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Invacare
®
Therapeutic Support Surfaces
Model Name
Model Number
HCPCS Code
HCPCS Description
Reimbursement range
Type of Therapy
General Pressure Reduction
Alternating Pressure
True Low Air Loss
Lateral Rotation
Turning Angles
Therapy Time Settings
Operating Modes
Features
Auto-Firm
Quick Connect Coupler
CPR Release
Transport Safety Mat
Fowler Setting
Power Failure/Low Pressure Alarm
Alarm Silence
Comfort Settings
Weight Capacity
Bariatric Size
Bariatric Mattress Width
Bariatric Weight Capacity
Cover
Mattress Dimensions
Mattress Weight
Power Unit Dimensions
Power Unit Weight
Safety Code Approval
Limited Warranty
Mattress
Power Unit
10
Gel Overlay
Foam Mattress
CareGuard
™
Gel Foam Mattress Overlay CareGuard
IVCGFMO
CG10180/CG10180CA
EO185
EO184
Gel or Gel-Like pressure pad for
Non-powered pressure reducing
mattress overlay. Height of 2" or
mattress. Foam height of 5 inches
greater
or greater, and foam with adequate
pressure reduction, durable,
waterproof cover, and can be placed
directly on a hospital bed frame.
$38.20 - $44.94
$20.88 - $24.57
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250 lb.
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waterproof, vapor permeable
waterproof, antimicrobial
35" W x 78" x 3.5"H
55 lb.
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California Technical Bulletin #117
California Technical Bulletin #117
6 months
Alternating Pressure
™
Therapeutic Foam Mattress CareGuard
™
Alternating Pressure System ACT Mattress
CG9701
EO180
Powered, pressure reduction
mattress overlay. Air pump for
sequential inflation and deflation
or low air loss. Inflated cell
height of 2.5 inches or greater,
and provides adequate lift,
pressure reduction and prevention
of bottoming out.
$18.47 - $21.73
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250 lb.
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latex free
35" W x 80" x 5"H
34" W x 118" x 2.5" H
19 lb.
4.6 lb.
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6" W x 10" x 4" H
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3.5 lb.
(model CG10180CA)
California Technical Bulletin #116
2 years
30 days
2 years
Non-powered
ACT1-ACT12 (
ACT2 & ACT6 stock items
pending
Advanced Nonpowered Pressure
Reducing Mattress provides signifi-
cantly more pressure reduction than
Group 1, and total height of 5 inches
or greater. Surface designed to reduce
friction and shear, and documented
evidence of effectivity for treatment
of conditions covered under Group 2
surfaces. Can be placed directly on a
hospital bed frame.
n/a
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1000 lb.
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up to 60"
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waterproof, antimicrobial
Varies by model
W 35"-60", L 75" or 80", 8" H
Varies by model
25 lb. - 33 lb.
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California Technical Bulletin #117
1 year
Alternating Pressure
)
MNS400-E
EO277
Powered pressure reducing air mattress;
throughout the mattress. Inflated cell hei
prevention of bottoming out. Surface des
frame.
$645.46 - $759.36
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5 minutes
Static / Dynamic
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350 lb.
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waterproof, antimicrobial
36" W x 80" x 8.5" H
22 lb.
11" W x 12.5" x 5.25" H
9 lb.
CE, UL2601, CSA, ETL
6 months
1 year
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