The Cross Pad provides simultaneous hip, knee, and heel support from a single cross-shaped micro-bead cushion, with an adjustable mattress strap that prevents positional displacement during nocturnal movements. The cross profile extends support in two directions: the central section addresses the hip and pelvis, the arms address the thigh, knee, and heel zones. Heel offloading is achieved at the distal arm ends. Dimensions: 850 x 250 x 150mm. MDR 2017/745 Class I positioning device. NICE CG179. NCL-P9709B1HW.
| Specification | Detail |
|---|---|
| Fill Material | Ultra-lightweight polystyrene micro-beads |
| Profile | Cross-shaped - central body with extending arms |
| Dimensions | 850 x 250 x 150mm |
| Support Zones | Hip and pelvis (central); knee and thigh (arms); heel offloading (distal) |
| Securing Feature | Adjustable strap - attaches to mattress |
| Reference | NCL-P9709B1HW |
| Regulatory Status | MDR 2017/745 Class I medical device |
The Cross Pad is a Class I medical device under MDR 2017/745. Clinical selection requires occupational therapist or tissue viability assessment per NICE CG179. The strap attachment and the multi-zone positioning configuration must be confirmed at placement and checked at each nursing visit. The mattress strap routing must be assessed to confirm it does not create a new pressure or entrapment risk at the mattress surface adjacent to the strap path. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
What are the clinical advantages of a single multi-zone cross pad over three individual positioning aids for the hips, knees, and heels?
Using three separate positioning aids - a pelvic support, a knee cushion, and a heel protector or wedge - to address hip, knee, and heel pressure zones simultaneously creates a management challenge: each aid must be correctly positioned independently, and each is susceptible to displacement through independent movement during the repositioning interval; a resident who extends one leg may dislodge the heel cushion without affecting the knee cushion, requiring carer reassessment of each aid's position at every nursing visit. The Cross Pad addresses all three zones through a single connected structure; once the central section is correctly positioned at the pelvis and the arms are aligned with the legs, the structural integrity of the cross shape maintains the relative positions of the hip, knee, and heel sections during normal nocturnal movements, and the mattress strap provides the additional anchoring. This integrated approach reduces the number of positioning components that must be individually managed and reduces the number of displacement events that require correction, which has practical benefits for the care team's time during repositioning checks.
How should the adjustable mattress strap be attached, and does the strap create any new pressure risks?
The mattress strap attaches the Cross Pad to the mattress surface, typically by passing the strap beneath the mattress or through a specific attachment point, and adjusting the strap tension to hold the cushion in position without excessive compression of the mattress or the cushion. The strap must be adjusted to be snug enough to prevent the cushion from shifting but not so tight that it compresses the mattress surface and creates a pressure ridge between the strap attachment points that could affect the mattress's pressure redistribution performance. Before confirming the strap configuration, the care team must visually check that the strap is not routed across any body contact zone of the resident - a strap that crosses a contact surface creates a pressure concentration line at the strap edge that is clinically counterproductive in a pressure care application. The strap position should be checked at each nursing visit alongside the cushion position, and the strap tension should be reassessed if the resident's mattress is changed or the bed height is adjusted, as changes to the mattress depth or bed configuration can alter the strap's effective tension.