QubiCell series. QubiCell series. QubiCell series. Pressure Redistribution System Comprehensive Care - Ultimate Comfort

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1 QubiCell series QubiCell series Therapeutic Support Surface HEADQUARTERS APEX MEDICAL CORP. No. 9, Min Sheng St., TuCheng, New Taipei City, 23679, Taiwan TEL: FAX: marketing@apexmedical.com.tw EUROPE APEX MEDICAL S.L. Elcano 9, 6 a planta Bilbao. Vizcaya. Spain TEL: FAX: info@apexmedical.es UK Apex Medical Limited Unit 21, Optima Park, Thames Road, Crayford, Kent DA1 4QX Tel: Fax: sales@apexmedical.org.uk MIDDLE EAST AFRICA INDIA 29, Misr Liltameer Building, Stree#10, AREA#8, Sheraton Building, Heliopolis Cairo, Egypt. TEL: FAX: sunmed@link.net USA APEX MEDICAL USA CORP. 615 N. Berry St. Suite D, Brea, CA 92821, USA TEL: FAX: sales.usa@apexmedicalcorp.com CHINA APEX MEDICAL (KUNSHAN) CORP. No. 1368, ZiZhu Road, Kunshan, Jiang Su Province, China TEL: Ext1150 FAX: customer@apexmedical.com.cn Distributor Print 2014 / All rights reserved Specifications may change without notice. QubiCell series Pressure Redistribution System Comprehensive Care Ultimate Comfort With the special anti sink rectangular shaped cells, QubiCell series provides effective pressure relief and optimal comfort by dispersing pressure over a larger surface area, reducing peak pressures. The antimicrobial cover and filters reduce the risk of cross contamination. The QubiCell series are designed to meet both carers' and patients' comfort need.

2 Product Selection Guide Elevating product performance to counter the advancement of the stages of pressure ulcer and seriousness of immobility. For all patients as indicated May be used with frequent monitoring and care Replacement Mattress System Overlay Mattress System QubiCell Bariatric 10" Mattress 107cm or 122cm wide QubiCell 4 8 Mattress QubiCell Auto 5" Overlay Auto Adjustment Automatically adjusts the internal pressure of the air cells in response to individual body weight, distribution and posture, maintaining high level of comfort and optimal pressure redistribution and relieving the burden of carers. Alternate Mode Continuously and sequentially inflate and deflate air cells to mimic natural sleep movement patterns and avoid long term pressurization of tissue, providing protection against ischemia while stimulating blood circulation. Static Mode Provides a stable surface at lower pressure for therapy to occur. The mode auto reverts after 20 mins. Seat Inflate Mode In case where patient needs to sit up or placed onto fowler s position, seat inflate mode offers additional increase in the pressure of the whole mattress to have better support especially on the sacrum area. Max Firm Mode Other than inflating a new mattress, Max Firm feature is normally used to stabilize the mattress for nursing procedure. After 20 minutes in Max Firm Mode, the system is reverted back to previous setting in QubiCell AUTO or to Alternate Mode for the rest of the QubiCell models. Low Pressure Alarm To notify carers if there is a situation of inadequate cell pressure. Power Failure Alarm To notify carers if there is a situation of power loss or lead unplugged. Tech Support Alarm To notify carers when the system needs to be repaired by technicians. Panel Lock Automatically locks the panel in order to prevent unauthorized change of settings. QubiCell 3 5" Overlay Features Overview Product Name QubiCell 2 QubiCell 3 QubiCell 4 QubiCell AUTO QubiCell Bariatric Auto Adjustment Alternate Mode QubiCell 2 5" Overlay Static Mode Seat Inflate mode Max Firm Mode Low Pressure Alarm Power Failure Alarm Tech Support Alarm Alarm Mute Panel Lock Normal Stage I Stage II Stage III Stage IV

3 The Challenges of Pressure Ulcers Simple Truth: Pressure ulcer can cost a lot of money! Pressure ulcers can cause significant health and economic burden for both patients and for healthcare systems. Pressure ulcers are known for severe or intolerable pain are easily linked to cross infection, and high mortality rates 1. According to various studies, the average cost of healing a pressure ulcer per incidence cost in Australia, Spain, UK, and USA ranges from $1,096 to $10,388, 24 to 6,802, 1,064 to 10,551 British pound, and US$40,000, respectively 2/3/4. Furthermore, the annual cost of treating pressure ulcer may be more than $350 million in Australia, $2,000 million pounds in UK, and 461 million in Spain 5/6, which poses a significant economic burden for the healthcare system. Prevention is considerably less expensive and has become an important goal for healthcare professionals globally. Infectious Pressure Ulcer Approximately 60,000 people die each year from complications of pressure ulcers. On a daily basis, it represents more than 160 deaths per day! For patients diagnosed with pressure ulcer, their associated risk of death is 4.5 times higher than those with the risk factors but without pressure ulcers 7. On top of this secondary complication such as woundrelated bacteremia can increase the risk of mortality up to 55% 8/9/10. In senior patients with pressure ulcers, incidence of bacteremia is reported to occur at the rate of 3.5 per 10,000 hospital discharges 11. The mortality rate in this population is nearly 50% 12. Since pressure ulcers and their complications can be complex, efforts to resolve pressure ulcers should not only focus in promoting wound healing, but also in deriving an effective infection control solution. QubiCell series is here to offer a solution Infection Control reduce risk from cross infection Estimated Costs of Treating One Case of Pressure Ulcer Ease of Use save carer s time and workload 45,000 40,000 40,000 Pressure Redistribution offer optimal pressure relief and comfort 35,000 30,000 25,000 20,000 USD 21,254 Service and Maintenance saves money 15,000 10,000 5, ,990 9,475 Spain AUS UK USA QubiCell is a series of therapeutic powered pressure air mattresses that are designed for a wide range of conditions from preventive to curative of existing pressure ulcers. With evidence based development, each model in QubiCell series is verified by Dynamic Pressure Mapping Test to trace real time internal pressure between the mattress and body to ensure the effectiveness of pressure redistribution. Normal Mattress QubiCell 4 Countries 1.Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clin Geriatr Med 1997;13: Prentice JL, Stacey MC. Pressure ulcers: the case for improving prevention and management in Australian health care settings. Primary Intention 2001; 9: Agreda JJS, Bou JT, Posnett J, Soriano JV, San Miguel L, Santos JMM. An approach to the economic impact of the treatment of pressure ulcers in spain. Gerokomos. 2007: Woolridge M. Address at the Launch of the Australian Medical Sheepskin, St Vincent s Hospital, Melbourne, July 2nd, Soldevilla JJ, Torra JE, Posnett J, Verdu J, San Miguel L. The Burden of Pressure Ulcers in Spain. Wounds. 2007; 19(7): Allman RM. Pressure ulcers among the elderly. N Engl J Med. Mar ;320(13): Staas WE Jr, Cioschi HM. Pressure sores a multifaceted approach to prevention and treatment. West J Med. May 1991; 154(5): Allman RM, Walker JM, Hart MK, et al. Air fluidized beds or conventional therapy for pressure sores. A randomized trail. Ann Intern Med. Nov 1987; 107(5): Maklebust J. Pressure ulcers: etiology and prevention. Nurs Clin North Am. Jun 1987; 22(2): Doughty D. The process of wound healing: a nursing perspective. Prog Develop Ostomy Wound Care. 1990;2: Staas WE Jr, Cioschi HM. Pressure sores a multifaceted approach to prevention and treatment. West J Med. May 1991; 154(5): Maklebust J. Pressure ulcers: etiology and prevention. Nurs Clin North Am. Jun 1987; 22(2): s

4 360 Antimicrobial Protection Infection in pressure ulcer can delay healing 1, not to mention other complications of pressure ulcers include pain, depression, and fatality. Apex has carefully listened to the challenges posed by medical care environments, and proposes the new Silver + Stretch cover and antimicrobial filter for QubiCell products to reduce risk of infection and improve the qualities of nursing care. Silver + Stretch cover Antimicrobial Filter not only has vapour permeable and water resistant is also treated with antimicrobial ingredients proven to feature but also works effectively against MRSA with its have anti MRSA effect, reducing the risk of cross permanently silver ion treated fabric, which kills 99.5% of infection between patients. the germ even after 40 cycles of high temperature washing (95 ). The cover has passed cytotoxic, irritation and sensitization tests, also conforms to BS 7175, source 5 for the flame retardance standard, to meet the requirement of most hospital standard. The cover is hence works to reduce the bio burden in the patient s environment, and helps with the cross infection control. Anti Sink Rectangular Cells APEX is committed to develop new and innovative wound care solution. The new Anti Sink cells are designed with upper and bottom fastners for better stability and to spread the pressure evenly over the mattress. The new shape of rectangular cells absorbs the pressure on the surface of the body by widely dispersing pressure at points of contact. This is particularly helpful in reducing pressure on vulnerable body parts such as sacrum and heels. The Anti Sink rectangular cells follow the contours of a patient s body so that the subject is immersed onto the mattress with comfort but without the risks of bottoming out. The Anti Sink rectangular cell design is available on QubiCell 2 QubiCell 3 QubiCell 4, QubiCell Bariatric on the torso section and QubiCell Auto (8 mattress) on the torso section. Anti Sink Rectangular Bladders disperse the interface pressure at contact points and spread the pressure evenly over the mattress. Result from Mold and Fungal Resistance Test Fungistatic Flame Resistance Silver ion Treated Vapour Permeable Ag + Heel Relief : preventing pressure ulcers occurring on the heel APEX Heel Relief is a simple and easy way to prevent and assist in treating heel pressure ulcers by eliminating interface pressure from heels as if they are suspended in air. The heel is typically reported as the second most common sites for pressure ulcer development 1. With the Heel Relief connectors on the last five cells in the foot end, regardless of patients height, the carers can always deflate the cell directly underneath the heel to achieve zero pressure. Heel Relief feature is available on QubiCell 4, QubiCell AUTO (8 mattress), and QubiCell Bariatric models. Water Resistance 2 directional Stretch Biocompatability Control Sample Test Static Cells Alternating Cells Heel Relief With Heel Relief connector, the heel is suspended in the air to eliminate pressure on the heels. 1.Schultz G, Sibbald RG, Falanga V, et al. Wound bed preparation: a systematic approach to wound management. Wound Rep Regen. 2003;11(1): CHENEWORTH C., HAGGLUND K., VALMASSOI B. & BRANNON C. Portrait of practice: healing heel ulcers. Adv Wound Care 1994;(7):44 48

5 Low Air Loss Air circulates to provide good ventilation and reduce the accumulation of heat and moisture. (Not availbale on QubiCell AUTO & QubiCell Bariatric) Easy Storage With snap fit buckle strap, the mattress can be wrapped into a compact size for storage. Two way zipper The cover is attached to the mattress base by concealed zips to reduce ingress of unwanted fluids. The cover can also be completely removed for laundering and replacing. Cable Management Five loops on the mattress side to provide safer environment and reduce risks to carers. Transport function Mattress can be transformed from a powered support surface to a sealed static air mattress, providing a uniform stable surface for patient transportation. CPR Knobs An ergonomic CPR knob is designed for single handed quick air release. It is located on the mattress side which enables rapid air deflation for emergencies or mattress storage. Crib 7 Fire Retardancy Stretch Cover Vapor permeable and water resistant 2 directional stretch cover offers optimum pressure redistribution and comfort. It is also flame retardant up to CRIB 7 level. Pillow Function Tubes in the C section are designed to simulate a regular mattress softness and stableness of a pillow which also helps with patient compliance. (QubiCell 4, QubiCell AUTO 8 and QubiCell Bariatric has first 4 cells for pillow function.)

6 QubiCell Bariatric QubiCell Bariatric comes with two different width of mattress 107cm and 122cm, both with the maximum weight capacity of 450 kg. With the rectangular design cells, the system also provides optimal pressure relief and comfort due to its capability to widely dispersing pressure. The digital control panel setting allows the setting of client weight, cycle time and optional modes including alternating, static, maxfirm, and seat inflation are also available to meet the treatment needs for each individual. Again, antimicrobial filter and Silver + stretch cover are also available which allow the large size patients to receive the same high quality of care and comforts Specifications Model Dimension Weight Case Material QubiCell Bariatric 29.1 x 20 x 11.7 cm 2.2 Kg Flame retardant ABS Pump Supply Voltage AC V, 50Hz; AC 120V/ 60Hz Max Firm Mode A level surface for therapy & rehabilitation procedures Inflate to its firmest level with all cells inflated. The system will automatically return to alternate mode after 20 min. Seat Inflate+ Alternate mode Useful for clients at higher risk of bottoming out Increased pressure is applied to all alternating cells providing a higher cell pressure ensuring pressure relief for patients in <30 tilt position. HeelRelief Cells Protecting vulnerable heels With Heel Relief connector, heel can be suspended in air to completely eliminate pressure exerted to the heels. Mattress Operating Cycle Dimension Cell Height Weight 10, 15, 20, 25 mins 10" Replacement 200 x 107 x 25.4 cm 20 x 10" cells 11.6 kg 200 x 122 x 25.4 cm 20 x 10" cells 12.1 kg Cover Material Silver + 2 directional Stretch Silver + 2 directional Stretch Cell Material Nylon/TPU Nylon/TPU Maximum Patient Weight 450 kg 450 kg Selective Alternate Cycle Time A therepeutic cycle providing cyclic pressure reduction Periodically 1 in 2 alternating cycle with four available cycle time: 10, 15, 20, 25 minutes. Seat Inflate+ Static Mode For stable support in seating position Allows clients who need therapy or requiring transfer to have cells inflated at higher pressure thus giving a firm surface to assist the activity. Assistance of carrying handles Make mattress movement easy Four sets of carrying handles are designed at the 2 sides of mattress to facilitate caregivers to transport the patients easily. Static Mode A stable all cells inflated surface for therapy This mode functions at a lower pressure than alterative mode for patient safety. It automatically returns to alternate mode after 20 min. Cell in cell Rectangular Cells Optimal distribution and power failure protection Cells conform to the contours of the body structure & movement. The inner cells can provide hours of support even during power failure.