Versa Inserto Cushions

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1 Versa Inserto Cushions The Promedicare Verso Inserto range is the nexus that bridges the gap from the standard off the shelf positioning product and the high end hand made custom product. Starting from a flat base, a modular system of independent pre-shaped inserts is assembled to produce the required symmetric or asymmetric anatomic form and so provide total personalized support for each client. Many options are available to support, contain and align the trunk and pelvis thanks to a modular system consisting of lining, padding and independent pre-shaped inserts which when assembled follow the anatomical body shape. Any changes in posture or body form can be fully addressed by moving and relocating the pre-shaped inserts. All individual system components have dampening and anti-vibration proprieties. This modular system empowers the Seating Therapist to solve complex issues n the spot and allows for changes in sitting patterns over time, changes in condition or weight gain/loss. The anatomical structure of Men and Women is different. The Inserto Modular Positioning Range is designed to adapt to these differing body shapes with a fully personalised fit. The pelvis must be fully supported: Anterior (in front of the ischia) Lateral (under the greater trochanters) Posterior (gluteal mass, coccyx, sacrum) The support must be different for men and women. The posture of the trunk also needs to be supported to stop the spine collapsing and to keep postural alignment. The support must be different for men and women.

2 PTS ~ Pelvic Total Support Trunk posture starts from the pelvis The Promedicare Versa Inserto range works by perfectly fitting and balancing the relationship between the legs, pelvis and spine (coccyx, sacral and lumbar) containing the anatomy and compensating for deformities. The containment gained by PTS also prevents slipping at the ischium and guarantees lateral and posterior stability. Many options are available to support, contain and align the trunk and pelvis thanks to a modular system consisting of lining, padding and independent pre-shaped inserts which when assembled follow the anatomical body shape. Any changes in posture or body form can be fully addressed by moving and relocating the pre-shaped inserts. All individual system components have dampening and anti-vibration proprieties. lateral and posterior stability. THICKNESSES AND DENSITY of foam are calculated and relative to the size of the cushion and expected user weight. COMBINATIONS of best suited materials in the areas subjected to greater pressure loads. ACCURATELY cut to ensure a complete fit with the cushion size and application. Effective performance in all conditions what ever the assembly criteria of the insert kit. MODULAR PADS ensure the system adheres perfectly to the body form and its movements and distributes loads in relation to postural control. WHICH CUSHION??? PUCCO NAUCO DOMINO MEDIANO PRATICO TANTO BASICO IMPULSO Paediatric SR SR SR R Adult SR SR SR SR R Geriatric R R SR SR Legend: R Recommended SR Strongly Recommended

3 BASICO Light Positioning Wider Support High Comfort Any clients who need postural support as well as positioning changes over time will enjoy the Basico. Can be used to accommodate leg length discrepancies, wind sweeping, pelvic obliquity, pelvic rotation and mild anterior or posterior pelvic tilt. Basico is already pre-assembled and ready to go but can also be adapted if required. Modular inserts provide Mild to Moderate postural control. Low profile cushion makes transfers easy. Wider support to accommodate differing body shapes. Layered Visco Elastic (memory foam) ensure high comfort and good skin protection. BASICO CODE SIZE PMD500-1B-XS cm x 42cm PMD500-1B-XS1S cm x 40cm PMD500-1B-XS cm x 45cm PMD500-1B-S cm x 45cm PMD500-1B-M cm x 50cm PMD500-1B-M1S cm x 45cm PMD500-1B-M cm x 50cm PMD500-1B-L cm x 45cm PMD500-1B-XL cm x 50cm User weight limit 135kg, 6 modular inserts as standard, Posterior padding comprised of three layers of foam, Anterior padding composed of two layers of foam, Incontinent Air Exchange Cover supplied as standard.

4 PRATICO Enhanced Propelling Lightweight Low Profile Designed for clients who need mild postural support. Ideal for those who lead an active life and need a cushion easy to transfer from that is lightweight to transport. Also suitable for mild leg length discrepancies, wind sweeping, pelvic obliquities, pelvic rotation and posterior/anterior pelvic tilt. Provides lateral leg control to assist in stabilising the pelvis. PRATICO CODE PMD500-6PR-XS-501 PMD500-6PR-XS1S-501 PMD500-6PR-XS1-501 PMD500-6PR-S-501 PMD500-6PR-M-501 PMD500-6PR-M1S-501 PMD500-6PR-M1-501 PMD500-6PR-L-501 PMD500-6PR-XL-501 SIZE 36cm x 42cm 40cm x 40cm 40cm x 45cm 42cm x 45cm 42cm x 50cm 45cm x 45cm 45cm x 50cm 48cm x 45cm 48cm x 50cm User weight limit 135kg, 9 modular and configurable inserts as standard, Posterior padding comprised of two layers of foam, Posterior protective pad anti-decubitus memory foam, Anterior padding composed of two layers of foam, Incontinent Air Exchange Cover supplied as standard.

5 MEDIANO Anatomically Shaped Wider Support Ischial Trochanteric-Coccygeal Suspension Designed for clients who need moderate to high positioning support. Ideal for high pressure risk clients who require good support and a lateral, anterior/posterior containment of the pelvis. Also suitable for leg length discrepancies, wind sweeping, pelvic obliquities, pelvic rotation and light posterior/anterior pelvic tilt. Anatomically shaped to support and channel the lower body. Moderate to High level of customisable positioning support. Layered Visco Elastic (memory foam) ensures high comfort and good skin protection. Ischial-Trocantheric Coccyxgeal Suspension created individually for each user by the adjustment of the modular inserts. MEDIANO CODE PMD500-2M-US-501 PMD500-2M-XXS-501 PMD500-2M-XS1-501 PMD500-2M-S-501 PMD500-2M-M-501 PMD500-2M-M1S-501 PMD500-2M-M1-501 PMD500-2M-L-501 PMD500-2M-XL-501 SIZE 30cm x 38cm 36cm x 38cm 40cm x 45cm 42cm x 45cm 42cm x 50cm 45cm x 45cm 45cm x 50cm 48cm x 45cm 48cm x 50cm User weight limit 135kg, 16/17 modular and configurable inserts as standard, *(number dependent on cushion size), Posterior padding comprised of two layers of foam, Posterior protective pad anti-decubitus memory foam, Anterior padding composed of two layers of foam, Incontinent Air Exchange Cover supplied as standard.

6 DOMINO Anatomically Shaped Perfect Fit Ischial Trochanteric-Coccygeal Suspension Designed for clients who need higher positioning support or those with leg length discrepancies and fixed or flexible deformities. Suitable for high pressure risk clients especially those with no lateral/posterior/medial pelvis control. Modular design gives this cushion the ability to change with clients needs. Perfect fit created individually by use of modular inserts. Deep medial and pelvic guides create pelvic containment to stabilise the pelvis and suspend the Ischial Trocantheric Coccyxgeal Sacral regions. High level of customisable positioning support.layered Visco Elastic Foam ensures high comfort and good skin protection. DOMINO CODE PMD500-3D-UUS-501 PMD500-3D-USS-501 PMD500-3D-US-501 PMD500-3D-XXS-501 PMD500-3D-XS-501 PMD500-3D-XS1S-501 PMD500-3D-XS1-501 PMD500-3D-M-501 PMD500-3D-M1S-501 PMD500-3D-M1-501 PMD500-3D-L-501 PMD500-3D-XL-501 SIZE 25cm x 30cm 30cm x 30cm 30cm x 38cm 36cm x 38cm 36cm x 42cm 40cm x 40cm 40cm x 45cm 42cm x 50cm 45cm x 45cm 45cm x 50cm 48cm x 45cm 48cm x 50cm User weight limit 135kg, 17 modular and configurable inserts as standard, Posterior padding - two layers of foam, Posterior protective pad anti-decubitus memory foam, Anterior padding - two layers of foam, Incontinent Air Exchange Cover standard.

7 IMPULSO Enable better foot propelling Adjustable Comfortable Ideal for hemiplegics or amputees at low risk of skin breakdown. Cushion enables optimal foot propulsion whilst stabilizing the plegic limb, or the positioning of limb/s or stump/s. Suitable for those who have mild leg length discrepancies, wind sweeping, pelvic obliquity, pelvic rotations, posterior and anterior pelvic tilt. Ideal for those who need a mild postural support. If you who lead an active life and need a low profile cushion that is easy to transfer from and to transport. Provides lateral leg control to assist in stabilising the pelvis. IMPULSO CODE PMD500-7IM-XS-501 PMD500-7IM-XS1S-501 PMD500-7IM-XS1-501 PMD500-7IM-M1S-501 PMD500-7IM-XL-501 SIZE 36cm x 42cm 40cm x 40cm 40cm x 45cm 45cm x 45cm 48cm x 50cm User weight limit 135kg, 12 modular and configurable inserts as standard, Three layers of foam, flexible open celled foam with low spring back action, reticulate foam for ventilation and memory foam for pressure care, Incontinent Air Exchange Cover supplied as standard.

8 TANTO Optimal Propulsion Stability Safe For those who need a medium/high postural support. For those with an active lifestyle that need a cushion that is easy to handle and transfer from. Can be used to accommodate mild leg length discrepancies, wind sweeping, pelvic obliquity, pelvic rotation and mild anterior or posterior pelvic tilt. Tanto is ideal for those who need lateral control of the legs and coccyx/sacral protection to improve self trunk control and enhance propulsion. Modular inserts provide Mild to Moderate postural control. Low profile cushion makes transfers easy. Layered Visco Elastic (memory foam) ensure high comfort and good skin protection. TANTO CODE PMD500-8T-XS-501 PMD500-8T-XS1S-501 PMD500-8T-XS1-501 PMD500-8T-S-501 PMD500-8T-M1S-501 PMD500-8T-M1-501 PMD500-8T-L-501 PMD500-8T-XL-501 SIZE 36cm x 42cm 40cm x 40cm 40cm x 45cm 42cm x 44cm 45cm x 45cm 45cm x 50cm 48cm x 44cm 48cm x 50cm User weight limit 135kg, 13 modular inserts as standard, Two layers of foam, (flexible open celled foam with low spring back action and reticulate foam for ventilation), Rear protective pad (anti-decubitus with low spring back action), Incontinent Air Exchange Cover supplied as standard.

9 PUCCO Facilitates Trunk Control Lightweight Multifunctional A paediatric seating system that is completely modular and adjustable to suit many seating applications such as leg length discrepancy, wind sweeping, pelvic obliquity, pelvic rotation, anterior pelvis tilts and a risk of hip dislocation. Ideal for children with poor postural control and in particular those who are hypotonic. Pucco facilitates trunk control with 21 modular configurable inserts allowing the cushion to be customised to meet each individual clients needs. Pucco is lightweight keeping transport manageable for caregivers. Pucco is multifunctional and can be used in a buggy, a wheelchair or any other seating surface around the home. CODE PMD500-4P-UUS-101 PMD500-4PT-UUS-101 Width x Length 25cm x 30cm 25cm x 30cm Backrest Height 16cm LOW 23cm TALL Seat Width Range Min 13cm Max 23cm Min 13cm Max 23cm Seat Length Range Min 15cm Max 25cm Min 15cm Max 25cm User weight limit 40kg, 21 modular configurable inserts as standard, Two layers of foam (flexible open cell foam with low spring back action, and reticulate foam with low spring back action), Rear protective pads, Incontinent Air Exchange Cover supplied as standard, Pelvic Strap.

10 NAUCO Supportive Lightweight Multifunctional For small children with poor postural control who would benefit greatly from a seated position. Can be used to accommodate leg length discrepancies, wind sweeping, pelvic obliquity, pelvic rotation and anterior or posterior pelvic tilt or for those at risk of hip dislocations. For those who need a high/very high level of postural support. An innovative paediatric postural concept for the legs and pelvis. Completely adjustable and modular to suit multiple applications, whilst being lightweight and easy to handle. Easy to adapt to many therapeutic situations and social lifestyles by encouraging full integration into daily family life. NAUCO CODE PMD500-5N-UUS-101 PMD500-5N-US-101 PMD500-5N-XXS-101 SIZE 25cm x 30cm 30cm x 38cm 36cm x 38cm 24 modular inserts as standard, Two layers of foam, (flexible open celled foam with low spring back action and reticulate foam for ventilation). Rear protective pad (anti-decubitus with low spring back action), Incontinent Air Exchange Cover supplied as standard.

11 Ability, function and posture are closely related. The Inserto Backrest range Embraces your Shape giving superior comfort and a perfect adaptation for your pelvis and trunk. The posture of the trunk starts from the pelvis. From the PTS (Pelvic Total Support) the natural evolution TTS (Trunk Total Support). A range of modular inserts allow you to have a highly adjustable range of lateral and posterior control of the trunk. You can support trunk collapses and work on postural alignment. The anatomical structure of Men and Women are different. The Inserto Modular Positioning Range is designed to adapt to these differing body shapes with a fully personalised fit. Versa Inserto Backrests Each backrest comes with a Shell and an Embracing Shapes Kit. This allows you to evaluate, assess, customise and do post delivery adjustments. Embracing Shapes is the positioning system for the trunk. It is built inside the cover to increase adherence to the body shape and stabilise body support. Using the embracing shapes and the shape of the back rest shell allows you to push and contain the torso in harmony to best fit the users needs and give the Trunk Total Support. The backrest shell is an important element from proper functionality. The choice of contour and the level of contour affects the functional posture of the trunk and the performance of accessories. Contour Shell Flat Shell T Shaped

12 Backrest Accessories All backrests in the Promedicare range can be fitted with additional thoracic support if required. Other accessories include the Capitis Range of Headrests and the Fixatis range of Harnesses. ACCESSORIES CODE - SIZE (H x L) DESCRIPTION CODE - TYPE(A or B) DESCRIPTION PMDS3- ( ) Flat Pad PMDS1- ( ) Fixed Bracket PMDS4- ( ) Contoured Pad PMDS2- ( ) Swing Away Bracket CODE - TYPE(A or B) DESCRIPTION PMDE2- ( ) Detachable Bracket

13 EFFECTO LATO Encourages Trunk Extension The Effecto Lato features 3 modular configurable inserts that each have specific tasks. The lumbar contoured support wraps and if necessary, can push laterally the medium low part of the thorax and hips and the lumbar support insert supports the lumbar curve. There is also a wide range of thoracic supports with either fixed, swing away or detachable brackets if your client requires additional thoracic control. The modular nature of this back allows for off the shelf customisation for each clients individual needs. EFFECTO LATO CODE SIZE (W x H) PMD cm x 33cm PMD cm x 36cm PMD cm x 40cm PMD cm x 44cm PMD cm x 48cm PMD cm x 50cm User weight limit 136kg, 3 modular configurable inserts as standard, Two layers of foam Self-modelling polymeric foam and reticulated foam for ventilation, Microclimatic ventilated cover, Aluminium flat shell T shaped, Mounting hardware kit with 4 attaching points. EFFECTO PLUS Helps Trunk Alignment Effecto Plus provides moderate trunk control and stability for function. The 5 uniquely contoured configurable inserts allow for greater function by supporting and facilitating spinal extension. The modular nature of the back rest allows for off the shelf customisation to suit a wide range of body shapes. Safe control of the upper body gives users greater ability to interact with their environment. EFFECTO PLUS CODE SIZE (W x H) PMD cm x 33cm PMD cm x 36cm PMD cm x 40cm PMD cm x 44cm PMD cm x 48cm PMD cm x 50cm User weight limit 136kg, 5 modular configurable inserts as standard, Two layers of foam Self-modelling polymeric foam and reticulated foam for ventilation, Microclimatic ventilated cover, Aluminium flat shell T shaped, Mounting hardware kit with 4 attaching points.

14 SUPPORTO Supports the Anatomy The modular nature of the back rest allows for off the shelf customisation for those with medium/severe mobile or fixed deformities. The Suporto features 8 modular configurable inserts that each have specific tasks. The thoracic containment inserts contain and laterally support the upper chest while the lumbar contoured support wraps and if necessary, can push laterally the medium low part of the thorax and hips. Last but not least the lumbar support insert supports the lumbar curve. SUPPORTO CODE SIZE (W x H) PMD PMD PMD PMD PMD PMD cm x 33cm 33cm x 36cm 36cm x 40cm 39cm x 44cm 42cm x 48cm 45cm x 50cm User weight limit 136kg, 8 modular configurable inserts as standard, Two layers of foam Microclimatic ventilated cover Aluminium Contoured shell, Mounting hardware kit with four attaching points BACKREST LEVELLING KIT Provides Support to Trunk & Head Completes the Positioning Support The innovative backrest levelling kit completes the positioning action of Inserto Pucco and Inserto Nauco cushions. Its use helps to fill the space between the rear part of Inserto positioning cushions and the backrest of most common strollers, chairs etc. Ideal for children with poor postural control of the head/trunk BACKREST LEVELLING KIT CODE PMD500-4PKL SIZE One Size 2 Backrest levelling inserts, 1 padded insert to support the trunk, 1 padded and covered headrest insert, 1 cover for levelling inserts.

15 VERSA CAPITIS Head Rests Versa Capitis is a complete range of head positioning systems. Two models available the Confort and Anatomico for a support suitable to the users needs. Headrests supplied complete with multi-adjustable hardware and a mounting block for fixing onto the backrest. CONFORT Range CONFORT Size Short Horizontal Bar Long Horizontal Bar Small PMDC01PC PMDC01P Medium PMDC01MC PMDC01M Large PMDC01GC PMDC01G ANATOMICO Range ANITOMICO Size Short Horizontal Bar Extra Small PMDC02XPC Long Horizontal Bar PMDC02XP Small PMDC02PC PMDC02P Medium PMDC02MC PMDC02M Large PMDC02GC PMDC02G

16 Hensinger Head Support After the rest of the body is positioned this support helps maintain midline head positioning and improved breathing, swallowing, simplified feeding and social interaction. Soft foam wrap around collar supports the head by using base support areas at the occiput and jaw line. Ideal for use during transportation use in conjunction with a chest support (such as Fixatis butterfly harness). Quick release buckle for easy on/off. Soft sock covers are easy and inexpensive to replace and clean. HENSINGER Size Measurement Inner Circumference Code Extra Small 250mm HR103 Small 300mm HR102 Medium 350mm HR101 Large 400mm HR100 Headmaster Collar This innovative cervical collar provides excellent all around support and keeps you looking great! Light and airy, the Headmaster Cervical Collar is covered in a soft, washable fabric. The Headmaster Cervical Collar is easily formed by hand to fit snugly under the chin while providing firm support. The Headmaster Cervical Collar is the collar of choice for patients with ALS, MS, Lou Gherig's Disease, Motor Neuron Disease, Arthritis, and general head support. Benefits of the cervical collar include a low profile appearance, access to a tracheal tube, low heat retention and firm support. HEADMASTER Size Measurement Centre Chin to Cnr Jaw Code Infant 6.5cm HR900 Child 7.5cm HR901 Junior 9cm HR902 Small 10cm HR903 Medium 11.5cm HR904 Large 13cm HR905

17 Dynamic Butterfly Harness Featuring a soft and dynamic chest stabilizer. It enables the positioning of the trunk and the shoulder and helps small ranges of movements. Chest Harness with Shoulder Retraction Pads Provides a stable support in the anterior part of the chest and optimises shoulder retraction. It is multi-adjustable and allows a stable fixing position in the posterior part for safe use.

18 Trunk Harness with Elastic Shoulder Retractors Featuring soft pads and elastic adjustable retractors with a front buckle closure. Allows for small ranges of movement. Fastened from the front or can be crossed if necessary. Abduction Dynamic Harness Promotes the abduction of the legs and when used in combination with a contoured seat, helps maintain and stabilise the position of the pelvis whilst allowing for small ranges of movement.

19 Pelvic Belt 2 Fixing Points / 2 Adjustments Plastic Side Squeeze Buckle Pelvic Belt 2 Fixing Points / 2 Adjustments Metal Push Button Buckle

20 Pelvic Belt 4 Fixing Points / 2 Adjustments Metal Push Button Buckle Midfoot Strap Padded with Hook & Loop Fixing Provides support in the mid part of the foot avoiding slipping forward and ensures correct positioning of the foot on the footplate. The mounting is secured by hook and loop.

21 ERMES PAEDIATRIC POSITIONING SYSTEM Multi Adjustable Versatile Multifunctional Ideal for children affected by inadequate postural control as a result of several pathologies. Ermes allows customisation and adjustments during the assessment, delivery and after-delivery ollow-up, for all users affected by leg length discrepancies, wind swept, pelvic obliquity, anterior/ posterior pelvis tilt even combined and/or related to scoliosis, lordosis and kyphosis. ERMES MATERIALS Seat and Back positioning system with aluminium shell and polyethylene inserts kit. Two layers of foam for the backrest (self-modelling polymeric foam and reticulated foam for ventilation) and microclimatic ventilated cover. Kit of covers for the backrest in microclimatic material, elasticised and breathable Seat padding in visco-elastic foam. FREE SHAPE microclimatic and incontinent padded cover kit for the seat.

22 Inserto Back Technology (TTS) Lateral lumbar contours and lumbar support Inserto Seat Technology (PTS) Frame Lateral/anterior Pelvic control Pelvic Total Control (PTS)

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