Most commercial "fluidized bed filters" are pressurized. They push water thru bio-media, and keep it in constant motion, so the less robust beneficial bacteria slough off, keeping the beneficial bacterial population in peak condition.
I made a DIY unit, but eventually, ditched the pressurized part (closed top), because during power outages the media would back siphon (even with a check valve) and plug up the influent hose to the unit. A plugged hose was very difficult to deal with, when the unit had to be completely disassembled to unplug.
I used aragonite sand as media to take the unit beyond its beneficial capacity, and also make it a buffering reactor. The aragonite dissolves when coming into contact with acids, keeping pH and alkalinity high.
The unit I made is 4ft tall, with an 8" diameter, and was very heavy, and clumsy when filled with 20+ gallons of water.