Buyers` guide: Pressure-redistribution mattresses

Transcription

Buyers’ guide
Pressure-redistribution mattresses
and overlays
CEP08042
November 2008
Contents
2
Introduction ............................................................................................. 3
Technical considerations....................................................................... 11
Operational considerations.................................................................... 19
Economic considerations ...................................................................... 21
Purchasing ............................................................................................ 23
Market review........................................................................................ 25
Acknowledgements ............................................................................... 81
Glossary................................................................................................ 82
References............................................................................................ 83
Appendix 1: Supplier contact details ..................................................... 87
Appendix 2: EU procurement procedure ............................................... 93
Appendix 3: Pressure-redistribution product matrix ............................... 95
Author and report information.............................................................. 100
CEP08042: November 2008
Introduction
3
General
Pressure-redistribution support surfaces (which include both mattresses and
overlays) are used in hospital and community care environments to help prevent the
development of pressure ulcers in susceptible patients, particularly those who are
immobilised. They are also used to alleviate the symptoms and facilitate healing of
pressure ulcers.
Mattresses are intended to be used as the complete support surface. Overlays are
designed to be used on the upper surface of existing mattresses and are generally
lightweight, easy to manoeuvre and store [1].
There is confusion in the literature regarding terminology; the terms ‘pressureredistributing’, ‘pressure-relieving’ and ‘pressure-reducing’ are often used
interchangeably. In accordance with the recommendations of the National Pressure
Ulcer Advisory Panel (NPUAP), we refer generally to these products as pressureredistribution support surfaces [2].
Collins 2004 [3] sub-divided pressure-redistribution support surfaces into ‘pressurerelieving’ and ‘pressure-reducing’. The former group comprises high-technology
dynamic devices which remove the source of pressure from certain areas of the body
in a cyclic fashion and redistribute it elsewhere, therefore regularly changing
pressure profiles [4, 5]. The latter group comprises static devices which conform to
the contours of the patient’s body, thereby distributing pressure over a maximum
body surface area [4, 5]. For the sake of clarity, we have classified pressureredistribution support surfaces for the purposes of this guide simply as dynamic or
static. Low-air-loss and air-fluidised support surfaces are classed as static devices as
they have a constant pressure profile, however they are relatively high-technology
surfaces which, in contrast to other static devices, require a pumped air supply. Static
devices have been split in to high-technology and low-technology to reflect this
(figure 1).
Introduction
Figure 1: Overview of pressure-redistribution support surfaces
Scope
This guide includes pressure-redistribution mattresses and overlays for single beds,
hospital trolleys and operating tables. It does not include cushions for chairs and
wheelchairs, sheepskin, limb protectors, or double-sized mattresses and overlays.
To ensure clarity when reading the guide, the different pressure-redistribution
products have been split into six categories:
1. dynamic mattresses
2. dynamic overlays
3. static mattresses
a. high-technology
b. low-technology
4. static overlays
5. hospital trolley mattresses and overlays
6. operating table mattresses and overlays.
Pressure ulcers
Pressure ulcers (also known as decubitus ulcers or pressure sores) are areas of
localised skin damage caused by the occlusion of blood vessels. They are most
4
Introduction
5
commonly found at bony prominences of the body such as the sacrum, heels,
shoulders and hips. They can give rise to serious complications where deeper layers
of tissue, muscle or bone become damaged. Infection can lead to blood poisoning or
disseminated infections of the bone.
Pressure ulcer classification
Pressure ulcers are commonly classified as grades 1, 2, 3 and 4, in accordance with
the recommendations of the European Pressure Ulcer Advisory Panel (EPUAP)
(figure 2). Grade 1 ulcers are the least and grade 4 the most severe [6].
Classification
Pressure ulcer definition
Grade 1
An erythema (redness) of the intact skin. The reddened area remains red after pressure is
relieved for more than 30 minutes. Key features include persistent discolouration of the
skin, including non-blanchable erythema on light skins and blue-black discolouration on
darker skins.
Grade 2
Partial thickness skin loss involving epidermis, dermis or both. The ulcer is superficial and
presents clinically as an abrasion, blister or swollen crater.
Grade 3
Full thickness skin loss with damage or necrosis of subcutaneous tissue that may extend
down to, but not through, underlying fascia, bone, tendon or joint capsule.
Grade 4
Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle,
bone tendon or joint capsule.
Figure 2: Pressure ulcer classification system adapted from the EPUAP [6]
Risk factors for developing pressure ulcers
Factors that increase the risk of developing pressure ulcers may be intrinsic or
extrinsic [7]. Intrinsic factors relate to the patient’s tolerance to pressure, whereas
extrinsic risk factors concern the intensity and duration of pressure [8] (table 1).
Introduction
6
Table 1: Intrinsic and extrinsic risk factors leading to pressure ulcer development
Intrinsic risk factors
Decreased mobility
Position
Age
The patient might find it difficult to relieve pressure on a particular area by
repositioning.
Patients should be re-positioned regularly but if this does not happen then
prolonged pressure on bony prominences may lead to the formation of pressure
ulcers. Problems may also occur if the patient has a medical condition that makes
re-positioning difficult (eg cerebral palsy).
Older patients are more likely to develop pressure ulcers [9]. Younger patients aged
20 to 40 have a relatively low incidence of pressure ulcers [10].
Neurological /
sensory impairment
The patient might not be aware of pressure in a particular area of the body and will
therefore not reposition to avoid discomfort.
Disease pathologies
Certain pathologies increase the risk of developing pressure ulcers. The risk for
diabetic patients, for example, is approximately three times that for non-diabetic
patients [11].
Temperature
Decreased nutrition
and circulation
Skin cell function is impaired if the skin becomes too hot or too cold.
Low body fat and low muscle bulk reduce padding on bony prominences. High body
fat patients have more padding but the tissue is poorly vascularised. Dehydration is
a major risk factor [12].
Extrinsic risk factors
Pressure
Shear / friction
Moist skin
Time
The intensity and duration of pressure, particularly over bony prominences, are
major risk factors [13].
Friction between the skin and the support surface can generate shear forces which
increase the risk of pressure ulcer development.
Moist skin (possibly due to incontinence or sweating) is more susceptible to damage
[7].
Pressure ulcers can develop quickly, sometimes in less than one hour [10]. Collins
2003 [14] stated that pressure ulcers are associated with prolonged lying in the
same position without adequate provision of a pressure redistributing surface.
Pressure ulcer management
The reduction of both intensity and duration of pressure is the ultimate aim of
clinicians in pressure ulcer management. The focus, in both community and acute
care, is very much on prevention. A survey of 26 hospitals conducted in the UK in
2001 indicated that 18.3% of patients (n=594) were considered at risk of developing
a pressure ulcer. The survey also demonstrated that despite 84% of patients
(n=1234) having a minimal risk of developing a pressure ulcer, these patients were
incorrectly allocated a pressure-redistributing mattress, demonstrating a need for a
correct patient risk assessment to be undertaken [15].
Risk assessment tools are commonly used to identify those at increased risk of
developing pressure ulcers. These tools include:
•
•
Norton scale [16]
Braden scale [17]
Introduction
•
•
•
•
7
Waterlow scale [18, 19]
Gosnell scale [20]
4-factor model [21]
Risk Assessment Pressure Sore (RAPS) scale [22].
The risk assessment tools vary slightly, but all provide a risk score intended to allow
the selection of appropriate pressure-redistribution support. The choice of tool is a
matter of personal preference, but their clinical sensitivity and specificity may be
poor [23, 24].
The Waterlow scale is the most commonly used risk assessment tool in the UK [3].
The tool also includes guidelines on the use of pressure-redistribution equipment.
The patient is assigned to one of three risk categories (figure 3), and re-assessed
weekly.
Risk assessment score
Risk category
Recommended pressure-redistribution system
20+
Very high risk
Fluidised bed system
15+
High risk
Dynamic mattress
10+
At risk
Overlay or static mattress
Figure 3: Waterlow scale overview [18, 19]
The National Institute for Health and Clinical Excellence (NICE) [5] states that the
selection of pressure-redistributing devices should be based on cost and a holistic
assessment of the patient rather than utilising a risk assessment instrument alone.
It is recommended that patients be repositioned three to four times per day and once
or twice at night [23], particularly if they are immobile and that bed linen be changed
regularly to prevent soiled sheets from rubbing.
Use of pressure-redistribution surfaces in hospital
Hospital beds are generally equipped with pressure-redistribution mattresses as
standard, and operating tables have similar pressure-redistribution surfaces. Trolley
mattresses often do not have pressure-redistributing properties. It is recommended
that ‘at risk’ patients should be placed on a non-redistributing surface for no more
than two hours [10, 14].
Use of pressure-redistribution surfaces in the community
Static and dynamic mattresses and overlays are used in the community for patients
at risk of developing pressure ulcers. Static overlays and mattresses are generally
Introduction
8
allocated to patients who are mobile. Dynamic mattresses or overlays are reserved
for bed-bound and largely immobile patients. They are not appropriate for mobile
patients, since they make it more difficult for the patient to sit up, thus posing a safety
risk.
Patients in the community are assessed at home by tissue viability nurses (TVNs) for
the appropriate type of pressure-redistribution support surface, who then apply to the
local primary care trust (PCT) for the funding. The choice of surface might require
management approval. The resulting delay in equipment provision increases the risk
of a pressure ulcer developing in the interim [10, 14].
National guidance
Guidance is available from NICE, Medicines and Healthcare products Regulatory
Agency (MHRA), the Royal College of Nursing (RCN) and others on the pathology of
pressure ulcers and the evidence available to support the use of pressureredistribution surfaces (table 2).
Introduction
9
Table 2: National guidance documents for pressure-redistribution products
Origin
National Institute
for Health and
Clinical
Excellence
(NICE)
Title
Pressure ulcers:
Prevention and
pressure-relieving
devices, October
2003 [5]
Key recommendations
Risk assessment should be undertaken by an appropriately
trained person within 6 hours of patient admission.
Assessment tools should be an aid and not replace clinical
judgement.
Risk factors must be considered when assessment is
completed.
Pressure-redistribution device allocation should be based on
cost considerations and overall assessment of patient.
All individuals assessed as being vulnerable to pressure ulcer
development should be placed as a minimum on a highspecification foam mattress (see Technical considerations).
Elevated risk patients should be placed on a pressureredistributing device.
All patients undergoing surgery should have a minimum
protection of a pressure-reducing theatre mattress.
All clinicians should be educated regarding pressure ulcer
prevention, risk assessment and the selection, use and
maintenance of support surfaces.
Royal College of
Nursing (RCN) commissioned by
NICE
The use of pressurerelieving devices
(beds, mattresses
and overlays) for the
prevention of
pressure ulcers in
primary and
secondary care,
2004 [25]
This report reiterates the clinical recommendations given by
NICE, and identifies areas where further research is required.
Compare the different types of mattresses and overlays
available to include cost-effectiveness and economic cost of
devices.
Investigate the impact of having a pressure ulcer on the
quality of life of patients and carers.
Evaluate impact/effectiveness of patient assessment at the
point of entry to healthcare.
Evaluate the need for and frequency of the repositioning of
patients.
Improve the understanding of risk factors.
Research patients’ need for and use of pressureredistributing devices across a 24hr period.
Study the longevity of the different types of devices available.
Evaluate the reductions in pressure ulcer incidence from
mattress use in different clinical settings.
NICE
Pressure ulcer
management – cost
analysis of the new
recommendations in
the prevention and
treatment of pressure
ulcers, September
2005 [26]
This report examines the cost impact of implementing the
recommendations made in the 2004 NICE guidelines [5].
Cost analysis showed that the implementation of the
guideline is not quantifiable but is not likely to have significant
cost implications for the NHS.
Clinicians consulted felt that the guidelines would not lead to
a change in practice that would have a significant cost
impact. Many nurses felt that the practices recommended in
the guide were already being employed.
Introduction
Origin
Title
10
Key recommendations
This quick reference guide provides evidence-based
recommendations on the treatment and prevention of pressure
ulcers in primary and secondary care utilizing previously
published NICE guidelines [5, 25].
RCN commissioned
by NICE
Pressure ulcers:
The management of
pressure ulcers in
primary and
secondary care,
2005 [27]
Patients with pressure ulcers should have access to
pressure-redistributing support surfaces 24 hours a day.
All patients assessed as having a grade 1-2 pressure ulcer
should as a minimum provision be placed on a highspecification foam mattress combined with close observation
and documented positioning and re-positioning regime.
If there is any perceived/actual deterioration of affected
areas, an alternating pressure (AP) mattress or overlay or a
sophisticated continuous low pressure (CLP) system (low-airloss or air-fluidisation system) should be used.
Medicines and
Healthcare
products
Regulatory
Agency (MHRA)
These two independent evaluation reports:
Pressure-reducing
mattresses 01329-0,
compared and tested different types of overlays and
April 2004 [28]
mattresses
aimed to establish a broadly acceptable set of criteria and
Pressure-reducing
test methods for static mattresses and overlays, including
overlays 04101-0,
pressure mapping.
June 2004 [28]
Disabled Living
Foundation (DLF)
Choosing Pressure
Relief Equipment
Factsheet, 2006 [29]
Lists many of the different types of pressure-redistribution
products available to the UK market.
National Pressure
Ulcer Advisory
Panel (NPUAP)
Support Surfaces
Standards Initiative
29/01/2007 [30]
Provides terms and definitions for support surfaces.
Provides a standardised guideline for support surface testing.
Technical considerations
11
Pressure-redistribution classification
Pressure-redistribution support surfaces are classified in this guide as dynamic (high
technology) devices and static (both high-technology and low technology) devices
[3, 5] (see figure 4).
Figure 4: Classification of pressure-redistribution products
12
Dynamic devices
Alternating pressure (AP) mattresses and overlays are classed as high-technology or
dynamic products. These can be adjusted to individual patient requirements.
Interface pressure is reduced, from selected areas of the body, by the recurring
inflation and deflation of air filled cells over a period of time. This allows an
alternating pattern to form where areas of the patient’s body are clear of the surface
of the bed at different times [23] and therefore ensures regular changes of pressure
profiles for the body. These dynamic products are used for patients with grade 1
ulcers who have developed an increased blood flow to certain areas of the body
when using static surfaces and for patients who have grade 2, 3 or 4 ulcers [27, 31].
A power supply or an air pump is usually required to work these devices for any
length of time.
Static devices
High technology
In this guide low-air-loss and air-fluidisation devices have been classified as high
technology static devices. There is confusion in the literature regarding whether
these types of devices should be classed as dynamic or static devices. Cullum et al
in the NICE guidelines [5, 27] define low-air-loss and air-fluidised mattresses as
‘high-technology’ devices whereas Collins categorises them as ‘static’ devices [3].
Low-air-loss and air fluidisation mattresses and overlays are sophisticated
continuous low pressure (CLP) systems. Both types of mattresses have the
properties of static devices as they conform to the contours of the patient’s body and
distribute pressure over a maximum body surface area [4, 5]. However, lowtechnology static devices are generally basic stand alone non-mechanical devices
without the need for power or a pump to keep the device inflated. In contrast, these
two surfaces are relatively high technology requiring a power or pumped air supply
and thus have been classed as high-technology static devices (table 3).
Low technology
Low technology static products aim to spread a patient’s weight over a large area at
a continuous low pressure. They are usually used for patients with no pressure ulcers
or for patients who present with grade 1 (and on some occasions grade 2) pressure
ulcers [1, 27, 31].
The products work on the basis that the level of pressure is determined by the
amount of force applied to the surface of the skin and the area over which the force is
spread (pressure = force / area). Therefore, to reduce pressure there must be an
increased contact area [3]. This increased area occurs by the product moulding
around the body, spreading the body weight and alleviating the pressure at the
(predominantly) bony areas of the body most at risk of pressure ulcers. These static
devices provide a conforming support surface that distributes the body weight over a
13
large area and reduce movement, therefore also reducing sheer forces [23]. Unlike
dynamic products they do not require a pump or power to use.
These types of products are categorised according to their construction (eg foam)
(table 3).
Table 3: Pressure-redistribution mattresses and overlays
Category
Dynamic (high-technology)
Alternating pressure
Static (high-technology)
Continuous low pressure:
low-air-loss
air-fluidised
Surface description
Electrically powered (pump) devices where the distribution of internal
pressure across the support surface is periodically altered [32]. These are
usually air filled devices which have sequentially inflating and deflating air
filled pockets to remove pressure at selected anatomical sites [23].
These conform to the body, maximising the weight-bearing surface area
[3, 7]. Two common high-technology types are low-air-loss and airfluidised.
This is a support surface that lets air pass through pores in the cover
material. The covers have high moisture vapour permeability. There is
usually a series of connected air-filled compartments that are inflated to
specific pressure according to the patient’s height and weight. An air pump
circulates a continuous flow of air to replace the air lost through the cover
material. It is possible to have individually adjustable sections, such as the
pelvis, to allow extra support [32]. The air flow has a drying effect on the
skin and can prevent the patient from overheating [2]. These can cost
around £2500 plus.
An air-fluidised bed system has the highest level of immersion of all the
products listed; up to two-thirds of the body can sink in to the bed to
relieve the bony prominences [33]. The patient is uniformly supported by
warmed circulating air through glass/ceramic beads or low-air-loss
cushions all of which are encased in a cover sheet and provide support
over a large area. Warm, high-pressure air is forced through the beads,
causing them to take on a fluid state. These are generally only used where
low-air-loss or alternating pressure mattresses are inadequate, and for
patients who are immobile [3]. These are whole bed systems and are
extremely high cost (up to £30 000). They have been included here to
explain the difference between these and the other high-technology
products, however as they are not stand alone products (the whole bed
system is required) they have not been included in the market review.
Category
Static (low-technology)
Continuous low pressure:
Fibre
Standard foam
Alternative foam:
14
Surface description
Continuous low pressure, low-technology types are mixed foam, gel or air
filled.
Fibre mattresses are filled with rolled fluffed or combed fibres. The
mattresses are then stitched to form pockets to ensure the fibres are
evenly spread. These provide comfort but are not ideal for pressureredistribution. Performance decreases with washing [3].
A standard issue hospital foam mattress is priced around £35. They are
usually made from one piece of foam and are not as durable as other
types of foam. Foam degrades over time and will typically wear out within
3 years, depending on usage [32]. As with the fibre mattresses, they
provide comfort but are not ideal for pressure ulcer prevention.
Alternative foam mattresses usually comprise several layers of high
density foam or squared/cubed cut foam [23].
viscoelastic
These cost about twice as much as the standard foam but they are better
for pressure ulcer prevention. These conform to the body, maximising the
weight-bearing surface area. Viscoelastic foam is made from polyurethane
with additional chemicals that increase its viscosity level, thereby
increasing its density. It is often referred to as memory foam. Viscoelastic
foam is temperature sensitive. Depending on the chemicals used and its
overall density, it is firmer in cool temperatures and softer when warm.
Higher density memory foam reacts to body heat which allows it to mould
itself to the shape of a warm body within a few minutes. Lower density
memory foam is pressure-sensitive and will mould more quickly to the
shape of the body [32].
convoluted / contoured
Convoluted foam is ‘egg crate’ shaped contoured foam. This foam
increases the contact area and spreads the body weight evenly [32]. This
foam has a contoured profile to facilitate airflow and prevents the body
from becoming too hot during sleep. The foam can be very thin at the
troughs of the egg-crate. Overlays cost approximately £30 and mattresses
cost approximately £60 [34].
cubed foam
Gel, fluid or air filled
Cubed foam comprises independent small blocks of foam that allows close
conformation to the body. There are spaces in the cubed foam to allow
independent movement of each cube or block and air flow within the cover
of the mattress or overlay. The spaces allow the foam to conform closer to
the body [3]. These are priced similarly to convoluted foam, depending on
the quality of the foam used.
Small or large chambers may be filled with air, water or gel. This will flow
from chamber to chamber in response to patient movement. Supplemental
power is not required. A high degree of immersion is possible with these
products which allow conformity over bony prominences [3].
Products filled with water, air or gel move and conform to the shape and
movement of the body. However, these products decrease the ability to
relieve pressure by leaning to one side as the surface will move with the
user [23].
15
Literature review
A Cochrane review compiled by Cullum et al 2001 [35] (revised 2004 [36] & 2007
[37]) covered all published and unpublished randomised controlled trials concerning
support surfaces for pressure ulcer prevention. Table 4 summarises relevant results.
Table 4: Relevant results from Cullum et al [35-37]
High-technology mattresses and overlays
13% of patients using the APM developed pressure ulcers
compared with 34% of those using CLP. [n=115 (APM) n=115
(CLP)] (Gebhardt 1994)**
Seven combined trials found no statistical difference between
silicone or foam overlays and APM. [n=72 (APM) n=76 (CLP)]
Constant low pressure mattress
(Conine 1990), [n=16 (APM) n=16 (CLP)] (Daechsel 1985), [n=32
(CLP)
(APM) n=34 (CLP)] (Stapleton 1986), [n=166 (APM) n=161 (CLP)]
versus
(Anderson 1982), [n=25 (APM) n=26 (CLP)] (Whitney 1984), [n=40
Alternating pressure mattress
(APM) n=40 (CLP)] (Price 1999), [n=20 (APM) n=20 (CLP)]
(APM)*
(Sideranko 1992)***
Three combined studies comparing static air and water mattresses
against APM also found no statistical difference. [n=166 (APM)
n=155 (CLP)] (Anderson 1982), [n=40 (APM) n=40 (CLP)] (Price
1999), [n=20 (APM) n=17 (CLP)] (Sideranko 1992)***
Low-technology static mattresses and overlays
Incidence and severity of pressure ulcers in high risk patients was
reduced using low-tech devices. [n=21 (cubed foam) n=23 (NHS)]
(Hofmann 1994)
NHS foam hospital mattress
Patients on a standard NHS mattress had over three times the
(NHS)
incidence of pressure ulcers than those using alternative foam.
versus
[n=441 (various static) n=64 (NHS)] (Santy 1994)
various static devices
There was a decrease in the incidence of grade 1 pressure ulcers
from 26.3% to 19.9% when using high specification foam. [n=562
(high specification foam) n=604 (NHS)] (Russell 2002)
Four trials were pooled; results showed significant benefits using
Standard foam mattress (SF)
AF rather than SF. [n=81 (AF) n=9 (SF)] (Collier 1996), [n=90 (AF)
versus
n=80 (SF)] (Gray & Cambell 1994), [n= 441 (AF) n=64 (SF)] (Santy
Alternative foam mattress (AF)
1994), [n=562 (AF) n= 604 (SF)] (Russell 2002)
16
Table 4: Relevant results summary from Cullum et al [35-37] continued
Operating table mattresses and overlays
An SOT was compared to a viscoelastic polymer POT. The
incidence of post operative pressure ulcers was reduced by 47%
Standard operating table
when using the POT. [n= 222 (POT) n= 224 (SOT)] (Nixon 1998)
mattress (SOT)
Two trials compared an alternative pressure POT that was used
versus
intra-operative (during) and post-operative against a gel pad used
Pressure-redistributing OT
intra-operative and a standard mattress post-operative. Fewer
mattress (POT)
ulcers developed using the POT. [n=112 (POT) n=105 (SOT)]
(Aronovitch 1999), [n=98 (POT) n=100 (SOT)] (Russell 2000)****
Hospital trolley mattresses
The intervention group were assigned PTO on arrival followed by a
standard ward mattress. The control group were assigned a STM
followed by a standard ward mattress. There was lower incidence in
the intervention group but it was not statistically significant. [n= 48
(PTO) n=53 (STM)] (Gunningberg 2000)
*Depth and size of air cells were not adequately described.
**Many different surfaces used so difficult to evaluate.
***All these studies were very small so it was difficult to detect clinical differences.
**** It is not clear whether this was due to the intra or post-operative care or both.
N.B. Refer to the Cochrane reviews for the references cited in these tables.
Standard trolley mattress (STM)
versus
Pressure-redistributing visco
elastic trolley overlay (PTO)
17
Technical product requirements
Table 5 lists general requirements and applicable standards for pressureredistribution surfaces, as well as requirements pertaining to specific types of
product.
Table 5: Technical product requirements
General product requirements
Medical devices
Products should comply with the Medical Devices Regulations 2002 –
regulations
SI 2002/618 [38, 39].
Labelling and
A copy of the user guide should be supplied with instructions for use and
instructions for use
maintenance.
Life expectancy of the product should be stated.
All parts of the system should have the following permanently and prominently
affixed:
CE mark according to MDD 93/42 EEC [28, 38]
name of the manufacturer (and / or supplier if different)
model and serial or batch number
year of manufacture
safe working load.
Cleaning /
Cleaning instructions should be provided, including information on specific
decontamination
cleaning products which should or should not be used.
Products should comply with national infection control guidelines [40], and be
easy to clean and disinfect.
Applicable
Products should state the standard to which they have been tested. These
standards
include:
BS 7177 (specification for resistance to ignition of mattresses) [41]
BS 6807 (methods of test for assessment of the ignitability of mattresses)
[42]
BS EN597-1 (assessment of the ignitability of mattresses – smouldering
cigarette) [43]
BS EN597-2 (assessment of the ignitability of mattresses – match flame
equivalent) [44]
BS EN 60601 (electrical safety) [45].
Flame retardancy
Foam materials and covers should comply with BS 5852 [46] for flame
retardancy ignition source 5.
Products supplied to the NHS should comply with the NHS Firecode Document
HTM 87 [47], which requires compliance with BS 7177:1996 [41].
Material
Covers should be vapour permeable and should not contain latex.
construction /
Products should be constructed from two-way stretch fabric.*
performance
18
Requirements for specific product types
Alternating
Same as low-air-loss mattresses and overlays plus the following:
pressure
transport mode to remain inflated for at least 2 hours*
mattresses &
inflation time should not exceed 20 minutes*
overlays
pressure adjustability should be available as standard.
Static mattresses &
The following should be provided on the product:
overlays
turning information (where applicable)
disposal instructions
indication of which is the top or bottom of mattress/overlay
space to write date of first use*.
Foam should be S, V or X (fatigue classes) with initial hardness of between
110-200N which is defined in BS 3379 [48].
Low-air-loss
Control box should:
mattresses &
incorporate an alarm (audio & visual) with mute mode, no power,
overlays
malfunction & low pressure functions*
have near-silent operation*
be compact*.
◊
Adjustable to patients’ weight* .
CPR (cardiopulmonary resuscitation) facility*
Adjustable straps to attach to bed frame*.
N.B. *NHS Supply Chain requirement for inclusion in their national framework agreement.
◊
Allows mattress to be deflated quickly so CPR can be done on a non-powered, non-moving, flat
surface.
Operational considerations
19
Device selection
Pressure-redistribution products must be matched to users’ needs. Table 6 outlines
operational considerations which clinicians must take into account when selecting the
most appropriate product.
Table 6: Operational considerations
Risk category
Products should be selected on the basis of a thorough risk assessment and clinical
judgement.
Model sub-types
Products are often available in standard, bespoke, bariatric and paediatric sub-types.
A bespoke mattress can be made to individual specifications. Bariatric mattresses are
used for heavier patients, whilst paediatric models are specifically designed for
children and babies.
Mattress size &
weight
The width and length are relevant to ensure the products will fit beds, trolleys and
operating tables. The weight of the mattress and accessories should be considered in
addressing manual handling issues for the clinicians who use them.
Patient weight
The weight of the patient is crucial when choosing the correct mattress. The mattress
must be capable of supporting the weight of the patient without ‘bottoming out’.
Infection control
Removable covers: A removable cover that can be washed is better for infection
control.
Non-slip cover: These may prevent the patient from slipping down the bed and thus
will prevent shearing between the cover and the patient occurring.
Cover material: This can affect control of patients’ skin temperature and moisture
[32], as well as infection control.
Materials made from stretch fabric can reduce shear and friction. Waterproof
materials will prevent the infill material from being contaminated and can be easily
wiped clean. Many mattresses are now covered in polyurethane (PU). This material
lasts longer than plastic or PVC, makes less noise and is more comfortable. PU is a
vapour permeable material which allows air and water vapour to circulate so sweating
is minimised. It is also water resistant, so a spillage on the mattress would not leak
into the infill material.
Infill material: Static mattresses, particularly those made from block foam, can
become contaminated with body fluids or spillages, which leads to bottoming-out of
the foam, putting patients at increased risk of infection and pressure ulcer formation
[49].
Seams: (welded or stitched) are important so that leakages cannot seep into the
mattress infill material. Zips should be covered to prevent the spread of infection.
Features
(dynamic
products only)
Some dynamic mattresses and overlays have pre-determined settings, usually listed
as ‘features’ in the product literature.
The comfort setting is determined by the patient’s weight. It can be adjusted to suit
individual requirements.
The transport mode is used when a patient is being transported, and the mattress
cannot remain connected to an electrical supply. The surface becomes firm and
static, allowing pressure to be maintained for a specified length of time until the pump
can be reconnected and the normal; mode of operation re-established.
The sitting mode allows a mattress to be placed in a sitting position.
Operational considerations
20
The static mode allows an alternating dynamic mattress to become a static mattress.
This is useful if a temporary firm surface is required to assist nursing procedures,
such as re-positioning or in the case of a power cut where the surface will remain
inflated for up to 24hrs.
The alarm can be used to alert a nurse or carer if there is a problem, such as a fault
within the mattress, or a mains power failure. It can also be used to detect high or low
pressure areas.
Adjustment
(dynamic
products only)
Purchasing
Demonstration
A dynamic mattress or overlay can be initially adjusted to the desired uniformity
manually by hand or using a powered control. A powered control is essential if a
constant air supply is required, when using a low-air-loss mattress for example. A
static mattress does not have this adjustability.
A product can be bought, rented or provided as part of a contracted service. See
Purchasing for details.
Suppliers will usually provide demonstrations of their products for training purposes.
This is particularly important for dynamic mattresses as these are more complicated
to use.
Economic considerations
21
Economic impact of pressure ulcers
Published data on the economic impact of pressure ulcers are variable. This may be
due to different grades of pressure ulcers being examined, variation in patient
population and the diversity of care settings [26]. Bennett et al (2004) [50] reported
that approximately 412,000 individuals develop a new pressure ulcer annually in the
UK, with a total cost of £1.4 - £2.1 billion. This equates to 4% of the total NHS
expenditure (2000 data), with the majority of costs due to nursing time. The average
cost of treating one pressure ulcer per patient ranges from £1064 for a grade 1 ulcer
to £10,551 for a grade 4 ulcer, due to increased incidence of complications [50].
Collier (1995) [51] estimated the overall cost of one pressure ulcer treatment to be
£40,000. This includes specialist pressure-redistribution equipment, wound
management products and nursing time. In 2003 an estimated £88 million was spent
on pressure are care products that include pressure-redistributing mattresses and
overlays in the UK [52].
Whole-life cost
The cost of prevention and treatment of pressure ulcers includes the cost of nursing
time, the purchase price of pressure-redistributing devices and the costs of training,
and maintenance.
Anthony et al (2004) [53] stated that the length of stay in hospital increases between
two and five times for patients who develop pressure ulcers in hospital. Nursing time
accounts for almost 90% of the overall cost of pressure ulcer treatment, and 96% of
the cost of treating grade 1 and grade 2 ulcers [50].
Cost effectiveness of pressure-redistributing surfaces
Pressure-redistributing surfaces can range from less than £100 for foam overlays to
more than £30,000 for whole bed replacements. However, there is little evidence on
the relative cost-effectiveness of this equipment [35]. Table 7 summarises three
relevant studies.
Economic considerations
22
Table 7: Cost-effectiveness studies
Study
Legood &
McInnes 2005
[54]
Title: Pressure
ulcers: Guideline
development and
economic
modelling.
Fluerence 2005
[55]
Title: Cost
effectiveness of
pressurerelieving devices
for the prevention
and treatment of
pressure ulcers.
Comparison
Discusses the developmental
process of clinical guidelines
regarding pressureredistributing devices to
prevent pressure ulcers with
emphasis on economic
evidence.
Literature was reviewed to
assess clinical and cost
effectiveness of all pressureredistributing devices for the
prevention of pressure ulcers.
Economic modelling was also
completed to assess the
comparative cost effectiveness
of alternating pressure devices
where sufficient evidence was
available regarding the
comparative clinical
effectiveness.
Compares the cost effectiveness
between alternating pressure
overlays and alternating pressure
mattresses.
Overlay:
Purchase cost £870 + VAT
(weekly rental £38)
Service cost £195 per year
Cleaning cost per patient was
£20 (expected 8 year lifespan).
Mattress:
Purchase cost £3604 + VAT
(weekly rental £71.75)
Service cost £330 per year
Cleaning cost per patient was
£20 (expected 8 year lifespan).
This study compares the relative
cost-effectiveness of an
alternating pressure mattress and
an alternating pressure overlay
Title: PressureOverlay:
relieving support
Purchase cost £1011
surfaces
(or £1.38 per day)
(PRESSURE)
trial: Cost
Mattress:
effectiveness
Purchase cost £4174
analysis.
o
(or £5.71 per day)
Iglesias et al
2006 [56, 57]
Conclusions
A high specification foam mattress is likely to cost
less overall than a standard hospital mattress;
savings are accrued by treating fewer pressure
ulcers as they are more effective clinically. Thus
the resulting clinical practice guideline was
uncompromising on the use of a high-specification
foam mattress as the minimum provision for
patients vulnerable to pressure ulcers.
Evidence to demonstrate the cost effectiveness of
most other pressure-redistributing devices
including alternating pressure devices is both
limited and of poor quality.
The relative merits of high-tech devices such as
alternating and low pressure devices are unclear.
Study comparisons between high specification
foam and high-technology devices are lacking.
There was no UK evidence identified on the
comparative cost or cost-effectiveness of
pressure-redistributing overlays for operating
tables.
The lifespan of the overlay is expected to be two
years so replacement would need to occur four
times during the lifespan of the mattress with a
total cost of £3480 + VAT.
If the overall costs of both the products (not
including the cleaning) are calculated over an
eight year period then the overlay would cost
£5040 + VAT and the mattress would cost £6244
+ VAT.
However, the mattress is aimed at treating a
grade 3 or higher ulcer and according to Bennett
et al [50], the mean cost of treating a grade 3 is
£7313 compared with the mean cost of a grade 1
at £1064 so the more expensive mattress is
potentially economically viable.
The mattress resulted in an average of 11 more
pressure ulcer free days and 1.2 fewer days in
hospital (assuming a 2 year lifespan) so the
overall hospital costs were lower.
The study also demonstrated that the difference in
cost remained similar if the lifespan was
increased (5 or 7 year lifespan).
Overall, the study found the use of alternating
pressure mattresses was associated with a delay
in pressure ulcer development and lower hospital
costs, particularly for patients with limited mobility.
Purchasing
23
Purchasing procedures
The Trust Operational Purchasing Procedures Manual provides details of the
procurement process [58].
European Union procurement rules apply to public bodies, including the NHS.
The purpose of these rules is to open up the public procurement market and ensure
the free movement of goods and services within the EU.
In the majority of cases, a competition is required and decisions should be based on
best value.
The EU procurement rules apply to contracts worth more than £90,319 (from January
1st 2008) [59]. Further details of the process are detailed in Appendix 2.
NHS Supply Chain (NHS SC) offers a national framework agreement for the
purchase of pressure-redistribution products and services. Use of this agreement is
not compulsory and NHS organisations may opt to follow local procedures [60].
Sustainable procurement
The UK Government launched its current strategy for sustainable development,
Securing the Future [61] in March 2005. The strategy describes four priorities to
progress sustainable development, in the UK and in the world as a whole:
• sustainable production and consumption – working towards achieving more with
less
• natural resource protection and environmental enhancement – protecting the
natural resources and habitats upon which we depend
• sustainable communities – creating places where people want to live and work,
now and in the future
• climate change and energy – confronting the greatest identified threat facing the
global community.
The strategy also highlights the key role of public procurement in delivering
sustainability.
This section identifies relevant sustainability issues and provides some guidance on
how these can be incorporated into procurement decision making processes.
Purchasing
24
Purchasing considerations for pressure re-distribution products
Most pressure-redistribution products can be bought or leased from UK suppliers.
Leasing tends to involve a greater initial outlay but minimises issues of product
storage, cleaning and management. A ‘whole bed management’ approach involves
contracting with a single supplier for the provision of a mattress or overlay for every
bed in the hospital, and a full management and cleaning service. A set number of
replacements is specified in the contract, with any additional mattresses or overlays
used incurring additional costs. This can reduce hospital expenditure as the cost of
sterilisation can be between £35 and £70 per mattress depending on location,
contractor and size of contract [62].
End-of-life disposal
Consideration should be given to the likely financial and environmental costs of
disposal at the end of the product’s life. Where appropriate, suppliers of equipment
placed on the market after the 13th August 2005 should be able to demonstrate
compliance with the UK Waste Electrical and Electronic Equipment (WEEE)
regulations (2006) [63]. The WEEE regulations place responsibility for financing the
cost of collection and disposal on the producer. Electrical and electronic equipment,
(e.g. air pumps and other ancillary electrical devices) is exempt from the WEEE
regulations where it is deemed to be contaminated at the point at which the
equipment is scheduled for disposal by the final user. However, if it is subsequently
decontaminated such that it no longer poses an infection risk, it is again covered by
the WEEE regulations, and there may be potential to dispose of the unit through the
normal WEEE recovery channels. N
N
Market review
25
Market overview
The market review provides key product specifications for more than 300 products
from 42 suppliers to the UK market. The specification tables list the products shown
in table 8.
Table 8: Pressure-redistribution products listed in the specification tables
Device type
High-technology
Low-technology
Products
Total
Dynamic mattresses (alternating pressure)
74
Dynamic overlays (alternating pressure)
37
Static mattresses (low-air-loss)
17
Static mattresses (mixed foam, gel & air)
133
Static overlays (mixed foam, gel & air)
47
Static hospital trolley mattresses and overlays (mixed foam, gel & air)
5
Static operating tables mattresses and overlays (mixed foam, gel & air)
5
Specification tables
Table 9 lists products by supplier. Supplier contact details are given in Appendix 1.
Tables 10 - 16 list products in alphabetical order. Where products are offered by
more than one supplier, this is indicated by the use of multiple supplier codes (S1 –
S42). The matrix in Appendix 3 provides a quick reference to the products available
from multiple sources.
Table 9: Products by supplier
Supplier &
supplier code
APC Healthcare
S1
BaKare Beds Ltd
S2
Betterlife Healthcare Ltd
S3
Product
category
DM
DO
SM
Cavalier, Royal
Consort, Opal, Supreme
Apollo Moulded, Diamond, Epsus Multi-softness, Replacement
9
DM
DO
SM (H-T)
SM (L-T)
Squirrel 9000, Squirrel 9100
Squirrel 9240 Digital
Squirrel 9200, Squirrel 9250
Medipro+1, Medipro+2, Medipro+ 3, Medipro+4, Medipro+5
10
DM
DO
SM (H-T)
Community Plus Air , Solo Dynamic, Trio Dynamic Air
Expansion Control Waffle
Russka PR 2500, Russka PR 3000
Acclaim Profiler, Acclaim Safe Side, Acclaim VE, Acclaim VE Classic, Bed
Care Designer, Homecraft PR, Homecraft PR Profiler, Pressure-Tex, Softrest,
Softrest Contour, Visco Memory
Designer, Designer Supreme, Dr. Prelease, Homecraft PR Fibre, Homecraft
PR Foam, SoftrestThin, Visco Memory
24
SM (L-T)
SO
Product model
Total
Market review
Supplier &
supplier code
Carebase
Charnwood Healthcare Ltd
Childerhouse Medical Ltd
Countrywide Healthcare
Supplies Ltd
Product
category
6
S5
OT
Liquid Displacement Cell™ (LDC) Operation Table
1
S6
DM
SO
Dual , Nova Plus
Comfort 9005 , Medex , Medex Plus
5
DM
DO
Picara™ 300, Picara™ 400, Picara™ 500
Picara™ 100, Picara™ 200
Picara™ Modular, Picara™ Profiling Low, Picara™ Profiling Medium, Picara™
Profiling Medium-High
Picara™ Foam Low Risk, Picara™ Foam Medium-High Risk
11
Casaflex Base Foam with Visco Top, Casaflex Core Foam with Profiled Sides,
Casaflex Single Foam, Casaflex Single Foam-5, Prima, Prima Bario
6
Baros Compact, Piezo
Baros
Supaflex Care, Supaflex Comfort SX59, Supaflex Non-turn Profiling SX62,
Supaflex Profiling SX63, Supaflex Visco Non-turn
8
Allegro , Chorus , Symphony 8500 , Symphony Plus 8900 , Tempo
Bubble , Opus , Sonata 3500
Serenade 9000
Air-Layer , Community , Memaflex , Memaflex Bariatric , Memaflex
Combination , Memaflex Plus , Permaflex
Air-Layer , Memaflex Plus , Permaflow , Permapad
Memaflex
21
Softform Premier Active
Bariatric STM/B Non-Turn, Bariatric STM/BHD Non-Turn, Bariatric STM/BV
Visco Care Non-Turn, Supaflex Comfort SX59, Supaflex Foldable SX61,
Supaflex Non-Turn Profiling SX62, Supaflex Profiling SX60, Supaflex Profiling
SX63
9
22
SO
Galaxy 2000, Turn.aido 2000
Bubble, Galaxy 500, Galaxy 700, Galaxy 1000, Tri-pos3, Tri-pos3+Turn.aido,
Turn.aido 1000
BodyFoam Bariatric, Bodyfoam Community, BodyFoam Mistral Classic,
BodyFoam Mistral Standard, Community Vitality, Hi-Visc, Hi-Visc Bariatric, HiVisc+Turn.aido, King’s Fund
Bodyfoam, BodyPillo, Community Vitality, Hi-Visc
S7
SM
S8
SM
Dorset Nursing Supplies Ltd
S9
DM
DO
SM
S10
DM
DO
SM (H-T)
SM (L-T)
SO
Ty
DM
S11
SM
DM
DO
First Technicare Company Ltd
Total
HALO Astra, HALO Tetra
HALO Nova, HALO Nova Plus
HALO Matrix, HALO Multisoft
Days Healthcare UK Ltd
Euromobility Ltd
Product model
DM
DO
SM
S4
SO
Essential Healthcare
International Ltd
26
S12
SM
Frontier Therapeutics Ltd
S13
SO
Ty
Repose, Repose Babytherm (paediatric), Repose Companion
Repose
4
Gerald Simonds Healthcare
S14
DM
Vicair® Academy 415
1
30
SO
Cavalier, Cavalier 24hrs, Opal Plus, Royal, Royal 24hr, Supreme Extra,
Bubble, Consort, Opal, Supreme, Supreme 24hrs
Rotational, True LOL Wondermat, True LOL Wondermat plus
Alova Memory, Alova Monoblock, Apollo Moulded, Community, Diamond,
Epsus Multi-softness, Modular Community, Prime Comfort, Reflect,
Replacement, Visco
Fibre, Foam, Kineris, Visco Combi
S16
SM
Lowzone, Lowzone Paediatric
2
S17
DM
DO
SM (H-T)
SM (L-T)
SO
CliniAcitv™, Duo®2, Primo™, Repistar®
Alto™
CliniActiv®Zephyr™
Clinisert™2
SimCair®, Thermo contour®
9
Harvest Healthcare
S15
DM
DO
SM (H-T)
SM (L-T)
The Helping Hand Company
Hill-Rom
Market review
Supplier &
supplier code
Homecraft Rolyan
Product
category
S18
DO
SM (H-T)
SM (L-T)
SO
DM
Huntleigh Healthcare Ltd
27
S19
DO
SM (H-T)
SM (L-T)
DM
Product model
Total
Tamora Alternating
Russka PR 2500 , Russka PR 3000
Homecraft PR
Dr. Prelease, Flexon 2000 , Homecraft PR Fibre , Homecraft PR Foam
8
Auto Logic™ 110, Auto Logic™ 200, Nimbus® 3, Nimbus® 3 Paediatric,
Nimbus® 3 Professional
Alphatrancell®, Alphaxcell®
Breeze®,
Conformx®, Pentaflex®
10
12
S20
SM
SO
Softform Birthing, Softform Cot, Softform Excel, Softform Incubator, Softform
New-born, Softform Original, Softform Premier, Softform Premier Glide,
Softform Premier Visco, Softform Superior
Propad
S21
DM
DO
SM
SO
Essentials, Essentials Combi, Transair, Transair Alternating Cot, Transair Lite
Essentials, Transair, Transair Combi
Transfoam, Transvisco, Transwave Supreme
Transvisco
12
KCI Medical Ltd
S22
DM
DO
SM (H-T)
OT
AtmosAir® 4000, AtmosAir® 9000, ProfiCARE®,
RIK® Fluid
BariAir®, Therakair® Visio
RIK® pads
7
Lisclare Ltd
S23
SM
BigM Bariatric, RMax, VMax
3
24
SM
SO
APM2000, Casaflow Nova, Cavalier 24hr, Nimbus® 3, NovaPlus, Quattro
Plus™, Quattro Prime™, Royal, Royal 24hr
AlphaTrancell®, AlphaXcell®, Baros, Bubble, Opal, Pulsair Plus™, Qu4ttro™,
Supreme, Supreme 24hr
Alova Replacement, Modular Foam, Reflect Replacement
Alova, Fibre, Modular Foam
Bari-med, Pneu Air, Pro 2000, Pro 3000, Pulmoflo, Synergy Pulse
MediFloat™
Pro-op
MediFloat™Trolley Topper
9
Optima, Optima-Bario, Optima-Neo
Pro-Mat-2, Pro-Mat-3, Pro-Mat-Bario, Pro-Mat-MemR
7
19
SO
Ty
Delta Plus , Elite , Genesis , Phase III
Eclipse II , Prelude
Admiral II
Air-Layer , Community , Memaflex , Memaflex Bariatric , Permaflex ,
Permaflex Non-turn , Permaflex Plus
Air-layer , Memaflex , Permapad
Memaflex , Memaflex Shaped
S28
SM
SO
Designer , Pressure-Tex
Designer , Designer Supreme , Pressure-Tex
5
Sareo Healthcare Ltd
S29
DM
SM
OT
Ty
Airform Core Flotation Therapy
Pressurease Care, Pressurease Paediatric
Pressurease
Pressurease
5
Scan Mobility Ltd
S30
Invacare UK
Karomed Ltd
DM
Medipost (UK) Ltd
S24
DO
Meditec Medical Ltd
S25
DM
SM
OT
Ty
Nexus DMS Ltd
S26
DM
SM
Park House Healthcare Ltd
Promedics (now called Able2)
S27
DM
DO
SM (H-T)
SM (L-T)
DM
DO
SM (H-T)
Plexus Aire Express®, Plexus Auto Sure Float Bariatric®, Plexus Auto Sure
Float®
Aire Twin™
Aire Twin™, Clini-dyne®, Plexus Auto Aire Select®
7
Market review
Supplier &
supplier code
Product
category
28
Product model
Total
Select Medical Ltd
S31
DM
DO
SM
Altair™, Media Plus™, OLA Classic™,
Media™, OLA Elegant™, OLA Majestic™
SelFlex™ High Density Foam, SelMed™ Visco-Elastic
8
Shelden Healthcare
S32
DM
DO
Altair™, OLA Classic™
OLA Elegant™, OLA Majestic™
4
DM
Sidhil Ltd
S33
13
SO
Lullaby Pressure Cradle, Plus Dynamic, Solo Dynamic, Trio Dynamic Air
Acclaim Bariatric VE, Acclaim Profiler, Acclaim Safeside, Acclaim VE, Lullaby
VE , Softrest, Softrest Contour, Softrest VE
Softrest Thin
SM
Spectrum Healthcare
S34
DM
DO
SM
Piezo
Baros
1000HMR , 2000MR , Visco 3000MR
5
Spenco Healthcare Int. Ltd
S35
SM
SO
Contrax Standard, Improtec HR, Improtec ST-contoured Foam, Pro 2003,
Basix
5
Spinal Products Ltd
S36
SM
Designer (Harley) , Pressure-Tex (Harley) , Pressure-Tex Performance
(Harley)
Designer (Harley) , Designer Supreme (Harley) , Pressure Tex (Harley)
6
SO
Squirrel Medical Ltd
S37
DM
DO
SM (H-T)
SM (L-T)
STM Healthcare
S38
SM
S39
9
Linknurse , Linknurse Heavy Duty , Linknurse Profiler , Prima , Prima
Profiler , Protector , Protector Profiler , The Profiler™
Snuggledown , Snugglefoam
10
13
SO
OT
ROHO® Dry Flotation®, ROHO® Dry Flotation® Bariatric, Tempur-Med®,
Tempur-Med® Premier, Viscotech, Viscotech Plus, Viscotech Supreme,
Viscotech Supreme HD
Action, ROHO® Prodigy ®, Tempur-Med®, Viscotech
Tempur-Med® Pads
SO
Sumed International (UK) Ltd
Squirrel 9000, Squirrel 9100, Squirrel Dormir
Squirrel 9200, Squirrel 9250, Squirrel Sapphire
Squirrel 7000, Squirrel Dahlia
SM
Talley Group Ltd
S40
DM
DO
Qu4ttro Acute™, Qu4ttro Plus™, Qu4ttro Prime™
Pulsair Plus™, Qu4ttro™
5
ThorpeMill Ltd
S41
DO
SM
SO
Alternating Pressure GGSU
AntiPressure RMS/RMD
Hollow Fibre Filled FFWO, Modular Foam PFS/PFD
4
S42
DM
DO
SM
SO
Baros Compact , Piezo
Baros
Duoturn , Premier , Resteasy
Easylay Fibre , Easylay Foam
8
Westmeria Healthcare Ltd
DM = dynamic mattress, DO = dynamic overlay, SM = static mattress, SO = static overlay, Ty = trolley mattress, OT = operating table
mattress, H-T = high technology, L-T = low-technology
N.B. All dynamic products are H-T. All static products that have not been specifically called H-T are L-T, including Ty and OT.
These products are available according to the websites of the suppliers listed; however since we have been unable to confirm product
details with the suppliers and we have no information regarding the product other than the name, their products have not been included in the
specification tables.
These products are available according to the websites of the suppliers listed; we have been unable to confirm this with the suppliers but
information regarding the products was available on the suppliers’ websites so they have been included in the specification tables. The
product details have not been confirmed by the supplier.
These products details have not been confirmed by this supplier, however the products are available from other suppliers who have
confirmed the details, so they have been included in the specification tables.
Charnwood Healthcare operating table mattresses are bespoke products that are made specifically to the customer needs. For this reason
they have not been included in the specification tables.
Childerhouse Healthcare is in the process of changing their range so were unable to provide details in time for this publication. They have
not been included in the specification tables.
Market review
29
Table 10: Dynamic (high-technology) mattresses – alternating pressure
Airform Core
Flotation Therapy
Altair™
APM 2000
Atmosair® 4000*
AtmosAir® 9000*
High
Very high
High
Low / Medium
Medium / High
Both
Both
Standard
Risk category
Low / Medium / High / Very
high
Types
Standard / Bespoke
Bariatric / Paediatric
Bariatric
Both
Both
Not bariatric but high
weight limit
Not bariatric but high
weight limit
178 x 889 x 2032
Other dimensions
available
178 x 889 x 2032
Other dimensions
available
Mattress size (single)
Depth x width x length (mm)
200 x 860 x 1980
200 x 900 x 2000
120 x 930 x 2100
Patient (max)
160
180
127
227
227
Mattress
13.5
6
13.6
13.6
2.4
n/a
n/a
Weight (kg)
Pump
Infection control
100% polyester
polyurethane coated,
base: 58% polyester
42% cotton
polyurethane coated
anti-slip
2 way stretch, water
proof, vapour
permeable
polyurethane coated
nylon
Polyurethane coated
stretch nylon
Top: TheraTex™ or Recovery5™
Bottom: SoftTick low slip or Centurion 12™
Infill material
Visco-elastic polyether
foam laminated to
combustion modified
polyether foam
Polyurethane cell
n/a
SAT™ foam encased cylinders, foam shell
Covered zips
Patented infection
control polyurethane
zip
Cover material
Removable covers
Non-slip covers
Stitched / Welded seams
Stitched
Stitched
Stitched
Stitched
Transport mode
n/a
n/a
n/a
n/a
Sitting mode
n/a
n/a
Static mode
n/a
n/a
Alarm
n/a
n/a
Features
Comfort settings
Adjustment
Powered / Manual / Both
Powered
Powered
Powered
Automatic
Automatic
Buy / Rent / Both
Both
Both
Buy
Buy
Buy
Warranty (months)
24
12
24
60
60
S24
S22
S22
Purchasing
Demonstration of equipment
3
Supplier code (see table 9)
S29
S31, S32
Information not provided by supplier
*These two mattresses are classed as non-powered dynamic mattresses by the manufacturer.
Market review
30
Table 10: Dynamic (high-technology) mattresses – alternating pressure continued
Auto Logic™ 110
Auto Logic™ 200
High
High
Standard
Standard
Bari-med
Baros Compact
Casaflow Nova
Low/Medium
High
Risk category
high
Types
Standard / Bespoke
Both
Standard
Both
115 x 860 x 2030
118 x 205 x 2030
250 x 860 x 1980
100 x 900 x 2000
180
180
198
120
229
7
8.5
2.75
2.75
4.5
2 way stretch
2 way stretch
70 Neoprene
Waterproof slide
Waterproof, vapour
permeable
Non slip base
Non slip base
n/a
n/a
n/a
n/a
Stitched
Stitched
Welded
Automatic
Automatic
Powered
Buy / Rent / Both
Both
Both
Both
Both (S9),
Warranty (months)
24
24
12
12 (S9),
(S42)
(S9),
(S42)
Weight (kg)
Patient (max)
Mattress
Pump
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Manual
Purchasing
(S42)
Buy
12
S19
S19
S25
S9, S42
S24
Market review
31
Cavalier
Cavalier 24hrs
CliniActiv®
Zephyr™
Community
Plus Air
Delta Plus
High/Very high
High
High / Very high
Medium / High
Very high
Standard / Bespoke
Both
Standard
Standard
Standard
Both
Risk category
high
Types
Bariatric
200 x 890 x 1980
200 x 900 x 2000
Patient (max)
190
92.5
Mattress
15
Pump
2.5
Vapour permeable
180 x 850 x 2030
200 x 900 x 1950
360
177
200 x 1070 x 1925
Weight (kg)
318
15.5
11.6
2.5
4.1
6.4
Polyurethane coated
polyester
Polyurethane transfer
coating on warp
knitted fabric
Waterproof, multistretch, vapour
permeable
polyurethane, with
actifresh biocide
2oz nylon
2oz nylon
n/a
n/a
Welded
Welded
Welded
Stitched
Infection control
Cover material
Removable covers
Non-slip covers
(S1),
Infill material
(S15)
Covered zips
Stitched
Features
Comfort settings
Transport mode
Dependent on bed
Sitting mode
n/a
Static mode
Alarm
Adjustment
Manual
Powered
Powered
Powered
Buy / Rent / Both
Both
Both (S15), Buy (S24)
Both
Buy
Warranty (months)
12
12
12
Purchasing
Both
24
(S15),
(S24)
S1, S15
S15, S24
S17
S3
S27
Market review
32
Duo® 2
Elite
Essentials
Essentials Combi
Galaxy 2000
Very high
Very high
High / Very high
Medium / High
Very high
Standard
Standard
Risk category
high
Types
Standard / Bespoke
Standard
Both
Bariatric
230 x 850 x 2000
175 x 875 x 1862
215 x 850 x 2000
275 x 850 x 2000
20 x 889 x 2030
Patient (max)
400
159
177
158
285
Mattress
4.8
3
4
10
15
Pump
16.8
2
2
2
1.8
Polyurethane coated
polyamide
permeable
polyurethane, with
actifresh biocide
Multi-stretch,
waterproof, vapour
permeable
Multi-stretch,
waterproof, vapour
permeable
Waterproof, vapour
permeable 2 way
stretch cover
Air on 60mm foam
sub mattress
Visco-elastic foam
High strength
polyurethane air cells
High strength
and high density foam
PU cells
Stitched
Welded
Stitched
Stitched
Both options available
Both
Both
Both
Buy
Buy
Both
12
12
12
S21
S21
S12
Weight (kg)
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Alternating low
pressure or
continuous low
pressure
Transport mode
Sitting mode
Dependent on bed
Static mode
Alarm
Adjustment
Powered
Purchasing
Buy / Rent / Both
Both
Warranty (months)
12
Both
S17
S27
Market review
33
Genesis
HALO Astra
HALO Tetra
Lullaby Pressure
Cradle
Media Plus™
Very high
Very high
Medium / High
Paediatric
Paediatric
160 x 695 x 1290
178 x 914 x 2000
160
127
Risk category
high
Very high
Types
Standard / Bespoke
Standard
Standard
Paediatric only
Both
110 x 650 x 1200
200 x 900 x 2100
200 x 900 x 2100
Weight (kg)
Patient (max)
31
Mattress
3
Pump
2
2.5
2.5
permeable
polyurethane cover,
with actifresh biocide
Nylon / polyurethane,
2 way stretch cover
Nylon / polyurethane,
2 way stretch cover
2 way stretch
permeable
polyurethane coated
proof, vapour
permeable
polyurethane coated
nylon
Visco-elastic foam
Incorporated foam
base
Alternating cells
Wellotex®
n/a
Welded
Stitched
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Stitched
Features
Comfort settings
10 min cycle
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Manual
Powered
Purchasing
Buy / Rent / Both
Both
Both
Warranty (months)
24
12
S33
S31
S27
S4
S4
Market review
34
Nimbus® 3
Nimbus® 3
Paediatric
Nimbus® 3
Professional
Nova Plus
OLA Classic™
High / Very high
High
High
High
Very high
Standard
Standard
Both
Risk category
high
Types
Standard / Bespoke
Standard
Standard
Paediatric
Paediatric
203 x 890 x 2060
203 x 660 x 1300
203 x 890 x 2085
200 x 900 x 2000
Weight (kg)
Patient (max)
250
25
250
Mattress
15.5
5.8
15.5
Pump
5.7
3.5
5.7
200
171
Polyurethane
proof, vapour
permeable
polyurethane coated
nylon
Air cells
n/a
Infection control
2 way stretch,
polycoated knitted
fabric
2 way stretch
2 way stretch
Non-slip base
Non-slip base
Non-slip base
n/a
n/a
Stitched
Stitched
Stitched
Stitched
Powered
Powered
Powered
Powered
Buy / Rent / Both
Both
Both
Buy
Both
Warranty (months)
24
24
24
12
12
S19
S19
S6, S24
S31, S32
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
(S19),
(S24)
S19, S24
Market review
35
Opal Plus
Optima
Optima-Bario
Optima-Neo
Phase III
Medium
Very high
Very high
Very high
Very high
Standard
Both
Risk category
high
Types
Standard / Bespoke
Both
Standard
Bariatric
Paediatric
150 x 865 x 1980
130 x 850 x 2000
130 x 1150 x 2000
350 x 650
(length not supplied)
200 x 900 x 1900
Patient (max)
152
300
300
3
229
Mattress
12
7
11
1
4
Pump
3
2.4
2.4
1.8
4
Vapour permeable
Polyurethane coated,
waterproof, vapour
permeable
waterproof, vapour
permeable
waterproof, vapour
permeable
permeable
polyurethane cover,
n/a
n/a
n/a
n/a
n/a
Stitched
Stitched
Stitched
Stitched
Welded
Manual
Powered
Powered
Powered
Buy / Rent / Both
Both
Buy
Buy
Buy
Warranty (months)
12
12
12
12
S15
S26
S26
S26
Weight (kg)
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
Both
S27
Market review
36
Picara™ 300
Picara™ 400
Picara™ 500
Piezo
Plexus Aire
Express®
Medium
High
High (dual cell)
High
Medium / High
Standard
Standard
Standard
Standard
Standard
187.5 x 900 x 2000
210 x 900 x 2000
210 x 900 x 2000
100 x 900 x 2000
254 x 860 x 2030
145
170
170
120
228
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Patient (max)
Mattress
Pump
2.4
Infection control
Cover material
Vapour permeable
polyurethane, 2 way
stretch fabric
Vapour permeable
polyurethane, 2 way
stretch fabric
Vapour permeable
polyurethane, 2 way
stretch fabric
Waterproof slide
Vapour permeable
n/a
n/a
n/a
n/a
n/a
Stitched
Stitched
Stitched
Auto with override
Auto with override
Auto with override
Both
Both
Both
Buy
Buy
Buy
Both (S9),
(S34, S42)
Both
12
12 (S9)
(S34, S42)
24
Removable covers
Non-slip covers
Infill material
Covered zips
Stitched
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Manual
Manual
Purchasing
Buy / Rent / Both
Warranty (months)
12
12
(S9),
(S34, S42)
S7
S7
S7
S9, S34, S42
S30
Market review
37
Plexus Auto Sure
Float Bariatric®
Plexus Auto Sure
Float®
Plus Dynamic
High
High
Medium / High
Pneu Air
Primo™
Risk category
high
Medium / High
Types
Standard / Bespoke
Both
Both
Bariatric only
Standard
Paediatric
254 x 1220 x 2030
254 x 860 x 2030
260
260
204 x 880 x 2000
150 x 860 x 1980
165 x 850 x 2000
Weight (kg)
Patient (max)
Mattress
308
10
Pump
250
12.5
4.3
4.3
2.6
4.5
2.8
Vapour permeable
Vapour permeable
Nylon quilt, 70D nylon.
Vapour permeable,
polyurethane stretch
70 Neoprene
Protex polyester and
polyurethane
n/a
n/a
Foam
Air on 5cm foam sub
mattress
Stitched
Stitched
Welded
Welded
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Continuous low
pressure
Comfort settings
Transport mode
Sitting mode
n/a
Static mode
Alarm
Adjustment
Both
Both
Powered
Powered
Buy / Rent / Both
Both
Both
Both
Both
Warranty (months)
24
24
12
12
S30
S30
S25
S17
Purchasing
S33
Market review
38
Pro 2000
Pro 3000
Proficare®
Pulmoflo
Qu4ttro Acute™
Risk category
high
Medium / High
Very high
Types
Standard / Bespoke
Both
Both
Paediatric
Paediatric
120 x 860 x 1980
120 x 530 x 1400
200 x 900 x 1950
250 x 860 x 1980
308
308
185
308
Standard
Both
Both
Paediatric
240 x 880 x 1980
Weight (kg)
Patient (max)
Mattress
11
Pump
250
12.5
4.5
4.5
3.5
4.5
3.4
70 Neoprene
70 Neoprene,
Staffcheck
Polyurethane coated
knitted nylon
70 Neoprene
waterproof, 2 way
stretch nylon
n/a
n/a
Polyurethane foam
cover, inflatable air
cells
n/a
Polyurethane air cells
Welded
Welded
Stitched
Welded
Welded
Powered
Powered
Both
Powered
Buy / Rent / Both
Both
Both
Buy
Both
Both
Warranty (months)
12
12
12
24
S25
S25
S25
S40
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
S22
Market review
39
Qu4ttro Plus™
Qu4ttro Prime™
Repistar®
Royal
Royal 24hrs
High
High / Very high
All risk categories
High / Very high
High / Very high
Both
Both
Standard
Both
Standard
Risk category
high
Types
Standard / Bespoke
Both
180 x 880 x 1950
240 x 880 x 1980
200 x 890 x 2030
200 x 890 x 1980
200 x 900 x 2000
229
Weight (kg)
Patient (max)
200
250
181
229
Mattress
9.4
10.6
23
15
Pump
3.4
3.4
10
3
3
waterproof, 2 way
stretch nylon
waterproof, 2 way
stretch nylon
Dartex
Vapour permeable
Polyurethane coated
polyester
Infection control
Cover material
Removable covers
(S1), (S15),
(S24)
Non-slip covers
Infill material
n/a
2oz nylon
Welded
Welded
Welded
Welded
Covered zips
Welded
Features
Continuous lateral
rotation, vibration and
percussion therapies
Comfort settings
Transport mode
Sitting mode
Dependent on bed
Option available
Static mode
Alarm
Option available
Adjustment
Powered
Both
Powered
Purchasing
Buy / Rent / Both
Both
Both
Both
Both (S1, S15),
Buy (S24)
Warranty (months)
24
24
12
12
12
(S1,S15),
(S24)
(S15),
(S24)
S24, S40
S24, S40
S17
S1, S15, S24
S15, S24
Market review
40
Softform Premier
Active
Solo Dynamic
Squirrel 9000
Squirrel 9100
Squirrel Dormir
High / Very high
Medium / High
High
High
High
Standard / Bespoke
Both
Standard
Both
Both
Both
Both
130 x 880 x 1988
225 x 880 x 1988
Risk category
high
Types
Paediatric
152 x 880 x 2000
125 x 900 x 1950
130 x 880 x 1988
Patient (max)
247
177
95
95
160
Mattress
13
4.6
5.8
5.8
9
Pump
2
2
2
2
Weight (kg)
Infection control
Cover material
2 way stretch, vapour
permeable
polyurethane fabric
Nylon quilt, 70D
Nylon. Vapour
permeable,
polyurethane 2 way
stretch fabric
Quilted or
polyurethane
Quilted or
polyurethane
Quilted or
polyurethane
High density,
combustion modified
high resilient foam
n/a
n/a
n/a
Polyurethane cells
and foam
Welded
Stitched
Stitched
Stitched
Stitched
Visual
Visual
Powered
Powered
Powered
Buy (S2), Both (S37)
Both
12-48 (S2), 12 (S37)
12-48 (S2), 12 (S37)
12
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
2 cell – 10 min cycle
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Powered
Purchasing
Buy / Rent / Both
Warranty (months)
96 (Foam), 48
(Cover), 24 (Pump)
Buy (S3),
(S33)
(S2),
(S37)
(S2),
(S37)
S11, S20
S3, S33
S2, S37
S2, S37
S37
Market review
41
Supreme Extra
Synergy Pulse
Transair
Transair
Alternating Cot
Transair Lite
Very high
Very High
Very High
Risk category
high
High
Types
Standard / Bespoke
Both
Both
Both
Both
Both
Bariatric
Paediatric
Bariatric
Paediatric
Paediatric
180 x 1370 x 2000
250 x 860 x 1980
187 x 875 x 2100
200 x 700 x 1250
187 x 875 x 2100
158
308
222
25
50
Weight (kg)
Patient (max)
Mattress
Pump
4.5
2
5
4
4
Infection control
Cover material
Silvosan®
antibacterial coated,
vapour permeable
70 Neoprene
multi stretch
waterproof and vapour
permeable
Removable covers
n/a
multi stretch
permeable
3
Multi stretch,
waterproof, vapour
permeable
Non-slip covers
n/a
n/a
High strength
High strength
High strength
Stitched
Welded
Stitched
Stitched
Stitched
Manual
Powered
Both
Both
Both
Buy / Rent / Both
Both
Both
Both
Buy
Buy
Warranty (months)
12
12
24
24
24
S15
S25
S21
S21
S21
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
Market review
42
Trio Dynamic Air
Turn.Aido 2000
Vicair Academy 415
Medium / High
Very high
High
Standard
Both
Risk category
high
Types
Standard / Bespoke
Standard
Paediatric
228 x 900 x 1950
200 x 889 x 2030
222
203
800 x 2000
(depth not supplied)
Weight (kg)
Patient (max)
Mattress
15
Pump
1.8
Infection control
Cover material
2 way stretch
Waterproof, vapour
permeable, 2 way stretch
cover
Waterproof
n/a
Polyurethane cells
SmartCells™
Stitched
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
3 cell – 12 min cycle
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Powered
Both
Purchasing
Buy / Rent / Both
Buy (S3),
(S33)
Warranty (months)
Buy
12
60
S12
S14
S3, S33
Market review
43
Table 11: Dynamic (high-technology) overlays – alternating pressure
Air Twin™
AlphaTrancell®
Alphaxcell®
Alternating
Pressure GGSU
Alto™
Medium
Low / Medium / High
Medium / High
High
Low / Medium
Standard
Standard
Standard
Standard
Standard
130 x 910 x 2030
90 x 840 x 2006
114 x 860 x 2040
140 x 860 x 2090
120 x 850 x 2000
260
120
140
140
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Patient (max)
Mattress
5
Pump
4
1.5
2.7
2.8
3
Vapour permeable
2 way stretch
2 way stretch,
polyurethane coated
nylon
Infection control
Cover material
Polyurethane
Polyester and
polyurethane
Removable covers
Non-slip covers
Infill material
Non-slip base
Non-slip base
Modular cells
n/a
n/a
n/a
n/a
Stitched
Stitched
Stitched
Welded
Stitched
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Dependent on bed
Static mode
Alarm
Adjustment
Manual
Both
Both
Powered
Buy / Rent / Both
Buy
Buy
Both
Warranty (months)
12
24 (S19), 18 (S24)
24 (S19), 18 (S24)
12
12
S41
S17
Purchasing
(S19),
(S24)
(S19),
(S24)
S30
S19, S24
S19, S24
Market review
44
Table 11: Dynamic (high-technology) overlays – alternating pressure continued
Baros
Bubble
Consort
Eclipse II
Essentials
Medium / High
Low
Medium / High
Medium / High
Medium / High
Standard
Standard
Risk category
high
Types
Standard / Bespoke
Standard
Both
Both
Both
Both
130 x 900 x 2000
50 x 865 x 1950
150 x 890 x 1980
112 x 775 x 1910
110 x 850 x 2000
140
90
152
139
127
7
12
3
2
1.2
2
2
Waterproof,
polyurethane coated
polyester or polyester
coated with silicone
permeable
polyurethane cover
Multi-stretch
permeable
Weight (kg)
Patient (max)
Mattress
Pump
Infection control
Cover material
Waterproof slide
Vinyl
Removable covers
n/a
Non-slip covers
n/a
Infill material
n/a
Covered zips
n/a
Welded
(S1),
(S15)
Transfer polyurethane
air cells
Welded (S1),
Stitched (S15)
High strength
Welded
Stitched
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
(S1),
(S15)
Adjustment
Manual
Powered
Manual
Both
Purchasing
Buy / Rent / Both
Both (S9),
(S24, S34, S42)
Buy (S12, S24),
Both (S15), S24)
(S10),
Warranty (months)
12 (S9),
(S24, S34, S42)
12 (S12, S15),
24 (S24),
(S10),
12
Both
Buy
12
(S9),
(S24, S34, S42)
(S12), (S15)
(S10, S24),
S9, S24, S34, S42
S10, S12, S15, S24
S1, S15
S27
S21
Market review
45
Expansion
Control Waffle
Galaxy 500
Galaxy 700
Galaxy 1000
Low
Medium
High
High
Standard
Standard
Standard
Standard
Standard
900 x 2100
500 x 889 x 1980
130 x 889 x 2030
130 x 889 x 2030
190 x 930 x 2670
90
115
180
7
10
15
1.8
1.8
1.8
HALO Nova
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Patient (max)
Mattress
1.4
Pump
2.5
Infection control
Cover material
Waterproof, vapour permeable 2 way stretch cover
Nylon with PVC
coating
Removable covers
Non-slip covers
Infill material
n/a
n/a
n/a
n/a
n/a
Covered zips
Features
Comfort settings
10 min cycle
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Manual
Both
Both
Both
Buy
Buy
Buy
Both
12
12
12
S12
S12
S12
Manual
Purchasing
Buy / Rent / Both
Warranty (months)
S3
S4
Market review
46
HALO Nova Plus
Media™
OLA Elegant™
OLA Majestic™
Opal
Medium / High
Medium / High
Medium / High
Medium
Both
Both
Both
Both
Risk category
high
Types
Standard / Bespoke
Standard
Both
190 x 930 x 2670
125 x 900 x 2000
127 x 900 x 2000
102 x 900 x 2000
100 x 865 x 1980
120
127
114
101
Weight (kg)
Patient (max)
Mattress
Pump
10
2.5
1.2
Infection control
Cover material
Nylon with PVC
coating
Polyester
polyurethane
Polyester
polyurethane
Polyester
polyurethane
Nylon PVC, vapour
permeable
n/a
n/a
n/a
n/a
air cells
Stitched
Stitched
Stitched
Stitched
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
7 min cycle
Transport mode
Sitting mode
Static mode
(S1), (S15),
(S24)
Alarm
Adjustment
Manual
Powered
Powered
Manual
Buy / Rent / Both
Both
Both
Both
Buy (S1), Both (S15),
(S24)
Warranty (months)
12
12
12
12 (S1, S15),
(S24)
Purchasing
(S1, S15),
(S24)
S4
S31
S31, S32
S31, S32
S1, S15, S24
Market review
47
Picara™ 100
Picara™ 200
Prelude
Pulsair Plus™
Qu4ttro™
Low
Medium
Low / Medium
Medium
High
Standard
Standard
Standard
Both
Both
112.5 x 900 x 2000
125 x 900 x 2000
100 x 900 x 1910
128 x 820 x 2000
130 x 855 x 1930
130
130
160
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Patient (max)
101
127
Mattress
2
6
6.3
Pump
2
3.4
3.4
Infection control
Cover material
F.R. vapour
permeable 2 way
stretch fabric
F.R. vapour
permeable 2 way
stretch fabric
Waterproof, multi
stretch vapour
permeable with
Actifresh biocide
waterproof, 2 way
stretch nylon
waterproof, 2 way
stretch nylon
n/a
n/a
Stitched
Welded
Welded
Welded
Buy
Both
12 (S24), 24 (S40)
24
Removable covers
Non-slip covers
Infill material
n/a
Covered zips
No zips
Stitched
Features
Comfort settings
Auto with override
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Manual
Both
Buy / Rent / Both
Buy
Buy
Warranty (months)
12
12
Purchasing
Both
(S24),
(S40)
(S24),
(S40)
S7
S7
S27
S24, S40
S24, S40
Market review
48
RIK® Fluid
Squirrel 9240
Digital
Supreme
Supreme 24hr
Transair
Medium / High
High
High
Medium / High
High
Standard
Both
Both
Standard
Both
Risk category
high
Types
Standard / Bespoke
Both
140 x 840 x 1980
150 x 880 x 1988
150 x 890 x 1980
150 x 900 x 2000
110 x 850 x 2000
159
152
127
Weight (kg)
Patient (max)
172
152
45 (splits into 3
sections)
9
12
n/a
2.5
2
2.5
4
Top: Brookwood
Softex™
Bottom: Vinyl coated
nylon
Quilted or
polyurethane
Vapour permeable
cover
Polyurethane coated
polyester
Multi-stretch,
waterproof, vapour
permeable
Mattress
Pump
2
Infection control
Cover material
Removable covers
(S1), (S15),
(S24)
Non-slip covers
Infill material
MicroFlow viscous
fluid and polyethylene
foam
Polyurethane
air cells
n/a
High strength
Stitched
Stitched
Welded
Welded
Stitched
Powered
Both
Powered
Both
Both (S1, S15),
Buy (S24)
Both
12
24
Covered zips
Features
Comfort settings
Transport mode
n/a
n/a
Sitting mode
n/a
Static mode
n/a
Alarm
n/a
Adjustment
Automatic
Purchasing
Buy / Rent / Both
Buy
Warranty (months)
(S2), Both (S37)
(S2), 12 (S37)
12 (S1, S15),
(S24)
(S1, S15),
(S24)
(S15),
(S24)
S22
S2, S37
S1, S15, S24
S15, S24
S21
Market review
49
Tri-pos3
Transair Combi
Tri-pos3
High / Very high
Very High
Very high
Very high
Both
Standard
Standard
Standard
187 x 875 x 2100
130 x 889 x 2030
130 x 889 x 2030
130 x 889 x 2030
180
+Turn.aido
Turn.aido 1000
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Patient (max)
158
140
140
Mattress
5
20
20
20
Pump
4
1.8
1.8
1.8
Infection control
Cover material
Multi-stretch,
waterproof, vapour
permeable
2 way stretch, vapour permeable, waterproof
Removable covers
Non-slip covers
High strength
and high density foam
Polyurethane cells
Polyurethane cells
Polyurethane cells
Stitched
Both Options available
Both
Both
Both
Both
Buy / Rent / Both
Buy
Both
Both
Buy
Warranty (months)
24
12
12
12
S21
S12
S12
S12
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
Market review
50
Table 12: Static (high-technology) mattresses – low-air-loss
Admiral II
Aire Twin™
BariAir®
Breeze®
Very high
Medium
Medium / High
High
Standard
Standard
Risk category
high
Types
Standard / Bespoke
Standard
Standard is bariatric
275 x 860 x 1925
200 x 910 x 2030
31-159
260
54 x 102 x 226 (min)
70 x 153 x 239 (max)
133 x 860 x 2090
386
140
Weight (kg)
Patient (max)
Mattress
7
Pump
388 (whole bed)
4.5
1.5
Waterproof, multi-stretch,
vapour permeable
polyurethane, with
Actifresh biocide
Vapour permeable
n/a
4
Infection control
Cover material
Gore-Tex® Medical fabric
2 way stretch
Removable covers
Non-slip covers
Non slip base
Infill material
Modular cell design
Covered zips
n/a
n/a
Stitched
Stitched
Stitched
Stitched
Manual
Both
Manual
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
Buy / Rent / Both
Both
Buy
Both
Both
Warranty (months)
24
12
n/a
24
S27
S30
S22
S19
Market review
51
Table 12: Static (high-technology) mattresses – low-air-loss continued
CliniActiv™
Clini-dyne®
Plexus Auto Aire
Select®
Rotational
High / Very high
High
High
Very high
Standard
Standard
Both
Standard
180 x 850 x 2030
200 x 890 x 2030
254 x 860 x 2030
230 x 900 x 1980
Patient (max)
360
228
260
158
Mattress
14.2
Pump
4.6
9.5
4.3
5
Protex polyurethane
coating on a polyamide
fabric
Wipe down cover
Vapour permeable
Quilted
n/a
Foam crib with modular
cells
n/a
n/a
Welded
Stitched
Stitched
Stitched
Powered
Both
Both
Both
Buy / Rent / Both
Both
Both
Both
Both
Warranty (months)
12
24
24
12
S17
S30
S30
S15
Risk category
high
Types
Standard / Bespoke
Weight (kg)
8
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
n/a
Static mode
Alarm
Adjustment
Purchasing
Market review
52
Russka PR 2500
Russka PR 3000
Squirrel 9200
Squirrel 9250
Medium
Low
High
High
Standard
Standard
Both
Both
110 x 900 x 1980
110 x 960 x 1980
150 x 880 x 1988
230 x 880 x 1988
Patient (max)
150
150
160
172
Mattress
2.5
6
6.6
9
3
3
2
2.5
Vapour permeable nylon
mixture
Vapour permeable with
nylon mixture 30%
polyurethane
Quilted or polyurethane
Polyurethane
n/a
n/a
n/a
n/a
Stitched
Stitched
Risk category
high
Types
Standard / Bespoke
Weight (kg)
Pump
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Visual
Adjustment
Powered
Powered
Powered
Powered
Purchasing
Buy / Rent / Both
Buy (S3),
(S18)
Buy (S3),
(S18)
Both
Warranty (months)
12 (S3),
(S18)
24 (S3),
(S18)
12-48 (S2), 12 (S37)
48
(S3),
(S18)
(S3),
(S18)
(S2),
(S37)
n/a
S3, S18
S3, S18
S2, S37
S2, S37
Market review
53
Squirrel Sapphire
Therakair Visio®
True LOL Wondermat
True LOL Wondermat
Plus
High
Medium / High
Very high
Very high
Standard / Bespoke
Both
Standard
Standard
Standard
Both
203 x 900 x 2080
230 x 900 x 1980
230 x 900 x 1980
158
Risk category
high
Types
245 x 880 x 1988
Weight (kg)
Patient (max)
179
135
158
Mattress
12
13.2
8
8
Pump
2.5
6.3
4
4
Polyurethane
Quilted
Quilted
Polyurethane cells
n/a
n/a
Stitched
Stitched
Stitched
Stitched
Powered
Both
Manual
Both
Buy / Rent / Both
Both
Buy
Both
Both
Warranty (months)
48
12
12
S15
S15
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Features
Comfort settings
Transport mode
Sitting mode
Static mode
Alarm
Adjustment
Purchasing
S37
S22
Market review
54
Table 13: Static (low-technology) mattresses – mixed foam, gel & air
1000 HMR
2000 MR
Acclaim Bariatric VE
Acclaim Profiler
Acclaim Safeside
Acclaim VE
Acclaim VE Classic
High
Medium / High
Medium / High
High
Standard
Standard
Standard
Standard
Risk category
Low / Medium / High / Very high
Types
Standard / Bespoke
Standard
Standard
Bariatric only
160 x 867 x 1956
160 x 867 x 1956
158 x 1150 x 1955
158 x 864 x 1955
158 x 864 x 1955
158 x 864 x 1955
158 x 864 x 2135
155
155
315
222
222
222
222
15
14
12
15
15
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Waterproof, vapour
permeable
Waterproof, vapour
permeable
Foam
Foam
2 way stretch permeable polyurethane coated
2 way stretch
Removable covers
Non-slip covers
Infill material
Surface foam density 383
56kg/m ,
base 48-52kg/m3
Surface foam density 383
40kg/m ,
base 52-54kg/m3
Foam density ‘U’ frame
3
38-40kg/m . Surface 353
37kg/m
Foam density ‘U’ frame
3
38-40kg/m . Surface 503
63kg/m
Foam
Welded
Welded
Stitched (S1),
Welded (S33)
Stitched (S1),
Welded (S33)
Stitched
Covered zips
Purchasing
Buy / Rent / Both
Buy
Warranty (months)
24
Buy (S3),
(S33)
36 (S3), 24 (S33)
Buy (S3),
(S33)
Buy (S3),
(S33)
Buy
36 (S3), 24 (S33)
36 (S3), 24 (S33)
36
S3, S33
S3, S33
S3
(S3),
(S33)
S34
S34
S33
S3, S33
Market review
55
Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued
Air-Layer
Alova Memory
Alova Monoblock
Alova Replacement
Antipressure
RMS/RMD
Apollo Moulded
Bariatric STM/B
Non-Turn
No picture
available from the
manufacturers
No picture
available from the
manufacturers
Risk category
Very high
High
High
High
Medium
Medium
Standard
Standard
High
Types
Standard / Bespoke
Standard
Both
Standard
Both
Both
Paediatric
Bariatric
Both
160 x 880 x 1980
152 x 900 x 2000
140 x 880 x 1950
150 x 910 x 1980
Patient (max)
248
190
Mattress
16
Both
Bariatric
170 x 880 x 1980
178 x 900 x 2000
Weight (kg)
190
159
120
394
13
20.5
permeable
Polyurethane coated
fabric
Infection control
Cover material
permeable polyurethane
Vapour permeable
permeable
2 way stretch,
waterproof, breathable
Polyurethane
n/a
n/a
Foam
Combustion modified
foam
Zyprex foam
Foam
Stitched
Welded
Removable covers
Non-slip covers
Infill material
Visco elastic foam
Visco elastic foam
Covered zips
Welded
Welded
Purchasing
Buy / Rent / Both
Both
Buy
Buy
Buy
Buy
Warranty (months)
12
36
36
12
12
12
S15
S15
S24
S41
S1, S15
S11
S10, S27
Market review
56
Bariatric STM/BHD
Non-Turn
Bariatric STM/BV
ViscoCare NonTurn
No picture
available from the
manufacturers
No picture
available from the
manufacturers
Bed Care Designer
BigM Bariatric
BodyFoam Bariatric
BodyFoam
Community
BodyFoam Mistral
Classic
Medium / High
Medium
Low
Medium
Bespoke
Standard
Both
Risk category
High
High
Types
Standard / Bespoke
Both
Both
Bariatric
Bariatric
178 x 900 x 2000
Other sizes available
178 x 900 x 2000
Patient (max)
394
407
Mattress
20.5
22
Polyurethane coated
fabric
Polyurethane coated
fabric
Standard
Bariatric
Bariatric
150 x 910 x 1900
170 x 1170 x 2000
170 x 914 x 2000
130 x 876 x 2000
150 x 914 x 1980
100
250
350
160
190
35
9
13
Weight (kg)
Infection control
Cover material
2 way stretch fleece
Waterproof, vapour
permeable
permeable, waterproof
Removable covers
Non-slip covers
n/a
n/a
Foam
Foam
Memory foam
Castellated foam
Foam
Foam
Foam
Stitched
Stitched
Buy / Rent / Both
Buy
Buy
Buy
Buy
Buy
Buy
Buy
Warranty (months)
12
12
48
48
12
12
12
S11
S11
S3
S23
S12
S12
S12
Infill material
Covered zips
Purchasing
Market review
57
BodyFoam Mistral
Standard
Casaflex Base Foam
with Visco Top
Casaflex Core Foam
with Profiled Sides
Casaflex Single
Foam
Casaflex Single
Foam-5
Clinisert™ 2
Community
High
High
Medium
Low / Medium
Low / Medium
Low / Medium
Low / Medium
Both
Standard
Standard
Standard
Standard
Both
Standard
Risk category
Types
Standard / Bespoke
Both
150 x 863 x 1930
150 x 900 x 1990
150 x 900 x 1990
150 x 900 x 1990
125 x 900 x 1990
Patient (max)
190
171
213
185
185
Mattress
11
155 x 850 x 1990
125 x 880 x 1980
Weight (kg)
130
140
12.5
12
Infection control
permeable
Vapour permeable,
2 way stretch
Waterproof, vapour
Waterproof, vapour
permeable 2 way stretch
Polyurethane
vapour permeable,
polyurethane
Foam
Layered foam
Single foam
Single block foam
Single block foam
Visco elastic foam
Foam
Stitched
Stitched
Stitched
Stitched
Welded
Stitched
Buy / Rent / Both
Buy
Buy
Buy
Buy
Buy
Both
Both (S12),
(S10, S27)
Warranty (months)
12
12
12
12
12
60
S12
S8
S8
S8
S8
S17
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Purchasing
12 (S12),
(S10, S27)
S10, S15, S27
Market review
58
Community Vitality
Conformx®
Contrax Standard
Designer
Diamond
Duoturn
Epsus Multisoftness
High
High
Medium / High
High
Medium / High
Low /Medium
High
Standard
Both
Both
Both
Both
Both
Paediatric
Both
Risk category
Types
Standard / Bespoke
Standard
130 x 889 x 1980
150 x 860 x 1980
152 x 900 x 2000
150 x 910 x 1900
152 x 900 x 2000
150 x 900 x 1930
170 x 880 x 1980
Patient (max)
180
150
114
127
114
120
Mattress
11
18
13
13
13
2 way stretch
Vapour permeable
n/a
n/a
Weight (kg)
Infection control
Cover material
2 way stretch, w/proof,
polyurethane coated nylon,
vapour permeable,
Dartex®
2 way stretch vapour
permeable
Removable covers
Non-slip covers
Infill material
n/a
Visco elastic memory
foam
Foam with visco infill
n/a
Safeguard™ Combustion
modified high resilient foam
Antibacterial foam
Foam
Foam with Visco infill
Zyprex foam
Stitched
Welded
Buy / Rent / Both
Buy
Buy
Buy
Warranty (months)
12
72
12
36
12
S12
S19
S1, S15
S42
S1, S15
Covered zips
Welded
Purchasing
S35
S28, S36
Market review
59
HALO Matrix
HALO Multisoft
Hi-Visc
Hi-Visc Bariatric
Hi-Visc+ Turn.aido
Homecraft PR
Homecraft PR
Profiler
Medium
High
High
High
High
Low / Medium
Low / Medium
Standard
Standard
Both
Bespoke
Standard
Standard
Standard
Risk category
Types
Standard / Bespoke
Bariatric
150 x 880 x 1980
150 x 880 x 1980
13
13
150 x 876 x 1960
170 x 914 x 2000
152 x 876 x 1960
150 x 910 x 1930
150 x 910 x 1930
190
317
190
115
115
15
35
15
10
12
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Polyurethane 2 way stretch, vapour permeable
2 way stretch vapour permeable, waterproof
2 way stretch, vapour permeable
Removable covers
Non-slip covers
Infill material
Combustion modified
high resilient foam
Combustion modified
high resilient foam and
high grade Visco foam
Visco elastic foam
Visco elastic foam
Visco elastic foam
Foam
Foam
Stitched
Stitched
Buy / Rent / Both
Buy
Buy
Buy
Buy (S3),
Warranty (months)
12
12
12
12 (S3),
(S18)
(S3),
(S18)
Covered zips
Purchasing
(S18)
Buy
12
S4
S4
S12
S12
S12
S3, S18
S3
Market review
60
Improtec STContoured Foam
Improtec HR
King’s Fund
Linknurse
Linknurse Heavy
Duty
Linknurse Profiler
Lowzone
Medium
Medium
Low
Low / Medium
Medium
Medium
Medium
Standard
Standard
Standard
Standard
Standard
Standard
No picture
available from the
manufacturers
Risk category
Types
Standard / Bespoke
Both
Paediatric
15 x 86 x 193
15 x 86 x 193
130 x 864 x 1960
150 x 910 x 1930
150 x 910 x 1930
150 x 910 x 1930
150
150
190
140
9
25
Weight (kg)
Patient (max)
Mattress
Infection control
Vapour permeable
Vapour permeable
High density foam
High density foam
Foam
Layered foam
Layered foam
Layered foam
Polyurethane and
memory foam
Stitched
Stitched
Welded
Welded
Welded
Stitched
Buy / Rent / Both
Buy
Buy
Buy
Buy
Buy
Buy
Buy
Warranty (months)
60
60
12
48
48
48
24
S35
S35
S12
S38
S38
S38
S16
Cover material
Espirit hydrolysis resistant, multi stretch, waterproof,
vapour permeable polyurethane
Polyurethane coated
polyester
Removable covers
Non-slip covers
Infill material
Covered zips
Purchasing
Market review
61
Lowzone Paediatric
Lullaby VE
Medium
Low / Medium
Medifloat™
Medipro+1
Medipro+2
Medipro+3
Medipro+4
Low / Medium
Low / Medium
Medium / High
Medium / High
Standard
Standard
Standard
Standard
Risk category
Types
Standard / Bespoke
Both
Standard
Both
Paediatric
Paediatric
Both
100 x 695 x 1290
150 x 860 x 1980
308
Two sizes are available for these mattresses: 125 x 900 x 2000 / 150 x 1000 x 2200
Weight (kg)
Patient (max)
140
160
Mattress
25
10
Polyurethane coated
polyester
2 way stretch permeable
polyurethane coated
Dartex
Polyurethane and
memory foam
Softrest foam base, visco
foam top
Visco-elastic foam
Reversible insert of
cubed or full support
comfort and visco foam
visco foam
Reversible interweave
comfort and visco foam
Stitched
Welded
Welded
Welded
Welded
Welded
Welded
Buy / Rent / Both
Buy
Buy
Both
Buy
Buy
Buy
Buy
Warranty (months)
24
24
12
48
48
48
48
S16
S33
S25
S2
S2
S2
S2
140
140
140
140
15
15
15
15
Infection control
Cover material
Bi-stretch, waterproof polyurethane
Removable covers
Non-slip covers
Infill material
Covered zips
Purchasing
Market review
62
Medipro+5
Memaflex
Medium / High
High
Standard
Standard
Memaflex Bariatric
Modular Community
Modular Foam
Pentaflex®
Permaflex
Low
Low
High
Medium
Standard
Standard
Both
Standard
Bariatric
Both
127 x 900 x 2000
160 x 900 x 2000
170 x 860 x 1980
160 x 880 x 1980
158
114
120
165
18
13
2 way stretch
See Memaflex
Risk category
Types
Standard / Bespoke
Both
Bariatric
125 x 900 x 2000
150 x 1000 x 2200
160 x 880 x 1980
Patient (max)
140
248
Mattress
15
16
Weight (kg)
318
Infection control
Cover material
Bi-stretch
waterproof polyurethane
Waterproof, multi stretch, vapour permeable
polyurethane with actifresh biocide
Vapour permeable
Vapour permeable
Removable covers
Non-slip covers
Infill material
n/a
Interweave insert of
high density memory
foam
Visco elastic foam
Welded
Welded
Visco elastic gel foam
Foam
Foam
Covered zips
Stitched
Stitched
Purchasing
Buy / Rent / Both
Buy
Both
Warranty (months)
48
12
Buy
Buy
48
S2
S10, S27
S10, S27
S15
S24
S19
S10, S27
Market review
63
Permaflex Non-turn
Permaflex Plus
Picara™ Modular
Picara™ Profiling
Picara™ Profiling
Picara™ Profiling
Premier
Medium
High
High
Low
Medium
Medium / High
High
Standard
Standard
Standard
Standard
Standard
160 x 880 x 1980
160 x 880 x 1980
127 x 889 x 1981
127 x 889 x 1981
150 x 880 x 2000
150 x 900 x 1930
Patient (max)
248
248
120
120
159kg
120
Mattress
13
14
Risk category
Types
Standard / Bespoke
200 x 890 x 2000
Weight (kg)
12.5kg
Infection control
Waterproof, multi stretch, vapour permeable
polyurethane
Cover material
Waterproof, vapour
polyurethane nylon
F.R vapour permeable 100% polyester with polyurethane coating
Removable covers
Non-slip covers
Top: visco 50, Middle:
HR 35, Bottom: HR 40
Infill material
Covered zips
Welded
Welded
Combustion modified
high resilient foam 30
HR45
100mm HR40 50mm
VISCO60
Hidden
Hidden
Flap over zip
Stitched
Stitched
Welded
Safeguard™
Combustion modified
high resilient foam
Purchasing
Buy / Rent / Both
Both
Both
Buy
Buy
Buy
Buy
Buy
Warranty (months)
Options available
Options available
12
12
12
12
36
S27
S27
S7
S7
S7
S7
S42
Market review
64
Pressurease Care
Pressurease
Paediatric
Pressure-Tex
Pressure Tex
Performance
Prima
Prima Bario
Prima Profiler
High
High
Low / Medium / High
High
High
High
High
Standard
Standard
Standard
Bariatric
Standard
165 x 910 x 1930
Risk category
Types
Standard / Bespoke
Both
Both
Paediatric
Paediatric
140 x 860 x 1980
Bespoke
150 x 910 x 1900
150 x 910 x 1900
150 x 900 x 1990
170 x 1200 x 1990
Patient (max)
150
150
130
172
213
400
Mattress
13
10
Weight (kg)
Infection control
Cover material
100% polyester polyurethane coated fabric, anti slip
2 way stretch waterproof polyurethane cover
Waterproof, vapour permeable
Multi stretch, waterproof,
vapour permeable
polyurethane
Removable covers
Non-slip covers
foam
foam
Stitched
Stitched
Buy / Rent / Both
Both
Both
Buy (S3),
Warranty (months)
24
24
48 (S3),
(S28, S36)
(S3),
(S28, S36)
Infill material
Polyurethane foam
Polyurethane foam
Layered foam
Layered foam
Layered foam
Stitched
Stitched
Welded
Buy
Buy
12
48
S8
S38
Covered zips
Purchasing
(S28, S36)
Buy
Buy (S8),
48
12 (S3),
(S38)
(S38)
(S3),
(S38)
S29
S29
S3, S28, S36
S36
S8, S38
Market review
65
Prime Comfort
Pro 2003
Pro-Mat-2
Pro-Mat-3
Pro-Mat-Bario
Pro-Mat-MemR
Protector
No picture
available from the
manufacturers
Risk category
High
Low
Low / Medium
Medium / High
Standard
Standard
Standard
Both
Medium / High
Medium / High
Both
Standard
Medium
Types
Standard / Bespoke
Bariatric
170 x 880 x 1980
16 x 91 x 198
145 x 830 x 1940
145 x 830 x 1940
178 x 113 x 1940
145 x 830 x 1940
177
150
200
200
325
200
10
10
18
10
150 x 910 x 1930
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
2 way stretch,
Silvosan® antibacterial
Vapour permeable
Polyurethane coated, waterproof, vapour permeable
Multi stretch, waterproof,
vapour permeable
polyurethane
Modular and high
density foam
High density foam
Combustion modified high resilient foam
Layered foam
Removable covers
Non-slip covers
Infill material
Covered zips
Welded
Stitched
Stitched
Stitched
Stitched
Purchasing
Buy / Rent / Both
Buy
Buy
Buy
Buy
Buy
Buy
Buy
Warranty (months)
48
24
12
12
12
12
48
S15
S35
S26
S26
S26
S26
S38
Market review
66
RMax
ROHO® Dry
Flotation®
Medium
Medium / High
High
Both
Standard
Protector Profiler
Reflect
Reflect Replacement
Replacement
Medium
High
Medium
Standard / Bespoke
Both
Standard
Paediatric
Resteasy
Risk category
Types
Both
Both
Both
165 x 910 x 1930
170 x 900 x 2000
170 x 900 x 2000
160 x 900 x 2000
177
114
114
150 x 900 x 1930
130 x 870 x 2000
100 x 865 x 1930
140
n/a
Waterproof, vapour
permeable
Inco
Weight (kg)
Patient (max)
Mattress
13
Infection control
Cover material
Multi stretch,
waterproof, vapour
Vapour permeable
Visco elastic polymer
Vapour permeable cover
Polyurethane coated
nylon, waterproof, vapour
permeable
Foam
Combustion modified
high resilient foam
Removable covers
Non-slip covers
Infill material
n/a
Layered foam
Castellated foam
Neoprene
Stitched
Stitched
Covered zips
Welded
Stitched
Purchasing
Buy / Rent / Both
Buy
Both
Buy
Buy
Both
Warranty (months)
48
Options available
12
12
48
36
S38
S15
S1, S15
S42
S23
S39
S24
Market review
67
ROHO® Dry
Flotation® Bariatric
Selflex™ High
Density Foam
SelMed™ ViscoElastic
High
Low / Medium
Medium / High
Standard / Bespoke
Both
Both
Both
Softform Birthing
Softform Cot
Softform Excel
Softform Incubator
Risk category
Low
High
Types
Both
Bespoke
Bariatric
Bespoke
Both
Paediatric
Bespoke
Paediatric
158 x 914 x 1981
172 x 914 x 1981
Bespoke sizes
127
177
247
890 x 1400
152 x 880 x 1970
710 x 1220
Weight (kg)
Patient (max)
n/a
Mattress
15
140
2.7
10
0.5
Infection control
Cover material
Inco
Nylon polyurethane
Nylon polyurethane
2 way stretch, vapour permeable polyurethane
Removable covers
Non-slip covers
Infill material
n/a
Neoprene
High density foam
Flat high density
combustion modified
high resilient foam
2 layer high density
combustion modified
high resilient foam
Castellated high density
combustion modified
high resilient foam
Covered zips
Stitched
Welded
Welded
Welded
Welded
Stitched
Welded
Buy / Rent / Both
Both
Buy
Buy
Buy
Buy
Buy
Buy
Warranty (months)
36
12
12
S39
S31
S31
Purchasing
12
12
S20
S20
S20
S20
Market review
68
Softform New-Born
Softform Original
Softform Premier
Softform Premier
Glide
Softform Premier
Visco
Softform Superior
Softrest
Low
High
High / Very high
Very high
High
Very high
Medium
Standard / Bespoke
Bespoke
Both
Both
Both
Both
Both
Standard
Paediatric
Risk category
Types
Paediatric
508 x 864
175 x 880 x 1970
152 x 880 x 2000
152 x 880 x 2000
152 x 880 x 1970
152 x 880 x 2000
158 x 864 x 1955
165
247
247
247
247
178
0.5
12.5
13
13
13
13
12
High density visco elastic
foam top & high density
combustion modified
high resilient foam base
High density combustion
modified high resilient
foam
Foam 35-37kg/m
Welded
Welded
Welded
Buy
Buy
Buy
96 (Foam) 48 (Cover)
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Removable covers
Non-slip covers
Flat high density
combustion modified
high resilient foam
2 layer high density
combustion modified
high resilient foam
Welded
Stitched
Buy / Rent / Both
Buy
Buy
Warranty (months)
12
Infill material
High density combustion modified high resilient foam
Covered zips
3
Option available
Welded
Stitched
Purchasing
Buy
Buy (S3),
(S33)
36 (S3), 24 (S33)
(S3),
(S33)
S20
S20
S20
S20
S20
S20
S3, S33
Market review
69
Softrest Contour
Softrest VE
Squirrel 7000
Squirrel Dahlia
Supaflex Care
Supaflex Comfort
SX59
Supaflex Foldable
SX61
No picture
available
Risk category
Medium / High
Medium
Standard
Standard
High
Medium
Medium / High
Low
Low / Medium
Standard
Standard
Both
Both
Paediatric
150 x 910 x 1930
152 x 910 x 1930
Types
Standard / Bespoke
Both
Both
Paediatric
Paediatric
158 x 864 x 1955
158 x 864 x 1955
165 x 900 x 1981
152 x 900 x 1990
150 x 910 x 1930
Patient (max)
178
178
95
108
171
Mattress
14
12
15
15
Polyurethane
Polyurethane
Weight (kg)
185
185
11.5
13.3
Infection control
Cover material
2 way stretch, vapour permeable
Polyurethane coated
Removable covers
Non-slip covers
n/a
Infill material
Foam 35-37kg/m3
Covered zips
Option available
Stitched
n/a
Surface foam density
32-34kg/m3,
base 40-42kg/m3
Memory foam
Polyurethane cells and
foam
Stitched
Stitched
Stitched
Stitched
Stitched
Buy
Both
Buy
Both
Buy
24
48
48
12
12
12
S33
S37
S37
S9
S9, S11
S11
Safeguard® combustion modified high resilient foam
Foam
Purchasing
Buy / Rent / Both
Warranty (months)
Buy (S3),
(S33)
36 (S3), 24 (S33)
(S3),
(S33)
S3, S33
Market review
70
Supaflex Non-Turn
Profiling SX62
Supaflex Profiling
SX63
Supaflex Visco
Non-turn
Low / Medium
Medium / High
High
Standard
Supaflex Profiling
SX60
Tempur-Med®
Tempur-Med®
Premier
Transfoam
No picture
available
Risk category
High
Medium
Types
Standard / Bespoke
Standard
Both
Standard
Both
Paediatric
Both
150 x 910 x 1930
152 x 910 x 1930
150 x 910 x 1930
Both
Both
Both
Both
Both
Paediatric
140 x 870 x 1950
150 x 870 x 1950
152 x 890 x 1930
127
127
152
150 x 910 x 1930
Weight (kg)
Patient (max)
185
128
213
Mattress
15.3
13.3
10.7
permeable
Polyurethane coated
fabric
n/a
n/a
11
Infection control
Cover material
2 way stretch vapour permeable
Multi-stretch, waterproof,
vapour permeable
Stretch polyurethane
Removable covers
Non-slip covers
n/a
n/a
n/a
Foam
Foam
2 layer foam
Foam
Foam
Combustion modified
high resilient visco foam
Stitched (S9)
Both (S11)
Stitched (S9)
Both (S11)
Stitched
Buy / Rent / Both
Buy
Both
On request
On request
Buy
Warranty (months)
12
12
12
12
Options available
Options available
24 (foam) 48 (cover)
S9, S11
S11
S9, S11
S9
S39
S39
S21
Infill material
40/55 kgm2 foam
Covered zips
Purchasing
Market review
71
Transvisco
Transwave Supreme
Visco
Visco 3000 MR
High
High
High
Low / Medium
Standard / Bespoke
Both
Both
Standard
Standard
Paediatric
Both
152 x 889 x 1930
152 x 889 x 1930
160 x 900 x 2000
160 x 867 x 1956
Patient (max)
190
247
158
155
Mattress
12
11
Vapour permeable
Waterproof, vapour
permeable
Visco Memory
Viscotech
Viscotech Plus
Medium
High
Both
Both
Both
Both
152 x 880 x 1970
152 x 880 x 1970
139
139
n/a
n/a
Foam
Composite foam
Both
Both
48
72
S39
S39
Risk category
Types
Standard
150 x 910 x 1900
150 x 1830 x 2000
Weight (kg)
Infection control
Cover material
Multi-stretch, waterproof, vapour permeable
Poly cotton
Removable covers
Non-slip covers
High density therm
contour visco elastic
foam
2
40/55 kgm foam
Stitched
Stitched
Buy / Rent / Both
Buy
Buy
Both
Buy
Warranty (months)
96
96
12
S21
S21
S15
Infill material
Foam
Memory foam
Covered zips
Purchasing
S34
S3
Market review
72
Viscotech Supreme
Viscotech
Supreme HD
VMax
High
High
High
Standard / Bespoke
Both
Both
Standard
Both
Both
152 x 880 x 1970
152 x 880 x 1970
150 x 870 x 2000
139
190
140
Waterproof, vapour
permeable
Types
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
n/a
n/a
Composite foam
Composite foam
Foam and visco
Covered zips
Stitched
Purchasing
Buy / Rent / Both
Both
Both
Buy
Warranty (months)
96
96
48
S39
S39
S23
Market review
73
Table 14: Static (low-technology) overlays – mixed foam, gel & air
Action
Air-layer
Alova
Basix
Overlay
Bodyfoam
BodyPilo
Community Vitality
High
Low
Medium
Low
High
Risk category
High
Types
Standard / Bespoke
Both
Standard
Standard
Standard
Both
Standard
Both
158 x 889 x 2032
90 x 880 x 1980
140 x 880 x 1950
9 x 86 x 193
76 x 876 x 1854
100 x 863 x 2000
76 x 914 x 1980
n/a
114
114
120
160
190
140
7
10
9
Weight (kg)
Patient (max)
Mattress
6
Infection control
Cover material
n/a
Removable covers
n/a
Non-slip covers
vapour permeable
polyurethane,
Polymer
Vapour permeable
Visco elastic foam
Foam
High density foam
Foam
Hollow fibre
Antibacterial foam
Stitched
2 way stretch, vapour permeable, waterproof
n/a
Infill material
Visco elastic polymer
Covered zips
n/a
n/a
Welded
Purchasing
Buy / Rent / Both
Both
Buy
Buy
Buy
Buy
Buy
Warranty (months)
36
24
24
12
12
12
S24
S35
S12
S12
S12
S39
S10, S27
Market review
74
Table 14: Static (low-technology) overlays – mixed foam, gel & air continued
Designer
Designer Supreme
Medium
High
Standard
Standard
Dr.Prelease
Easylay Fibre
Easylay Foam
Fibre
Foam
Low
Low
Risk category
Low / Medium
Types
Standard / Bespoke
Standard
Standard
Standard
Paediatric
Paediatric
127 x 865 x 1880
127 x 900 x 1880
95 x 865 x 1880
114
114
Vapour permeable
Vapour permeable
Stitched
Stitched
Both
60 x 910 x 1900
60 x 1370 x 1900
60 x 1520 x 1980
60 x 910 x 1900
60 x 1370 x 1900
60 x 1520 x 1980
450 x 680
480 x 1050
650 x 1880
890 x 1980
75 x 900 x 2000
Weight (kg)
Patient (max)
100
Mattress
5 - 23
Infection control
Cover material
Fleece
Fleece
Polyurethane film
2 way stretch polyurethane coated nylon, vapour
Removable covers
Non-slip covers
Infill material
Polyurethane & temperature reactive memory foam
Gel
Polyester fibre
Safeguard™ combustion
modified high resilient
foam
Covered zips
Stitched
Purchasing
Buy / Rent / Both
Buy (S3),
(S28, S36)
Buy (S3),
(S28, S36)
Buy (S3),
(S18)
Warranty (months)
Buy
Buy
12
12
S42
S42
12 (S15),
(S24)
12
S3, S28, S36
S3, S28, S36
S3, S18
S15, S24
S15
Market review
75
Hi-Visc
Hollow Fibre FFWO
Homecraft PR Fibre
Homecraft PR Foam
Kineris
Memaflex
Modular Foam
High
Low
Low / Medium
Low / Medium
High
High
Low
Both
Both
Standard
Standard
Standard
Risk category
Types
Standard / Bespoke
Both
75 x 876 x 1955
100 x 870 x 1900
890 x 1980
890 x 1980
125 x 900 x 2000
90 x 880 x 1980
90 x 870 x 1900
115
115
190
114
114
Weight (kg)
Patient (max)
190
Mattress
9
6.5
6
Infection control
Polyurethane
Visco elastic foam
Polyester fibre
Stitched
Buy / Rent / Both
Buy
Buy
Buy (S3),
Warranty (months)
12
12
12 (S3),
S12
S41
Cover material
2 way stretch cover
2 way stretch cover
Vapour permeable
vapour permeable
polyurethane
Vapour permeable
Visco elastic foam
Foam
Removable covers
Non-slip covers
Infill material
Foam
Covered zips
Welded
Purchasing
(S18)
(S18)
Buy (S3),
12 (S3),
(S18)
(S18)
Both
Both
Buy
S27
S24
12
S3, S18
S3, S18
S15
Market review
76
Modular Foam
PFS/PFD
Permapad
Picara™ Foam Low
Risk
Picara™ Foam
Medium-high Risk
Pressure-Tex
Medium
Medium
Low
Medium / High
Low
Standard / Bespoke
Both
Standard
Standard
Standard
Both
90 x 880 x 1980
100 x 850 x 1850
70 x 880 x 1950
108
120
4
7.5
Propad
Repose
Standard
Standard
Standard
60 x 910 x 1900
85 x 876 x 1875
75 x 770 x 1780
159
108
139
8
5.5
Risk category
Types
90 x 870 x 1900
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Polyurethane
W/proof, multi-stretch,
vapour permeable
polyurethane
Vapour permeable 100 polyester with polyurethane
coating
Polyester fleece
Polyurethane (Platilon)
Removable covers
Non-slip covers
Combustion modified
foam
Foam
Visco elastic memory
foam
Castellated, high density,
combustion modified
high resilient foam
n/a
Stitched
Stitched
Stitched
Stitched
Welded
Buy / Rent / Both
Buy
Buy
Buy
Buy
Buy
Warranty (months)
12
12
12
S7
S7
Infill material
Covered zips
n/a
Purchasing
12
S41
S10, S27
S28, S36
S20
S13
Market review
77
Repose Babytherm
Repose Companion
ROHO® Prodigy®
SimCair®
Snuggledown
Snugglefoam
Softrest Thin
Medium
Medium / High
Low / Medium
Low / Medium
Medium
Both
Standard
No picture
available
Risk category
Types
Standard / Bespoke
Standard
Standard
Standard
Both
890 x 1980
75 x 530 x 760
75 x 840 x 1780
100 x 910 x 2060
60 x 850 x 1950
75 x 900 x 2000
64 x 864 x 1955
139
139
114
130
178
8
12
Weight (kg)
Patient (max)
Mattress
Infection control
Polyurethane (Platilon)
Polyurethane (Platilon),
DARTEX
Inco
Infill material
n/a
n/a
PU
Covered zips
n/a
n/a
Welded
Welded
Stitched
Welded
Buy / Rent / Both
Buy
Buy
Both
Buy
Warranty (months)
12
12
36
24
S13
S13
S39
S17
Cover material
Polyurethane
Multi stretch knitted nylon with vapour permeable
polyurethane coating, waterproof and wipe clean
2 way stretch
Removable covers
Non-slip covers
n/a
Visco elastic foam
Hollow polyester fibre
Safeguard® CMHR
Foam
n/a
Stitched
Purchasing
Buy (S3),
(S33)
(S3), 24 (S33)
S38
S38
S3, S33
Market review
78
Tempur®-Med
Thermo Contour®
Transvisco
Visco Combi
Medium / High
Low
Medium
Visco Memory
Viscotech
Risk category
High
Types
Standard / Bespoke
Both
Both
Both
Standard
Both
Both
Paediatric
Paediatric
70 x 870 x 1950
140 x 850 x 1990
63 x 890 x 1930
95 x 865 x 1880
127
107
Vapour permeable
Standard
Both
50 x 910 x 1900
50 x 1370 x 1900
50 x 1520 x 2000
50 x 1830 x 2000
85 x 876 x 1875
Weight (kg)
Patient (max)
127
Mattress
160
127
12.5
11
Polyester coated nylon
textile
Multi-stretch, waterproof,
vapour permeable
60mm visco elastic foam
Therm contour visco
elastic high density foam
Welded
Stitched
Buy
Buy
Both
120
24
12
S17
S21
S15
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
n/a
Foam
n/a
Memory foam
Foam
Buy
On request
Covered zips
Purchasing
Buy / Rent / Both
On request
Warranty (months)
48
S39
S3
S39
Market review
79
Table 15: Static (low-technology) operating table mattresses & overlays – mixed foam, gel & air
Pro-op
Pressurease
RIK® Pads
High
Medium / High
Standard
Tempur-Med® Pads
Risk category
Types
Standard / Bespoke
Both
Both
Both
Paediatric
150 x 800 x 1980
100 x 560 x 1980
308
Both
Both
Various 5 piece
construction
Various sizes available
150
135
114
12
27.3
Staffcheck
100% polyester
polyurethane coated
fabric. Anti-slip
Top: Brookwood Softex®
Bottom: vinyl coated nylon
n/a
n/a
Air
foam laminated to
polyether foam base
MicroFlow viscous fluid
and polyethylene foam
Foam
Welded
Both
Stitched
Buy / Rent / Both
Both
Both
Buy
On request
Warranty (months)
12
24
S25
S29
S22
S39
Weight (kg)
Patient (max)
Mattress
Infection control
Cover material
Removable covers
Non-slip covers
Infill material
Covered zips
Purchasing
Market review
80
Table 16: Static (low-technology) hospital trolley mattresses & overlays – mixed foam, gel & air
Medifloat™
Trolley Topper
Memaflex
Shaped
Memaflex
Pressurease
Repose
No picture
available
Risk category
Low / Medium
Low / Medium
High
Types
Standard / Bespoke
Both
Both
Both
Paediatric
Standard
120 x 860 x 1980
90 x 560 x 2000
90 x 560 x 2000
100 x 730 x 1980
75 x 550 x 1780
308
108
108
150
139
4
4
12
Weight
Patient (max)
Mattress
Infection control
Cover material
70 Neoprene
Waterproof, multi-stretch, vapour permeable
polyurethane, with Actifresh biocide
100% polyester
polyurethane coated
fabric. Anti-slip
Polyurethane
(Platilon)
n/a
Removable covers
Non-slip covers
Infill material
Foam
Visco-elastic
polyether foam
laminated to
polyether foam base
n/a
Welded
Both
Welded
Both
Buy
24
24
S29
S13
n/a
Covered zips
Purchasing
Buy / Rent / Both
Both
Warranty (months)
12
Both
S25
S27
S10, S27
Acknowledgements
81
We should like to thank the following for their contribution to this buyers’ guide:
Marie Streak, Project Buyer - Pressure Area Care, and Gareth Rimmington, Category
Manager, NHS Supply Chain
Suzanne Knott, Quality Improvement Lead for Rehabilitation and Cancer, and Tony
Kamillo, Head of Procurement, Derby Hospitals NHS Foundation Trust
Manufacturers and suppliers listed at appendix 1.
Glossary
82
Term Meaning
Decubitus ulcer
Erythema
Blood vessel occlusion
Necrosis
Subcutaneous tissue
Vascularised tissue
Viscoelastic foam
Convoluted / contoured
foam
Cubed foam
Alternative term for a pressure ulcer (from Latin decumbere - to lie
down).
Redness of the skin caused by capillary congestion.
Blockage of blood flow through arteries or veins.
Tissue death.
The third of the three layers of the skin. It lies directly under the dermis
and contains fat, connective tissue, larger blood vessels and nerves. It
plays an important part in temperature regulation.
Tissue filled with blood vessels.
Viscoelastic foam is made from polyurethane with additional chemicals
that increase its viscosity level, thereby increasing its density. It is
often referred to as memory foam. Depending on the chemicals used
and its overall density, it is firmer in cool temperatures and softer when
warm. Higher density memory foam reacts to body heat which allows it
to mould itself to the shape of a warm body within a few minutes.
Lower density memory foam is pressure-sensitive and will mould more
quickly to the shape of the body.
Convoluted foam is ‘egg crate’ shaped contoured foam. This foam
increases the contact area and spreads the body weight evenly [32].
This foam has a contoured profile to facilitate airflow and prevents the
body from becoming too hot during sleep. The foam can be very thin
at the troughs of the egg-crate.
Cubed foam comprises independent small blocks of foam that allows
close conformation to the body. There are spaces in the cubed foam to
allow independent movement of each cube or block and air flow within
the cover of the mattress or overlay. The spaces allow the foam to
conform closer to the body [3]. These are priced similarly to
convoluted foam, depending on the quality of the foam used.
References
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
83
STM overlay description
[http://www.stm-healthcare.co.uk/products/overlays.asp]
The National Pressure Ulcer Advisory Panel Website [www.npuap.org]
Collins F: A guide to the selection of specialist beds and mattresses. Therapy
Weekly 2004:14-16.
Cullum N, Nelson EA, Flemming K, Sheldon T: Systematic reviews of wound
care management: (5) beds; (6) compression; (7) laser therapy, therapeutic
ultrasound, electrotherapy and electromagnetic therapy. Health Technology
Assessment 2001, 5(9):1-221.
NICE: Pressure ulcer prevention: pressure ulcer risk assessment and
prevention, including the use of pressure-relieving devices (beds, mattresses
and overlays) for the prevention of pressure ulcers in primary and secondary
care (Brief record). NICE; 2003.
Pressure Ulcer Treatment Guidelines [http://www.epuap.org/gltreatment.html]
Guy H: Preventing pressure ulcers: choosing a mattress. Professional nurse
(London England) 2004, 20(4):43-46.
Scott EM, Baker EA, Kelly PJ, Stoddard EJ, Leaper DJ: Measurement of
interface pressures in the evaluation of operating theatre mattresses. Journal
of Wound Care 1999, 8(9):437-441.
Stotts NA: Literature review. Risk of pressure ulcer development in surgical
patients: a review of the literature. Advances in Wound Care: The Journal for
Prevention and Healing 1999, 12(3):127-136.
Sacks AH: Theoretical prediction of a time-at-pressure curve for avoiding
pressure sores. Journal of Rehabilitation Research and Development 1989,
26(3):27-34.
Lewicki LJ, Mion L, Splane KG, Samstag D, Secic M: Patient risk factors for
pressure ulcer during cardiac surgery. AORN Journal 1997, 65:933-942.
Defloor T, De-Schuijmer JD: Preventing pressure ulcers: an evaluation of four
operating-table mattresses. Applied nursing research : ANR 2000, 13(3):134141.
Allman RM: Pressure ulcer prevalence, incidence, risk factors, and impact.
ClinGeriatrMed 1997, 13:421-436.
Collins F: ProfiCare: an alternating pressure-relieving mattress. British Journal
of Nursing (Mark Allen Publishing) 2003, 12(19):1156-1161.
Clark M: Changing pressure-redistributing mattress stocks: costs and
outcomes. British Journal of Nursing 2005, 14(6):S30.
Norton D, McLaren R, Exton-Smith AN: An investigation of geriatric nursing
problems in hospital. Edinburgh: Churchill Livingstone 1975.
Bergstrom N, Braden BJ, Laguza A, Holman V: The Braden scale for
predicting pressure sore risk. Nursing Research 1987, 36:205-210.
Waterlow J: A risk assessment card. Nursing Times 1985, 27:49, 51, 55.
The Waterlow score
[http://www.judy-waterlow.co.uk/pressure_ulcer_preventative_aids.htm]
Gosnell DJ: An assessment tool to identify pressure sores. Nursing Research
1973, 22:55-59.
References
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
84
Halfens RJG: Risk assessment scales for pressure ulcers: a theoretical,
methodological and clinical perspective. Ostomy and Wound Management
2000, 46:36-44.
Lindgren M, Unosson M, Krantz AN, Ek AC: A Risk Assessment Scale for the
Prediction of Pressure Sore Development: Reliability and Validity. Journal of
advanced nursing 2002, 38(2):190-199.
Bell J: The role of pressure-redistributing equipment in the prevention and
management of pressure ulcers. Journal of Wound Care 2005, 14(4):185-188.
Feuchtinger J, Halfens R, Dassen T: Pressure ulcer risk assessment
immediately after cardiac surgery - does it make a difference? A comparison
of three pressure ulcer risk assessment instruments within a cardiac surgery
population. Nursing in Critical Care 2007, 12(1):42-49.
McInnes E, Guideline Development G: The use of pressure-relieving devices
(beds, mattresses and overlays) for the prevention of pressure ulcers in
primary and secondary care. Journal of Tissue Viability 2004, 14(1):4.
NICE: Pressure ulcer management - National cost-impact report - Cost
analysis of the new recommendations in the prevention and treatment of
pressure ulcers quick reference guide. 2003.
NICE: Pressure ulcers: The management of pressure ulcers in primary and
secondary care. 2005.
MHRA guidance documents [http://www.mhra.gov.uk]
Choosing pressure relief equipment
[http://www.dlf.org.uk/public/factsheets.html]
National Pressure Ulcer Advisory Panel Support Surfaces Standards Initiative
[www.npuap.org/NPUAP_S3I_TD.pdf]
The National Pressure Ulcer Advisory Panel Website [www.npuap.org]
Brienza DM, Geyer MJ: Using support surfaces to manage tissue integrity.
Advances in Skin wound Care 2005, 18(3):151-157.
Support surface wounds
[http://www.wounds1.com/pr_ulc/support_surfaces.cfm]
Foam mattress descriptions
[http://www.myfoammattress.net/compare/egg-crate-doctor.html]
Cullum N, Deeks J, Sheldon TA, Song F, Fletcher AW: Cochrane reviews.
Beds, mattresses and cushions for pressure sore prevention and treatment.
Nursing Times 2001, 97(19):41.
Cullum N, McInnes E, Bell SSEM, Legood R: Support surfaces for pressure
ulcer prevention. Cochrane database of systematic reviews (Online)
2004(3):CD001735.
Cullum N, McInnes E, Bell SSEM, Legood R: Support surfaces for pressure
ulcer prevention. Cochrane Database of Systematic Reviews 2007(4).
Medicines and Healthcare products Regulatory Agency: European Medical
Devices Directives Regulations MDD 93/42 EEC: Medical Devices Directive
1993. 1993.
Medicines and Healthcare products Regulatory Agency: Medicines Devices
Regulations 2002 - SI 2002/618. 2002.
References
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
85
NHS Executive: Hospital Laundry Arrangements for Used and Infected Linen
HSG(95)18. 1995.
British Standards Institute: BS 7177:1996 Specification for resistance to
ignition of mattresses, divans and bed bases 1996.
British Standards Institute: BS 6807:2006 Methods of test for assessment of
ignitability of mattresses, upholstered divans and upholstered bed bases with
flaming types of primary and secondary sources of ignition. 2006.
British Standards Institute: BS EN 597-1:1995 Furniture. Assessment of the
ignitability of mattresses and upholstered bed bases. Ignition source:
smouldering cigarette. 1995.
British Standards Institute: BS EN 597-2:1995 Furniture. Assessment of the
ignitability of mattresses and upholstered bed bases. Ignition source: match
flame equivalent. 1995.
British Standards Institute: BS EN 60601-1-2:2007 Medical electrical
equipment. General requirements for basic safety and essential performance.
Collateral standard. Electromagnetic compatibility. Requirements & tests.
2007.
British Standards Institute: BS 5852:1990 Methods of test for assessment of
the ignitability of upholstered seating by smouldering and flaming ignition
sources. 1990.
Department of Health: NHS Firecode Document HTM 87 (now superseded by
Health Technical Memorandum 05-03: Operational provisions: Part C Textiles and furnishings). 1999.
British Standards Institute: BS 3379:2005 Combustion modified flexible
polyurethane cellular materials for loadbearing applications. Specification. .
2005.
Kingsley A: Improtec R Barrier: a mattress cover which does not break down.
British Journal of Nursing 2002, 11(6):S61-62.
Bennett G, Dealey C, Posnett J: The Cost of Pressure Ulcers in the UK. Age
and Ageing 2004, 33:230-235.
Collier M: Pressure ulcer development and prevention. Wound Care Society
educational leaflet 1995, 3(1).
Gebhardt KS: Pressure ulcer research: where do we go from here? British
Journal of Nursing 2004, 13(19):S14.
Anthony D, Reynolds T, Russell L: The role of hospital acquired pressure ulcer
in length of stay. Clinical Effectiveness in Nursing 2004, 8(1):4-10.
Legood R, McInnes E: Pressure ulcers: guideline development and economic
modelling. Journal of Advanced Nursing 2005, 50(3):307-314.
Fleurence RL: Cost-effectiveness of pressure-relieving devices for the
prevention and treatment of pressure ulcers. International Journal of
Technology Assessment in Health Care 2005, 21(3):334-341.
Iglesias C, Nixon J, Cranny G, Nelson EA, Hawkins K, Phillips A, Torgerson D,
Mason S, Cullum N: Pressure relieving support surfaces (PRESSURE) trial:
Cost effectiveness analysis. British Medical Journal 2006, 332(7555):14161418.
References
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
86
Iglesias CP, Nixon J, Cranny G, Nelson A, Hawkins K, Philips A, Torgerson
DJ, Mason S, Cullum N, Pressure Trial G: The NHS Health Technology
Assessment Programme. Pressure trial: cost effectiveness analysis of two
alternating pressure surfaces for the prevention of pressure ulcers. EWMA
Journal 2006, 6(1):38.
Trust Operational Purchasing Procedures Manual
[http://nww.pasa.nhs.uk/PASAWeb/Guidance/TOPPM/LandingPage.htm]
EU Procurement Thresholds
[http://www.ogc.gov.uk/procurement_policy_and_application_of_eu_rules_eu_
procurement_thresholds_.asp]
[http://www.supplychain.nhs.uk/portal/page/portal/Public]
UK Government Strategy for Sustainable Development; Securing the Future
[http://www.sustainable-development.gov.uk/publications/ukstrategy/index.htm]
Gebhardt KS: Cost-effective management of pressure-relieving equipment in a
large teaching trust. Journal of Tissue Viability 2003, 13(2):74-77.
The Waste Electrical and Electronic Equipment Regulations
[http://www.berr.gov.uk/files/file35992.pdf]
NHS PASA Leasing
[http://www.pasa.nhs.uk/pasaweb/productsandservices/leasing]
Office of Government Commerce
[http://www.ogc.gov.uk/stdtoolkit/reference/documentation/p13_buscase.html]
PASA Operational Purchasing Procedures Manual, Procedure 1-01
[http://nww.pasa.nhs.uk/PASAWeb/Guidance/OPPM/LandingPage.htm]
European Union Tendering Timetable
[http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPr
ocurement/DH_4070620]
Desk guide to procurement - 2005 edition
[http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPr
ocurement/DH_4109316]
Appendix 1: Supplier contact details
Company
APC Healthcare
Unit 13
South Staffs. Business Park
Hawkins Drive
Chesley
Staffordshire
WS11 3XU
BaKare Beds Ltd
Unit 1a, ERC
Bell Close
Plympton
Devon
PL7 4JH
Centurion Court
Farington
Leyland
Lancashire
PR25 3UQ
Carebase
Unit 1
Leeming Industrial estate
Plews Way
Leeming bar
Northallerton
North Yorkshire
DL7 9UL
Unit B7
46 Holton Road
Holton Heath Trading Park
Poole
Dorset
BH16 6LT
Units 5 & 13,
New Place Farm,
Blackboys
Nr Framfield
East Sussex
TN22 5RH
87
Telephone / Fax
Website
Tel: 0845 873 8740
Fax: 0845 873 8741
http://www.apc-healthcare.co.uk
Tel: (North): 01909 770808
Tel: (South): 01752 512222
Tel: (Customer Service):
01752 512227
http://www.bakare.co.uk
Tel: 0800 328 9338
Fax: 01772 644 280
http://www.betterlifehealthcare.com
Tel: 01677 425600
Fax: 01677 425192
http://www.carebase.net
Tel: 01202 620839
Tel: 0870 444 6140
Fax: 0870 444 6141
Countrywide Healthcare Supplies Ltd
Springvale road
Park springs
Tel: 01226 719 090
Grimethorpe
Fax: 01226 719091
Barnsley
South Yorkshire
S72 7BA
http://www.charnwoodhealthcare.com
http://www.childerhousemedical.co.uk
http://www.countrywidehealthcare.co.uk
Company
North Rd
Bridgend Ind Est
Bridgend
Glamorgan
CF31 3TP
3 Wickham Road
Boscombe
Bournemouth
Hampshire
BH7 6JX
Telephone / Fax
Website
Tel: 01656 664700
Fax: 01656 664750
http://www.dayshealthcare.com
Tel: 0845 1300 220
Tel: 01202 425070
Fax: 01202 418332
http://www.dorset-nursing.co.uk
Essential Healthcare International Ltd
Whitehall 26 Business Park
1 Heathfield Lane
Tel: 0845 344 1900
Birkenshaw
Fax: 0845 344 1901
Bradford
West Yorkshire
BD11 2HW
Euromobility Ltd
Mid Kent Shopping Centre
Castle Road
Allington
Kent
ME16 0PU
Tel: 01622 755744
Fax: 01622 766233
Unit 10
Acorn Production Centre
Tel: 020 7609 8761
105 Blundell Street
Fax: 020 7607 1062
London
N7 9BN
Newbridge Road Industrial
Estate
Blackwood
South Wales
NP12 2YN
Tel: 01495 235 800
Fax: 01495 235 808
Gerald Simonds Healthcare Ltd
9 March Place
Gatehouse Way
Tel: 01296 380 200
Aylesbury
Fax: 01296 380 279
Bucks
HP19 8UA
Harvest Healthcare
110 Rutland Road
Sheffield
South Yorkshire
S3 9PJ
88
Tel: 0114 2701160
http://www.essential-healthcare.com
http://www.euromedical.co.uk
http://www.firsttechnicare.com
http://www.frontier-group.co.uk
http://www.gerald-simonds.co.uk
No website
Company
Bromyard Road
Ledbury
Herefordshire
HR8 1NS
Hill-Rom
Clinitron House
Ashby Park
Ashby de la Zouch
Leicestershire
LE65 1JG
Homecraft Rolyan
Nunn Brook Road
Huthwaite
Sutton in Ashfield
Nottinghamshire
NG17 2HU
310 - 312 Dallow Road
Luton
Bedfordshire
LU1 1TD
Invacare UK
South Rd
Bridgend Industrial Estate
Bridgend
CF31 3PY
Karomed Ltd
Millfield
Chard
Somerset
TA20 2BB
KCI Medical Ltd
KCI House
Langford Business Park
Langford Locks
Kidlington
Oxfordshire
OX5 1GF
Lisclare Ltd
Unit 11 Heron Business Park
Tanhouse Lane
Widnes
Cheshire
WA8 0SW
89
Telephone / Fax
Website
Tel: 01531 635678
Fax: 01531 635670
http://www.helpinghand.co.uk
Tel: 01530 411000
Fax: 01530 411555
http://www.hill-rom.com/uk
Tel: 08444 124 330
Fax: 08448 730 100
https://www.homecraft-rolyan.com
Tel: 01582 413104
http://www.arjohuntleigh.com/ukh
Tel: 01656 664321
Fax: 01656 667532
http://www.invacare.co.uk
Tel: 01460 66033
Fax: 01460 66252
http://www.karomed.com
Tel: 0800 9808880
Fax: 01865 840626
Tel: 0870 850 2384
Fax: 0870 850 2386
http://www.kcimedical.com/kci/unitedkingdom
http://www.lisclare.com
Company
Mayflower***
North Quay House
Sutton Harbour
Plymouth
Devon
PL4 0RA
Medipost Ltd
17 Surrey Close
Granby Industrial Estate
Weymouth
Dorset
DT4 9TY
Telephone / Fax
Website
Tel: 01752 547608
Fax: 0870 4797828
http://www.mayflower-medical.co.uk
Tel: 01305 760750
Meditec Medical Ltd
Unit 9 Chells Enterprise Centre,
The Glebe
Chells Way
Stevenage
Hertfordshire
SG2 OLZ
Tel: 01438 317600
Nexus DMS Ltd
Unit 11, Lovett Road
Hampton Lovett Industrial
Estate
Droitwich
Worcestershire
WR9 0QG
Tel: 01905 774695
Fax: 01905 796081
Whitehall 26 Business Park
1 Heathfield Lane
Birkenshaw
Bradford
West Yorkshire
BD11 2HW
Promedics (Able2)
Moorgate Street
Blackburn
Lancs.
BB2 4PB
55 Comet Way,
Southend-on-Sea,
Essex
SS2 6UW
90
Tel: 0845 0600 333
Fax: 0845 0600 334
Tel: 01254 619000
Fax: 01254 619001
Tel: 01702 527401
Fax: 01702 420240
http://www.medipost.co.uk
http://www.meditecmedical.co.uk
www.meditecmedical.ie
http://www.nexusdms.co.uk
http://www.parkhouse-hc.com
http://www.able2.eu
http://www.sareo.co.uk
Company
Scan Mobility Ltd
Marsh House
Ralph's Wifes Lane
Banks
Lancashire
PR9 8ER
Select Medical Ltd
Blackburn Enterprise Centre
Furthergate
Blackburn
Lancashire
BB1 3HQ
Shelden Healthcare
Unit 1a The wharf
Stretton under Fosse
Rugby
Warwickshire
CV23 0PR
Sidhil Ltd
Sidhil Business Park
Holmfield
Halifax
West Yorkshire
HX2 9TN
Spectrum Healthcare
19 Swindon Road
Highworth
Swindon
Wiltshire
SN6 7SP
Spenco Healthcare Int. Ltd
Brian Royd Mills
Saddleworth Road
Greetland
Halifax
West Yorkshire
HX4 8NF
Spinal Products Ltd
Harley House
Mill Fold
Ripponden
Halifax
West Yorkshire
HX6 4DJ
91
Telephone / Fax
Website
Tel: 01704 233344
Fax: 01704 233355
http://www.scanmobility.co.uk
Tel: 01254 505099
Fax: 01254 505098
http://www.selectmedical.co.uk
Tel: 01455 282080
Fax: 0845 127 5050
http://www.shelden-healthcare.co.uk
Tel: 01422 233030
Fax 01422 233040
http://www.sidhil.com
Tel: 01793 762928
Fax: 08707 059143
http://www.spectrumhealthcare.co.uk
Tel: 01422 378569
Fax: 01422 376064
http://www.spenco-healthcare.co.uk
Tel: 01422 824910
Fax: 01422 824938
http://www.spinalproducts.co.uk
Company
Squirrel Medical Ltd
Tamar Science Park
1 Davy Road
Derriford
Plymouth
Devon
PL6 8BX
STM Healthcare
Azalea Close
Clover Nook Ind. Park
Alfreton
Derbyshire
DE55 4QX
Sumed Int. Ltd
Integrity House
Graphite Way
Hadfield
Glossop
Derbyshire
SK13 1QH
Talley Group Ltd
Abbey Park Industrial Estate
Premier Way
Romsey
Hampshire
SO51 9DQ
92
Telephone / Fax
Website
Tel: 01752 764862
http://www.squirrelmedical.com
Tel: 01773 830426
Fax: 01773 830427
http://www.stm-healthcare.co.uk
Tel: 01457 890980
Fax: 01457 890990
Tel: 01794 503500
Fax: 01794 503 555
http://www.sumed.co.uk
http://www.talleygroup.com
ThorpeMill Ltd
Thorpe Mill Ltd
Parkwood Street
Keighley
West Yorkshire
BD21 4PJ
Tel: 01535 682630
Fax: 01535 682639
www.thorpemill.co.uk
Westmeria healthcare Ltd
Unit 21
Optima Park
Thames Road
Crayford
DA1 4QX
Tel: 01322 520 580 / 560
Fax: 01322 554 182 / 621
http://www.westmeria.com
*** Mayflower
is changing its range of products. Details were not available at the time of publication.
Appendix 2: EU procurement procedure
93
EU procurement procedure
Lease options
National frameworks are in place for operating leases to help the NHS procure
leases more cost efficiently and effectively. The framework came into place on 1st
April 2007 and runs for two years. Further details are available from the PASA
website [64].
EU procedures
The Public Sector Directive (2004/18/EC) has been transposed into UK law. This has
been achieved by means of the following statutory instruments:
• the Public Contracts Regulations SI 2006 No.5 (the regulations)
• the Utilities Contracts Regulations SI 2006 No. 6 (not relevant to this guide).
The regulations apply to contracts worth more than £90,319 (from January 1st 2008)
[59] over their whole life, and specify the procedures to be followed for public sector
contracting, including adherence to strict timetables, requirements for advertising,
invitation to tender and the award of contract. Organisations undertaking a
procurement exercise covered by the regulations must give all suppliers an equal
opportunity to express an interest in tendering for the contract by placing a contract
notice in the Official Journal of the European Union (OJEU).
At all stages of the procurement process, the purchaser must be demonstrably fair,
as any decision made can be challenged by the unsuccessful suppliers.
Establishing a procurement strategy
To achieve a successful outcome, decisions need to be made on:
•
•
•
•
•
•
•
•
whether an existing contract/agreement can be used
the need to consider sustainable development issues
whether EU directives apply
the type and form of contract
sourcing potential suppliers
duration of contract and opportunity to review/extend
payment schedules
how to minimise any risks with the chosen strategy, including supplier appraisal
and evaluation/clarification of suppliers’ bids.
Preparing a business case
A business case should be drafted and approved before conducting any procurement
exercise. Further guidance on preparing business cases is available from the Office
Appendix 2: EU procurement procedure
94
of Government Commerce [65] and an illustrative example is provided in the NHS
PASA Operational Purchasing Procedures Manual, Procedure 1-01 [66].
The EU tendering exercise
EU procurements usually take between 4 and 6 months to complete. This needs to
be taken into account in the planning stages. The length of the exercise depends on
the chosen procedure (open or restricted). Further information is available from the
Department of Health [67].
The procurement panel
A multidisciplinary team should be selected to guide the purchase. Representatives
from clinical, user, technical, estates and financial areas should be considered.
Identifying potential suppliers
Criteria for supplier selection must be established. A supplier pre-qualification
questionnaire may be employed as an initial screen to exclude unsuitable suppliers
which ask for details such as skills and experience of the service engineers.
Evaluation criteria
Performance specifications should be derived from local operational requirements,
and agreed by the procurement panel. They will form the basis for assessing the
adequacy of suppliers’ technical specifications, provided in response to the technical
specification questionnaire.
It is important to have agreed on the performance specifications of the product as
they will be used in the adjudication against company specifications.
Requests for features, which are supplier-specific, are not permitted under the
regulations. Very specific features that are not supported by operational requirements
are also not allowed.
Award of contract
Following award of the contract to the successful supplier; unsuccessful suppliers
may need to be debriefed. This is at the supplier’s request.
Buyers must be aware of the ‘Alcatel’ procedure (see the Trust Operational
Purchasing Procedures Manual [58], Procedure No.T-08, section 6 - ‘Mandatory
Standstill Period’).
For more information on procurement please refer to the Department of Health
Website [68].
Appendix 3: Pressure-redistribution product matrix
95
Dynamic Mattresses
Airform Core Flotation Therapy
Allegro
Altair™
APM 2000
Atmosair® 4000
Atmosair® 9000
Auto Logic™ 110
Auto Logic™ 200
Bari-med
Baros Compact
Casaflow Nova
Cavalier
Cavalier 24hrs
Chorus
ClinActiv® Zephyr™
Community Plus Air
Delta Plus
Dual
Duo® 2
Elite
Essentials
Essentials Combi
Galaxy 2000
Genesis
HALO Astra
HALO Tetra
Lullaby Pressure Cradle
Media Plus™
Nimbus® 3
Nimbus® 3 Paediatric
Nimbus® 3 Professional
Nova Plus
OLA Classic™
Opal Plus
Optima
Optima-Bario
Optima-Neo
Phase III
Picara™ 300
Picara™ 400
Picara™ 500
Piezo
Plexus Aire Express®
Plexus Auto Sure Float Bariatric®
Plexus Auto Sure Float®
Plus Dynamic
Pneu Air
Primo™
Pro 2000
Pro 3000
Proficare®
Pulmoflo
Qu4ttro Acute™
Qu4ttro Plus™
Qu4ttro Prime™
Repistar®
Royal
ThorpeMill Ltd
Talley Group Ltd
STM Healthcare
Squirrell Medical Ltd
Spinal Products Ltd
Spenco Healthcare International Ltd
Spectrum Healthcare
Sidhil Ltd
Shelden Healthcare
Select Medical Ltd
Scan Mobility Ltd
Promedics (Able2)
Nexus DMS Ltd
Meditec Medical Ltd
Medipost (UK) Ltd
Lisclaire Ltd
KCI Medical Ltd
Karomed Ltd
Invacare UK
Homecraft Rolyan
Hill-Rom
Harvest Healthcare
Euromobility Ltd
Carebase
Company
BaKare Beds Ltd
APC Healthcare
The pressure-redistribution product matrix has been developed to provide a quick
reference guide. All mattresses and overlays are listed in alphabetical order aligned
with the suppliers that provide them.
Dynamic Mattresses
Royal 24hrs
Solo Dynamic
Squirrel 9000
Squirrel 9100
Squirrel Dormir
Supreme Extra
Symphony 8500
Symphony Plus 8900
Synergy Pulse
Tempo
Transair
Transair Alternating Cot
Transair Lite
Trio Dynamic Air
Turn.aido 2000
Vicair® Academy 415
Dynamic Overlays
Aire Twin™
AlphaTrancell®
Alphaxcell®
Alternating Pressure GGSU
Alto™
Baros
Bubble
Consort
Eclipse II
Essentials
Expansion Control Waffle
Galaxy 500
Galaxy 700
Galaxy 1000
HALO Nova
HALO Nova Plus
Media™
OLA Elegant™
OLA Majestic™
Opal
Opus
Picara™ 100
Picara™ 200
Prelude
Pulsair Plus™
Qu4ttro™
RIK® Fluid
Sonata 3500
Supreme
Supreme 24hr
Tamora Alternating
Transair
Transair Combi
Tri-pos3
Tri-pos3+Turn.aido
Turn.aido 1000
Static Mattresses High-technology
Admiral II
Aire Twin™
BariAir®
Breeze®
ClinActiv™
Clini-dyne®
ThorpeMill Ltd
Talley Group Ltd
STM Healthcare
Spinal Products Ltd
Spectrum Healthcare
Sidhil Ltd
Shelden Healthcare
Select Medical Ltd
Scan Mobility Ltd
Promedics (Able2)
Nexus DMS Ltd
96
Meditec Medical Ltd
Medipost (UK) Ltd
Lisclaire Ltd
KCI Medical Ltd
Karomed Ltd
Invacare UK
Homecraft Rolyan
Hill-Rom
Harvest Healthcare
Euromobility Ltd
Carebase
Company
BaKare Beds Ltd
APC Healthcare
Static Mattresses High-technology
Plexus Auto Aire Select®
Rotational
Russka PR 2500
Russka PR 3000
Serenade 9000
Squirrel 9200
Squirrel 9250
Squirrel Sapphire
Therakair Visio®
True LOL Wondermat
True LOL Wondermat Plus
Static Mattresses Low-Technology
1000 HMR
2000 MR
Acclaim Bariatric VE
Acclaim Profiler
Acclaim Safeside
Acclaim VE
Acclaim VE Classic
Air-Layer
Alova Memory
Alova Monoblock
Alova Replacement
Antipressure RMS/RMD
Apollo Moulded
Bariatric STM/B Non-Turn
Bariatric STM/BHD Non-Turn
Bariatric STM/BV Visco Care Non-Turn
Bed Care Designer
BigM Bariatric
BodyFoam Bariatric
BodyFoam Community
BodyFoam Mistral Classic
BodyFoam Mistral Standard
Casaflex Base Foam with Visco Top
Casaflex Core Foam with Profiled Sides
Casaflex Single Foam
Casaflex Single Foam-5
Clinisert™ 2
Community
Community Vitality
Conformx®
Contrax Standard
Designer
Diamond
Duoturn
Epsus Multi-softness
HALO Matrix
HALO Multisoft
Hi-Visc
Hi-Visc Bariatric
Hi-Visc+Turn.aido
Homecraft PR
Homecraft PR Profiler
Improtec ST-contoured Foam
Improtec HR
King's Fund
Linknurse
Linknurse Heavy Duty
Linknurse Profiler
Lowzone
Lowzone Paediatric
ThorpeMill Ltd
Talley Group Ltd
STM Healthcare
Spinal Products Ltd
Spectrum Healthcare
Sidhil Ltd
Shelden Healthcare
Select Medical Ltd
Scan Mobility Ltd
Promedics (Able2)
Nexus DMS Ltd
97
Meditec Medical Ltd
Medipost (UK) Ltd
Lisclaire Ltd
KCI Medical Ltd
Karomed Ltd
Invacare UK
Homecraft Rolyan
Hill-Rom
Harvest Healthcare
Euromobility Ltd
Carebase
Company
BaKare Beds Ltd
APC Healthcare
Lullaby VE
Medifloat™
Medipro + 1
Medipro + 2
Medipro + 3
Medipro + 4
Medipro + 5
Memaflex
Memaflex Bariatric
Memaflex Combination
Memaflex Plus
Modular Community
Modular Foam
Pentaflex®
Permaflex
Permaflex Non-Turn
Permaflex Plus
Picara™ Modular
Picara™ Profiling Low
Picara™ Profiling Medium
Picara™ Profiling Medium-High
Premier
Pressurease Care
Pressurease Paediatric
Pressure-Tex
Pressure Tex Performance
Prima
Prima Bario
Prima Profiler
Prime Comfort
Pro 2003
Pro-Mat-2
Pro-Mat-3
Pro-Mat-Bario
Pro-Mat-MemR
Protector
Protector Profiler
Reflect
Reflect Replacement
Replacement
Resteasy
RMax
ROHO® Dry Flotation®
ROHO® Dry Flotation® Bariatric
SelFlex™ High Density Foam
SelMed™ Visco-Elastic
Softform Birthing
Softform Cot
Softform Excel
Softform Incubator
Softform New-Born
Softform Original
Softform Premier
Softform Premier Glide
Softform Premier Visco
Softform Superior
Softrest
Softrest Contour
Softrest VE
Squirrel 7000
Squirrel Dahlia
Supaflex Care
ThorpeMill Ltd
Talley Group Ltd
STM Healthcare
Spinal Products Ltd
Spectrum Healthcare
Sidhil Ltd
Shelden Healthcare
Select Medical Ltd
Scan Mobility Ltd
Promedics (Able2)
Nexus DMS Ltd
98
Meditec Medical Ltd
Medipost (UK) Ltd
Lisclaire Ltd
KCI Medical Ltd
Karomed Ltd
Invacare UK
Homecraft Rolyan
Hill-Rom
Harvest Healthcare
Euromobility Ltd
Carebase
Company
BaKare Beds Ltd
APC Healthcare
Company
Supaflex Comfort SX59
Supaflex Foldable SX61
Supaflex Non-Turn Profiling SX62
Supaflex Profiling SX60
Supaflex Profiling SX63
Supaflex Visco Non-turn
Tempur-Med®
Tempur-Med® Premier
The Profiler™
Transfoam
Transvisco
Transwave Supreme
Visco
Visco 3000 MR
Visco Memory
Viscotech
Viscotech Plus
Viscotech Supreme
Viscotech Supreme HD
VMax
Static Overlays
Tempur-Med®
Thermo Contour®
Tranvisco
Visco Combi
Visco Memory
Viscotech
Operating Trolley Mattresses
Liquid Displacement Cell™
Pro-op
Pressurease
RIK® Pads
Tempur-Med® Pads
Hospital Trolley Mattresses
Medifloat™ Trolley Topper
Memaflex Shaped
Memaflex
Pressurease
Repose
Figure 5: Pressure-redistribution product matrix
ThorpeMill Ltd
Talley Group Ltd
STM Healthcare
Spinal Products Ltd
Spectrum Healthcare
Sidhil Ltd
Shelden Healthcare
Select Medical Ltd
Scan Mobility Ltd
Promedics (Able2)
Nexus DMS Ltd
Meditec Medical Ltd
Medipost (UK) Ltd
Lisclaire Ltd
KCI Medical Ltd
Karomed Ltd
Invacare UK
Homecraft Rolyan
Hill-Rom
Harvest Healthcare
Euromobility Ltd
Carebase
BaKare Beds Ltd
APC Healthcare
99
Author and report information
Buyers’ guide:
Pressure-redistribution
mattresses and overlays
Joanne Burnett, Maxine Clift, Kirsty
Sprange
Assistive Technology Evaluation
Centre (ATEC)
Derby Hospitals NHS Foundation Trust
Derby City General Hospital
Uttoxeter Road
Derby DE22 3NE
Tel: 01332 785627
Email: [email protected]
www.derbyatec.co.uk
About CEP
The Centre for Evidence-based
Purchasing (CEP) is part of the Policy
and Innovation Directorate of the NHS
Purchasing and Supply Agency. We
underpin purchasing decisions by
providing objective evidence to support
the uptake of useful, safe and
innovative products and related
procedures in health and social care.
We are here to help you make
informed purchasing decisions by
gathering evidence globally to support
the use of innovative technologies,
assess value and cost effectiveness of
products, and develop nationally
agreed protocols.
100
Sign up to our email alert
service
All our publications since 2002 are
available in full colour to download
from our website. To sign up to our
email alert service and receive new
publications straight to your mailbox
contact:
Centre for Evidence-based Purchasing
Room 152C
Skipton House
80 London Road
SE1 6HL
Tel: 020 7972 6080
Fax: 020 7975 5795
Email: [email protected]
www.pasa.nhs.uk/cep
© Crown Copyright 2008

Buyers` guide: Pressure-redistribution mattresses

Transcription

Similar documents

German cushioning specialist Hukla is one of the

Lebus summer furniture show

GNG Healthcare

king koil laura ashley

Strongbox by Airfloat Systems

Styrofoam Recycling - Village of North Aurora

Soft landing

serta - City Wide Mattress

Tranquility 10-In. Memory Foam Mattress

brochure - Sleepy`s Express