Abstract: A patient turning device for a patient support apparatus. The patient turning device includes a first and second bladder assembly each including a plurality of layers and seals defining a bladder volume. The bladder volumes are selectively inflatable with fluid to expand the respective bladder assembly, and consequently move a patient support surface of the patient support apparatus. A portion of a lower layer of the first bladder assembly and a portion of an upper layer of the second bladder assembly define an overlapping region of the bladder volumes. The patient turning device is coupled to an underside of a carrier sheet and positioned between a crib assembly and a bottom cover. An augmenting feature is configured to resiliently expand as at least one of the first and second bladder assemblies receives the fluid to move at least a portion of the crib assembly away from a patient support deck.

Abstract: A system for fluidizing a fluidizable medium includes a person support structure, fluid supply, sensor, and controller. The person support structure includes a chamber containing a fluidizable medium and a plenum in fluid communication with the chamber. The fluid supply is in fluid communication with the plenum. The sensor is configured to sense a pressure of fluid in the plenum. The controller is configured to control the operation of the fluid supply as a function of the fluid pressure within the plenum to achieve a desirable level of fluidization of the fluidizable medium.

Abstract: A patient support apparatus includes an air supply and an air fluidization therapy bed including a fluidization space and a fluidizable medium positioned in the fluidization space. The air fluidization therapy bed receives a flow of pressurized air from the air supply. The flow of pressurized air operable to fluidize the fluidizable medium. The patient support apparatus is configured to provide other therapies, such as pulmonary therapies, in addition to the air fluidization therapy.

Abstract: A fluidizable bed (10) comprises a receptacle (12), a diffuser board (14) dividing the receptacle (12) into a plenum (16) and a fluidizable medium container (20), a fluidizable medium (30) residing in the container, and a partition (32) dividing the plenum (16) into a first chamber (34) adapted to receive a first stream (36) of fluidizing medium (30) and a second chamber (40) adapted to receive a second stream (42) of fluidizing medium (30). In operation a first stream (36) of the fluidizing medium (30) is admitted to the first chamber (34) and a second stream (42) of the fluidizing medium (30) is admitting to the second chamber (40). By admitting the fluidizing medium (30) to the chambers in a phased, cyclic fashion the benefits of lateral rotation are achieved in a fluidizable bed (10).

Abstract: A method of detecting a change in occupancy status of a fluidizable bed (10) includes determining (102) an unloaded plenum pressure value corresponding to the absence of a load on the bed, determining (104) a loaded plenum pressure value corresponding to the presence of an occupant on the bed, and establishing a reference (PREF) as a function of at least one of the unloaded plenum pressure value and the loaded plenum pressure value. A signal (116, 120) is issued in response to a relationship between the reference and a value (PMON) representative of actual pressure in the plenum. The bed also includes a pressure sensor (60) for monitoring a pressure value representative of pressure in the plenum and a controller (50) for issuing a signal (116, 120) responsive to a relationship between the monitored value and a reference value.

Abstract: Systems, apparatuses and methods for circulating and agitating algae ponds or reservoirs are described. Inflatable or floatable masses resident in the algae ponds are cyclically or rhythmically moved thereby causing propagating waves to advance along ponds. Waves encourage increased equilibrium of oxygen and carbon dioxide between ambient air and growth medium and thereby improved growth of algae and increased production of biomass. With relatively little energy input, large quantities of algae or biomass may be grown in relatively large ponds and on an economically viable commercial scale.

Abstract: A varying depth fluidized bed comprises a tank assembly containing fluidizable medium. The tank assembly comprises at least one step such that the depth of fluidizable medium is greater in one region of the tank assembly relative to another.

Abstract: Systems, methods, and devices for optimizing a level of fluidization of a fluidizable medium in a fluidized person support apparatus.

Abstract: Method and devices for the prevention and treatment of pressure ulcers are described in which a portable support assembly may be worn by a bed-stricken individual around particular regions of the body where pressure ulcers tend to form. The portable support assembly may generally include one or more individual fluid filled pods which are enclosed entirely within an inner fluid pad localized along a central portion. Both the one or more pods and inner fluid pad are then enclosed entirely by another layer of fluid within an outer fluid pad which extends over the entire assembly. Each of the fluid layers may be secured to an outer shell which is relatively stiffer than the fluid layers and may restrict or limit the expansion or movement of the fluid pods and/or fluid pads.

Abstract: A patient support apparatus includes an air supply and an air fluidization therapy bed including a fluidization space and a fluidizable medium positioned in the fluidization space. The air fluidization therapy bed receives a flow of pressurized air from the air supply. The flow of pressurized air operable to fluidize the fluidizable medium. The patient support apparatus is configured to provide other therapies, such as pulmonary therapies, in addition to the air fluidization therapy.

Abstract: A fabric diffuser for use with a fluidized person support apparatus is disclosed. A fluidized bed comprises a tank assembly containing fluidizable medium. The tank assembly comprises a fabric diffuser through which fluid is introduced into the fluidizable medium.

Abstract: A varying depth fluidized bed comprises a tank assembly containing fluidizable medium. The tank assembly comprises at least one step such that the depth of fluidizable medium is greater in one region of the tank assembly relative to another.

Abstract: Method and devices for the prevention and treatment of pressure ulcers are described in which a portable support assembly may be worn by a bed-stricken individual around particular regions of the body where pressure ulcers tend to form. The portable support assembly may generally include one or more individual fluid filled pods which are enclosed entirely within an inner fluid pad localized along a central portion. Both the one or more pods and inner fluid pad are then enclosed entirely by another layer of fluid within an outer fluid pad which extends over the entire assembly. Each of the fluid layers may be secured to an outer shell which is relatively stiffer than the fluid layers and may restrict or limit the expansion or movement of the fluid pods and/or fluid pads.

Abstract: A method of detecting a change in occupancy status of a fluidizable bed (10) includes determining (102) an unloaded plenum pressure value corresponding to the absence of a load on the bed, determining (104) a loaded plenum pressure value corresponding to the presence of an occupant on the bed, and establishing a reference (PREF) as a function of at least one of the unloaded plenum pressure value and the loaded plenum pressure value. A signal (116, 120) is issued in response to a relationship between the reference and a value (PMON) representative of actual pressure in the plenum. The bed also includes a pressure sensor (60) for monitoring a pressure value representative of pressure in the plenum and a controller (50) for issuing a signal (116, 120) responsive to a relationship between the monitored value and a reference value.

Abstract: A fluidizable bed (10) comprises a receptacle (12), a diffuser board (14) dividing the receptacle (12) into a plenum (16) and a fluidizable medium container (20), a fluidizable medium (30) residing in the container, and a partition (32) dividing the plenum (16) into a first chamber (34) adapted to receive a first stream (36) of fluidizing medium (30) and a second chamber (40) adapted to receive a second stream (42) of fluidizing medium (30). In operation a first stream (36) of the fluidizing medium (30) is admitted to the first chamber (34) and a second stream (42) of the fluidizing medium (30) is admitting to the second chamber (40). By admitting the fluidizing medium (30) to the chambers in a phased, cyclic fashion the benefits of lateral rotation are achieved in a fluidizable bed (10).

Abstract: Systems, methods, and devices for optimizing a level of fluidization of a fluidizable medium in a fluidized person support apparatus.

Abstract: A method for assessing the status of a piezoelectric sensor of interest is disclosed. The sensor of interest is located adjacent a surface of a mattress supporting a person. In some instances, the sensor of interest may be coupled to a mattress or coupled to a bed frame that supports the mattress. The method involves analyzing the complex impedance of the excited sensor relative to a complex impedance profile. A system for implementing the method is also disclosed.

Abstract: A fluidizable medium support bed includes a bed body, a blower, a support board, a diffuser board and a metal frame. The bed body includes a support cavity for supporting a fluidizable medium. The bed body includes an expanded polystyrene (EPS) body and a coating covering all outer surfaces of the EPS body. The blower is connected to a bottom surface of the support cavity to provide an airflow. The support board has a plurality of ventholes and is disposed on the bottom surface of the support cavity. The diffuser board is disposed over the support board, wherein the diffuser board is permeable to air but impermeable to the fluidizable medium. The metal frame is disposed over a circumference of the support cavity.

Abstract: A spinal-length mattress including a means for providing buoyancy to a human torso and abdomen thereon; attached to the mattress at one end, a pelvic support portion; and attached to the mattress at an opposite end, a head rotation stabilization portion having an air passage opening allowing a person to breathe freely when resting in a face down position thereon. By supporting the pelvis and stabilizing the head to substantially limit motions of the neck, a central cushion (preferably dominated by a “shape memory foam” filling) allows the spinal column to passively distribute all directional stresses—including those deriving from body mass and from muscle tension. Thus relieved of stress, disks between spinal bones begin to return to their respective naturally compliant symmetrical shapes; thereby generally providing a long term benefit in exchange for a quarter hour or a half hour of regular prone-oriented engagement with the mattress.

Abstract: A person-support apparatus comprises a frame, a container, a gas permeable cover, a rigid diffuser, a fluidizable medium, and a cushion. The container is supported on a frame and includes a base and a plurality of sides coupled to the base. The base cooperates with the sides to define an opening opposite the base. The gas permeable cover is removably coupled to the container and covers the opening to define a chamber. The rigid diffuser is positioned within the chamber proximate the base. The fluidizable medium is positioned between the rigid diffuser and the gas permeable cover. The cushion is coupled to the diffuser and positioned between the gas permeable cover and the rigid diffuser. The cushion is configured to provide cushioning support between a person supported on the gas permeable cover and the rigid diffuser.

Abstract: A person-support apparatus comprises a container and a gas permeable support. The container is supported on a frame. The container includes a base and sides extending from the base to define an opening opposite the base. The gas permeable support is positioned within the container and cooperates with the base to define a chamber. The gas permeable support includes a first portion and a second portion. The first portion is generally parallel the base. The second portion is coupled to the first portion and forms an obtuse angle therewith. The gas permeability of the second portion varies as a function of the distance between the second portion and the opening.

Abstract: A fluidized person-support apparatus comprises a container, a fluidizable medium, and a volume occupier. The container is supported on a frame. The container includes a base and a plurality of sides coupled to the base. The base cooperates with the sides to define a chamber with an opening opposite the base. The fluidizable medium is positioned within the container. The volume occupier is buoyantly suspended in the fluidizable medium.

Abstract: A person-support apparatus comprises a frame, a container, a gas permeable cover, a rigid diffuser, a fluidizable medium, and a cushion. The container is supported on a frame and includes a base and a plurality of sides coupled to the base. The base cooperates with the sides to define an opening opposite the base. The gas permeable cover is removably coupled to the container and covers the opening to define a chamber. The rigid diffuser is positioned within the chamber proximate the base. The fluidizable medium is positioned between the rigid diffuser and the gas permeable cover. The cushion is coupled to the diffuser and positioned between the gas permeable cover and the rigid diffuser. The cushion is configured to provide cushioning support between a person supported on the gas permeable cover and the rigid diffuser.

Abstract: The present invention relates to a method for manufacturing an air mat that reduces the number of manufacturing processes by means of rotational molding, while preventing the generation of defective products, to a device for molding an air mat, and to an air mat manufactured and molded by the method and device. In a method for manufacturing an air mat formed in such a manner as to integrally couple a cushion part having a plurality of air bags arranged therein for containing air at the insides thereof with a plate-shaped lower sheet disposed on the lower surface of the cushion part, the method includes the steps of: preparing a lower mold having a plurality of air bag molding recesses having given depths arranged at given intervals thereon, for molding the cushion part of the air mat.

Abstract: A fluidized bed for supporting a patient has a fluid-impervious peripheral wall, a fluid-porous membrane top covering and a fluid-porous floor defining a unit volume in which a quantity of glass bead support media is confined. Several diffusers supply air through the floor to fluidize the support media and support a body on the bed top covering. Each diffuser is a laminate having a porous membrane top and a porous membrane bottom spaced by a fluid-impervious boundary wall and a plurality of fluid-impervious interior walls that create discrete cells. Each cell contains a quantity of glass bead cell media. A pair of blowers supplies pressure air through one-way valves to the cells in the diffusers and through the cells up into the unit interior volume to fluidize the support media.

Abstract: An occupant support includes at least one non-fluidizable module 100 having a support structure for supporting the non-fluidizable module on a ground surface 76 and at least one fluidizable module 66 also having a support structure for supporting the fluidizable module on the ground surface. The fluidizable and non-fluidizable modules cooperate with each other to support an occupant. The support for the non-fluidizable module bears less than all the weight of the fluidizable module and, in the limit bears none of the weight. An alternative occupant support includes at least one non-fluidizable module and at least one fluidizable module cooperable with the fluidizable module to support an occupant. The fluidizable module is sized to support no more than about 50 percent of the length of an adult human body and most preferably no more than about 30 percent.

Abstract: One variant of a fluidizable bed 10 includes a fluidizable material 36 within a containment vessel 12 and a filter sheet 24 having a vent region 42 covering a top portion 22 of the vessel. The vent region has a permeability of less than about 65 cubic feet per minute per square foot. Other variants of a fluidizable bed 10 include a fluidizable material 36 within a containment vessel 12, a filter sheet 24 connected to the vessel, and a vent region 42 of the filter sheet covering a top portion of the vessel and having a permeability sufficient to 1) establish a pressure difference across the filter sheet equal to or greater than a prescribed pressure difference threshold, or 2) support no more than a specified, non-negligible portion of an occupant's weight.

Abstract: This disclosure described a patient support having an air permeable layer, a plurality of inflatable bladders, a pressure-sensing assembly and a controller. In one embodiment, a combination of transverse bladders and vertically oriented can-shaped bladders is provided. In one embodiment, one or more angle sensors are provided in articulatable sections of the patient support.

Abstract: An air mattress includes a mattress envelope having a compartment and comprising a thermal functional layer and an outer layer overlapped thereon and an air cushion including a plurality of individual air chambers evenly disposed in the compartment of the mattress envelope and an air supplying tube communicatively interconnecting the air chamber with each other. A thermal control arrangement includes a liquid supplying tube spirally extending at the thermal functional layer of the mattress envelope for guiding a flow of thermal liquid and a thermal energy generator arranged to regulate a temperature of the thermal liquid such that when the thermal liquid passes through the liquid supplying tube, the thermal liquid thermo-communicating with the thermal functional layer of the mattress envelope towards the outer layer so as to regulate a temperature of the mattress envelope.

Abstract: A system for monitoring a patient on a hospital bed includes load cells and a controller for detecting patient movement on, exit from, and impending exit from the hospital bed, including movement across or outside a virtual boundary or region located on the bed. The controller is configured to detect changes in the distribution of patient weight among the load cells. The controller is also configured to accommodate the installation or removal of medical equipment or other tare weights on the bed, head incline adjustment, and bed frame deformation or other changes in the system causing redistribution of weight among the load cells, while minimizing false alarms. A caregiver may select between various patient monitoring modes and remotely monitor patient movement relative to a reference load cell distribution, impending patient exit from the bed and patient exit from the bed. Pressures in an air mattress may be controlled based on signals from the load cells.

Abstract: The present invention relates to a method for manufacturing an air mat that reduces the number of manufacturing processes by means of rotational molding, while preventing the generation of defective products, to a device for molding an air mat, and to an air mat manufactured and molded by the method and device. In a method for manufacturing an air mat formed in such a manner as to integrally couple a cushion part having a plurality of air bags arranged therein for containing air at the insides thereof with a plate-shaped lower sheet disposed on the lower surface of the cushion part, the method includes the steps of: preparing a lower mold having a plurality of air bag molding recesses having given depths arranged at given intervals thereon, for molding the cushion part of the air mat.

Abstract: A fluidized bed for supporting a patient has a fluid-impervious peripheral wall, a fluid-porous membrane top covering and a fluid-porous floor defining a unit volume in which a quantity of glass bead support media is confined. Several diffusers supply air through the floor to fluidize the support media and support a body on the bed top covering. Each diffuser is a laminate having a porous membrane top and a porous membrane bottom spaced by a fluid-impervious boundary wall and a plurality of fluid-impervious interior walls that create discrete cells. Each cell contains a quantity of glass bead cell media. A pair of blowers supplies pressure air through one-way valves to the cells in the diffusers and through the cells up into the unit interior volume to fluidize the support media.

Abstract: An inflatable device with an outer inflatable structure, inflatable interior frame, an interior opening and an outer opening. The frame has a plurality of side rods, a center wall, a plurality of interconnected ribs and a plurality of air passages. The interior opening is on a rib and receives any common air pump. The interior frame becomes rigid upon inflation and, forces apart the walls of the outer inflatable structure. Once the interior frame is completely inflated, it provides support to the outer inflatable structure so that the main air chamber inside of the outer inflatable structure does not need to be fully inflated with air. A cap placed over the outer opening is fitted with an air pump valve in order that additional air may be pumped into the main air chamber to increase the firmness of the inflatable device.

Abstract: A mattress for a bed is provided to support a patient. The mattress includes a plurality of air fluidized bladders. Each bladder includes a fluidized zone having fluidizable material positioned therein. Each bladder further includes a diffuser configured to provide air to the fluidized zone to fluidize the material.

Abstract: A therapeutic treatment bed with features to enhance the care and comfort of burn patients and others subject to extensive recuperative periods. Among the features are patient engaging fluidized bead surfaces integral with the upper surfaces of air cushions provided by an air bed. Detachable conformation of the fluidized bead surfaces is also provided.

Abstract: A mattress for a bed is provided to support a patient. The mattress includes a plurality of air fluidized bladders. Each bladder includes a fluidized zone having fluidizable material positioned therein. Each bladder further includes a diffuser configured to provide air to the fluidized zone to fluidize the material.

Abstract: A pilot operated check valve is configured to be positioned inside a fluid supply tube connected between an air supply manifold and an air zone located on a support surface of abed. The pilot operated check valve includes a body having an air inlet and an air outlet connected by an air passageway. The pilot operated check valve also includes a valve member configured to move between an open position and a closed position to block air flow through the passageway. Additionally, the pilot operated check valve includes a push rod having a first end coupled to the valve member to unseat the valve member when the valve member is in its open position and a second end. The pilot operated check valve includes a diaphragm located in a chamber of the body adjacent the second end of the push rod. The pilot operated check valve further includes an inlet port configured to be coupled to the manifold to admit pressure against the diaphragm.

Abstract: An apparatus for elevating the head and torso of a patient confined to a fluidized patient support system. A head cushion assembly, a knee gatch assembly and a control assembly are integrated with any known fluidized patient support system and preferably integrated, at least in part, with the cover sheet of the chosen patient support system. In operation, the invention may be utilized to raise and/or lower a patient's head and torso, in 15° steps, to any inclination from supine to approximately 45°. In implementations utilizing the knee gatch assembly, the patient is effectively prevented from sliding during inclination even to the highest of angles. The controls are conveniently provided on a handheld unit for easy access and operation by caregivers and patient alike.

Abstract: A fluidization level sensor and controller for use in a fluidized patient support surface has a controller coupled to a sensor and a compressor. The patient support surface contains a mass of granular particles housed in frame walls and supported by a diffuser. The compressor forces a fluid, typically air, into a plenum chamber and through the diffuser. The fluid flows through the mass of granular particles, causing the mass of granular particles to fluidize, and exits through a fluid permeable sheet. The fluidization level sensor produces an output signal proportional to the fluidization level of the mass of granular particles, and provides this output signal to the controller. The controller generates a compressor control signal in response to the output of fluidization level sensor, which in turn adjusts the compressor to maintain a substantially constant fluidization level.

Abstract: A fluidization level sensor and controller for use in a fluidized patient support surface has a controller coupled to a sensor and a compressor. The patient support surface contains a mass of granular particles housed in frame walls and supported by a diffuser. The compressor forces a fluid, typically air, into a plenum chamber and through the diffuser. The fluid flows through the mass of granular particles, causing the mass of granular particles to fluidize, and exits through a fluid permeable sheet. The fluidization level sensor produces an output signal proportional to the fluidization level of the mass of granular particles, and provides this output signal to the controller. The controller generates a compressor control signal in response to the output of fluidization level sensor, which in turn adjusts the compressor to maintain a substantially constant fluidization level.

Abstract: A mattress having a head end and a foot end comprises a first support section configured to support an occupant's feet, legs, and seat, and a second support section located adjacent the head end of the mattress to support an occupant's back and head. A portion of the head support section is movable toward the head end of the mattress as the second support section is moved to an elevated position relative to the first support section.

Abstract: A pilot operated check valve is configured to be positioned inside a fluid supply tube connected between an air supply manifold and an air zone located on a support surface of abed. The pilot operated check valve includes a body having an air inlet and an air outlet connected by an air passageway. The pilot operated check valve also includes a valve member configured to move between an open position and a closed position to block air flow through the passageway. Additionally, the pilot operated check valve includes a push rod having a first end coupled to the valve member to unseat the valve member when the valve member is in its open position and a second end. The pilot operated check valve includes a diaphragm located in a chamber of the body adjacent the second end of the push rod. The pilot operated check valve further includes an inlet port configured to be coupled to the manifold to admit pressure against the diaphragm.

Abstract: A mattress (10) includes an outer cover (12, 18) formed from an air impermeable material. The outer cover (12, 18) is configured to define an interior region and having a top support surface (20). The mattress (10) also includes at least one air fluidized support module (48, 54) located within the interior region of the cover (12, 18). The mattress (10) further includes a connector (68, 94) coupled to the air fluidized support module (48, 54), the connecter (68, 94) being configured to be coupled to an air supply (58). The mattress (10) also includes a vent connector (165) coupled to the outer cover (12, 18) in communication with the interior region of the cover (12, 18). The vent connector (165) is configured to exhaust air from the interior region of the cover (12, 18).

Abstract: A mattress for a bed is provided to support a patient. The mattress includes a plurality of air fluidized bladders. Each bladder includes a fluidized zone having fluidizable material positioned therein. Each bladder further includes a diffuser configured to provide air to the fluidized zone to fluidize the material.

Abstract: A semi-fluid based body support system using a mass of granular material to support a user has reversible transferring means and fluidizing means to locally control the granular material. The reversible transferring means and fluidizing means are independently controlled at plural locations along a system longitudinal dimension so that each region of the user body may be independently accommodated. The reversible transferring means is used to achieve fitness for natural posture by controlling a distribution of the accumulative height of granular material, and transfers the granular material between a transverse middle portion and transverse side portions of the system reversibly. The fluidizing means is used to achieve reduced partial oppression by controlling a local fluidity of the granular material. In a preferred embodiment, rotary blade devices, placed at spaced locations along the system longitudinal dimension, implement the fluidizing and transferring means by switching between operational modes.

Abstract: A coverlet is disclosed for enclosing an air fluidizable section of a patient support surface. The air fluidizable section includes a diffuser board assembly for supporting a fluidizable medium, a side wall defining a boundary of the air fluidizable section and an air permeable top wall impervious to the fluidizable medium. The coverlet includes a sheet of material impervious to fluids and comprises a top portion configured to overlie the top wall of the air fluidizable section, and a side portion configured to overhang over the side wall of the air fluidizable section. The side portion of the coverlet includes at least one opening therein to permit air flowing through the air fluidizable section to escape.

Abstract: An apparatus and method of improved water therapy in which a person is buoyantly supported in a reclining or prone position on a top membrane of a enclosure which contains heated water, and air. A water pump recirculates the water which is drawn out of the enclosure through outlets and associated piping and which is then reintroduced into the interior of the enclosure through venturi air intake as waterjets that are mixed with air. The air enriched waterjets drive through a layer of water and impinge on the underside of the top membrane to produce massage effects on the person. The air is captured inside the enclosure in a chamber or pocket which rises above the water level within the sealed enclosure and is drawn out of the interior enclosure to the air inlet waterjet venturi for recirculation of air throughout and within the sealed enclosure.

Abstract: A medical table includes a base. The medical table also includes a number of rollers, supported by the base, which collectively define a bed surface for supporting a patient, wherein each roller of the number of rollers (1) defines a fluid impervious bag having a void therein, and (2) contains a plurality of beads within the void of the fluid impervious bag, and further wherein the number of rollers includes a prime roller having a shaft extending therefrom. The medical table further includes a motor mechanically coupled to the shaft of the prime roller. The medical table also includes a vacuum source in fluid communication with each void of the number of rollers. A method of moving a patient from a first position to a second position is also disclosed.

Abstract: A diffuser assembly is configured to support a fluidizable medium on a fluidized bed. The diffuser assembly includes a diffuser board which is permeable to air and impermeable to the fluidizable medium, and a metal plate coupled to the diffuser board. The metal plate is formed to include a plurality of apertures therein to permit air to pass through the metal plate. The metal plate has an outer perimeter edge. The plurality of apertures are spaced inwardly from the outer perimeter edge of the metal plate by a predetermined distance to define a solid border configured to block air flow through the metal plate adjacent the outer perimeter edge.

Abstract: A semi-fluid mattress using a mass of granular material to support a user has reversible transferring means and fluidizing means to locally control the granular material. The reversible transferring and fluidizing means are independently controllable at plural locations along a longitudinal extent or dimension of the mattress, so that each region of the body can be independently cared for. The reversible transferring means is used to achieve fitness for natural posture by controlling the distribution of the accumulative height of the granular material, and transfers the granular material between a transverse middle portion and transverse side portions of the mattress. The fluidizing means is used to achieve small partial oppression by controlling local fluidity of the granular material. In a preferred embodiment, reversible rotary blade devices, placed at spaced locations along a longitudinal dimension of the mattress, are used for the above two means by changing their operational mode.