September 2013 • Vol. 12 No. 9 Serving the Seating...
Transcript of September 2013 • Vol. 12 No. 9 Serving the Seating...
September 2013 • Vol. 12 No. 9
mobilitymgmt.com
Serving the Seating & Mobility Professional
SEATING SERIES©2013 Invacare Corporation. All rights reserved. Trademarks are identified by the symbols ™ , sm and ®.
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september
Mobility Management (ISSN 1558-6731) is published monthly by 1105 Media, Inc., 9201 Oakdale Avenue, Ste. 101, Chatsworth, CA 91311. Periodicals postage paid at Chatsworth, CA 91311-9998, and at additional mailing offi ces. Complimentary subscriptions are sent to qualifying subscribers. Annual subscription rates payable in U.S. funds for non-qualifi ed subscribers are: U.S. $119.00, International $189.00. Subscription inquiries, back issue requests, and address changes: Mail to: Mobility Management, P.O. Box 2166, Skokie, IL 60076-7866, email [email protected] or call (847) 763-9688. POSTMASTER: Send address changes to Mobility Management, P.O. Box 2166, Skokie, IL 60076-7866. Canada Publications Mail Agreement No: 40612608. Return Undeliverable Canadian Addresses to Circulation Dept. or XPO Returns: P.O. Box 201, Richmond Hill, ON L4B 4R5, Canada.
© Copyright 2013 by 1105 Media, Inc. All rights reserved. Printed in the U.S.A. Reproductions in whole or part prohibited except by written permission. Mail requests to “Permissions Editor,” c/o Mobility Management, 14901 Quorum Dr, Ste. 425, Dallas, TX 75254
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On the CoverOptimal bariatric seating, mobility and positioning is an all-day need. Cover by Dudley Wakamatsu.
12 Seat Cushion Comparo Use this side-by-side comparison of wheelchair seat cushions to fi nd the sizes, applica-
tions, media and options that make the most sense for your clients.
22 cover feature All-Day Solutions The needs of bariatric clients are just as nuanced as those of other complex rehab
technology users. Our pictorial highlights unique ways to keep these clients active and
independent throughout the day.
volume 12 • number 9
What’s New Online: MobilityMgmt.comThe countdown has begun: This fall, MobilityMgmt.com is all
new! Our online relaunch will continue to be a living archive
for Mobility Management features, news stories, Webinars
and e-newsletters, but will include new product & tech-
nology sections, new pages devoted to legislation & policy
and research, and an expanded consumer-focused section
with stories and resources created specifi cally for seating &
mobility users and their families. Stay tuned!
6 Editor’s Note
8 MMBeat 28 Classifi eds/Ad Index
30 Marketplace: Ultralightweight Chairs & Accessories
21 New Discoveries Rifton’s team dynamic leads to an award-winning — and clinician-pleasing —
multi-purpose device named TRAM.
September 2013 • Vol. 12 No. 9
mobilitymgmt.com
Serving the Seating & Mobility Professional
contents
6 mobilitymgmt.comseptember 2013 | mobilitymanagement
My fi rst reaction to the news of Medicare’s latest capped-rental proposed rule was not politi-cally correct. In the middle of the hallway in the middle of the work day, I called out to my
offi ce-mates, “Great news! Science must have fi gured out a way to regenerate brain cells and spinal cords, because CMS now says our consumers need their equipment for just eight months each!”
No one looked up — they’re pretty accustomed to my occasional funding rant — so I was left muttering to myself along the lines of “Why is CMS (aka, the Centers for Medicare & Medicaid Services) always picking on my people (aka, you and your clients)?”
After cooling off enough to pick through the complex rehab technology-relevant sections of the 186-page proposed rule, I’d had a slight change of heart.
To be sure, this latest capped-rental proposal from CMS would be a migraine for CRT providers: Instead of paying a lump sum for many types of equipment it purchases for benefi ciaries, Medicare wants to pay providers in 13 monthly installments — which would wreak havoc with providers’ cash fl ows. CMS quotes huge anticipated savings under this new plan: $20 million in each of the next three years, $30 million in 2017, etc.
But as Rita Hostak, Sunrise Medical’s VP of government relations, pointed out during an inter-view, those savings are based on CMS data that says Medicare benefi ciaries use their DME for only eight months on average — the implication being that after that period, the benefi ciary either recovers enough to no longer need the equipment, or passes away.
Neither scenario applies to the average Medicare benefi ciary using CRT. Unfortunately, the sorts of diagnoses that CRT users have — predominantly cerebral palsy and brain injuries among adults, and brain injuries or developmental delays for pediatric benefi ciaries, according to data collected by NCART, Hostak says — do not heal. But neither do we generally expect benefi ciaries with CP or brain injuries to have drastically shortened lifespans.
“When you’re talking about wheelchairs for people with permanent disabilities and pediatric wheelchairs, these people are not end-of-life,” Hostak says. “They’re not even sick! They just have a disability and need the technology to allow them to be more functional and independent.”
If saving money is the goal, it makes sense that CMS wants to make eight monthly payments instead of paying full price outright for many kinds of equipment. What doesn’t make sense is why CMS keeps saying, “Eight months.”
And that’s where my change of heart came in.Clearly, when CMS says benefi ciaries use their DME for an average of just eight months, it isn’t
talking about CRT consumers. It’s referring to seniors who have recoverable conditions — surgery that requires a standard wheelchair for a couple of months, for example — or to seniors who are medically very frail.
And when CMS is talking about DME, it’s not talking about CRT. Or at least, it shouldn’t be referring to CRT.
This isn’t the fi rst time that CRT has been caught up — possibly inadvertently — in the larger DME net. It happened with competitive bidding, and it’s happened with this capped-rental proposed rule. It will surely keep happening until CRT gets its own benefi t category that takes into account the types of diagnoses that benefi ciaries have, and their prognoses, and how customized their equipment has to be.
There are two bills in Congress right now, one in each chamber, that would emphatically and formally defi ne those diff erences. CRT doesn’t belong within DME because it’s not DME. So instead of complaining in my offi ce hallways, I’ve got a couple of phone calls to make. ●
Laurie Watanabe, [email protected]
News Flash: CRT Is Still Not DME
Editor Laurie Watanabe (949) 265-1573
Associate Editor Cindy Horbrook (972) 687-6573
Group Publisher Karen Cavallo (760) 610-0800
Group Art Director Dudley Wakamatsu
Director, David Seymour Print & Online Production
Director, Jenny Hernandez-Asandas Print Production
Production Coordinator Charles Johnson
Director of Online Marlin Mowatt Product Development
National Sales Manager Caroline Stover (323) 605-4398
SECURITY, SAFETY & HEALTH GROUP
President & Group Publisher Kevin O’Grady
Group Publisher Karen Cavallo
Group Circulation Director Margaret Perry
Group Marketing Manager Susan May
President & Neal Vitale Chief Executive Offi cer
Senior Vice President & Richard Vitale Chief Financial Offi cer
Executive Vice President Michael J. Valenti
Vice President, Christopher M. Coates Finance & Administration
Vice President, Erik A. Lindgren Information Technology & Application Development
Vice President, David F. Myers Event Operations
Chairman of the Board Jeff rey S. Klein
REACHING THE STAFF
Staff may be reached via e-mail, telephone, fax, or mail. A list of editors and contact information is also available online at mobilitymgmt.com.
E-mail: To e-mail any member of the staff , please use the following form: [email protected]
Dallas Offi ce (weekdays 8 a.m. - 5 p.m. CT)Telephone 972-687-6700; Fax 866-779-909514901 Quorum Drive, Suite 425, Dallas, TX 75254
Corporate Offi ce (weekdays, 8:30 a.m.-5:30 p.m. PT) Telephone 818-814-5200; Fax 818-734-1522
9201 Oakdale Avenue, Suite 101, Chatsworth, CA 91311
mobilitymgmt.com
Volume 12, No. 9
SEPTEMBER 2013
editor’s note
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HD4444404040400 LBLBLBLBBBBBBSSSSSS.S.S.S.S.S.S....4040404040404040404044044040404040404040404040404040404040404040400404040404000000000000000000 0 0 0 0 0 0 0 0 00 00 0 00 0 0 0 0 0 0 0 0 0 0 LBLBLBLBLBLBBBBBLBLBLBLBLBLBLBLBLBLBLBLBLBLBLBBBBBBLBBBBBBBSSSSSSSSSSSSSS.S.SS.SSS.S.S.S.SSSS.S444400000 0 LLLBBBSSSSS40404 00000 LLBLLLBBBBSSSSSSSSSCAPAAAAAACCCCIIIICITTTTTTYTYTYYYYYYCCACACACACACACAACACAAAAPAPAPAPAPAPAPACICICICICCICCICC TYTYTTYYYYCCCCCC CCCCCCCCCCCAPAAAAACCCCCICIIIITTTTTTYTYTYTYTYYYYYYYYCACACACACACACACACACCACACACACACACACCACCCACACAACAAAAAAAACAAAAAPAPAPAPAPAPAAAAAAPAPAPAAPAPPAPPAPPAPPAPAPPAPPAPAPAPAPAPAPPAPACCCCCICCCICICCCICICCICCICICICICICCC TYTTTYTYTYTYTYTYTYTYTYTYTYTYTYTY
8 mobilitymgmt.comseptember 2013 | mobilitymanagement
Curtis Instruments’ Wheelchair Video: Speaking from the Heart
To a seating & mobility professional, the process of acquiring a wheel-chair for a client — the evaluations, HCPCS codes, allowables and
documentation — can feel as natural as a heartbeat.But to a consumer, the process can be long, confusing and frustrating. And
for consumers who’ve been ambulatory in the past, making the change can be especially jarring.
A new video by Curtis Instruments seeks to make that transition easier by sharing the experiences of an actual new wheelchair user.
Creating a ResourceThe folks at Curtis Instruments took this project personally. It started when Frank Matheis, Curtis Instruments’ director of corporate marketing communica-tions, was approached by a colleague.
“One of my graphic artists called me and said, ‘My brother-in-law needs to get into a wheelchair. Can you help us?’” Matheis said.
Given that Curtis manufactures the electronics used by many power wheel-chairs in the industry, Matheis was confi dent the company could help out. But when he approached Curtis’s president, he advised Matheis to consult Mike Rozaieski, ATP, Curtis’s product manager for medical mobility.
While Matheis had envisioned choosing a wheelchair would be much like choosing a lawnmower or other retail product, Rozaieski told him, "It doesn't really work like that. Let me explain it to you."
Rozaieski recommended contacting an occupational therapist as well as the consumer’s insurance provider.
“We work with wheelchair manufacturers to provide the drive technology,” Matheis said of Curtis Instruments’ business. “For us here, it’s a matter of tech-nology for people. But we don’t often get to know these people because we don’t sell the wheelchairs.”
Rozaieski helped connect the would-be wheelchair user — Conway Policastro — with a local OT in New Jersey. “They went through the very normal process, the way anybody else would,” Matheis said. “And when it was all done, it took six months, but Conway had a chair that was fi tted to him.”
The Curtis staff er who’d started the wheel rolling told Matheis he hadn’t real-ized the process for acquiring the right wheelchair. “And I said, ‘Mike, do people all have this experience? Are they all so completely baffl ed by the complicated method of what’s ahead of them?’” Matheis recalled. “And he said yes, pretty much.”
Matheis then asked Rozaieski if there was “a tool that explains this to people, so that before they get involved in anything, they would know what they’re
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facing. He said not that he’s aware of. So I said, ‘Why don’t we make one?’”
Speaking from the HeartThe result is “Transitioning Into a Wheelchair: An Introduction to Medical Mobility.” The 12-minute video stars Policastro, who has Charcot-Marie Tooth muscular dystrophy and post-polio syndrome.
The fi lm takes consumers through the wheelchair acquisition process, showing small but critical details, such as the need for “specifi cally and only a mobility exam” by the wheelchair prescriber.
Some scenes were fi lmed at Ability Beyond Disability, a local rehabilitation facility, while others were fi lmed in the community.
Policastro said of his scenes, “It was totally unscripted, just speaking from my heart.”
In the beginning of the process, he added, “I was very resistant and reluctant to the notion of being ‘a wheelchair guy.’ My sister and my mom and other family members and friends were very supportive: ‘Don’t be resistant; lean into it. You need this, you’re falling too much.’”
Policastro said he fi nally agreed and was evaluated and fi tted at a local Kessler Institute during four visits. The emotional journey, though, was longer.
“First, no,” Policastro recalled. “Then, Okay, you’re twisting my arm so I’ll do it. A month before it arrived, it was Hey, where’s my chair? And now that I have it, it’s like Don’t you dare take away my chair!”
In the video, Policastro is initially shown walking laboriously. “The most diffi cult aspect for me transitioning into a wheelchair,” he says in the fi lm, “was dealing with the concept of it: You’re no longer a walking guy, you’re in the chair now. But I’m so glad I worked through that because the chair itself is what really changed my mind.”
The video covers documentation, justifi cation and funding, and ultimately shows Policastro moving independently and freely through his neighborhood.
Now, he remembers how walking had become mentally and emotionally draining, in addition to physically diffi cult, and compares those memories to how his life has improved. “Every morning I wake up with a smile on my face, knowing I have this thing at my bidding, so to speak,” he said. “When I walk from here to the diner and friends are with me, sometimes I’ll put it in third gear and they’ll say, ‘Wait, wait!’ And I was usually the one lagging behind when I was walking.”
Matheis said, “My big hope is that [clinicians and ATPs] fi nd this resource useful for their own clients. We’re hoping they’ll tell somebody to watch this, this can help you. That’s our only stake in this.” ●
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10 mobilitymgmt.comseptember 2013 | mobilitymanagement
Out-Front HandrimsOur Options. Your Choice.
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The Natural-Fit, Surge, and Q-Grip create a suite of handrim choices. You choose your handrim based on your preferences. Learn more about our handrims by using our Handrim Feature Finder at www.Out-Front.com/Handrims.
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This is all about
YOU
So many consumer products these days are expected to achieve far more than their “main” functions. Our cars don’t just get us
from point A to B; they also show us the shortest route and entertain the kids in the backseat during the drive. Our phones don’t just make
QM-7 Enhancements:When the Ends Drive the Means
calls; they coordinate our schedules, take photos and play music, too.Of course, complex rehab power chairs are a diff erent category
than mainstream retail products — and yet, today’s consumers, accus-tomed to being a driving force for better, more fully featured choices,
are making their voices heard here, too.
Consumers Make DemandsA prime example: Sunrise Medical’s signifi cant and multiple enhancements to its Quickie QM-7 series of power chairs.
Dan Critchfi eld, product manager, indicated that consumers were a driving force behind the changes, and that their demands are in line with what they expect of non-clinical products.
“Quickie has many valuable social media sites from which we gather the voice of the customer,” Critchfi eld said in an interview with Mobility Management. “We have heard that consumers want products that look and feel good, as well as improve their independence. Th e features that we wanted to concentrate on focused on the consumer’s ability to customize the chair and provide the highest level of independence ever off ered in a single power chair.”
Independence via greater accessibility, Critchfi eld adds, was a recurring theme.
“For many, kitchen tables and cabinets, classroom desks, restaurant tables and bars, grocery stores, vans, etc., may be inaccessible. Either their chair has a seat that is too high or a seat elevator that does not reach high enough. Th e ability to have an ultra-low 16" seat-to-fl oor height with a 12" seat elevator means that these obstacles no longer keep people from enjoying life.”
On the aesthetics front, Sunrise has added eight new shroud colors to the QM-7 line, bringing the total number of choices to 15. And consumers can choose black as their tire color, if that’s a better match with their personal styles.
And Something for ATPs, TooATPs will be happy to hear about more clinically based changes to the QM-7, as well. For instance, Critchfi eld said, “We have made independent and assisted transfers much easier. Cantilever arms and a power foot plate that extends to the fl oor, when combined with the low seat-to-fl oor height option
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mobilitymgmt.com 11 mobilitymanagement | september 2013
Mobility has a name.
Our new site is coming soon - visit numotion.com. 800.500.9150
United Seating & Mobility and ATG Rehab have come together to form one dynamic company: Numotion. With a strong local focus, we aim to be the most responsive and innovative company to do business with for all our customers – and a loyal and helpful partner that will move lives forward for years to come. It’s a nu day in mobility.
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and seat elevator, allow for transferring in and out of the QM-7 with less eff ort and reduced injury and fatigue.”
On the positioning end, Critchfi eld explained that the QM-7 stands ready to meet the needs of consumers of diff erent sizes: “Th e new 3.7 Power Recline provides seating for smaller adults and younger children by off ering a 14" seat width with recline. Clinicians are telling us that there are many applications when power recline is appropriate for these clients. We have also introduced power recline with a weight capacity of 350 lbs. that accommodates seat widths up to 22".”
Other changes include an integrated JAY J3 back option that functions in tandem with the 3.7 Power Recline system, and a redesigned electronics enclosure shell that’s 3" narrower in depth for a cleaner look.
Blending Into Consumers’ LifestylesTh e greatest achievement for a new product is blending into its owner’s life so easily that the consumer barely notices the transition.
As Critchfi eld noted, “What we have found for clients with new injuries or late-onset diseases is that many experience challenges when adapting to living in a wheelchair, both fi nancially and emotionally. Because the QM-7 can achieve such low seat-to-fl oor heights and still have the ability to reach high cabi-nets, consumers do not need to modify their homes to the degree that they would have to without these capa-bilities. Desks, tables, kitchen counters and cabinets, bathrooms, beds, etc. can remain unchanged. Th is can
greatly relieve stress and cost.” Th e right power chair can also help in other intangible, but just as
important ways.“Imagine going to a restaurant with your family,” Critchfi eld said,
“and being able to pull right up under a table for dinner, elevating up and joining in conversations at the bar, looking your daughter in the eye when she gets married, going to a ball game, going to college and sitting with your classmates at a desk. All these are possible in a single, comfortable, capable, great-looking product.” ●
12 mobilitymgmt.comseptember 2013 | mobilitymanagement
Wheelchair seat cushions are arranged alpha-betically by manufacturer, then by cushion
(model) name.Cushion manufacturers self-reported the data in
the listed categories. An “n/a” indicates no informa-tion on this category was available, or the category did not apply to a particular cushion. Manufacturers have reported the Medicare HCPCS code(s) that each cushion was qualifi ed for at the time we went to press.
Cushion width, depth and height measurements are listed in inches. Weight capacities and cushion
weights are listed in pounds.Cushions and data are listed as space permits and
may be abbreviated for space limitations. In some cases, additional sizes, cushion accessories, options, applications, etc., are not listed in the comparo grid, but are available from the manufacturer.
This comparo gives clinicians and assistive technology professionals a “starting point” when researching wheelchair seat cushions for a variety of client needs. For complete information on a specifi c cushion, please contact the corresponding manu-facturer in the Source List. ●
How to Read Th is Comparo
Cushion Comparo 2013
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14 mobilitymgmt.comseptember 2013 | mobilitymanagement
Cushion Comparo 2013
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nt st
retc
h ny
lon
top
cove
r with
adj
ust-
able
lock
ing
stra
ps
Flui
d-re
sista
nt st
retc
h ny
lon
cove
r with
adj
ust-
able
lock
ing
stra
ps a
nd
non-
skid
bot
tom
Hav
e ex
istin
g sk
in b
reak
-do
wn
or a
re a
t hig
her
risk
for d
evel
opin
g sk
in
brea
kdow
n
Dynamic Systems
Pudg
eeCo
ntac
t m
anuf
actu
rer
for c
ode
deta
ils
16", 1
8"
16", 1
8"
0.5"
to 3
"Co
ntac
t m
anuf
actu
rer
for w
eigh
t ca
paci
ty
deta
ils
n/a
Wat
erpr
oof fi
lm,
slipc
over
or c
oat-
ing;
stre
tch-
knit
fabr
ic sl
ipco
ver
2.5
to 6
lb
s.H
D/H
R po
lyur
etha
ne
visc
oela
stic
gel
foam
Rem
ovab
le, w
asha
ble
stre
tch
fabr
ic
slipc
over
and
rem
ovab
le
wat
erpr
oof s
lipco
ver
Hav
e or
are
at h
igh
risk
for
pres
sure
ulc
ers o
r sk
in b
reak
dow
n
16 mobilitymgmt.comseptember 2013 | mobilitymanagement
HCPC
S Cod
e(s)
Wid
th(s)
Dept
h(s)
Heig
htW
eigh
tCa
pacit
ySt
anda
rd
Acce
ssor
ies
Avai
labl
e Opt
ions
Cush
ion
Wei
ght
Cush
ion
Cons
truc
tion
Cove
r Con
stru
ctio
nId
eal f
or u
sers
who
:Dynamic Systems
SunM
ate
Cont
act
man
ufac
ture
r fo
r cod
e de
tails
16";
cust
om
sizes
av
aila
ble
16", 1
8";
cust
om
sizes
av
aila
ble
0.25
" to
4"; c
us-
tom
size
s av
aila
ble
No
limit
Opt
iona
l non
-ha
loge
nate
d fi r
e-re
tard
ant
addi
tive
Wat
erpr
oof fi
lm,
slipc
over
or c
oat-
ing;
stre
tch-
knit
fabr
ic sl
ipco
ver
0.5
to 4
lb
s.H
D/H
R po
lyur
etha
ne
visc
oela
stic
foam
Rem
ovab
le, w
asha
ble
stre
tch
fabr
ic
slipc
over
and
rem
ov-
able
wat
erpr
oof
slipc
over
Requ
ire b
ody
supp
ort,
posit
ioni
ng &
pre
ssur
e re
lief
Invacare Corp./Motion Concepts
Mat
rx P
SE2
605/
2606
10", 1
2", 1
4"
pedi
atric
; 16
", 18"
, 20"
st
anda
rd;
21-3
0"
heav
y du
ty
10", 1
2",
14", 1
6"
pedi
atric
; 16
", 18"
, 20
"; 16-
30"
heav
y du
ty
3.5"
150
lbs.
(ped
iatr
ic);
300
lbs.
(sta
ndar
d);
600
lbs.
(hea
vy d
uty)
n/a
Cust
om
mod
ifi ca
tions
, cu
shio
n rig
idiz
er,
pelv
ic o
bliq
uity
kit
1 lb
. & u
pAn
atom
ical
ly m
olde
d H
igh
Resil
ient
foam
w
ith w
affl e
d isc
hial
re
lief a
rea
Moi
stur
e-re
sista
nt
inne
r cov
er &
re
vers
ible
Dar
tex
oute
r co
ver
Requ
ire su
perio
r pos
ition
-in
g, st
abili
ty &
com
fort
Invacare Corp./Motion Concepts
Mat
rx S
tabi
lite
E260
5/E2
606
14-2
0"
stan
dard
; 21
-24"
he
avy
duty
14-2
0"
stan
-da
rd;
16-2
2"
heav
y du
ty
3.75
"30
0 lb
s. st
anda
rd;
500
lbs.
heav
y du
ty
n/a
Cust
om
mod
ifi ca
tions
, cu
shio
n rig
idiz
er,
rem
ovab
le le
g w
edge
s, pe
lvic
ob
liqui
ty k
it
3 lb
s. &
upPo
sitio
ning
Hig
h Re
silie
nt fo
am b
ase
with
Inva
care
Thi
nAir
blad
der p
ositi
onin
g ov
erla
y
Moi
stur
e-re
sista
nt,
zipp
ered
inne
r cov
er;
moi
stur
e-re
sista
nt &
br
eath
able
out
er c
over
, no
n-sli
p ba
se, h
ook
& lo
op fa
sten
ers,
liftin
g st
rap
Requ
ire c
omfo
rt &
po
sitio
ning
; hav
e po
stur
al
asym
met
ries
Invacare Corp./Motion Concepts
Mat
rx V
i/Ki
d*ab
*ra
E260
7/E2
608
12", 1
4"
peds
; 14"
, 16
", 18"
, 20
", 22"
st
anda
rd;
18-3
0"
heav
y dut
y
12",
14"
peds
; 15
-20"
st
anda
rd;
18-2
6"
heav
y du
ty
3"
pedi
atric
; 3.
75"
stan
dard
/he
avy
duty
150
lbs.
(ped
iatr
ic),
300
lbs.
(sta
ndar
d),
600
lbs.
(hea
vy d
uty)
n/a
Cust
om
mod
ifi ca
tions
, dr
op b
ase,
cu
shio
n rig
idiz
er,
pelv
ic o
bliq
uity
ki
t
1.5 lb
s. &
up (p
eds);
3
lbs.
& up
(st
anda
rd);
4 lb
s. &
up (h
eavy
du
ty)
3-pa
rt fo
am
cons
truc
tion:
soft
Hig
h Re
silie
nt fo
am
(top)
; ela
stic
isch
ial
relie
f foa
m (i
nser
t);
fi rm
hig
h-re
silie
nt
foam
(bot
tom
)
Moi
stur
e-re
sista
nt,
zipp
ered
inne
r cov
er;
moi
stur
e-re
sista
nt &
br
eath
able
out
er c
over
Are
at m
oder
ate
to h
igh
risk
of sk
in b
reak
dow
n
Ottobock Healthcare
Aer
ial
E262
415
" to
20"
16" t
o 18
"3.
5" fr
om
late
ral
edge
300
lbs.
n/a
Brea
thai
r den
sity
inse
rts
1.74
lbs.
Brea
thab
le
retic
ulat
ed fo
am &
Br
eath
air i
nser
t
Dar
lexx
fabr
ic,
easy
-to-
open
cor
ner-
to-c
orne
r zip
per w
ith
ergo
nom
ical
zip
per p
ull
Requ
ire a
ligh
twei
ght
cush
ion
that
pro
mot
es
heat
& m
oist
ure
diss
ipa-
tion
whi
le p
rovi
ding
skin
pr
otec
tion
& po
sitio
ning
Ottobock Healthcare
Aqu
osE2
607
15" t
o 20
"16
" to
18"
3.5"
from
la
tera
l ed
ge
300
lbs.
n/a
n/a
2.5
lbs.
Liqu
iCel
l pac
kets
&
light
wei
ght R
est
Susp
ensio
n Fo
am
Dar
tex
fabr
ic w
ith fo
ur
Liqu
icel
l pac
kets
sew
n in
to c
over
Requ
ire a
ligh
twei
ght
cush
ion
that
redu
ces
shea
ring
with
out
com
prom
ising
stab
ility
&
prov
ides
skin
pro
tect
ion
& po
sitio
ning
Cushion Comparo 2013
mobilitymgmt.com 17 mobilitymanagement | september 2013
HCPC
S Cod
e(s)
Wid
th(s)
Dept
h(s)
Heig
htW
eigh
tCa
pacit
ySt
anda
rd
Acce
ssor
ies
Avai
labl
e Opt
ions
Cush
ion
Wei
ght
Cush
ion
Cons
truc
tion
Cove
r Con
stru
ctio
nId
eal f
or u
sers
who
:Ottobock Healthcare
OBS
S O
rtho
-Sha
peE2
609/
E261
7Cu
stom
Cust
omCu
stom
No
limit
ABS m
olded
shell
, 2 P
lastaz
ote l
iners,
leg
-leng
th di
screp
ancy
ac
com
mod
ation
, 4
mou
nting
joint
s adju
st us
er or
ientat
ion, p
ly-wo
od m
ount
ing ba
se
Soft
spot
s for
are
as
of e
xtre
me
pres
-su
re ri
sk, d
oubl
e re
info
rced
ABS
sh
ell,
mou
ntin
g ha
rdw
are,
ext
ra
liner
s
Varie
s by
size
Prim
arily
foam
and
AB
STr
evira
CS
Surfa
ce F
abric
(p
olye
ster
)H
ave
the
mos
t com
plex
po
sitio
ning
& p
ress
ure
man
agem
ent n
eeds
, but
al
so re
quire
adj
usta
bilit
y as
a re
sult
of c
hang
ing
posit
ioni
ng n
eeds
or
phys
ical
gro
wth
Ottobock Healthcare
OBS
S Tr
u-Sh
ape
E260
9/E2
617
Cust
omCu
stom
Cust
omN
o lim
itHi
gh-d
ensit
y plyw
ood
or A
BS ba
cking
, ste
el-rei
nfor
ced l
ateral
su
ppor
ts, le
g-len
gth
discre
panc
y acc
om-
mod
ation
, und
ercut
dis
tal se
at ed
ge
Soft
spot
s for
extre
me
pres
sure
risk,
doub
le ste
el re
info
rced
later
al su
ppor
ts, re
mov
able
wash
able
cove
rs, vi
nyl
cove
rs, m
ount
ing
hard
ware
Varie
s by
size
Prim
arily
foam
D
arle
x, D
arte
x, N
eo-
pren
e, S
pace
r fab
ricH
ave
the
mos
t com
plex
po
sitio
ning
& p
ress
ure
man
agem
ent n
eeds
Ottobock Healthcare
Terr
aE2
607
15" t
o 20
"16
" to
18"
3.5"
from
la
tera
l ed
ge
300
lbs.
n/a
n/a
1.8
lbs.
Rest
Sus
pens
ion
Foam
Dar
tex
fabr
ic,
easy
-to-
open
cor
ner-
to-c
orne
r zip
per w
ith
ergo
nom
ical
zip
per p
ull
Requ
ire a
ligh
twei
ght
foam
cus
hion
with
skin
pr
otec
tion
& po
sitio
ning
Quantum Rehab
TRU
-Com
fort
2E2
603/
E260
416
", 18"
, 20
", 22"
14", 1
6",
18", 2
0",
22", 2
4"
4.5"
in
front
ta
pere
d to
3" i
n re
ar o
f cu
shio
n
350
lbs.
n/a
Cust
om si
zes &
m
odifi
catio
ns3
lbs.
Hig
h-de
nsity
mol
ded
foam
with
a 1
" vi
scoe
last
ic to
p la
yer
of fo
am
4-w
ay st
retc
h, re
cove
ry,
fl uid
-resis
tant
, bre
ath-
able
cov
er o
r new
air
mes
h co
ver o
ptio
n
Requ
ire sk
in p
rote
ctio
n
Ride Designs
Cust
omE2
609
14" t
o 20
"Cu
stom
pe
r or
der
form
Varie
s per
cl
ient
250
lbs.
Ride
CAM
stra
ps
for a
djus
ting
cont
ours
; cov
er
Addi
tiona
l cov
erAp
prox
i-m
atel
y 3
lbs.
Broc
k cl
osed
cel
l po
rous
com
posit
eCu
stom
per
cus
hion
sh
ape
usin
g br
eath
able
3D
spac
er fa
bric
Requ
ire p
rote
ctio
n fro
m
skin
bre
akdo
wn
&/or
pe
lvic
stab
ility
ROHO Inc.
Hyb
rid
Elit
eE2
622/
E262
3To
fi t c
hair
wid
ths
14-24
"; du
al co
mpa
rt-m
ent s
izes
appl
icabl
e
14-2
0"3"
500
lbs.
Cove
r, re
pair
kit,
inst
ruct
ions
&
pum
p
Hea
vy-d
uty
cove
rVa
ries
by si
ze;
appr
oxi-
mat
ely
3.5
lbs.
(17.
75x
18.5
")
ROH
O c
ushi
on
inse
rt: fl
am
e-re
sista
nt
Neo
pren
e ru
bber
. Cu
stom
ized
JAY
cont
oure
d fo
am
base
: fl a
me-
& fl
uid-
resis
tant
Stre
tch
poly
este
r/Sp
ande
x w
ith se
wn-
in
poly
uret
hane
foam
laye
r to
p, p
olye
ster
/nyl
on
sides
, pol
yest
er/r
ayon
kn
it w
ith n
on-s
lip P
VC
bott
om
Hav
e a
hist
ory
of sk
in/
soft
tissu
e br
eakd
own
&/or
any
stag
e of
pre
ssur
e ul
cer,
skin
gra
fts o
r fl a
p su
rger
y; h
ave
norm
al o
r im
paire
d se
nsat
ion;
hav
e pr
essu
re u
lcer
risk
Cushion Comparo 2013
18 mobilitymgmt.comseptember 2013 | mobilitymanagement
HCPC
S Cod
e(s)
Wid
th(s)
Dept
h(s)
Heig
htW
eigh
tCa
pacit
ySt
anda
rd
Acce
ssor
ies
Avai
labl
e Opt
ions
Cush
ion
Wei
ght
Cush
ion
Cons
truc
tion
Cove
r Con
stru
ctio
nId
eal f
or u
sers
who
:ROHO Inc.
Qua
dtro
Sel
ect
E262
4/E2
625
12-2
4"
12-2
4"Lo
w
profi
le
(2"),
mid
pr
ofi le
(3
"), h
igh
profi
le
(4")
No
wei
ght
limit
if pr
op-
erly
size
d to
in
divi
dual
Cove
r, re
pair
kit,
inst
ruct
ions
&
pum
p
Hea
vy-d
uty
cove
r, de
signe
r cov
er3.8
lbs.
(hig
h pr
ofi le
), 3
lbs.
(mid
pr
ofi le
), 2.5
lbs.
(low
pr
ofi le
)
Neo
pren
eSt
retc
h po
lyes
ter/
Span
dex
Dem
and
high
leve
l of
skin
pro
tect
ion,
hav
e as
ymm
etric
al p
ostu
res,
requ
ire p
rogr
essiv
e po
sitio
ning
& si
gnifi
cant
po
stur
al su
ppor
t, or
hav
e ev
olvi
ng d
iagn
oses
Star Cushion
Gal
axy
E262
414
", 16"
, 18
" 20"
14" 1
6",
18", 2
0"n/
an/
aCo
ver,
repa
ir ki
t, ha
nd p
ump,
ca
rryi
ng b
ox,
2-ye
ar w
arra
nty
Inco
ntin
ence
co
ver,
six d
iff er
ent
valv
e op
tions
Varie
sN
eopr
ene
n/a
Nee
d sk
in p
rote
ctio
n &
posit
ioni
ng
Sunrise Medical
JAY
Fusi
onE2
622/
E262
314
-24"
14-2
4"4"
300
lbs.
(14-
21" w
ide)
&
500
lbs.
(22-
24" w
ide)
X-st
atic
cov
er,
optio
nal f
oam
ba
se m
odifi
ca-
tions
(e.g
., not
ches
fo
r pos
ts o
r rai
ls),
fl uid
inse
rt m
odifi
-ca
tions
ROH
O D
ry F
loat
a-tio
n ai
r ins
ert,
X-st
atic
cov
er w
ith
brea
thab
le sp
acer
fa
bric
, Dar
tex
or
Reve
rse
Dar
tex
cove
r
3.4
lbs.
(16x
18"
& ai
r ins
ert);
5.
3 lb
s. (1
6x18
" &
fl uid
in
sert
)
Base
: pre
-con
tour
ed
clos
ed c
ell f
oam
with
hi
gh-re
silie
ncy
foam
la
yer &
pos
terio
r pe
lvic
wal
l. In
sert
: JAY
Fl
ow F
luid
or R
OH
O
Dry
Flo
atat
ion
Air
Inne
r cov
er: m
oist
ure-
resis
tant
Dar
tex-
coat
ed
Lycr
a w
ith A
quag
uard
zi
pper
& a
nti-w
icki
ng
thre
ad; X
-sta
tic a
nti-
mic
robi
al st
retc
h ou
ter
cove
r
Are
at h
igh
risk
of sk
in
brea
kdow
n, h
ave
aggr
es-
sive
posit
ioni
ng n
eeds
&
wan
t a c
omfo
rtab
le a
nti-
mic
robi
al c
ushi
on
Sunrise Medical
JAY
Uni
onE2
607/
E260
814
-24"
14-2
4"4.
5"30
0 lb
s. (1
4-21
" w
ide)
&
500
lbs.
(22-
24"
wid
e)
X-st
atic
cov
er,
late
ral p
elvi
c su
ppor
ts,
optio
nal f
oam
ba
se m
odifi
ca-
tions
(i.e
., not
ches
fo
r pos
ts o
r rai
ls)
X-st
atic
cov
er w
ith
brea
thab
le S
pace
r fa
bric
, inc
ontin
ence
co
ver,
Dar
tex
or R
e-ve
rse
Dar
tex
cove
r, co
lore
d co
ver s
ide-
band
s, em
broi
dery
5.25
lbs.
(16x
18")
Visc
o m
emor
y fo
am
over
a fl
uid
pad
& st
ruct
ural
foam
bas
e w
ith la
tera
l pel
vic
supp
orts
Inne
r cov
er: m
oist
ure-
resis
tant
Lyc
ra w
ith
Aqua
guar
d zi
pper
&
anti-
wic
king
thre
ad.
Out
er c
over
: X-s
tatic
, an
ti-m
icro
bial
stre
tch
cove
r
Are
at m
oder
ate
to h
igh
risk
of sk
in b
reak
dow
n,
have
mod
erat
e po
sitio
n-in
g ne
eds &
wan
t a c
om-
fort
able
ant
i-mic
robi
al
cush
ion
Supracor
Stim
ulite
Con
tour
ed X
SE2
607
14" t
o 22
"14
" to
20"
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mobilitymgmt.com 19 mobilitymanagement | september 2013
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Cushion Comparo 2013
20 mobilitymgmt.comseptember 2013 | mobilitymanagement
Aquila Corp.(866) 782-9658aquilacorp.com
Comfort Company(406) 522-8560comfortcompany.com
Drive Medical Design(877) 224-0946drivemedical.com/mason
Dynamic Systems Inc.(855) 786-6283sunmatecushions.com
Invacare Corp.(800) 333-6900invacare.com
Motion Concepts(888) 433-6818motionconcepts.com
Ottobock(800) 328-4058ottobockus.com
Quantum Rehab(866) 800-2002quantumrehab.com
Ride Designs(866) 781-1633ridedesigns.com
ROHO Inc.(800) 851-3449therohogroup.com
Star Cushion Products(618) 539-7070starcushion.com
Sunrise Medical(800) 333-4000sunrisemedical.com
Supracor(800) 787-7226supracor.com
VARILITE(800) 827-4548varilite.com
Source List
Cushion Comparo 2013
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mobilitymgmt.com 21 mobilitymanagement | september 2013
The complex rehab technology community has been familiar with — and has been
admiring — Rifton Equipment’s TRAM for a little while now. The multi-purpose device lifts, transfers, stands, supports gait training…even weighs consumers thanks to a built-in scale.
In Mobility Management’s July Best Picks issue, Kelly Mackenhausen, an RTS with Wheelchairs Plus in Grand Rapids, Mich., lauded the TRAM’s ability to meet the needs of a real-life consumer who “needed several devices, such as a transfer device, stander, gait trainer and scale.”
Mackenhausen explained, “His large stature and instability had halted gait training, required two to three staff for transfers, and weight monitoring was impossible. The TRAM has allowed him to resume gait training, transfer safely and be weighed, all while being safely supported in one device that can be operated with one staff instead of two or three. The scale also allows physical therapists to measure weight-bearing progress.”
Now the TRAM is garnering even more praise, thanks to a gold-medal win at the Medical Device Excellence Awards (MDEA) this summer.
Serving a Real NeedThe MDEA program, now 15 years old, says it recognizes “signifi cant advances in medical product design and engineering that improve the quality of healthcare delivery and accessibility.”
Rifton competed in the Rehabilitation & Assistive Technology Products category and took home the category’s top prize. Among its well-known competitors: A remote patient-monitoring system designed and supplied by Samsung Mobile, and a pediatric CPAP mask from ResMed.
Awards program offi cials noted that Rifton — headquartered in New York state’s Hudson Valley — was the smallest manufacturer to win this year.
Stephen B. Wilcox, Ph.D., one of this year’s judges, said of Rifton’s entry, “What impressed me about the TRAM is that it serves a real need. It’s a clever and thoughtful use of existing technology that really empowers both the patient and caregiver. I haven’t seen anything this innovative in adaptive equipment in a long time.”
A Long List of NeedsWhat may be equally innovative is how the TRAM was created.
As is typical with product creation in the complex rehab technology niche, Rifton Design Manager Kirk Wareham said the manufacturer very seriously considered opinions from around the industry.
“We get a constant fl ow of design input from clients, therapists and distributors, and from attending exhibits and giving in-services,” he explained. “This input is carefully logged and tracked and is what drives our design queue — what projects our design teams will be assigned to next.”
Wareham added that over the years, Rifton had accumulated large amounts of information on a list of needs, including assisted sit-to-stand
for clients; toileting; caregiver protection from injuries; and simplifying and speeding up the
transfer of larger or heavier clients. “Using all this input as our guide, we iden-
tifi ed a list of key features, boundaries, core functions, and benefi ts of the potential product and then ranked them in order of importance,” Wareham explained. “This exercise guaranteed that not only would
our product answer the many needs of clients and caregivers, but it would also
provide us with the best sales return on the time we invested in the project.”So far, that process might sound fairly familiar.
The creation process at Rifton, however, takes a very diff erent path once product design actually gets underway.
Forging Its Own PathRifton Equipment is one of the businesses run by the Bruderhof (“Place of Brothers”) community in Rifton, N.Y. Bruderhof members do not draw salaries or own private property. They live communally, with everyone contributing to the running of the community and to the well-being of neighbors and family.
That faith and way of life extends to their product development, including the creation of the TRAM.
“Designing medical products is a complicated endeavor,” Wareham said. “No single person has all the necessary skills to do this alone.”
Rather than have a project manager who dictated his or her decisions to subordinates, Wareham said the TRAM benefi tted from a diff erent methodology.
“Our design process is based on a multi-functional team approach,” he said. “Team members must develop a harmonious and cooperative working relationship. One member’s enthusiasm ignites that of his team-mates. Open-minded ideas, perhaps even through heated debate, gain depth and value as they bounce from one team member to the next. Information fl ows in all directions if team members are really listening.”
The process, Wareham added, does not require or even benefi t from complete uniformity in thinking.
“Someone’s favorite bubble pops under the honest scrutiny of his teammates,” he pointed out. “Challenging a teammate’s ideas is not chal-lenging their intellect or them as an individual. Challenging basic assump-tions can lead to breakthroughs and consensus. Strong emphasis on the concept phase, the whiteboarding and refi ning of ideas before they are set in stone, will not only produce a better product but will move us faster toward the fi nish line. Every important decision is made by consensus.”
The end result: a device that fulfi lls so many diff erent needs that it’s clearly in a diff erent category than traditional patient lifts.
“It is vital to provide customers with the best long-term value for their money,” Wareham said. “Versatility is a primary driver of that value. Providing versatile and durable products is our goal since it off ers the best result for us and our customers.” — Laurie Watanabe ●
A Road Less Traveled:Rift on’s TRAM Wins MDEA Gold Medal
new discoveries
22 mobilitymgmt.comseptember 2013 | mobilitymanagement
Bariatric Clients Want Independence, Too — And Technology Can Help
Bariatrics
Bariatric RollatorWith a 500-lb. weight capacity, this rollator combines easy operation with easy storage and transport, thanks to its ability to fold quickly. Ergonomic hand brakes, height adjustability and a fl ip-up padded seat make the rollator convenient to use, while a wide, deep steel-construction frame provides durability. Large 8" wheels give the rollator improved mobility over rougher terrain.
Invacare Corp.(800) 333-6900invacare.com
Ceiling Lift MotorsSureHands’ bariatric ceiling motors provide a patient lifting capacity of 660 lbs. They operate on two rechargeable batteries with mechanical emergency stop and down func-tions. Used with the Handi-sling, these heavy-duty motors can help to optimize accessibility within the home while promoting safer transfers for patients and their caregivers.
SureHands Lift & Care Systems (800) 724-5305surehands.com
Due to the sheer volume of mainstream-media information about obesity today, it’s easy for everyone involved — from
consumers to clinicians outside the seating & mobility realm — to miss the nuances in this niche. In reality, bariatric clients have a lot in common with other clients complex rehab technology professionals work with. Th ey may have multiple diagnoses, some
progressive. Th ey have diff erent body shapes, and clinical and functional needs that require a customized approach. And they want to be as active and independent as possible!
In this bariatric pictorial, we highlight products that can help bariatric patients achieve those goals, while also meeting seating, positioning and personal mobility needs. — Ed.
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More than one-third of U.S. adults (35.7%) are obese. Proper positioning can help improve areas such as lung func-
combating immobility and provides an opportunity for social interaction, which enhances quality of life.
Providing safe comfortable seating is an important aspect of bariatric care. Sitting in the correct sized chair ensures the pa-tient’s comfort and well-being. The optimum chair can be identi-
factors such as weight, body shape and weight distribution.
PaceSaver® offers several chairs and seating options to ac-commodate even the most challenging bariatric client. Custom Sizes, Tilt, Power Seat, Power Footrest, Heavy Duty ELR’s just to name a few.
Chairs up to 675 lbs. weight capacity and multiple options to choose from. Pacesaver® can help deliver a chair $100’s less
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24 mobilitymgmt.comseptember 2013 | mobilitymanagement
Quickie M6Modeled after the popular Quickie 2, the Quickie M6 features a high-strength modu-lar steel folding frame and interchangeable components to accommodate changing consumer conditions. To minimize frame fl ex, the M6 has a double locking crossbrace and stabilizer bar; the K0007 chair also features an adjustable axle plate, low seat heights, and numerous back height, caster, hanger and handrim options. Seat widths are off ered in 22-30" ranges, with seat depths of 18-22" and a weight capacity of 650 lbs.
Sunrise Medical (800) 333-4000sunrisemedical.com
M300 Corpus HDDesigned especially for consumers weighing up to 450 lbs., the M300 Corpus HD has a mid-wheel-drive confi guration for maneuverability, and extremely sturdy armrests and legrests to support users’ active lifestyles. The chair also features power tilt (0-45°) and power recline (90-150°), along with an extra-wide footplate and durable mesh upholstery to keep moisture away from the user’s body.
Permobil (800) 736-0925permobil.com
Sprinter XL4 DeluxeThis four-wheeled scooter off ers many luxuri-ous features, including a two-tone leatherette seat, a full lighting package, delta tiller and a full suspension to provide a smooth and steady ride. The swivel-and-slide seat helps to make transfers more convenient. The XL4 Deluxe has a 500-lb. weight capacity.
Shoprider (800) 743-0772shoprider.com
APK2This battery-operated, alternating pressure sore treatment cushion has no weight or size limitations. It includes a waterproof foam exterior and internal sets of alternating air bladders to provide therapy similar to that of an alternating-pressure mattress, but with the bonus of enabling the client to be mobile in a wheelchair. The APK2 off -loads full time under an existing pressure ulcer to facilitate healing.
Aquila Corp. (866) 782-9658aquilacorp.com
Tri-Flex IIWith a 1,000-lb. weight capacity, the Tri-Flex II hospital bed off ers expandable widths (37", 48", 54") and a fold-and-roll design for easy delivery and storage. It also features electric high-low functions, achieves Trendelenburg and reverse Trendelenburg positions, and provides CPR release and battery backup. The alternating-pressure, low-air-loss mattress can help consumers with skin-breakdown issues.
Burke Inc. (800) 255-4147burkebariatric.com
BOSS 4.5Its patented 3/4 midi drive enables the BOSS 4.5 bariatric power wheelchair to achieve a 24.4" turning radius, while the 25.4" width helps consumers navigate easily through stan-dard doorways. The BOSS 4.5 also includes a 150-amp modular controller, inline gear drives and high-torque 1 3/4-hp, 4-pole motors. PaceSaver says the 450-lb.-weight-capacity chair can climb a 140-yard, 9° hill 42 times before needing to recharge.
PaceSaver/Leisure-Lift (800) 255-0285pacesaver.com
Bariatrics
All-Day Solutions
mobilitymgmt.com 25 mobilitymanagement | september 2013
www.Qstraint.com/DiOR
Experience the power of combining the advanced QLK-150 docking station with DiOR – the Drive-in Occupant Restraint system.
Adding the DiOR to a QLK system delivers a new level of safety, security, independence and convenience. DiOR’s pivoting arms move forward as you enter with your power chair, providing you with the right lap belt angles every time.
DiOR is the first and only crash tested occupant belt for docking systems.
www.Qstraint.com/QLK-150
Evolution/Evolution PSVThese E2623-coded cushions can support weights up to 750 lbs. with their adjustable air and foam fl otation technology that distributes pressure. Three stiff nesses of foam create distinct areas for ITs, positioning and stability. Closed-cell foam contoured bases are available as options to increase pelvic and lateral stability. Available in standard or with Pressure Setting Valve in 22x18", 22x20", 24x18" and 24x20" bariatric sizes.
VARILITE (800) 827-4548varilite.com
Revolution Lift Aqua Creek’s most versatile lift is designed for in-ground or above-ground pools and spas, and is made to be operated by the pool user. It features an easy-to-use, four-button remote and dual fl ip-up armrests. The ADA-compliant lift uses a 24v rechargeable battery, has a 500-lb. weight capacity, and features multiple attachments to accommodate a range of situations.
Aqua Creek Products (888) 687-3552aquacreek.com
26 mobilitymgmt.comseptember 2013 | mobilitymanagement
Bariatrics
With one-third of the American population today experiencing clinical obesity, DME
providers and manufacturers have innovated new approaches for providing equipment to the bariatric population. This can prove a challenging but vital task given the equipment and funding constraints that accompany the specialized needs of these clients.
When talking with providers across the country about assessing and fi tting bariatric clients for heavy-duty power chairs, we have long heard of many diff erent obstacles. Common themes: There isn’t a bariatric model that will accommodate the client’s specifi c complex rehab seating and positioning needs; the bariatric power chair is too wide to go through doorways in the client’s home; the client doesn’t medically qualify for what’s needed per Medicare guidelines; plus many more logistical and funding chal-
lenges. In these cases of the past, the client hasn’t received the equipment that he or she needs to increase independence and overall quality of life.
However, today’s is a diff erent landscape, and as providers, clinicians and manufacturers, we’ve come together to resolve many of these issues to ensure that those with clinical bariatric mobility needs are properly addressed, starting with the design and manufacture of quality, durable, streamlined bariatric products suitable for today’s clients.
Making Up for Lost TimeIn complex rehab, bariatric power bases and seating have had a greater emphasis in recent years. As complex rehab technology has evolved, it’s rightfully moved toward clinical bariatric applications, where aspects like pressure management and supportive seating surfaces are of exceptional importance.
However, manufacturers haven’t merely migrated standard weight capacity products upward, but have designed bariatric products from the ground up to meet the population’s specifi c clinical needs. For example, in creating a bariatric heavy-duty tilt, not only is a larger power actuator used, but every aspect from calf supports to backrest designs to address residual tissue are used. In this way, bariatric mobility products aren’t mere adaptations, but market-specifi c, highly engineered designs to meet clinical needs.
Bariatric Mobility EmergesManufacturers have focused on all aspects of design, from function to form. Indeed, it once was that bariatric mobility products were very utilitarian, built robustly, but with little function or form. Yet bariatric products are now among the most cutting-edge designs, liberating clients to the fullest extent.
Today’s clinically based bariatric power chairs, for example, start out with specially designed components. Ultra high-torque motors, high-weight capacity suspension, rein-forced frames, larger batteries and even heavy-duty tires are all standard design criteria in the 450 lbs.-and-above weight-capacity classes, optimizing performance.
Fitting InAlthough robustness is essential, attention to minimizing power base size proves essential for environmental access. Whereas a bariatric power base width wasn’t uncommon years ago in the 29" range, it’s very typical today to fi nd coded heavy-duty bases in the 26" width range. As a result, environmental access, from doorways to van ramps, is dramatically improved for clients requiring the 450 lbs.-and-above power chair class.
Looking GoodAesthetics have been an increasingly important aspect of the bariatric mobility market. Power chair aesthetics evolved over the past decade, and this has likewise crossed into the bariatric market. If there’s a signature look to today’s bariatric power bases, it’s tough but refi ned. Highly stylized power bases, with curved lines and appealing accents, portray an elegance that clients crave. For many relying on bariatric power bases, they want their power chair to complement them, not call attention to them, and from classy colors to glimmering grilles, bariatric power chairs are now among the most attractive in the market.
Accessorizing Is KeyBeyond power base features and aesthetics, positioning components and acces-sories are key to bariatric products. While strength and durability are givens, so is component proportion. Endomorph and mesomorph back canes adapt to body-type diversity; heavy-duty armrests provide appropriate weight-bearing support; and appropriately sized lower-extremity support (legrests, footplates, calf supports) create enhanced positioning. Such components, engineered specifically for bariatric applications, don’t just offer appropriate positioning in the immediate, but offer increased product longevity at the higher weight capacities.
Heavy-Duty Complex RehabTissue protection and pressure management are critical in the bariatric market, among the highest-risk populations. Heavy-duty power positioning — including tilt, recline and artic-ulating footplates — are rightfully now a mainstay in the bariatric complex rehab market. From pressure management to addressing circulatory needs, power positioning should be a consideration in clinical evaluations. Additionally, bariatric pressure-management cushions aren’t merely bigger, but off er specifi c forms and structure to best serve clients in the higher weight-capacity classes.
Ridding Outdated StigmasWith so much clinically based bariatric mobility technology available today, it’s essential to look at the bariatric population as just that: clinically based.
Those with clinical obesity requiring mobility products often have justifi able complex rehab needs — again, from appropriate power bases to power positioning to pressure-management cushions. During the evaluation and fi tting process, all underlying causes and related risk factors must be accounted for, fully recognizing the client’s needs. Within that professional approach, a client whose needs may not have been fully addressed in the past can get the most thorough evaluation today.
In meeting the needs of the market, bariatric clients have remarkably liberating, clinically based mobility technology available today. What’s more, the level of care has never been better. When combined, bariatric clients are fi t to the most appropriate technology by the most skilled providers. The result is an optimal level of health and quality of life for the client — an ideal outcome that we all seek. ●
John Storie is director of Quantum fi eld sales for Quantum Rehab. He can be reached via e-mail at [email protected].
Today’s Bariatric Market: Tough But Refi ned By John Storie, Quantum Rehabclinically speaking
Manufacturers haven’t merely migrated standard weight capacity products upward, but have designed bariatric products from the ground up to meet the population’s specifi c clinical needs
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28 mobilitymgmt.comseptember 2013 | mobilitymanagement
Laminar CushionsA bonded combination of the Pudgee and SunMate cushions, the Laminar is designed to meet the most diffi cult support require-ments experienced by active wheelchair users. Laminar cushions are available in four standard sizes (widths and depths from 16" to 20") in 2" to 3.5" thicknesses.
Dynamic Systems (855) SUNMATEsunmatecushions.com
Bariatrics
JAY 3 Back Heavy DutyThis bariatric back (500-lb. weight capacity) is built to be strong, with four-point, quick-release mounting hardware that also makes the back easy to remove from the wheelchair. But the back’s design also enables it to fi t the varied needs of wheelchair users: It features a mild contour in 22-26” widths and four height options, and is compatible with a number of positioning options, including Whitmyer head supports, lateral thoracic supports and anterior trunk supports. A complimentary vanity fl ap accommodates redundant lower-hip tissue.
Sunrise Medical (800) 333-4000sunrisemedical.com
KM-8520Thanks to T6 aircraft aluminum, Karman Healthcare’s bariatric manual chairs have a starting weight of just 35 lbs., but the KM-8520 can accommodate up to 350 lbs. with 20" seat-ing. Adaptive lightweight bariatric chairs have weight capacities up to 550 lbs.
Karman Healthcare (800) 80-KARMAkarmanhealthcare.com
All-Day Solutions
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Company Name Page # Company Name Page #
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Out-Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Sunrise Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
TiLite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Topolino Technology . . . . . . . . . . . . . . . . . . . . . 30
AAHomecare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Abilities Expo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Comfort Company . . . . . . . . . . . . . . . . . . . . . . . . 15
Dynamic Systems Inc. . . . . . . . . . . . . . . . . . . . . . 29
Harmar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Invacare Corp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Numotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Open Sesame . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Ottobock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 & 9
Out-Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
PaceSaver/Leisure-Lift . . . . . . . . . . . . . . . . . . . . 23
Permobil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Q’Straint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ROHO Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
SKYLINK Group . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Sunrise Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
TiLite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
VARILITE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
advertisers’ index Company Name Page # Company Name Page #
mobilitymgmt.com 29 mobilitymanagement | september 2013
www.sunmatecushions.comFREE SAMPLES
PEOPLE TESTED. PEOPLE APPROVED. This is what comfort looks like.
Transfer BoardsThese premium transfer boards have a nine-ply birch wood base with three additional plies laminated on top, and feature two hand holes and tapered ends for convenience. The boards measure 32x10", with 5/8" thickness in the center and 7/16" thicknesses on the ends. The smooth, uninterrupted surface from end to end helps to facilitate transfers. The boards are stress tested to hold up to 650 lbs.
Therafi n Corp. (800) 843-7234therafi n.com/heavydutyboard.htm
Fusion 500 ScooterThis scooter has a 500-lb. weight capacity, but still manages to stay nimble, with a 33.75" turning radius and an 8° RESNA incline stabil-ity/safety rating. The Fusion 500 adds 3" in length for more comfortable leg and seating room, and features a 110-amp controller and 4-pole, heavy-duty motor/transaxle for all-day range.
PaceSaver/Leisure-Lift (800) 255-0285pacesaver.com
Stimulite Seat CushionWith two soft layers of fl exible Stimulite hon-eycomb fused to the back of a robust bottom layer, Supracor’s bariatric seat cushion provides maximum pressure relief, ventilation and reduced shearing in a product weighing just 7 to 8 lbs. The cushions are available in widths from 20" to 30", and in depths from 16" to 26"; weight capacity is 650 lbs. They’re naturally antibacterial, antifungal, and allergen free.
Supracor(800) 787-7226supracor.com
30 mobilitymgmt.comseptember 2013 | mobilitymanagement
IconWith 15 fully adjustable elements, the Icon’s modular design enables ATPs to change components or component size to achieve the right fi t and suspension. Icon chairs have a weight capacity of 265 lbs., with seat widths of 12-18" and seat depths of 15-18". The Icon chair has a transport weight of 13 lbs.
Icon Wheelchairs(888) 461-5759iconwheelchairs.com
Ergonomic HandrimsOut-Front’s Natural-Fit, Surge and Q-Grip handrims off er a suite of high-performance choices that vary in ergonomics, coating surfaces and functionality. An online Handrim Feature Finder enables ATPs to check out the selection and choose the handrim that works best for their clients’ activities and environments.
Out-Front(480) 833-1829out-front.com
MyOnThe MyOn began with the strength and durability of Invacare’s most successful Euro-pean wheelchair. But it also has consumer- and provider-friendly improvements to serve the American market. The MyOn features cantilever fl ip-back arms, transfer-friendly wheel locks and fold-down back canes.
Invacare Corp.(800) 333-6900invacare.com
Quickie Q7Thanks to a combination of 7000-series aerospace aluminum and ShapeLoc heat-treating technology, the Q7 boasts a frame that’s both light and strong. Ovalized tubing design reduces fl ex and enhances rigidity. Custom frame lengths and caster wheel placement options maximize maneuverability and stability for every client.
Sunrise Medical(800) 333-4000sunrisemedical.com
Ergo FlightMade of T6 aluminum, this K0004-coded chair features the S-Shape seating system and has a frame that weighs 14.5 lbs. It features fi xed armrests with concave armpads and a built-in Silver Aegis antibacterial cushion.
Karman Healthcare(800) 80-KARMAkarmanhealthcare.com
Aero TDubbed “Pure Geometry,” the Aero T has Dual-Tube technol-ogy at the heart of its design. The fl owing lines were created to stiff en the chair and to transfer more of each consumer’s push stroke directly to the ground. Reducing wasted energy means your clients need fewer strokes to get through their busy days.
TiLite(800) 545-2266tilite.com
Morph WheelsDesigned for chairs that accom-modate wheels with quick-release axles, the Morph wheel folds to nearly half its size for travel in air-plane or car. Morph wheels weigh 7.5 lbs. each, and feature solid tires and polypropylene handrims. The wheel measures 24" unfolded.
Morph Wheels by Maddak(973) 628-7600morphwheels.com
WX2.5 WheelsContinuous carbon fi ber spokes span the full diameter of these wheels to reduce stresses encountered by active chair users. Available in 24" and 25" diameters, the wheels weigh 2.5 lbs. (24" size) and provide great lateral stiff ness. Compatible with 4- or 6-tab handrims, the wheels fi t standard .5"-diameter axles.
Topolino Technology(203) 778-4711topolinotech.com
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The C500 Corpus® 3G is designed for the collage of life… busy streets, meetings, lunches, entertainment and nightlife. With its independent suspension, the powerful C500 provides a smooth ride over a variety of terrains from sidewalks to grassy parks, while the Corpus 3G seating system offers the ultimate in comfort for your exciting lifestyle.
Permobil.com