Cushions Catalogue

Transcription

Cushions Catalogue
The Seating Catalogue from BES Rehab
A Better Way to Sit
www.besrehab.net 1
What are You Looking for in a Cushion?
For anyone who has to spend any extended time on a cushion, the first concern will always be tissue integrity.
We all know the discomfort of sitting for more than 20 minutes on a theatre or restaurant seat where the foam has
seen better days, or sitting on a plastic or vinyl-covered seat on a warm day with nowhere for the perspiration to go.
Tissue Integrity
Friction
One of the most frequent causes of tissue damage occurs during transfers
on and off the cushion. Use of a smoother water-resistant cover rather than
a mesh cover, reduces the risks from friction. On the other hand, people do
not like very slippery surfaces, since they find it difficult to keep their posture.
• All Varilite cushions
are available with
smooth waterresistant cover options
Shear
Shear is a much more complicated matter, and reflects on what is happening
between the layers of the skin, and to the individual cells in the tissues of
the backside. Current thinking is that differential pressures across a skin
cell can distort it to the extent that the cell membrane is compromised,
and cell contents thereby become unbalanced, leading eventually to cell
death. This has a more immediate damaging effect than occlusion of blood
vessels affecting nutrient perfusion of the cells. To reduce the potential cell
damage we want a cushion that will spread the forces on the skin as broadly
and evenly as possible.
Fail Safe
When selecting a cushion consider the consequences for the individual,
and the risk of tissue damage, in the event of failure. Pure air cushions, if
punctured, can leave the user without any protection. Fillings that move
out of place can leave the ischials exposed. Foam that develops a set will no
longer provide immersion. Etc.
Microclimate - Moisture
Of the factors that can lead to pressure ulcers developing, the most common
ones are those that affect the stratus corneum and epidermis, the outer
layers of the skin. Apart from the effects of friction mentioned above, the
microclimate is the next most important. It is important that the cover of a
cushion is breathable so that water vapour from perspiration can wick away,
and for air to circulate. Moist skin will undergo greater frictional forces than
dry skin, and therefore it is important to maintain a microclimate around
the skin that reduces this risk.
Microclimate - Temperature
Sitting on a cold material that takes time to reach body temperature
will cause blood capillaries to close down, and affect the nutrient supply
to the cells of the skin. On the other hand, one degree Celsius increase in
temperature lifts the metabolic rate by 13%, and thus if the skin tissues
heat up, there is higher demand for oxygen and nutrients, and a greater
need to remove metabolites. A cushion cover, and cushion materials that
allow for temperature regulation within a limited range will obviously be
beneficial to the user: not cold to sit on, and no tendency to heat up with
time. Good airflow around the skin is the sign of a good cushion design.
2 www.besrehab.net
• Varilite cushions are fail
safe in that even with a
puncture you have the
benefits of the foam
part of the air-foam mix
in each cushion
• All Varilite covers
are water vapour
permeable
• The reticulated foam
lining of Varilite covers
allows water vapour
and air to circulate
• The materials in our
cushions adjust quickly
to the individual’s
temperature, avoiding
metabolic stress
• The reticulated foam
lining of Varilite covers
assists in air circulation
and temperature
regulation
Pressure – Immersion and dispersion
Where the factors listed above affect the outer layers of the skin and can
lead to Stage 1 and 2 ulcers, pressure differences have a greater impact
on deeper tissues especially around bony prominences such as the ischial
tuberosities. Since altering an individual’s mass is not a ready option, the
best way to reduce the forces around the deep tissues is to spread the
forces over a wider area underneath the buttocks, displace more under the
thighs than under the pelvis, and take forces where possible under the feet,
forearms, and back. To achieve the spread of forces over a wider area we
look for greater dispersion, and this can be achieved by increased immersion
into a cushion, and this is best achieved by air dispersion in an air-filled or
air-foam cushion.
Be careful when considering using a cushion that has been contoured to an
individual’s backside. For example, following a Spinal Cord Injury (SCI) the
buttock tissues will atrophy over the first few months after injury, so what
was a good fit for optimal immersion, after a while will cease to be a good
fit. What happens next is that fatty deposits build up in the skin tissues,
and over the next few months the tissues will grow to a greater volume
than immediately after the injury, and the ‘overflow’ around the contoured
shaping puts damaging stresses on the buttock tissues in these areas.
The thigh tends to be much larger at the hip end (proximally) than at the
knee end (distally). Thus the natural biomechanics of the positioning of the
femur mean that to get pressure redistributed evenly along the thigh, the
feet need to be dropped close to the floor, or else you need a wedge under
the thighs (see Fig. 1 3 ).
PSIS Block
4
6
Ischial Tuberosity
Flat Seat Base
Under Ischia
Posterior Superior Iliac Spine
(PSIS)
5
2
1
Pre-Ischial Ridge
3
Wedge Ramping Under Thighs
Fig 1. Controlling the Pelvis
Avoid the temptation to achieve this by putting ‘dump’ into the seat, since
this will put the individual into a posterior tilt, lead to a kyphotic spine, and
impair physiological function due to restriction of the abdominal space.
• Varilite’s air foam mix
gives the benefit of
optional immersion and
pressure redistribution
• Varilite Evolution
cushions are available
with a wedge insert
to distribute pressure
under the thighs
without compromising
a neutral pelvis
• The firmer lateral and
posterior foam elements
within a Varilite cushion
provide gluteal and
trochanteral support
• The Wave base
accessories provide
additional support in
these areas
Likewise, it has been found that adding gluteal support at the rear of the
cushion into this softer tissue can take pressure from the bony parts of the
pelvis – this also has postural benefits, which brings us to:
www.besrehab.net 3
Posture
To discourage the development of a kyphotic or scoliotic spine, we try to have the pelvis in a neutral
position, and minimise any obliquity.
Thigh positioning
The natural position for the femurs to rest in the hip joint is five degrees of
abduction.
»
5º
»»
5º
• Central firmer foam
inserts in most Varilite
cushions encourage
appropriate thigh
abduction
»
• Plywood solid inserts
are available from
Varilite to block the
tendency for a cushion
to sag on a canvas
base
Fig 2. Natural Hip Joint
It is important that sling seats are not allowed to bow since this tends to bring
the knees together. A crescent infill, or a firm base under the cushion help to
overcome this tendency in the seat.
Pelvic positioning
The design of a cushion to envelop the pelvis will help to stop the pelvis sliding
out of a neutral position. Anteriorly, a pre-ischial ridge, (see Fig 1 2 ) which
should be no more than 0.5 cm in height to avoid undue pressures to the anterior
of the ischials, helps to stop the pelvis slipping forward as the individual relaxes
into a posterior tilt. The benefit is lost without a PSIS block to stop the pelvis
rotating posteriorly (see Fig. 1 4 ).
Laterally and posteriorly there should be support to help control lateral or
rotational tendencies. The lateral supports can also provide a trochanteral ledge
to help offload forces from the ischials.
To deal with obliquities, ideally the cushion can be built up more on one side or
reduced in height on the other. In some cases this will be to accommodate the
deformity, and in others, where there is flexibility, it can help to decrease the
degree of asymmetry over time.
Stability
To maintain a good posture, and to be able to achieve day-to-day activities, it is
important that the cushion is stable and supportive. This has to be balanced with
any affects that components of the cushion may have on transfers.
4 www.besrehab.net
• The foam mix inside
Varilite cushions provides
a pre-ischial ridge to
help keep the pelvis in
place and provide greater
immersion under the
ischials
• The Varilite ProForm has
variable adjustability
under each ischial
tuberosity, allowing
adjustment for
obliquities
• The foam element of the
air-foam mix in Varilite
cushions provides for
surface stability for
the user
Functionality
A cushion needs primarily to give protection to the tissues and to provide for good long term posture, but
has also to be functional. The following section looks at what most consumers feel are important aspects.
Cushion Weight
The weight of the cushion is important – if you obtain a lightweight chair for
ease of propulsion, then there is no point in negating this with a heavy cushion.
In addition, when moving the cushion in and out of the chair, the user can do
without strain on the shoulders caused by moving a heavy weight. Before the
final selection of the cushion the user should test out this aspect of functionality.
User weight limit
Some cushions are designed to work within only a narrow range of user weights,
while others have no upper weight limit.
Comfort
Crane (2004) found that the most important criterion for users was comfort. The
challenge with this is that comfort is so subjective, and will be built up from a
combination of feelings e.g. softness, stability, support, security, etc.
Cleanability
Are the covers washable at temperatures high enough to kill microbes (>60°C)?
Note: it is recommended that users obtain two covers as a minimum so that
there is one for use while the other is in the wash. Medical CE marking regulations
include the requirement that the Instructions for Use for the cushion include
washing instructions, and this includes the cushion components as well as the
cover.
Low maintenance
The user or carer has enough to handle in the day, and so looks for easy and/
or low maintenance. People do not want the hassles of resetting components,
finding adjustment tools, etc. They just want the cushion.
Accessibility
The materials used to construct a cushion need to assist the user in his/her
daily activities (access, transfers, etc). We need the right balance of contouring,
stability, and cover smoothness for that individual.
Vibration dampening
One of the phenomena that users find fatiguing is the vibrations transmitted
through their seating system, and thus it is better to select a cushion with higher
vibration dampening (one of the ISO 16840-2 tests). (DiGiovine et al, 2000)
Durability
Many seating materials perform very well on the day of purchase, but lose
their performance over time. For example, new foam is a very good material
for immersion, but over a relatively short time can develop a ‘set’ which stops
dispersion of the sitting pressures. The new ISO standard, ISO 16840-6 addresses
the changes of properties with use, and takes an important new line on classifying
cushions, namely by type of use (e.g. for sports, in a humid climate, in a hot
climate, etc) and not by their materials, ‘high’ risk, postural etc, the latter are
criteria used by commodity oriented purchasing bodies.
• Varilite cushions live up to
their name, and this benefit
has been appreciated for
nearly 25 years
• Varilite cushions may
be used effectively by
people of any weight
• Varilite covers are machine
washable, and come with
washing instructions on
their labels
• Varilite cushion pads have
impermeable covers which
can be washed easily
• Varilite air-foam
cushions need very little
attention week by week
• Adjustment is by use
of the inbuilt valve and
the natural ability of the
foam element to revert
to its original shape. No
pumps needed
• Research has shown that
Varilite cushions absorb
vibrations better than
other well-known cushions
• Varilite cushions come
with a 2-year warranty
(covers 1-year) and
usually provide the same
benefits 5 years later as
on day 1
• The air in the air-foam
mix stops the foam from
developing a ‘set’
Crane, et al (2004) Development of a Consumer-Driven Wheelchair Seating Discomfort Assessment Tool (WcS-DAT). Intl J Rehab Res 27: 85-90
DiGiovine, C.P. et al (2000) Analysis of Vibration and Comparison of Four Wheelchair Cushions During Manual Wheelchair Propulsion Proc RESNA, 429-431
www.besrehab.net 5
The New Varilite JUNIOR Cushion
Paediatric Seating - Sized for Children
The new Varilite JUNIOR Cushion is proportionally designed for a child’s body, keeping
in mind that children are not small adults. The JUNIOR cushion uses Varilite’s patented
Air Foam Floatation technology, that immerses the child’s body into air for greater
comfort, while the foam holds the body in position. The Varilite Junior cushion is
lightweight, compact, and simple to use, for maximum support with minimal fuss.
4
Good Posture
The Varilite JUNIOR features multistiffness foam with a non-intrusive
thigh abductor. The Multi-stiffness
foam promotes immersion and
stability, while the added thigh
abductor promotes the natural
femoral position from an early age.
4
Quick Adjustments
Making adjustments to the Varilite
JUNIOR cushion is quick and simple.
The cushion has a valve allowing
self-inflation which can be adjusted
easily to release air. While the child
is seated on a fully inflated cushion,
the valve can be opened allowing air
to escape, to give the right amount
of immersion and comfort.
4
Easy to Clean
Keeping kids in mind, and letting
them be kids, the Varilite JUNIOR
cushion itself has been designed
to be waterproof, while the cover
is water resistant and machine
washable.
Varilite JUNIOR Seat Cushion
Dimensions (WxD)
10x10” (25x25cm)
Thickness
2.9” (7.4cm)
Weight
260g
Order Code
71120
Contents
What are You Looking for in a Cushion?
2
The Varilite JUNIOR Cushion
6
Cushion Selection Guide
8
The Varilite Evolution
10
The Varilite Meridian
14
Evolution and Meridian Accessories
18
The Varilite ProForm NX
24
Seating Accessories
30
The Varilite Modular
31
The Varilite Zoid
32
The Varilite Reflex
36
The Raft Wheelchair Seat
40
The Raft and Raft Plus Seats
42
Shear Comfort Medical Wool
44
Boditrak
45
Back Support Solutions
46
Head to Toe Positioning Solutions
47
Please Note: Varilite Stratus and Solo cushions
continue to be available to order on request
www.besrehab.net 7
Cushion Selection Guide
Please Note:
Varilite Stratus and Solo cushions continue
to be available to order on request
Tissue Integrity
Immersion
Dispersion away from bony areas
Air/water vapour circulation
Temperature balance
Fail safe
Stretch covers
Choice of covers
Transfers damage risk (from friction and/or shear)
Posture
Neutral pelvis
Pre-ischial Ridge
Stability
Lateral support
Thigh abduction
Trochanteral ledge
Obliquity management
Gluteal support
Functionality
Lightweight
Comfort
Enables day to day activities
Vibration dampening
Low maintenance
Machine washable cover and wipe down cushion
Visible directions for use
Functional life
Warranty
Size range
User weight limit
Usability
Stability
Customisability
8 www.besrehab.net
Varilite Evolution
Varilite Meridian
Varilite
ProForm NX
444
444
444
444
444
Yes
Yes
444
444
444
444
444
Yes
Yes
444
444
444
444
444
Yes
Yes
Reduced
Reduced
Reduced
Evolution
Meridian
ProForm NX
444
444
44
44
44
44
4
444
444
44
44
44
44
4
444
44
44
444
444
444
444
44
Evolution
Meridian
ProForm NX
444
444
44
444
44
444
44
444
444
44
4444
44
444
44
44
44
44
44
44
444
4
444
444
444
2 year - cushion;
1 year - cover
10x10” - 24x20”
2 year - cushion;
1 year - cover
12x14” - 24x20”
2 year - cushion;
1 year - cover
12x14” - 20x20”
None
None
None
44
44
44
44
44
44
4
-
444
N/
/A
and
Varilite Modular
Varilite Zoid
Varilite Reflex
Raft Posture Seat/Plus
and Wheelchair Seat
444
444
444
444
444
Yes
Yes
44
444
444
444
444
Yes
Yes
44
444
4
44
444
Yes
No
4
44
44
4
444
Yes
No
Reduced
Reduced
Reduced
-
Varilite Modular
Zoid
Reflex
Raft Posture Seat/Plus
and Wheelchair Seat
444
44
44
444
444
444
444
44
4
444
44
44
44
4
4
44
44
44
444
44
4
44
444
4
44
4
4
Varilite Modular
Zoid
Reflex
Raft Posture Seat/Plus
and Wheelchair Seat
44
44
44
44
44
444
4
444
44
444
44
44
444
44
444
444
44
444
444
444
44
44
44
444
4
444
444
44
444
44
44
444
2 year - cushion;
1 year - Cover
16x16” x 20x20”
2 year - cushion;
1 year - cover
12x8” - 24x20”
2 year - cushion;
1 year - cover
12x12” - 20x20”
1 Year
15x15” - 18x16”
None
None
None
160kg
44
44
444
444
44
44
44
444
444
-
-
www.besrehab.net 9
The
Evolution
The cushion of choice for wheelchair users
with a high risk of tissue breakdown
and symmetrical positioning needs
Available With the Following Options:
Cover:
Mesh or Water-Resistant
Valve:
Standard or PSV
Accessories: Wedge or Wave Bases
Size Range: 10x10” - 24x20”
1510 www.hiaus.net.au
The Varilite Evolution Cushion
Tissue Integrity
Immersion
444
Dispersion away from bony areas
444
Air/water vapour circulation
444
Temperature balance
444
Fail safe
444
Stretch covers
Yes
Choice of covers
Yes
Transfers damage risk (from friction and/or shear)
Reduced
Posture
Neutral pelvis
444
Pre-ischial Ridge
444
Stability
44
Lateral support
44
Thigh abduction
44
Trochanteral ledge
44
Gluteal support
4
Functionality
Lightweight
444
Comfort
444
Enables day to day activities
Vibration dampening
Low maintenance
Machine washable cover/wipe down cushion
Visible directions for use
Functional life
44
444
44
444
44
444
Warranty
2 year - cushion; 1 year - cover
Size range
10x10” - 24x20”
User weight limit
None
Usability
44
Stability
44
Customisability
4
www.besrehab.net 11
The Varilite Evolution Cushion
4
Varilite Standard Wedge used in
conjunction with the Evolution
3
Our Varilite Standard Wedge
maintains the seat to back angle while
increasing the weight-bearing load on
the back of the thighs and decreases
the load on the buttocks. The 5cm (2”)
tapered wedge trims easily for custom
fitting to meet individual needs.
2
1
5
1. Air-Foam Floatation
The functional areas of the cushion are created by three types of foam;
soft foam under the ulcer-sensitive area of the ITs; medium foam for
the thigh trough, pelvic bucketing and pre-ischial bar; and firm foam to
provide support around the perimeter and at the medial thigh separator.
2. Positioning Support
Positioning supports improve stability, which is important for users with
compromised sitting balance or who transfer frequently. Multi-stiffness
foam provides support as the user is immersed in the cushion. Medial
and lateral supports minimise internal and external lower extremity
rotation. Pelvic bucketing and a pre-ischial ridge help maintain the pelvic
position, and thigh troughs promote a natural femoral position.
3. Valves for Adjusting Air Volume
The Evolution PSV uses Varilite’s patented Pressure Setting Valve. The
PSV is marked with three pre-set positions, which provide the best range
of immersion for most users. The PSV works by sensing the amount
of internal cushion pressure and automatically shutting off the flow
when it senses enough pressure has been released. The Evolution is also
available with a traditional two-way Varilite valve.
4. Cover
The Evolution comes complete with either a mesh or water-resistant cover
made from breathable two-way stretch fabric. Reticulated foam inside
promotes air exchange and improves pressure redistribution. The
Evolution cover is machine washable, tumble dryable and meet the
ISO 7176-16 fire ignition resistance standard.
5. Wedge
A modifiable closed-cell foam wedge is available with each Evolution, to
assist pressure redistribution from the sensitive ITs onto the thighs.
(See also Evolution and Meridian Accessories pg 18)
12 www.besrehab.net
Fig 1. FSA Pressure Mapping without Wedge
Fig 2. FSA Pressure Mapping with Wedge
As air is released from the cushion,
the user becomes immersed in the
foam. The different foams conform
to the user’s shape.
Fig 3. Immersion
As immersion increases, the load
is distributed over more of the
cushion’s surface area and pressure
points are reduced. Optimal pressure
redistribution is achieved when the
load is distributed over the largest
surface area.
Order Codes
“
Since using the Varilite
Evolution I sit with great
balance, posture and
positioning. It is a very
comfortable product to
use and I have never
had any issues with skin
break down. I would
absolutely recommend
Varilite products to
other wheelchair users
because, personally, I
have had a very positive
experience with Varilite
products for 18 years.”
Evolution
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm) (35x35cm) (35x40cm) (35x45cm) (35x50cm) (38x38cm) (38x43cm) (40x35cm) (40x40cm) (40x45cm) (40x50cm)
w/ Mesh Cover
72410 74410 74610 74810 74010 75510 75710 76410 76610 76810 76010
w/ Water-Resistant Cover 72420
74420 74620 74820 74020 75520 75720 76420 76620 76820 76020
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm) (55x45cm) (55x50cm) (60x45cm) (60x50cm)
w/ Mesh Cover
77710 78610 78810 78010 70610 70810 70010 7281B 7201B 7481B 7401B
w/ Water-Resistant Cover
77720 78620 78820 78020 70620 70820 70020 7282B 7202B 7482B 7402B
Evolution PSV (Including Cover)
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm)
(30x35cm) (35x35cm)
(35x35cm) (35x40cm)
(35x40cm) (35x45cm)
(35x45cm) (35x50cm)
(35x50cm) (38x38cm)
(38x38cm) (38x43cm)
(38x43cm) (40x35cm)
(40x35cm) (40x40cm)
(40x40cm) (40x45cm)
(40x45cm) (40x50cm)
(40x50cm)
w/
Mesh
Cover
Mesh
Cover
72415 74415 74615 74816 74016 75515 75715 76415 76615 76815 76015
w/
Water-Resistant
Cover
Incontinence
Cover
72425
72425 74425
74425 74625
74625 74826
74826 74026
74026 75525
75525 75725
75725 76425
76425 76625
76625 76825
76825 76025
76025
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm)
(45x40cm) (45x45cm)
(45x45cm) (45x50cm)
(45x50cm) (50x40cm)
(50x40cm) (50x45cm)
(50x45cm) (50x50cm)
(50x50cm) (55x45cm)
(55x45cm) (55x50cm)
(55x50cm) (60x45cm)
(60x45cm) (60x50cm)
(60x50cm)
(43x43cm)
Mesh
Cover
w/
Mesh
Cover
77715 78615 78815 78015 70615 70815 70015 72815 72015 74815 74015
Incontinence
Cover
w/
Water-Resistant
Cover
72425 78625
74425 78825
74625 78025
74826 70625
74026 70825
75525 70025
75725 72825
76425 72025
76625 74825
76825 74025
76025
77725
www.besrehab.net 13
The
Meridian
A dual chambered variety of the
Varilite Evolution for wheelchair
users with high risk of tissue
breakdown and symmetrical
positioning needs
Available With the Following Options:
Cover:
Mesh or Water-Resistant
Valve:
Standard x2
Accessories: Wedge or Wave Bases
Size Range: 12x14” - 24x20”
14 www.hiaus.net.au
The Varilite Meridian Cushion
Tissue Integrity
Immersion
444
Dispersion away from bony areas
444
Air/water vapour circulation
444
Temperature balance
444
Fail safe
444
Stretch covers
Yes
Choice of covers
Yes
Transfers damage risk (from friction and/or shear)
Reduced
Posture
Neutral pelvis
444
Pre-ischial Ridge
444
Stability
44
Lateral support
44
Thigh abduction
44
Trochanteral ledge
44
Gltueal support
4
Functionality
Lightweight
444
Comfort
444
Enables day to day activities
Vibration dampening
Low maintenance
Machine washable cover/wipe down cushion
Visible directions for use
Functional life
44
444
44
444
44
444
Warranty
2 year - cushion; 1 year - cover
Size range
12x14” - 24x20”
User weight limit
None
Usability
44
Stability
44
www.besrehab.net 15
The Varilite Meridian Cushion
4
3
2
Sacral Sitting The Meridian helps reduce sacral sitting
1
1. Air-Foam Floatation
The functional areas of the cushion are created by three types of foam: soft foam under the pressure risk area of the ITs;
medium foam for the thigh trough, pelvic bucketing and pre-ischial ridge; and firm foam to provide lateral support and a
medial thigh abductor.
2. Dual Chambers
The dual-chamber design of the Meridian allows for independent positioning of the thighs and pelvis. Adjustments
are quick and easy, and can be performed with the client seated. The front and back air chambers of the Meridian
limit sacral sitting and promote good posture. The pre-ischial shelf created by the dual-chambers stops the ITs
from sliding forward, thus limiting a posterior pelvic tilt and sacral sitting. The ‘squeeze’ created by the separate air
chambers provides postural support by ‘holding’ the client in place.
3. Valves for Adjusting Air Volume
Easy to use, two-way air valves allow simple and efficient adjustment. Once the client is seated on the fully inflated
cushion, the right valve can be released allowing air to escape from the pelvic chamber. Once proper immersion of the
pelvis has been achieved the user releases air from the front/thigh chamber by opening the left valve. Once optimum
load on the thighs has been achieved the valve is closed.
4. Cover
The Meridian is available with a mesh or water-resistant cover with breathable two-way stretch material. Reticulated
foam inside promotes air exchange and improves pressure distribution. The underside is a rugged nonslip material
with hook and loop for added security. The Meridian cover meets the ISO 7176-16 ignition standard, and is machine
washable.
16 www.besrehab.net
Order Codes
“
I was happy when I heard about Varilite, and was able to try out
a new type of cushion. For years, I used a gel cushion, and it was
always so heavy to lift. I now have the Varilite Meridian cushion,
and I love it because it is so lightweight. Also, when I am at work
and sitting for long periods of time I can adjust the air in the
cushion. Recently, I have noticed that I am having less pain in
my legs.”
Meridian
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm) (35x35cm) (35x40cm) (35x45cm) (35x50cm) (38x38cm) (38x43cm) (40x35cm) (40x40cm) (40x45cm) (40x50cm)
w/ Mesh Cover
72430 74430 74630 74830 74030 75530 75730 76430 76630 76830 76030
w/ Water-Resistant Cover 72440
74440 74640 74840 74040 75540 75740 76440 76640 76840 76040
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm) (55x45cm) (55x50cm) (60x45cm) (60x50cm)
w/ Mesh Cover
77730 78630 78830 78030 70630 70830 70030 7283B 7203B 7483B 7403B
w/ Water-Resistant Cover 77740
78640 78840 78040 70640 70840 70040 7284B 7204B 7484B 7404B
www.besrehab.net 17
Evolution
and Meridian
Cushion
Accessories
18 www.hiaus.net.au
- Wave Bases
- Spare Covers
Evolution and Meridian Cushion Accessories
Benefits of the Wave Bases:
The standard Evolution and Meridian cushions provide:
A flat seat base under the ischials, which encourages a neutral pelvis and a lordotic spine
(compared with an angled base which encourages posterior tilt and a kyphotic spine); a
pre-ischial ridge, which reduces the risk of the pelvis sliding forward and rotating into posterior
tilt; a ramp under the thighs that takes pressure away from the bony prominences onto safer
weight bearing tissues. A PSIS block behind the pelvis will work with the pre-ischial ridge and
an appropriately positioned postural support device (belt) across the thighs, to control pelvic
posterior tilt.
The Meridian and Evolution Wave Bases provide:
A family of contoured bases for positioning support. Clinicians can combine Meridian and
Evolution adjustable Air-Foam Floatation skin protection cushions with a solid ‘enhanced
positioning’ base.
Three different Wave designs are available:
• CPW (Contoured Positioning Wedge)
• LPB (Lateral Positioning Base)
• CPB (Contoured Positioning Base)
These bases enhance the Meridian’s and Evolution’s natural positioning benefits in the
sagittal (anterior - posterior) plane and provide further lateral and medial positioning support
(as viewed in the frontal plane) for both the pelvis and the legs, at the same time permitting
greater envelopment of soft tissues, and thereby providing wider pressure redistribution away
from the bony prominences, of the ischial tuberosities (ITs). Increased trochanteral and gluteal
off-loading of forces on the ITs is a further benefit.
www.besrehab.net 19
Evolution and Meridian Cushion Accessories
CPW
•Lateral thigh support to control thigh abduction
•Medial thigh support to enhance thigh abduction
LPB
•Posterior gluteal support to offload pressure from ischials
•Lateral pelvic support
•Lateral thigh support controls thigh abduction
•Solid base of support for postural stability
CPB
•Posterior gluteal support to offload pressure from ischials
•Lateral pelvic support
• Lateral thigh support controls
thigh abduction
•Medial thigh support controls thigh adduction
•Solid base of support for postural stability
Varilite Wave Positioning Support Comparison
Each Wave positioning support fits securely beneath the Meridian or Evolution cushion inside the tailored
Meridian or Evolution Wave Cover. Further adjustments can be made using Cheat Sheets and/or cut aways.
Please ensure you order the correct cover to go with the respective base.
Varilite Wave Positioning Support Comparison Chart
Posterior
Pelvic
Support
Lateral
Pelvic
Support
Lateral
Thigh
Support
Medial
Thigh
Support
Firm
Base of
Support
CPW (Contoured Positioning Wedge)
-
-
4
4
-
LPB (Lateral Positioning Base)
4
4
4
-
4
CPB (Contoured Positioning Base)
4
4
4
4
4
20 www.besrehab.net
Evolution and Meridian Cushion Accessories
Each Wave design enhances the Multi-Stiffness Foam of the Meridian and Evolution
Meridian and Evolution Wave CPW (Contoured Positioning Wedge)
The Meridian and Evolution Wave CPW provide exceptional positioning of the
lower extremities for enhanced sitting posture.
Cover is shown with cut-away for illustration purposes only
Wave Contoured Positioning Wedge
Lateral thigh supports position the lower extremities and control abduction of
the thighs. The medial thigh support provides the correct amount of abduction
and controls adduction of the thighs. The Wave CPW increases the weight
bearing load on the lower surface of the thighs and decreases the load on the
buttocks, without changing the seat-to-back angle. The closed-cell foam will not
absorb fluid and is resistant to bacteria.
Meridian and Evolution Wave LPB (Lateral Positioning Base)
The Meridian and Evolution Wave LPB provide a solid base of support and a high
degree of pelvic and lower extremity lateral and medial positioning.
Cover is shown with cut-away for illustration purposes only
Wave Lateral Positioning Base
Posterior pelvic supports help to keep the pelvis positioned in the anteriorposterior line and transfer pressure from the ischial tuberosities to the gluteal
tissues. Lateral pelvic supports, located under the trochanters, provide lateral
stability that maintains the pelvis in the centre of the seat. Lateral thigh
supports position the lower extremities and control abduction of the thighs.
The Wave LPB provides a firm foundation for postural stability and discourages
sling upholstery from bowing. The closed-cell foam will not absorb fluid and is
resistant to bacteria.
Meridian and Evolution Wave CPB (Contoured Positioning Base)
The Meridian and Evolution Wave CPB provide a solid base of support and a
high degree of pelvic and lower extremity lateral and medial positioning.
Cover is shown with cut-away for illustration purposes only
Wave Contoured Positioning Base
Posterior pelvic support helps to keep the pelvis positioned in the anteriorposterior line and transfers pressure from the ischial tuberosities to gluteal
tissues. Lateral pelvic supports, located under the trochanters, provide lateral
stability that maintains the pelvis in the centre of the seat. Lateral thigh
supports position the lower extremities and control abduction of the thighs.
The medial thigh support provides the correct amount of abduction of the
thighs. The Wave CPB provides a firm foundation for postural stability and
discourages sling upholstery from bowing. The closed-cell foam will not absorb
fluid and is resistant to bacteria.
www.besrehab.net 21
Evolution and Meridian Cushion Accessories
Contoured Positioning Wedge
Medial thigh support
to control thigh
adduction
Lateral thigh
support to control
abduction
Lateral Positioning Base
Posterior pelvic
support taking
pressure off
ischials
Solid base of support
for postural stability
Lateral thigh support to
control thigh abduction
Lateral pelvic
support to maintain
pelvis in centre of
seat and support
greater trochanters
Contoured Positioning Base
Solid base of support
for postural stability
Medial thigh support to
control thigh adduction
Lateral thigh support to
control thigh abduction
22 www.besrehab.net
Posterior pelvic
support taking
pressure off
ischials
Lateral pelvic
support to maintain
pelvis in centre of
seat and support
greater trochanters
Order Codes
Meridian, Evolution and Evolution PSV Wave Bases
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm) (35x35cm) (35x40cm) (35x45cm) (35x50cm) (38x38cm) (38x43cm) (40x35cm) (40x40cm) (40x45cm) (40x50cm)
Contoured Positioning
Wedge (CPW)
05410
05411
05412
05400
05401
05402
05403
05404
05413
05414
05415
Lateral Positioning Base
(LPB)
05427
05428
05429
05405
05406
05407
05408
05409
05430
05431
05432
Contoured Positioning Base
(CPB)
05444
05445
05446
05461
05462
05463
05464
05465
05447
05448
05449
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm) (55x45cm) (55x50cm) (60x45cm) (60x50cm)
Contoured Positioning
Wedge (CPW)
Lateral Positioning
Base (LPB)
Contoured Positioning
Base (CPB)
05416
05417
05418
05419
05420
05421
05422
05423
05424
05425
05426
05433
05434
05435
05436
05437
05438
05439
05440
05441
05442
05443
05450
05451
05452
05453
05454
05455
05456
05465
05447
05459
05460
Evolution and Evolution Wave Spare Covers
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm) (35x35cm) (35x40cm) (35x45cm) (35x50cm) (38x38cm) (38x43cm) (40x35cm) (40x40cm) (40x45cm) (40x50cm)
Mesh Standard Wedge
and CPW Wave
04623 04643 04645 04681 04682 04683 04684 04689 04665 04667 04601
Mesh LPB and
CPB Wave
05700 05701 05702 05735 05736 05737 05738 05739 05703 05704 05705
Water-Resistant Standard
Wedge and CPW Wave
04624 04644 04646 04690 04691 04692 04695 04696 04666 04668 04602
Water-Resistant LPB
and CPB Wave
05717 05718 05719 05740 05741 05742 05743 05744 05720 05721 05722
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm) (55x45cm) (55x50cm) (60x45cm) (60x50cm)
Mesh Standard Wedge
and CPW Wave
Mesh LPB and
CPB Wave
Water-Resistant Standard
Wedge and CPW Wave
Water-Resistant LPB
and CPB Wave
04640 04685 04687 04679 04605 04607 04599 04620 04622 04626 04628
05706 05707 05708 05709 05710 05711 05712 05713 05714 05715 05716
04641 04686 04688 04680 04606 04608 04600 04621 04625 04627 04629
05723 05724 05725 05726 05727 05728 05729 05730 05731 05732 05734
Meridian and Meridian Wave Spare Covers
12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14” 16x16” 16x18” 16x20”
(30x35cm) (35x35cm) (35x40cm) (35x45cm) (35x50cm) (38x38cm) (38x43cm) (40x35cm) (40x40cm) (40x45cm) (40x50cm)
Mesh Standard Wedge
and CPW Wave
02517
02518
02519
02619
02620
02621
02622
02623
02520
02521
02522
Mesh LPB and
CPB Wave
02585
02586
02587
02639
02640
02641
02642
02643
02588
02589
02590
Water-Resistant Standard
Wedge and CPW Wave
02534
02535
02536
02624
02625
02626
02627
02628
02537
02538
02539
Water-Resistant LPB
and CPB Wave
02602
02603
02604
02644
02645
02646
02647
02648
02605
02606
02607
17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20” 22x18” 22x20” 24x18” 24x20”
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm) (55x45cm) (55x50cm) (60x45cm) (60x50cm)
Mesh Standard Wedge
and CPW Wave
Mesh LPB and
CPB Wave
Water-Resistant Standard
Wedge and CPW Wave
Water-Resistant LPB
and CPB Wave
02523
02524
02525
02526
02527
02528
02529
02530
02531
02532
02533
02591
02592
02593
02594
02595
02596
02597
02598
02599
02600
02601
02540
02541
02542
02543
02544
02545
02546
02547
02548
02549
02550
02608
02609
02610
02611
02612
02613
02614
02615
02616
02617
02618
The
ProForm
NX
The customisable off-the-shelf
cushion of choice for wheelchair users
with challenging positioning and
postural support requirements
Available With the Following Options:
Cover:
Mesh or Water-Resistant
Valve:
Standard
Cushion:
Dual-Chamber
Size Range: 12x14” - 20x20”
15
24 www.hiaus.net.au
The Varilite Proform NX Cushion
Tissue Integrity
Immersion
444
Dispersion away from bony areas
444
Air/water vapour circulation
444
Temperature balance
444
Fail safe
444
Stretch covers
Yes
Choice of covers
Yes
Transfers damage risk (from friction and/or shear)
Reduced
Posture
Neutral pelvis
444
Pre-ischial Ridge
44
Stability
44
Lateral support
444
Thigh abduction
444
Trochanteral ledge
444
Obliquity management
444
Gluteal support
44
Functionality
Lightweight
44
Comfort
44
Enables day to day activities
44
Vibration dampening
44
Low maintenance
44
Machine washable cover/wipe down cushion
Visible directions for use
Functional life
444
4
444
Warranty
2 year - cushion; 1 year - cover
Size range
12x14” - 20x20”
User weight limit
None
Usability
44
Stability
44
Customisability
444
www.besrehab.net 25
The Varilite ProForm NX Cushion
5
2
3
4
1
A modifiable contoured
base, superior pressure
redistribution, asymmetrical
positioning options, comfort,
and simplicity makes the
ProForm NX an ideal offthe-shelf solution when a
customisable wheelchair
cushion is needed
6
1. Contoured Base
Closed-cell foam base will not absorb fluid and is resistant to bacteria. The base can be cut with a knife or blade to
accommodate the individual needs of a client. Laterals and deep ischial pan provide maximum immersion and pressure
redistribution. Moulded thigh troughs improve lower-extremity positioning. Flex Hinge allows the base to flex when a
Modifiable Wedge is placed underneath.
2. Air Foam Floatation Cushion
Designed for addressing pelvic obliquities and other asymmetrical conditions, our exclusive Air-Foam Floatation cushion
contains two self-inflating, independently-adjustable chambers. Independent research has shown Varilite’s Air-Foam Floatation
to be the #1 in vibration dampening (DiGiovine et al 2000)
3. Modifiable Thigh Cushion
The closed-cell foam Thigh Cushion contours over the medial thigh separator and anterior laterals for added comfort
and stability. The modifiable Thigh Cushion is easy to modify with a blade or knife to match changes made to the
Contoured Base. Non absorbent and washable.
4. Valves for Adjusting Air Volume
Easy to use two way air valves allow simple and efficient adjustment. With a simple turn of the valves, adjustments can
be made to the independent right and left pelvic chambers, releasing air to immerse the user in the foam. The foam
contours to the user and the user’s weight is distributed over the surface of the cushion.
5. Cover
The ProForm NX is available with a mesh or water-resistant cover with breathable two-way stretch material.
Reticulated foam inside promotes air exchange and improves pressure redistribution. The underside is a rugged
nonslip material with hook and loop for added security. The ProForm NX cover meets the ISO 7176-16 ignition
standard, and is machine washable.
6. Modifiable Wedge
A modifiable closed-cell foam wedge is standard with each ProForm NX. The modifiable wedge increases the weight-bearing
load on the back of the thighs and decreases the load on the buttocks, without changing the seat-to-back angle. The 5cm (2”)
tapered wedge trims easily for custom fitting.
26 www.besrehab.net
Order Codes
“
I like the ProForm
NX cushion because
it has more stability
than my previous
air-cell cushion. It is
comfortable and I
like the air and foam
combination. With
more positioning
options that are
available with the
ProForm NX, I feel
that my comfort level
and stability have
increased.”
ProForm NX Dual-Chamber Cushion
12x14”
14x14”
14x16”
15x15”
15x17”
16x16”
16x18”
16x20”
(30x35cm)
(35x35cm)
(35x40cm)
(38x38cm)
(38x43cm)
(40x40cm)
(40x45cm)
(40x50cm)
w/ Mesh Cover
72412X
74412X
74612X
75512X
75712X
76612X
76812X
76012X
w/ Water-Resistant Cover
72422X
74422X
74622X
75522X
75722X
76622X
76822X
76022X
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”*
20x20”*
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
w/ Mesh Cover
77712X
78612X
78812X
78012X
70612X
70812X
70012X
w/ Water-Resistant Cover
77722X
78622X
78822X
78022X
70622X
70822X
70022X
Spare and Replacement Parts
12x14”
14x14”
14x16”
15x15”
15x17”
16x16”
16x18”
16x20”
(30x35cm)
(35x35cm)
(35x40cm)
(38x38cm)
(38x43cm)
(40x40cm)
(40x45cm)
(40x50cm)
Mesh Cover
01760
01761
01762
01740
01741
01763
01764
01765
Water-Resistant Cover
01750
01751
01752
01745
01746
01753
01754
01755
Dual Cushion
01770
01771
01772
01795
01796
01774
01775
01773
04357
Wedge
04352
04355
04355
04574
04574
04357
04357
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”*
20x20”*
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
Mesh Cover
01742
01766
01767
01768
01743
01744
01769
Water-Resistant Cover
01747
01756
01757
01758
01748
01749
01759
Dual Cushion
01797
01777
01778
01776
01798
01799
01779
Wedge
04377
04358
04358
04358
04359
04359
04359
Please note: Replacement Bases and Thigh Cushions are available to order upon request
www.besrehab.net 27
Modifying Components
Cinching the Cover
Fold provided hook material in half
so that you have hook on both sides
2.
Cut Modifiable Wedge with a blade 5.
Place hook material on loop at front,
or electric knife.
bottom edge of cushion on side of
1
3.
Cut Modifiable Thigh
Cushion
Modifying Components
Cinching
the with
Covera
modification
1.
Modify Contoured Baseblade
with a or
blade
or 4.knife.
electric
scoredhook
FoldUse
provided
material
in
half
6.
Pull firmly on cover and fold it back
electric knife. Cinching
Modifying Components
the Cover
that you have hook on
sides and attach hook to
lines
on bottom forso dimensional
onboth
itself
2. with
Cut
Modifiable
with
a blade
1.
Modify Contoured Base
a blade
or 4. Wedge
Placeinhook
loop at front,
Fold
provided
hook5.material
halfmaterial onappropriate
reference.
loop.
or electric knife. Usesocare
electric knife.
bottom
edgeorof cushion on side of
that when
you have
hook on
both
cutting
with
a sides
blade
2
1
3. with
Cut aModifiable
Cushion
with
a the
2.
Cut Modifiable Wedge
blade 5.Thigh
Place
material
on loop
at air-foam
front,
modification
knife.
Dohook
not
cut
blue
Seating
specialists
choose
thecushions.
ProForm
NX
cushion
be modified
an adaptive or subtractive manner.
or electric
knife.
Useedge
scored
or electric
knife.
s
Cinching
theblade
Cover
bottom
of cushion
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sideitofcan
6. because
Pull
on cover
and fold itinback
linesprovide
onhook
for indimensional
Modifiable
with
abottom
ase3.withCut
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itprovided
can
additional
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by building
4. Thigh
FoldCushion
material
half
onthigh
itselfsupport
and1 attach
hook up
to areas of the Contoured Base with
modification
reference.
blade Varilite
or electric
knife.
Use
scored
so
that
you have
hook
loop.also be modified by cutting the Contoured
6.on both
Pull sides
firmly
cover and
fold
it backcan
Cheat
Sheets
accessory
pads.
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ProForm
NXappropriate
cushion
3 Base,
dge with
a blade
Use
care
when cutting
with
a blade
lines
on bottom
for hook
dimensional
2
5.
Place
material
on loop
at itself
front,
on
andorNXattach
hook leg
to length
Modifiable
Thigh
Cushion
and
Modifiable
Wedge
to address
discrepancies.
The
ProForm
NX cushion is the
ProForm
Dual-Chambered
Cushion
(Complete
including
cover)
the Cover
reference.
knife. edge
Do not
cut theon
blue
bottom
of cushion
side air-foam
of loop.
appropriate
customisable,
seating
solution.
1
12x14 14x14 14x16
15x15 15x17 16x16 16x18 16x20
gh
Cushion
a cutting
care with
when
with
a blade or
cushions.
2
d Use
provided
hook
material
inout-of-the-box,
half
modification
(30x35cm) (35x35cm) (35x40cm) (38x38cm) (38x43cm) (40x40cm) (40x45cm) (40x50cm)
knife.
Usehave
knife.
Doscored
not
the
hat
you
hookcut
sides
6.on both
Pullblue
firmlyair-foam
on cover and fold it back
Mesh Cover
72412 74412 74612 75512 75712 76612 76812 76012
4
dimensional
cushions.
3
itself and attach hook to
cefor
hook
material on looponat front,
IncontinenceCushion
Cover 72422
74422 including
74622 75522
(Complete
cover) 75722 76622 76822 76022
appropriate
loop. NX Dual-Chambered
tom edge of cushion on
side ofProForm
with a blade or
2
1
3
18x16 16x16
18x18
18x20 16x20
20x16 20x18 20x20
dification
12x14 14x14 14x16 17x17
15x15 15x17
16x18
(43x43cm)
(45x40cm) (40x40cm)
(45x45cm) (40x45cm)
(45x50cm) (40x50cm)
(50x40cm) (50x45cm) (50x50cm)
e blue air-foam
(30x35cm) (35x35cm)
(35x40cm) cover)
(38x38cm) (38x43cm)
ProForm
NX
Dual-Chambered
Cushion
(Complete
including
firmly on cover and fold it back
Mesh
Cover 74612 77712
78612 76612
78812 76812
78012 76012
70612 70812
70012
5
erial
in half
72412
74412
7551216x20
75712
4
12x14 toMesh
14x14Cover
14x16 15x15
15x17
16x16 16x18
itself
and attach hook
(30x35cm) (35x35cm) (35x40cm) (38x38cm) Incontinence
(38x43cm) (40x40cm)
(40x50cm)
both
sidesloop.
Cover(40x45cm)
77722
78622 76622
78822 76822
78022 76022
70622 70822 70022
Incontinence Cover 72422 74422 74622
75522 75722
ropriate
33
op at front,Mesh Cover
72412 744122 74612 75512 75712 76612
76812 76012
44
17x17 18x16 18x18 18x20 20x16 20x18
20x20
2
ual-Chambered
Cushion
(Complete including
cover)
on side ofIncontinence
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm) (50x45cm) (50x50cm)
Cover 72422 74422 74622 75522
75722
76622
76822
76022
11
Spare and Replacement Parts
DONT FORGET A SPARE COVER
12x14 14x14 14x16 15x15
15x17
16x16
16x20
Mesh
Cover 16x18
77712
7861220x18
7881220x20
78012 70612 70812 70012
66
55 washing of other cover
17x17
18x16
18x20
20x16
For added longevity and for use during
Cut 18x18
the Modifiable
Cut the Modifiable
Thigh
(30x35cm)
(35x35cm) (35x40cm) (38x38cm) (38x43cm) (40x40cm)
(40x45cm) (40x50cm)
fold
it back
(43x43cm) (45x40cm) (45x45cm) (45x50cm) (50x40cm) (50x45cm) (50x50cm)
First, modify the
Wedge with
a blade
or
a blade or70622 70822 70022
Incontinence
Cover
77722
78622 Cushion
78822with78022
Fold provided
Place16x18
hook material
on
Pull firmly on cover
12x14
14x14 14x16
15x15hook15x17 16x16
16x20
hook to
72412
74412
74612 Base
75512
76612
76812
76012
4electric knife.
with
a 75712
MeshContoured
Cover
77712
78612
78812
78012
70612 70812
70012
electric
knife.
Use
care
Use scored
1.
Modify Contoured Base with a blade or 4.
electric knife.
ProForm NX Modifications for Seating Professionals
Why Select the ProForm NX Cushion?
ProForm NX
Cinching the Cover
Modifying Components
ProForm NX
Modification Guidelines for professionals in
elines for professionals
in and positioning
seating
Spare and Replacement Parts
DONT FORGET A SPARE COVER
(30x35cm)
3
(35x35cm)
5
(35x40cm)
(38x38cm)
material
in half so(38x43cm)
blade
or an electric
knife.
when cutting
with a76022
blade
lines on bottom for
74422
74622
75522
75722
76622
76822
Incontinence
Cover
77722
78622
78822
78022 70622
70822 70022
that you01740
have hook01741
Cover
01761 01762
2
omplete including
cover)
knife. Do
not cut the Mesh Parts
dimensional01760
reference.FORGET
Spareor and
Replacement
DONT
AonSPARE
both sides.COVER
17x17 18x16 18x18 18x20 20x16 20x18
20x20
blue air-foam cushions. Incontinence Cover 01750
For added longevity
and
for
use
during
washing
cover
01751 01752 01745of other
01746
(50x40cm) (50x45cm) (50x50cm)
5 (43x43cm)
15x17 (45x40cm)
16x16(45x45cm)
16x18(45x50cm)
16x20
72422
m)
(38x43cm) (40x40cm) (40x45cm) (40x50cm)
77712
78612 78812 78012 70612
70812
14x14 5 14x16
70012 12x14
Softbase
15x15
01650
15x17
01651
16x16
01652
6
16x18
01645 16x20
01646
(40x40cm)
(40x50cm)
loop(40x45cm)
at front, bottom
edge01764
of cushion01765
on
01763
side
of modification.
6
01753
01754
01653
01654
01755
and fold it back on
itself and attach hook
to appropriate loop.
01655
oning
2 77722
75712 78622
7661278822
7681278022
76012
Designed
people
greater
positioning
cushion
4 for
70622 70822
70022
Thighrequiring
Cushion
01660
01661 01662
01655 01656 support
01663 01664and/or
01665
Mesh
Cover
0176015x17
0176116x16
0176216x18
0174016x20
01741 01763 01764 01765
12x14
14x14
14x16
15x15
uiring
greater
positioning
support
and/or
cushion
2 75722 76622 76822 76022
Dual Cushion of common
01770 01771 modifications:
01772 01795 01796 01774 01775 01773
modifications.
ver)
Incontinence Cover Examples
01750 01751 01752
01745 01746 01753 01754 01755
For (30x35cm)
added longevity
and for use
during washing
of other(38x43cm)
cover
(35x35cm)
(35x40cm)
(38x38cm)
(40x40cm)
(40x45cm)
(40x50cm)
3
(30x35cm)
(35x35cm)
of common modifications:
(35x40cm)
(38x38cm)
(38x43cm)
(40x40cm)
(40x45cm)
(40x50cm)
0 20x16 Mesh
20x18 20x20DONT
01760
01761 A SPARE
01762 01740
01741 01763 01764
Wedge
0435201765
04355 04355 04574 04574 04357 04357 04357
lacement
FORGET
COVER
18
16x20 PartsCover
Softbase
01650 01651 6 01652 01645 01646 01653 01654 01655
m) (50x40cm) (50x45cm) (50x50cm)
For added longevity and for use during washing of other cover
cm) (40x50cm)
Incontinence Cover 01750 01751 01752 01745 01746 01753 01754
01755
17x17
18x16 01663
18x18 01664
18x20 01665
20x16 20x18 20x20
Thigh Cushion
01660 01661 01662 (43x43cm)
01655 (45x40cm)
01656 (45x45cm)
2ical70612
70812 70012
5
(45x50cm) (50x40cm) (50x45cm) (50x50cm)
12
76012
Posture
414x16
12x14
14x14
15x15
15x17
16x16
16x18
16x20
Softbase
01650
01651
01652
01645
01646 01653 01654 01655
(35x35cm)
(35x40cm)
(38x38cm)
(40x50cm) 01771
Dual(40x40cm)
Cushion (40x45cm) 01770
01772
01795 01796
01774
01773
he
Contoured
Base
with
Cheat (38x43cm)
Sheets
2 (30x35cm)
70622
70022
Mesh Cover
01742
01766
01767
01768
01743
01744 01769
Modify
the
Contoured
Base
with01775
Cheat
Sheets
22
76022 70822
Thigh Cushion
01660 01661 01662 01655 01656 01663 01664 01665
• Modify
the Contoured
Base with Varilite Cheat Sheets p26)
build
up
the 01740
medial
thigh
01760to 01761
01762
01741
01763 01764 04352
01765 04355 04355 04574 04574 04357 04357 04357
Wedge
(refer
to Cover
p26) 01747
to build
the 01758
medial
thigh
Incontinence
01756 up
01757
01748
01749 01759
20
Dual
Cushion
01770
01771
01772
01795
01796
01774
01775
01773
and/or
laterals.
accessory
pads
to
build
up the medial thigh separator cm)01750
01751 01752 01745 01746 01753 01754 17x17
01755
18x16 and/or
18x18 01647
18x20
20x16 20x18
separator
laterals.
Softbase
01656
01657 20x20
01658 01648 01649 01659
NT
FORGET
A
SPARE
COVER
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm) (50x45cm)
(50x50cm)
Wedge
04352
04355
04355
04574
04574
04357
04357
04357
and/or
laterals
1201650 01651 501652 01645 01646 01653
01654 01655
6
ed longevity and for use during washing of other cover
Thigh
Cushion01767 01657
01666 01744
01667 01769
01667 01658 01659 01669
01742
01766
01768 01743
17x17 Mesh
18x16Cover
18x18 18x20
20x16
20x18 20x20
2201660 01661 01662 01655
01656
01663
01664 01665
(43x43cm) (45x40cm) (45x45cm) (45x50cm) Dual
(50x40cm)
(50x45cm) (50x50cm)
g
Length
Discrepancy
Cushion
01797
01777
01778
01776 01798 01799 01779
5 15x17 16x16 16x18 16x20 Incontinence Cover 01747 01756 01757 01758 01748 01749 01759
m)
(38x43cm)
(40x40cm)
(40x45cm)
(40x50cm)
01770
01772
01795
01796
01774
01775
01773
ong
the 01771
Modification
Guides
on
the
Mesh
Cover
01742
01766
01767
01768
01743 01744 01769
Wedge
04377
04358
04358
04358 04359 04359 04359
Softbase
01647 01656 01657 01658 01648 01649 01659
d0COVER
Base
accommodate
the
shorter
04352
04355
04574
04574
04357
04357
04357
01741to04355
01763
01764
01765
Incontinence
Cover
01747
01756
01757
01758
01748
01749
01759
6
Thigh Cushion
01657
01666along
01667 the
01667Modification
01658 01659 Guides
01669
ng of other cover
- Cut
on the
11
20x16
20x18
20x20
5 17x17
01746 18x16
01753 18x18
0175418x20
01755
Softbase
01647
01656
01657
01658 01648 01649 01659
Modifiable
Thigh
Cushion
and
Modifiable
Dual
Cushion
01797
01777
01778
01776
01798
01799
01779
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
Contoured Base to accommodate the shorter
8 16x20
Cushion
01657 01666 01667 01667 01658 01659 01669
5m)
01646
01653
01654 Base.
01655
conform
the
Contoured
(40x50cm)toThigh
01742 01766 01767 01768 01743
01744 01769 04377
Wedge
04358 04358 04358 04359 04359 04359
femur.
(see
4-6).
Dual
Cushion
01797 01777 01778 01776 01798 01799 01779
4 01656
01765steps
5ver
01663
0166401758
01665
01747 01756
01757
01748 01749 01759
- Cut the Modifiable Thigh Cushion and Modifiable
11
Wedge
04377 04358 04358 04358 04359 04359 04359
Deformity
4 01796
01755
5ept
0177401657
0177501658
01773
01647 01656
01648 01649 01659
Wedge to conform to the Contoured Base.
Contoured
Base
to
accommodate
any
01655
pressure distribution and posture by
44 01657
04574
0435701667
0435701667
04357
01666
01658 01659 01669
- Cinch Cover (see steps 4-6).• Improve uneven
ation.
11
4 01665
adjusting
the
two
chambers of the Air-Foam floatation
existing
medial
thigh01776
separator.
01797
01777
01778
01798 01799 01779
0y the
20x16
20x18
20x20
m)
(50x40cm)
(50x45cm)
(50x50cm) using Cheat
5new
01773
medial
thigh
separator
cushion independently with a simple turn of the valves
04377 04358 04358 04358 04359 04359 04359
ProForm NX
Symmetrical Posture
ProForm NX
Symmetrical Posture
Upper Leg Length Discrepancy
Modification Guidelines for professionals in
Pelvic Obliquities
seating and positioning
Designedinfor people requiring greater positioning support and/or cushion
delines for professionals
Wind Swept Deformity
modifications.
Examples
of common modifications:
ioning
- Cut the Contoured Base to accommodate any
26).
87 01743
04357
01744
01769
equiring
greater
cushion
difiable Thigh
Cushionpositioning
and Modifiablesupport and/or
• Further adjustment can be achieved by building up
pelvic
rotation.
11
80 01748 01749 01759
ses
to conformmodifications:
to the Contoured
m)needed
of common
with Cheat Sheet material applied to the Posturemedial one
-Symmetrical
Cut away the existing
thighside
separator.
8 01648 01649 01659
9
(see steps
4-6)
7ver 01658
01659
01669
9
etrical
Posture
Flexion
6Hip
01798
01799
01779
the
Contoured
Base
with Cheat Sheets
9
ontoured
andup Modifiable
p26) toBase
build
the medialThigh
thigh
8to
04359
04359
04359
9 the
up
middle
or and/or
laterals.
and
place Modifiable Wedge under
9
9d leg.
Leg Length Discrepancy
-Modify
Create athe
newContoured
medial thigh
separator
using
Cheat
Base
with Cheat
Sheets
Contoured
Base
Sheets
(refer (p26).
to p26) to build up the medial thigh
-separator
Cut Modifiable
Thigh Cushion and Modifiable
and/or laterals.
Wedge as needed to conform to the Contoured
Base.
11
-Upper
Cinch Cover
(see steps
4-6) Leg Length Discrepancy
Leg Length
Discrepancy
•Cut along
theon
Modification
Guides on the Contoured -Limited
Cut along
the Modification
Guides
the
along the Modification Guides 11
on the
Hip Flexion
the
of posturalthe
needs
which the ProForm
NX
may
be
red wide
Base array
to accommodate
shorter
to accommodate
Contoured
Base toBase
accommodate
the shorter
- Cut Contoured
andBase
Modifiable
Thigh a shorter femur
les include (for more information please contact your
local distributor):
femur.
•Cut the Modifiable Thigh Cushion and Modifiable
e Modifiable -Thigh Cushion
andVascular
ModifiableAccident (CVA)Cushion up the middle
Cerebral
-- Cut
theand
Modifiable
Thigh
Cushion
Cut
place
Modifiable
Wedge
under
to conform to- the Contoured
Base.
Wedgeand
to Modifiable
conform
with the Contoured Base
Above Knee Amputation (AKA)
Wedge
to conform
to the Contoured Base.
Cover (see steps 4-6).
unaffected
leg.
Unilateral Scooter
•Cinch Cover (see steps 4-6 above)
Swept Deformity
- Cinch Cover (see steps 4-6).
he Contoured Base to accommodate any
n?
Wind Swept Deformity
otation.
-orCut
thethe
Contoured
Base of
to postural
accommodate
anywhich the ProForm NX may be
X cushion
because
can be
modified
in anan
adaptive
subtractive
manner.
For
Theit thigh
above
provides
example
of
wide array
needs
way
the existing
medial
separator.
eor
a new
medial
thigh
separator
using Cheat
lateral
thigh
support
by building
up areas
of
the Contoured
Baseinclude
with Varilite
pelvic
rotation.
modified
to
cater
for;
other
examples
(for
more
information
please contact your local distributor):
28 www.besrehab.net
(p26).
NX cushion can also be modified by cutting the Contoured
Thigh
- CutBase,
awayModifiable
the existing
medial thigh separator.
Modifiable
and Modifiable
-Cushion Pelvic
Obliquities
Cerebral Vascular Accident (CVA)
leg length Thigh
discrepancies.
Designed for people requiring greater positioning support and/or cushion
modifications. Examples of common modifications:
Symmetrical Posture
Modify the Contoured Base
with Cheat
Sheets
Kyphotic
Postures
(refer to p26) to build up the medial thigh
separator and/or laterals. •Control posterior pelvic tilt, which leads to sacral sitting,
limited functional activities, and affected physiological
function (e.g. respiration, digestion, ect.)
• Deep ischial pan on contoured base immerses client Upper Leg Length Discrepancy
into cushion
- Cut along the Modification
Guides on the
Contoured Base to accommodate
the shorter
• Use the Modifiable
Wedge to support thighs while
femur.
encouraging neutral pelvic position
- Cut the Modifiable Thigh Cushion and Modifiable
Wedge to conform to the Contoured Base.
- Cinch Cover (see steps 4-6).
Wind Swept Deformity
Wind Swept Deformity
- Cut the Contoured Base to accommodate any
pelvic rotation.
•Cut the Contoured Base to accommodate any pelvic rotation
- Cut away the existing medial thigh separator.
away using
the existing
- Create a new medial thigh•Cut
separator
Cheat medial thigh separator
•Create a new medial thigh separator using Cheat Sheets
Sheets (p26).
- Cut Modifiable Thigh Cushion
and
Modifiable
•Cut the
Modifiable
Thigh Cushion and Modifiable Wedge
Wedge as needed to conform
to
the
Contoured
as needed to conform with the Contoured Base
Base.
•Cinch Cover
- Cinch Cover (see steps 4-6)
Limited Hip Flexion
- Cut Contoured Base and Modifiable Thigh
Cushion up the middle
Existing Reddened Skin
- Cut and place Modifiable Wedge under
unaffected leg.
• Identify location of reddened area or bony prominence
relative to the base, ideally with a pressure mapping system
The above provides an example of the wide array of postural needs which the ProForm NX may be
• Cut holes or recessed areas in the Contoured Base
modified to cater for; other examples include (for more
information
your local distributor):
to provide
additional please
pressurecontact
relief
Pelvic Obliquities
Cerebral Vascular Accident (CVA)
C-Shaped Postures
Above Knee Amputation (AKA)
Existing Reddened Skin
Unilateral Scooter
Why Select the ProForm NX Cushion?
Limited Hip Flexion
• Cutitthe
Base in
andanthe
Modifiable
Seating specialists choose the ProForm NX cushion because
canContoured
be modified
adaptive
or Thigh
subtractive manner. F
Cushion
up
the
middle
example, it can provide additional medial or lateral thigh support by building up areas of the Contoured Base with Varil
Cut and
place the Modifiable
under theBase, Modifiable Thi
Cheat Sheets accessory pads. The ProForm NX cushion can• also
be modified
by cutting Wedge
the Contoured
unaffected
leg
Cushion and Modifiable Wedge to address leg length discrepancies.
10
The ProForm NX cushion is the customizable, out-of-the-box, seating solution.
Stroke (CVA)/Above Knee Amputation (AKA)
Unilateral Scooter
• Cut the Contoured Base and the Modifiable Thigh
Cushion up the middle
• Cut the Modifiable Wedge and place only under the
affected leg
• For limited hip flexion, place the wedge only under the
unaffected leg
www.besrehab.net 29
Seating Accessories
Cheat Sheets (Order Code - 02102)
Varilite Cheat Sheets are adhesive-backed sheets of closed-cell foam. Each
package contains four pieces of foam measuring 25cmx25cm (10”x10”). Cheat
Sheets can be cut with a blade or scissors and applied to a variety of surfaces.
Simply cut the desired shape, remove adhesive backing and apply the Cheat
Sheet to a clean, dry surface. Layer as needed and round off corners and edges.
Once the desired shape has been achieved, apply a final, smooth layer.
Suggested Cheat Sheet Applications
Other Cheat Sheet Uses:
A popular use for cheat sheets is customizing a Varilite
ProForm NX contoured base. Cheat Sheets are used to build
up the medial thigh separator and laterals, smooth cut
edges and improve contact for superior pressure redistribution.
•Build contours on planar systems
•Modify back systems to accommodate kyphotic posture
•Pad or contour head supports, laterals, hip guides,
ASIS bars, arm supports, etc
•Smooth sharp edges on wheelchairs or accessories
Drop Base (Hardware Kit Order Code - 04351)
The Varilite Drop Base is ideal for wheelchair users who need to sit lower for self-propelling or transferring. The Varilite
Drop Base is made from durable and lightweight 1cm (3/8”) PVC. Our L-J Brackets are hardened steel for superior
strength and durability. The hardware allows 10cm (4”) of height adjustment and 15 degrees of angle adjustment.
Fingerlocks secure the Drop Base to the wheelchair and allow for quick removal. Varilite Drop Bases fit wheelchairs that
are 33-50cm (13”-20”) wide, with seat rail diameters of 2.2cm or 2.5cm (7/8” or 1”).
Drop Base
14x16”
Size
(35x40cm)
13-14”
(Fits chair width)
Order Code
16x16”
(40x40cm)
15-16”
16x18”
(40x45cm)
15-16”
18x16”
(45x40cm)
17-18”
18x18”
(45x45cm)
17-18”
20x20”
(50x50cm)
19-20”
(33-35cm)
(38-40cm)
(38-40cm)
(43-45cm)
(43-45cm)
(48-50cm)
04388
04288
04308
04278
04378
04258
Solid Inserts
The Varilite Solid Insert counters the effects of sling upholstery. For some wheelchairs users, sling upholstery
promotes internal rotation of the lower extremities, sacral seating, posterior pelvic tilt, loss of natural lumbar lordosis
and obliquity of the pelvis. Such poor positioning can result in discomfort and long-term problems. A solid insert offers
an easy and cost effective solution to the problems of sling seating. The Varilite Solid Insert is made from durable
6mm (1/4”) plywood and is available in paediatric through adult sizes. It can be placed between the cushion and
upholstery, or, preferably, inside the cushion cover. With rounded edges and a smooth, sanded surface, there is no risk
of splintering or puncturing the cushion. All Varilite cushion covers are sewn with room for a Solid Insert.
Solid Inserts
12x12” 12x14” 14x14” 14x16” 14x18” 14x20” 15x15” 15x17” 16x14”
(30x30cm)
(30x35cm)
(35x35cm)
(35x40cm)
(35x45cm)
(35x50cm)
(38x38cm)
(38x43cm)
(40x35cm)
04360
04390
04260
04380
04535
04536
04537
04538
04380
Solid Inserts
16x16” 16x18” 16x20” 17x17” 18x16” 18x18” 18x20” 20x16” 20x18” 20x20”
(40x40cm)
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
04280
04300
04290
04389
04300
04370
04240
04290
04240
04250
30 www.besrehab.net
The
Modular
The Varilite Original
Allowing Maximum Postural Adjustment
Varilite’s original cushion, over 20 years ago, was the Modular Seating
System, where on a sculpted base, you have a choice of 2, 3, or 4 air
filled compartments from which air can be released differentially to
compensate for, or make adjustments to, various postural discrepancies.
Thus accommodation can be made for pelvic obliquities, above knee
amputations, etc. Adjustments are quick and positive for reshaping or
repositioning as often as necessary. Transfers are facilitated in that air
can be released from front cushion(s) to decrease any ramping effect, and
then reintroduced by the cushion’s self-inflating capacity once the user is
reseated. No fuss. No pumps. Fail-safe.
Example image:
4 Cushion System
Modular Seating System (Complete)
16x16”
16x18”
16x20”
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”
20x20”
(40x40cm)
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
66612
66812
66012
67712
68612
68812
68012
60612
60812
60012
w/ Mesh Cover
2 Cushion System
3 Cushion System
66613
66813
66013
67713
68613
68813
68013
60613
60813
60013
4 Cushion System
66614
66814
66014
67714
68614
68814
68014
60614
60814
60014
66822
66022
67722
68622
68822
68022
60622
60822
60022
w/ Water-Resistant Cover
2 Cushion System
66622
3 Cushion System
66623
66823
66023
67723
68623
68823
68023
60623
60823
60023
4 Cushion System
66624
66824
66024
67724
68624
68824
68024
60624
60824
60024
Modular Seating Syetem Spare Covers
16x16”
(40x40cm)
16x18”
(40x45cm)
16x20”
(40x50cm)
17x17”
(43x43cm)
18x16”
(45x40cm)
18x18”
(45x45cm)
18x20”
(45x50cm)
20x16”
(50x40cm)
20x18”
(50x45cm)
20x20”
(50x50cm)
Mesh Cover
01763
01764
01765
01742
01766
01767
01768
01743
01744
01769
Water-Resistant Cover
01753
01754
01755
01747
01756
01757
01758
01748
01749
01759
www.besrehab.net 31
The
Zoid
The performance cushion of choice for
active wheelchair users at moderate
risk of tissue breakdown
Available With the Following Options:
Cover:
Mesh or Water-Resistant
Valve:
PSV
Size Range: 12x8” - 20x20”
32 www.hiaus.net.au
The Varilite Zoid Cushion
Tissue Integrity
Immersion
44
Dispersion away from bony areas
444
Air/water vapour circulation
444
Temperature balance
444
Fail safe
444
Stretch covers
Yes
Choice of covers
Yes
Transfers damage risk (from friction and/or shear)
Reduced
Posture
Neutral pelvis
4
Pre-ischial Ridge
44
Stability
44
Lateral support
Trochanteral ledge
Gluteal support
444
44
4
Functionality
Lightweight
Comfort
Enables day to day activities
444
44
444
Vibration dampening
44
Low maintenance
44
Machine washable cover/wipe down cushion
444
Visible directions for use
44
Functional life
44
Warranty
2 year - cushion; 1 year - cover
Size range
12x8” - 24x20”
User weight limit
None
Usability
44
Stability
44
www.besrehab.net 33
The Varilite Zoid Cushion
4
3
2
1
1. Air-Foam Floatation
Functional areas of the cushion are created by three types of foam; soft foam for the decubitus-sensitive area of the
ITs; medium foam for main seat support area; and firm foam for the perimeter.
2. Positioning Supports
Extra-firm, bevelled foam increases lateral stability and sitting balance, while a large ischial pan protects the pelvis in both
anterior and posterior pelvic tilt positions. There is no medial thigh separator, therefore lower extremities can come into
midline for better fit in a tapered chair.
3. Valve for Adjusting Air Volume
The Zoid is supplied with Varilite’s revolutionary Pressure Setting Valve. The PSV is marked with three pre-set
positions, which provide the best range of immersion for most users. The PSV works by sensing the amount of
internal cushion pressure and automatically shutting off the flow when it senses enough pressure has been released.
4. Cover
Stylish and functional. Available in mesh or water-resistant, Zoid covers meet the ISO 7176-16 ignition resistance
standard, and are machine washable.
34 www.besrehab.net
Order Codes
“
Since I often
get really busy
during the day I
sometimes forget
to do my pressure
lifts, but luckily
with the Zoid
PSV cushion I get
great pressure
distribution.
The Zoid PSV
cushion gives me
the protection
I need to avoid
skin breakdown.”
Zoid
12x8”
12x12”
12x14”
14x14”
14x16”
14x18”
15x15”
15x17”
16x16”
(30x35cm)
(35x35cm)
(35x40cm)
(35x45cm)
(35x50cm)
(38x38cm)
(38x43cm)
(40x35cm)
(40x40cm)
w/ Mesh Cover
32800
32200
32400
34400
34600
34800
35500
35700
36600
w/ Water-Resistant Cover
32810
32210
32410
34410
34610
34810
35510
35710
36610
16x18”
16x20”
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”
20x20”
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
w/ Mesh Cover
36800
36000
37700
38300
38800
38000
30600
30800
30000
w/ Water-Resistant Cover
36810
36010
37710
38310
38810
38010
30610
30810
30010
Zoid Spare Covers
12x8”
12x12”
12x14”
14x14”
14x16”
14x18”
15x15”
15x17”
16x16”
(30x35cm)
(35x35cm)
(35x40cm)
(35x45cm)
(35x50cm)
(38x38cm)
(38x43cm)
(40x35cm)
(40x40cm)
Mesh Cover
04651
04652
04653
04654
04655
04697
04698
04699
04656
Water-Resistant Cover
04702
04711
04712
04715
04719
04720
04721
04722
04725
16x18”
16x20”
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”
20x20”
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
Mesh Cover
04659
04847
04888
04571
04657
04572
04573
04514
04532
Water-Resistant Cover
04726
04727
04728
04729
04730
04731
04741
04781
04785
www.besrehab.net 35
The
Reflex
Reflex performs after extended use
The Reflex shows consistent pressure
redistribution after rigorous lifecycle* testing. Comparison pressure
testing shows that the Reflex
performs as well after extended use
as it does when new.
FSA Pressure Map of a
New Reflex Cushion
FSA Pressure Map of a
Life-cycled Reflex Cushion
The self-adjusting cushion of choice for
wheelchair users with risk of
tissue breakdown
Available With the Following Options:
Cover:
Valve:
Incontinence
Self-Setting Valve
Size Range: 12x12” - 20x20”
*Cycle compressed 20,000 times @ 175lbs
36 www.hiaus.net.au
The Reflex Cushion
Tissue Integrity
Immersion
Dispersion away from bony areas
Air/water vapour circulation
Temperature balance
Fail safe
44
444
4
44
444
Stretch covers
Yes
Choice of covers
No
Transfer damage risk (from friction and/or shear)
Reduced
Posture
Neutral pelvis
4
Pre-ischial Ridge
44
Stability
44
Lateral support
44
Thigh abduction
444
Trochanteral ledge
Gluteal support
44
4
Functionality
Lightweight
444
Comfort
444
Enables day to day activities
44
Vibration dampening
444
Low maintenance
444
Machine washable cover/wipe down cushion
444
Visible directions for use
44
Functional life
44
Warranty
2 year - cushion 1 year - cover
Size range
12x12” - 20x20”
User weight limit
None
Usability
444
Stability
44
www.besrehab.net 37
The Varilite Reflex Cushion
4
3
2
1
1. Air-Foam Floatation
The Reflex foam is perforated in the sacral-ischial area for maximum protection of the pressure sensitive area of
the ITs. The Reflex provides medium density foam for the thigh trough, pelvic bucketing and pre-ischial bar, and
firm foam to provide lateral support and a medial thigh abductor.
2. Fabric
Reflex foam is bonded to puncture and water resistant polyester fabric for strength and durability.
3. Self-Setting Valve
A built-in air-release device automatically releases a portion of air when the user sits on the cushion. The air-release device
allows a fixed amount of immersion and limits bottoming out. When weight is taken off the cushion, it automatically
reinflates.
4. Cover
The Reflex features a tailored, removable, water-resistant cover. The underside is a rugged nonslip material with
hook and loop for added security. The cover is machine washable.
38 www.besrehab.net
Order Codes
“
The Reflex cushion
has reduced my
lower back pain,
my posture has
significantly
improved, and overall
I am very pleased
with an effective
seating support that
far exceeds a generic
foam cushion. I also
love that the Reflex
cushion reinflates
itself! It feels like I
am sitting on a new
cushion every time
I transfer back into
my wheelchair.”
Reflex
12x12”
(30x30cm)
w/ Water-Resistant Cover 73522
16x18”
w/ Water-Resistant Cover
12x14”
14x14”
14x16”
14x18”
14x20”
15x15”
15x17”
16x14”
16x16”
(30x35cm)
(35x35cm)
(35x40cm)
(35x45cm)
(35x50cm)
(38x43cm)
(40x35cm)
(40x35cm)
(40x40cm)
73524
73544
73546
73548
73540
73555
73557
73564
73566
16x20”
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”
20x20”
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
73568
73560
73577
73586
73588
73580
73506
73508
73500
Reflex Spare Covers
12x12”
(30x30cm)
12x14”
(30x35cm)
14x14”
(35x35cm)
14x16”
(35x40cm)
14x18”
(35x45cm)
14x20”
(35x50cm)
15x15”
(38x43cm)
15x17”
(40x35cm)
16x14”
(40x40cm)
05543
w/ Water-Resistant Cover 05534
05535
05536
05537
05538
05539
05540
05541
05542
16x18”
16x20”
17x17”
18x16”
18x18”
18x20”
20x16”
20x18”
20x20”
w/ Water-Resistant Cover
16x16”
(40x35cm)
(40x45cm)
(40x50cm)
(43x43cm)
(45x40cm)
(45x45cm)
(45x50cm)
(50x40cm)
(50x45cm)
(50x50cm)
05544
05545
05546
05547
05548
05549
05578
05550
05551
www.besrehab.net 39
The Raft
Wheelchair
Seat
With Pillar and Port
Technology
Increased Airflow
Promotes airflow and keeps the seat cooler
Weight Redistribution
Peak pressures reduced by 70%
Posture
Dynamic contouring improves posture
and alignment
The International Chiropractors
Association endorses Raft
Technology
40 www.besrehab.net
Waterproof
Dishwasher safe: Closed-cell EVA is heat
resistant and waterproof
The Raft Wheelchair Seat
Sitting in a wheelchair for a prolonged period of time can become uncomfortable,
so comfort is an important factor for wheelchair users when choosing a seating base.
The Raft Wheelchair Seat’s contoured design, with the innovative port and pillars
technology, makes it particularly comfortable to sit on over extended periods.
The innovative ports and pillars technology is not only comfortable - it promotes continuous
air flow and creates a seating base that is breathable, giving cool comfort and helping to
protect the skin against two of the important factors that contribute to skin breakdown –
heat and moisture.
High peak pressure, particularly under bony
prominences, such as at the base of the pelvis, is a
major cause of discomfort and is another important
factor contributing to skin breakdown.
When pressure-mapped, the Wheelchair Seat was shown
to reduce peak pressures by 70%. This remarkable degree
of pressure reduction is achieved by the way the posts and
pillars of this innovative design yield, without collapsing,
to redistribute weight and therefore pressure.
Good posture is vitally important to seating comfort
and the Wheelchair Seat offers extra medial and lateral
contouring to support and maintain the position of the
thighs, as well as differential immersion into the base.
The immersion pillars of the Wheelchair Seat under
the tail bone and pelvis are structured to help position
and hold the pelvis correctly, and maintain the natural
curvature of the spine in sitting. The effect of these is
to improve posture and align the spine. Correct spinal
alignment and improved posture reduce muscle tension,
which in turn reduces back pain.
The Wheelchair Seat is made of waterproof, closed cell,
EVA foam, and can be machine washed in a dishwasher,
withstanding temperatures of up to 80°C.
Wheelchair Seat
Code
Size (in)
Size (cm)
004030
18 x 16 x 3.5
46 x 41 x 9
8.9
Raft Wheelchair Seats include a two-way-stretch fabric cover as standard
Wheelchair Seat Spare Cover
Code
Size (in)
Size (cm)
004115
18 x 16 x 3.5
46 x 41 x 9
www.besrehab.net 41
The
Raft Posture
Seat and Posture
Seat Plus
With Pillar and Port
Technology
Increased Airflow
Promotes airflow and keeps the seat cooler
Weight Redistribution
Peak pressures reduced by 70%
Posture
Dynamic contouring improves posture
and alignment
The International Chiropractors
Association endorses Raft
Technology
42 www.besrehab.net
Waterproof
Dishwasher safe: Closed-cell EVA is heat
resistant and waterproof
The Raft Posture Seat and Posture Seat Plus
The Raft Posture Seat and Posture Seat Plus bases are designed using innovative ports
and pillars technology. The design promotes continuous air flow and creates a seating
base that is breathable, giving cool comfort. The pillars distribute weight and reduce
pressure on the spine that otherwise can lead to back pain. The pillars also contribute
towards maintaining good posture, helping to eliminate the poor posture and associated
pain that can result from long hours in front of a computer or behind a wheel.
Air flow
Air flow helps to keep the skin cool and lets it breathe. Heat and perspiration
are dispersed to give cool comfort and help protect skin. Hot, sticky seats
can be a thing of the past.
Weight Distribution
The Posture Seats have 49 pillars. Each pillar yields, but does not
collapse so that weight is more evenly distributed across the seating
surface. The base of the spine comfortably accommodated by
immersion pillars that contour and cradle, spreading the load and
relieving pressure on the hips and tail bone.
Good Posture: Reduced Back Pain
The immersion pillars under the base of the spine within the Posture
Seats allow the spine to settle in a natural position, while the immersion
pillars under the buttocks allow the pelvis to tilt forward. The result is
a well-balanced spine with natural curves and relaxed muscles, and a
reduction in hip and back pain arising as a result of poor posture.
Washable and Heat Resistant
The Posture Seats have a non-porous surface which makes them
waterproof. They can be washed in a washing machine – or even a
dishwasher! They can withstand water temperatures up to 80 degrees
Celsius. The Raft covers are also machine washable.
Posture Seat and Posture Seat Plus
Code
Size (in)
Size (cm)
Posture Seat
004016
15 x 15 x 1.5
38 x 38 x 4
Posture Seat Plus
004023
18 x 16 x 1.5
46 x 41 x 4
Raft Posture Seats and Posture Seats Plus include a two-way-stretch fabric cover as standard
Posture Seat and Posture Seat Plus Spare Covers
Code
Size (in)
Size (cm)
Posture Seat Cover
004092
15 x 15 x 1.5
38 x 38 x 4
Posture Seat Plus Cover
004108
18 x 16 x 1.5
46 x 41 x 4
www.besrehab.net 43
Shear Comfort Medical Sheep Wool
BES Rehab is also a provider of specialised skin protection products
What is Shear Comfort?
Shear Comfort covers a range of Footwear, Overlays and Targeted Protectors, using specially selected
wool from a specific cross-breed of sheep to give it the optimum properties for pressure care and
microclimate control.
All Shear Comfort products meet and surpass the Australian Medical Sheep Skin Standard AS4480.1
which means it can be washed time and again at 80°C
Apart from keeping the body comfortable and warm, medical sheep wool possesses many unique
properties that you may not be aware of. Medical grade sheep wool has been proven to reduce the
incidence of pressure ulcers. Wool regulates temperature, wicks moisture, reduces shear and friction, and
redistributes pressure.
Shear Comfort Seating and Wheelchair-oriented Protectors
Cushion-It™
The Cushion-It™ can be used for the seat
and/or back of a chair. It provides an
ideal seating environment, allowing
air to circulate while dispersing
pressure and shear forces.
Foot Plate and Calf Plate Protectors
These items fit easily over a wheelchair’s foot plates or calf panels to bring comfort
and protection to otherwise unforgiving parts of the wheelchair. Tears and bruising
as a result of bumps and scratches caused by the foot plates and calf panels are
not uncommon, and can easily be prevented with the simple addition of our quality
wool-based protectors.
Arm Support Protectors
Arm Support Protectors are a simple solution to the possible damage or
discomfort caused to the forearm where there is insufficient padding on
an arm support of a wheelchair, office chair, etc.
44 www.besrehab.net
Boditrak Pressure Mapping
Pressure Mapping is Now an
Affordable Reality
To prevent pressure ulcers effectively,
clinicians need to know how, and where,
pressure affects the skin and tissue.
BodiTrak pressure mapping systems do
just this, by measuring interface pressure
and displaying it in an easy to understand
format through any computer or laptop,
making pressure care desicions more
accurate.
What Makes BodiTrak Different from
Other Pressure Mapping Systems?
• Affordable
An entire BodiTrak system can be purchased for as little as £3995*, so it is now possible for clinicians and retailers
to afford their own system, rather than relying on a shared resource, or just guessing
• Portable
The BodiTrak mats are lightweight, and require no heavy interface module, making them perfect for community
settings. With fast scanning rates, clinicians can complete quick assessments on the go, any time
• Easy to Use
These mats have true plug-and-play capability: simply unfurl the mat, plug it into your computer, and the system
is ready to use straightaway
• Stretchable for Conformity
The unique BodiTrak stretch fabric contours to the body and the support surface, giving great conformity
• Included Software allows you to store and send results with ease
Smart software allows clinicians to store, send, and compare patient readings fast, and is included in the price of
any BodiTrak System
*Please Note: Price excludes Calibration Kit, Delivery, and Training
www.besrehab.net 45
Back Support Solutions
Postural Challenges and
Seating Solutions
In this 8 page article we look at what the
back support of a seating system should
provide, and give a guide to specific clinical
challenges and seating solutions.
“The back of a seating system is arguably the most
important part of the seating system, but often receives
the least attention. Maybe this is because for too long
we have referred to it as a Back Rest. That’s just been a
cop out; in most cases it’s a back support. Back supports
need to accommodate a lot of individual variables. First,
we need to understand what these variables are and
what the needs are. Only then can we discuss how back
supports can accommodate specific issues. This involves
an assessment, and this is often not done.”
Postural Challenges and Seating Solutions
Dr Barend ter Haar
www.besrehab.net 1
23/04/2014 17:43
BES Rehab Back Supports Catalogue
HIA seating guide brochure V1.3.indd 1
See p.5
for the
‘One St
op Shop
’
SELECT
ION
CHART
The BES Back Support Range
Proper positioning and postural support are
essential for the health and well-being of
wheelchair users: a solid and reliable back
system is a key element of maintaining
correct position and posture for the user.
BES supplies a large range of back sizes and depths for
wheelchair users with varying lifestyles and support
needs. We have brought together top-of the-range
products from around the world which not only promote
postural support, but deliver unequalled comfort and
durability, and adhere to the highest safety and quality
standards. A correct fit combined with the right support
and adjustment ensures that our backs fit perfectly and
perform fully.
Did you know?
‘One Stop Shop’ for Back Supports
ACCESSIBLE DESIGNS, INC.
Back Supports Catalogue V5.9 bes colours.indd 1
46 www.besrehab.net
www.besrehab.net 1
26/06/2014 14:20
To fit ISO terminology standards
we describe the vertical dimension
of a back support as its length. This
is to avoid using the term height
which indicates the distance the
top of the back support is situated
from the seat base, or any other
reference point.
Head to Toe Positioning Solutions
BES Rehab understands that every client has different positioning needs. Choosing
equipment to cater to postural needs is a complex task, but sourcing relevant
equipment from one supplier can be a challenge. BES Rehab has made this EASY for
you. We bring to you a ONE STOP SHOP with all the equipment needed from Head
to Toe, covering positioning, posture, and support needs, from a range of marketleading brands.
Head Supports
If you are looking for head supports to cater for clients with different degrees of head
control and head positioning needs, BES offers a range of solutions in the form of supports
and support accessories. We also offer assessments and initial fitting for your clients.
Upper Body Positioning
Being supported by a comfortable back is normally a user’s first priority. It is also important
to provide posterior and lateral support to clients with poor trunk control. Weak trunk
muscles could mean that an individual trying to reach, for example to fulfil normal daily
activities, might not be able to return to a neutral balanced position. Dynamic secondary
supports such as harnesses are valuable aids to assist this movement, providing a certain
degree of elasticity that helps the torso to return to a neutral position. For clients that
require upper body support and positioning, BES offers ranges of back supports, laterals,
shoulder harnesses, and chest straps that cater to most needs.
Pelvic Positioning
Sitting is an activity which should ideally allow for dynamic and smooth movement of
the pelvis, excellent forward and lateral reach, and pelvic stability in order to maximise
functionality. It is very important to position and support the pelvic region correctly, as a
badly positioned pelvis can lead to the development of spinal deformities, and vice versa.
BES offers a range of secondary support devices for better pelvic positioning, including
lightweight seat cushions, laterals, the dynamic HipGrip®, and the Evoflex™, the ultimate
evolution in pelvic positioning. It is time to move on from just Pelvic Stabilisation to Pelvic
Positioning, and understand that seating is all about dynamic movement and not restraints.
Lower Body Positioning
We need to position the lower body correctly, as the lower body affects the positioning of
the pelvis, balance of the body, and freedom of movement of the upper body. Hence it is
vital to have the right positioning tools for the lower body. BES provides lower body supports
and positioning devices such as footplates, Ankle Huggers (for foot positioning), calf straps.
knee supports, and medial supports for abduction or adduction,
If you have clients who need head to toe seating equipment, contact BES and we
will help out with the assessment process and recommend the appropriate solution
catered to your clients’ needs.
www.besrehab.net 47
We Pride Ourselves on Sharing the Knowledge
BES has been established for more than 21 years, and in these years we have
worked with healthcare professionals, been part of assessment processes,
helped out with fittings on different wheelchairs, seen clients in situ, and
catered to their postural needs. Our Managing Director, Dr Barend ter Haar,
has helped to create a number of the ISO wheelchair and seating standards,
over the last 15 years. His years of experience within the healthcare industry,
together with a group of market leading international suppliers, have given us
immense knowledge that we like to share with our customers.
BES offers free of charge training programmes on clinical information and
solutions on head to toe positioning, tips and techniques for mounting
wheelchair accessories and much more. You do not need to travel or come
to us; in fact we will come to you, to your service, and your team, to deliver
the training. Training sessions can be a great opportunity to interact with
colleagues, share experiences, and learn from each other.
To book a free training session or find out more call us on +44 (0) 1179 666 761
Terms and Conditions of Sale Warranty
Warranty
All VARILITE products have been carefully inspected prior to
shipping. All belt and harness packaging bags and cushion
tags have been marked with serial numbers that correlate to a
specific history of materials and workmanship. All products are
warranted against manufacturer’s defects for two years from
the original date of purchase with the exclusion of covers which
are warranted for one year. This warranty is limited to the repair
or replacement of components and does not cover incidental
or consequential damages. This warranty is only valid for the
original purchaser of the product.
Should a product be found defective under this warranty, we will
repair it or replace it, at our option, free of charge. Alteration
of the components, abuse (punctures, cuts, burns or abrasions),
misapplication, normal wear, or failure to close the valve are not
included. If a returned component is considered damaged due to
alteration, abuse, or normal wear, you will be contacted.
If a problem arises with your VARILITE product, please call us,
for a return under warranty, you will need a Return Authorization
number.
Past Due Accounts
Past due invoices will incur finance charges of 10% late
payment surcharge and interest of 3% per month or part of
month
Terms
Please note that all prices quoted are exclusive of:
• Carriage
• VAT
• Consultancy charges
• Fitting charges
When ordering directly from BES Rehab Ltd, please add £10.00
+VAT per order, to cover postage and packing.
Prices are subject to change without notice.
Cushion sizes are approximate and may be up to 25mm smaller
than the stated sizes.
Dealer Stamp:
Stock Returns
Please contact BES Rehab Ltd within 30 days of the purchase
date for a Return Authorization number. All stock returns are
subject to a 15% restocking fee, plus applicable freight charges.
Claims
Invoices are dispatched separately at the same time as the
goods. All claims for non-receipt are to be made within seven
days of invoice date.
The items in this price list can be obtained from your
local stockist
BES Rehab Ltd. 131 South Liberty Lane Ashton Vale, Bristol, BS3 2SZ. UK
T: +44 (0) 1179 666 761 F: +44 (0) 1179 637 373 Orders: [email protected]
General Enquiries: [email protected] www.besrehab.net
48 www.besrehab.net
© 2016 BES Rehab Ltd EOE
RCAT605141