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1 Medical Support Systems Ltd Nantgarw Business Park Cardiff, CF15 7QU United Kingdom T +44 (0) F +44 (0) E info@medsys.co.uk W MSS Distributed by: is a registered Trade Mark of Medical Support Systems Limited. Medical Support Systems reserve the right to change products without prior notification. designed by black sheep MATTRESS OVERLAYS, CUSHIONS AND ACCESSORIES

2 MATTRESS OVERLAYS, CUSHIONS AND ACCESSORIES The MSS range offers a high quality range of products designed and developed to deliver exceptional support and comfort for those patients considered vulnerable or at risk of developing pressure ulcers. SECTION A: MATTRESS OVERLAYS SECTION B: CUSHIONS SECTION C: A&E TROLLEY MATTRESSES AND ACCESSORIES SECTION D: LEG TROUGH SECTION E: TECHNICAL SPECIFICATIONS AND WARRANTIES Note: The term Pressure Relieving is used by the National Institute of Clinical Excellence (NICE) guidelines Consequently, there are guidelines and articles available which describe cushions which reduce pressure as Pressure Relieving. Within this brochure, MSS refers to products within the range as Pressure Reducing to assist with the product selection and educational needs of the user.

3 PRESSURE-REDUCING MATTRESS OVERLAYS MSS s - the original and still the best mattress overlays you can provide for your patients MSS Overlays are designed for use in conjunction with conventional mattresses. Overlays have established a successful reputation among health care professionals, and are particularly recommended for use in the community sector as a central element within a pressure ulcer prevention programme.

4 Premier Mattress Overlay RISK WATERLOW SCORE 20 DEPTH High Risk / Elevated Risk* 3 years All parts replaceable 17 stone / 108 kg 8.5 cm COVERS Dura Cover SIZE 73.8" x 34.5" x 3.3/8" x 87.6 x 8.5 cm PRODUCT CODE M220/D050 Foam core features hinges Folds down to a quarter of its length The clinically effective, easy to carry overlay Created specifically for community usage, the MSS Premier Mattress Overlay has been designed for use in conjunction with conventional mattresses to deliver exceptional comfort and pressure reduction. The MSS Premier Mattress Overlay provides an excellent pressure reducing surface, which can significantly contribute to the prevention of pressure ulcers. Foam core has independent, geometrically-cut surface cells Larger, more supportive cells at the centre; smaller cells at the ends of the foam core. Network of keyhole channels at the base of each cell Constructed from superior quality foam Cover is two-way stretch, water resistant and vapour-permeable Covers have an anti-slip base Cover zip along three sides The Premier Overlay folds down to a quarter of its length. Carrying and retaining strap Significantly reduces shear and friction whilst increasing the support surface area. Achieves even weight distribution by conforming to the shape and form of the body, and cradles bony prominences. Allows essential air circulation within the Overlay, minimising the build-up of heat and moisture, and helping to reduce shear and friction. Offers exceptional pressure reducing qualities whilst enhancing product longevity. Facilitates patient movement reduces potential for shear and friction and ensures good air circulation, reducing the potential for skin maceration. Ensures safe use of the Overlay, and helps prevent slippage. Facilitates easy inspection of the foam core. Facilitates easy storage and delivery. Ease of handling and transportation. *Essential nursing care is pivotal in pressure ulcer prevention. This overlay will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

5 RISK High Risk / Elevated Risk* WATERLOW SCORE 20 3 years All parts replaceable 17 stone / 108 kg MSS Mattress Overlay DEPTH 8.5 cm COVERS Dura Cover SIZES Single: 3.8" x 34.5" x 3.3/8"/ x 87.6 x 8.5 cm Double: 73.8" x 54" x 3.3/8"/ x x 8.5 cm King Size: 78" x 60" x 3.3/8"/ x x 8.5 cm PRODUCT CODE Single: M210/D010 Double: M210DB/D010/DB King Size: M210/D010/5 Double and King Size also available Independent, geometrically cut surface cells The original and still the best mattress overlays you can provide for your patients Widely used by health carers in hospitals, nursing homes and in the community, the Overlay has proved itself to be an essential element of a successful pressure care programme. Foam core has independent, geometrically-cut surface cells Larger, more supportive cells at the centre; smaller cells at the ends of the foam core. Significantly reduces shear and friction whilst increasing the support surface area, thereby reducing peak pressure. Allows even weight distribution by conforming to the shape and form of the body, and cradles bony prominences. Network of keyhole channels at the base of each cell Affords essential air circulation within the Overlay, minimising the build-up of heat and moisture, and helping to reduce shear and friction. Constructed from superior quality foam Offers exceptional pressure reducing qualities whilst enhancing product longevity. Cover is two-way stretch, water resistant and vapour-permeable Facilitates patient movement reduces potential for shear and friction and ensures good air circulation, reducing the potential for skin maceration. Covers have an anti-slip base Ensures safe use of the Overlay, and helps prevent slippage. Cover zip along three sides Facilitates easy inspection of the foam core. Available in Single, Double and King Size (special sizes available on request) Ensures is particularly appropriate for home use. *Essential nursing care is pivotal in pressure ulcer prevention. This overlay will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

6 Visco Overlay This Overlay features a visco elastic foam core, which is high-density and temperature-sensitive to the body, allowing it to conform to the user s shape. This provides a support surface with exceptional levels of comfort. RISK WATERLOW SCORE 20 DEPTH High Risk / Elevated Risk* 1 year All parts replaceable 17 stone / 108 kg 8.5 cm COVERS Dura Cover SIZES Single: 73.8" x 34.5" x 3.3/8"/ x 87.6 x 8.5 cm Double: 73.8" x 54" x 3.3/8"/ x x 8.5 cm PRODUCT CODE Single: M250/S010/VIS Double: M250/S010/DB/VIS Visco elastic foam insert Insert has top layer of Visco elastic foam Higher density supportive foam base Constructed from superior quality foam Covers have an anti-slip base Cover is two-way stretch, water resistant and vapour-permeable Available in Single and Double bed sizes Two-way stretch, water resistant and vapour-permeable cover This high-density and temperature-sensitive foam warms to conform to the user s shape, and maximises the body contact area. This affords exceptional comfort and facilitates pressure reduction by minimising peak pressures. Provides improved support and significantly reduces the possibility of bottoming out. Offers exceptional pressure reducing qualities whilst enhancing product longevity. Ensures safe use of the Overlay, and helps prevent slippage. Facilitates patient movement - reduces potential for shear and friction and ensures good air circulation, reducing the potential for skin maceration. Ensures Visco Overlays are appropriate for home use. *Essential nursing care is pivotal in pressure ulcer prevention. This visco overlay will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

7 Renal Overlay RISK WATERLOW SCORE DEPTH At Risk / Increased Vulnerability* 1 year All parts replaceable 17 stone / 108 kg 8.5 cm COVERS Dura Cover SIZE 84" x 22.5" x 3 3/8" 213 cm x 57 x 8.5 cm PRODUCT CODE M410/D410 The Renal Overlay has been developed in conjunction with clinicians to provide additional comfort for renal patients undergoing dialysis treatment, and is suitable for use in a wide range of dialysis chairs. Overlay features a foam core with independent, geometrically-cut surface cells Four securing straps, two of which are adjustable Overlay is hinged at the foot end to allow adjustments to the chair footplate Larger, more supportive cells at the centre; smaller cells at the ends of the foam core. Network of keyhole channels at the base of each cell Constructed from superior quality foam Cover is two-way stretch, water resistant and vapour-permeable Offers significant pressure reduction to patients using dialysis. Allows Overlay to profile when used in conjunction with an adjustable chair. Enables adjustment to suit heights of individual patients. Achieves even weight distribution by conforming to the shape and form of the body, cradling bony prominences. Allows essential air circulation within the Overlay, minimising the build-up of heat and moisture, whilst helping to reduce shear and friction. Offers exceptional pressure reducing qualities whilst enhancing product longevity. Facilitates patient movement reduces potential for shear and friction and ensures good air circulation, reducing the potential for skin maceration. *Essential nursing care is pivotal in pressure ulcer prevention. This renal overlay will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

8 MSS Cushions PROPAD CUSHION RANGE The MSS Cushion Range has been designed as an introductory range of pressure reducing cushions for use with both wheelchairs or standard armchairs. They are constructed to ensure improved support and prolonged longevity. RISK WATERLOW SCORE Up to 15 DIMENSIONS PRODUCT CODES At Risk / Increased Vulnerability* 1 year All parts 17 stone / 108 kg Standard Size: 18 x 16 x 4 / 45.7 cm x 40.6cm x 10.2 cm (Additional sizes are available on request) M350/M750 Size (Premier Blue PU cover) M350/M850 Size (Premier Black Towelling cover) MSS PROPAD PREMIER FOR AT RISK / INCREASED VULNERABILITY* There are two cushions which are designed to meet the needs for those At Risk / Increased Vulnerability of developing pressure ulcers. These are the Premier and Original, both 4 /10.2 cm cushions offering protection for heavier users. In addition, a low profile version is available. The Low Profile cushion is 2.5 /6.5 cm in height, with reduced weight bearing properties, but offering the benefit to users of a lower seating position in a chair or wheelchair. A two-way stretch vapour permeable, and water resistant cover (both PU and black towelling versions) Anti-slip base Deep contoured cushion Premier is a dual layer cushion Full length flap conceals the zip Cover options Helps to prevent a build up of shear and friction forces against the user. Reduces the risk of the cushion moving and de-stabilising the user. Enhances pressure area care. The additional layer of profiled foam offers increased stability and support. Reduces possible fluid ingress through the zip. Blue PU covers and black towelling covers are available for all cushions. *Essential nursing care is pivotal in pressure ulcer prevention. These cushions will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

9 RISK At Risk / Increased Vulnerability* RISK Comfort / Low Risk* WATERLOW SCORE Up to 15 WATERLOW SCALE Up to 10 1 year 1 year All parts All parts 17 stone / 108 kg 12 stone / 76 kg DIMENSIONS Standard Size: 18 x 16 x 4 / 45.7cm x 40.6cm x 10.2cm (Additional sizes are available on request) DIMENSIONS Standard Size: 18" x 16" x 2.5" / 45.7cm x 40.6 cm x 6.5 cm (Additional sizes are available on request) PRODUCT CODES M310/M720/ Size (Original Blue PU cover) M310/M850/ Size (Original Black Towelling cover) PRODUCT CODES M325/M720/LP/ Size (Low Profile Blue PU cover) M325/M850/LP/ Size (Low Profile Black Towelling cover) MSS PROPAD ORIGINAL FOR AT RISK / INCREASED VULNERABILITY* MSS PROPAD LOW PROFILE CUSHION FOR COMFORT / LOW RISK* A two-way stretch vapour permeable, and water resistant cover (both PU and black Helps to prevent a build up of shear and friction forces against the user. Low Profile cushion Some users prefer a low profile cushion, finding it more compatible with their daily living activities (subject to suitability). towelling versions) A two-way stretch vapour permeable, and Helps to prevent a build up of shear and friction forces against Anti-slip base Reduces the risk of the cushion moving and de-stabilising the user. water resistant cover (both PU and towelling versions) the user. Deep contoured cushion Cover options Enhances pressure area care. Blue PU covers and black towelling covers are available for all cushions. *Essential nursing care is pivotal in pressure ulcer prevention. These cushions will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value. Anti-slip base Cover options Reduces the risk of the cushion moving in situ and de-stabilising the user. Blue PU covers and black towelling covers are available for all cushions. * Essential nursing care is pivotal in pressure ulcer prevention. These cushions will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

10 RISK WATERLOW SCORE Up to 15 DIMENSIONS PRODUCT CODE At Risk / Increased Vulnerability* 1 year on all parts All parts 17 stone / 108kg Standard Sizes: 16 x 16 x 4 / 40.6 x 40.6 x 10.2cm 17 x 17 x 4 / 43.2 x 43.2 x 10.2cm 18 x 16 x 4 / 45.7 x 40.6 x 10.2cm (Additional sizes available on request) LMC/ Size (Blue PU cover) LMCB/ Size (Black Smooth cover) LMCT/Size (Black towelling cover) MSS PROPAD VISCO CUSHION The Visco cushion is a dual layered cushion, using a combination of high density, temperature-sensitive, visco-elastic foam in conjunction with a highly resilient foam base to provide added support and longevity. All cushions have a two-way stretch vapour permeable, water-resistant cover. To meet the needs and preferences of users, there are a choice of covers available; Blue PU, Black Smooth and Black Towelling. MSS A&E Trolley Mattresses and Accessories High density visco elastic foam top: weight and temperature-sensitive Single piece foam base Two-way stretch, water resistant, vapour permeable cover All covers have an anti-slip base Conforms to the user s shape, affording exceptional comfort. Provides improved support and prolonged longevity. Helps to prevent a build up of shear and friction forces against the user. Ensures safe use of the cushion and prevents slippage. *Essential nursing care is pivotal in pressure ulcer prevention. These cushions will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment

11 RISK WATERLOW SCORE 15* At Risk / Increased Vulnerability* 1 Year Pressure Reducing Trolley Mattresses DIMENSIONS AND PRODUCT CODES All Parts TM20 & TM40: 17 Stone/108 kg TM60: 22 Stone /140 kg TM20: 183 cm x 56 cm x 5 cm TM40: 183 cm x 56 cm x 10.2 cm TM60: 190 cm x 56 cm x 12 cm Securing straps at head and foot ends A&E pillow available as an option The MSS Trolley mattresses have been designed specifically to meet the demands of the modern A&E Department whilst providing exceptional comfort for the patient. TM20/TM40/TM60 are supplied with strap attachments as standard. The TM60VEL and TM60VIS/VEL are supplied with velcro attachments as standard. Anti-static 2 way stretch vapour permeable cover Provides excellent recovery and durability whilst reducing shear and friction. Foam core has independent geometrically cut surface cells Significantly reduces shear and friction. TM60 has a profiled top surface interlocked into a higher density supportive foam base core Reduces the possibility of bottoming out when a patient is in the seated position. High frequency welded flap-concealing zip (Available on TM60 models) Reduces risk of fluid ingress, meeting infection control recommendations. Inspection zip at either end of Mattress Allows easy inspection at audit. Securing straps with buckles at head and foot ends (option of velcro fastening attachments available on request) Prevents mattresses from slipping whilst on the trolley. Covers are translucent Facilitates use in X-ray theatres. Visco-elastic temperature sensitive version also available (TM60VIS and TM60VIS/VEL) Visco responds to variations in body heat, ensuring an enhanced redistribution of pressure over the total body surface. A&E pillow available as an option A&E pillow facilitates additional patient comfort and support. NO NEED TO TURN OVER *Essential nursing care is pivotal in pressure ulcer prevention. These Trolley Mattresses will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value. TM20 TM40 TM60/TM60VEL/TM60VIS

12 1 Year MSS 1 Year A & E Pillow DIMENSIONS COVER FOAM INSERT PRODUCT CODE 21.5" x 13.5" / 55 x 35cm Two-way stretch vapour-permeable PU Shaped Visco Elastic Foam P60/VIS A&E Odstock Wedge DIMENSIONS COVER FOAM INSERT PRODUCT CODE 34 x 22.5 x 4.5 / 86.5 x 57 x 11.5 cm Two-way stretch vapour-permeable PU Ribbed High Density Foam OSW100/BALT The A&E Odstock Wedge reduces pressure under the heels without increasing pressure on the thighs and calves. It improves and maintains posture in the semi-recumbent position; the support under the thigh reduces the tendency for patients to slip down the trolley mattress, thus reducing shearing forces on the sacrum. In addition, pressure on the heels can be significantly reduced. Two-way stretch vapour-permeable and anti-static PU water resistant cover Provides excellent recovery and durability. Anti-static 2 way stretch vapour-permeable cover Provides excellent recovery and durability whilst reducing shear and friction. Single piece of shaped visco elastic foam core Anti-slip base Cover includes a zip, and is removable Optional straps available for securing pillow to the TM60 Trolley mattress Affords exceptional comfort for patients. Ensures safe use of the pillow and prevents slipping. Facilitates laundering of the cover. Straps facilitate positioning of the pillow in a range of positions to accommodate the requirements of individual patients. High frequency welded seams protects products from contamination Cover is translucent Vapour permeable stretch cover with PU base A&E Odstock Wedge weighs 1.5kg Ensures increased product integrity. Facilitates use in X-ray theatres. High quality materials promote product longevity. Comparatively lightweight - ensures safe handling; easily transferred. Two headrest height options Provides comfort for wide range of users. Designed to provide improved support to lower limbs Reduces requirement for patient handling.

13 Leg Trough RISK COVER SIZES PRODUCT CODES Low Risk / Comfort* 1 Year All parts replaceable Two-way stretch vapour-permeable PU Small : 20 / 51 cm long Medium : 24 / 61 cm long Large : 26 / 66 cm long Small : MLT/S Medium : MLT/M Large : MLT/L Supports full length of the leg Elevates the heels and allows them to be suspended over the edge of the trough High frequency welded flap-concealing zip Two straps with adjustable side-squeeze clip buckles Inspection zip at end of trough Cover is two-way stretch, water resistant and vapour-permeable Cover can be unzipped, and removed from Provides maximum support for the whole leg ensuring optimum support and recovery. Provides maximum pressure relief for the vulnerable heel area. Reduces risk of fluid ingress, meeting infection control recommendations. Facilitates positioning of the leg. Allows easy inspection at audit. Facilitates patient movement reduces potential for shear and friction and ensures good air circulation, reducing the potential for skin maceration. Contaminated covers can be laundered for ease of cleaning and to aid *Essential nursing care is pivotal in pressure ulcer prevention. This Leg Trough will positively contribute to the outcome of a pressure ulcer prevention care plan. Education, clinical judgement and action planning based on vulnerability are fundamental factors in the prevention of pressure ulcers. The Waterlow score is a formal method of assessing risk from pressure ulcer development, and should be used in conjunction with an informal assessment (informed nursing judgement). Informal assessment is considered to be of greater importance and clinical value.

14 PRODUCT FIRE GRADE REF NOMINAL NOMINAL FATIGUE WEIGHT OF TESTING & COLOUR DENSITY HARDNESS CLASS PRODUCT (Kg) RANGE (Kg/m) RANGE (N) PREMIER OVERLAY 36 Months* BS7177: Crib 5 Gr. RX36/125 Beige Very Severe 5.5 ORIGINAL OVERLAY 36 Months* BS7177: Crib 5 Gr. RX36/125 Beige Very Severe 5.5 VISCO OVERLAY 12 Months BS5852: Crib 5 Gr. VC5580 White N/A 7.1 Gr. RX36/125 Beige Very Severe RENAL OVERLAY 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 5.5 PREMIER CUSHION 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 1 BS7175: Crib 5 Gr. RX39/200 Blue Very Severe ORIGINAL CUSHION 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 1 BS7175: Crib 5 LOW PROFILE CUSHION 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 0.8 BS7175: Crib 5 VISCO CUSHION 12 Months BS5852: Crib 5 VC N/A 1.4 BS7175: Crib 5 RX39/200 Blue Very Severe TROLLEY MATTRESSES TM20 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 5.5 BS7175: Crib 5 TM40 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 7 BS7175: Crib 5 TM60 12 Months BS5852: Crib 5 Gr. RX39/200 Blue Very Severe 7 BS7175: Crib 5 Gr. RX36/125 Beige Very Severe 7 TM60/VIS 12 Months BS5852: Crib 5 Gr. RX39/200 Blue Very Severe 9 BS7175: Crib 5 VC N/A A&E PILLOW 12 Months BS5852: Crib 5 VC N/A 1 A&E ODSTOCK WEDGE 12 Months BS5852: Crib 5 Gr. RX36/125 Beige Very Severe 1.5 LEG TROUGH 12 Months BS5852: Crib 5 Gr. RX39/200 Blue Very Severe 0.75 CLEANING OF MSS PRODUCTS GENERAL CLEANING to prevent delamination, use a solution of neutral detergent and hot water, or alternatively a 0.1% chloride solution. Apply with single use wipe. Following application, the cover should be rinsed with clean water (damp cloth) and thoroughly dried. Removable contaminated covers should be laundered at 71 C with a dilute detergent solution. Please ensure covers are thoroughly rinsed and dried before placing back on the MSS product. (MSS recommends that nursing staff should always actively liase with a qualified Infection Control Nurse regarding decontamination protocols.) *Reducing warranties: Please contact MSS for full product warranty details.

15 CLINICAL REFERENCES An Evaluation of the Pressure Reducing MSS Mattress Overlay in the Community (Conducted by Margaret Knight, TVN and Senior Clinical Investigator, North Lincolnshire Primary Care Trust) Understanding Pressure Ulcers Clinical Concepts of Seating Concepts of Chair Nursing (poster) Areas at Risk (poster) 30 º Degree Tilt (poster) To request your personal copy of any of the above publications, please log on to the MSS website at and go directly to the Education Section. Alternatively, you can contact Head Office on +44 (0)

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