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#31 john S.

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Posted 21 December 2007 - 07:27 PM

View Postseeker, on Jul 15 2007, 07:44 PM, said:

My hubby and I are looking into this one:

www.satbed.comSAT beds
Several of the people that supposedly support the SAT bed in there testimonials are people I've met. The bed won't wear like it claims, also. The Reeves foundation is sueing them. If you meet anyone happy with the bed, please let me know? I've only heard negative on several lists. If you look up the KCI bed it has the exact same technology and they have a wound vac that uses ionized silver which I guess is suppose to be good. i guess they didn't pay attention at the colloidal silver meetings.
A lot of people want to seperate you from your money. Beware!

nd I hope you have a merry Christmas,
john

#32 john S.

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Posted 21 December 2007 - 07:58 PM

View PostBrad, on Dec 21 2007, 12:27 PM, said:

Geeze louise - I'm sure glad somebody chimed in on the AP air mattress (overlays). Mom has had real good luck with the basic Invacare Careguard AP pad until recently when out of an abundance of caution we requested an upgrade. She is trying to heal a tissue breakdown (unrelated to her mattress) and is spending about 18 hours in bed. With severe scoliosis and paraplegia (midriff down), we don't have all of the repositioning options. We are now using Medline's MedTech 5000 LAL AP mattress overlay. It is quiet and mom seems to be very comfortable. My only concern was highlighted in the last post. While there are weight settings for proper pressure (she's about 104 Lbs.), I'm never quite confident that the setting of 100 Lbs. is correct. I digress here sorry. But while it is evident that the 5" cells do alternate pressure, the inflated cells (air blatters) (while they're inflated) feel so firm to me. But that's how the inflated bubble cells on the Invacare unit seemed to me as well. I'm thinking that she should be floating in a soft bed (everything cushioned soft) at all times. But I suppose what happens is in order to create the AP effect, you have to have alternate rows of cells firm and alternate rows of cells deflated (soft). The cycling is done at 8 minutes intervals. Oh well, so far so good. No issues at all and she lies in one position (left side).
The part that actually creates a healing surface is the Low Air Loss. Once there is a wound, alternating pressure can be the wrong effect you want from a mattress. When the pressure alternates it doesn't take much imagination to see it will create a shearing effect as well. If a mattress has 120-160 cubic feet of air per minute leaking through its top surface, the patient is on an air barrier and the capillary compression drops low enough for skin to actually begin healing again.
Often they pass off AP mattresses as being low air loss. One I saw on E-bay only lost 7-9 litres of air per minute. A good air pump on a fish tank provides more air than that. Be sure to shut it off when not in use because they don't last much longer than their warranty.

john

#33 Illinois Boy

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Posted 21 December 2007 - 08:23 PM

View PostBrad, on Dec 21 2007, 12:39 PM, said:

View PostIllinois Boy, on Dec 21 2007, 12:54 PM, said:


I have an Alternating air pressure matress, couldm't stand it........ Felt like I was laying on 6 inch railroad ties, spaced 6 inches apart......

Jim


Comfort aside, did you have problem ever with tissue breakdown on the AP mattress? Comfort doesn't seem to be an issue for mom (and she does speak her mind freely :) ).
Yes, my skin was starting to break down...... I now have the Sealy memory foam matress I posted above as 4Wheels.....

Jim

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#34 Somebody

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Posted 22 December 2007 - 08:15 PM

I've been on the same air loss mattress for 10 years.
Got it when I had pressure sores.
I had flap surgery.
Came home still sleeping on it.
For 10 yrs now.
It works for me.

I sleep all night in one position.
I live alone & have no help after they put me to bed,
until someone comes back in the morning.

I sleep on my right side every night.
I've came up with a unique laying position.
Takes an aide awhile to learn all the pillows & towels.
But if I get everything just right, I'm a happy camper.
I have 2 hospital tables.
One has 3 large water jugs, corded phone, and snacks.
The other has 7 remote controls, cordless phone,
& 24 hrs of medicine. (plus prn meds)
I've lived alone 9 out of my 17 yrs.

My sister & bil does live next door to me.

#35 Brad

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Posted 24 December 2007 - 04:18 PM

View Postjohn S., on Dec 21 2007, 02:58 PM, said:

The part that actually creates a healing surface is the Low Air Loss. Once there is a wound, alternating pressure can be the wrong effect you want from a mattress. When the pressure alternates it doesn't take much imagination to see it will create a shearing effect as well. If a mattress has 120-160 cubic feet of air per minute leaking through its top surface, the patient is on an air barrier and the capillary compression drops low enough for skin to actually begin healing again.
Often they pass off AP mattresses as being low air loss. One I saw on E-bay only lost 7-9 litres of air per minute. A good air pump on a fish tank provides more air than that. Be sure to shut it off when not in use because they don't last much longer than their warranty.

john


High-Quality MedTech 5000 mattress overlay maximizes therapy with low air loss and alternating pressure. The 5-inch air cells provides more air cushion than other equivalent models enabling better flotation. It is light and easy to transport. Adjusts easily for patient comfort; static mode for dressing changes and pain management. CPR-pull for emergency deflation. Air cells and top cover are replaceable.

* The MedTech 5000 offers pressure relief-alternating that alternates cells fill and empty on a 9-minute cycle
* The 5" individual air cells are easy to replace in seconds.
* Simply by pressing the static button, the alternation is halted to perform patient transfers or other procedures.
* The CPR Pull allows for easy release of air in the event of an emergency; just reinsert the plug to use system again.
* The ultra-soft top cover is laminated with polyurethane for excellent stain resistance, soft and smooth minimize friction. Fluid-proof.
* The low pressure alert light indicates that unit should be checked by caregiver.
* The firmness is adjustable by selecting proper inflation for every patient.
* 1 year warranty on pump and mattress.

The Controller
Power: 110V / 60Hz
Air Volume: 8 LPM
Cycle Time: 9 min

The Mattress
Size (inflated): 80" L x 36" W x 5" H
Weight Capacity: 275 lbs.

=====
//This is not an advertisement//

This is what Medicare was willing to pay for as upgrade to mom's 3 year old plain vanilla Invacare CareGuard AP mattress pad. Now I feel bad about your comment on LPM value. I notice that many of the LAL AP units (even more expensive than +/- $550) have similar LPM. In any event one good thing is that mom does NOT lie on her compromised skin. We wanted something that would allow her to lie on her left side pretty much all the time with impunity. So far we're not seeing any problems on this MedTech 5000. Anybody that would like to critique this type of unit, your comments are welcomed. I'm still learning so much here. I will mention that we prefer to set the controller at the head of the bed because mom does NOT lie in a hospital-style bed. She prefers her king size bed and it's more convenient to set up the mattress overlay opposite of how the picture in the manual shows. Medline indicated that this is not an issue. However - a word of warning. We discovered that the first three cells at the head region of mattress do not perform AP but are static. Because of how mom lies on the mattress, her feet never reach those three static cells. Now that I think about it, the special cover that goes over the mattress overlay is on backwards and we need to correct this right away - just in case. The feet markers need to be at the head of the bed since the mattress overlay was put down feet end first at the head position. The manual suggests that we put a cotton sheet over this mattress overlay so patient doesn't come into contact with the special polyurethane laminated cover. I do not know how to evaluate the "LAL" feature of this mattress overlay. Anybody care to share a technique for testing LAL? Thanks.

@SOMEBODY - Thanks for yours. Your experience is encouraging to us.

Edited by Brad, 24 December 2007 - 04:59 PM.


#36 john S.

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Posted 24 December 2007 - 08:19 PM

View PostBrad, on Dec 24 2007, 11:18 AM, said:

View Postjohn S., on Dec 21 2007, 02:58 PM, said:


The part that actually creates a healing surface is the Low Air Loss. Once there is a wound, alternating pressure can be the wrong effect you want from a mattress. When the pressure alternates it doesn't take much imagination to see it will create a shearing effect as well. If a mattress has 120-160 cubic feet of air per minute leaking through its top surface, the patient is on an air barrier and the capillary compression drops low enough for skin to actually begin healing again.
Often they pass off AP mattresses as being low air loss. One I saw on E-bay only lost 7-9 litres of air per minute. A good air pump on a fish tank provides more air than that. Be sure to shut it off when not in use because they don't last much longer than their warranty.

john


High-Quality MedTech 5000 mattress overlay maximizes therapy with low air loss and alternating pressure. The 5-inch air cells provides more air cushion than other equivalent models enabling better flotation. It is light and easy to transport. Adjusts easily for patient comfort; static mode for dressing changes and pain management. CPR-pull for emergency deflation. Air cells and top cover are replaceable.

* The MedTech 5000 offers pressure relief-alternating that alternates cells fill and empty on a 9-minute cycle
* The 5" individual air cells are easy to replace in seconds.
* Simply by pressing the static button, the alternation is halted to perform patient transfers or other procedures.
* The CPR Pull allows for easy release of air in the event of an emergency; just reinsert the plug to use system again.
* The ultra-soft top cover is laminated with polyurethane for excellent stain resistance, soft and smooth minimize friction. Fluid-proof.
* The low pressure alert light indicates that unit should be checked by caregiver.
* The firmness is adjustable by selecting proper inflation for every patient.
* 1 year warranty on pump and mattress.

The Controller
Power: 110V / 60Hz
Air Volume: 8 LPM
Cycle Time: 9 min

The Mattress
Size (inflated): 80" L x 36" W x 5" H
Weight Capacity: 275 lbs.

=====
//This is not an advertisement//

This is what Medicare was willing to pay for as upgrade to mom's 3 year old plain vanilla Invacare CareGuard AP mattress pad. Now I feel bad about your comment on LPM value. I notice that many of the LAL AP units (even more expensive than +/- $550) have similar LPM. In any event one good thing is that mom does NOT lie on her compromised skin. We wanted something that would allow her to lie on her left side pretty much all the time with impunity. So far we're not seeing any problems on this MedTech 5000. Anybody that would like to critique this type of unit, your comments are welcomed. I'm still learning so much here. I will mention that we prefer to set the controller at the head of the bed because mom does NOT lie in a hospital-style bed. She prefers her king size bed and it's more convenient to set up the mattress overlay opposite of how the picture in the manual shows. Medline indicated that this is not an issue. However - a word of warning. We discovered that the first three cells at the head region of mattress do not perform AP but are static. Because of how mom lies on the mattress, her feet never reach those three static cells. Now that I think about it, the special cover that goes over the mattress overlay is on backwards and we need to correct this right away - just in case. The feet markers need to be at the head of the bed since the mattress overlay was put down feet end first at the head position. The manual suggests that we put a cotton sheet over this mattress overlay so patient doesn't come into contact with the special polyurethane laminated cover. I do not know how to evaluate the "LAL" feature of this mattress overlay. Anybody care to share a technique for testing LAL? Thanks.

@SOMEBODY - Thanks for yours. Your experience is encouraging to us.
Please don't get me wrong, I'm thrilled your mom is better than before, and certainly hope she continues to improve.
A big part of the problem with getting medicare or medicaid to pickup the bill on some of the more complex air mattresses is the the companies have not set standards that define the abilkities of the devices. Personally, i don't comsider a mattress that looses less than 100 cubic feet per minute to be a low air loss mattress. in many cases the alternating pressure pads are often little more than a sophisticated pool toy and an air pump from a fish tank.
in several studies the mattress overlays that medicare will pay for did not work any better than placebos. When you get them on the phone and they talk about how they don't cover medications or procedures because of poor test results, you must remember that their tests results are often political and very probably criminally wrong. Our government has made it next to impossible to make sure there have been no bribes paid.
The short story is this; low air loss overlays outperformed all other hospital bed surfaces in reducing pressure points to the skin. The low air loss mattresses that rotated the client slowly actrually showed healing without any worry of nursing being on time. when a patient had urinary accidents, these mattresses kept the patient dry and the skin did heal in over 85% of cases.
Only 2 out of 387 trial patients that were comatose or profoundly brain damaged showed any signs of skin deterioration after 4 months with turning and repositioning 2 or fewer times per day.
These mattresses cost quite a bit. Often between $6000 - $10,000. Three nursing visits a day for one year can cost over $250,000.00 per year in many states. Healing a wound in a nursing home averages $43,000. This cost doesn't reflect any other care recieved.
My advice to anyone who has one of these awesome mattresses is to use it until the wound heals, then store it in case it is needed again in the future. If your mom needs this, I'd contact her church and my own about raising money to pay for it. The idea that someone could feel that much pain and not be able to communicate with anyone is absolutely heartbreaking.

MERRY CHRISTMAS
john

#37 Brad

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Posted 24 December 2007 - 10:59 PM

Thank you John for your thoughtful comments. Fortunately mom's needs at this time should be met adequately with the MedTech 5000 mattress overlay. Wound healing isn't the issue here. The challenge for us is that mom cannot comfortably lie in any other position but on her left side when in bed. We feel better that this new device has 5" cells (as opposed to the 2.5" cells of the basic Invacare unit) and that it at least purports to be a LAL system. But again the issue here is prevention and not healing since the compromised ischial region that is healing never touches a surface when she is in bed. Can someone explain to me in layman terms the concept behind LAL and what it is supposed to do precisely for the patient? Thanks again John. Merry Christmas!

#38 Illinois Boy

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Posted 25 December 2007 - 01:04 AM

View PostBrad, on Dec 24 2007, 10:18 AM, said:

View Postjohn S., on Dec 21 2007, 02:58 PM, said:


The part that actually creates a healing surface is the Low Air Loss. Once there is a wound, alternating pressure can be the wrong effect you want from a mattress. When the pressure alternates it doesn't take much imagination to see it will create a shearing effect as well. If a mattress has 120-160 cubic feet of air per minute leaking through its top surface, the patient is on an air barrier and the capillary compression drops low enough for skin to actually begin healing again.
Often they pass off AP mattresses as being low air loss. One I saw on E-bay only lost 7-9 litres of air per minute. A good air pump on a fish tank provides more air than that. Be sure to shut it off when not in use because they don't last much longer than their warranty.

john


High-Quality MedTech 5000 mattress overlay maximizes therapy with low air loss and alternating pressure. The 5-inch air cells provides more air cushion than other equivalent models enabling better flotation. It is light and easy to transport. Adjusts easily for patient comfort; static mode for dressing changes and pain management. CPR-pull for emergency deflation. Air cells and top cover are replaceable.

* The MedTech 5000 offers pressure relief-alternating that alternates cells fill and empty on a 9-minute cycle
* The 5" individual air cells are easy to replace in seconds.
* Simply by pressing the static button, the alternation is halted to perform patient transfers or other procedures.
* The CPR Pull allows for easy release of air in the event of an emergency; just reinsert the plug to use system again.
* The ultra-soft top cover is laminated with polyurethane for excellent stain resistance, soft and smooth minimize friction. Fluid-proof.
* The low pressure alert light indicates that unit should be checked by caregiver.
* The firmness is adjustable by selecting proper inflation for every patient.
* 1 year warranty on pump and mattress.

The Controller
Power: 110V / 60Hz
Air Volume: 8 LPM
Cycle Time: 9 min

The Mattress
Size (inflated): 80" L x 36" W x 5" H
Weight Capacity: 275 lbs.

=====
//This is not an advertisement//

This is what Medicare was willing to pay for as upgrade to mom's 3 year old plain vanilla Invacare CareGuard AP mattress pad. Now I feel bad about your comment on LPM value. I notice that many of the LAL AP units (even more expensive than +/- $550) have similar LPM. In any event one good thing is that mom does NOT lie on her compromised skin. We wanted something that would allow her to lie on her left side pretty much all the time with impunity. So far we're not seeing any problems on this MedTech 5000. Anybody that would like to critique this type of unit, your comments are welcomed. I'm still learning so much here. I will mention that we prefer to set the controller at the head of the bed because mom does NOT lie in a hospital-style bed. She prefers her king size bed and it's more convenient to set up the mattress overlay opposite of how the picture in the manual shows. Medline indicated that this is not an issue. However - a word of warning. We discovered that the first three cells at the head region of mattress do not perform AP but are static. Because of how mom lies on the mattress, her feet never reach those three static cells. Now that I think about it, the special cover that goes over the mattress overlay is on backwards and we need to correct this right away - just in case. The feet markers need to be at the head of the bed since the mattress overlay was put down feet end first at the head position. The manual suggests that we put a cotton sheet over this mattress overlay so patient doesn't come into contact with the special polyurethane laminated cover. I do not know how to evaluate the "LAL" feature of this mattress overlay. Anybody care to share a technique for testing LAL? Thanks.

@SOMEBODY - Thanks for yours. Your experience is encouraging to us.
This is the piece of CRAP my insurance company forked out $3,000 for..........

I hated it.......... Duo Therapy 500

Anyone wants it, can have it for $1,000...........
Pic_Duo_Therapy_500_large_v2_m56577569830544007.jpg
The DuoTherapyâ„¢ 500 is an alternating pressure system with low air loss. This system utilizes superior quality materials for extended product durability and reliability for the dealer. The result is outstanding comfort and efficacy for prevention and treatment of pressure ulcers. Patients/residents, caregivers and dealers can rest assured!

Control Unit: Beautiful, quiet pump with easy to use, adjustable therapeutic setting dial for patient weight

Visual and audible low pressure alarm (with mute option)

Static button for patient transfer and other needs

Extra long, detachable, 15' ,hospital -grade power cord stays out of the way; available in three prong and also two prong option for use in older homes or where needed

CPR quick disconnect on control unit for rapid deflation

Support Surface: Upgraded 210-deneir air cells provide added strength, durability and resistance to tears and rips

High quality, quilted, nylon, taffeta easy zip cover is waterproof and vapor permeable for protection and comfort

Support surface weight capacity of 325 lbs.

Sixteen 5" air cells

Overlay base has no-skid bottom for added safety

Jim


:)
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#39 Brad

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Posted 25 December 2007 - 01:45 PM

Ouch! Medicare got off cheap then. $550.00 for the MedTech.




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