IP Library Granted Patent US 9,949,883
Granted Patent B1
US 9,949,883 · App. 15/850,126 · Granted Apr 24, 2018

Method of securing a patient onto an operating table when the patient is in a position such as the trendelenburg position and apparatus therefor including a kit

Inventors: Alessio Pigazzi (Mission Viejo, CA); Glenn Keilar (Mission Viejo, CA)
A61G13/126A61B5/704A61F5/30A61F5/3769A61F5/3776A61G7/10A61G7/1026A61G13/0036A61G13/04A61G13/107A61G13/108A61G13/121A61G13/122A61G13/123A61G13/127A61G13/1225A61G13/1245A61G99/00A61G13/0009
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Quick Facts
Patent No.
US 9,949,883
App. No.
15/850,126
Granted
Apr 24, 2018
Kind
B1
Abstract

A method of securing a patient onto an operating table when the patient is in a position such as the trendelenburg position and apparatus therefor including a kit. A viscoelastic pad is used to support and hold a patient on a medical procedure table during a medical procedure performed while the table, and thus the patient lying thereon, is in an inclined position, such as the Trendelenburg position. The viscoelastic pad has characteristics which promote a minimization of pressure forces on the patient's body, as well as promote a secure cushioning and holding of the patient in a desired position on the table, in order to minimize injury to the patient.

Claims (106)

1. A surgical patient single use, open cell foam support pad comprising a viscoelastic memory foam which has a coefficient of friction between said viscoelastic memory foam and a surface of a surgical procedure table configured to hold said pad on a surgical procedure table, which surgical patient single use, open cell foam support pad comprises viscoelastic memory foam which is deformable so as to conform to a body of a patient, and which thereby assists in holding a patient in an inclined, Trendelenburg, position on an inclined surgical procedure table, and prevents or minimizes bottoming out on a surgical procedure table of a portion of a body of a patient to reduce injury caused by pressure to a patient during a surgical procedure, where an inclined, Trendelenburg, position includes an orientation in which a head of a patient is disposed either a) below or b) above a body of a patient or c) a right side of a patient is disposed higher than a left side of a patient, or d) a left side of a patient is disposed higher than a right side of a patient, or e) a combination of a), b), c), and d);

said surgical patient single use, open cell foam support pad further comprising:

a flat top surface and a flat bottom surface;

a single layer of viscoelastic memory foam;

said viscoelastic memory foam is uncovered on its top and bottom;

said single layer of said viscoelastic memory foam extends all the way through said surgical patient single use, open cell foam support pad from a patient's skin to a surface of a surgical procedure table between the flat top surface and the flat bottom surface of said surgical patient single use, open cell foam support pad;

said viscoelastic memory foam comprising a coefficient of static friction in the range of 0.2 to 1.0 and said coefficient of static friction being at a value in said range sufficient to assist in minimizing movement of said surgical patient single use, open cell foam support pad on a surgical procedure table upon a patient being on a surgical procedure table;

sufficient thickness and viscosity to sufficiently cushion a body of a patient to: minimize bottoming out or prevent bottoming out, on a surgical procedure table, of one or more of portions of a body of a patient during positioning of a patient and during a surgical procedure, and to minimize injuries from pressure on a patient during a surgical procedure;

sufficient compliance to conform to a substantial portion of a body of a patient;

sufficient thinness to stabilize a patient on a surgical procedure table; and

said sufficient thickness and said sufficient compliance being configured to permit formation of a cavity in said surgical patient single use, open cell foam support pad of a depth sufficient to at least one of: assist in holding a patient on a surgical procedure table, and assist in minimizing undesired movement of a body of a patient on a surgical procedure table, during a surgical procedure performed while a patient is in an surgical position;

said surgical patient single use, open cell foam support pad being configured to generate a sufficient static frictional force on skin of a patient on said surgical patient single use, open cell foam support pad to stabilize a patient on said surgical patient single use, open cell foam support pad;

said surgical patient single use, open cell foam support pad is configured to generate a friction or friction-like force due to formation of a cavity in said surgical patient single use, open cell foam support pad, and which force generated by said coefficient of static friction both together being sufficient to hold a body of a patient substantially static on a surgical procedure table;

wherein a holding quality or ability between said surgical patient single use, open cell foam support pad and a patient is a combination of the coefficient of friction between a patient and said viscoelastic memory foam and the holding ability of the impression made by a patient in said viscoelastic memory foam;

said holding quality or ability comprising an equivalent total frictional characteristic including the friction due to the coefficient of friction and the friction or friction-like force due to the viscoelastic memory foam deformation;

said viscoelastic memory foam pad comprises a viscoelastic foam in which an impression is formed and held in the foam at least for a time after a patient is moved from one position to another or from a surgical procedure table;

said open cell foam also provides an air flow sufficient to provide substantial air flow about a patient; and wherein said air flow of said open cell foam is in the range of one of i) and ii), wherein i) and ii) are:

i) 0.1 to 3.0 cubic foot per minute; and

ii) 0.3 to 1.0 cubic foot per minute.

2. A single use pad patient support system configured to minimize injuries caused by pressure on portions of a body of a patient and minimize unwanted movement of a patient upon a patient being positioned on a surgical procedure table, such as a surgical operating table or a patient examination table,

said single use memory pad patient support system comprising a pad;

said pad comprising:

a viscoelastic, polyurethane open cell foam comprising a coefficient of static friction in the range of 0.2 to 1.0 and said coefficient of static friction being at a value in said range sufficient to assist in minimizing movement of said pad on a surgical procedure table upon a patient being on a surgical procedure table;

sufficient thickness and viscosity to sufficiently cushion a body of a patient to: minimize bottoming out or prevent bottoming out, on a surgical procedure table, of one or more of portions of a body of a patient during positioning of a patient and during a surgical procedure, and to minimize injuries from pressure on a patient during a surgical procedure; and

sufficient compliance to conform to a substantial portion of a body of a patient;

sufficient thinness to stabilize a patient on a surgical procedure table; and

said sufficient thickness and said sufficient compliance being configured to permit formation of a cavity in said pad of a depth sufficient to at least one of: assist in holding a patient on a surgical procedure table, and assist in minimizing undesired movement of a body of a patient on a surgical procedure table, during a surgical procedure performed while a patient is in a surgical position;

said pad being configured to generate a sufficient static frictional force on skin of a patient on said pad to stabilize a patient on said pad;

said pad being configured to generate a friction or friction-like force due to formation of a cavity in said pad, and which force generated by said coefficient of static friction both together being sufficient to hold a body of a patient substantially static on a surgical procedure table;

wherein a holding quality or ability between said pad and a patient is a combination of the coefficient of friction between a patient and said pad and the holding ability of the impression made by a patient in said pad;

said holding quality or ability comprising an equivalent total frictional characteristic including the friction due to the coefficient of friction and the friction or friction-like force due to the pad deformation;

said pad further comprising a viscoelastic foam in which an impression is formed and held in the foam at least for a time after a patient is moved from one position to another or from an operating table;

and said viscoelastic foam also provides an air flow sufficient to provide substantial air flow at the skin of a patient in contact with said viscoelastic foam; and

wherein said air flow of said open cell foam is in the range of one of i) and ii), wherein i) and ii) are:

i) 0.1 to 3.0 cubic foot per minute; and

ii) 0.3 to 1.0 cubic foot per minute.

3. The single use pad patient support system according to claim 2 , wherein said single use pad patient support system comprises a single layer of viscoelastic foam configured to make direct contact with a surgical procedure table and direct contact with at least a portion of a patient's skin.

4. The single use pad patient support system according to claim 3 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 25 degrees.

5. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 15 degrees.

6. The single use pad patient support system according to claim 5 , wherein said pad comprises a tensile strength sufficient to minimize tearing of said pad.

7. The single use pad patient support system according to claim 6 , wherein said viscoelastic foam comprises:

a rebound, such as ball rebound, being sufficiently small to minimize undesirable movement of a patient during a medical procedure;

an indentation force deflection sufficient to permit formation of a depression having a depth sufficient to at least assist in holding a patient on a medical procedure table; and

a tensile strength sufficient to minimize tearing of said deformable material.

8. The single use pad patient support system according to claim 7 , wherein:

said ball rebound is in the range of approximately 0.1 percent to approximately 5 percent;

said indentation force deflection is in the range of approximately 7 to approximately 18 pounds;

said tensile strength is in the range of approximately 5 pounds per square inch to approximately 15 pounds per square inch; and

said viscoelastic foam further comprises:

a compression set, for a 25 percent compression, of less than approximately one percent; and

a density in the range of approximately 75 kilograms per cubic meter to approximately 110 kilograms per cubic meter.

9. The single use pad patient support system according to claim 8 , wherein:

said ball rebound is in the range of approximately 0.1 percent to approximately 1.9 percent;

said indentation force deflection is in the range of approximately 10 to approximately 15 pounds;

said tensile strength is in the range of approximately 8 pounds per square inch to approximately 12 pounds per square inch; and

said viscoelastic foam further comprises:

a compression set, for a 25 percent compression, which is less than approximately 0.3 percent; and

a density in the range of approximately 83 kilograms per cubic meter to approximately 103 kilograms per cubic meter;

said pad is sufficiently thick to permit formation of a depression having portions of different depths, such that the depths of the portions of the depression formed by a buttocks and scapular region of a torso of a patient are greater than the depths of other portions of the depression, and such that the deeper portions of the depression provide a greater portion of the holding forces than shallower portions of the depression;

said single use pad patient support system comprises a retaining arrangement configured to at least assist in the retention of said single use pad patient support system on a surgical procedure table; and

said pad has a thickness in the range of from approximately three-fourths of an inch to three inches or greater.

10. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 20 degrees.

11. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 30 degrees.

12. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 35 degrees.

13. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 40 degrees.

14. The single use pad patient support system according to claim 2 , wherein said equivalent total frictional characteristic is sufficient to hold a patient on a surgical procedure table at an inclination of at least about 45 degrees.

15. A patient support system configured to minimize injuries caused by pressure on portions of a body of a patient and minimize unwanted movement of a patient upon a patient being in surgical position on a surgical procedure table, such as a surgical operating table or a patient examination table,

said patient support system comprising a pad;

said pad comprising:

a viscoelastic, polyurethane open cell foam comprising a coefficient of static friction in the range of 0.2 to 1.0 and said coefficient of static friction bring sufficient to assist in minimizing movement of said pad on a surgical procedure table upon a patient being on a surgical procedure table;

sufficient thickness to sufficiently cushion a body of a patient to: minimize bottoming out or prevent bottoming out, on a surgical procedure table, of one or more of portions of a body of a patient during positioning of a patient and during a surgical procedure, and to minimize injuries from pressure on a patient during a surgical procedure; and

sufficient compliance to conform to a substantial portion of a body of a patient;

sufficient thinness to stabilize a patient on a surgical procedure table; and

said sufficient thickness and said sufficient compliance being configured to permit formation of a cavity in said pad of a depth sufficient to at least one of:

assist in holding a patient on a surgical procedure table, and

assist in minimizing undesired movement of a body of a patient on a surgical procure table, during a surgical procedure performed while a patient is in a surgical position;

wherein said pad is configured to generate a sufficient static frictional force on skin of a patient on a surgical procedure table pad to stabilize a patient on a surgical procedure table pad;

said pad is configured to generate a friction or friction-like force due to the formation of a cavity in said viscoelastic foam pad, and which force generated by said coefficient of static friction both together being sufficient to hold a body of a patient substantially static on a surgical procedure table;

wherein a holding quality or ability between said pad and a patient is a combination of the coefficient of friction between a patient and said pad and the holding ability of the impression made by a patient in said pad;

said holding quality or ability comprising an equivalent total frictional characteristic including the friction due to the coefficient of friction and the friction or friction-like force due to the pad deformation; and

said viscoelastic foam pad comprises a viscoelastic foam in which an impression is formed and held in the foam at least for a time after a patient is moved from one position to another or from a surgical table;

in which said viscoelastic, polyurethane open cell foam also provides an air flow sufficient to provide substantial air flow at at least a portion of a contact area of a patient; and

wherein said air flow of said viscoelastic foam is in the range of one of i) and ii), wherein i) and ii) are:

i) 0.1 to 3.0 cubic foot per minute; and

ii) 0.3 to 1.0 cubic foot per minute.

16. The patient support system according to claim 15 , wherein said viscoelastic foam comprises:

a rebound, such as ball rebound, being sufficiently small to minimize undesirable movement of a patient during a medical procedure;

an indentation force deflection sufficient to permit formation of a depression having a depth sufficient to at least assist in holding a patient on a medical procedure table; and

a tensile strength sufficient to minimize tearing of said deformable material.

17. The patient support system according to claim 16 , wherein:

said ball rebound is in the range of approximately 0.1 percent to approximately 5 percent;

said indentation force deflection is in the range of approximately 7 to approximately 18 pounds;

said tensile strength is in the range of approximately 5 pounds per square inch to approximately 15 pounds per square inch; and

said viscoelastic foam further comprises:

a compression set, for a 25 percent compression, of less than approximately one percent; and

a density in the range of approximately 75 kilograms per cubic meter to approximately 110 kilograms per cubic meter.

18. The patient support system according to claim 17 , wherein:

said ball rebound is in the range of approximately 0.1 percent to approximately 1.9 percent;

said indentation force deflection is in the range of approximately 10 to approximately 15 pounds;

said tensile strength is in the range of approximately 8 pounds per square inch to approximately 12 pounds per square inch; and

said viscoelastic foam further comprises:

a compression set, for a 25 percent compression, which is less than approximately 0.3 percent; and

a density in the range of approximately 83 kilograms per cubic meter to approximately 103 kilograms per cubic meter;

said pad is sufficiently thick to permit formation of a depression having portions of different depths, such that the depths of the portions of the depression formed by a buttocks and scapular region of a torso of a patient are greater than the depths of other portions of the depression, and such that the deeper portions of the depression provide a greater portion of the holding forces than shallower portions of the depression;

said patient support system comprises a retaining arrangement configured to at least assist in the retention of said patient support system on a surgical procedure table; and

said pad has a thickness in the range of from approximately three-fourths of an inch to three inches or greater.

Continuity (6)
Continuation 14881274 · Oct 13, 2015
Continuation 13957778 · Aug 2, 2013
Continuation 13773290 · Feb 21, 2013
Continuation 13737552 · Jan 9, 2013
Continuation 13346852 · Jan 10, 2012
Provisional Application 61654339 · Jun 1, 2012