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Cylindrical Cushion - Adaptive Micro-Bead Roll for Pressure Relief and Limb Positioning.
- Cylindrical Profile for Consistent Support at Any Rotation Angle - the Cylindrical Cushion's round profile provides the same height of support regardless of how it is oriented along its long axis, allowing the carer to position it under a limb without needing to achieve a precise rotational alignment; this differs from a wedge or flat cushion where the support height depends on the orientation of the contact surface; the cylindrical shape is particularly useful under the ankles, where the calf curves away from both sides of the cylinder and the contact is maintained at the calf's lowest point regardless of slight ankle rotational variation between repositioning events.
- Full Heel Offloading When Positioned Under the Ankles - when the Cylindrical Cushion is placed under the resident's ankles (lower calf), the heel is elevated above the mattress surface, eliminating heel-to-mattress contact and achieving the full heel offloading recommended by NICE CG179; the consistent cylindrical support maintains the heel elevation throughout the repositioning interval without requiring the cushion to be precisely reoriented after each care visit; the 200mm diameter provides sufficient elevation for full heel clearance from the mattress surface for most residents.
- Pairs with the Abduction Block for Combined Lower Limb Positioning - the Cylindrical Cushion is used in combination with the Abduction Block (ID 241) to provide a coordinated lower limb positioning system: the Cylindrical Cushion under the ankles offloads the heels, while the Abduction Block between the knees prevents medial knee and medial malleolus bone-on-bone contact; together they address the primary lower limb pressure zones - heels and inner knee and ankle surfaces - in a coordinated positioning configuration that can be maintained for the full repositioning interval.
- 200mm Diameter - 600mm Length - MDR Class I - NCL-P9702B1HW - dimensions: 200mm diameter, 600mm length; also indicated under the knees to reduce lumbar extension pressure in supine, and under the arms for forearm elevation; MDR 2017/745 Class I positioning device; occupational therapist or tissue viability assessment per NICE CG179; product code NCL-P9702B1HW; positioning configuration documented in care plan and equipment register.
Cylindrical Positioning Cushion - Micro-Bead Roll - Heel Offloading - Pairs with Abduction Block - 200x600mm
The Cylindrical Cushion provides consistent-height support at any rotational angle, making it ideal for ankle placement (achieving full heel offloading) and knee support (reducing lumbar extension). The 200mm diameter elevates the heel clear of the mattress. Pairs with the Abduction Block (ID 241) for a combined heel offloading and medial knee/ankle friction prevention system. Also used under knees and forearms for semi-Fowler positioning. Micro-bead fill. 200mm diameter; 600mm length. MDR 2017/745 Class I. NICE CG179. NCL-P9702B1HW.
Specifications
| Specification | Detail |
|---|---|
| Fill Material | Ultra-lightweight polystyrene micro-beads |
| Profile | Cylindrical |
| Diameter | 200mm |
| Length | 600mm |
| Applications | Under ankles (heel offloading); under knees (lumbar support); under arms (elevation) |
| System Pairing | Abduction Block (ID 241) - combined lower limb positioning |
| Reference | NCL-P9702B1HW |
| Regulatory Status | MDR 2017/745 Class I medical device |
Regulatory Compliance
The Cylindrical Cushion is a Class I medical device under MDR 2017/745. Clinical selection requires occupational therapist or tissue viability assessment per NICE CG179. Where the Cylindrical Cushion is used in a system pairing with the Abduction Block, both products must be documented in the care plan as a coordinated positioning configuration. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
Frequently Asked Questions
Why is the cylindrical shape preferred over a flat wedge for ankle placement, and how does the heel elevation distance compare?
A flat wedge placed under the ankle provides elevation at a specific height determined by the wedge thickness, but the contact between the flat wedge surface and the curved underside of the calf is limited to a narrow horizontal band where the flat surface meets the calf's curve; this limited contact area concentrates the calf load at a narrow zone. A cylindrical cushion placed under the ankle makes contact with the calf along a line rather than a flat zone, and the micro-beads on either side of the contact line rearrange to provide lateral support; this creates a slightly larger effective contact area and a more stable support for the rounded calf surface. More practically, the cylindrical shape means the cushion does not need to be placed in a specific orientation - it provides the same height of elevation regardless of which part of its circular cross-section is uppermost, whereas a flat wedge placed sideways provides a different height than one placed with the flat face up. The 200mm diameter provides approximately 100mm of effective calf elevation above the mattress surface when the calf rests on the cylinder, which is sufficient for heel clearance in most residents.
What does placing the cylindrical cushion under the knees achieve, and when is this indicated alongside heel offloading?
Placing the Cylindrical Cushion under the knees (posterior knee, not the ankle) raises the knees into slight flexion, which reduces the extension moment at the lumbar spine in a supine resident; a resident lying flat with extended legs has the psoas and hip flexor muscles pulling on the lumbar vertebrae toward anterior tilt, which can cause lower back pain during extended bed rest. Raising the knees slightly with the cushion reduces this tension, improving comfort during prolonged supine positioning. However, when the cushion is under the knees, it does not offload the heels - the heels remain on the mattress with the lower legs resting on the mattress surface distal to the cylinder. When heel offloading is the clinical priority, the cushion must be placed under the ankles (lower calf), not the knees. In some care plans, one cylindrical cushion is used under the knees for lumbar comfort and a second separate product is used for heel offloading; where both lumbar comfort and heel offloading are required, the prescribing clinician must document the placement that achieves the combined clinical goals, which may require two separate positioning aids at different limb positions.
NCL-P9702B1HW
- Cylindrical Profile for Consistent Support at Any Rotation Angle - the Cylindrical Cushion's round profile provides the same height of support regardless of how it is oriented along its long axis, allowing the carer to position it under a limb without needing to achieve a precise rotational alignment; this differs from a wedge or flat cushion where the support height depends on the orientation of the contact surface; the cylindrical shape is particularly useful under the ankles, where the calf curves away from both sides of the cylinder and the contact is maintained at the calf's lowest point regardless of slight ankle rotational variation between repositioning events.
- Full Heel Offloading When Positioned Under the Ankles - when the Cylindrical Cushion is placed under the resident's ankles (lower calf), the heel is elevated above the mattress surface, eliminating heel-to-mattress contact and achieving the full heel offloading recommended by NICE CG179; the consistent cylindrical support maintains the heel elevation throughout the repositioning interval without requiring the cushion to be precisely reoriented after each care visit; the 200mm diameter provides sufficient elevation for full heel clearance from the mattress surface for most residents.
- Pairs with the Abduction Block for Combined Lower Limb Positioning - the Cylindrical Cushion is used in combination with the Abduction Block (ID 241) to provide a coordinated lower limb positioning system: the Cylindrical Cushion under the ankles offloads the heels, while the Abduction Block between the knees prevents medial knee and medial malleolus bone-on-bone contact; together they address the primary lower limb pressure zones - heels and inner knee and ankle surfaces - in a coordinated positioning configuration that can be maintained for the full repositioning interval.
- 200mm Diameter - 600mm Length - MDR Class I - NCL-P9702B1HW - dimensions: 200mm diameter, 600mm length; also indicated under the knees to reduce lumbar extension pressure in supine, and under the arms for forearm elevation; MDR 2017/745 Class I positioning device; occupational therapist or tissue viability assessment per NICE CG179; product code NCL-P9702B1HW; positioning configuration documented in care plan and equipment register.