Sovereign S6 Support 250kg
Sovereign S6 High Care Support Pressure Care Mattress
The Flagship Forté static foam mattress delivering the highest care possible without incorporating air or alternating air technology. This is achieved through unique features such as Airoform Gel immersion interface foam, high density, responsive secondary Immersion layer that has zoned & modulated regions and a full breathable anti-shearing inner cover.
The Sovereign S6 mattress is used widely as a solution for long term care in facilities and the home environment, delivering excellent pressure care for patients up to high risk of pressure injury. Forté has designed the Sovereign S6 Series specifically to provide an exceptional level of support for repositioning and transfers, as well as and micro-climate control. Wide therapeutic weight range makes the mattress suitable for almost any bed platform and for a variety of patients – 30-250kg.
Features
AIRFORM GEL IMMERSION INTERFACE LAYER
- Visco-elastic cell structure provides low-shear surface and effective
- immersion
- Gel particles work to absorb excessive heat and regulate patient
- temperature
- Provides enhanced breathability minimising risk of excessive patient heat
- Provides exceptional comfort
HIGH-PERFORMANCE, 5 ZONED IMMERSION REGION
- 4-Zones of lateral and longitudinal castellations within the immersion region cradle the patient and conform to bony prominences
- Dual zoned depth provides postural support
- Open-cell foams freely distribute air and enhance circulation
- Provides reduction of shearing forces at the patient interface
- Ultra-High Performance Foam instantly responds to patient movement and repositioning for ease of primary care
PREMIUM FIRM FOUNDATION LAYERS
- Provides protection against ‘bottoming-out’ during transfer, repositioning and whilst in the inclined/fowler position
- Provides exceptional comfort, support for repositioning and patient care
SLOPED HEEL PRESSURE TRANSFER ZONE
- Enhances pressure relief & protection for critical at-risk heel region
- Offloads pressure from the patients heels and transfers it to calf area
- Unobtrusive, does not require any adjustment
HINGED STRENGTHENED SIDES
- Increase lateral stability of support surface
- Improves patient safety and encourages central patient positioning
- Make patient transfers easier
- Unique hinge profile reduces foam fatigue and allow mattress to easily
- conform to varied bed positions
- Enables ease of primary patient care
SUPER SHEAR INNER COVER
- Anti-Shearing Inner Cover Dramatically reduces shearing forces at the patient interface
- Fine stretch Lycra based material is wrinkle free and conforming to varied bed positions
- Provides additional protection to the foam core
PREMIFLEX ULTRA PREMIUM BREATHE PRESSURE CARE COVER
- Premiflex PFPU1100 Pressure Care Polyurethane Upper Material: 4-Way Stretch, Vapour Permeable, Purple
- Double Coated Premiflex PFPU1200 Polyurethane Base Material: Robust, Vapour Permeable, Deep Grey
- Full Vapour Permeability
- Infection Control & Compliance: 10,000ppm chlorine based cleaning agent concentration suitability, Inherent Anti-Microbial Protection, Fire retardant
- Construction: Two-sided / 180° high frequency welded zipper, Water zipper protection flap, High frequency sealed and welded seams
About the Sovereign S6
High Care Support Pressure Care Mattress
Dual Immersion
Enhanced Microclimate
Easy Repositioning
Heel Slope
MICRO-CLIMATE
Adverse Skin Micro-climate conditions (temperature, humidity and airflow next to the skin surface) can significantly compromise skin integrity and weaken the skin leaving it more vulnerable to its environment. The build-up of moisture and/or heat typically leads to sweating therefore overhydration of this skin. Overhydration and excessive moisture softens the skin and connective tissue which leads to maceration and the breaking down of the elasticity of the skin. This weakening of the skin greatly increases the susceptibility to damage by environmental factors. In addition to this, sweating and overhydration removes natural oils from the skin, which are needed to lubricate and protect the skin.
As such, micro-climate is a risk factor that must be managed to prevent pressure injury occurrence on an at-risk patient, and a support surface is an important tool in managing micro-climate.
The Sovereign S6 has been designed to manage micro-climate by minimising excessive build-up of heat by drawing heat away from the patient and distributing it through the foam core and out the base.
The following mattress technologies have been used to manage micro-climate:
- Premium foam grades that have a high ‘hot spot’ rating have been selected
- Airoform Gel Immersion Interface – a visco-elastic memory foam with gel particles impregnated throughout. The gel particles absorb heat from the patient.
- Airoform Response Secondary Immersion layer – Engineered or modulated foam which allows air to flow within the foam core, as well as providing better immersion
- Super Sheer Inner Cover – fully breathable anti-shearing system which reduces sheer and friction forces without compromising on the ability of the mattress to manage moisture and micro-climate
- Premiflex Ultra outer cover –polyurethane cover with full vapour permeability which means any vapour that has been absorbed from the patient is able to escape out the base, as opposed to building up on the base of the mattress
SHEER & FRICTION
There are two types of mechanical loads working against the individual on a support surface – upward pressure, and a force parallel to the skin surface. These parallel forces are called sheer and/or friction.
Friction is surface resistance to relative motion, as of a body sliding or rolling, and the rubbing of the surface on one body against that of another. An example related to our clients would be their skin against the sheets on the bed.
To fully understand the impact of a friction force we must understand what the coefficient of friction means. The coefficient of friction is defined as the ratio of the force required to move two sliding surfaces over each other and the force holding them together. The higher the coefficient of friction, the more aggressively the two surfaces will adhere to each other. The lower the coefficient of friction is, the more easily the two surfaces will slide across each other.
For tissue damage to occur, the coefficient must be at a level high enough to create drag that will injure the superficial layers. Decreased levels of friction allow the surfaces to easily slide across each other. Too much friction and there is no movement at all.
Shear is a different subject that incorporates friction and another force, usually gravity or inertia. Shear is often described as an internal opposing motion of tissue and bone created when a patient is sitting up in bed. Gravity affects all tissues or skin layers, pulling them down in a slow, gradual manner. Simultaneously, the skin interacts with the sheets creating friction. As the bone is pulled down by gravity and the skin is in essence ‘pulled up’ by the sheet, the subcutaneous tissue and muscle are caught in between, literally pulled in opposite directions, leading to shear. This pulling creates stress on the soft tissue layers (fat and muscle) and potentially could lead to tearing of the tissue – depending on how high the shearing force becomes. The greatest stress is also now applied to the two tissues that are the least tolerant of ischemia from the concurrent pressure from sitting. Shearing forces are greater over the sacrum, gluteal and ischial areas of the body.
Both friction and shear are affected by moisture. Dry conditions reduce friction.
How the wound or injury developments in these scenarios –
The force from shear or friction will cause the skin and/or deeper tissues to distort and deform, which will result in strain and stress within the tissue. Excessive internal strains and stresses lead to damage to the cell structures such as the cytoskeleton and may hinder transport processes within the tissues such as reducing blood perfusion.
An effective pressure reducing support surface must reduce both shear and friction forces, as well as manage moisture, to reduce the risk of pressure injuries.
The Sovereign S6 has been designed to reduce sheer & friction forces by using the following mattress technologies:
- Super Sheer Inner Cover – high stretch lycra cover that sits below the outer cover to act as a buffer between the friction or shearing force exerted by movements in the support surface and the individual. As such, instead of the mattress cover (which is usually a polyurethane – a high coefficient of friction) rubbing against the client’s skin when they are changing position in bed, the mattress cover rubs against the inner cover, and the client can slide with minimal frictional or shearing forces. It is important to note that the Super Sheer cover is fully breathable to ensure micro-climate is managed.
- Premiflex Ultra Outer Cover – made from a four-way stretch polyurethane. Pressure care covers must have a minimum of two-way stretch to reduce the coefficient of friction and the potential forces of shearing & friction.
- Hinged strengthened sides – the firm strengthened sides have been engineered to have hinges located in the knee and back break to allow the mattress to conform easily to a profiling bed. Without these hinges, the mattress will create friction when profiling.
- All micro-climate management related features also reduce tension and the risk of shear/friction related injuries
DUAL IMMERSION
Traditional medical mattresses such as multi-layered memory foam designs or profile designs can struggle to effectively provide Immersion together with Shear and Friction Mitigation without compromising on microclimate and ease of repositioning for offloading. This exposes vulnerable patients to greater risks of pressure injury incidence as a result of poor microclimate and difficulty in relation to repositioning leading to pain and suffering for the patient and considerable nursing cost and resource to manage. This is why dual immersion technology used on the Sovereign range was developed. This consists of an Airoform Immersion Foam interface and an engineered multi-zoned modulated 2nd layer of foam such as Ventraflow.
Both the Interface and modulated layers work together to create a dynamic region that absorbs harmful shear and friction forces, protecting vulnerable skin. Postural support of the mattress is increased, yet unparalleled immersion is created with the softness of the interface layer and deflection of the profiled region, particularly important for bony prominences.
SLOPED HEEL REGION
The heels are one of the most susceptible sites for pressure injuries, due to factors such as heel anatomy, disease burden, comorbid conditions, and the aging process. Heel Pressure Injuries (HPI) has been found to be one of the most prevalent sites for pressure injuries to occur, with a study in Europe identifying that 38.5% of stage IV pressure injuries were found at the heels. Pressure upon the Calcaneus can be reduced and redistributed by elevating the lower leg and calf 2. There are three primary designs of heel elevation discussed in this article: the Heel Slope (Surface Modification), Heel elevator (external device) and the elevated Heel slope (Hybrid Model).
Though essential in the clinical setting, and particularly with those that are medically complex, elevating the heel and redistributing the pressure towards the calf is a difficult task. There are several implementation considerations such as ensuring the knee is at a slight flexion (5-10°) while the heel is elevated can help avoid vein compression and increased risk of deep vein thrombosis (DVT), adapting a plan of care to the individuals’ needs and avoiding causing harm to other ‘at-risk’ areas of the body (such as the Achilles tendon).
With patients on a traditional support surface with a completely horizontal fascia (no heel slope) and no additional aid from an external heel device, pressure injuries upon the heel region are more common than with heels that have elevated heels, with differences being from an 8% to 54.2% incidence on heel injury respectively.
Forté has conducted studies to illustrate the basic principles of heel offloading using a Tekscan Pressure Measurement System which utilises a thin and flexible sensor. We use this system to measure the pressure distribution of a human body on the surface of our mattresses with minimal interference.
The image demonstrates the pressure distribution of the NPIAP/RESNA 50th Percentile male mannequin (81.2kg, 1775mm tall) over a 6-hour period, shown in a variety of heel positions. The Support surface used is a Single Sovereign S3 High-Care Mattress.
Such a decrease in pressure, therefore, signifies the importance of heel offloading, and indirectly the importance of utilising a support surface modified with a heel slope as a means of offloading such pressure and reducing risk of an HPI. Furthermore, the heel slope was identified to encourage a slight bend in the knee of approximately 8-10°, in comparison to a flat surface which evidence has suggested reduces popliteal vein compression.
Manufacturing
Forté Healthcare have the inhouse capacity to develop and produce engineered foams that can be used to offer unique features and functions within a mattress. Examples of this are the unique Ventraflow and Dual Immersion Technologies offered by Forté.
Hear what Health Professionals say About the Sovereign S6 Support Mattress…
Hear what Health Professionals say About Forté Healthcare Mattresses…
You’re Covered by Forté Healthcare’s ‘Successful Solution Guarantee’
At Forté Healthcare, we are so confident in the care and performance our support surfaces deliver, that we back our products and expertise with our ‘Successful Solution Guarantee’.
Here’s how it works:
Our team of specialists will help you navigate our product range to correctly match our support surfaces with your care environment and patient risk profile. This ensures you achieve the highest levels of patient care and pressure injury prevention.
If, for whatever reason the product we recommend isn’t helping you achieve the outcome you expected, we’ll work with you until it is. And in the unlikely event we still cannot provide the right solution.
We’ll refund you 100% of the charges to date.