Bedsore (or commonly known as pressure injury or pressure ulcer) is one of the most difficult problems encountered among elderly patients and is common among those on long term bedridden on wheelchair. The condition of bedsore is better to be described as a major health issues rather than a simple skin problems because bedsore involves not only pain but also affecting the sufferer’s quality of life. Indeed, bedsore is a major problem in the clinical medicine field as bedsore itself may be the causing factor to other more severe problems or sometimes the causing factor of bedsore is commonly neglected by carers although correctable. Since bedridden or wheelchair bound patients are constantly under pressure at certain part of the body, it is not surprising that bedsore may arise in a short time, as little as an hour of inactive. Once the bedsore occur, healing may be retarded by several factors, such as malnourish, ageing and incorrect nursing technique.
Prevention from bedsore, although difficult in some high-risk patients, is much easier than curing of bedsore. The simplest method is the use of ripple mattress, coupled with frequent turning method of bedridden patients for at least every 2 hours. Pressure-relieving at the site with bedsore is the core principle in the care of bedsore. Turning the bedridden patients every 2 hourly is also a hard work for the caregivers. Hence, The Apex Domus 2 ripple mattress series has come out with the Apex Domus 1 ripple mattress, designed with the aim to relieve the bedsore by having air-filled bubbles to equalise the pressure over the entire of area of contact and thus causing a great improvement of bedsore over the conventional mattress.
CHARACTERISTICS/INTENDED USE:
Apex Domus 1 ripple mattress is a type of medical ripple mattress that made up of a compact alternating pressure pad, which is composed of 2.5”-height bubble cells. The Apex Domus 1 ripple mattress designed to be user friendly and easy for installation.
Advantage of using Apex Domus 1 ripple mattress:
1. The Apex Domus 1 ripple mattress is foldable and easy for storage.
2. The Apex Domus 1 ripple mattress is light-weight (around 2.3 kg) which ease for transfer. Hence, the Apex Domus 1 ripple mattress is used as an alternative for heavier products such as gel overlay mattresses.
3. The Apex Domus 1 is ripple mattress great for short term usage and easy to install. The Apex Domus 1 ripple mattress is also easy to set up, just connect the hoses from the pump to the mattress, plug it into a power source and switch ON. Then, The Apex Domus 1 ripple mattress is ready to be used.
4. With a pressure adjustable pump and extension flaps on top and bottom sides of the bubble pad to prevent the pad from sliding, the Apex Domus 1 ripple mattress is designed to be a great transition mattress for homecare.
5. The silent pump of the Apex Domus 1 ripple mattress also ensures your loved ones to have a comfortable sleep.
Mattress size: 196 x 90 x 6.4 cm
Included in the box:
1. bubble mattress
2. pressure-adjustable pump
3. air hose
4. power cable
5. puncture repair kit
6. user manual
APEX DOMUS 1 RIPPLE MATTRESS SELECTION GUIDE:
Suitable for:
1. Those bedridden with grade-1 bedsores or at risk of bedsores
2. Those with body weight less than 100 kg.
Domus 1 ripple mattress is ideal for the prevention and treatment of patients at low risk of bedsore or those with stage 1 bedsore. It is suitable for bedridden patients with body weight less than 100 kg. Body weight more than 100 kg patients might need another higher specification ripple mattress, which is the tube-type ripple mattress (Apex Domus 2).
EVIDENCE-BASED USE OF APEX DOMUS 1 RIPPLE MATTRESS
With evidence-based development, the Apex Domus 1 ripple mattress is verified by the Dynamic Pressure Mapping Test. The Dynamic Pressure Mapping Test is a test done to trace the real-time internal pressure between mattress and body to ensure the effectiveness of pressure redistribution to offload the pressure occurring in the deep tissue. This testing method is effective to compare the effectiveness of the Apex Domus 1 ripple mattress in reducing pressure of bedridden patients as compared to those with only normal mattress.
For example: Patient (170 cm/80 kg/ Male)
Normal Mattress:
For normal mattress, as shown in the figure above, pressure point at certain area such as the back, sacral region (around 70 mmHg) and heel (45 mmHg) are generated when the patient lying down. The pressure points are the common area where bedsore occur. Pressure points ranged from green to yellow to red are at higher risk of developing bedsores as compared to other region.
Apex Domus 1:
Inflation of A cells：
Inflation of B cells：
The Apex Domus 1 ripple mattress contains a series of all-in-one bubble sets with series of A-cells and B-cells that inflates and deflates alternatively in an A-B cycle. The cyclical inflation and deflation of A-cells and B-cells redistribute the patient’s pressure and hence reduce the risk of bedsore at these pressure point. As shown in the figure above, the absence of green to red patches of pressure points shows that the Apex Domus 1 ripple mattress is able to reduce the pressure at these points and hence effective in reducing the risk of bedsore and help with the recovery of those with bedsore.
PRODUCT DETAILS OF APEX DOMUS 1 RIPPLE MATTRESS:
ADJUSTABLE HANGERS
Adjustable hangers make the Apex Domus 1 ripple mattress suitable for most bed types, especially hospital beds.
WEIGHT INDICATOR REFERENCE
The Apex Domus 1 ripple mattress comes with a weight indicator on the pump that can be used to facilitate optimized pressure setting. Pressure needed can be adjusted based on user’s body weight. The compact and light weight pump is designed for easy carry. The use of flame retardant plastic (ABS) add on to the safety for the use of the pump.
EXTENSION FLAPS
Extension flaps comes with the Apex Domus 1 ripple mattress set is designed to be tucked under the standard mattress for stabilisation and fall prevention. This design is especially important for those who are candidates for progressive mobility. This design prevents patients to slide down from bed over time due to movement. This design is important as elderly patients are frail and a fall from bed might cause injury to them
MEDICAL GRADE PVC PAD
The medical grade PVC pad is water-proof and easy to clean. Safety profile of the PVC pad:
1. Passed the heavy metal testing and comply with EN71 criteria.
2. Fire retardant.
The PVC material of the Apex Domus 1 ripple mattress makes it more durable and lasting.
APEX DOMUS 1 RIPPLE MATTRESS PRODUCT SPECIFICATIONS
The product specifications of the Apex Domus 1 Ripple Mattress is as shown above.
There are several precautions to be noted when using the Apex Domus 1 ripple mattress:
1. Apex Domus 1 ripple mattress should always be used directly on top of an existing surface or an additional foam.
2. Always cover the Apex Domus 1 ripple mattress pad with a sheet of clothing to avoid direct skin contact.
QUALITY ASSURANCE OF APEX DOMUS 1 WITH DECLARED REPORTS
The Apex Domus 1 ripple mattress has obtained the quality assurance certification from the two most reputable medical device quality assurance board worldwide. The certification of the Apex Domus 1 Ripple Mattress is important to ensure the level of confidence of consumer in the use of the Apex Domus 1 ripple mattress. All the quality assurance procedures are independent testing, assessment and certification and not affected by any bias or financial sponsorship. The two quality assurance board are:
1. SGS
SGS is the world's leading inspection, verification, testing and certification company. SGS is recognized as the global benchmark for quality and integrity. SGS helps to bring medical devices to market safely and efficiently. Group of experts deliver a wide range of standard and non-standard tests on medical devices and certify them through the notified bodies. Training and guidance are also provided from the design stage through the whole product life cycle. Currently, SGS has a full scope with more than 100 product categories. The core services which includes inspection, testing, certification and verification ensures the quality of Apex Domus 1 Ripple Mattress being marketed and obeys to the international standards.
2. ISO certification (EN ISO: 13485:2016)
ISO 13485 Medical Devices – Quality Management Systems allows organizations to demonstrate their ability to provide medical devices and related services that consistently meet customer and regulatory requirements. This standard applies to any organization involved in medical device manufacturing, design and development, production, storage and distribution, installation or servicing of medical devices and associated activities, regardless of size or business type. ISO 13485 certification can help you improve overall performance, mitigate risk, enhance efficiency and show clients and customers your commitment to maintaining high standards and meeting government and regulatory requirements. The certification of the ISO for this Apex Domus 1 (EN ISO: 13485:2016) ensures the quality and confidence for the consumers to use this product.
Bedsore can be upsetting, unpleasant, and difficult to treat. Therefore, multiple strategies needed to prevent bedsore from developing in the first place. These strategies may include regularly turning a person's position at a minimum of 2 hourly interval and using a specially designed mattresses such as the Apex Domus 1 Ripple Mattress.
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