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The PRO 2000XT caters for all grades of pressure ulcers in a mattress replacement or overlay system
Designed and Manufactured in Ireland
For patients with superficial skin breaks through to grade iv pressure ulcers the Pro 2000 is the most unique product of it’s kind available. It’s two layer design permits the lower layer of cells to remain inflated at all times, whilst the top layer can be programmed to alternate as required. The Pro 2000 is the only product that alternates every eighteen seconds permitting it to provide the greatest therapy levels of any product. In addition the Pro 2000 can be customised to meet the needs of each individual patient. The result of this cutting edge technology has been proven in independent comparative studies, which conclude that the Pro 2000 has the lowest interface pressures of any product available on the market. In order to cater for varying requirements, the Pro 2000 can be specified as either an overlay, or mattress replacement system.
The European Pressure Ulcer Advisory Panel has defined a pressure ulcer as ‘an area of localised damage to the skin and underlying tissue caused by pressure, shear, friction and/or a combination of these’. (1) European figures suggest that approximately 18% of hospitalised patients have a pressure ulcer at any given time. (2)
Pressure ulcers cause great pain and suffering to patients. They also impose unnecessary psychological and physical strain on the dedicated nursing staff and carers. Treatment is costly with the annual cost in the UK approximately £1.4 - £2.1 billion (€1.78 - €2.68 billion). (3)
Healthcare professionals are increasingly being asked to provide greater patient care with less resources and an increased threat of litigation.
CONCERNS FOR CLINICIANS AND PATIENTS
The selection of equipment, although secondary to the delivery of essential nursing care, significantly contributes to the prevention and treatment of pressure ulcers.
Over many decades a number of risk factors such as pressure, time, shear, friction and moisture, have been identified as contributors to the development of pressure ulcers. In recent years an additional factor of reperfusion injury has been highlighted.
Reperfusion injury refers to damage to tissue caused when blood supply returns to the tissue after a period of ischemia/blockage/obstruction, due to prolonged higher pressures and/or longer cycle times of alternating mattresses.
THE SOLUTION FOR CLINICIANS AND PATIENTS
The PRO 2000XT incorporates the very latest technology to manage all extrinsic causes of pressure ulcer development including reperfusion injury. Meditec are proud to be the pioneers of a system which addresses the concerns of reperfusion injury.
DEALING WITH REPERFUSION INJURY
Reperfusion injury refers to the damage to tissue caused when blood supply returns to the tissue after a period of sustained pressure.
It has been shown that the effects of ischaemia (lack of oxygen due to pressure on the tissue) and reperfusion (blood reflow) can be more damaging than ischaemia alone. (4). If ischaemia is ended by the rapid restoration of blood flow, a second series of injurious events ensue which result in irreversible cellular damage.
The PRO 2000XT patent* design provides gradual reperfusion which prevents tissue damage.
The PRO 2000XT prevents reperfusion injury by having low interface pressure, frequent removal of pressure and ensuring a gradual reflow of blood to the affected area.
WHY IS PRESSURE IMPORTANT?
Despite the fact that a ‘safe’ interface pressure cannot be easily determined, it is accepted that high interface pressures are a major contributing factor in the development of pressure ulcers. (5) The high output of the control unit, together with the low air loss mattress, provides lower cell inflation pressure which allows the patient to be immersed into the support surface resulting in greater pressure relief.
The dual layer cell construction (28 upper cells) provides a greater number of contact points with the patient which also lowers the interface pressures. These features contribute to extremely low pressures which enable blood vessel diameters to remain as large as possible, ensuring tissue oxygenation and nutrition are maintained.
The PRO 2000XT has the lowest interface pressures on the market. (6-7)
IT IS NOT JUST ABOUT PRESSURE RELIEF
Interface pressure measurements alone are not sufficient to alert the clinician to the potential of skin breakdown. It is well established that there is a pressure time threshold above which ulceration is likely. (8). The ideal situation is to have low interface pressures for short periods of time to prevent and treat pressures ulcers. In addition to having low interface pressures the PRO 2000XT has a varying cycle time from 30 seconds to 5 minutes.
The PRO 2000XT relieves more pressure more often than any other system.
WHY SHOULD WE BE CONCERNED WITH SHEAR AND FRICTION?
Horizontal shear and frictional forces will distort the shape of layers of tissue causing blood vessels to be occluded, reducing blood flow to the affected area. The 28 cell top layer design ensures the patient is well supported and prevents shear and frictional drag while a patient is being profiled.
The PRO 2000XT’s smooth theraderm cover provides low friction and shear which facilitates minimum lifting and better patient handling.
THE ROLE OF MOISTURE
High moisture levels can increase friction and shear at the interface. Moisture, together with pressure, is more damaging to tissue than pressure alone. (9). The theraderm quilted top sheet has a high moisture vapour transfer rate to prevent skin maceration. It is also fl uid proof and provides a bacterial barrier to prevent infection.
The PRO 2000XT provides low air loss which allows air to flow through the theraderm cover removing excess moisture and maintaining ambient skin temperature.
EVIDENCE BASED PRACTICE
The PRO XT2000 has out-performed its main competitors in laboratory evaluations such as interface pressure and skin tissue perfusion measurements. As well as these physiological measurements the PRO 2000XT has excellent evidence based patient outcomes. (10)
The Meditec Pro 2000 XT is superior to all other alternating pressure mattresses that I have experienced. To put it simply the proof is in the pudding. On every mattress before this I was awake every one to two hours. I now wake once a night. It is a revelation.
My skin was breaking down continually and is now resolved thanks to the Meditec Pro 2000 XT.
Finally, the support and expertise provided by Simon Murray is second to none.
Hear what a motor-neurone disease sufferer has to say about the Meditec Pro 2000 XT support surface.
Meet Susan, a PRO2000XT User
Listen to her, in her own words, explain why the PRO2000XT is in a class of it’s own.
- Control Unit – High airflow blower (1833 litres per minute) provides static and alternating therapy.
- Max Inflate – Inflates mattress to its maximum firmness in less than 30 seconds.
- CPR – Quick release allows deflation in 10 seconds.
- Patient Weight – Suitable for patients weighing up to 180 kg.
- Alarms – Audio and visual.
- Cleaning instruction – Wipe coversheet with water and mild detergent.
- Air Supply Controller
- Airflow Output: 1833 litres per minute
- Weight: 6kg
- Length: 34 cm
- Height: 27cm
- Depth: 16cm
- Alternating Cycle Type: 1 in 2
- Alternating Cycle Times: 0.5 – 5 minutes (30sec intervals)
- Power Requirement
- Electrical Rating: 220V-240V, 2 Amps, 50Hz
- Electrical Leakage: <820 Microamps
- Grand Resistance: <150 Mill Ohm
- Air Mattress: Length: 180cm
- Width: 80cm
- Height: 20cm / 12cm (Fully infl ated)
- Cell Construction: 28 Upper/27 Lower
- Warranty: 1 year
- (1) European Pressure Advisory Panel (1999). Guidelines on treatment of pressure ulcers. EPUAP Review. 2, 31-33.
- (2) European Pressure Advisory Panel (2002). Summary Report on the Prevalence of Pressure Ulcers. EPUAP Review. 4, 2 , 49-57.
- (3) Bennett G., Delaey C., Posnett J. (1994). The cost of pressure ulcers in the UK. Age & Ageing; 33, 3, 230-235.
- (4) Bouten CVC, Oomens CWJ, Baaijens FPT, Bader DL (2003) The aetiology of pressure sores: skin deep or muscle bound? Arch Phys Med Rehabil 84:616-619.
- (5) Kosiak M (1961) Etiology of decubitus ulcers. Arch Phys Med Rehab 42:19-29.
- (6) Bain D, Centre for Disability Research and Innovation, Royal Orthopaedic Hospital, London.
- (7) Weaver V, Jester J (1994). A clinical tool: Updated readings on tissue interface pressure.
- (8) Reswick JB, Rogers JE (1976) Experience at Rancho Los Amigos Hospital with devices and techniques to prevent pressure sores. In: Kenedi RM, Cowden JM, Scales JT (eds) Bedsore biomechanics. Macmillan, London, pp 301-310.
- (9) Knight SL, Taylor RP, Polliack AA, Bader DL (2001) Establishing predictive indicators for the status of soft tissues. J Appl Physiol 90:2231-2237.
- (10) Data on file.