Buyers` guide: Pressure-redistribution mattresses
Transcription
Buyers` guide: Pressure-redistribution mattresses
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). CEP08042: November 2008 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 CEP08042: November 2008 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). CEP08042: November 2008 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] CEP08042: November 2008 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 CEP08042: November 2008 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). CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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 CEP08042: November 2008 Technical considerations 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 CEP08042: November 2008 Technical considerations 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. CEP08042: November 2008 Technical considerations 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]. CEP08042: November 2008 Technical considerations 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) CEP08042: November 2008 Technical considerations 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) CEP08042: November 2008 Technical considerations 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 CEP08042: November 2008 Technical considerations 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. CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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] CEP08042: November 2008 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. CEP08042: November 2008 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 CEP08042: November 2008 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 CEP08042: November 2008 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 CEP08042: November 2008 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 Premier Active 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) CEP08042: November 2008 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 9240 Digital 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. CEP08042: November 2008 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. CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Standard Both Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Manual Purchasing (S42) Buy 12 Demonstration of equipment Supplier code (see table 9) S19 Information not provided by supplier CEP08042: November 2008 S19 S25 S9, S42 S24 Market review 31 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Bariatric / Paediatric Both Risk category Low / Medium / High / Very high Types Bariatric Mattress size (single) Depth x width x length (mm) 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 / Welded seams Stitched Features Comfort settings Transport mode Dependent on bed Sitting mode n/a Static mode Alarm Adjustment Powered / Manual / Both Manual Powered Powered Powered Buy / Rent / Both Both Both (S15), Buy (S24) Both Buy Warranty (months) 12 12 12 Purchasing Both 24 Demonstration of equipment (S15), (S24) Supplier code (see table 9) S1, S15 Information not provided by supplier CEP08042: November 2008 S15, S24 S17 S3 S27 Market review 32 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Duo® 2 Elite Essentials Essentials Combi Galaxy 2000 Very high Very high High / Very high Medium / High Very high Standard Standard Risk category Low / Medium / High / Very high Types Standard / Bespoke Standard Bariatric / Paediatric Both Bariatric Mattress size (single) Depth x width x length (mm) 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 Waterproof, multistretch, vapour 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 polyurethane air cells 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 Stitched / Welded seams Features Comfort settings Alternating low pressure or continuous low pressure Transport mode Sitting mode Dependent on bed Static mode Alarm Adjustment Powered / Manual / Both Powered Purchasing Buy / Rent / Both Both Warranty (months) 12 Both Demonstration of equipment Supplier code (see table 9) S17 Information not provided by supplier CEP08042: November 2008 S27 Market review 33 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Low / Medium / High / Very high Very high Types Standard / Bespoke Standard Bariatric / Paediatric Standard Paediatric only Both Mattress size (single) Depth x width x length (mm) 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 Waterproof, multistretch, vapour permeable polyurethane cover, with actifresh biocide Nylon / polyurethane, 2 way stretch cover Nylon / polyurethane, 2 way stretch cover 2 way stretch permeable polyurethane coated 2 way stretch, water 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 / Welded seams Stitched Features Comfort settings 10 min cycle Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Manual Powered Purchasing Buy / Rent / Both Both Both Warranty (months) 24 12 S33 S31 Demonstration of equipment Supplier code (see table 9) S27 Information not provided by supplier CEP08042: November 2008 S4 S4 Market review 34 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Low / Medium / High / Very high Types Standard / Bespoke Standard Standard Bariatric / Paediatric Paediatric Paediatric 203 x 890 x 2060 203 x 660 x 1300 Mattress size (single) Depth x width x length (mm) 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 2 way stretch, water 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 (S19), Buy (S24) 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment (S19), (S24) Supplier code (see table 9) S19, S24 Information not provided by supplier CEP08042: November 2008 Market review 35 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Opal Plus Optima Optima-Bario Optima-Neo Phase III Medium Very high Very high Very high Very high Standard Both Risk category Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Standard Bariatric Paediatric Mattress size (single) 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 Polyurethane coated, waterproof, vapour permeable Polyurethane coated, waterproof, vapour permeable Waterproof, multistretch, vapour permeable polyurethane cover, with actifresh biocide 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 Depth x width x length (mm) Weight (kg) Infection control Cover material Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Both Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S27 Market review 36 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 / Welded seams Stitched Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Manual Manual Purchasing Buy / Rent / Both Warranty (months) 12 12 Demonstration of equipment (S9), (S34, S42) Supplier code (see table 9) S7 Information not provided by supplier CEP08042: November 2008 S7 S7 S9, S34, S42 S30 Market review 37 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Plexus Auto Sure Float Bariatric® Plexus Auto Sure Float® Plus Dynamic High High Medium / High Pneu Air Primo™ Risk category Low / Medium / High / Very high Medium / High Types Standard / Bespoke Bariatric / Paediatric Both Both Bariatric only Standard Paediatric Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Features Continuous low pressure Comfort settings Transport mode Sitting mode n/a Static mode Alarm Adjustment Powered / Manual / Both Both Both Powered Powered Buy / Rent / Both Both Both Both Both Warranty (months) 24 24 12 12 S30 S30 S25 S17 Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S33 Market review 38 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Pro 2000 Pro 3000 Proficare® Pulmoflo Qu4ttro Acute™ Risk category Low / Medium / High / Very high Medium / High Very high Types Standard / Bespoke Both Both Bariatric / Paediatric 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 Mattress size (single) Depth x width x length (mm) 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 Polyurethane coated, 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S22 Market review 39 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Mattress size (single) Depth x width x length (mm) 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 Polyurethane coated, waterproof, 2 way stretch nylon Polyurethane coated, 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 Polyurethane air cells Polyurethane air cells n/a 2oz nylon Welded Welded Welded Welded Covered zips Stitched / Welded seams 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 / Manual / Both Powered Both Powered Purchasing Buy / Rent / Both Both Both Both Both (S1, S15), Buy (S24) Both (S15), Buy (S24) Warranty (months) 24 24 12 12 12 Demonstration of equipment (S1,S15), (S24) (S15), (S24) Supplier code (see table 9) S24, S40 Information not provided by supplier CEP08042: November 2008 S24, S40 S17 S1, S15, S24 S15, S24 Market review 40 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued 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 Bariatric / Paediatric Both 130 x 880 x 1988 225 x 880 x 1988 Risk category Low / Medium / High / Very high Types Paediatric Mattress size (single) Depth x width x length (mm) 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) 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 Stitched / Welded seams Features Comfort settings 2 cell – 10 min cycle Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Powered Purchasing Buy / Rent / Both Both (S11), Buy (S20) Warranty (months) 96 (Foam), 48 (Cover), 24 (Pump) Buy (S3), (S33) Demonstration of equipment (S2), (S37) (S2), (S37) Supplier code (see table 9) S11, S20 Information not provided by supplier CEP08042: November 2008 S3, S33 S2, S37 S2, S37 S37 Market review 41 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Supreme Extra Synergy Pulse Transair Transair Alternating Cot Transair Lite Very high Very High Very High Risk category Low / Medium / High / Very high High Types Standard / Bespoke Both Both Both Both Both Bariatric / Paediatric 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 Mattress size (single) Depth x width x length (mm) Weight (kg) Patient (max) Mattress Pump 4.5 2 5 4 4 Infection control Cover material Silvosan® antibacterial coated, vapour permeable 70 Neoprene Polyurethane coated, multi stretch waterproof and vapour permeable Removable covers n/a Polyurethane coated, multi stretch waterproof and vapour permeable 3 Multi stretch, waterproof, vapour permeable Non-slip covers n/a n/a High strength polyurethane air cells High strength polyurethane air cells High strength polyurethane air cells 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 42 Table 10: Dynamic (high-technology) mattresses – alternating pressure continued Trio Dynamic Air Turn.Aido 2000 Vicair Academy 415 Medium / High Very high High Standard Both Risk category Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Standard Paediatric Mattress size (single) Depth x width x length (mm) 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 Both options available Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Features Comfort settings 3 cell – 12 min cycle Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Powered Both Purchasing Buy / Rent / Both Buy (S3), (S33) Warranty (months) Buy 12 60 S12 S14 Demonstration of equipment Supplier code (see table 9) S3, S33 Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Dependent on bed Static mode Alarm Adjustment Powered / Manual / Both Manual Both Both Powered Buy / Rent / Both Buy Buy (S19), Both (S24) Buy (S19), Both (S24) Buy Both Warranty (months) 12 24 (S19), 18 (S24) 24 (S19), 18 (S24) 12 12 S41 S17 Purchasing Demonstration of equipment (S19), (S24) (S19), (S24) Supplier code (see table 9) S30 Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very 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 Waterproof, multistretch, vapour permeable polyurethane cover with actifresh biocide Multi-stretch waterproof and vapour permeable Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Welded (S1), (S15) Transfer polyurethane air cells Welded (S1), Stitched (S15) High strength polyurethane air cells Welded Stitched Features Comfort settings Transport mode Sitting mode Static mode Alarm (S1), (S15) Adjustment Powered / Manual / Both Manual Powered Manual Both Purchasing Buy / Rent / Both Both (S9), (S24, S34, S42) Buy (S12, S24), Both (S15), S24) (S10), Buy (S1), Both (S15) Warranty (months) 12 (S9), (S24, S34, S42) 12 (S12, S15), 24 (S24), (S10), 12 Both Buy 12 Demonstration of equipment (S9), (S24, S34, S42) (S12), (S15) (S10, S24), Supplier code (see table 9) S9, S24, S34, S42 Information not provided by supplier CEP08042: November 2008 S10, S12, S15, S24 S1, S15 S27 S21 Market review 45 Table 11: Dynamic (high-technology) overlays – alternating pressure continued Expansion Control Waffle Galaxy 500 Galaxy 700 Galaxy 1000 Low Medium High High Standard Standard Standard Standard Standard 900 x 2100 (depth not supplied) 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 Both options available Both options available Both options available n/a Covered zips Stitched / Welded seams Features Comfort settings 10 min cycle Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Manual Both Both Both Buy Buy Buy Both 12 12 12 S12 S12 S12 Manual Purchasing Buy / Rent / Both Warranty (months) Demonstration of equipment Supplier code (see table 9) S3 Information not provided by supplier Table 11: Dynamic (high-technology) overlays – alternating pressure continued CEP08042: November 2008 S4 Market review 46 Information not provided by supplier HALO Nova Plus Media™ OLA Elegant™ OLA Majestic™ Opal Medium / High Medium / High Medium / High Medium Both Both Both Both Risk category Low / Medium / High / Very high Types Standard / Bespoke Standard Bariatric / Paediatric Both Mattress size (single) Depth x width x length (mm) 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 Transfer polyurethane air cells Stitched Stitched Stitched Stitched Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Features Comfort settings 7 min cycle Transport mode Sitting mode Static mode (S1), (S15), (S24) Alarm Adjustment Powered / Manual / Both 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 Demonstration of equipment (S1, S15), (S24) Supplier code (see table 9) S4 S31 S31, S32 S31, S32 Table 11: Dynamic (high-technology) overlays – alternating pressure continued CEP08042: November 2008 S1, S15, S24 Market review 47 Information not provided by supplier 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 Polyurethane coated, waterproof, 2 way stretch nylon Polyurethane coated, waterproof, 2 way stretch nylon n/a n/a Polyurethane air cells Polyurethane air cells 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 / Welded seams Stitched Features Comfort settings Auto with override Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Manual Both Buy / Rent / Both Buy Buy Warranty (months) 12 12 Purchasing Both Demonstration of equipment (S24), (S40) (S24), (S40) Supplier code (see table 9) S7 S7 S27 S24, S40 Table 11: Dynamic (high-technology) overlays – alternating pressure continued CEP08042: November 2008 S24, S40 Market review 48 Information not provided by supplier RIK® Fluid Squirrel 9240 Digital Supreme Supreme 24hr Transair Medium / High High High Medium / High High Standard Both Both Standard Both Risk category Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Mattress size (single) Depth x width x length (mm) 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 Transfer polyurethane air cells n/a High strength polyurethane air cells Stitched Stitched Welded Welded Stitched Powered Both Powered Both Both (S1, S15), Buy (S24) Both (S15), Buy (S24) Both 12 24 Covered zips Stitched / Welded seams Features Comfort settings Transport mode n/a n/a Sitting mode n/a Static mode n/a Alarm n/a Adjustment Powered / Manual / Both Automatic Purchasing Buy / Rent / Both Buy Warranty (months) (S2), Both (S37) (S2), 12 (S37) 12 (S1, S15), (S24) (S1, S15), (S24) Demonstration of equipment (S15), (S24) Supplier code (see table 9) S22 S2, S37 S1, S15, S24 S15, S24 Table 11: Dynamic (high-technology) overlays – alternating pressure continued CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 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 polyurethane air cells and high density foam Polyurethane cells Polyurethane cells Polyurethane cells Stitched Both options available Both Options available 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Standard Bariatric / Paediatric Standard is bariatric Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Gore-Tex® Medical fabric n/a n/a Stitched Stitched Stitched Stitched Manual Both Manual Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Buy / Rent / Both Both Buy Both Both Warranty (months) 24 12 n/a 24 S27 S30 S22 S19 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) Weight (kg) 8 Infection control Cover material Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Features Comfort settings Transport mode Sitting mode n/a Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 52 Table 12: Static (high-technology) mattresses – low-air-loss continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) Weight (kg) Pump Infection control Cover material Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Visual Adjustment Powered / Manual / Both Powered Powered Powered Powered Purchasing Buy / Rent / Both Buy (S3), (S18) Buy (S3), (S18) Buy (S2), Both (S37) Both Warranty (months) 12 (S3), (S18) 24 (S3), (S18) 12-48 (S2), 12 (S37) 48 (S3), (S18) (S3), (S18) Demonstration of equipment (S2), (S37) n/a Supplier code (see table 9) S3, S18 Information not provided by supplier CEP08042: November 2008 S3, S18 S2, S37 S2, S37 Market review 53 Table 12: Static (high-technology) mattresses – low-air-loss continued Squirrel Sapphire Therakair Visio® True LOL Wondermat True LOL Wondermat Plus High Medium / High Very high Very high Standard / Bespoke Both Standard Standard Standard Bariatric / Paediatric Both 203 x 900 x 2080 230 x 900 x 1980 230 x 900 x 1980 158 Risk category Low / Medium / High / Very high Types Mattress size (single) Depth x width x length (mm) 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 Gore-Tex® Medical fabric Quilted Quilted Polyurethane cells Gore-Tex® Medical fabric 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 Stitched / Welded seams Features Comfort settings Transport mode Sitting mode Static mode Alarm Adjustment Powered / Manual / Both Purchasing Demonstration of equipment Supplier code (see table 9) S37 Information not provided by supplier CEP08042: November 2008 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 / Paediatric Bariatric only Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams 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 Demonstration of equipment (S3), (S33) Supplier code (see table 9) S34 Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high Very high High High High Medium Medium Standard Standard High Types Standard / Bespoke Standard Both Standard Both Bariatric / Paediatric 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 Mattress size (single) Depth x width x length (mm) 170 x 880 x 1980 178 x 900 x 2000 Weight (kg) 190 159 120 394 13 20.5 2 way stretch, vapour permeable Polyurethane coated fabric Infection control Cover material Waterproof, multistretch, vapour permeable polyurethane Vapour permeable 2 way stretch, vapour permeable 2 way stretch, waterproof, breathable Polyurethane n/a n/a Foam Combustion modified foam Zyprex foam Foam Stitched Welded Both options available Removable covers Non-slip covers Infill material Visco elastic foam Visco elastic foam Covered zips Stitched / Welded seams Welded Welded Purchasing Buy / Rent / Both Both Buy Buy Buy Buy (S1), Both (S15) Buy Warranty (months) 12 36 36 12 12 12 S15 S15 S24 S41 S1, S15 S11 Demonstration of equipment Supplier code (see table 9) S10, S27 Information not provided by supplier CEP08042: November 2008 Market review 56 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high High High Types Standard / Bespoke Both Both Bariatric / Paediatric Bariatric Bariatric 178 x 900 x 2000 Other sizes available 178 x 900 x 2000 Other sizes available Patient (max) 394 407 Mattress 20.5 22 Polyurethane coated fabric Polyurethane coated fabric Standard Bariatric Bariatric 150 x 910 x 1900 Other sizes available 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 Mattress size (single) Depth x width x length (mm) Weight (kg) Infection control Cover material 2 way stretch fleece Waterproof, vapour permeable 2 way stretch, vapour permeable, waterproof 2 way stretch, vapour permeable, waterproof 2 way stretch, vapour permeable, waterproof Removable covers Non-slip covers n/a n/a Foam Foam Memory foam Castellated foam Foam Foam Foam Both options available Both options available Stitched Stitched Both options available Both options available Both options available 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 Stitched / Welded seams Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 57 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Mattress size (single) Depth x width x length (mm) 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 2 way stretch, vapour permeable, waterproof 2 way stretch, vapour permeable Vapour permeable, 2 way stretch Waterproof, vapour permeable, 2 way stretch Waterproof, vapour permeable 2 way stretch Polyurethane Waterproof, multi-stretch, vapour permeable, polyurethane Foam Layered foam Single foam Single block foam Single block foam Visco elastic foam Foam Both options available 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 Stitched / Welded seams Purchasing 12 (S12), (S10, S27) Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S10, S15, S27 Market review 58 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Standard Mattress size (single) Depth x width x length (mm) 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, waterproof 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 Both options available Stitched Welded Buy / Rent / Both Buy Buy Buy (S1), Both (S15) Buy Buy (S1), Both (S15) Warranty (months) 12 72 12 36 12 S12 S19 S1, S15 S42 S1, S15 Covered zips Stitched / Welded seams Welded Both options available Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S35 S28, S36 Market review 59 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Bariatric Mattress size (single) Depth x width x length (mm) 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 Both options available Both options available Both options available Stitched Stitched Buy / Rent / Both Buy Buy Buy Buy (S3), Warranty (months) 12 12 12 12 (S3), (S18) (S3), (S18) Covered zips Stitched / Welded seams Purchasing (S18) Buy 12 Demonstration of equipment Supplier code (see table 9) S4 Information not provided by supplier CEP08042: November 2008 S4 S12 S12 S12 S3, S18 S3 Market review 60 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Paediatric Mattress size (single) Depth x width x length (mm) 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 2 way stretch, vapour permeable, waterproof High density foam High density foam Foam Layered foam Layered foam Layered foam Polyurethane and memory foam Stitched Stitched Both options available 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 Stitched / Welded seams Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 61 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Both Standard Both Bariatric / Paediatric Paediatric Paediatric Both 100 x 695 x 1290 150 x 860 x 1980 308 Mattress size (single) Depth x width x length (mm) 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 Reversible insert of comfort and visco foam Reversible insert of 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 Stitched / Welded seams Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 62 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Bariatric Mattress size (single) 125 x 900 x 2000 150 x 1000 x 2200 160 x 880 x 1980 Patient (max) 140 248 Mattress 15 16 Depth x width x length (mm) 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 / Welded seams Stitched Stitched Purchasing Buy / Rent / Both Buy Both Warranty (months) 48 12 Buy Buy 48 Demonstration of equipment Supplier code (see table 9) S2 Information not provided by supplier CEP08042: November 2008 S10, S27 S10, S27 S15 S24 S19 S10, S27 Market review 63 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) 200 x 890 x 2000 Weight (kg) 12.5kg Infection control Waterproof, multi stretch, vapour permeable polyurethane Cover material Waterproof, vapour permeable, 2 way stretch 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 Stitched / Welded seams 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 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 64 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Both Both Bariatric / Paediatric 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 Mattress size (single) Depth x width x length (mm) 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 Visco-elastic polyether foam Visco-elastic polyether 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 Stitched / Welded seams Purchasing (S28, S36) Buy Buy (S8), 48 12 (S3), (S38) (S38) (S3), (S38) Demonstration of equipment Supplier code (see table 9) S29 Information not provided by supplier CEP08042: November 2008 S29 S3, S28, S36 S36 S8, S38 Market review 65 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high High Low Low / Medium Medium / High Standard Standard Standard Both Medium / High Medium / High Both Standard Medium Types Standard / Bespoke Bariatric / Paediatric Bariatric Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams 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 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 66 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued RMax ROHO® Dry Flotation® Medium Medium / High High Both Standard Protector Profiler Reflect Reflect Replacement Replacement Medium High Medium Standard / Bespoke Both Standard Bariatric / Paediatric Paediatric Resteasy Risk category Low / Medium / High / Very high Types Both Both Both Mattress size (single) Depth x width x length (mm) 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 permeable polyurethane 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 Stitched / Welded seams Welded Stitched Purchasing Buy / Rent / Both Buy Both Buy (S1), Both (S15) Buy Buy Both Warranty (months) 48 Options available 12 12 48 36 S38 S15 S1, S15 S42 S23 S39 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S24 Market review 67 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued ROHO® Dry Flotation® Bariatric Selflex™ High Density Foam SelMed™ ViscoElastic High Low / Medium Medium / High Standard / Bespoke Both Both Bariatric / Paediatric Both Softform Birthing Softform Cot Softform Excel Softform Incubator Risk category Low / Medium / High / Very high Low High Types Both Bespoke Bariatric Bespoke Both Paediatric Bespoke Paediatric Mattress size (single) Depth x width x length (mm) 158 x 914 x 1981 172 x 914 x 1981 Bespoke sizes 127 177 247 890 x 1400 (depth not supplied) 152 x 880 x 1970 710 x 1220 (depth not supplied) 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 seams 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 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S20 S20 S20 S20 Market review 68 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Bariatric / Paediatric Paediatric Risk category Low / Medium / High / Very high Types Paediatric Mattress size (single) Depth x width x length (mm) 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) 96 (Foam) 48 (Cover) Weight (kg) Patient (max) Mattress Infection control Cover material 2 way stretch, vapour permeable polyurethane 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 Stitched / Welded seams 3 Option available Welded Stitched Purchasing Buy 96 (Foam) 48 (Cover) Buy (S3), (S33) 36 (S3), 24 (S33) Demonstration of equipment (S3), (S33) Supplier code (see table 9) S20 Information not provided by supplier CEP08042: November 2008 S20 S20 S20 S20 S20 S3, S33 Market review 69 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued Softrest Contour Softrest VE Squirrel 7000 Squirrel Dahlia Supaflex Care Supaflex Comfort SX59 Supaflex Foldable SX61 No picture available Risk category Low / Medium / High / Very high 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 Bariatric / Paediatric Both Both Paediatric Paediatric Mattress size (single) Depth x width x length (mm) 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 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 / Welded seams Stitched n/a Surface foam density 32-34kg/m3, base 40-42kg/m3 Memory foam Polyurethane cells and foam Stitched Stitched Stitched Stitched Stitched Both options available Buy Both Buy Both Both (S9), Buy (S11) 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) Demonstration of equipment (S3), (S33) Supplier code (see table 9) S3, S33 Information not provided by supplier CEP08042: November 2008 Market review 70 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued 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 Low / Medium / High / Very high High Medium Types Standard / Bespoke Standard Both Standard Bariatric / Paediatric 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 Mattress size (single) Depth x width x length (mm) 150 x 910 x 1930 Weight (kg) Patient (max) 185 128 213 Mattress 15.3 13.3 10.7 2 way stretch, vapour 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) Both options available Stitched (S9) Both (S11) Stitched Buy / Rent / Both Both (S9), Buy (S11) Buy Both (S9), Buy (S11) 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 Stitched / Welded seams Both options available Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 Market review 71 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued Transvisco Transwave Supreme Visco Visco 3000 MR High High High Low / Medium Standard / Bespoke Both Both Standard Standard Bariatric / Paediatric 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 Stretch polyurethane Stretch polyurethane n/a n/a Foam Composite foam Both Both 48 72 S39 S39 Risk category Low / Medium / High / Very high Types Standard Mattress size (single) Depth x width x length (mm) 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 Both options available Both options available Stitched Stitched Buy / Rent / Both Buy Buy Both Buy Warranty (months) 96 96 12 S21 S21 S15 Infill material Foam Memory foam Covered zips Stitched / Welded seams Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S34 S3 Market review 72 Table 13: Static (low-technology) mattresses – mixed foam, gel & air continued Viscotech Supreme Low / Medium / High / Very high Viscotech Supreme HD VMax High High High Standard / Bespoke Both Both Standard Bariatric / Paediatric Both Both 152 x 880 x 1970 152 x 880 x 1970 150 x 870 x 2000 139 190 140 Stretch polyurethane Stretch polyurethane Waterproof, vapour permeable Types Mattress size (single) Depth x width x length (mm) 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 / Welded seams Stitched Purchasing Buy / Rent / Both Both Both Buy Warranty (months) 96 96 48 S39 S39 S23 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high 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 Bariatric / Paediatric Mattress size (single) Depth x width x length (mm) Weight (kg) Patient (max) Mattress 6 Infection control Cover material n/a Removable covers n/a Non-slip covers Waterproof, multi-stretch, vapour permeable polyurethane, Polymer Vapour permeable Visco elastic foam Foam High density foam Foam Hollow fibre Antibacterial foam Stitched Both options available Both options available Both options available 2 way stretch, vapour permeable, waterproof n/a Infill material Visco elastic polymer Covered zips n/a Stitched / Welded seams 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 Demonstration of equipment Supplier code (see table 9) S39 Information not provided by supplier CEP08042: November 2008 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 / High / Very high Low / Medium Types Standard / Bespoke Standard Bariatric / Paediatric 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 (S15), Buy (S24) Both Mattress size (single) Depth x width x length (mm) 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 permeable, waterproof Removable covers Non-slip covers Infill material Polyurethane & temperature reactive memory foam Gel Polyester fibre Safeguard™ combustion modified high resilient foam Covered zips Stitched / Welded seams 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 Demonstration of equipment Supplier code (see table 9) S3, S28, S36 Information not provided by supplier CEP08042: November 2008 S3, S28, S36 S3, S18 S15, S24 S15 Market review 75 Table 14: Static (low-technology) overlays – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Bariatric / Paediatric Both Mattress size (single) Depth x width x length (mm) 75 x 876 x 1955 100 x 870 x 1900 890 x 1980 (depth not supplied) 890 x 1980 (depth not supplied) 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 2 way stretch, vapour permeable, waterproof Polyurethane Visco elastic foam Polyester fibre Both options available 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 Waterproof, multi-stretch, vapour permeable polyurethane Vapour permeable Visco elastic foam Foam Removable covers Non-slip covers Infill material Foam Covered zips Stitched / Welded seams Welded Purchasing (S18) (S18) Buy (S3), 12 (S3), (S18) (S18) Both Both Buy S27 S24 12 Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S3, S18 S3, S18 S15 Market review 76 Table 14: Static (low-technology) overlays – mixed foam, gel & air continued 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 Bariatric / Paediatric 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 Low / Medium / High / Very high Types Mattress size (single) Depth x width x length (mm) 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 2 way stretch, vapour permeable polyurethane 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 Stitched / Welded seams n/a Purchasing 12 Demonstration of equipment Supplier code (see table 9) S41 Information not provided by supplier CEP08042: November 2008 S10, S27 S28, S36 S20 S13 Market review 77 Table 14: Static (low-technology) overlays – mixed foam, gel & air continued 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 Low / Medium / High / Very high Types Standard / Bespoke Standard Standard Bariatric / Paediatric Standard Both Mattress size (single) Depth x width x length (mm) 890 x 1980 (depth not supplied) 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 permeable polyurethane Removable covers Non-slip covers Stitched / Welded seams n/a Visco elastic foam Hollow polyester fibre Safeguard® CMHR Foam n/a Stitched Purchasing Buy (S3), (S33) (S3), 24 (S33) Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 S38 S38 S3, S33 Market review 78 Table 14: Static (low-technology) overlays – mixed foam, gel & air continued Tempur®-Med Thermo Contour® Transvisco Visco Combi Medium / High Low Medium Visco Memory Viscotech Risk category Low / Medium / High / Very high High Types Standard / Bespoke Both Both Both Standard Bariatric / Paediatric 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 Stretch polyurethane 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 Mattress size (single) Depth x width x length (mm) 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 Both options available Stitched Buy Buy Both 120 24 12 S17 S21 S15 Infection control Cover material Stretch polyurethane Removable covers Non-slip covers Infill material n/a Foam n/a Memory foam Foam Buy On request Covered zips Stitched / Welded seams Purchasing Buy / Rent / Both On request Warranty (months) 48 Demonstration of equipment Supplier code (see table 9) S39 Information not provided by supplier CEP08042: November 2008 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 Low / Medium / High / Very high Types Standard / Bespoke Both Both Bariatric / Paediatric Both Paediatric 150 x 800 x 1980 100 x 560 x 1980 308 Both Both Mattress size (single) 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 Stretch polyurethane n/a n/a Air Visco-elastic polyether 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 Depth x width x length (mm) Weight (kg) Patient (max) Mattress Infection control Cover material Removable covers Non-slip covers Infill material Covered zips Stitched / Welded seams Purchasing Demonstration of equipment Supplier code (see table 9) Information not provided by supplier CEP08042: November 2008 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 / High / Very high Low / Medium Low / Medium High Types Standard / Bespoke Both Both Bariatric / Paediatric Both Paediatric Standard Mattress size (single) Depth x width x length (mm) 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 Stitched / Welded seams Purchasing Buy / Rent / Both Both Warranty (months) 12 Both Demonstration of equipment Supplier code (see table 9) S25 Information not provided by supplier CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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. CEP08042: November 2008 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] CEP08042: November 2008 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 Betterlife Healthcare Ltd Centurion Court Farington Leyland Lancashire PR25 3UQ Carebase Unit 1 Leeming Industrial estate Plews Way Leeming bar Northallerton North Yorkshire DL7 9UL Charnwood Healthcare Ltd Unit B7 46 Holton Road Holton Heath Trading Park Poole Dorset BH16 6LT Childerhouse Medical Ltd 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 CEP08042: November 2008 http://www.charnwoodhealthcare.com http://www.childerhousemedical.co.uk http://www.countrywidehealthcare.co.uk Appendix 1: Supplier contact details Company Days Healthcare UK Ltd North Rd Bridgend Ind Est Bridgend Glamorgan CF31 3TP Dorset Nursing Supplies Ltd 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 First Technicare Company Ltd Unit 10 Acorn Production Centre Tel: 020 7609 8761 105 Blundell Street Fax: 020 7607 1062 London N7 9BN Frontier Therapeutics Ltd 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 CEP08042: November 2008 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 Appendix 1: Supplier contact details Company The Helping Hand 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 Huntleigh Healthcare Ltd 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 CEP08042: November 2008 http://www.kcimedical.com/kci/unitedkingdom http://www.lisclare.com Appendix 1: Supplier contact details 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 Park House Healthcare Ltd Whitehall 26 Business Park 1 Heathfield Lane Birkenshaw Bradford West Yorkshire BD11 2HW Promedics (Able2) Moorgate Street Blackburn Lancs. BB2 4PB Sareo Healthcare Ltd 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 CEP08042: November 2008 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 Appendix 1: Supplier contact details 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 CEP08042: November 2008 Appendix 1: Supplier contact details 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. CEP08042: November 2008 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 CEP08042: November 2008 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]. CEP08042: November 2008 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 CEP08042: November 2008 Westmeria Healthcare Ltd ThorpeMill Ltd Talley Group Ltd Sumed International (UK) 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 Sareo Healthcare Ltd Promedics (Able2) Park House Healthcare Ltd Nexus DMS Ltd Meditec Medical Ltd Medipost (UK) Ltd Lisclaire Ltd KCI Medical Ltd Karomed Ltd Invacare UK Huntleigh Healthcare Ltd Homecraft Rolyan Hill-Rom The Helping Hand Company Harvest Healthcare Gerald Simonds Healthcare Ltd Frontier Therapeutics Ltd First Technicare Company Ltd Euromobility Ltd Essential Healthcare International Ltd Dorset Nursing Supplies Ltd Days Healthcare UK Ltd Countrywide Healthcare Supplies Ltd Childerhouse Medical Ltd Charnwood Healthcare Ltd Carebase Betterlife Healthcare Ltd 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 Softform Premier Active 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 Squirrel 9240 Digital 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® CEP08042: November 2008 Westmeria Healthcare Ltd ThorpeMill Ltd Talley Group Ltd Sumed International (UK) 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 Sareo Healthcare Ltd Promedics (Able2) Park House Healthcare Ltd Nexus DMS Ltd 96 Meditec Medical Ltd Medipost (UK) Ltd Lisclaire Ltd KCI Medical Ltd Karomed Ltd Invacare UK Huntleigh Healthcare Ltd Homecraft Rolyan Hill-Rom The Helping Hand Company Harvest Healthcare Gerald Simonds Healthcare Ltd Frontier Therapeutics Ltd First Technicare Company Ltd Euromobility Ltd Essential Healthcare International Ltd Dorset Nursing Supplies Ltd Days Healthcare UK Ltd Countrywide Healthcare Supplies Ltd Childerhouse Medical Ltd Charnwood Healthcare Ltd Carebase Betterlife Healthcare Ltd Company BaKare Beds Ltd APC Healthcare Appendix 3: Pressure-redistribution product matrix 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 CEP08042: November 2008 Westmeria Healthcare Ltd ThorpeMill Ltd Talley Group Ltd Sumed International (UK) 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 Sareo Healthcare Ltd Promedics (Able2) Park House Healthcare Ltd Nexus DMS Ltd 97 Meditec Medical Ltd Medipost (UK) Ltd Lisclaire Ltd KCI Medical Ltd Karomed Ltd Invacare UK Huntleigh Healthcare Ltd Homecraft Rolyan Hill-Rom The Helping Hand Company Harvest Healthcare Gerald Simonds Healthcare Ltd Frontier Therapeutics Ltd First Technicare Company Ltd Euromobility Ltd Essential Healthcare International Ltd Dorset Nursing Supplies Ltd Days Healthcare UK Ltd Countrywide Healthcare Supplies Ltd Childerhouse Medical Ltd Charnwood Healthcare Ltd Carebase Betterlife Healthcare Ltd Company BaKare Beds Ltd APC Healthcare Appendix 3: Pressure-redistribution product matrix Static Mattresses Low-Technology 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 CEP08042: November 2008 Westmeria Healthcare Ltd ThorpeMill Ltd Talley Group Ltd Sumed International (UK) 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 Sareo Healthcare Ltd Promedics (Able2) Park House Healthcare Ltd Nexus DMS Ltd 98 Meditec Medical Ltd Medipost (UK) Ltd Lisclaire Ltd KCI Medical Ltd Karomed Ltd Invacare UK Huntleigh Healthcare Ltd Homecraft Rolyan Hill-Rom The Helping Hand Company Harvest Healthcare Gerald Simonds Healthcare Ltd Frontier Therapeutics Ltd First Technicare Company Ltd Euromobility Ltd Essential Healthcare International Ltd Dorset Nursing Supplies Ltd Days Healthcare UK Ltd Countrywide Healthcare Supplies Ltd Childerhouse Medical Ltd Charnwood Healthcare Ltd Carebase Betterlife Healthcare Ltd Company BaKare Beds Ltd APC Healthcare Appendix 3: Pressure-redistribution product matrix Company CEP08042: November 2008 Static Mattresses Low-Technology 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 Westmeria Healthcare Ltd ThorpeMill Ltd Talley Group Ltd Sumed International (UK) 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 Sareo Healthcare Ltd Promedics (Able2) Park House Healthcare Ltd Nexus DMS Ltd Meditec Medical Ltd Medipost (UK) Ltd Lisclaire Ltd KCI Medical Ltd Karomed Ltd Invacare UK Huntleigh Healthcare Ltd Homecraft Rolyan Hill-Rom The Helping Hand Company Harvest Healthcare Gerald Simonds Healthcare Ltd Frontier Therapeutics Ltd First Technicare Company Ltd Euromobility Ltd Essential Healthcare International Ltd Dorset Nursing Supplies Ltd Days Healthcare UK Ltd Countrywide Healthcare Supplies Ltd Childerhouse Medical Ltd Charnwood Healthcare Ltd Carebase Betterlife Healthcare Ltd BaKare Beds Ltd APC Healthcare Appendix 3: Pressure-redistribution product matrix 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. CEP08042: November 2008 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