Automated Repositioning Sheet System

Making automated pressure ulcer prevention accessible to all patients.

ARSS is a disposable glide sheet that automatically turns immobile patients on a clinically validated cycle — protecting patients and caregivers, at a fraction of the cost of powered turning beds.

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$13.5B

U.S. total addressable market

94%

lower cost than powered turning beds

2.5M+

pressure injuries annually in the U.S.

A largely preventable injury that the system can't keep up with

Manual repositioning every two hours is the clinical standard — but understaffed floors can't consistently deliver it, and the cost falls on patients, nurses, and hospital budgets alike.

80%

of nurses report frequently missed patient turns

42%

of nurses report injury from manually repositioning patients

$20K–$200K

cost of a single hospital-acquired pressure injury

$1M+

annual Medicare penalty risk for a 300-bed hospital

How ARSS works

ARSS integrates into existing workflows rather than replacing them — it looks and functions like the glide sheets already on the floor, with automated turning built in.

Place it like a standard glide sheet

No installation, no bed replacement, no new equipment budget line. It fits the workflow caregivers already know.

The pump cycles automatically

Embedded inflatable bladders turn the patient 30° on a timed cycle — the angle clinically shown to relieve pressure and prevent injury.

Disposable sheet, documented cycle

The sheet is replaced on a regular cadence for infection control, while the pump logs every turn for auditable compliance.

Positioned in a market with no low-cost automated option

Every existing automated alternative requires a five-figure capital purchase. ARSS is the first automated option priced like the consumable it replaces.

Solution	Cost	Automated
Manual turning	$0 device cost	No — fails ~80% of shifts
Standard disposable glide sheet	~$200/sheet	No — requires 2–3 staff
Powered turning bed	~$30,000+ or $3,000/mo	Yes — capital equipment, installation required
ARSS	~$600 pump + $100/sheet	Yes — drop-in, no installation

Traction

ARSS has moved from concept to a validated prototype with early institutional and clinical support.

Working prototype demonstrating consistent 30° automated turning
Provisional patent filed, protecting the core design
$50K+ raised to date
Letters of support from PACS, Provo Rehab, Legacy House, and University Villa Healthcare
FDA Class II device pathway — 510(k) exempt

Team

ARSS was founded by a team of Brigham Young University students who combined direct clinical exposure to the pressure-injury problem with backgrounds in health sciences and finance.

Nathan Barfuss

Co-Founder & Primary Inventor

Nutritional Sciences, Brigham Young University

Braden Barfuss

Co-Founder & Co-Inventor

Biochemistry, Brigham Young University

Blake Bryan

Partnerships Lead

Finance, Brigham Young University

Who we serve first

Skilled nursing facilities are the initial beachhead: longer patient stays, facility-level purchasing authority, and direct administrator accountability for CMS star ratings make them the fastest path to a validated pilot. Acute care hospitals follow once clinical outcome data is in hand.

Our mission

Every patient deserves dignified, safe care, and every nurse deserves tools that reduce physical strain and burnout. ARSS exists to make automated, evidence-based pressure injury prevention accessible to every care setting.