The FC20 bariatric seating cushion is a two-layer foam pressure redistribution device rated to a safe working load of 318kg (50 stone). The 51x46x10cm footprint is sized for bariatric wheelchair seat pans, and the waterfall flap front edge eliminates the thigh pressure point created by a vertical foam edge during extended seated use. The 2-way stretch vapour-permeable wipe-clean cover conforms to bariatric seated anatomy without seam pressure, and the dual-layer foam construction resists bottoming out under high-load conditions. Compliant with Medical Devices Regulation 2017/745 and selected following occupational therapist assessment per NICE CG179.
| Specification | Detail |
|---|---|
| Dimensions | 51 x 46 x 10cm |
| Safe Working Load | 318kg (50 stone) |
| Foam Construction | Two-layer: firm HD base, soft conforming top |
| Front Edge | Waterfall flap (thigh pressure distribution) |
| Cover Type | 2-way stretch VP wipe-clean |
| Reference | NCL-FC20 |
| Regulatory Status | MDR 2017/745 Class I medical device |
| Clinical Standards | NICE CG179, MHOR 1992 (SWL verification) |
The FC20 bariatric cushion is compliant with Medical Devices Regulation 2017/745 as a Class I medical device. MHOR 1992 requires that all equipment selected for bariatric residents has a verified safe working load exceeding the resident's documented weight; SWL verification and documentation must be completed before clinical issue. Clinical selection follows occupational therapist assessment of the resident's pressure risk score, seated weight distribution, thigh dimensions, and wheelchair seat pan width. The wipe-clean cover supports NHS IPC decontamination requirements applicable to shared or high-use equipment. Equipment register documentation must be maintained for CQC Regulation 12 readiness.
What is a waterfall flap and why is it particularly important in bariatric pressure care seating?
A waterfall flap is a design feature where the front edge of the cushion folds downward at an angle rather than presenting a vertical foam face at the chair edge. In a standard cushion, the compressed vertical edge creates a pressure line across the underside of the thighs at the point where they contact the chair edge, which is a recognised pressure injury risk site in addition to the ischial tuberosities and coccyx. For bariatric residents, the combination of higher seated weight, wider thigh contact at the chair edge, and the mechanical compression of the foam at the edge under load makes this thigh-edge pressure risk significantly greater than in standard-weight users. The waterfall flap eliminates the vertical edge pressure point by distributing seated load across the inclined surface rather than concentrating it at a single horizontal line, directly addressing the NICE CG179 principle of reducing peak interface pressure at all at-risk anatomical sites.
How should the FC20 seat pan dimensions be matched to a bariatric wheelchair?
The FC20 measures 51x46cm, which is wider than a standard seat cushion to accommodate bariatric seat pan configurations. Before prescribing, the occupational therapist must measure the wheelchair seat pan width and depth and confirm that the cushion dimensions match or slightly exceed the seat pan by no more than 2-3cm on each side. A cushion significantly wider than the seat pan will overhang the armrests and may reduce lateral stability or transfer safety. A cushion smaller than the seat pan will leave uncushioned foam edges that create pressure points at the thigh periphery. Where the resident's seated width or thigh profile falls outside the 51x46cm footprint, a custom-sized bariatric pressure cushion should be considered and a specialist seating assessment should be requested.