The Half Heel Pad provides heel and lower limb pressure redistribution through a multibearing viscoelastic foam surface that distributes load across the calf and lower thigh while raised side walls maintain limb position without restricting active movement. Suitable for seated and semi-reclined positions where full boot enclosure would limit mobility. VP bi-stretch PU cover for hygiene. 730 x 320 x 105mm. MDR 2017/745 Class I. NICE CG179. NCL-P904T1HW.
| Specification | Detail |
|---|---|
| Construction | Viscoelastic memory foam - multibearing surface |
| Profile | Raised side walls - curved profile |
| Cover | VP bi-stretch polyurethane - impermeable; wipe-clean |
| Dimensions | 730 x 320 x 105mm |
| Mobility Function | Maintains position without restricting dorsiflexion or plantarflexion |
| Reference | NCL-P904T1HW |
| Regulatory Status | MDR 2017/745 Class I medical device |
The Half Heel Pad is a Class I medical device under MDR 2017/745. Clinical selection requires occupational therapist or tissue viability assessment per NICE CG179, with the heel pressure care indication and mobility tolerance documented in the care plan. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
What does multibearing mean in a heel pad context, and how does it differ from a single-contact support surface?
A single-contact support surface, such as a flat foam pad placed under the heel, concentrates all the load from the lower leg at the one contact zone between the foam and the limb surface; the pressure is distributed across that single contact area but is not transferred to other areas of the limb. A multibearing surface is designed to create multiple distinct contact zones distributed along the lower leg - typically the posterior calf at one zone, the lower thigh at another, and a reduced-contact zone at the heel itself - so that the limb's weight is simultaneously borne across several different tissue areas rather than being concentrated at the heel-to-foam interface. This redistributes the load away from the calcaneus to the calf and thigh tissues that tolerate sustained loading better, which is the same principle as the full elevation approach of a wedge-under-ankle but achieved through surface geometry rather than limb elevation.
When should the Half Heel Pad be selected over the Heel Support Boot (ID 250) or the Integral Heel Support (ID 247)?
The three products address different clinical priorities and resident profiles. The Heel Support Boot (ID 250) is indicated for fully immobile residents who also require equinus deformity prevention and rotation control; its enclosing structure provides the most complete lower limb management but restricts all foot movement. The Integral Heel Support (ID 247) provides a hollowed zero-contact zone at the calcaneus alongside specific Achilles side supports and forefoot cut-outs; it is indicated where the specific anatomy of the heel zone is the primary concern and passive protection during agitated movement is needed. The Half Heel Pad is appropriate for residents with some preserved lower limb movement who would be restricted or distressed by a boot or enclosed device, where the goal is pressure redistribution combined with positional guidance rather than equinus prevention; the multibearing surface and raised sides provide meaningful heel offloading and lateral stability without constraining the foot's active movement range. The occupational therapist's mobility assessment for the lower limb is the primary clinical determinant of which product is most appropriate for the individual resident.