Repose Boston Porter Chair

MMS medical Repose Riser Recliner

Repose Boston Porter Chair

The Repose Boston chair available from MMS Medical can be used as a general porter chair, but is equally suited to conditions, such as Parkinson’s that require a chair that can be used as part of an intensive 24-hour care programme.

With its choice of interchangeable seat and back cushion designs, each with its own unique pressure management features, combined with the chairs extensive range of movement delivered through the unique mechanism it can be used across a wide range of users with differing conditions.

Highly engineered it provides the user and the carer with an extensive range of pressure management features, including the mechanism that allows for the independent movement of the Tilt in Space, Backrest Recline and Leg Rest Elevation functions enabling a whole range of postural positions. The carer can continually reposition the user to redistribute pressure and provide all day comfort.

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Description

The Repose Boston Chair available from MMS Medical is ideal as part of a 24-hour postural care programme. It has been prescribed for clients that require intensive care such as, Parkinson’s, Multiple Sclerosis and or for those with life limiting conditions.

With some client conditions it has helped to reduce agitation, increased their levels of interaction and engagement in activities and provided them the opportunity to sleep in deep comfort. However, the Repose Boston is equally at home being used as a general porter chair.

The Repose Boston is ideal for life limiting conditions, palliative care, deteriorating conditions and those clients with have issues with agitation and wandering:

  • Parkinson’s Disease
  • Motor Neurone disease
  • Dementia
  • Multiple diagnoses

Both reclining and tilt systems can provide pressure relief, increase circulation, improve head, neck and trunk control, improve functional posture and positioning, support safe transfers by various means and minimise variations / fluctuations in the client’s muscular control. Tilt and recline systems work predominantly by moving the persons centre of gravity which whilst maintaining posture and ergonomic support allows the pannus to be redistributed. This can be used to alleviate pressure, help the respiratory system and allow access for specific skin care tasks.

The backrest and leg rest can be adjusted separately providing a further range of back and leg combinations to support improved posture and pressure management, particularly aiding the amount of hip flexion.

Couple this with the angle and height adjustable footplate and this makes the Boston chair a highly versatile and comfortable pressure management porter.

The chair can be used with either a mobile or overhead hoist to support safe moving and handling techniques for carers.

Features

The Boston porter comes with an extensive range of key features as standard to aid pressure management, postural control and comfort. There is the option to purchase additional features and these are detailed in Optional Accessories Section.

Mechanisms

The Boston comes in either an electric or manual model.  The features are the same for both models except that the electric model comes with a rechargeable battery pack as standard and a handset that will operate the main movements of the chair which are the Independent Tilt in Space, Backrest Recline and Leg Rest adjustments. All other adjustments / movements are operated manually on both models.

Both models come with:

  • Independently operated Tilt in Space (manual or electric operation)
  • Independently operated Backrest Recline (manual or electric operation)
  • Independently operated Leg Rest (manual or electric operation)

For further details on these mechanisms, with video clips, visit the Mechanism Section.

 Boston Porter Chair06

Pressure Management Back Cushions

There is a choice of eight interchangeable and adjustable pressure management back cushions that enable the chair to be adapted to a single user’s changing needs or to adapt the chair to another user. This ensures greater longevity of its usage.

In addition, all cushions can be repositioned to suit a user’s individual seating preferences and fibres added or removed from fibre filled cushions to adjust firmness. Covers can also be removed for cleaning. See Back Cushion Section for more details.

 Interchangeable Back Cushions

Pressure Management Seat Cushions

There is a choice of six interchangeable seat cushions each with different pressure management features. You can purchase one or more cushions to support the different needs of individuals who may use this chair.

Cushions and covers are removable for cleaning and replacement.  With all these seat cushions we recommend a fabric with four way stretch properties to aid reduction of shear and friction. See Seat Cushion Section for more details.

 Interchangeable Seat Cushions

Ease Of Movement – Push Handle And Wing Handles

The Boston is designed to be extremely easy to push and manoeuvre. Whilst the Boston comes with the traditional heavy-duty push bar it also comes with additional easy to grip wing handles, providing a sturdy and comfortable hold, with the handles shaped and positioned to suit carers of different heights. These handles allow the chair to be easily moved and positioned even when an individual is in a fully reclined position.

 Optional Accessories Ease Of Movement

Four Heavy Duty Large Lockable Castors

The Boston comes with four heavy duty lockable castors designed to easily glide over low profile carpets, wooden and vinyl flooring.

 Boston Lockable Castors

Pocket On Rear For Client Documentation

A pocket on the back of the chair can be used to keep the client’s papers or chair user instructions.

 Boston Pocket Small

Padded Seat Chaise Cover

The Boston benefits from a single, full cover over the whole of the seat. This chaise, which is attached to the seat cushion, reduces the risk of pressure areas developing due to pinch points and shear and friction when the chair reclines. The chaise/seat cover can be removed for cleaning and replacement.

 Chaise

D-Rings

The Boston comes with D-rings fitted as standard enabling easy fitting of a lap strap and pad.

 D Rings Small

Rechargeable Battery System (Electric Model)

The Boston comes with a rechargeable battery system (20 Cycle back-up system) as standard allowing for mains free usage. It enables up to 20 chair adjustments.

Specifications

Overall Weight Limits

The Boston comes as standard with an overall weight limit of 159 kg (25 stone) and with a maximum leg rest weight limit of 57 kg (9 stone).

Seat Cushion Weight Limits

The overall weight limited will be restricted when certain pressure management seat cushions such as the Airform and Celliform cushions are selected. Details of these can be found in the Seat Cushion Section. The maximum leg rest weight limit is not affected by the seat cushion selection and will always remain at 57 kg (9 stone).

Small Medium Large
Seat Height 635mm (25″) 635mm (25″) 635mm (25″)
Seat Width 457mm (18”) 508mm (20″) 559mm (22″)
Seat Depth 508mm (20″) 508mm (20″) 508mm (20″)
Arm Height 178mm (7″) 178mm (7″) 178mm (7″)
Overall Height 1270mm (50″) 1270mm (50″) 1270mm (50″)
Overall Seat Width 724mm (28.5″) 775mm (30.5″) 826mm (32.5″)
Overall Depth 927mm (36.5″) 927mm (36.5″) 927mm (36.5″)

Boston Dimensions

Please Note

Depending on the seat cushion built into the chair the seat and arm height may vary slightly from the measurements shown.

Optional Accessories

The following features can be purchased to enhance the functionality of the chair.

Seat Depth Adjustment

The Boston has the option to alter the seat depth with a choice of two sets of detachable adjuster pads, 25.4mm (1”) or 50.8mm (2”).  Any number of pairs of these can be purchased.  The covers can be removed for cleaning or replacement.

The seat depth should be long enough to support the upper part of the legs whilst allowing the back to rest comfortably on the backrest. If the seat is too long the user is likely to slouch in the chair to get their feet on the floor, which puts extra pressure on their lower spine, if too short it will cause additional pressure on the thighs risking potential skin breakdown.

 Seat Depth Adjustment

Height and Angle Adjustable Footplate

A height and angle adjustable footplate allows for an additional range of support positions. The footplate can also be removed or flipped up to allow uninterrupted access with a hoist. The footplate has a removable cover for replacement or cleaning.

Angle Adjustment

The footplate has four positions to accommodate for fixed flexion and to maintain the foot position for users with drop foot. It can be folded up against the leg rest if required. It is easy to change the position by simply using the pull strap on the right-hand side of the base of the footplate to engage the locking pin.

 Angle Adjustable Footplate

Height and Angle Adjustable Footplate

Easily adjusted using the locking pin at the back of the footplate the seat height to footplate range is 432mm to 584mm, (17” to 23”).

 Height Footplate With Locking Pin

Wedge Adjustment Blockers

Wedge adjustment blockers are available with all our back cushions on the Boston. The blockers fit behind the cushions allowing the carer to change the level of support and adapt the back for a user’s changing needs. Available in two sizes 50.8mm (2”) and 76.2mm (3”) depth. Any number of these can be purchased. The covers can be removed for cleaning or replacement.

 Wedge Adjustment Blockers

Padded Detachable Footrest Pad

The footrest pad can be simply secured to the footplate providing the user with a softer and deeper cushion support. Available in three sizes – 25.4mm, 50.8mm and 76.2mm (2”, 3” and 4”).  Any number of these can be purchased.  The cover can be removed for cleaning or replacement.

 Padded Detachable Footrest Pad

Lap Strap and Pad

A lap strap that can be easily shortened or lengthened and which has a quick release clip can be purchased. This is a lap strap and not a pelvic positioner and should never be used for restraining purposes.

 Lap Strap And Pad

Headrests

There are five headrests to choose from, all of which come with a Velcro tab allowing them to fit over the top cushions. For further details on each of these options please refer to the Headrest Cushion Section.

  • Head roll
  • Small head pillow
  • Small profile headrest
  • Large profile headrest
  • Midline headrest
 Small Head Pillow

Back Cushion Options

There is a choice of eight interchangeable pressure management back cushions that enable the chair to be adapted to a single user’s changing needs or to adapt the chair to another user. This ensures greater longevity of its usage.

In addition, all cushions can be repositioned to suit a user’s individual seating preferences and fibres added or removed from fibre filled cushions to adjust firmness. Covers can also be removed for cleaning and replacement.

 Interchangeable Back Cushions

Waterfall

Individual fibre filled waterfall cushions, each of which are fully adjustable to accommodate maximum postural support. The waterfall back can be useful for those with mild Kyphosis, Scoliosis and reduced muscle mass on their back.

2020 Waterfall WB Repose Furniture Boston

Waterfall Lateral

The central cushion in this soft fibre filled waterfall back comes with in-built lateral supports which can provide some trunk support for those who have limited trunk control or balance, useful for those with early stages of neurological conditions such as MS or a Stroke survivor with limited residual impairments.

2020 Waterfall Lateral Repose Furniture Boston

Large Profile Headrest With Waterfall

The profile headrest conforms to the head and shoulders which can be useful for individuals with limited neck control with the waterfall back providing soft adjustable lumbar support.

2020 Large Profile Waterfall WB Repose Furniture Boston

Comfort Lateral

Soft fibre filled back with lateral support, which can be useful for those who have limited trunk control or balance. It can be useful for those with early stages of neurological conditions such as MS or a Stroke survivor.

2020 Comfort Lateral WB Repose Furniture Boston

Large Profile Headrest With Comfort Lateral

This back offers soft fibre filled cushions to provide head, shoulder and trunk support, which can be useful for older users who have lost some muscle control, supporting them in a good postural position with the head in a neutral position. This back can also be useful for early stages of neurological conditions to maintain good positioning without restricting activities.

2020 Large Profile Comfort Lateral WB Repose Furniture Boston

Support Lateral

A foam filled back providing firmer lateral support with a soft fibre filled headrest. The firm lateral support maintains midline trunk alignment which can be useful for those post Stroke or early to mid-stages of neurological conditions.

2020 Support Lateral WB Repose Furniture Boston

Large Profile Headrest With Support Lateral

Firm foam lateral back cushion with soft fibre filled profile headrest can provide support for those who have limited trunk control or balance. The profile headrest can provide support to keep the head in good midline alignment which can be useful for those with early stages of neurological conditions such as MS or a Stroke survivor with limited residual impairments.

2020 Large Profile Support Lateral WB Repose Furniture Boston

Double Comfort Lateral

Deep filled contoured back cushions provide lateral postural support for improved comfort and positioning, making this chair useful for any individual with painful joints and where any movement is painful with conditions such as Rheumatoid Arthritis, Ehlers-Danlos syndrome or neurological conditions. This back could also benefit palliative care, supporting those with life-limiting conditions.

2020 Double comfort lateral back WB Repose Furniture Boston

Seat Cushion Options

There is a choice of six seat cushions each with different pressure management features. It can be removed and interchanged with one of the other seat cushion options.

You can purchase one or more cushions to support the different needs of individuals who may use this chair. Cushions and covers are removable for cleaning and replacement.

With all pressure management seat cushions, we recommend a fabric with four way stretch properties to aid the reduction of shear and friction.

 Interchangeable Seat Cushions
Viscoform

For those who have good posture and mobility but are seated for greater than one hour at a time and require pressure relief and supported comfort. This cushion has a high-density foam base which offers a supportive and firm seat base with a top layer of memory foam to allow immersion into the cushion, giving stability and a large surface area to reduce pressure levels.

visco form seat cushion Repose Furniture Boston
Foamaform

For those who have good core stability and posture, are sitting for more than one hour at a time and require low to medium pressure relief combined with a high level of comfort. This cushion has different layers of high-density foam, offering a supportive seat base which allows the user’s bottom to be immersed into the cushion. It provides stability, a large surface area reducing pressure levels and a high level of personal comfort.

foamaform seat cushion Repose Furniture Boston
Celliform

For those sitting for long periods with specific comfort issues such as a high risk of pressure sores. Gelacell has a unique cell matrix that distributes pressure across the contact area, as it contours and yields in response to weight redistribution. Gelacell absorbs body heat, reducing the risk of creating an environment that could increase pressure risks, the grid design also encourages air circulation. Gelacell is clinically tested and passes all dermatological tests for skin contact.

Maximum weight of user 127 kg (20 stone)

celliform seat cushion Repose Furniture Boston
Liquiform

For those who have good posture and mobility but sit for long periods of time and require pressure relief and supported comfort. Recommended for people with limited muscle bulk or at risk of excessive weight loss. This cushion has a high-density foam which offers a supportive and firm seat base. The foam is topped with a fluid liquid gel in a soft silicone cover which provides a high level of pressure relief. The liquid gel helps to dissipate heat and constantly adapts to the user’s movement.

liquiform seat cushion Repose Furniture Boston
Coolform

For those sitting for long periods with specific comfort issues such as a high risk of pressure sores. This cushion uses the latest medical grade silicone gel technology allowing pressure to be evenly distributed. The gel conforms to the shape of the body and equalises to body temperature. The gel cells allow air to flow easily and Coolform is totally odourless and hypoallergenic.

coolform seat cushion Repose Furniture Boston
Dynaform

For those at very high risk of developing pressure sores or a history of sores where the highest priority is to prevent further pressure damage. The Dynaform cushion is a dynamic alternating air cushion, which constantly changes the air levels within its air cells to recreate the effect of normal body movements, which provides constant pressure redistribution to prevent pressure build up.

Minimum weight of user 40 kg (6 stone 4lbs)
Maximum weight of user 121 kg (19 stone)

dynaform seat cushion Repose Furniture Boston

Headrest Cushion Options

There is a choice of 5 detachable headrests all attached with a velcro tab.

_____________________________________________________________________________

Head Roll

The head roll is useful to reduce depth for anyone with reduced neck extension or needing to keep their head in a neutral position for tasks such as eating or drinking whilst maximising comfort and reducing effort.

Head roll Repose Furniture Boston

Small Head Pillow

The small head pillow provides additional comfort for those who may require a softer surface to rest on whilst stopping hyper-extension at the neck when reclined or tilted.

Small head pillow Repose Furniture Boston

Small Profile Headrest

Similar to the large profile headrest but support is focused more on the head and neck.

Small profile headrest 1 Repose Furniture Boston

Large Profile Headrest

This headrest provides a combination of lateral support at the head, neck and shoulders whilst offering additional comfort and reducing neck extension.

Large profile headrest Repose Furniture Boston

Midline Headrest

The midline headrest provides postural support for those with some form of midline deficit, following a stroke resulting in proprioceptive deficit or unilateral neglect for example. It is also useful for those with reduced lateral muscle strength or tolerance (such as sternocleinomastoid).

Midline headrest Repose Furniture Boston

Mechanisms

The Boston comes in either an electric or manual model. The features are the same for both models except that the electric model comes with a rechargeable battery pack as standard and a handset that will operate the main movements of the chair which are:

Independent Tilt In Space (TIS)

The Independent Tilt in Space works to counteract the effect of the person’s pannus. By having control over the angle of tilt you can adjust that person’s centre of gravity’ making them feel more comfortable, supporting the pannus, and reducing the feeling that they are being dragged forward by external forces.

The TIS movement allows the seat to back angle to remain the same whilst the whole seating system is tilted backwards, which means that the angle of the hips, knees and ankles are not affected during this movement. It also reduces the weight on the Ischial Tuberosities and redistributes the weight through the back.  This constant back angle prevents shear and friction during movement.

This feature can also help when moving someone in a hoist and can support better pelvic positioning by optimising the use of gravity to position the user in the optimal position.

 Independent Tilt In Space

Independent Backrest Recline

The Independent Backrest Recline allows the person to maintain flexibility over their body’s position, particularly the amount of hip flexion, enabling them to maximise comfort as well as managing health needs.  This unique feature allows the angle at which the TIS operates to be changed at any time.

The backrest can be independently reclined providing a range of back angles allowing for optimal position for comfort. The angle range is 108 – 165 degrees.  The range of positions that this allows, coupled with the Independent Leg Rest adjustment can include the Trendelenburg position.

 Independent Backrest Recline

Independent Leg Rest Adjustment

The leg rest on the Boston has been designed slightly longer to support good positioning of the legs. It also has a gentle profile shape to support the legs from slipping from the leg rest and reduces the risks associated with individuals crossing their legs.

The leg rest angle can be changed independently and can move 90° degrees from the standard seating position.  Please note that on the manual chair the leg rest can be adjusted using the lever on the side of the chair as illustrated.

 Angle Adjustable Footplate

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