The Universal Cushion is the most broadly applicable product in the micro-bead positioning range, suitable for heel offloading, between-knee friction prevention, ankle support, medial knee protection, and head support from a single product prescription. Available in two sizes: NCL-P9700B1HW Small (450 x 300mm) and NCL-P9701B1HW Standard (560 x 400mm). VP multi-stretch waterproof cover. MDR 2017/745 Class I positioning device. Clinical selection and size choice per NICE CG179 occupational therapist assessment.
| Specification | Detail |
|---|---|
| NCL-P9700B1HW | Universal Cushion Small - 450 x 300mm |
| NCL-P9701B1HW | Universal Cushion Standard - 560 x 400mm |
| Fill Material | Ultra-lightweight polystyrene micro-beads |
| Cover | Multi-stretch VP waterproof |
| Applications | Heels; between knees; ankles; medial knee; head support |
| Regulatory Status | MDR 2017/745 Class I medical device |
The Universal Cushion is a Class I medical device under MDR 2017/745. Clinical selection and size choice require occupational therapist or tissue viability assessment per NICE CG179. The specific application zone, size selection, and any multi-zone repositioning plan must be documented in the care plan. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
When should the Small size be chosen over the Standard, and is there a clinical difference in performance between the two sizes?
The size selection is primarily driven by the application zone and the resident's body dimensions rather than a clinical performance difference inherent to the sizes themselves; both sizes use the same micro-bead fill mechanism and provide equivalent pressure redistribution per unit contact area. The Small (450 x 300mm) is appropriate when the application zone is compact - between ankles for a resident with a small ankle separation, under a single heel for targeted unilateral heel offloading, or as a head support for a smaller resident; placing a larger cushion than the application zone requires creates overhang that can create a raised edge contact zone at the cushion perimeter. The Standard (560 x 400mm) is appropriate for broader application zones - bilateral ankle support, a wider inter-knee gap for a larger resident, or a head support for an average-to-large resident where the smaller size would not fully cover the head contact zone. The occupational therapist should measure or assess the application zone dimensions before selecting the size, since using an undersized cushion for a broad zone leaves parts of the zone unsupported, and using an oversized cushion for a narrow zone creates perimeter edges that may concentrate contact load at the cushion margins.
Can the Universal Cushion be used simultaneously at multiple body zones during a single positioning turn?
A single Universal Cushion can only be at one location at a time; if a resident requires simultaneous support at the heels, between the knees, and for head support, three separate cushions are needed. In practice, a standard pressure care positioning turn sequence uses one or two positioning aids per position: for the supine position, a cylindrical cushion under the ankles for heel offloading and an abduction block or universal cushion between the knees for medial friction prevention are placed simultaneously; for the 30-degree lateral position, the decubitus cushion (ID 234) provides the main lateral body support while the universal cushion may be placed between the knees. The Universal Cushion's value is that a single product serves multiple different roles across the turning sequence - it is used for heels in one position and repositioned for head support or inter-knee friction in another - rather than requiring a purpose-specific product for each zone. The care plan must document which zones the Universal Cushion is assigned to for each positional turn in the turning regime, so that the care team applies it consistently across all shifts.