Mosaic Roho Cushion 40.64 cm x 40.64 cm with Standard Cover

Disclaimer: This review is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.So…Yes, this is a Roho brand *seat* cushion with a cover, pump, patch kit, instructions, and paperwork.No, it is not a Roho *medical* cushion, but it's not meant to be.A Roho medical / wheelchair cushion is designed for people with spinal cord injuries (who can't feel when blood circulation is getting cut off) and for folks with cognitive or communication issues (who can't tell you when things are going numb). The medical grade cushions (which this one is not) are made out of rubber, have high strength metal inflation valves, and come in many different sizes and configurations (like the ability to have different pressure in different parts of the cushion).*THIS* Roho seat cushion is nice quality, especially for the price point. I was actually quite pleasantly surprised when opening the package. And there are important differences to be aware of before purchasing:- Fewer size options- 315 lbs weight limit- Plastic valve instead of metal- Plastic air bladder instead of rubber- Air cell heights are all 3" tall- Fewer air cells- And the air cells are largerNormally you would anticipate this cushion to have a 5 x 5 cell configuration (a grid of 5 columns of 5 rows), or 25 air cells total. However, this cushion has been designed differently. Sitting on the cushion, from left-to-right the cells are arranged 4, 5, 5, 5, 4, for a total of 23 air cells. Who cares, right? Well, having fewer cells on the far left and far right means those cells are larger. In effect, those larger edge cells act as a channel to help keep your legs straight; therefore it's easier to keep your knees together. If you're wearing a skirt or kilt, that might be a benefit for you. Alternately, if you like looking like a cowboy with your knees splayed apart for comfort, you’re still good – it ‘helps’ keep your knees together, but it doesn’t ‘force’ them together.IMPORTANT: The single biggest problem any Roho cushion is over inflation. Folks, this cushion isn't a flotation device - don't pump it up and then sit "on top" of the cushion! You're supposed to sink "down into" the cushion. Ideally, you want 1/2" of air between your I.T.'s (your ‘ischial tuberosities’ or 'butt bones') and the bottom of the cushion. Think air suspension, not air flotation. The included instruction paperwork (which nobody reads) has a very clear description of how to achieve the perfect inflation level. If you've inflated your cushion correctly, when you get off the cushion it's SUPPOSED to look 'low on air' or 'going flat'. You want the minimum amount of air possible that can still keep your body correctly suspended. Pumping it up like a life raft (which is adding more air pressure) is just that - it's adding pressure against your skin. I know it sounds weird since low pressure in any kind of pool toy or tire is generally a really bad thing. It's your cushion and you can inflate it till it pops if you want. But as someone with lots of experience in this area, you'll be more comfortable and have less punctures if you follow the instructions. Of course, YMMV.In short, this Roho ‘seat cushion’ has features *similar* to a Roho medical cushion. But it can’t compare to the medical grade cushions. And that's fine because it's not intended to be a competitor for the medical cushions.Can you use it in a wheelchair? Of course - provided that wheelchair occupant can communicate to a caregiver (or transfer out of the chair independently) if the cushion gets a flat.Is it as durable as a medical grade Roho? No - So don't go 'plopping' down on it, don't stash your keys, pen, or reading glasses under your leg. Treat the cushion with care (especially when inflating) because the valve is plastic.Can it be repaired? Yes - Patching punctures in the air bladder is a cinch with the included repair kit. But if you twist that plastic valve too hard (in either direction), you're going to have a bad day. I've repaired many medical grade Roho cushions in my day, and valve repairs were always a messy hit/miss situation. Glue everywhere, slow leaks, ick!Verdict?- I would ABSOLUTELY recommend this Roho 'seat' cushion to anyone who is having sitting pain in a vehicle, office chair, or occasional use in a wheelchair (trips to the doctor, church, dinner, library, concert, movie, visiting family).- I would ABSOLUTELY NOT recommend this Roho 'seat' cushion for someone in a wheelchair who self-ambulates (by using their feet or the handrims) and is in the wheelchair all day. It's not designed for that task, and you're going to be disappointed. Get a medical grade Roho instead.IMPORTANT: Twenty years ago, the cost to perform skin-flap surgery to repair a pressure sore was about $60K. (It's probably twice that cost today). Human skin is one of your body organs, and if your skin is damaged it can quickly lead to serious infections. ‘Nuff said.TL;DR - If your butt hurts, this is a really solid cushion for the price. If you're in a wheelchair all day, get a medical grade Roho instead.

I'd never been offered a Roho, though all my spinal cord injured friends had them. But I came frustrated recently when the wheelchair specialist gave me yet another memory foam cushion that again left me ready to slide out of my chair. My disability is cerebral palsy and I roll around by shuffling my feet on the floor. This always results in a forward down slope of the cushion and real danger of sliding out.I googled cushion reviews and the ROHO Mosaic repeatedly got high recommendation, from all kinds of users!'I am joining the chorus! If I could 'improve' one thing, it would retain air longer. But from talking with friends who have the expensive model costing $350+, weekly inflation are the norm. It never goes flat, though. And even at the less comfortable point, i don't feel like I'm sliding out of my chair. The redistribution of air is the key to the ROHO because it adapts to the body placement in "real-time." No permanent reshaping or sloping!I haven't tried an expensive ROHO like my friends have. From comparison I'd say they have more air pockets that allow for greater pressure contour . They also have a built in air pressure gage. Such features are important for individuals with certain disabilities.Overall though, I don't see significant difference in function between my Mosaic and their special order ROHO. And I am really thankful to find the company has a more affordable model for most of us.

Saves my butt works great and is light.

its a pretty good pillow

I had and have many different makes of air cushions. This type, Roho, are very close to the top in all sections of descriptions: function, durability, comfort, style, wash friendly. All sections were at the or close to the top except ,durability, for I have only bin in use for a short while.