Repose Madison Pressure Management Care Chair
Its uniqueness lies in the Dual Tilt in Space mechanism combined with the interchangeable pressure management seat and back cushions, The Maidson comes with the added advantage of being able to move users around easily, all enabling excellent comfort, postural and pressure management.
The Dual Tilt in Space (DTIS) mechanism make this chair ideal for clients with changing and deteriorating neurological conditions. It allows for multi positioning of the legs to reduce oedema and fluid retention, leading to increased comfort. The positional options can support people who have problems swallowing as well as those with blood pressure e.g. postural hypotension.
The Madison chair has been designed to support safe manoeuvring and reduce the number of moves required for those clients who can become distressed or have significant pain during hoisting:
- Parkinson’s Disease
- Motor Neurone disease
- End of life clients e.g. cancer
The chair can also be used as part of a 24-hour postural care programme to reduce the risk of skin breakdown and its features also ensure that a user can be repositioned to allow for optional occupational performance, thus allowing an individual to engage in activities they want to do.
The chair can be used with either a mobile or overhead hoist to support safe moving and handling techniques for carers.
This chair can be used in any health environment or for home care and is designed to blend into the décor.
Key Features:
Mechanisms:
The Madison is available with a Dual Tilt in Space (DTIS) mechanism. The Tilt in Space movement allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards which prevents shearing and friction. It also reduces the weight on the Ischial Tuberosities and redistributes the weight through the back.
The Dual Tilt in Space also has independent backrest recline and independent leg rest movement as well as a rise function to support standing. These movements enable a wide range of positions to aid pressure management, postural control and comfort.
Pressure Management Back Cushions:
There is a choice of six interchangeable and adjustable pressure management back cushions that enable the chair to be adapted to a single user’s changing needs or to adapt the chair to another user. This ensures greater longevity of its usage.
In addition, all cushions can be repositioned to suit a user’s individual seating preferences and fibres added or removed from fibre filled cushions to adjust firmness.
Pressure Management Seat Cushions:
There is a choice of eight interchangeable seat cushions each with different pressure management features. You can purchase one or more cushions to support the different needs of individuals who may use this chair.
Cushions and covers are removable for cleaning or replacement. With all these seat cushions we recommend a fabric with four way stretch properties to aid reduction of shear and friction.
Chaise Cover:
The Madison benefits from a single, full seat cover. This chaise reduces the risk of pressure areas developing due to pinch points and shear and friction when the chair reclines. Designed with a memory foam insert the chaise offers deep comfort.
The chaise cover and memory foam can be removed for cleaning and replacement.
Castors:
The Madison comes with heavy-duty lockable castors built in as standard.
Handset Loop on Arm:
A handset loop comes as standard on the right hand side arm. As an optional extra you can choose to have this positioned differently.
Heavy-Duty Push Handle:
For ease of movement the Madison comes with a heavy-duty push handle with rubber grips.
Optional Accessories:
Seat Depth Adjustment:
The Madison comes with the option to alter the seat depth with a choice of two sets of detachable adjuster pads, 25.4mm (1") or 50.8mm (2").
The seat depth should be long enough to support the upper part of the legs whilst allowing the back to rest comfortably on the backrest. If the seat is too long the user is likely to slouch in the chair to get their feet on the floor, which puts extra pressure on their lower spine, if too short it will cause additional pressure on the thighs risking potential skin breakdown.
High Wear Areas:
The following covers, in matching fabric, can be purchased to protect high wear areas:
- Full length arm covers
- Head cover
Headrests:
There are five headrests to choose from, all of which come with a Velcro tab allowing them to fit over the top cushions. For further details on each of these options please refer to the Headrests Section.
- Head roll
- Small head pillow
- Small profile headrest
- Large profile headrest
- Midline headrest
Sliding Footplate*:
There is an option to purchase a sliding footplate for providing support to the feet and legs when moving a person in the chair.
Safety Options*:
For further details on the options below please refer to Safety Options Section.
Styleline handset with ON/OFF button:
Accupak rechargeable battery system for mains free usage
* Please note that some of these additional features will need to be fitted at the point of manufacture.
Size and Upholstery:
Fabric Shown in images:
Outer arms and wings in Highland Zen; inside arms and wings in Valencia Laurel and inner in Highland Matte Caraman.
Small Specification:
- Seat Height: 19" (48cm)
- Seat Width: 18.5" (47cm)
- Seat Depth: 20" (51cm)
Medium Specification:
- Seat Height: 19" (48cm)
- Seat Width: 20.5" (52cm)
- Seat Depth: 20" (51cm)
Large Specification:
- Seat Height: 19" (48cm)
- Seat Width: 22" (56cm)
- Seat Depth: 20" (51cm)
Back Cushions:
Waterfall:
Individual fibre filled waterfall cushions, each of which are fully adjustable to accommodate maximum postural support. The waterfall back can be useful for those with mild Kyphosis, Scoliosis and reduced muscle mass on their back.
Waterfall Lateral:
The central cushion in this soft fibre filled waterfall back comes with in-built lateral supports which can provide some trunk support for those who have limited trunk control or balance, useful for those with early stages of neurological conditions such as MS or a Stroke survivor with limited residual impairments.
Large Profile Headrest With Waterfall
The profile headrest conforms to the head and shoulders which can be useful for individuals with limited neck control with the waterfall back providing soft adjustable lumbar support.
Comfort Lateral:
Soft fibre filled back with lateral support, which can be useful for those who have limited trunk control or balance. It can be useful for those with early stages of neurological conditions such as MS or a Stroke survivor.
Large Profile Headrest With Comfort Lateral
This back offers soft fibre filled cushions to provide head, shoulder and trunk support, which can be useful for older users who have lost some muscle control, supporting them in a good postural position with the head in a neutral position. This back can also be useful for early stages of neurological conditions to maintain good positioning without restricting activities.
Support Lateral:
A foam filled back providing firmer lateral support with a soft fibre filled headrest. The firm lateral support maintains midline trunk alignment which can be useful for those post Stroke or early to mid-stages of neurological conditions.
Large Profile Headrest With Support Lateral
Firm foam lateral back cushion with soft fibre filled profile headrest can provide support for those who have limited trunk control or balance. The profile headrest can provide support to keep the head in good midline alignment which can be useful for those with early stages of neurological conditions such as MS or a Stroke survivor with limited residual impairments.
Double Comfort Lateral:
Deep filled contoured back cushions provide lateral postural support for improved comfort and positioning, making this chair useful for any individual with painful joints and where any movement is painful with conditions such as Rheumatoid Arthritis, Ehlers-Danlos syndrome or neurological conditions. This back could also benefit palliative care, supporting those with life-limiting conditions.
Seat Cushions:
Easiform:
For standard seating, our softest foam cushion with high quality Reflex foam filler for gentle comfort.
Viscoform:
For those who have good posture and mobility but are seated for greater than one hour at a time and require pressure relief and supported comfort. This cushion has a high-density foam base which offers a supportive and firm seat base with a top layer of memory foam to allow immersion into the cushion, giving stability and a large surface area to reduce pressure levels.
Foamaform:
For those who have good core stability and posture, are sitting for more than one hour at a time and require low to medium pressure relief combined with a high level of comfort. This cushion has different layers of high-density foam, offering a supportive seat base which allows the user’s bottom to be immersed into the cushion. It provides stability, a large surface area reducing pressure levels and a high level of personal comfort.
Celliform:
For those sitting for long periods with specific comfort issues such as a high risk of pressure sores. Gelacell has a unique cell matrix that distributes pressure across the contact area, as it contours and yields in response to weight redistribution. Gelacell absorbs body heat, reducing the risk of creating an environment that could increase pressure risks, the grid design also encourages air circulation. Gelacell is clinically tested and passes all dermatological tests for skin contact.
Maximum weight of user 127 kg (20 stone)
Liquiform:
For those who have good posture and mobility but sit for long periods of time and require pressure relief and supported comfort. Recommended for people with limited muscle bulk or at risk of excessive weight loss. This cushion has a high-density foam which offers a supportive and firm seat base. The foam is topped with a fluid liquid gel in a soft silicone cover which provides a high level of pressure relief. The liquid gel helps to dissipate heat and constantly adapts to the user’s movement.
Coolform:
For those sitting for long periods with specific comfort issues such as a high risk of pressure sores. This cushion uses the latest medical grade silicone gel technology allowing pressure to be evenly distributed. The gel conforms to the shape of the body and equalises to body temperature. The gel cells allow air to flow easily and Coolform is totally odourless and hypoallergenic.
Dynaform:
For those at very high risk of developing pressure sores or a history of sores where the highest priority is to prevent further pressure damage. The Dynaform cushion is a dynamic alternating air cushion, which constantly changes the air levels within its air cells to recreate the effect of normal body movements, which provides constant pressure redistribution to prevent pressure build up.
Minimum weight of user 40 kg (6 stone 4lbs)
Maximum weight of user 121 kg (19 stone)
Headrest Cushions:
Head Roll:
The head roll is useful to reduce depth for anyone with reduced neck extension or needing to keep their head in a neutral position for tasks such as eating or drinking whilst maximising comfort and reducing effort.
Small Head Pillow:
The small head pillow provides additional comfort for those who may require a softer surface to rest on whilst stopping hyper-extension at the neck when reclined or tilted.
Small Profile Headrest:
Similar to the large profile headrest but support is focused more on the head and neck.
Large Profile Headrest:
This headrest provides a combination of lateral support at the head, neck and shoulders whilst offering additional comfort and reducing neck extension.
Midline Headrest:
The midline headrest provides postural support for those with some form of midline deficit, following a stroke resulting in proprioceptive deficit or unilateral neglect for example. It is also useful for those with reduced lateral muscle strength or tolerance (such as sternocleinomastoid).
Mechanisms:
Dual Tilt in Space:
The Tilt in Space allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards. This ensures that the angle of the hips, knees and ankles remain unaffected and the weight on the Ischial Tuberosities is reduced by redistributing the weight through the back. This constant angle also prevents shear and friction during movement.
This feature can also help when transferring someone in a sling as it can support better pelvic positioning by using gravity to position the user in the back of the chair in the optimal position.
This mechanism has a rise position. As the chair rises the seat tilts forward slightly, transferring the weight to the knees whilst taking away the pressure from your hips thus allowing you to walk away more easily from the chair.
As well as the Tilt in Space and Rise functions, described above, the Dual Tilt in Space mechanism also features an independent backrest recline and independent leg rest movement:
The independent recline allows the user to maintain flexibility over their body’s position, particularly the amount of hip flexion, enabling them to maximise comfort as well as managing health needs.
The independent leg rest offers the user additional flexibility over positioning, allowing them to either use it in conjunction with the recline feature to create the optimal posture for their body shape.
Safety Devices:
Styleline Handset with On/Off Button:
On some handsets you can choose to have an on/off emergency stop button. Please ask your supplier for the option available on your chair model.
20 Cycle Back Up Unit:
This back up system comes as stand-alone unit that can carry out up to 20 chair adjustments. It should only be used as an emergency back-up system.
Full user instructions can be found in your user manual – please read these carefully before using the chair and the 20 cycle back up.
Accupak Rechargeable Battery System:
The Accupak power pack enables you to use the chair away from a power supply. The battery provides an average of up to 100 adjustment cycles and will need recharging regularly to retain the quality of usage. It can be charged by simply plugging it in. The system sits out of sight under the chair and the charging outlet is built into the side of the chair.
Please note that the Accupak is not compatible with the Reading Lamp.
Full user instructions can be found in the user manual – please read these carefully before using the chair and Accupak.
Warranty:
Standard Two-Year Warranty:
Two years on mechanisms, frame, upholstery and electrics.
One year on air seat cushions and also on some additional accessories such as the Accupak, 20 Cycle Back up and Relaxor heat and massage systems.
Repose will repair or replace, at our discretion and free of charge to the original purchaser, any parts covered by this warranty and that on examination, are found to be defective in material and/or workmanship. The warranty is for parts and labour only. The product or parts requiring repair/replacement must be returned to Repose by you and you will be responsible for the costs of packaging, postage and any postal insurance.
Any products returned to Repose must be disinfected and should pose no health hazard.
Upgrade to a Five-Year Warranty*:
You can upgrade your standard warranty anytime within 14 days after delivery of the chair. You can upgrade to a unique five-year comprehensive care plan for the price of £90.00 Ex VAT this includes:
- Comprehensive cover for structural and accidental damage
- Stain removal and repair at no extra cost to you
- One call for advice and service
- National network of professional technicians
- Original value replacements
It truly offers real peace of mind, covering you against:
- Structural damage to:
- Accidental damage including:
- Staining
Optional Delivery information:
Standard Delivery: FREE for all orders.
Optional Engineered delivery and set up service is available, you will benefit from a nationwide network of engineers to support warranties with fast service at your home: no need to ship your items back to us for repair. For further information, Click Here or call us on 08006 123454.
Once delivered, the engineer will assemble/install your product, provide you with a full demonstration and answer any questions or queries you may have, all packaging will be removed.
For all your Mobility needs visit First Choice Mobility Ltd, Instore - Online - Mobile
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