Structured as a two in one model with BariMaxx™ II Therapy System and BariMaxx II with Power Drive System, the product, MaxxAir ETS™ Mattress Replacement System (MRS) has low air loss therapy, Continuous Lateral Rotational Therapy (CLRT), GORE® medical fabric and revolve support feature. The instrument is helpful in providing skin management therapies and secured handling of patients having weight of up to 454 kg (1,000 lbs). MaxxAir ETS MRS is structured with BariMaxx II Therapy System. The product ensures the skin integrity of the patients and enhances patient handling. It decreases the chances of musculoskeletal injuries related with bariatric care. The product also reduces the pressure ulcers and helps in the treatment as well for the patients for whom movement is restricted or difficult. The pressure distribution surface is very helpful for those patients who use a static mattress. The product is a boon to those patients whose weight and size of the body pose a major risk or face major care management issues. Medical professionals will be greatly helped by this product during regular nursing care routines.