Pressure offloading | Wound Care Handbook

Body Armor Heel Reliever

Offloading device that completely suspends the heel. Has two internal foam finishes (convoluted or smooth) and a friction-free exterior surface. Ventilation holes promote air circulation. Three straps hold the forefoot and lower leg in an orthograde position. Can be worn on either the right or left foot. Machine washable. The device is supplied with a forefoot pad, a long calf pad (30cm), a positioning wedge (to counteract external rotation of the leg) and a laundry bag. The device is manufactured by DARCO and distributed by V-M Orthotics.

Cellona Shoe

A walking shoe to accommodate bandages and casts, and to offload pressure from the foot

Comfort Glide Positioning Wedges

Single-use or reusable high-density foam wedges designed to keep patients in 30-degree tilt position to reduce pressure on bony prominences. Non-slip base grips the surface of any mattress or linen, ensuring stability.

Comfort Glide Repositioning System

3-in-1 system to help prevent pressure damage. Air-permeable repositioning sheet can remain under patients for extended periods, enabling repositioning every 4 hours for patients at high risk. Once repositioned, wedges keep patients in the recommended 30-degree tilt position to reduce pressure on bony prominences. Pads designed to manage moisture to keep skin dry.

Dermisplus Prevent

Pressure-redistribution pad available in various sizes, thicknesses and anatomical shapes. Single-patient use, but can be washed and reapplied to same patient multiple times.

Devon Foot and Heel Protector

Foam positioning device designed to reduce risk of pressure ulcers and nerve damage while maintaining proper circulation. Helps to provide economical cushioning, support and stability for the feet.

Devon Utility Pad

Foam positioning device designed to reduce risk of pressure ulcers and nerve damage whilst maintaining proper circulation, to be used as part of a pressure ulcer prevention or treatment strategy. Convoluted side of dressing will be in contact with pressure points, which require cushioning and circulation maintenance.

FootSafe Prevention Boot

Antimicrobial-impregnated polyurethane boot with adjustable lower leg fastening straps to aid patient comfort, minimise movement of the boot and allow the accommodation of variable sized wound dressings. Non-ambulatory use only. Multi-patient use.

Heel Pro

Boot with 2 adjustable straps. Reduces heel pressure by elevating the heel and providing low-friction cushioning. Heel aperture allows for easy inspection.

Heel Pro Advance

Boot with 2 adjustable straps. Reduces heel pressure by elevating the heel. Ripstop material can be wiped clean. Heel aperture allows for easy inspection.

Heel Raiser Pro

Heel offloading boot that redistributes pressure along the calf. The durable exterior reduces friction and shear from sheets. Machine washable. Simple strapping system. Treated with ‘Ultra-Fresh’ antimicrobial treatment to help inhibit odour-causing bacteria.

Heelift

The Heelift family (Glide, AFO and Classic) of suspension boots use a fixed pad of latex-free foam to completely elevate the heel, redistributing pressure along the calf. Friction-free Tricot backing and soft felt closure straps for a secure fit eliminate the risk of pressure, friction and shear to the heel. The foam support of the forefoot allows dorsiflexion while preventing heel-cord contracture (foot drop) and external hip rotation (with the spare pad or a wedge).

Heelift Glide

Redistributes pressure from the heel to the calf to prevent heel pressure ulceration. Gentle cradling and cushioning of the lower leg with the heel elevated in protective space reduces the chances of irritation or pressure points. The soft, smooth exterior fabric allows the leg to glide from side to side, preventing it from catching on sheets and blankets.

HeelMedix

Heel offloading device that utilises a pillow-like design to redistribute pressure. Machine washable. Flexible strapping system helps prevent foot drop. Optional wedge (included with each size) to help prevent lateral or medial rotation. Treated with ‘Ultra-Fresh’ antimicrobial treatment to help inhibit odour-causing bacteria.

HeelSafe Pressure Relief Pad

Pre-inflated or inflatable over-mattress pad to relieve pressure on heels. Secured to the bed with adjustable straps and snap buckles, which can be replaced. Optional manual hand pump and replacement cover. Can be combined with SoleSafe to protect both the heel and plantar surfaces.

Jobst Foam

Kidney-shaped latex-free foam rubber dressing designed to evenly distribute pressure from compression stockings or bandages over bony prominences. Comprised of 100% synthetic rubber.

Kerraped All Purpose Boot

Therapeutic shoe with a breathable material upper, a black EVA insole and an abrasion-resistant outer sole. It is secured with Velcro straps.

Kerraped Plantar Ulcer

A shoe system comprising a therapeutic shoe and an insole. The insole, which is 18mm thick, combines Poron, Plastazote and multifoam, and has easily removable pegs to allow selective offloading. The insole is placed into the therapeutic shoe, which has a breathable upper material and an abrasion-resistant outer sole. The shoe is secured with Velcro straps. Replacement insoles are available.

Kerraped Plus

Advanced therapeutic shoe with a breathable upper material, a black EVA insole and an abrasion-resistant outer sole. Secured with two fully adjustable upper Velcro straps for patient comfort and safety.

KerraPro Pressure Reducing Pads

Shaped pads made from 100% silicone. The pads can be reused on the same patient (simply wash with soap and water). They must be completely dry before re-application.

Liqua Care

Ergonomic, liquid-filled, pressure-redistributing insoles. Fabric covered for added comfort. Slim, so fits most types of shoes. According to manufacturer, is clinically proven to reduce peak forefoot pressure by over 21% immediately and to increase circulation by over 5% with one week’s use.

Repose Ambulance Companion

A reactive air pressure redistributing and reduction support surface utilising immersion and envelopment, this overlay provides an effective pressure redistribution and reduction support surface for ambulance stretchers and patient trolleys. It offers improved comfort and patient dignity while reducing the risk of hospital-acquired pressure ulcers (HAPUs) for patients who experience delays during ambulance handovers and extended trolley waits in emergency departments. The Repose Ambulance Companion is an effective pressure area care solution that can be safely secured to an ambulance stretcher or patient trolley. It can be cleaned and reused for multiple patients and comes with a 3-year warranty.

Repose Companion

A reactive air pressure redistributing and reduction support surface utilising immersion and envelopment that has been designed for use on standard hospital transport trolleys, emergency trolleys, patient trolley systems and standard single bedframes, where it has proved uniquely comfortable as well as providing effective pressure redistribution. This unique device moves with the patient, combining effective pressure redistribution and safer lateral transfer. Can be cleaned and reused for multiple patients and comes with a 3-year warranty.

Repose Contur

A reactive air pressure-redistributing overlay for riser recliner chairs; provides head-to-toe protection against pressure damage. Can be easily and safely secured with straps to a range of chair sizes. Three-year warranty.

Repose Cushion

A reactive air pressure-redistributing cushion for use on a standard static chair. Provides pressure redistribution while slim profile increases patient comfort. Can be cleaned and reused. Suitable for use in both acute and community settings. Three-year warranty.

Repose Flex

Designed using immersion and envelopment to place the knee in slight flexion (5–10 degrees) and allow complete heel offloading while redistributing the weight of the patient’s leg across its surface. Can be cleaned and reused. Three-year warranty.

Repose Foot Protector

Designed to offload heels to prevent pressure damage or as part of the management of heel ulcers in patients with elevated legs. Can be cleaned and reused. Three-year warranty.

Repose Foot Protector Plus

Designed to offload heels to prevent pressure damage or as part of the management of heel ulcers in patients with elevated legs. Incorporates Magnaffix adjustable strap to keep device in place, and ventilation hole in heel section to facilitate skin inspection. Can be cleaned and reused. Three-year warranty.

Repose Mattress Overlay

Reactive air pressure-redistributing mattress overlay designed for use on a standard single bed. Suitable for use in both acute and community settings. Can be cleaned and reused. Three-year warranty.

Repose Sole Protector

Suitable for use with community and acute beds. Helps to reduce risk of pressure damage to soles of feet by offering pressure relief at bed end. Can be cleaned and reused. Three-year warranty.

Repose Wedge

Designed to completely offload heels for either pressure-damage prevention or as a part of the management of heel ulcers. Suitable for patients who are confused and may be not be able to remove other offloading devices when moving off bed, or who are restless and may kick them off or who may not tolerate other forms of heel protection. Can be cleaned and reused. Three-year warranty.

Repose Wedge & PU Cover

A reactive air pressure redistributing and reduction support surface utilising immersion and envelopment that provides an effective pressure redistribution and reduction support surface with enhanced durability and patient comfort. It is designed primarily for off-loading pressure from the heels and can be used wherever support or elevation of the lower legs is required, where it has been proven to be comfortable, as well as providing effective pressure redistribution for those at all levels of pressure damage. Suitable for use in both acute and community settings. Can be cleaned and reused for multiple patients and comes with a 3-year warranty.

Safeguard Heel Boot

Wide, soft, secure fixation strap, made from latex-free foam

Safeguard Utility Pad

Made from latex-free foam. Supplied as a pair for single use.

SoleSafe Bed End Pressure Relief Pad

Pre-inflated or inflatable pads impregnated with antimicrobial polyurethane that protect the soles of the feet when patients slide down an inclined bed. Secured to the bed with adjustable straps and snap buckles, which can be replaced. Supplied with manual hand pump. Can be combined with HeelSafe to protect both the heel and plantar surfaces.

TCC-EZ

An all-in-one, roll-on, easy-to-apply total contact cast system. Application process can be completed in less than 10 minutes in the clinic by any trained clinician. Complemented by a partner boot.

Z-Flo Fluidised Positioners and Heel Boot

A fluidised positioner that moulds to individual patient and anatomical shapes to redistribute pressure. Offloads bony prominences, such as the occiput. Zero-flow: once moulded into any shape, it will maintain that form and patient position over time. Zero-memory: moulds to a new shape when needed without returning to its previous form.