A method for fabricating a custom anatomical cushion and a device to capturepressurecontrolled shape is provided. The device comprises, generally, a flexiblemembraneenclosing floating beads adapted to be completely immersed and freely movinginside afluid. The device further comprises a mesh adapted to stop the floating beadsfrom goingoutside of the flexible membrane as a result of a pressure increase ordecrease inside theflexible membrane. The device is being fluidly connected to a pressure controlsystemadapted to increase and/or decrease the internal pressure of the flexiblemembrane andcomprises a vibration/leveling system adapted to adjust the fluid level insidethe flexiblemembrane.