Repose Boston Porter Healthcare Chair

The Boston is ideal as part of a 24-hour postural care programme. It has been prescribed for clients that require intensive care such as, Parkinson’s, Multiple Sclerosis and or for those with life limiting conditions.

With some client conditions it has helped to reduce agitation, increased their levels of interaction and engagement in activities and provided them the opportunity to sleep in deep comfort. However, the Boston is equally at home being used as a general porter chair.

The Boston is ideal for life limiting conditions, palliative care, deteriorating conditions and those clients with have issues with agitation and wandering:

• Parkinson’s Disease
• Motor Neurone disease
• Dementia
• Multiple diagnoses

Both reclining and tilt systems can provide pressure relief, increase circulation, improve head, neck and trunk control, improve functional posture and positioning, support safe transfers by various means and minimise variations / fluctuations in the client’s muscular control. Tilt and recline systems work predominantly by moving the persons centre of gravity which whilst maintaining posture and ergonomic support allows the pannus to be redistributed. This can be used to alleviate pressure, help the respiratory system and allow access for specific skin care tasks.

The backrest and leg rest can be adjusted separately providing a further range of back and leg combinations to support improved posture and pressure management, particularly aiding the amount of hip flexion.

Couple this with the angle and height adjustable footplate and this makes the Boston chair a highly versatile and comfortable pressure management porter.

The chair can be used with either a mobile or overhead hoist to support safe moving and handling techniques for carers.

Key Features:

Mechanisms

The Boston comes in either an electric or manual model. The features are the same for both models except that the electric model comes with a rechargeable battery pack as standard and a handset that will operate the main movements of the chair which are the Independent Tilt in Space, Backrest Recline and Leg Rest adjustments. All other adjustments / movements are operated manually on both models.

Both models come with:

• Independently operated Tilt in Space (manual or electric operation)
• Independently operated Backrest Recline (manual or electric operation)
• Independently operated Leg Rest (manual or electric operation)

Pressure Management Back Cushions

There is a choice of eight 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.

Pressure Management Seat Cushions

There is a choice of six 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 and replacement. With all these seat cushions we recommend a fabric with four way stretch properties to aid reduction of shear and friction.
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. Covers can also be removed for cleaning.

Ease Of Movement - Push Handle And Wing Handles

The Boston is designed to be extremely easy to push and manoeuvre. Whilst the Boston comes with the traditional heavy-duty push bar it also comes with additional easy to grip wing handles, providing a sturdy and comfortable hold, with the handles shaped and positioned to suit carers of different heights. These handles allow the chair to be easily moved and positioned even when an individual is in a fully reclined position.

Four Heavy Duty Large Lockable Castors

The Boston comes with four heavy duty lockable castors designed to easily glide over low profile carpets, wooden and vinyl flooring.

Pocket On Rear For Client Documentation

A pocket on the back of the chair can be used to keep the client’s papers or chair user instructions.

Padded Seat Chaise Cover

The Boston benefits from a single, full cover over the whole of the seat. This chaise, which is attached to the seat cushion, reduces the risk of pressure areas developing due to pinch points and shear and friction when the chair reclines. The chaise/seat cover can be removed for cleaning and replacement.

D-Rings

The Boston comes with D-rings fitted as standard enabling easy fitting of a lap strap and pad.

Rechargeable Battery System (Electric Model)

The Boston comes with a rechargeable battery system (20 Cycle back-up system) as standard allowing for mains free usage. It enables up to 20 chair adjustments.

Full user instructions can be found in your user manual – please read carefully before using the chair and the 20 cycle back up.

Optional Accessories:

Seat Depth Adjustment

The Boston has the option to alter the seat depth with a choice of two sets of detachable adjuster pads, 25.4mm (1”) or 50.8mm (2”). Any number of pairs of these can be purchased. The covers can be removed for cleaning or replacement.

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.

Height and Angle Adjustable Footplate

A height and angle adjustable footplate allows for an additional range of support positions. The footplate can also be removed or flipped up to allow uninterrupted access with a hoist. The footplate has a removable cover for replacement or cleaning.

Angle Adjustment

The footplate has four positions to accommodate for fixed flexion and to maintain the foot position for users with drop foot. It can be folded up against the leg rest if required. It is easy to change the position by simply using the pull strap on the right-hand side of the base of the footplate to engage the locking pin.

Height and Angle Adjustable Footplate

Easily adjusted using the locking pin at the back of the footplate the seat height to footplate range is 432mm to 584mm, (17” to 23”).

Wedge Adjustment Blockers

Wedge adjustment blockers are available with all our back cushions on the Boston. The blockers fit behind the cushions allowing the carer to change the level of support and adapt the back for a user’s changing needs. Available in two sizes 50.8mm (2”) and 76.2mm (3”) depth. Any number of these can be purchased. The covers can be removed for cleaning or replacement.

Padded Detachable Footrest Pad

The footrest pad can be simply secured to the footplate providing the user with a softer and deeper cushion support. Available in three sizes – 25.4mm, 50.8mm and 76.2mm (2”, 3” and 4”). Any number of these can be purchased. The cover can be removed for cleaning or replacement.

Lap Strap and Pad

A lap strap that can be easily shortened or lengthened and which has a quick release clip can be purchased. This is a lap strap and not a pelvic positioner and should never be used for restraining purposes.

Back Options:

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:

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)

Mechanisms:

Independent Tilt In Space (TIS)

The Independent Tilt in Space works to counteract the effect of the person’s pannus. By having control over the angle of tilt you can adjust that person’s centre of gravity’ making them feel more comfortable, supporting the pannus, and reducing the feeling that they are being dragged forward by external forces.

The TIS movement allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards, which means that the angle of the hips, knees and ankles are not affected during this movement. It also reduces the weight on the Ischial Tuberosities and redistributes the weight through the back. This constant back angle prevents shear and friction during movement.

This feature can also help when moving someone in a hoist and can support better pelvic positioning by optimising the use of gravity to position the user in the optimal position.

Independent Backrest Recline

The Independent Backrest Recline allows the person 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. This unique feature allows the angle at which the TIS operates to be changed at any time.

The backrest can be independently reclined providing a range of back angles allowing for optimal position for comfort. The angle range is 108 – 165 degrees. The range of positions that this allows, coupled with the Independent Leg Rest adjustment can include the Trendelenburg position.

Independent Leg Rest Adjustment

The leg rest on the Boston has been designed slightly longer to support good positioning of the legs. It also has a gentle profile shape to support the legs from slipping from the leg rest and reduces the risks associated with individuals crossing their legs.

The leg rest angle can be changed independently and can move 90° degrees from the standard seating position. Please note that on the manual chair the leg rest can be adjusted using the lever on the side of the chair as illustrated.

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).

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