This bariatric active combination therapy system uses alternating pressure and low air loss to support pressure redistribution, shear reduction, and microclimate control for improved comfort and care. Designed for home and long-term care use, it features adjustable settings, multiple cycle options, and advanced safety alarms. Deep air cells provide enhanced immersion and support, while cell-on-cell construction helps maintain stability during power loss. The removable quilted nylon cover is fluid-resistant, low shear, and vapor permeable for easy cleaning and skin protection. It also includes quick-release tubing and a CPR valve for rapid deflation.