Skil-Care Heel Float Plus | Adjustable Off-loading Boot for Pressure Injury Prevention
- Brand: Skil-Care
- Availability: Factory Direct
- Fulfillment: Ships 2-3 Days!
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Skil-Care Heel Float Plus: Targeted Suspension for Advanced Heel Pressure Management
The Skil-Care Heel Float Plus is a specialized clinical orthotic designed to solve the critical challenge of heel pressure injuries in bed-bound and post-operative patients. In institutional and long-term care settings, the calcaneus is one of the most vulnerable sites for Stage III and IV pressure ulcers due to thin tissue and constant contact with the sleep surface. This device solves the problem by providing total heel suspension (off-loading), effectively eliminating interface pressure by elevating the heel over a contoured air-and-gel void while providing essential support to the calf and Achilles tendon.
Engineered for professional healthcare environments, the Heel Float Plus features an adjustable design that accommodates various patient limb sizes while preventing foot drop and lateral rotation. The interior is lined with a soft, moisture-wicking fabric that reduces friction and shear, protecting compromised skin. For facility managers and clinicians, this cushion provides a durable, reusable solution that adheres to high-intent clinical protocols for wound prevention and treatment, making it a staple for orthopedic, geriatric, and intensive care units.
Key Benefits:
- Zero-Pressure Heel Suspension: Fully suspends the heel in the air to eliminate all interface pressure and facilitate rapid wound healing.
- Gel-Insert Pods: Features integrated gel-cooling technology to redistribute pressure under the calf and reduce heat buildup.
- Anti-Foot-Drop Design: Provides a structured footplate to maintain a neutral 90-degree ankle position, preventing plantar flexion contractures.
- Anti-Rotation Stability: Engineered to prevent the leg from rotating laterally, ensuring proper musculoskeletal alignment during long-term bed rest.
- Low-Shear Soft Liner: Lined with a brushed fabric that minimizes friction against the skin, reducing the risk of skin tears.
- Adjustable Fastening System: Utilizes heavy-duty straps to ensure a secure, customizable fit across diverse patient populations.
Specifications:
- Brand: Skil-Care
- Construction: High-resiliency foam with cooling gel inserts
- Liner Material: Moisture-wicking, low-friction synthetic fabric
- Sizing: Adjustable (Small, Medium, Large/Bariatric options)
- Safety Features: Latex-free and flame retardant
- Application: Decubitus ulcer prevention, post-surgical recovery, contracture management
Purpose
Skil-Care’s Heel-Float Plus is designed to prevent pressure sore formation by eliminating pressure on the heel, bunion, and malleoli. It provides maximum air circulation to aid in the healing of existing pressure ulcers. A water-based gel pack relieves pressure beneath the ankle. The Heel-Float Plus also features a rigid insert that prevents foot-drop.
Application
- Place foot inside boot. The heel should be suspended over the air cavity and the malleoli should be aligned with the cutouts on the left and right sides.
- Secure the Velcro straps across the ankle and foot. Make certain that the foot strap is positioned below the bunion. (Illustration A)

Important
Remove the Heel-Float Plus every 8 to 12 hours and check patient’s foot for ischemia or discoloration.
Gel-Pack
The water-based gel pack may be used for hot/cold therapy. For heat therapy, warm the gel pack in water. Do not microwave. For cold therapy, cool the gel pack in a refrigerator. Do not freeze. The gel pack is easily removed by opening the flap as the back of the Heel-Float Plus. (Illustration B)

Easy Care
(82° The Heel-Float Plus may be washed and dried at temperatures that do exceed 180°F C). Remove gel pack (see above) and rigid foot insert (Illustration C) before laundering.

Six-Month Guarantee
Skil-Care’s Heel-Float Plus is guaranteed to be free from defects in materials and workmanship under conditions of normal use for a period of six following purchase. Skil-Care will replace any Heel-Float Plus found to be defective within that time period. Call Skil-Care customer service at 800-431-2972 for information about replacement of a defective Heel-Float Plus.
Extended Product Information:
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Frequently Asked Questions
Find answers to commonly asked questions below.
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How does the Heel Float Plus specifically comply with NPIAP guidelines for Stage III and IV pressure injury treatment?
The Skil-Care Heel Float Plus provides complete mechanical off-loading of the calcaneus, which is the primary recommendation by the National Pressure Injury Advisory Panel (NPIAP) for managing advanced decubitus ulcers. By creating a definitive suspension void, the device ensures that the wound site has zero interface pressure with the bed surface, allowing for unobstructed capillary blood flow and tissue regeneration. In institutional wound care protocols, this "non-contact" approach is essential for preventing the progression of existing injuries and protecting the surgical site following debridement. The inclusion of the calf-support gel pod ensures that the weight of the leg is redistributed proximally, away from the vulnerable heel area. This design provides a clinical-grade solution for facilities aiming to reduce their incidence of hospital-acquired pressure injuries (HAPIs).
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What technical features are included to prevent secondary complications like foot drop and lateral rotation?
The Heel Float Plus is engineered with a rigid internal structure that maintains the ankle in a neutral 90-degree position to counteract the risk of "foot drop" or plantar flexion contracture. During prolonged immobilization, the muscles and tendons of the foot can shorten; this device provides the necessary resistance to maintain musculoskeletal alignment. Additionally, the wide-base design and lateral support bolsters prevent the leg from rotating outward (lateral rotation), which can lead to hip strain and peroneal nerve compression. For clinicians, this dual-functionality means a single device manages both integumentary safety and orthopedic positioning. This integration reduces the need for multiple pillows or secondary braces, streamlining the nursing workflow.
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How does the cooling gel-insert technology impact the Total Cost of Ownership (TCO) for a facility?
The integrated cooling gel-inserts significantly improve the TCO by enhancing patient compliance and reducing the rate of device abandonment due to heat-related discomfort. In many standard foam boots, heat and moisture buildup (maceration) can lead to skin breakdown on the calf, creating a new clinical problem while solving another. The gel inserts act as a heat sink, maintaining a lower skin-interface temperature and preserving the integrity of the surrounding tissue. By preventing secondary skin failures and increasing wearer tolerance, the facility sees a reduction in the need for expensive topical wound treatments and extended nursing interventions. Durable, high-quality materials ensure the device survives repeated cleaning cycles, providing a better ROI than disposable single-use alternatives.
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What are the specific material standards for infection control and skin safety in high-acuity environments?
The Skil-Care Heel Float Plus is constructed from latex-free, non-allergenic materials to ensure compatibility with sensitive patient populations and to comply with institutional safety mandates. The interior liner is a low-friction, moisture-wicking fabric designed to minimize the shear forces that often cause "skin tears" during patient repositioning. From an infection control standpoint, the outer cover and inner materials are designed to be wipeable with standard hospital-grade disinfectants, facilitating rapid turnover in acute care settings. This durability ensures the device can be included in a facility’s standardized equipment pool without concerns about material degradation from harsh chemical cleaners. Every component is selected to meet flame-retardant standards required for medical-grade furniture and peripherals.
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Is the sizing adjustable enough to standardize a facility’s inventory for both standard and bariatric patients?
The Heel Float Plus features an "open" design and adjustable heavy-duty straps that allow it to accommodate a wide range of calf circumferences and foot sizes within a single SKU. For procurement officers, this versatility allows for a more streamlined inventory, as the same model can often be adjusted to fit most adult patients, reducing the need to stock specialized bariatric versions for every room. The adjustable straps ensure that the clinician can achieve a secure fit that prevents "migration" of the boot without restricting venous return or causing constriction. This scalability is vital for large-scale municipal or government hospital contracts where equipment must be adaptable to a diverse patient demographic. Proper fitment is further supported by the foam’s ability to contour slightly to the individual’s unique limb shape.
