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The Delta Cushion provides angled postural support in the semi-Fowler position using a triangular micro-bead profile (600 x 400 x 300mm) that follows the body's inclined geometry, maintaining the prescribed backrest angle while reducing sacral shear and friction. The micro-bead fill adapts to individual body dimensions for consistent angular support. Targets the primary pressure and shear risk zones of the semi-Fowler position. MDR 2017/745 Class I positioning device. NICE CG179. NCL-P9710B1HW.
| Specification | Detail |
|---|---|
| Profile | Triangular delta |
| Fill Material | Ultra-lightweight polystyrene micro-beads |
| Dimensions | 600 x 400 x 300mm |
| Clinical Position | Semi-Fowler postural support |
| Pressure Care Function | Sacral shear reduction; body-angle maintenance; friction reduction |
| Reference | NCL-P9710B1HW |
| Regulatory Status | MDR 2017/745 Class I medical device |
The Delta Cushion is a Class I medical device under MDR 2017/745. Clinical selection requires occupational therapist or tissue viability assessment per NICE CG179, with the prescribed positioning angle and Delta Cushion placement documented in the care plan. The skin inspection protocol at the sacral zone must be documented as part of the positioning care plan. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
How does the Delta Cushion differ from the Half Moon Positioning Cushion (ID 232) in semi-Fowler support?
Both the Delta Cushion and the Half Moon Cushion are used in the semi-Fowler position, but they address different aspects of semi-Fowler positioning. The Half Moon Cushion (1350 x 850mm) is a large flat conforming support designed primarily to stabilise the pelvis in the semi-Fowler position - it acts as a broad base beneath the pelvis and lower back that prevents pelvic slide and sacral sitting. The Delta Cushion, by contrast, uses its triangular profile to provide angled volumetric support that corresponds to the inclined geometry of the torso in semi-Fowler; it supports the body at the required backrest angle rather than primarily stabilising the pelvic base. In a complete semi-Fowler positioning system, the Half Moon may be used under the pelvis for pelvic stability while the Delta is used to support the torso at the prescribed incline. The occupational therapist prescribing semi-Fowler positioning must assess whether one or both products are required for the specific resident and document the complete positioning configuration in the care plan.
How is the Delta Cushion oriented relative to the resident's body in the semi-Fowler position?
The Delta Cushion is positioned with its longest face (600mm) along the axis of the resident's torso and its sloped face supporting the resident's back at the prescribed semi-Fowler angle. The narrower end (300mm height) of the triangular profile is positioned toward the foot of the bed, where the cushion tapers to the mattress level, and the taller end is positioned toward the head, providing the elevated support surface. In practice, the Delta Cushion is placed against the resident's back as a back support before the backrest is raised, or it can be placed under the mattress between the mattress and the bed platform at the head end, creating an inclined mattress surface. The occupational therapist must determine and document the specific orientation and placement method for the individual resident, as different placement configurations have different effects on the sacral pressure and shear forces.