Abstract: A wheelchair back support adjustment assembly that utilizes a swivel assembly is disclosed. This swivel assembly provides an entirety of an interconnection between the wheelchair back support adjustment assembly and a back support of a wheelchair. The wheelchair back support adjustment assembly may also include a linkage that interfaces with the swivel assembly. Opposite end portions of the linkage are connectable with a corresponding cane of a wheelchair. The configuration of the wheelchair back support adjustment assembly accommodates a variety of adjustments, to correspondingly adjust a back support of a wheelchair when in an installed configuration (e.g., to customize the back support to a user of the wheelchair). These adjustments may be through one or more adjustments of the swivel assembly, one or more adjustments adjustment of the linkage, or both.

Abstract: A technique for capturing a three-dimensional digital image of a customized shape for a wheelchair seat and back and subsequently producing a seat and back from the image. The captured image may include one or more datum points therein to provide a reference plane for the seat and back. The datum points may be in a color-coded layer located relative to the bottom edge of the seat. The color code may indicate the size of the user and seat at a coarse level. The customized shape may be captured from a shape capture bag or bags that capture one or both of the shape of the user's back and bottom. The shape capture bag used to capture the shape of the user's bottom, for use in manufacturing the seat, may be enhanced by a pre-formed layer that contains a contour or one or more components that together form a contour that biases the shape capture bag toward the shape of the user's bottom when gravity is acting upon the user to sink into a cushioned seat.

Abstract: A technique for capturing a three-dimensional digital image of a customized shape for a wheelchair seat and back and subsequently producing a seat and back from the image. The captured image may include one or more datum points therein to provide a reference plane for the seat and back. The datum points may be in a color-coded layer located relative to the bottom edge of the seat. The color code may indicate the size of the user and seat at a coarse level. The customized shape may be captured from a shape capture bag or bags that capture one or both of the shape of the user's back and bottom. The shape capture bag used to capture the shape of the user's bottom, for use in manufacturing the seat, may be enhanced by a pre-formed layer that contains a contour or one or more components that together form a contour that biases the shape capture bag toward the shape of the user's bottom when gravity is acting upon the user to sink into a cushioned seat.

Abstract: The back of a wheelchair user is independently supported along and about three mutually perpendicular axes. Two elongated adjustment arms are pivotally connected to extension arms which telescope into opposite ends of a hollow connecting tube. The support positions along and about the three axes is achieved by pivoting the arms and the connected relationships of a back shell and cushion to the connecting tube, while the adjustment arms remain pivotally connected to the wheelchair and the extension arms are telescopically retained in the connecting tube.

Abstract: A flexible support structure of a seat cushion, such as a wheelchair cushion, has an upper surface with a support contour having relief areas for establishing relatively less pressure on skin adjacent to bony prominences of a user's pelvis and having a support area for establishing relatively more pressure on skin covering a tissue mass spaced from the bony prominences. A slit is formed in the rear corner of the support structure and an insertion member is inserted into the slit to change a position of the support area to thereby adjust the support contour for better support of the pelvic area. A cover encases the support structure to resist outward deformation of the support structure. The cover has an extension portion that expands the cover at the rear corner to increase a dimension of the cover to encase an increase dimension of the corner caused by the insertion of the insertion member.

Abstract: A negative impression of an anatomical portion of a person is captured by forcing the anatomical portion into impression foam to collapse the impression foam into the negative impression. The impression foam has a crush characteristic of approximately constant resistance force over a relatively wide predetermined range of collapse distances. The negative impression is obtained by collapsing the impression foam within the range of constant-force collapse distances, thereby creating the negative impression under conditions which reflect an equally-loaded anatomical portion. A cushion support contour created from the equally-loaded negative impression is beneficial in more appropriately supporting the anatomical portion. The present invention is particularly useful in fabricating wheelchair seat cushions.

Abstract: A support contour of a cushion, such as a wheelchair cushion, defines relief areas at locations adjacent to skin covering the ischial tuberosities, the greater trochanters and the coccyx and sacrum of a person sitting on the support contour. Support areas of the support contour transfer force into the pelvic area adjacent to skin covering tissue masses on opposite lateral sides of the posterior buttocks and beneath the proximal thighs of the person. Greater clearance is also provided in the perineal area. Risks of pressure ulcers from pressure and shear forces on bony prominences is reduced while providing support at the broader areas without bony prominences in such a manner to encourage postural alignment. The risks of skin breakdown perineal are diminished.

Abstract: Clearance between a support contour of a seat cushion and an adjacent pelvic and proximal thigh anatomical portion of a person is evaluated with a clearance measurement device that deforms in response to force applied thereto. The clearance measurement device is located on the support contour at a predetermined location where the clearance is to be evaluated. A person sits on the cushion with the clearance measurement device. The clearance is related to the extent of deformation. Impression foam, a malleable putty-like substance, or a fluid cushion are examples of clearance measurement devices.

Abstract: A modular orthotic seat is made up of individual shells or modules that are adjustably connected together for accommodating changes in size of the user. The modules include a pelvic module for support of the thighs, pelvis and sacrum, a thoracic module for support in the thorax and lumbar regions, and a cervical-head support. The modules are mounted on a strut that permits adjustment between the modules. Suitable bedding or padding can be used for final custom fitting. An adjustable seat pan is provided for permitting adjustment of the supporting seat to accommodate angular variations of the pelvic regions of the user.