The Duke Extra 2.0 Active Mattress from Harvest Healthcare is a 29-cell bariatric alternating pressure replacement mattress providing edge-to-edge coverage for residents at very high risk of pressure ulceration or those with existing stage 4 injuries requiring 1200mm profiling beds. The 25 alternating air cells and 4 static pillow cells deliver intensive pressure redistribution with electronic pressure control for consistent bariatric load management. CPR valve provides immediate emergency deflation. Compatible with Harvest 3 pump only. SWL 317kg. Fits Community 1200 and Ultimate 1200 beds. Full bed rail compliance. 3-year warranty.
| Specification | Detail |
|---|---|
| Type | Alternating pressure replacement mattress - bariatric 1200mm |
| Air Cells | 25 alternating cells + 4 static pillow cells (29 total) |
| Pressure Control | Electronic - adjusts to patient weight and position |
| Dimensions | 2000 x 1200 x 200mm |
| Safe Working Load | 317kg (50 stone) |
| Cover | 4-way stretch welded PU - VP, water resistant, Crib 5 |
| Emergency Feature | CPR valve for immediate deflation |
| Pump Compatibility | Harvest 3 only |
| Bed Compatibility | Community 1200, Ultimate 1200; full bed rail compliance |
| Reference | NCL-HAMDUKE.12 |
| Warranty | 3 years |
| Clinical Standard | NICE CG179 (very high risk and stage 4 bariatric pressure care) |
The Duke Extra 2.0 is a Class IIa active medical device under Medical Devices Regulation 2017/745. Clinical selection requires validated pressure risk assessment per NICE CG179 confirming very high-risk status or existing stage 4 injury in a bariatric resident requiring 1200mm bed configuration. SWL must be verified and documented before deployment per MHOR 1992. The Harvest 3 pump must be confirmed available and dedicated to this system; no alternative pump may be used. CPR valve must be tested operational at each deployment. Bed frame must be confirmed as Community 1200 or Ultimate 1200. Crib 5 cover meets BS 5852 requirements. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 readiness.
How does the Duke Extra 2.0 compare to the Hampton Extra for bariatric stage 4 pressure care?
Both the Hampton Extra and Duke Extra 2.0 are 1200mm wide Harvest Healthcare bariatric mattresses for very high-risk and stage 4 care, both requiring the Harvest 3 pump and supporting 317kg SWL. The clinical differentiator is cell count and pressure management sophistication. The Hampton Extra has 18 cells (17 alternating, 1 pillow) with standard pressure control, while the Duke Extra 2.0 has 29 cells (25 alternating, 4 pillow) with electronic pressure control that actively adjusts to patient weight and position. The higher cell count of the Duke Extra 2.0 means each anatomical zone is offloaded more frequently within the alternating cycle, providing more intensive pressure redistribution across the 1200mm surface, which is the clinically appropriate choice for stage 4 wound management. The electronic pressure control also compensates for the load variation that occurs as a bariatric resident shifts position during sleep, maintaining consistent cell pressure that a standard pump cannot achieve. For very high-risk residents without existing stage 4 wounds, the Hampton Extra may be clinically sufficient; for those managing active stage 4 injuries, the Duke Extra 2.0 is the more clinically appropriate selection.
What does edge-to-edge coverage mean in the context of a 1200mm bariatric mattress?
Edge-to-edge coverage means that the active alternating cell array extends across the full width of the 1200mm mattress surface without a passive border zone at the lateral edges. In a bariatric resident using a 1200mm mattress, the body contact footprint is significantly wider than in a standard-weight resident, meaning the lateral body surfaces - hips, thighs, and upper arms - may be in contact with the mattress at or near the edge during lateral positioning. If the cell array does not extend to the mattress edge, the lateral body surfaces at the edge zone would rest on a static foam or passive border that provides no active pressure redistribution, concentrating load at exactly those peripheral sites. The 25-cell arrangement of the Duke Extra 2.0 is distributed to provide active alternating coverage across the full 1200mm width, preventing the creation of high-pressure peripheral zones at the lateral mattress edges during lateral repositioning and sleep.