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