, a range formulated specifically for lymphatic and venous disorders of the upper extremity. The garment delivers graduated compression in the 23-32 mmHg (Class 2 RAL) range, with the highest resting pressure at the wrist and progressively lower pressure toward the axilla, producing the directional pressure gradient required to support lymphatic drainage and venous return in the arm.

Constructed from natural latex rubber (70% Polyamide / 30% Natural latex rubber), the fabric has a large-mesh structure that provides high working pressure during movement while maintaining breathability and dimensional stability across extended daily wear. The integrated mitten extends compression distally across the metacarpus, preventing the distal oedema displacement frequently observed when a sleeve-only garment ends proximal to the wrist.

Specifications

Clinical Indications

• Maintenance phase of Complex Decongestive Therapy (CDT) for secondary upper-limb lymphoedema, including breast-cancer-related lymphoedema (BCRL)
• Primary upper-extremity lymphoedema requiring long-term compression
• Post-surgical oedema management following axillary lymph node dissection or radiotherapy
• Chronic venous insufficiency affecting the upper extremity
• Lipoedema of the arm when graduated compression is clinically indicated
• Prophylactic compression for at-risk patients undergoing air travel or prolonged immobilisation

Frequently Asked Questions

Why does this sleeve include an integrated mitten rather than a separate gauntlet?
An integrated sleeve-with-mitten eliminates the pressure discontinuity and distal oedema accumulation that can occur at the interface between a standalone sleeve and a separate hand garment. This design is supported in International Lymphoedema Framework (ILF) guidance for patients with combined arm and hand oedema.

How is Class 2 (23-32 mmHg) compression selected versus Class 1 (18-21 mmHg)?
Class 2 is typically prescribed for established lymphoedema in the maintenance phase and for moderate-to-severe venous disease, consistent with CEAP classification guidance. Class selection should be made by a certified lymphoedema therapist or vascular specialist following limb-volume assessment.

What measurements are required for correct sizing?
SIGVARIS 503 requires four circumferential measurements: wrist (cC), mid-forearm (cD), mid-upper-arm (cF) and axilla (cG), plus the arm length from wrist to axilla (lF). Measurements should be taken in the morning before significant daily oedema accumulation.

Is this garment registered with HSA Singapore?
Yes. SIGVARIS medical compression products are registered with the Health Sciences Authority (HSA) of Singapore as medical devices and carry CE marking under EU Medical Device Regulation 2017/745. EMIS Pte Ltd is an authorised distributor for Singapore healthcare institutions.

What is the expected service life of the garment?
SIGVARIS recommends replacement every 6 months of regular daily wear to maintain the certified compression profile, consistent with RAL-GZ 387/1 performance requirements. Clinics should schedule limb re-measurement at each replacement cycle.