SIGVARIS 503 Class 2 Arm Sleeve Without Mitten Natural

Product Overview

The SIGVARIS 503 arm sleeve without mitten delivers graduated 23-32 mmHg Class 2 compression from wrist to axilla, following the directional pressure gradient specified under RAL-GZ 387/1 (Gütezeichen Medizinische Kompressionsstrümpfe). As part of the SIGVARIS 500 Traditional Series, the garment uses a natural latex rubber fabric formulated for maximum pressure stability across a full day of wear, which is particularly valuable during the maintenance phase of upper-limb lymphoedema management.

The open-hand configuration preserves full manual dexterity for patients whose distal oedema is absent or controlled through a separate compression gauntlet. The large-mesh knit provides high breathability and rapid moisture transfer, making the garment suitable for tropical Singapore operating conditions where daytime temperatures and humidity otherwise compromise adherence to compression therapy.

Specifications

Clinical Indications

• Maintenance phase of Complex Decongestive Therapy (CDT) for upper-limb lymphoedema, including breast-cancer-related lymphoedema (BCRL)
• Upper-extremity lymphoedema without distal hand involvement
• Post-mastectomy compression where a separate compression gauntlet addresses hand oedema
• Chronic venous insufficiency of the upper limb requiring Class 2 compression
• Long-haul flight prophylaxis for patients with documented lymphoedema risk
• Post-surgical oedema following axillary lymph node dissection or radiotherapy

Frequently Asked Questions

When is a sleeve without mitten clinically appropriate?
A sleeve-only configuration is appropriate when clinical assessment shows no distal hand or digit oedema, or when a separate compression gauntlet/glove is already prescribed. International Lymphoedema Framework (ILF) guidance recommends re-assessing distal limb status at each replacement cycle to confirm an arm-only garment remains appropriate.

What is the advantage of the 500 Traditional natural-rubber fabric over softer microfibre blends?
Natural rubber provides superior working pressure (the transient pressure increase during muscle contraction and limb movement), which is clinically relevant for lymphatic drainage. This makes the 500 Series particularly suitable for established moderate-to-severe lymphoedema during the maintenance phase of CDT.

How is the correct size determined?
Measure circumferences at wrist (cC), mid-forearm (cD), mid-upper-arm (cF) and axilla (cG), and arm length (lF) from wrist to axilla. Measurements should be taken in the morning before significant fluid accumulation, following SIGVARIS' sizing-chart decision rules.

What Singapore regulatory pathway applies to this garment?
SIGVARIS 503 is registered with the Health Sciences Authority (HSA) of Singapore as a medical device and carries CE marking under EU MDR 2017/745. EMIS Pte Ltd supplies Singapore hospitals, specialist clinics and certified lymphoedema therapists as an authorised distributor.

How often should the garment be replaced?
Replace every 6 months of regular daily wear to maintain the RAL-GZ 387/1 certified pressure profile. Clinics should pair each replacement with a re-measurement and a limb-volume review to confirm compression class remains appropriate.