Optima Prone

Automating prone shoulder lifting and full-body pressure relief — Reducing workflow complexity and pressure injury risks.

A staggering 75% of COVID-19 ICU patients require intensive treatments for severe respiratory distress involving mechanical breathing support.1  The 74% mortality rate from severe respiratory distress-associated COVID-19 cases2 overwhelms global healthcare systems, leading to a devastating shortage of resources and imposing complexity and burden on intensive care units and prone positioning therapy management.

Proned and intubated COVID-19 patients undergo prone treatments for an average of 5 hospital days. However, as proning results in a higher risk of developing pressure injuries (PI), these patients may require 3 more hospital days to treat PI-related complications,3,4 reducing the nurse-to-patient ratio further.5 

Optima Prone's head-to-toe pressure alternation, mechanical apparatus for assisting single-caregiver head repositioning, personalized pressure care with individual air cell deflation, and a unique facial pillow with sculpted ear pocket reduces caregiver workload and risks of pressure injuries, improving patient outcomes.

Simplify Head Repositioning

Mechanically supporting shoulder lifts while creating space below the patient's chin decreases the caregiver's workload and risk of obstructing airway tubing, allowing the single-caregiver to perform head repositioning safely and efficiently.

Manage Airway & Fluid Tubing

Deflating individual air cells to guide proper airway and fluid tubing organization prevents potential obstructions or displacements to hemodialysis flow and catheters, reducing the burden on the caregiver's workflow.

Prevent Pressure Injury Risks

Combining a unique headrest (facial pillow, sculpted ear pocket, and alternation pressure), a personalized pressure care system (individual air cell deflation), and cell airflow tracking prevents pressure injury risks, improving patient outcomes.

Access to Controls via Interface

Visual interface with LCD enables quick access to controls such as alternating and zone pressure settings, therapy timer, shoulder lift apparatus, and alarm system settings, simplifying patient care for caregiver across all experience levels.

Optima Prone

Reducing prone procedure complexity and caregivers’ workload, and improving patient care and outcome.

Proning reduces intubation and mortality rate for ARDS.

Early prolonged prone-positioning treatment for respiratory-distressed patients improves blood oxygenation (PaO2/FiO2 ratio), prevents further complications, and reduces mortality rate, acute care admissions, and in-hospital days.6,7 

FAQ
After selecting the Supine Position Mode or Prone Position Mode, there is a 20-minute wait for the surface to reach max firmness. Will automatic detection be active during this time?

No. During this time, the Automatic Pressure Adjustment is inactive and will not be detecting the patient's weight.

Any recommendations on the number of cells to deflate for each section and for heel relief?

Deflation should follow the location of the patient's vulnerable areas. Our recommendations are:

  • Head section (supine): 1 cell between cell No. 1 to No. 3
  • Head section (prone): All cells between cell No. 1 to No. 3
  • Torso section: 2 cells between cell No. 5 to No. 15
  • Lower leg section: 1 cell between cell No. 16 to No. 21
For heel relief, deflate cells that the heel sits on with the knobs on the side of the mattress.

What does the Shoulder Lifting Mode do?

The Shoulder Lifting Mode activates a mechanical apparatus that lifts and holds the patient's shoulders and chest upward, mimicking traditional prone positioning therapy's manual shoulder lifting procedure done by two or more caregivers. The lift helps release neck pressure that often leads to hyperextension injury and avoid spinal deformity body pains.

How long does Head Repositioning Mode's shoulder lifting assistance last?

Caregivers have 10 minutes to reposition the patient's head while the mechanical apparatus assists in lifting the shoulders and chest upward. After 10 minutes, the mode automatically deactivates and returns to initial settings. Caregivers can cancel anytime during the procedure through the pump's interface.

How does Optima Prone allow a single-caregiver to complete head repositioning during prone positioning therapies?

In addition to lifting and supporting the patient's shoulder and chest upwards, the Shoulder Lifting Mode also deflates the area below the patient's chin, creating space for the caregiver to secure a steady hold and turn the head while safely managing and preventing airway tubing obstructions.

Does it automatically switch to alternating pressure after the Supine Position Mode or Prone Position Mode finishes?

Yes. Alternating pressure will automatically take over once the Supine Position Mode or Prone Position Mode deactivates after 20 minutes of operation.

What happens if the number of deflated cells exceeds the recommended setting?

Aside from deflating individual cells to relieve pressure on the patient's vulnerable areas, caregivers can do the same but, with less intensity, for other body parts like the abdominal area, which is often protruding and easy to experience discomfort.

What happens if no power source is available due to, for example, power outages and transportation?

Optima Prone's Transport Mode refers to the combination of:

  • An optional battery pack that provides non-stop alternating pressure relief for up to 6 hours and,
  • The standard 24-hour Wellell mattresses stay inflated (if individual air cells are not adjusted).

What materials are the air cells made from?

All air cells are made from Thermoplastic Polyurethanes (TPU). It is highly resistant to breaking down when in contact with water (hydrolysis), soft to touch, and minimizes friction and noise during patient movements.

What does it mean when air cells have cell-in-cell? What are their benefits?

Cell-in-cell design refers to encapsulating a firm air cell within a larger outer cell, doubling the effect of firmness and stability for patients. Wellell’s Optima Series, including Prone, uses air cells with the cell-in-cell design in the sacrum area to improve patient support and comfort during sitting positions and when patients leave and enter the bed.

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Reference


  1. Potere N, Valeriani E, Candeloro M, Tana M, Porreca E, Abbate A, Spoto S, Rutjes AWS, Di Nisio M. Acute complications and mortality in hospitalized patients with coronavirus disease 2019: a systematic review and meta-analysis. Crit Care. 2020 Jul 2;24(1):389. doi: 10.1186/s13054-020-03022-1. PMID: 32616077; PMCID: PMC7330272. 
  2. Yang X, Yu Y, Xu J, Shu H, Xia J, Liu H, Wu Y, Zhang L, Yu Z, Fang M, Yu T, Wang Y, Pan S, Zou X, Yuan S, Shang Y. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med. 2020 May;8(5):475-481. doi: 10.1016/S2213-2600(20)30079-5. Epub 2020 Feb 24. Erratum in: Lancet Respir Med. 2020 Apr;8(4):e26. PMID: 32105632; PMCID: PMC7102538.  
  3. Shearer SC, Parsa KM, Newark A, Peesay T, Walsh AR, Fernandez S, Gao WZ, Pierce ML. Facial Pressure Injuries from Prone Positioning in the COVID-19 Era. Laryngoscope. 2021 Jul;131(7):E2139-E2142. doi: 10.1002/lary.29374. Epub 2021 Jan 5. PMID: 33389768. 
  4. Douglas IS, Rosenthal CA, Swanson DD, Hiller T, Oakes J, Bach J, Whelchel C, Pickering J, George T, Kearns M, Hanley M, Mould K, Roark S, Mansoori J, Mehta A, Schmidt EP, Neumeier A. Safety and Outcomes of Prolonged Usual Care Prone Position Mechanical Ventilation to Treat Acute Coronavirus Disease 2019 Hypoxemic Respiratory Failure. Crit Care Med. 2021 Mar 1;49(3):490-502. doi: 10.1097/CCM.0000000000004818. PMID: 33405409. 
  5. da Silva FCT, Neto MLR. Psychological effects caused by the COVID-19 pandemic in health professionals: A systematic review with meta-analysis. Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jan 10;104:110062. doi: 10.1016/j.pnpbp.2020.110062. Epub 2020 Aug 6. PMID: 32771337; PMCID: PMC7409979. 
  6. Coppo A, Bellani G, Winterton D, Di Pierro M, Soria A, Faverio P, Cairo M, Mori S, Messinesi G, Contro E, Bonfanti P, Benini A, Valsecchi MG, Antolini L, Foti G. Feasibility and physiological effects of prone positioning in non-intubated patients with acute respiratory failure due to COVID-19 (PRON-COVID): a prospective cohort study. Lancet Respir Med. 2020 Aug;8(8):765-774. doi: 10.1016/S2213-2600(20)30268-X. Epub 2020 Jun 19. PMID: 32569585; PMCID: PMC7304954. 
  7. Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, Mercier E, Badet M, Mercat A, Baudin O, Clavel M, Chatellier D, Jaber S, Rosselli S, Mancebo J, Sirodot M, Hilbert G, Bengler C, Richecoeur J, Gainnier M, Bayle F, Bourdin G, Leray V, Girard R, Baboi L, Ayzac L; PROSEVA Study Group. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013 Jun 6;368(23):2159-68. doi: 10.1056/NEJMoa1214103. Epub 2013 May 20. PMID: 23688302.