This GD22183 Bariatric Cushion w/ Insert is the perfect heavy duty cushion. The soothing anti-bacterial top cover adds a heavenly layer of comfortable protection while its twin cell gel layers equally distributes weight and pressure. The firm high-density foam aids in positioning and stability; available in flat or wedged designs. A 1/2" soft upper foam layer is added to further increase user comfort. Available in sizes from 22" to 24" wide.