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I N V A C A R E
®
Therapeutic
Support Surfaces
Invacare
®
microAIR
®
Powered Replacement Systems
Invacare
®
Solace
®
Therapeutic Foam Mattress
2
Table of Contents
Understanding Pressure Ulcers .......................................................... 3-5
Solace Foam Mattress Therapeutic Support Surfaces ................. 6-12
The microAIR
®
Difference ................................................................ 13-15
MA50, MA51, MA55 Overlay & Alternating Pressure .................. 16-17
MA65 Alternating Pressure .............................................................. 18-19
MA80, MA85 True Low Air Loss ..................................................... 20-21
MA90Z, MA95Z Lateral Rotation...................................................... 22-23
Group I and Group II Medicare Criteria ...............................................24
Group I Therapeutic Support Surfaces Chart .....................................25
Group II Therapeutic Support Surfaces Chart .............................. 26-27
Educational Training & Selling Tools ...................................................28
I
nvacare has a complete line of easy to understand and user-friendly Invacare
®
Solace
®
and microAIR
®
therapeutic support surfaces. The innovative designs help in the prevention and treatment of pressure ulcers.
Pressure Ulcers:
Understanding what they are and how to prevent them
Joining the Effort in Pressure Ulcer Prevention
There is a national focus on pressure ulcer prevention. In fact, the goal of the Institute for Healthcare Improvement was to reduce incidence by December 2008 and focus on “getting to zero.”
The Healthy People Initiative 2010 set forth two goals: increase the quality and years of healthy life and eliminate health disparities. In support of these goals, one specific objective is to cut the incidence of pressure ulcers in nursing home residents 50% by 2010.
The statistics are worth noting: There are 1.8 million new pressure ulcer cases each year, with 70% of those occurring in persons age
70 or older at an overall treatment cost of $1.3 billion. 24% of skilled nursing r esidents develop pressure ulcers at some time. That number increases to 60% in individuals with hip fractures.
The focus on more effective prevention and quicker healing is driven, and even mandated, by many government and medical associations.
But age, obesity, diabetes and other illnesses can all lead to pressure ulcers…and Americans are increasing in age, weight and diabetes occurrences. The goal of pressure ulcer reduction sounds like an impossible feat.
Six key interventions aimed at reducing pressure ulcer incidence are:
1. Assess pressure ulcer risk upon admission for all patients in all care environments: acute care, long term care and home care
2. Reassess risk daily through skin inspection
3. Manage moisture by keeping the patient dry
4. Optimize nutrition
5. Minimize pressure through use of pressure-relieving surfaces
6. Turn every 2 hours
Invacare has joined the effort with a full range of comfort solutions designed to prevent and remediate pressure ulcers.
The microAIR and Solace innovative technology solutions offer the patient increased relief and comfort while providing the caregiver a product that is easy to setup, use and maintain.
It’s what you’d expect from the leading manufacturer of medical equipment in the world – Invacare.
This information is not medical advice. Each individual should always consult with his/her physician.
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4
Understanding Pressure Ulcers
What are pressure ulcers?
Pressure ulcers, sometimes called bed sores or decubitus (lying in bed) ulcers, are typically located in the areas where the body has less protective covering on weight bearing points. Those areas are typically heels, elbows, shoulders and the sacral regions in the supine, semi-recumbent and seated positions.
Ankles, knees, hips and ears are additional areas of concern in the lateral position. (See Fig. A) When blood pressure inside the dermis is blocked or above 32mm/Hg, capillaries begin to close. (See Fig. B on page 5)
Without the nutrients in the blood and the removal of waste products, the area begins to break down. The first sign is redness and warmth to the touch. In severe stages, extensive tissue destruction can lead to tissue necrosis (death), and damage to supporting muscle and bone.
Fig. A
Toes
Heel
SHEARING FORCE
SURFACE OF BED
FRICTION
Semi-Recumbent
Position
Occiput
Shoulder Blades
Elbows
Sacrum
Ischial Tuberosity
Seated Position
Shoulder Blades
Spinal Protrusion
Elbows
Sacrum
Ischial Tuberosity
Heels
Toes
Supine Position
Who is at risk for a pressure ulcer?
A person who sits or lies in one position for an extended period of time might be at risk for pressure sores. Patients are more likely to get pressure sores if they are paralyzed, use a wheelchair or spend most of their time in bed.
How is patient risk assessed?
Patient risk is assessed on a number of factors standardized in assessments such as the Norton or Braden scales. It is recommended that patients be assessed as soon as possible upon entering into care.
This information is not medical advice. Each individual should always consult with his/her physician to determine proper product selection.
What are the risk factors?
1. Patient is immobile or inactive
The lack of movement results in loss of blood flow to the skin.
2. Body size and shape
Very thin or very obese patients are at a higher risk. Very thin
people lack cushioning between the skin and bony prominences
such as heels and elbows. Overweight patients have fewer
blood vessels to the skin and require body movement to get the
blood flow to the susceptible areas.
3. Skin condition and hygiene regimens
Thinning skin, which naturally occurs with age, as well as with
the use of some medications, may make the patient more
susceptible.
4. Nutrition
A balanced diet and proper calorie consumption are important in
maintaining skin thickness and elasticity.
5. Incontinence and infection
Urine and fecal matter or increases in body temperature and
subsequent perspiration can cause maceration (the skin to
soften). The skin is therefore more susceptible to tearing.
6. Circulation
Edema or swelling due to poor blood circulation makes the
susceptible areas less resistant to pressure.
Heels Sacrum Elbows Shoulder
Blades
Back of Head
Lateral Position
Ankle Knee Hip Shoulder Ear
Fig. B
Pre Stage I
Suspected Deep Tissue Injury
– Localized area of discolored
(purple or maroon) intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/ or shear. The tissue may be painful, firm, mushy, warmer or cooler compared to adjacent tissue.
I
Stage
Non-blanchable erythema of intact skin.
(Skin that does not turn white when depressed).
II
Stage
Partial thickness skin loss involving epidermis, dermis or both.
III
Stage
Full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia.
IV
Stage
Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures.
Unstageable
Full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar
(tan, brown or black) in the wound bed.
Epidermis
Dermis
Adipose Tissue
Muscle
Bone
How do pressure ulcers form?
Any individual or combination of the above factors, combined with environmental skin factors below, can result in a pressure ulcer. If the outer layer of skin (epidermis) is rubbed away, the more vulnerable dermis layer is exposed to bacteria and infection.
1. Pressure
When the capillary blood pressure is cut off from the skin by
pressure on the area for an extended time.
2. Moisture
Over-hydrated (macerated) skin is at higher risk of tearing or
breaking down from moving or friction.
3. Shear
Capillaries stretch and tear, reducing the blood flow when the skin
remains stationary against the bed linens as the skeletal structure
moves with the surface.
4. Friction
When the skin is pulled across a coarse surface and the outer
protective layer (epidermis) is rubbed away.
What are support surfaces?
Support surfaces are the special mattresses, mattress overlays, seat cushions and specialty beds that support a patient’s body in bed or in a chair. Specifically, these support surfaces are used to reduce or relieve pressure that the weight of the body, and especially the bones, exert on the skin as it presses against the surface of a bed or seat of a chair. By relieving or reducing this pressure, existing pressure ulcers can heal and the chance that new pressure ulcers will develop can be reduced.
Types
s Nonpowered surfaces that include air, foam, gel mattresses
and overlays
Powered and nonpowered surfaces that include dynamic air
overlays, low-air-loss systems, alternating pressure systems
and lateral rotation systems
Which support surface to choose?
Support surfaces may be static (non-powered, reactive) or dynamic
(movable, active surface). A static surface is recommended if a patient can assume varying positions without bearing weight on a pressure ulcer, generally a Group I surface. Dynamic surfaces are required if the patient cannot change positions without bearing weight on the pressure ulcer or if the patient fully compresses the static support surface, generally a Group II surface. Choosing the corrrect surface depends on the requirements listed under the Medicare criteria. See page 24.
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6
Group I:
Invacare
®
Solace
®
Foam Mattresses, Gel Overlays and
Alternating Pressure Pad Systems
Simple to use and easy to maintain, these products include an alternating pressure pad system, gel overlay and foam mattress replacements.
Invacare ® Solace ® Therapeutic Foam Mattresses
Solace mattresses are unique single, dual- and tri-layered foam formulations. They are designed to minimize the risk of pressure ulcers by distributing weight as uniformly as possible and allowing blood to flow through the capillaries in areas prone to lesion development.*
The Prevention, Therapy and Resolution mattress systems offer good, better and best solutions in static support surfaces. Within each category, the products also reflect increasing treatment efficacy.
The unique and patented designs combine comfort and technology for patient and caregiver confidence.
Some mattresses are available in standard
80" lengths with the ability to special order 76" and 84" lengths, and raised side rail models. Also available are 42" and 48" bariatric sizes in the Prevention and Therapy Series.
Solace mattress.
Raised side rail design shown.
* Many support surfaces have been shown to improve pressure ulcers, however there is no compelling evidence that one performs better than all others in all circumstances. It is best to consider the therapeutic benefits of the products when determining which to use.
7
Invacare ® Solace ® Prevention Series
Cost effective, single and dual-layer design lowers interface pressure for the low-medium risk patient.
Invacare
®
Solace
®
Prevention 0080 Mattress
Model no. SPS0080
The Solace SPS0080 mattress is an economical foam mattress which features a single layer of foam specially fabricated to provide three zones of pressure reduction. It is designed to reduce patient interface pressure across the surface.
Soft head and heel
SPS0080
8
Invacare
®
Solace
®
Prevention 1080 Mattress
Model no. SPS1080
Zoned top layer relieves pressure in the important susceptible body zones. The convoluted “fortress” cut design offers more surface area for patient support and relief. Two layers of high quality foam include softer head and heel sections.
SPS1080 Pressure Map: Female, 5’5”, 110 lbs.
100
95
90
85
80
75
70
65
60
55
50
45
40
35
20
15
10
5
30
25
0 mmHg
1
Soft head and heel
SPS1080
Invacare
®
Solace
®
Prevention 2080 Mattress
Model no. SPS2080
Added to the design are built-in side supports.The head and heel-soft sections add comfort and protection, while the side supports provide stability and durability. Also available in bariatric sizes; SPS2080B42, SPS2080B48
(400 lb. weight capacity on bariatric models).
Soft head section
Soft heel section
Invacare
®
Solace
®
Prevention 3080 Mattress
Model no. SPS3080
The soft heel section is upgraded to visco-elastic foam to cradle the sensitive area. This product provides comfort and support with built-in side supports and dual layer “fortress” cut foam.
Soft head section
Visco-elastic foam heel
Built-in side supports
SPS3080
Built-in side supports
SPS2080
Visco layer
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10
Invacare
®
Solace
®
Therapy Series
Multiple layered mattresses to provide pressure relief and comfort for medium to high risk patients.
Invacare
®
Solace
®
Therapy 1080 Mattress
Model no. STS1080
Precision three-layered mattress of die-cut foams provides pressure relief around bones, increases air flow to reduce surrounding temperature and provides uniform weight distribution for increased patient comfort. Included in the STS1080 mattress are side supports to provide stability and durability.
STS1080 Pressure Map: Female, 5’5”, 110 lbs.
90
85
80
75
70
65
60
100
95
45
40
35
30
55
50
25
20
15
10
5
0 mmHg
1
Tri-layer fortress cut
Built-in side supports
Invacare
®
Solace
®
Therapy 2080 Mattress
Model no. STS2080
Added to the design is a visco heel section to add comfort and protection. Also available in bariatric sizes; STS2080B42,
STS2080B48 (650 lb. weight capacity on bariatric models).
STS1080
Visco-elastic foam heel
Built-in side supports
STS2080
Visco-elastic foam top
Invacare
®
Solace
®
Therapy 3080 Mattress
Model no. STS3080
Building more into the therapy mattress is a specially designed visco-elastic foam top to cradle the entire body in foam. This series provides comfort and support and includes the side supports and three layers of “fortress” cut style foam.
STS3080
Invacare
®
Solace
®
Resolution Series
The Resolution series is the best Invacare
®
foam mattress solution for high risk patients and for pressure redistribution.
Invacare
®
Solace
®
Resolution 1080 Mattress
Model no. SRS1080
Our most advanced foam mattress is designed for those patients who require the highest degree of pressure relief. The dual layer design incorporates two different types of foam to provide not only a therapeutic pressure-relieving surface but also one that is supportive and comfortable using high-density foam. In addition, the mattress has a heel slope to alleviate pressure along with built in side supports. The convoluted fortress cut design offers more surface area for patient support and relief.
SRS1080 Pressure Map: Female, 5’5”, 110 lbs.
90
85
80
75
100
95
70
65
60
55
50
45
40
25
20
15
10
35
30
5
0 mmHg
1
Heel slope
Built-in side supports
SRS1080
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12
Invacare ® Mattress Overlays
Invacare
®
Gel Overlay Mattress
Model no. IVCGFMO2
Standard gel overlays often suffer from the same problem – gel migration, the process of squeezing the gel out from under pressure points thereby reducing the effectiveness of the overlay. Invacare’s gel overlay addresses this concern through a specific set of features.
Features
s Specially designed bladders run across the surface and
minimize the migration of the gel s
Each cell works independently to provide support and
minimize pressure points s Flame Retardancy: (Meets flamability standards
16CFR1633, 16CFR1632) s
Optimal prevention/treatment of pressure sores s One piece construction requires no assembly s
Elastic corner straps secure overlay to mattress s Encased in a highly resilient foam base s Gel is nontoxic s Cover is constructed from a 70 denier nylon top, vinyl
bottom which is fluid resistant and vapor permeable
Invacare
®
CareGuard
™
Alternating
Pressure Pad System
Model no. CG9701
Invacare CareGuard Alternating Pressure Pad (APP) system has mattress flaps to secure the product. The advanced technology pump inflates and deflates the air cells for patient relief.
Variable pressure settings provide patient comfort.
CG9701
IVCGFMO2
Group II:
Invacare
®
microAIR
®
Therapeutic Support Mattress
Replacement Systems
Advanced series of powered mattress replacement systems and an alternating pressure overlay. Includes innovative features to give the ultimate pressure relief. Three modes of action include alternating pressure, low air loss and lateral rotation.
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The Invacare ® microAIR ® Difference: Security in Design
Patient Safety and Caregiver Confidence
Constant Pressure Monitoring
The touch pad allows you to set the appropriate pressure using patient weight. Once set, the computer technology inside monitors the pressure. Solenoid valves open and close to regulate the air inside the mattress and maintain the pressure at or below
32mm/Hg to avoid capillary occlusion. On compressor models
(MA50, MA51, MA55, MA65 and MA90Z), the compressor will turn off while in maintenance mode for a quieter, energy saving environment.
Secure magnetic connector on blower models MA85 and MA95Z
On Demand Low Air Loss
microAIR compressor models (MA55, MA65, MA90Z) all include the on-demand low air loss feature. When activated at the push of the button, air is sent inside the mattress to keep the mattress environment cooler for the patient, as well as help with moisture management. When not in use, the compressor will go into quiet energy saving mode for an improved sleep environment.
Ease of Set Up and Connection*
Unroll the mattress and hook the power unit to the end of the bed.
Snap the mattress hose onto the plugged-in power unit and the mattress is ready to inflate.
*Always read the product owner’s manual before use.
Convenient snap on connections for compressor models
MA65 and MA90Z.
Wireless Auto Fowler
microAIR models MA65, MA80, MA85,
MA90Z, MA95Z include this feature. A transmitter in the head section of the bed sends a signal to the power unit when that section is raised to add 25% more air into the center section of the bed, preventing the patient from bottoming out. A caregiver no longer needs to push the fowler button and the patient can raise the bed without calling for assistance.
Ease of Transport
Removal of the mattress is simplified by rolling it up beginning at the head section and putting the power unit inside the mattress for protection. Once rolled, attached over-the-shoulder carrying handles allow for easy transport.
Power Outage Safety
In the event of a power outage, compressor models (MA50, MA51, MA55, MA65 and MA90Z) remain inflated as long as the mattress air hose remains connected to the compressor. Once the power is returned, the memory inside the power unit returns to the programmed settings. Blower models (MA80, MA85 and MA95Z) also return to the pre-power outage settings once the power returns. The safety mat inside the mattress prevents the patient from bottoming out. Lateral rotation must be reprogrammed in MA90Z and
MA95Z as a safety precaution.
Whenever bed rails are used as part of any hospital or home care bed system, the potential for bed rail entrapment exists. To reduce this risk, a patient must always be assessed regarding their risk of entrapment before any product is used. Routine patient monitoring is also required once a product is in use. To learn more about the risk of bed rail entrapment please visit the US
FDA's website at http://www.fda.gov and search for "Bed Rail Entrapment.
Additional Safety Features
All microAIR therapeutic support systems include additional safety features: 2" safety foam mat (except the MA50 alternating pressure mattress overlay), low pressure and power outage audio and visual alarms and a lock out button to avoid accidental adjustments. microAIR therapeutic support systems are compliant with federal fire regulation 16CFR1632 and 16CFR1633 standards by including a sewn in fire sock on each model.
Sewn in Fire Sock.
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Invacare ® microAIR ® Alternating Pressure Therapeutic
Support Mattress Replacement System
Model nos. MA50, MA51 and MA55
Invacare
®
microAIR
®
MA50 Alternating Pressure Overlay
Model no. MA50
The microAIR MA50 overlay is a full-featured alternating pressure overlay powered by a 10 LPM compressor with four alternating pressure cycles of
5, 10, 15 and 20 minutes.
Invacare
®
microAIR
®
MA51 Alternating Pressure Therapeutic
Support Mattresses System and 10 LPM Compressor
Model no. MA51
The Invacare MA51 is an alternating pressure mattress replacement which reduces interface pressure to aid in the prevention and treatment of Stage I to IV pressure ulcers.
Invacare
®
microAIR
®
MA55 Alternating Pressure with
On-Demand Low Air Loss and 10 LPM Compressor
Model no. MA55
In addition to all the features of the MA51 alternating pressure mattress, the MA55 model improves air circulation and cools the body temperature with a unique system of air released into the mattress.
MA55 Pressure Map: Female, 5’5”, 110 lbs.
90
85
80
75
100
95
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0 mmHg
Features: microAIR MA50/MA51/MA55 Cover
s
Dual quilted cover guards against friction and shear s
Fluid resistant s
Vapor permeable s
Anti-microbial
Features: microAIR MA50/MA51/MA55 Control Unit
s 10 LPM compressor continually monitors the air pressure in the mattress to maintain the appropiate pressure (generally below 32 mm/Hg) s Solenoid valve system opens and closes to maintain air pressure in case of a power outage or to release air to maintain the appropriate surface pressure for the patient s
Four alternating pressure cycle times available at 5, 10, 15, 20 minutes to eliminate the pressure against the ulcer and to promote circulation to the entire body s
Up and down arrows with LED display allow adjustment for patient comfort and pressure relief s
Choice of alternating pressure or static therapy s
Max inflate s
Lock out button s
Visible and audible power warning signal s
Manual fowler s
Energy saving compressor turns off when not needed during pressure maintanence periods s
Ninety degree, quick hose connector simplifies set up s
Lightweight and easy to use power unit with holder easily attaches to bed ends s
No air filter to clean s
2 year warranty
Features: microAIR MA51/MA55 Mattress
s 8" mattress s 2" foam added as safety measure s Quick connect air cells make for easy replacement if needed s CPR release built into mattress s Attached carrying straps for easy transportation s Buckle straps to secure mattress to bed deck s 1 year warranty
Specifications for MA50, MA51 and MA55
Electrical Power: 90V, 60Hz, 1A
Dimensions:
Mattress: MA50 - 6" x 36" x 80", MA51 and MA55 - 8" x 36" x 80"
Power Unit: 9.5" x 5" x 5", 10 LPM
Power : 14 ft.
Weight Capacity: 350 lb.
Safety Code: 16 CFR 1632, 16 CFR 1633 compliant
Materials:
Mattress Cover: Dual-layer, quilted, anti-microbial, fluid-proof, vapor permeable cover. Bottom cover is 1000 denier nylon
Air cells: 70 denier urethane coated nylon
Limited Warranty:
Mattress: 1 year
Power Unit: 2 years
MA50/MA51
MA55
17
Invacare ® microAIR ® Alternating Pressure Therapeutic
Support Mattress Replacement System
Model no. MA65
Invacare
®
microAIR
®
MA65
Alternating Pressure with
On-Demand Low Air Loss and 50 LPM Compressor
Model no. MA65
The MA65 model improves air circulation and cools the body temperature with a unique system of air released into the mattress.
18
Features: microAIR MA65 Mattress
s
Deep 10" mattress s 2" foam as added safety measure s
Quick connect air cells make for easy replacement if needed s Built in carrying straps s
Buckle straps to secure mattress to bed deck s CPR release built into mattress s 1 year warranty
Features: microAIR MA65 Cover
s Dual quilted cover guards against friction and shear s Fluid resistant s Vapor permeable s Anti-microbial
Features: microAIR MA65 Control Unit
s
50 LPM compressor continually monitors the air pressure in the mattress to maintain the appropriate pressure at or below 32 mm/Hg s Alternating pressure button with 4 therapy cycles to eliminate the pressure against the ulcer and to promote blood circulation to the entire body s
Up and down arrows with LED/display allow adjustment for patient comfort and pressure relief s Efficient real time monitoring for correct pressure relief s
Wireless automatic fowler adds 25% more air to prevent bottoming out when bed is articulated s Energy saving compressor turns “off” when not needed during pressure maintenance periods s
Efficient solenoid air valves open and close as required to maintain proper interface pressures s Power outage recovery - air will remain in mattress to prevent bottoming out s
Lock out button s Digital display s Max inflate s Visible and audible power warning signal s Lightweight and easy to use with holder for bed ends s
2 year warranty
Specifications
Electrical Power: 90V, 60Hz, 1A
Dimensions:
Mattress: 10" x 36" x 80" Standard, 10" x 42" x 80" Bariatric 42",
10" x 48" x 80" Bariatric 48", 12" x 42" x 80" Raised Side Rail
Power Unit: 15" x 16" x 11", 50 LPM
Power Cord: 14 ft.
Weight Capacity: 350 lb. – 1,000 lb.
Safety Code: 16 CFR 1632, 16 CFR 1633 compliant, TB129
Materials:
Mattress Cover: Dual-layer, quilted, anti-microbial, fluid-proof, vapor permeable cover. Bottom cover is 1000 denier nylon
Air cells: 70 denier urethane coated nylon
Limited Warranty:
Mattress: 1 year
Power Unit: 2 years
MA55 Pressure Map: Female, 5’5”, 110 lbs.
75
70
65
60
55
50
45
100
95
90
85
80
40
35
30
25
20
15
10
5
0 mmHg
19
20
Invacare ® microAIR ® True Low Air Loss Therapeutic
Support Mattress Replacement
Model nos. MA80 and MA85
Invacare
®
microAIR
®
MA80
True Low Air Loss Mattress Replacement System and 1275 LPM Blower
Model no. MA80
The Invacare MA80 mattress model is a true low air loss mattress that helps manage skin moisture to avoid maceration and maintain a dryer environment for pressure ulcer healing in the treatment of Stage I to Stage
IV pressure ulcers. The mattress and blower system automatically maintains five different pressure zones for softer head and heel sections and firmer torso pressure interfaces. Pulse settings are available on the
MA80 unit.
Features: microAIR MA80/MA85 Control Unit
s
Efficient real time monitoring for correct pressure relief s Up and down arrows with LED display allow adjustment
for patient comfort and pressure relief s
Digital display of pressure setting s Max inflate s
Lock out button s Wireless auto fowler automatically adds 25% more air to
prevent bottoming out when bed is articulated s
Static setting button s Settings retained during a power outage and will resume
once power is resumed s MA80 version – Pulse setting s MA85 version – AP time button with alternating pressure cycle times
available at 5,10,15, 20 minutes s Lightweight power unit attaches easily to bed ends s
2 year warranty
MA85 Pressure Map: Female, 5'5", 110 lbs.
Features: microAIR MA80/MA85 Mattress
s Deep 10" mattress s
2" safety foam as added safety measure s Quick connect air cells make for easy replacement if needed s
Built in carrying straps s Buckle straps to secure mattress to bed deck s
CPR release built into mattress s Ninety degree, magnetic hose connector simplifies set up (on MA85) s 1 year warranty
Features: microAIR MA80/MA85 Cover
s
Unique dual quilted cover guards against friction and shear s Fluid resistant s
Vapor permeable s Anti-microbial
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0 mmH
90
85
80
75
100
95
Invacare ®
microAIR
®
MA85 True Low Air Loss with Alternating Pressure and 1275 LPM Blower
Model no. MA85
Building on the true low air loss model benefits of improved air circulation, body temperature cooling and skin moisture management, the microAIR MA85 model increases the therapy with the addition of alternating pressure to reduce surface interface and offer pressure relief. Alternating pressure settings of 5, 10, 15, 20 minutes are available on the MA85 unit.
Specifications
Electrical Power: 90V, 60Hz, 1A
Dimensions:
Mattress: 10" x 36" x 80" Standard, 10" x 42" x 80" Bariatric 42",
10" x 48" x 80" Bariatric 48", 12" x 42" x 80" Raised Side Rail
Power Unit: 14.5" x 11" x 6", 1275 LPM
Power Cord: 14 ft.
Weight Capacity: 350 lb. – 1,000 lb.
Safety Code:
16 CFR 1632, 16 CFR 1633 compliant, TB129
Materials:
MA80: Breathable 70 denier quilted nylon with 1000 denier nylon bottom
MA85: Urethane four way stretch quilted top cover with 1000 denier nylon bottom
Air cells: 70 denier urethane coated nylon
Limited Warranty:
Mattress: 1 year
Power Unit: 2 years
Connector.
Quilted cover.
MA85 True low air loss with alternating pressure
21
22
Invacare ® microAIR ® Lateral Rotation Therapeutic Support
Mattress Replacement Systems
Model nos. MA90Z and MA95Z
Invacare ® microAIR ® lateral rotation mattresses provide pressure relief and moisture maintenance for patients who need to be turned for pressure relief or other health indications. Inherent in the design of the patented z-cell design is alternating pressure as the mattress turns.
As with the other microAIR mattresses, these therapeutic systems offer relief for pressure ulcers from stages I through IV.
Another protective measure of the MA90 Series for patient safety is that the mattress recenters the patient between rotations. Also, the lateral rotation mode will automatically be stopped when the bed is in the fowler or upright mode.
Invacare
®
microAIR
®
MA90Z Lateral Rotation with
Alternating Pressure and On-Demand Low Air Loss with 50 LPM Compressor
Model no. MA90Z
The turn is offered to angles up to 30° for pulmonary therapy requirements with options for ¼, ½ and ¾ turns. Turn times available are 10, 20, 30 and 60 minutes with options to turn right or left only as well as both sides.
Specifications
Electrical Power: 90V, 60Hz, 1A
Dimensions:
Mattress: 12" x 36" x 80" Standard, 12" x 42" x 80" Bariatric 42",
12" x 48" x 80" Bariatric 48"
Power Unit: 14.5" x 11" x 6", 50 LPM (on MA90Z) or 1275 LPM (on MA95Z)
Power Cord: 14 ft.
Weight Capacity: 350 lb. – 1,000 lb.
Safety Code: 16 CFR 1632, 16 CFR 1633 compliant, TB129
Materials:
Mattress Cover: Urethane four way stretch quilted navy cover is
antimicrobial, fluid-resistant, vapor permeable.
Bottom cover is 1000 denier nylon
Air cells: 70 denier urethane coated nylon
Limited Warranty:
Mattress: 1 year
Power 2 years
Invacare
®
microAIR
®
MA95Z Lateral Rotation with
Alternating Pressure and True Low Air Loss with
1275 LPM Blower
Model no. MA95Z
This model allows for customization of patient therapy settings including up to 45° of turn, time and pressure. Alternating, static and pulse therapies are available in addition to the lateral rotation and continuous true low air loss relief.
MA95Z Pressure Map: Female, 5’5”, 110 lbs.
65
60
55
50
45
40
35
30
25
20
15
10
5
0 mmH
100
95
90
85
80
75
70
Features: microAIR MA90Z/MA95Z Control Unit
s
MA90Z – Energy saving compressor turns off to maintain s MA90Z – Efficient solenoid air valves open and close to maintain
proper interface pressure s
MA90Z – Power outage safety with mattress hose connected
to the compressor s MA95Z – Large LCD display with pulse, static, upright/fowler
and allows for angle and pressure adjustment s
MA95Z – Ninety degree, magnetic hose connector simplifies
set up and provides quick CPR deflate s Efficient real time monitoring for correct pressure relief s
Wireless auto fowler automatically adds 25% more air to prevent
bottoming out when bed is articulated s Settings retained during a power outage and will resume once
power is returned s
Up and down arrows allow adjustment for patient comfort and s Max inflate with 30 minute safety feature s Lock out button s Static setting s Visible and audible warning signal button s
Lightweight power unit attaches easily to bed ends s 2 year warranty
Features: microAIR MA90Z/MA95Z Mattress
s
Patented z-cell air cell design s Constant air pressure side bolsters s
2" safety foam added as safety measure s Quick connect air cells s
CPR release s Ninety degree magnetic connector simplifies set up (on MA95) s
Built-in carrying straps for easy transportation s Buckle straps to secure mattress to bed deck s
Inflates quickly s 1 year warranty
Features: microAIR MA90Z/MA95Z Cover
s Urethane four way stretch quilted navy cover s
Anti-microbial s Fluid resistant s
Vapor permeable
MA90Z Lateral Rotation with Alternating Pressure and On-Demand
Low Air Loss
MA95Z Lateral Rotation with Alternating Pressure and True Low Air Loss
23
24
Therapeutic Support Surfaces
Group I and Group II Medicare Criteria
MEDICARE CRITERIA*
Support surfaces may be static (non-powered, reactive) or dynamic (moveable active surface). A static surface is recommended if a patient can assume varying positions without bearing weight on a pressure ulcer, generally a Group I surface. Dynamic surfaces are required if the patient cannot change positions without bearing weight on the pressure ulcer OR if the patient fully compresses the static support surface (usually Group II) .**
GROUP I TREATMENT
Group I surfaces may be covered if the patient meets the following criteria:
1. Completely immobile (patient cannot move around without assistance).
OR
2. Limited mobility (patient cannot make changes in body positions significant enough to alleviate pressure) PLUS one of Number 4-7.
OR
3. Any stage pressure ulcer on the trunk or pelvis
PLUS one of Numbers 4-7.
AND
4. Impaired nutritional status.
5. Fecal or urinary incontinence.
6. Altered sensory perception.
7. Compromised circulatory status.
GROUP II TREATMENT
Group II surfaces may be covered if the patient meets the following criteria:
1. Multiple stage II pressure ulcers located on the trunk or pelvis.
AND
2. Patient has been on a comprehensive ulcer treatment program*** for at least the past month which has included the use of a Group I support surface, and ulcers have worsened or remained the same over the past month.
OR
3. Large or multiple stage III or IV pressure ulcer(s) on the trunk or pelvis.
OR
4. Recent myocutaneous flap or skin graft for a pressure ulcer on the trunk or pelvis (surgery within the past 60 days).
AND
5. The patient has been on a Group II or III support surface immediately prior to a recent discharge from a hospital or nursing facility (discharge within the past 30 days).
* Medicare Criteria: This information is not intended to be, nor should it be considered, billing or legal advice. Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare program, and should consult an attorney or other advisor to discuss specific situations in further detail.
** This information is not medical advice. Each individual should always consult with his/her physician to determine proper product selection.
*** Documented comprehensive care plan/treatment program should generally include: education for patient and caregiver on prevention/management of pressure ulcers; regular assessment by a licensed practitioner (weekly if stage 3 or 4, monthly if stage 1 or 2); turning and positioning schedule; appropriate wound care (stage 3 or 4); appropriate management of moisture/ incontinence; nutritional assessment and intervention.
Group I
Therapeutic Support Surfaces
Model Name
Model Number
Gel Overlay
Gel Foam
Mattress Overlay
IVCGFMO2
Alternating
Pressure
Invacare
®
CareGuard
™
Alternating Pressure Pad
System
Invacare
®
Solace
®
Prevention Single Layer
Foam Mattresses
CG9701 SPS0080
SPS0084
Non-Powered
Invacare
®
Solace
®
Prevention Dual- Layer
Foam Mattresses
Invacare
®
Solace
®
Therapy Tri-Layer
Foam Mattresses
SPS1080
SPS2080
SPS3080
SPS2080B42
SPS2080B48
STS1080
STS2080
STS3080
STS2080B42
STS2080B48
HCPCS Code
Patient Risk Level
Medicare Reimbursement Range
Features
E0185 (IN)
Low
$285.47 - $335.85
E0181 (CR)
Low
$23.26 - $27.36
E0184 (IN)
Low - Medium
$173.77-$204.77
E0184 (IN)
Low - Medium
$173.77-$204.77
E0184 (IN)
Medium - High
$173.77-$204.77
Built-in Side Supports
SPS2080
SPS3080
N N
Comfort Settings/
Therapy Time Settings (min)
Adjustable
Cover
70 Denier nylon top
9 oz. tri-laminate vinyl bottom fluid resistant, vapor permeable
Latex free vinyl
70 Denier nylon top 11 oz. tri-laminate vinyl bottom fluid resistant, vapor permeable
Solace
®
Resolution
Mattresses
SRS1080
E0184 (IN)
High Risk & Therapy
$173.77-$204.77
N
N N N
Raised Side Rail Design Available
Quick CPR Release
Fortress Cut Convoluted Foam
Mattress Construction
Mattress Dimensions
Weight Capacity
CFR Fire Safety Testing
16 CFR 1632, 16 CFR 1633
Limited Warranty
Mattress
Power Unit
Cover
Gel
34" x 78" x 3.5"
275 lb.
N
6 months
6 months
N
Pads
34" x 118" x 2.5"
250 lb.
Not required
30 days
1 year
N
Foam
36" x 80" x 6"
350 lb.
N
2 years
1 year
N
Foam
36" x 80" x 6"
350 lb. / 400 lb.
N
5 years
1 year
N
Foam
36" x 80" x 6"
350 lb. / 650 lb.
N
5 years
1 year
N
Foam
36" x 80" x 6"
350 lb.
N
5 years
1 year
25
26
Group II
Therapeutic Support Surfaces
Model Name
Model Number
Alternating Pressure
Alternating Pressure
Low Air Loss
Invacare ® microAIR
®
MA50
- 5" Overlay
Invacare ® microAIR
®
MA51
Mattress
Invacare ®
microAIR
®
MA55
AP/LAL
Invacare ® microAIR
®
MA65
AP/LAL
Invacare ® microAIR
®
MA85
True Low Air Loss AP
MA50 MA51 MA55 MA65
MA65RSR
MA65B42
MA65B48
MA85
MA85RSR
MA85B42
MA85B48
HCPCS Code
Patient Risk Level
Medicare Reimbursement Range
Type of Therapy
Alternating Pressure
Low Air Loss
Lateral Rotation
Compressor Features
State of the Art Compressor
Blower
Therapy Time Settings (min)
Comfort Settings
Fowler Indicator
Wireless Fowler
Power Failure/Low Pressure Alarm
Alarm Silence
Quick Connect Coupler
Mattress Features
E0372 (CR)
Therapy
E0277 (CR)
Therapy
E0277 (CR)
Therapy
E0277 (CR)
Therapy
$414.89 - $488.10 $584.14 - $636.64 $584.14 - $636.64
$584.14 - $636.64
N
10 LPM
5, 10, 15, 20
N
N
N
N
N
N
10 LPM
N
N
N
N
On-demand
10 LPM
5, 10, 15, 20 5, 10, 15, 20
N N
N N
N
N
N
On-demand
50 LPM
5, 10, 15, 20
N
N
N
N
N
N
E0277 (CR)
Therapy
$584.14 - $636.64
N
True
1275 LPM
5, 10, 15, 20
N
N
N
N
N
N magnetic
Mattress Dimensions
Mattress Construction
Safety Mat 2" Foam
Built-in Side Supports
36" x 80" x 6" 36" x 80" x 8" 36" x 80" x 8"
16 - Bladders 16 - Bladders 16 - Bladders
N N
36" x 80" x 10"
36" x 80" x 12"
42" x 80" x 10"
48" x 80" x 10"
20 - Bladders
N
36" x 80" x 10"
36" x 80" x 12"
42" x 80" x 10"
48" x 80" x 10"
20 - Bladders
N
Cover
70 Denier quilted nylon
600 Denier nylon bottom
70 Denier quilted nylon
600 Denier nylon bottom
70 Denier quilted nylon
1000 Denier nylon bottom
Dual quilted slip layer cover
1000 Denier nylon bottom
N
350 lb.
N
350 lb.
N
350 lb.
N
350 lb.
1,000 lb.
Dual quilted slip layer cover
1000 Denier nylon bottom
N
350 lb.
1,000 lb.
Quick CPR Release
Weight Capacity
Bariatric Weight Capacity
Z Cell
CFR Fire Safety Testing
16 CFR 1632, 16 CFR 1633
Limited Warranty
Mattress
Power Unit
Cover
Not required
1 year
2 year
1 year
N
1 year
2 year
1 year
N
1 year
2 year
1 year
N
1 year
2 year
1 year
N
1 year
2 year
1 year
Group II
Therapeutic Support Surfaces
Model Name
Model Number
True Low Air Loss
Invacare
® microAIR ® MA80
True Low Air Loss
MA80
MA80B42
MA80B48
Lateral Rotation with Alternating Pressure and Low Air Loss
Invacare
® microAIR ® MA90Z
Turn/LAL/AP
MA90Z
MA90ZB42
MA90ZB48
Invacare
® microAIR ® MA95Z
Turn/LAL/AP
MA95Z
MA95ZB42
MA95ZB48
HCPCS Code
Patient Risk Level
Medicare Reimbursement Range
Type of Therapy
Alternating Pressure
Low Air Loss
Lateral Rotation
Compressor Features
State of the Art Compressor
Blower
Therapy Time Settings (min)
Comfort Settings
Fowler Indicator
Wireless Fowler
Power Failure/Low Pressure Alarm
Alarm Silence
Quick Connect Coupler
Mattress Features
E0277 (CR)
Therapy
$584.14 - $636.64
True
1275 LPM
N/A
N
N
N
N
N
N
E0277 (CR)
Therapy
$584.14 - $636.64
N
On-demand
30° cell
50 LPM
10, 20, 30, 60
N
N on-display
N
N
N
N
E0277 (CR)
Therapy
$584.14 - $636.64
N
True
45° cell
1275 LPM
Custom
N
N on-display
N
N
N
N magnetic
Mattress Dimensions
36" x 80" x 10"
42" x 80" x 10"
48" x 80" x 10"
36" x 80" x 12"
42" x 80" x 12"
48" x 80" x 12"
36" x 80" x 12"
42" x 80" x 12"
48" x 80" x 12"
Mattress Construction
Safety Mat 2" Foam
Built-in Side Supports
Cover
Quick CPR Release
Weight Capacity
Bariatric Weight Capacity
Z Cell
CFR Fire Safety Testing
16 CFR 1632, 16 CFR 1633, TB129
Limited Warranty
Mattress
Power Unit
Cover
20 - Bladders
N
24 - Bladders
N
12" Side bolsters
Dual quilted slip layer cover
1000 Denier nylon bottom
Urethane with honey comb layer cover
1000 Denier nylon bottom
N
350 lb.
1,000 lb.
N
350 lb.
1,000 lb.
N
24 - Bladders
N
12" Side bolsters
Urethane 4-way stretch quilted top cover
N
350 lb.
1,000 lb.
N
N
1 year
2 year
1 year
N
1 year
2 year
1 year
N
1 year
2 year
1 year
27
Invacare ® Therapeutic Support Surfaces
Educational Training & Selling Tools
Case Study
A study of Invacare
® microAIR
®
modules in prevention, healing and palliative condition.
s
Form number 09-019
Provider Presentation Folder
Kit contains Therapeutic Support Surfaces catalog,
Medicare trifold, DVD and Case Study Brochure.
s Form number 08-069
Medicare Tri-fold
s Form number 06-081 (included in folder)
Product Information DVD
Case Study
Invacare
® microAIR
®
and Solace
®
Therapeutic
Mattress product information DVD (included in folder) s English version 08-055 s
Spanish version 09-015
Marketing Brochure
Homecare Products catalog s
Form number 09-009
CEU Program
For more information, contact your Invacare
Territory Business Manager at 1-800-333-6900 or visit our website at www.invacare.com
All references to HCPCS codes: Providers are responsible for determining the appropriate billing codes when submitting claims to the Medicare program and should consult an attorney or other advisor to discuss specific situations in further detail.
Invacare Corporation
www.invacare.com
USA
One Invacare Way
Elyria, Ohio
44035- 4190
(800) 333 - 6900
Canada
570 Matheson Blvd. E.
Unit 8
Mississauga, Ontario
L4Z 4G4 Canada
(800) 668-5324
Product Information DVD
The Marketing Resource Center
The Marketing Resource Center is located within
Invacare Pro. The Marketing Resource Center contains many customizable templates to help grow your business. All you need to do is pay for the cost of printing and advertising with your choice of vendors.
© 2011
Invacare Corporation.
All rights reserved.
Trademarks are identified by the symbols ™ and ®.
All trademarks are owned by or licensed to
Invacare Corporation unless otherwise noted.
Specifications are subject to change without notification.
Form No. 08-047
Rev. 07/11
110726
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