Universal Cushion - Lightweight Support for Heels, Knees, Ankles, and Postural Pressure Care.
- 600x400x130mm Profile for Broader Zone Coverage - the Universal Cushion (NCL-P914L1HW) provides a larger 600 x 400 x 130mm profile compared to the smaller Universal Cushion variants (NCL-P9700/9701B1HW), with a 130mm depth that provides more substantial elevation at the heel and ankle zones; the larger footprint accommodates broader contact zones for residents with greater limb dimensions, and the 130mm depth provides more clearance between the supported limb and the mattress surface than shallower positioning aids; this makes it appropriate for residents who need slightly greater elevation at the heel or ankle for effective offloading.
- Heels, Internal Knees, and Ankles Across Bed, Chair, and Wheelchair - the Universal Cushion (NCL-P914L1HW) serves the same multi-zone application as the smaller Universal Cushion variants but in a format appropriate for larger contact zones; in bed, it provides heel elevation and ankle support; at the knees, it protects the internal lateral knee surfaces from medial condyle contact; for wheelchair users, it provides targeted positioning at the seated pressure sites; and its sufficiently large surface area allows it to function as a positioned pad at any of these zones without requiring precise placement alignment.
- Reduces Friction and Shear Across Multiple Lower Extremity Zones - the micro-bead fill produces a low-friction conforming surface wherever the cushion is placed, reducing the shear forces generated at the skin contact surface during small positional movements; in a resident who makes frequent small adjustments during extended periods in bed or in a wheelchair, these accumulated shear events contribute to skin breakdown at the contact zone; the micro-bead surface's ability to shift with the skin movement during small adjustments reduces this shear accumulation.
- MDR Class I - NICE CG179 - NCL-P914L1HW - MDR 2017/745 Class I positioning device; clinical selection follows occupational therapist or tissue viability assessment per NICE CG179 confirming the indication and the appropriate application zones; the 600 x 400 x 130mm dimensions and the multi-environment suitability (bed, chair, wheelchair) must be documented in the care plan; equipment register records required for CQC Regulation 12 compliance.
Universal Cushion NCL-P914L1HW - Micro-Bead 600x400x130mm - Heels, Knees, Ankles - Bed Chair Wheelchair
The Universal Cushion (NCL-P914L1HW) provides a larger 600 x 400 x 130mm micro-bead support surface for pressure and friction management at the heels, internal lateral knees, and ankles across bed, chair, and wheelchair environments. The greater depth compared to the smaller Universal variants provides increased heel and ankle elevation. Reduces friction and shear across lower extremity zones during extended positioning. MDR 2017/745 Class I positioning device. NICE CG179. NCL-P914L1HW.
Specifications
| Specification | Detail |
|---|---|
| Fill Material | Ultra-lightweight polystyrene micro-beads |
| Dimensions | 600 x 400 x 130mm |
| Applications | Heels; internal lateral knees; ankles |
| Environments | Bed; chair; wheelchair |
| Reference | NCL-P914L1HW |
| Clinical Function | Heel elevation; friction and shear reduction at lower extremity contact zones |
| Regulatory Status | MDR 2017/745 Class I medical device |
Regulatory Compliance
The Universal Cushion (NCL-P914L1HW) is a Class I medical device under MDR 2017/745. Clinical selection requires occupational therapist or tissue viability assessment per NICE CG179, with the specific application zones and environments documented in the care plan. Equipment register records and MDR conformity documentation must be maintained for CQC Regulation 12 compliance.
Frequently Asked Questions
How does this Universal Cushion (NCL-P914L1HW) differ from the smaller Universal Cushion products (NCL-P9700B1HW and NCL-P9701B1HW), and when should each be selected?
The three Universal Cushion products share the same micro-bead fill mechanism and the same multi-zone clinical application, but differ in dimensions and therefore in the scale of application zone they are suited to. The Small (NCL-P9700B1HW, 450 x 300mm) suits compact zones and smaller residents. The Standard (NCL-P9701B1HW, 560 x 400mm) suits average-zone applications. The NCL-P914L1HW (600 x 400 x 130mm) provides both greater footprint and greater depth, making it appropriate for broader application zones or for residents where the additional 130mm depth provides a clinically important additional heel or ankle elevation clearance. The additional depth of the NCL-P914L1HW may also make it suitable for wheelchair users who require a more substantial positioning pad at the seat surface or footrest, where the shallower profile of the smaller variants might compress too much under seated weight to provide useful pressure redistribution. The prescribing clinician should consider both the footprint dimensions and the depth when selecting between the three variants, particularly where the depth of the cushion affects the height of the supported limb relative to the mattress or seat surface.
What does protecting the internal lateral knee area mean, and why is this a pressure care concern?
The internal lateral knee area refers to the medial side of the knee joint - specifically the medial femoral condyle, the bony prominence on the inner side of the lower femur at the knee. In a resident sitting in a chair or wheelchair with their knees close together, the medial condyles of both knees may make contact with each other or with the arm of the chair, concentrating load over a small bony area. In a resident lying on their side, the upper knee rests on top of the lower knee, creating point loading at the medial condyle of the upper knee where it contacts the lateral condyle of the lower knee. In both cases, the bony contact zone is small and the tissue coverage is thin, making it susceptible to pressure injury with prolonged loading. The Universal Cushion placed between the knees in the seated or lateral position interposes a conforming micro-bead surface between the contact zones, distributing the inter-knee load across the broader surface of the cushion and reducing the peak contact pressure at the medial condyle. This application requires the cushion to be sufficiently large to cover the medial condyle zone fully; the 600 x 400mm footprint of the NCL-P914L1HW provides adequate coverage for most adult patients in this application.
NCL-P914L1HW
Viewed products
- 600x400x130mm Profile for Broader Zone Coverage - the Universal Cushion (NCL-P914L1HW) provides a larger 600 x 400 x 130mm profile compared to the smaller Universal Cushion variants (NCL-P9700/9701B1HW), with a 130mm depth that provides more substantial elevation at the heel and ankle zones; the larger footprint accommodates broader contact zones for residents with greater limb dimensions, and the 130mm depth provides more clearance between the supported limb and the mattress surface than shallower positioning aids; this makes it appropriate for residents who need slightly greater elevation at the heel or ankle for effective offloading.
- Heels, Internal Knees, and Ankles Across Bed, Chair, and Wheelchair - the Universal Cushion (NCL-P914L1HW) serves the same multi-zone application as the smaller Universal Cushion variants but in a format appropriate for larger contact zones; in bed, it provides heel elevation and ankle support; at the knees, it protects the internal lateral knee surfaces from medial condyle contact; for wheelchair users, it provides targeted positioning at the seated pressure sites; and its sufficiently large surface area allows it to function as a positioned pad at any of these zones without requiring precise placement alignment.
- Reduces Friction and Shear Across Multiple Lower Extremity Zones - the micro-bead fill produces a low-friction conforming surface wherever the cushion is placed, reducing the shear forces generated at the skin contact surface during small positional movements; in a resident who makes frequent small adjustments during extended periods in bed or in a wheelchair, these accumulated shear events contribute to skin breakdown at the contact zone; the micro-bead surface's ability to shift with the skin movement during small adjustments reduces this shear accumulation.
- MDR Class I - NICE CG179 - NCL-P914L1HW - MDR 2017/745 Class I positioning device; clinical selection follows occupational therapist or tissue viability assessment per NICE CG179 confirming the indication and the appropriate application zones; the 600 x 400 x 130mm dimensions and the multi-environment suitability (bed, chair, wheelchair) must be documented in the care plan; equipment register records required for CQC Regulation 12 compliance.