How does Self Adjusting Technology™ (SAT™) work?
Self Adjusting Technology™ uses ambient pressure and gravity as its energy source through a unique system of dynamically reactive air chambers, one-way air intake and pressure-activated relief valves. These SAT™ valves monitor the internal pressure of the system and, when a patient lies on the mattress, release a sufficient amount of air into the atmosphere for maximum body weight displacement and pressure relief. After a volume of air has exited the system and the internal pressure has reached the characteristic level, the SAT™ valve automatically closes, maximizing patient immersion and body weight displacement without the risk of bottoming out. As a patient moves off an air chamber, special non-weight bearing, open-cell foam in each chamber acts as a reforming agent and causes the chamber to return to its original shape. This action creates a vacuum inside the chamber that draws air back inside, refilling the chamber with air and readying it for the next load. The reforming agent’s low load-deflection, high-density construction will not support body weight – it simply helps create a vacuum in the air chamber, which in turn triggers the one-way intake valve to draw air back inside and re-equalize the pressure-to-volume ratio. The result is a dynamic, non-powered, self-adjusting cushion of air that provides consistent pressure relief. The internal cutoff pressure of the SAT™ valve is monitored based on the principles of the physics gas law known as “Boyle’s Law”.
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What is Boyle’s Law? P1/V1=P2/V2
Simply stated, Boyle’s Law says that in a container with the temperature constant, pressure is inversely proportional to volume. This means that as internal pressure increases, internal air volume decreases so that the pressure/volume ratio is maintained.
The SAT™ valve monitors the internal pressure of the system and allows the release of a sufficient amount of air for the system to attain the optimal internal pressure/volume ratio.
Boyle’s Law is universal, so the SAT™ valve will automatically adjust the system properly regardless of patient size or weight.

The SAT™ dynamic valves react to internal pressure within the air chamber, controlling the flow of air within the SAT™ system.

Self Adjusting Technology™ (SAT™) compensates for patient weight by allowing air to escape through the valve until it closes automatically, reducing internal air pressure and creating a softer cushion of air.
This is the same principle of immersion achieved when using powered airbeds and air mattresses. Generally, the deeper a patient sinks into the surface, the lower the interface pressures on any given body site. On an airbed, the air blower controls the amount of air in the mattress, i.e. the more air blown into the mattress, the firmer the mattress; the less air blown in, the softer the mattress. Self Adjusting Technology™ doesn’t blow air into the mattress. Instead, it controls the amount of air released from the mattress. The immersion effect and weight displacement works the same in both cases. The key to SAT™ is this ratio of pressure to volume, not individual patient weight, so SAT™ works with patients of varying sizes and weights. It is possible to scientifically determine the pressure/volume ratio that will maximize immersion without bottoming out, and the same ratio will apply to a 100-pound or a 500-pound person. The SAT™ valve is designed to control the pressure/volume ratio in our AtmosAir® mattress. Click here for a more in-depth look at the SAT™ technology that drives our AtmosAir® family of products.
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AtmosAir® MRS Product Family
Non-Powered, Dynamic Pressure-Relieving Mattress Replacement System AtmosAir® 4000 MRS - Our most economical model designed exclusively for extended care AtmosAir® 9000 MRS - Utilizes our standard SAT™ system configuration and available in all care settings AtmosAir® APod25 MRS - Utilizes our advanced SAT™ system configuration and available in all care settings
Powered, Dynamic Pressure Relieving Mattress Replacement System with manifold system Designed to also provide alternating pressure. AtmosAir® 9000A MRS - Utilizes our standard SAT™ system configuration and available in all care settings AtmosAir® APod25A MRS - Utilizes our advanced SAT™ system configuration and available in all care settings
Powered, Dynamic Pressure Relieving Mattress Replacement System with manifold system Designed to also provide alternating pressure or rotation. AtmosAir® 9000AR MRS - Utilizes our standard SAT™ system configuration and available in all care settings AtmosAir® APod25AR MRS - Utilizes our advanced SAT™ system configuration and available in all care settings
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Case Studies – AtmosAir® MRS Family
View the Lutheran Medical Center Case Study
- 53% reduction in nosocomial pressure ulcers
- 95% reduction in rental of Therapeutic overlays and Mattress Replacement Systems
View the Wishard Memorial Hospital Case Study
- 53% reduction in nosocomial pressure ulcers
- 97% reduction in rental of Therapeutic overlays and Mattress Replacement Systems
View the Beth Israel Medical Center Case Study
- 100% reduction in rental of Therapeutic overlays and Mattress Replacement Systems
View the Community Medical Center Case Study
- 100% reduction in nosocomial pressure ulcers
- 77% reduction in rental of Therapeutic overlays and Mattress Replacement Systems
View the Hebrew Home of Greater Washington Case Study
- 86% reduction in nosocomial pressure ulcers
- 74% decrease in costs associated with the purchase of heel relief products
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AtmosAir® with SAT™ Educational Video Resource
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