CA3214576A1 - Patient positioning systems and methods - Google Patents

Abstract

A method for reprocessing a patient positing system, the system comprising inflatable device and a high-friction pad configured to attach to the inflatable device. The method includes removing the high-friction pad from the inflatable device, at least one of cleaning or sterilizing the inflatable device, and providing a replacement for at least one component of the patient positioning system.

Description

PATIENT POSITIONING SYSTEMS AND METHODS
CROSS-REFERENCE TO RELATED APPLICATIONS
100011 This application claims the benefit of and priority to U.S. Provisional Patent Application No. 63/173,171, filed on April 9, 2021, entitled "Patient Positioning Device and Method of Use Thereof,- U.S. Provisional Patent Application No. 63/240,539, filed on September 3, 2021, entitled "Patient Positioning Systems and Methods," and U.S. Provisional Patent Application No. 63/277,383, filed on November 9, 2021, entitled "Patient Positioning Systems and Methods," all of which are hereby incorporated by reference herein.
BACKGROUND

[0002] The present disclosure generally relates to an apparatus, system, and method for supporting a patient for a medical procedure, and in particular for supporting a patient when positioned in a non-parallel or tilted position, such as in the Trendelenburg position.

[0003] When a patient is unconscious, disabled, or otherwise unable to move on their own, it is often difficult to retain the patient in a consistent position so as to keep the patient safe and out of the way of operating room staff For example, when patients undergo surgery, it is often necessary to tilt the operating table on which the patient rests in order to gain access to the surgical area. Tilting the operating table results in the patient laying supine at an angle, wherein the patient's feet may be above the patient's head or the patient's head may be above the patient's feet One such common positioning in surgery is the Trendelenburg position, where the patient is tilted at 15 to 45 and the patient's feet are elevated above the patient's head. When the patient is in the Trendelenburg position (or the reverse Trendelenburg position (i.e., the patient's feet are down and their head is elevated), the lithotomy position (i.e., the patient is on their back with their legs flexed), the High Fowler's position (i.e., the patient is sitting with the upper half of their body upward), or laterally tilted, etc.), it is difficult to maintain the patient's position upon the operating table.

[0004] Furthermore, a patient's arms often need to be adducted during surgeries in order to keep the patient's arms safe from cuts, burns, and generally out of the way.
However, in keeping the patient's arms safe and secure, doctors often lean against the patient's arms while operating, which may subject the patient to related-pressure injuries or potential nerve damage.
100051 The present disclosure seeks to overcome certain of these limitations and other drawbacks of existing devices, systems, and methods, and to provide new features not heretofore available.
SUMMARY
100061 At least one embodiment relates to a method for reprocessing a patient positing system, the system comprising inflatable device and a high-friction pad configured to attach to the inflatable device. The method includes removing the high-friction pad from the inflatable device, at least one of cleaning or sterilizing the inflatable device, and providing a replacement for at least one component of the patient positioning system.
100071 Another embodiment relates to a method of preparing a patient positioning system for reuse. The method includes obtaining a used inflatable device, the inflatable device comprising at least one connection mechanism for coupling to a high-friction pad, and providing a replacement high-friction pad to replace an original high-friction pad that was used with the inflatable device.
100081 Another embodiment relates to a patient support system. The patient support system comprises a high-friction pad having a top surface and a bottom surface, where the top surface is configured to support a patient and the bottom surface is configured to face a support structure. The high-friction pad also includes at least one arm wrap including a foam section, where the at least one arm wrap is configured to secure an arm of the patient, and at least one strap, where the at least one strap is configured to couple the high-friction pad to the support structure.
100091 Another embodiment relates to a method, the method including providing a patient positioning system. The patient positioning system includes a high-friction pad having a top surface and a bottom surface, the top surface configured to support a patient and the bottom surface configured to face a support structure. The high-friction pad also includes at least one arm wrap including a foam section, the at least one arm wrap configured to secure an arm of the patient, and at least one strap, the at least one strap configured to couple the high-friction pad to the support structure. The method further includes placing the high-friction pad on the support structure, such that the bottom surface faces the support structure, and attaching the high-friction pad to the support structure using the at least one strap.
100101 This summary is illustrative only and should not be regarded as limiting.
BRIEF DESCRIPTION OF THE FIGURES
100111 The disclosure will become more fully understood from the following detailed description, taken in conjunction with the accompanying figures, wherein like reference numerals refer to like elements, in which:
100121 FIG. 1 is a top view of a patient positioning system, according to an exemplary embodiment.
100131 FIG. 2 is a top view of an inflatable device of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100141 FIG. 3 is a bottom view of a high-friction pad of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100151 FIG. 4 is a partially exploded cross-sectional end view of a high-friction pad of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100161 FIG. 5 is a top view of a high-friction pad of the patient positioning system of FIG. 1, according to another exemplary embodiment.
100171 FIG. 6 is a top view of the high-friction pad of the patient positioning system of FIG.

5, according to an exemplary embodiment.
100181 FIG. 7 is a top view of the high-friction pad of FIGS. 5-6, according to an exemplary embodiment.

100191 FIG. 8 is a bottom view of the high-friction pad of FIGS. 5-7, according to an exemplary embodiment.
100201 FIG. 9 is a top view of a portion of a high-friction pad of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100211 FIG. 10 is a top view of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100221 FIG. 11 is another top view of the patient positioning system of FIG.
1, according to an exemplary embodiment.
100231 FIG. 12 is a cross-sectional end view of a body pad of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100241 FIG. 13 is atop view of a chest strap of the patient positioning system of FIG. 1, according to an exemplary embodiment.
100251 FIG. 14 is a view of the patient positioning system of FIG. 1 in use with a patient, according to an exemplary embodiment.
100261 FIG. 15 is another view of the patient positioning system of FIG. 1 in use with a patient, according to an exemplary embodiment.
100271 FIG. 16 is another view of the patient positioning system of FIG. 1 in use with a patient, according to an exemplary embodiment.
100281 FIG. 17 is a view of positioning a patient with the patient positioning system of FIG.
1, according to an exemplary embodiment.
100291 FIG. 18 is another view of positioning a patient with the patient positioning system of FIG. 1, according to an exemplary embodiment.

DETAILED DESCRIPTION OF THE DRAWINGS
[0030] Before turning to the figures, which illustrate certain exemplary embodiments in detail, it should be understood that the present disclosure is not limited to the details or methodology set forth in the description or illustrated in the figures. It should also be understood that the terminology used herein is for the purpose of description only and should not be regarded as limiting.
[0031] Referring to FIG. 1, a patient positioning system 50 is shown, according to an exemplary embodiment. As shown in FIG. 1, the patient positioning system 50 includes an inflatable patient support device 102 (hereinafter, "inflatable device" 102) and a high-friction pad 104. The high-friction pad 104 is shown lying on the inflatable device 102, with the inflatable device 102 lying on a support structure 100.
100321 As shown in FIGS. 1-2, the support structure 100 includes a support surface 110. The support surface 110 (or support structure 100) may be a bed, gurney, stretcher, cot, operating table, or other support suitable for medical and/or patient care use (e.g., for supporting a patient in a supine or other position). The support structure 100, and corresponding support surface 110, are not shown in detail, but may generally include other known features of medical support for patient care use (e.g., a frame, the support structure 100 supported by the frame, the support structure 100 including a head, a foot, opposed sides or edges, etc.).
Similarly, the support structure 100 may also include other medical components known in the art (e.g., bed sheets, pillows, blankets, additional sheets, etc.). In some embodiments, the support structure 100 is adjustable, such that the support structure 100 (and the support surface 110) may be raised, lowered, positioned in an incline, positioned in a decline, etc. In an exemplary embodiment, the support structure 100 (and the support surface 110) is/are a monolithic structure; however, in other embodiments the support structure 100 (and the support surface 110) comprise a plurality of sections that are coupled (e.g., hingedly, slidably, rotatably, etc.) along an interface (e.g., a break line, etc.). For example, the support structure 100 (and the support surface 110) may include a first section for supporting a portion of the patient (e.g., upper body, mid-section, etc.), and a second section coupled to the first section, which is configured to move (hingedly lower, slidably lower, hingedly raise, pivot, etc.) relative to the first section and/or position another portion of the patient (e.g., lower body, hips, legs, feet, etc.). It should be understood that the patient positioning system 50, and the components thereof, may be used with different support structures 100, inflatable devices 102, high-friction pads 104, etc., and may be used to transfer a patient from one support structure 100 to another, or from one support structure 100 to a different support structure 100.
100331 As shown in FIGS. 1-2, the inflatable device 102 includes a top surface 112, a bottom surface 114 (not shown), an alignment indicia shown as alignment line 116, and inflation ports 117. In an exemplary embodiment, the inflatable device 102 is positioned on the support structure 100. More specifically, the inflatable device 102 may be positioned on the support surface 110, such that the bottom surface 114 of the inflatable device 102 is supported by the support surface 110. Although the inflatable device 102 may be in contact with the support surface 110, the inflatable device 102 may include one or more structures located between the bottom surface 114 and the support surface 110. Further, in some embodiments the inflatable device 102 includes inflation ports 117 (e.g., configured to couple to inflation socks 106) for inflating the inflatable device 102. In an exemplary embodiment, the inflatable device 102 is flexible and foldable when in the non-inflated state, and is generally rectangular in shape, with a chamfered edge and peripheral edges. In other embodiments, the inflatable device 102 is another suitable shape, including different shapes with varying degrees of symmetry (e.g., rectangular with no chamfered edges, rectangular with rounded edges, rounded, etc.). In an exemplary embodiment, the inflatable device 102 is approximately 50 inches in length; however, in other embodiments the inflatable device 102 is longer or shorter.
100341 As shown in FIGS. 1-2, the alignment line 116 is provided near a bottom portion of the top surface 112 of the inflatable device 102, and is configured to aid in aligning components of the patient positioning system 50. For example, the alignment line 116 may aid a user in aligning the inflatable device 102 relative to the support structure 100 (e.g., aligning the alignment line 116 at the break line of the support structure 100, where a second section of the support structure 100 pivots relative to a first section, etc.). In some embodiments, the alignment line 116 is configured to aid a user in aligning the high-friction

-6-pad 104 relative to components of the inflatable device 102 (e.g., a connection area, a connection strip, etc.). In other embodiments, the alignment line 116 is configured to aid a user in aligning other components of the patient positioning system 50 (e.g., a body pad, etc.) relative to the support structure 100, the inflatable device 102, and/or the high-friction pad 104. It should be understood that while the alignment indicia is shown as the alignment line 116, the indicia may be another suitable indicator (e.g., a bar, hatch, cross, color, dot, etc.), and/or positioned at any suitable location on the inflatable device 102 (e.g., head, side, middle, medial, lateral, etc. portion), such that the indicia may aid in positioning components of the patient positioning system 50.
100351 As shown in FIG. 1, the high-friction pad 104 includes a top pad surface 118, a bottom pad surface 119 (not shown), a first pad section 120, a second pad section 122, a perforated separator 124, arm wraps 126 (including foam section(s) 128), and straps 130. In an exemplary embodiment, the high-friction pad 104 is positioned on the inflatable device 102, and supports to a patient while the inflatable device 102 is used for a number of different medical and/or patient care uses, as discussed below.
100361 As shown in FIG. 1, the high-friction pad 104 is smaller than the inflatable device 102 (e.g., less than 50 inches in length), and is positioned on the inflatable device 102 above the alignment line 116 (i.e., not covering the alignment line 116) so as to provide support to a portion of the patient's body (e.g., upper body, mid-section, etc.). In other embodiments, the high-friction pad 104 is a similar size as the inflatable device 102 (e.g., around 50 inches in length), and/or is positioned at another position relative to the alignment line 116 (e.g., on top of, at, below, etc.). In an exemplary embodiment, the high-friction pad 104 has a thickness of approximately 1.0 inch +/- 0.125 inch; however, in other embodiments the high-friction pad 104 is as thick as 2.0 inches or as thin as 0.125 inch. The high-friction pad 104 may be made of foam (e.g., open cell foam, gel imprinted polyether foam, etc.), cushion, and/or any other suitable material configured to cushion, secure, and/or support the patient.
For example, the high-friction pad 104 may be made of a material with a high coefficient of friction so as to increase the friction between the patient and the inflatable device 102. In some embodiments, the top pad surface 118 and/or the bottom pad surface 119 include only portion(s) of the surfaces 118 and/or 119 with high coefficients of friction In other embodiments, the top pad

-7-surface 118 and the bottom pad surface 119 have the same or different coefficients of friction.
The high-friction pad 104 may be made of material with specific properties suitable for certain medical and/or patient care uses (e.g., fluid absorbent, low-lint properties, disposable, barrier to fluid passage on one side, breathable on another side, the same or different coefficients of friction on either side, etc.). The high-friction pad 104 may be configured differently in different embodiments.
100371 As shown in FIG. 1, the high-friction pad 104 includes the first pad section 120 and the second pad section 122, separated by the perforated separator 124. The perforated separator 124 may be positioned along the central portion of the high-friction pad 104 (e.g., between the first pad section 120 and the second pad section 122). In an exemplary embodiment, the high-friction pad 104 may be ripped, cut, or otherwise torn along the perforated separator 124 to help move or reposition a patient (e.g., to remove the first pad section 120, the second pad section 122, and/or both), as discussed below.
100381 Referring still to FIG. 1, the high-friction pad 104 also includes arm wraps 126, each having at least one foam section 128. In an exemplary embodiment, the arm wraps 126 are fully integrated with the high-friction pad 104, and are coupled (e.g., fastened, sewn, etc.) to the high-friction pad 104 by stitching, hook/loop fasteners, and/or another suitable fastening mechanism, as discussed below. According to an exemplary embodiment, the arm wraps 126 are formed of a material having a fastening feature (e.g., a loop material, hook material, etc.) at a portion of the arm wraps 126 (e.g., at a first surface, a second surface, a portion of a first surface, etc.). In some embodiments, the arm wraps 126 are also formed of a suitable flexible material (e.g., nylon, etc.). According to an exemplary embodiment, the arm wraps 126 are configured to secure a patient's arms in place when the high-friction pad 104 is in use with the patient. For example, the patient's arms may be adducted using the arm wraps 126 during a surgical procedure in order to prevent burns, cuts, pressure injuries, pinching, and/or keep the patient's arms out of the way of operating room staff Further, the patient's arms (or other anatomy) may be secured, using the arm wraps 126, when the patient is Trendelenburg position, the reverse Trendelenburg position, the Lithotomy position, the Lateral Tilt position, and/or any other specific position needed for a surgical procedure and/or patient care use. In some embodiments, the arm wraps 126 are positioned at a portion of the high-friction pad

-8-104 that support a patient's torso, such that the patient's arms lie near (or within) the arm wraps 126.
[0039] According to an exemplary embodiment, the arm wraps 126 also include at least one foam section 128 configured to cushion, secure, protect, and/or support the patient. In an exemplary embodiment, the foam section 128 is integrated with the arm wraps 126 via a suitable manufacturing technique (e.g., lamination, etc.). The foam section 128 may be formed of the same or similar material as the high-friction pad 104 (e.g., open cell foam, gel imprinted polyether foam, etc., cushion, and/or any other material). According to an exemplary embodiment, the foam section 128 is approximately 25 inches in length (e.g., a length extending in a direction substantially parallel to the perforated separator 124, etc.), and/or approximately 10 inches in width (e.g., a width extending in a direction substantially perpendicular to the perforated separator 124), and is configured to cover the patient's arm, hand, and/or fingers when the patient's arm is within the arm wrap 126. In this regard, the foam section 128 may keep the patient's arms comfortable, safe, and secure during surgical procedures. For example, the foam section 128 may reduce the potential pressure applied to the patient's arms during surgical procedures (e.g., if a surgeon leans on the patient's arms), and may prevent potential pressure-related injuries, pinching, and/or nerve damage. It should be understood that while the foam section 128 is described as haying certain lengths and/or widths, the foam section 128 may be another suitable length (e.g., 20, 22.5, 27.5, 30, etc.
inches) and/or width (e.g., 7.5, 8, 8.5, 9, 9.5, 10.5, 11, 11.5, 12, etc.
inches), such that the foam section 128 is configured to cover (partially, completely, etc.) the patient's arm, hand, and/or fingers when the patient's arm is within the arm wrap 126.
[0040] As shown in FIG. 1, the high-friction pad 104 also includes straps 130.
The straps 130 may be coupled with the high-friction pad 104 (and/or any of its component parts), and may be configured to secure the high-friction pad 104, for example, to the support structure 100, the inflatable device 102, etc. The straps 130 may be formed of any suitable material (e.g., fastening material, flexible material, etc.), and may be configured to fasten to components of the high-friction pad 104 (e.g., the strap 130 itself, other straps 130, the arm wraps 126, the foam section 128, etc.). For example, the straps 130 may be formed of a combination hook/loop material at least at a portion of the straps 130 (e.g., a combination hook/loop

-9-material on a first side, or a hook material on a first side and a loop material on a second side, etc.), and may be configured to loop around the support structure 100 and fasten to itself (e.g., strap 130 via the hook/look material, etc.), as discussed below. As shown in FIG. 1, the high-friction pad 104 includes three straps 130 on each lateral side of the high-friction pad 104. In an exemplary embodiment, the straps 130 on a first lateral side are aligned with straps 130 on the opposing lateral side, thereby forming pairs of aligned straps 130.
In other embodiments, the high-friction pad 104 includes any suitable number straps 130 (e.g., one, two, four, five, six, seven, eight, nine, ten, etc.), and/or the straps 130 are positioned in any suitable arrangement along the high-friction pad 104 (e.g., along the head, foot, arm wraps 126, etc.).
100411 As shown in FIG. 1, the straps 130 are coupled to the high-friction pad 104 by stitching 132. According to an exemplary embodiment, the stitching 132 integrates (e.g., sews, fastens, couples, fixes, etc.) the straps 130 to the high-friction pad 104. In an exemplary embodiment, the stitching 132 is a double-boxed stitch; however, in other embodiments, the stitching 132 is another suitable type of stitching (e.g., zigzag, straight stretch, stretch knit, closed overlock, honeycomb, etc.). In yet other embodiments, the stitching 132 is another suitable type of coupling (e.g., hook/loop fasteners, adhesives, etc.) configured to couple the straps 130 to the high-friction pad 104.
100421 Also shown in FIG. 1, the high-friction pad 104 includes buckles 134.
According to an exemplary embodiment, the buckles 134 are positioned along a lateral side (e.g., an edge) of the high-friction pad 104 (e.g., at the straps 130, the stitching 132, etc.), and are configured to receive (e.g., loop, hook, etc.) the straps 130 through the opening in the buckle 134. In some embodiments, the buckles 134 are coupled to other components of the high-friction pad 104 (e.g., the straps 130, the stitching 132, etc.), and/or are positioned at other suitable positions at the high-friction pad 104 (e.g., along the head, foot, etc.). As discussed briefly above, in an exemplary embodiment the straps 130 are configured to loop around anchors (e.g., under an anchor on the support structure 100, an external rail, etc.), pass through the buckles 134 (e.g., loop through, hook around, etc.), and couple the strap 130 to itself (e.g., via a hook/loop connection, etc.). In other embodiments, the straps 130 and/or the buckles 134 comprise other fastening components (e.g., snaps, hooks, hook and loop fasteners, etc.),

-10-and/or are configured to couple to other components of the high-friction pad 104 (e.g., the straps 130, the buckles 134, etc.).
100431 Referring now to FIG. 2, a top view of the inflatable device 102 of the patient positioning system 50 is shown, according to an exemplary embodiment. As mentioned with regard to FIG. 1, the inflatable device 102 includes the top surface 112, the bottom surface 114 (not shown), the indicia shown as alignment line 116, and the inflation ports 117 (e.g., configured to couple to the inflation socks 106). Further, the inflatable device 102 also includes an inflatable body 210, a plurality of connection areas 212, and a plurality of connection strips 214.
100441 In an exemplary embodiment, the inflatable body 210 defines an internal cavity and is configured to be inflated with air or another gaseous substance (e.g., via the inflation ports 117 using the inflation socks 106). The inflatable body 210 may be defined by the top surface 112 (e.g., a top sheet) and the bottom surface 114 (e.g., a bottom sheet), such that the surfaces 112 and 114 define the internal cavity to be inflated. In some embodiments, the surfaces 112 and 1114 are made of materials that have properties that are desirable for a particular application (e.g., properties favorable for breathability, durability, imaging compatibility, flammability, biocompatibility, pressure distribution profile, heat transmission, electrical conductivity, cleaning properties, etc.). In other embodiments, the top surface 112 includes at least a portion of the surface formed from a high-friction or gripping material (e.g., knitted material, polyester, polyurethane coating, etc.), and the bottom surface 114 includes at least a portion of the surface formed from a low-friction material (e.g., sheet material). In yet other embodiments, both surfaces 112 and 114 are made from a low-friction material.
The inflatable device 102 may be configured as described in U.S. Patent Application Publication Number US2018/0353360, entitled "Patient Positioning and Support System- filed on June 13, 2018, which is hereby incorporated by reference in its entirety.
100451 As shown in FIG. 2, the inflatable body 210 also includes one or more inflation-limiting structures (e.g., the plurality of connection areas 212), which are configured to create a specific inflated shape for the inflatable device 102. In general, the inflation-limiting structures are positioned between the surfaces 112 and 114 in order to limit the amount the

-11 -surfaces 112 and 114 can move apart during inflation (e.g., while the inflatable device 102 is inflating). For example, the plurality of connection areas 212 may be positioned between the top surface 112 and the bottom surface 114, and form an inflation-limiting structure. Further, the plurality of connection areas 212 may be connected to the surfaces 112 and 114 in a variety of configurations (e.g., one or more concentric circles, three concentric circles, squares, rectangles, and/or any combination, etc.) and/or connection methods (e.g. stitching, adhesive, sealing, and/or any combination, etc.). In an exemplary embodiment, the inflatable device 102 fully inflated has a shape that is defined by the configuration of the inflatable device 102, as well as, the configuration of the plurality of connection areas 212.
100461 Referring still to FIG. 2, the inflatable body 210 also includes a plurality of connection strips 214. In an exemplary embodiment, the connection strips 214 are made of hook and/or loop fasteners, and are configured to attach the bottom pad surface 119 (of the high-friction pad 104) to the top surface 112 (of the inflatable device 102), as discussed below. In some embodiments, the connection strips 214 are formed of different fastening mechanisms (e.g., strings, snaps, hooks, loops, etc.), and/or are configured to attach the top surface 112 (of the inflatable device 102) to other components of the patient positioning system 50 (e.g., a bottom surface of a body pad, etc.). In an exemplary embodiment, the connection strips 214 extend substantially the length of the inflatable body 210 (e.g., from the chamfer edge near the head of the inflatable body 210, along an edge, and to the foot). In other embodiments, the connection strips 214 do not extend the full length of the inflatable body 210, and/or have other configurations (e.g., extend along the head, foot, side edges, and/or any combination thereof). In yet other embodiments, the inflatable body 210 (and/or the inflatable device 102) also includes additional anchoring mechanisms (e.g., additional anchors, hooks, loops, straps, etc.), which allow the inflatable device 102 to further attach to the high-friction pad 104 (e.g., via the straps 130), and/or other components (e.g., the support structure 100, external rails, etc.).
100471 Referring now to FIG. 3, a bottom view of the high-friction pad 104 of the patient positioning system 50 is shown, according to an exemplary embodiment. In an exemplary embodiment, the high-friction pad 104 is the high-friction pad of FIG. 1. As shown in FIG. 3,

-12-the bottom pad surface 119 of the high-friction pad 104 includes counterpart connection strips 302.
[0048] According to an exemplary embodiment, the counterpart connection strips 302 are coupled to the bottom pad surface 119 via the stitching 132. In an exemplary embodiment, the counterpart connection strips 302 are made of hook and/or loop fasteners, and are configured to selectively couple the plurality of connection strips 214 of the inflatable body 210 (i.e., connect the bottom pad surface 119 of the high-friction pad 104 to the top surface 112 of the inflatable device 102). For example, the counterpart connection strips 302 may be made of opposite hook and/or loop fasteners relative to the connection strips 214 (e.g., the counterpart connection strips 302 are made of a second member of a hook/loop fastener to couple a first member of the hook/loop fastener of the connection strips 214).
Like the connection strips 214, in an exemplary embodiment the counterpart connection strips 302 extend the length of the high-friction pad 104 (e.g., from the head of the high-friction pad 104, down an edge, and to the foot). In some embodiments, the counterpart connection strips 302 are also coupled to the straps 130 (e.g., via the stitching 132). In other embodiments, the counterpart connection strips 302 are made of another suitable fastener (e.g., strings, snaps, hooks, loops, etc.), do not extend the full length of the high-friction pad 104, and/or have other configurations (e.g., extend along the head, foot, side edges, or any combination thereof). In yet other embodiments, the arm wraps 126 also include a counterpart connection fastener (e.g., a hook, a loop, a hook/loop opposite the counterpart connection strips 302, etc.), such that the arm wraps 126 couple (e.g., fasten, etc.) the counterpart connection strips 302, as discussed below.
[0049] Referring now to FIG. 4, a partially exploded cross-sectional end view of the high-friction pad 104 of the patient positioning system 50 is shown, according to an exemplary embodiment. In an exemplary embodiment, the high-friction pad 104 is the high-friction pad 104 of FIGS. 1 and 3.
[0050] As shown in FIG. 4, the high-friction pad 104 also includes arm wrap anchors 402.
According to an exemplary embodiment, the arm wrap anchors 402 are fully integrated with the high-friction pad 104 (e.g., coupled, adhered, sewn, attached, etc.), and are positioned at a

-13 -lateral side (e.g., an edge) of the high-friction pad 104. The arm wrap anchors 402 may be formed of any suitable fastening material, and may be configured to couple (e.g., fasten, etc.) the high-friction pad 104 and/or the arm wraps 126. In an exemplary embodiment, the arm wrap anchors 402 are hooks (e.g., a hook portion of a hook/loop fastener, etc.), and are configured to couple a portion of the arm wrap 126, so as to secure the arm wrap 126 to the high-friction pad 104. In some embodiments, the arm wrap anchors 402 are positioned in another suitable arrangement along the high-friction pad 104, include a plurality of arm wrap anchors 402, and/or are formed of another suitable fastening component (e.g., snap, clip, buckle, etc.).
100511 As shown in FIG. 4, the arm wrap 126 also includes a first arm wrap surface 404. In an exemplary embodiment, the first arm wrap surface 404 includes (and/or is formed by) a loop material (e.g., loops of a hook/loop fastener, etc.), and is configured to couple components of the high-friction pad 104 (e.g., the arm wrap anchors 402, the counterpart connection strips 302, etc.). As shown in FIG. 4, the first arm wrap surface 404 is configured to couple (e.g., fasten, connect, etc.) the arm wrap anchor 402 at a first portion of the first arm wrap surface 404 (e.g., via the loops of the first arm wrap surface 404 and the hooks of the arm wrap anchor 402, etc.). The arm wrap 126 may be folded (e.g., bent, crimped, etc.), so as to orient the first portion of the first arm wrap surface 404 in a first direction (e.g., vertically upward), and a second portion of the first arm wrap surface 404 in a second direction (e.g., vertically downward). The counterpart connection strip 302 may then positioned so as to sandwich the first arm wrap surface 404 between the arm wrap anchor 402 (to which it is engaged) and the counterpart connection strip 302 (for coupling to the inflatable device 102), such that arm wrap 126 may be integrated with the high-friction pad 104. In an exemplary embodiment, the arm wrap anchors 402, the first arm wrap surface 404, and/or the counterpart connection strip 302 is/are reinforced (e.g., via stitching, stitching 132, etc.) at a position of the high-friction pad 104 where the arm wrap anchors 402, the first arm wrap surface 404, and/or the counterpart connection strip 302 is/are coupled. In some embodiments, the arm wrap anchors 402, the first arm wrap surface 404, and/or the counterpart connection strip 302 are reinforced via the stitching 132 at a position of the high-friction pad 104 where the straps 130 are integrated with the high-friction pad 104.

-14-100521 Referring now to FIGS. 5-7, top views of a high-friction pad 104 of the patient positioning system 50 is shown, according to another exemplary embodiment. The components of the high-friction pad 104 of FIGS. 5-7 are similar to components of the high-friction pad of FIGS. 1 and 3, and thus, similar reference numerals are used to refer to similar components. As shown in FIGS. 5-7, the high-friction pad 104 includes arm wraps 126 (each having at least one foam section 128), the straps 130, the stitching 132, and the buckles 134.
[0053] According to the exemplary embodiment of FIGS. 5-7, the arm wraps 126 are coupled to the high-friction pad 104 via hook/loop fasteners, and are configured to selectively couple/de-couple the high-friction pad 104 so as to be attachable/removable.
In this regard, the arm wraps 126 may include a material having a fastening feature (e.g., hook/loop material, etc.), which may couple/de-couple a counterpart fastening feature (e.g., a loop/hook material, etc.) on the high-friction pad 104, as discussed below.
100541 As shown in FIGS. 5-7, the arm wraps 126 are coupled to a middle portion of the high-friction pad 104, such that when the high-friction pad 104 supports a patient, the patient's arms lie near (or within) the arm wraps 126. In the exemplary embodiment shown in FIGS. 5 and 7, the arm wraps 126 are coupled to a middle (and lower) lateral portion of the high-friction pad 104, and extend beyond (e.g., below in a longitudinal direction) the high-friction pad 104 and/or the alignment line 116 of the inflatable device 102.
In some embodiments, the arm wraps 126 are coupled to another portion of the high-friction pad 104 (e.g., upper, lower, medial, top, bottom, etc.), and/or are oriented in another configuration relative to the high-friction pad 104 and/or the inflatable device 102 (e.g., extend above the high-friction pad 104 in a longitudinal direction, extend above the alignment line 116, etc.).
[0055] As shown in FIGS. 5-7, the arm wraps 126 also include at least one foam section 128.
According to the exemplary embodiment of FIGS. 5-7, the foam section 128 is approximately 25-30 inches in length (e.g., a length extending in a direction substantially parallel to the perforated separator 124, etc.) and/or approximately 10 inches in width (e.g., a width extending in a direction substantially perpendicular to the perforated separator 124), and is configured to completely cover the patient's hand and/or fingers when the patient's arm is within the arm wrap 126. In this regard, the foam section 128 may keep the patient's arms

-15-comfortable, safe, and secure during surgical procedures. It should be understood that while the foam section 128 is described as having certain lengths and/or widths, the foam section 128 may be another suitable length (e.g., 20, 22.5, 25, 27.5, 30, etc. inches) and/or width (e.g., 7.5, 8, 8.5, 9, 9.5, 10.5, 11, 11.5, 12, etc. inches), such that the foam section 128 is configured to cover (partially, completely, etc.) the patient's hand and/or fingers when the patient's arm is within the arm wrap 126.
[0056] As shown in FIGS. 5-7, the high-friction pad 104 also includes straps 130, which are coupled to the high-friction pad 104 by stitching 132. As discussed above, the straps 130 may be configured to secure the high-friction pad 104 to other components of the patient positioning system 50 (e.g., to the support structure 100, the inflatable device 102, etc.).
According to the exemplary embodiment of FIGS. 5-7, the straps also include the buckles 134. The buckles 134 may be coupled (e.g., fastened, sewn, etc.) to the straps 130, and may be configured to receive (e.g., loop, hook, etc.) the straps 130 through an opening in the buckle 134. In an exemplary embodiment, the buckles 134 are coupled to the straps 130 a distance (e.g., 0.5, 1,2, 2.5, 5, etc. inches) from an edge of the high-friction pad 104 (and/or the stitching 132, etc.), such that the buckles 134 are easily accessible when a patient is positioned on the high-friction pad 104. As discussed above, in other embodiments, the straps 130 and/or the buckles 134 comprise other fastening components (e.g., snaps, hooks, hook and loop fasteners, etc.), are coupled to other components of the high-friction pad 104 (e.g., a lateral side of the high-friction pad 104 itself, a connector strip, etc.), and/or are positioned at other suitable positions at the high-friction pad 104 (e.g., along the head, foot, at an edge of the high-friction pad 104, etc.).
[0057] Referring now to FIGS. 6-7, top views of the high-friction pad 104 of the patient positioning system 50 is shown, according to an exemplary embodiment.
According to the exemplary embodiment of FIGS. 6-7, the arm wraps 126 also include a fastening strip 612, which is configured to selectively couple/de-couple the arm wrap 126 to/from the high-friction pad 104, such that the arm wraps 126 are attachable/removable.
[0058] According to an exemplary embodiment, the fastening strip 612 is positioned along a lateral edge of the arm wrap 126 (e.g., a lateral edge at the medial portion of the arm wrap

-16-126), and extends substantially the length of the arm wrap 126. The fastening strip 612 may be formed of hook and/or loop fasteners, and may be configured to selectively couple/de-couple to/from components of the high-friction pad 104. For example, the fastening strip 612 may be formed of hook/loop fasteners, and may be configured to couple/de-couple counterpart loop/hook fasteners of a counterpart fastening strip 812 (shown in FIG. 8) of the high-friction pad 104. In the exemplary embodiment shown in FIG. 6, the fastening strip 612 is coupled to the counterpart fastening strip 812, such that the arm wrap 126 is positioned at a middle (and lower) lateral portion of the high-friction pad 104. In some instances, a user may want to remove the arm wrap 126 (e.g., for cleaning, transporting, etc.) and/or reposition the arm wrap 126 (e.g., for a different procedure, patient position, etc.). In this regard, and as shown in FIG. 7, the fastening strip 612 may de-couple the counterpart fastening strip 812 of the high-friction pad 104, and the arm wrap 126 may be removed and/or repositioned. It should be understood that the fastening strip 612 may be formed of different fastening mechanisms (e.g., strings, snaps, hooks, loops, etc.), may be positioned at other suitable locations along the arm wrap 126 (e.g., a bottom edge, top surface, bottom surface, only a portion of a lateral edge, etc.), and/or may be configured to couple/de-couple other components of the patient positioning system 50.
100591 In some embodiments, the fastening strip 612 is formed of a hook/loop fastener on a first surface and an opposite loop/hook fastener on a second surface, such that the fastening strip 612 is configured to couple/de-couple components on the first surface and/or the second surface. For example, the fastening strip 612 may be formed of a hook fastener on the first surface, and a loop fastener on the second surface. The fastening strip 612 may further be configured to couple/de-couple a loop fastener at the first surface (e.g., a loop fastener of the counterpart fastening strip 812 of the high-friction pad 104, etc.), and/or a hook fastener at the second surface (e.g., a hook fastener of the connection strip 214 of the inflatable device 102, etc.).
100601 Referring now to FIG. 8, a bottom view of the high-friction pad 104 of the patient positioning system 50 is shown, according to an exemplary embodiment. In an exemplary embodiment, the high-friction pad 104 is the high-friction pad of FIGS. 5-7.
As shown in

-17-FIG. 8, the bottom pad surface 119 of the high-friction pad 104 includes a counterpart fastening strip 812 and/or a counterpart connection strip 302.
100611 As shown in FIG. 8, the bottom pad surface 119 includes the counterpart fastening strip 812 (or a plurality thereof). The counterpart fastening strip 812 may be positioned along a lateral edge of the bottom pad surface 119, and/or at a middle (and lower) portion of the bottom pad surface 119, and may couple the bottom pad surface 119 via any suitable coupling mechanism (e.g., stitching, adhesive, etc.). According to an exemplary embodiment, the counterpart fastening strip 812 extends laterally (e.g., a direction substantially perpendicular to the perforated separator 124) a distance from the high-friction pad 104, and is formed of a counterpart hook/loop fastener relative to the fastening strip 612 of the arm wrap 126 (e.g., a second member of a hook/loop fastener to couple a first member of the hook/loop fastener of the fastening strip 612). In this regard, the counterpart fastening strip 812 is configured to selectively couple/de-couple the fastening strip 612, such that the high-friction pad 104 may be coupled/de-coupled to/from the arm wraps 126. It should be understood that in some embodiments, the counterpart fastening strip 812 is formed of different fastening mechanisms (e.g., strings, snaps, hooks, loops, etc.), is in another suitable orientation relative to the high-friction pad 104 (e.g., does not extend laterally a distance, is at an edge, etc.), and/or is positioned at another suitable location on the bottom pad surface 119 (e.g., a head portion, a foot portion, a medial portion, etc.). Further, in some embodiments the counterpart fastening strip 812 is integrated with other components of the high-friction pad 104 (e.g., the counterpart connection strip 302, etc.).
100621 In some embodiments, the counterpart fastening strip 812 is formed of a hook/loop fastener on a first surface and an opposite loop/hook fastener on a second surface. Similar to the fastening strip 612 discussed above, the counterpart fastening strip 812 may be configured to couple/de-couple components on the first surface and/or the second surface.
For example, the counterpart fastening strip 812 may be formed of a hook fastener on the first surface, and a loop fastener on the second surface. The counterpart fastening strip 812 may further be configured to couple/de-couple loop fastener(s) on the first surface (e.g., a loop fastener of the fastening strip 612 of the arm wrap 126, a loop fastener of the counterpart connection

-18-strip 302 of the high-friction pad 104, etc.), and/or a hook fastener at the second surface (e.g., a hook fastener of the connection strip 214 of the inflatable device 102, etc.).
[0063] As shown in FIG. 8, the bottom pad surface 119 also includes the counterpart connection strip 302 (or a plurality thereof). The counterpart connection strip 302 may extend along a lateral edge of the high-friction pad 104, and may be coupled to the bottom pad surface 119 (and/or the straps 130) via the stitching 132. According to an exemplary embodiment, the counterpart connection strip 302 is formed of a counterpart hook/loop fastener relative to the connection strip 214 of the inflatable device 102 (e.g., a second member of a hook/loop fastener to couple a first member of the hook/loop fastener of the connection strip 214). In this regard, the counterpart connection strip 302 is configured to selectively couple/de-couple the connection strip 214, such that the high-friction pad 104 may be coupled/de-coupled to/from the inflatable device 102. It should be understood that in some embodiments, the counterpart connection strip 302 is formed of different fastening mechanisms (e.g., strings, snaps, hooks, loops, etc.), and/or is positioned at other suitable locations on the bottom pad surface 119 (e.g., at the head, foot, a medial portion, extend along a portion of the bottom pad surface 119, etc.).
[0064] In some embodiments, the counterpart connection strip 302 is integrated with the counterpart fastening strip 812. In this regard, the counterpart connection strip 302 and the counterpart fastening strip 812 may form a unified counterpart strip, which may extend the length of the high-friction pad 104 and/or couple/de-couple other components of the patient positioning system 50 (e.g., the arm wrap 126, the inflatable device 102, etc.). In yet other embodiments, the counterpart connection strip 302 (and/or the counterpart fastening strip 812) is also aligned with other components of the high-friction pad 104 (e.g., the fastening strip 612 of the arm wrap 126). As discussed above, in some embodiments the fastening strip 612 is formed of hook/loop fasteners, and includes a first surface (e.g., a hook fastener) and a second surface (e.g., a loop fastener). The first surface of the fastening strip 612 (e.g., the hook fastener) may couple to the counterpart fastening strip 812 (e.g., a loop fastener), and the second surface (e.g., the loop fastener) may be substantially aligned with the counterpart connection strip 302 (and the counterpart fastening strip 812). In this regard, the counterpart connection strip 302 and the second surface of the fastening strip 612 may align, so as to

-19-form a counterpart strip (e.g., a loop fastener strip), and may be configured to selectively couple/de-couple the connection strip 214 of the inflatable device 102. In some embodiments, the counterpart strip (e.g., the counterpart connection strip 302, the counterpart fastening strip 812, the second surface of the fastening strip 612, etc.) is configured to couple/de-couple other components of the patient positioning system 50 (e.g., a body pad, a surface, etc.).
100651 Referring now to FIG. 9, a top view of a portion of the high-friction pad 104 of the patient positioning system 50 is shown, according to an exemplary embodiment.
As mentioned with regard to FIGS. 1-8, the high-friction pad 104 includes the strap 130, the stitching 132, and the buckle 134. In an exemplary embodiment, the strap 130 is formed of a combination hook/loop material at least at a portion of the strap 130 (e.g., on at least one side of the strap 130), and is integrated with the high-friction pad 104 via the stitching 132 (e.g., double boxed stitching, etc.). In an exemplary embodiment, the buckle 134 is coupled (e.g., fastened, sewn, etc.) to the strap 130 a distance from the high-friction pad 104 (and/or the stitching 132, etc.) so as to be accessible, and is configured to receive (e.g., loop, hook, etc.) the strap 130. In some embodiments, the buckle 134 is integrated (e.g., coupled, sewn, etc.) with the high-friction pad 104, and is configured to receive the strap 130.
According to an exemplary embodiment, the strap 130 is configured to couple an anchor (e.g., loop under an anchor on the support structure 100, an external rail, loop around, etc.), pass through the buckle 134 (e.g., loop under and through the buckle 134, hook around the buckle 134, couple the buckle 134, etc.), and couple to itself (e.g., the strap 130 via the hook/loop material, etc.).
In this regard, the strap 130 may engage (e.g., loop around) components of the patient positioning system 50 and/or couple components of the patient positioning system 50 (e.g., the buckle 134, the strap 130 itself, etc.), such that the strap 130 secures the high-friction pad 104 to the support structure 100, the inflatable device 102, and/or another suitable device (e.g., an external rail, etc.).
100661 Referring now to FIGS.10-11, top views of the inflatable device 102 and a microclimate body pad (hereinafter "body pad 1002") of the patient positioning system 50 is shown, according to an exemplary embodiment. In an exemplary embodiment, the body pad 1002 is configured to lay under components of the patient positioning system 50 and/or a patient while the inflatable device 102 is used for a number of different medical and/or

-20-patient care uses. As will be discussed in greater detail below, in an exemplary embodiment the body pad 1002 is positioned on the top surface 112 of the inflatable device 102 between other components and/or a patient.
100671 As shown in FIGS. 10-11, the body pad 1002 is configured to have a folded configuration and an unfolded configuration (e.g., is configured to be folded/unfolded). As shown in FIG. 10, in a folded configuration the body pad 1002 is folded/compact, such that the body pad 1002 may be compact and/or positioned between the inflatable device 102 and the high-friction pad 104. Conversely, as shown in FIG. 11, in an unfolded configuration the body pad 1002 is unfolded/open, such that the body pad 1002 may be positioned between the inflatable device 102 and a patient. According to an exemplary embodiment, the body pad 1002 is a dual z-fold design, as shown in the end view of FIG. 12.
100681 As shown in FIGS. 10-12, the body pad 1002 has a first z-fold 1004 and a second z-fold 1006. The first z-fold 1004 and the second z-fold 1006 are configured to fold/unfold in laterally opposing directions. In an exemplary embodiment, the first z-fold 1004 and the second z-fold 1006 are folded by manipulating (e.g., moving, folding, positioning, etc.) the first z-fold 1004 and the second z-fold 1006 toward the center of the body pad 1002.
Conversely, the first z-fold 1004 and the second z-fold 1006 may be unfolded by manipulating (e.g., moving, folding, positioning, pulling, etc.) a first side edge of the body pad 1002 in a first lateral direction and a second side edge of the body pad 1002 in a second (e.g., opposite) lateral direction, such that the first z-fold 1004 and the second z-fold 1006 are open and the body pad 1002 is a single layer. In some embodiments, the body pad 1002 is of another suitable design configured to be folded, for example a half fold, bi-fold, tri-fold, accordion fold, roll fold, gate fold, double parallel fold, double gate fold, etc. In yet other embodiments, the body pad 1002 is not folded.
100691 In some embodiments, the body pad 1002 also includes connection areas that are configured to selectively couple components of the patient positioning system 50. For example, the body pad 1002 may include a connection area on a bottom surface of the body pad 1002, which may selectively couple/de-couple the connection strips 214 of the inflatable device 102. Similarly, the body pad 1002 may include connection areas on the first z-fold

-21-1004 and/or the second z-fold 1006, which may selectively couple/de-couple the counterpart connection strips 302 of the high-friction pad 104. In this regard, when the body pad 1002 is in a folded configuration, the connection areas may selectively couple the inflatable device 102 (e.g., the connection strips 214, etc.) and/or the high-friction pad 104 (e.g., the counterpart connection strips 302, etc.), such that the body pad 1002 is securely positioned between the inflatable device 102 and the high-friction pad 104. Similarly, when the body pad 1002 is in an unfolded configuration, the connection areas may selectively couple the inflatable device 102 (e.g., the connection strips 214, etc.), such that the body pad is securely positioned on the inflatable device 102 and beneath the patient.
100701 Referring now to FIG. 13, a chest strap of the patient positioning system 50 is shown, according to an exemplary embodiment. The chest strap 1300 includes a base portion 1302, a first end portion 1304, and a second end portion 1308. According to an exemplary embodiment, the chest strap 1300 is formed of any suitable flexible and/or breathable material (e.g., polyester, cotton, etc.), and is be configured to be elongated along (e.g., across) a patient and/or a surface (e.g., a sheet, bed, support surface, etc.). In an exemplary embodiment, components of the chest strap 1300 are also formed of a suitable fastening material (e.g., a hook/loop material, an adhesive material, etc.). For example, the base portion 1302 may be formed of a loop material (e.g., loops of a hook/loop fastener), and the first end portion 1304 and the second end portion 1308 may formed of a hook material (e.g., hooks of a hook/loop fastener, etc.).
100711 According to an exemplary embodiment, components of the chest strap 1300 are configured to be manipulated (e.g., moved, pulled, repositioned, etc.), such that the chest strap 1300 is positioned across the chest of a patient and secures the patient within the patient positioning system 50. For example, the first end portion 1304 may be configured to be repositioned in a first direction and couple a first anchor (e.g., loop under an external rail, around a post, etc.), and the second end portion 1308 may be configured to be repositioned in a second (e.g., opposite) direction and couple a second anchor (e.g., loop under an external rail, around a post, etc.). Once the chest strap 1300 (e.g., the first end portion 1304, the second end portion 1308, etc.) is coupled to the anchor(s), the first end portion 1304 may be coupled (e.g., fasten) to the base portion 1302, and/or the second end portion 1308 may be

-22-coupled (e.g., fasten) to the base portion 1302, for example via the hooks/loops of the hook/loop fastening materials. In this regard, the chest strap 1300 may couple external anchors (e.g., external rails, posts, supports, etc.) by fastening to itself, so as to secure the patient within the patient positioning system 50. The chest strap 1300 may be further manipulated (e.g., tightened, loosened, etc.) via the coupling(s) between the end portions 1404, 1408 and the base portion 1302, such that the chest strap 1300 may adequately secure the patient within the patient positioning system 50.
100721 Referring now to FIGS. 14-18, a process of using the patient positioning system 50 is shown, according to an exemplary embodiment. The processes described in FIGS.
14-18 may utilize the components of the patient positioning system 50 described in FIGS
1-13.
100731 Referring to FIG. 14, a patient positioned in the patient positioning system 50 is shown, according to an exemplary embodiment. As shown in FIG. 14, the arm of a patient 1400 may be positioned on the exterior edge of the high-friction pad 104, near the arm wrap 126. The arm wrap 126 may extend (e.g., open, unfold, unroll, etc.) laterally from the high-friction pad 104 (e.g., away from the midline of the patient 1400). As shown in FIG. 14, the arm wrap 126 (and the foam section 128) is positioned such that the arm wrap 126 is configured to cushion, support, and/or secure the patient 1400, for example, the arm wrap 126 is positioned under the patient's arm. In some embodiments, the arm wrap 126 is positioned between the patient's arm and torso, and/or above the patient's arm. In an exemplary embodiment, the healthcare provider positions the patient 1400 (e.g., the patient's arm), such that when the arm wrap 126, the patient 1400, and/or both are repositioned, the foam section 128 rests on the lateral and top side of the patient's arm.
100741 Referring now to FIG. 15, the patient positioning system 50 is shown in use, according to an exemplary embodiment. With the arm wrap 126 extended laterally from the high-friction pad 104 (e.g., away from the midline of the patient 1400), the patient's arm may be positioned on top of the arm wrap 126. The arm wrap 126 may then be moved over the lateral side of the patient's arm and back toward the high-friction pad 104 (e.g., toward the patient's midline), such that the patient's arm is wrapped in the arm wrap 126. As shown in FIG. 15, the arm wrap 126 is positioned under the patient's arm, wrapped around the lateral

-23 -side of the patient's arm, and positioned between the patient's arm and the patient's torso. In an exemplary embodiment, the arm wrap 126 (e.g., the exterior portion of the arm wrap 126) is further positioned (e.g., tucked) under the patient's torso. In this regard, when the arm wrap 126 is wrapped around the arm of the patient 1400, and positioned under the patient's torso, the weight of the patient 1400 may secure and support the arm wrap 126, the arm of the patient 1400, and/or the patient 1400. In other embodiments, the arm wrap 126 includes additional fasteners (e.g., hook and loop fasteners) such that the arm wrap 126 further connects to other components of the patient positioning system 50 (e.g., other portions of the arm wrap 126, the high-friction pad 104, the inflatable device 102, etc.). In an exemplary embodiment, when the arm wrap 126 is in position (e.g., under the patient's arm, wrapped around the patient's arm, and positioned between the patient's arm and body, etc.), the arm wrap 126 (and/or the foam section 128) covers (completely, partially, etc.) the patient's arm, hand, and/or fingers.
100751 In some embodiments, after the arm wrap 126 is extended laterally from the high-friction pad 104, the arm wrap 126 is moved between the patient's arm and the patient's torso, such that the arm wrap 126 is positioned on top of the patient's arm.
An exterior portion of the arm wrap 126 may be moved about the lateral side of the patient's arm (e.g., under the patient's arm) and back toward the high-friction pad 104 (e.g., toward the patient's midline), such that the patient's arm is wrapped in the arm wrap 126. The arm wrap 126 may be tucked under a support structure (e.g., the support structure 100, a bed, mattress, etc.), such that the arm wrap 126 is secured, and the arm wrap 126, the arm of the patient 1400, and/or the patient 1400 is/are supported. In an exemplary embodiment, when the arm wrap 126 is in position (e.g., over top of the patient's arm, wrapped around the patient's arm, and tucked under a support structure, etc.), the arm wrap 126 (and/or the foam section 128) covers (completely, partially, etc.) the patient's arm, hand, and/or fingers.
100761 Referring now to FIG. 16, another view of the patient positioning system 50 in use is shown, according to an exemplary embodiment. As shown in FIG. 16, the arm wrap 126 is wrapped around the arm of the patient 1400 (e.g., the lateral side of the patient's arm), moved between the patient's arm and the patient's torso, and positioned (e.g., tucked) under the patient's torso (as discussed with regard to FIGS. 14-15). In an exemplary embodiment, when

-24-the patient 1400 is in position in the patient positioning system 50, the foam section 128 (of the arm wrap 126) is positioned on the lateral and topside of the patient's arm. In this regard, the foam section 128 may provide cushion, support, and/or secure the patient's arm so as to prevent unwanted movement (e.g., keep the patient's arm adducted, out of the way of operating room staff, etc.), and prevent potential injury (e.g., burns, cuts, pressure-related injuries, nerve damage, etc.). In other embodiments, the patient 1400 (e.g., the patient's arm) is positioned in the patient positioning system 50 such that the patient's arm is positioned in the arm wrap 126 (and the foam section 128) in a way that is desirable for the different positions required by surgical procedures and patient care, as discussed above.
100771 Referring now to FIGS. 17-18, a process of repositioning a patient on the patient positioning system 50 is shown, according to an exemplary embodiment. The processes described in FIGS. 17-18 may utilize the components of the patient positioning system 50 described in FIGS 1-13.
100781 Referring to FIG. 17, a patient on the patient positioning system 50 is shown, according to an exemplary embodiment. As discussed above with regard to FIG.
1, when the high-friction pad 104 is positioned on the inflatable device 102, the patient 1400 may rest on top of the high-friction pad 104. In some situations, it may be desirable for a healthcare provider to remove the high-friction pad 104 (or a portion of thereof) so that the patient 1400 may rest on top of the inflatable device 102, the body pad 1002, and/or a smaller portion of the high-friction pad 104. In this regard, the perforated separator 124 (which divides the first pad section 120 and the second pad section 122) may allow a healthcare provider to remove the high-friction pad 104 (or a portion thereof) while in use with the patient 1400. As shown in FIG. 17, to remove the high-friction pad 104 (or a portion thereof), the patient 1400 may be rolled onto their side (e.g., such that the patient lies entirely on the first pad section 120).
The healthcare provider may then rip, cut, tear, or otherwise manipulate the high-friction pad 104 (e.g., along the perforated separator 124) to remove the second pad section 122. In some embodiments, the patient 1400 remains on the first pad section 120.
100791 Referring now to FIG. 18, another view of the patient 1400 on the patient positioning system 50 is shown, according to an exemplary embodiment. As mentioned above with

-25-regard to FIG. 1, in some situations the healthcare provider may want to reposition the patient 1400 multiple times. As shown in FIG. 18, following the process described in FIG. 17, the healthcare provider may gently roll the patient 1400 to the other side (e.g., where the second pad section 122 was removed), such that the patient 1400 lies entirely on the inflatable device 102 or the body pad 1002. The healthcare provider may then remove the first pad section 120.
In some situations, the healthcare provider then rolls the patient 1400 into the desired position (e.g., onto their back, stomach, side, etc.) such that the patient 1400 is laying entirely on the top surface 112 of the inflatable device 102 or the body pad 1002. In some embodiments, there is a microclimate body pad (e.g., the body pad 1002) under the high-friction pad 104 which is revealed after removal of the high-friction pad 104, or a portion thereof, and therefore is under the patient without separately positioning the body pad.
Furthermore, after removal of the high-friction pad 104 (or a portion thereof), the inflatable device 102 or the body pad 1002 may be used to transfer the patient 1400 from a first support structure 100 to another support structure 100, as discussed above with regard to FIG. 1. The processes described in FIGS. 17-18 may be completed in sequence, individually, or in combination with any of the other processes described herein.
100801 All of some of the components described in the patient positioning system 50 may be provided in a kit, which may be in a pre-packaged arrangement. For example, the inflatable device 102 (deflated), the high-friction pad 104, and the body pad 1002 may be provided in a pre-folded arrangement or assembly, with the high-friction pad 104 positioned on the top surface 112 of the inflatable device 102 (with the body pad 1002 positioned in between) in approximately the same position the components would be positioned in use. In this regard, the inflatable device 102, the body pad 1002, and the high-friction pad 104 may be pre-folded to form the pre-folded assembly. This pre-folded assembly can be unfolded when placed on the support structure 100 or beneath the patient 1400. For example, the pre-folded inflatable device 102, the body pad 1002, and the high-friction pad 104 may be unfolded together on the support structure 100 in order to facilitate positioning a patient in the patient positioning system 50. Additionally, the inflatable device 102, the body pad 1002, and the high-friction pad 104 may be packaged together by wrapping with a packaging material to form a package, and may be placed in the pre-folded assembly before packaging. It should be understood that

-26-in other embodiments, different folding patterns are used and/or other packaging arrangements are used.
100811 In another embodiment, the high-friction pad 104 of the patient positioning system 50 may be provided in a kit, which may be in a pre-packaged arrangement. For example, the high-friction pad 104 and its components (e.g., the arm wraps 126, the straps 130, etc.) may be provided in a pre-folded arrangement or assembly. This pre-folded assembly can be unfolded when placed on the inflatable device 102, the body pad 1002, the support structure 100, and/or beneath the patient MOO. The high-friction pad 104 and its components may be packaged together, by wrapping with a packaging material to form a package, and may be placed in the pre-folded assembly before packaging. It should be understood that in other embodiments, different folding patterns are used and/or other packaging arrangements are used.
100821 Though the aforementioned patient positioning system 50, and all the components described herein, are intended for single use and then disposal, the patient positioning system 50 (and any of the components described herein) may be reprocessed.
Reprocessing of the patient positioning system 50 (and/or components described herein) may include a plurality of steps, for example inspecting the system, removing foreign particles, stains, or odors by cleaning or sterilizing one or more surfaces of the system, repairing tears or damage to components of the system, replacing one or more components of the system, replacing missing items from the kit, etc. Further, reprocessing may also include decontaminating (e.g., cleaning, sterilizing, etc.) the patient positioning system 50 and/or any of the components described herein (e.g., the support structure 100, the inflatable device 102, the high-friction pad 104, the body pad 1002, etc.), for example by sterilization means, such as the use of gamma radiation, electron-beam radiation, X-ray radiation, Ethylene oxide (Et0), steam, such as through the use of an autoclave, or any combination thereof 100831 According to an exemplary embodiment, the reprocessing process for the patient positioning system 50 includes removing the high-friction pad 104 from the inflatable device 102, at least one of cleaning or sterilizing the inflatable device 102, and providing a replacement for at least one component of the patient positioning system 50.
For example, the

-27-process may include cleaning or sterilizing the top surface 112 of the inflatable device 102, and/or providing a second high-friction pad 104 to replace the first high-friction pad 104. In other embodiments, providing a replacement component of the patient positioning system 50 includes providing a second inflatable device 102 (e.g., to replace the first inflatable device 102), a second body pad 1002 (e.g., to replace the first body pad 1002), a second chest strap 1300 (e.g., to replace the first chest strap 1300), and/or any other suitable component of the patient positioning system 50. According to an exemplary embodiment, the reprocessing process also includes securing the second high-friction pad 104 to the inflatable device 102.
In other embodiments, the reprocessing process includes securing other replacement components (e.g., the inflatable device 102, the body pad 1002, the chest strap 1300, etc.) to other components of the patient positioning system 50 (e.g., the support structure 100, the inflatable device 102, the high-friction pad 104, an external rail, etc.).
100841 In an exemplary embodiment, the reprocessing process also includes repairing a component of the patient positioning system 50. Repairing may include, for example re-coupling (e.g., via an adhesive, fastener, etc.), re-stitching, re-sealing, re-surfacing, and/or any other suitable restoration process configured to repair a component of the patient positioning system 50. In an exemplary embodiment, the process includes repairing a component of the inflatable device 102 (e.g., the top surface 112, the bottom surface 114, the alignment line 116, the connection areas 212, the connection strips 214, the inflation ports 117, the inflation socks 106, etc.). In some embodiments, the process includes repairing a component of the high-friction pad 104. For example, the process may include repairing the top pad surface 118 and/or the bottom pad surface 119, the arm wraps 126 and/or the foam section 128, the straps 130, the stitching 132, the buckles 134, the arm wrap anchors 402, the counterpart fastening strip 812, and/or any other suitable component of the high-friction pad 104. In other embodiments, the process includes repairing a component of the body pad 1002 (e.g., the first z-fold 1004, the second z-fold 1006, a connection strip, etc.), the chest strap 1300 (e.g., the base portion 1302, the first end portion 1304, the second end portion 1308, etc.), and/or any other suitable component of the patient positioning system 50.
100851 In an exemplary embodiment, the reprocessing process also includes packaging components of the patient positioning system 50 and/or replacement components.
For

-28-example, the reprocessing process may include packaging the inflatable device 102 and a replacement high-friction pad 104. In some embodiments, the process includes packaging a replacement inflatable device 102, a replacement high-friction pad 104, a replacement body pad 1002, and/or a replacement chest strap 1300. In other embodiments, the process includes packaging the inflatable device 102 with one or more of a replacement inflatable device 102, a replacement high-friction pad 104, a replacement body pad 1002, and/or a replacement chest strap 1300. In yet other embodiments, the process includes packaging one or more of the inflatable device 102, the body pad 1002, and/or the chest strap 1300 with a replacement high-friction pad 104.
[0086] According to an exemplary embodiment, the reprocessing process is/includes preparing components of the patient positioning system for reuse. In an exemplary embodiment, the process of preparing the patient positioning system 50 for reuse includes obtaining a used inflatable device 102, the inflatable device 102 having at least one connection mechanism for coupling to the high-friction pad 104, and providing a replacement high-friction pad 104 to replace the original high-friction pad 104 that was used with the inflatable device 102. In an exemplary embodiment, the at least one connection mechanism is a loop fastener; however, in other embodiments the at least one connection mechanism is another suitable fastener (e.g., a hook fastener, an adhesive, a strap, etc.).
According to an exemplary embodiment, the replacement high-friction pad 104 includes a hook fastener configured to couple the loop fastener of the inflatable device 102. In other embodiments, the replacement high-friction pad 104 includes another fastener (e.g., a loop fastener, an adhesive, a strap, a buckle, etc.) configured to couple the inflatable device 102.
[0087] In an exemplary embodiment, preparing components of the patient positioning system 50 for reuse includes obtaining a used component of the patient positioning system 50 and/or providing a replacement component. For example, the process may include obtaining a used support surface 100, and proving a replacement inflatable device 102, a replacement high-friction pad 104, a replacement body pad 1002, a replacement chest strap 1300, and/or another suitable component of the patient positioning system. In some embodiments, the process includes obtaining a used inflatable device 102, and providing a replacement body pad 1002. In other embodiments, the process includes obtaining a used inflatable device 102

-29-and a used body pad 1002, and providing a replacement high-friction pad 104.
As discussed above, in some embodiments the inflatable device 102 (and/or the replacement inflatable device 102), the high-friction pad 104 (and/or the replacement high-friction pad 104), and/or the body pad 1002 (and/or the replacement body pad 1002) include one or more fasteners.
For example, the inflatable device 102 may include a fastener for coupling to a fastener of the body pad 1002 (and/or the replacement body pad 1002) and/or a fastener of the high-friction pad 104 (and/or the replacement high-friction pad 104). In some embodiments, the body pad 1002 (and/or replacement body pad 1002) includes a first fastener for coupling to a fastener of the inflatable device 102, and a second fastener for coupling to a fastener of the high-friction pad 104 (and/or the replacement high-friction pad 104). In other embodiments, the high-friction pad 104 includes a fastener for coupling to a fastener of the body pad 1002 (and/or the replacement body pad 1002). According to an exemplary embodiment, the process of preparing the patient positioning system 50 for reuse includes coupling one or more of the fasteners discussed above in order to couple used and/or replacement components of the patient positioning system 50. It should be understood that the reprocessing process described herein may include additional, fewer, and/or different steps.
100881 As utilized herein with respect to numerical ranges, the terms "approximately,"
"about," "substantially," and similar terms generally mean +/- 10% of the disclosed values, unless specified otherwise. As utilized herein with respect to structural features (e.g., to describe shape, size, orientation, direction, relative position, etc.), the terms "approximately,"
-about," "substantially," and similar terms are meant to cover minor variations in structure that may result from, for example, the manufacturing or assembly process and are intended to have a broad meaning in harmony with the common and accepted usage by those of ordinary skill in the art to which the subject matter of this disclosure pertains.
Accordingly, these terms should be interpreted as indicating that insubstantial or inconsequential modifications or alterations of the subject matter described and claimed are considered to be within the scope of the disclosure as recited in the appended claims.
100891 It should be noted that the term "exemplary" and variations thereof, as used herein to describe various embodiments, are intended to indicate that such embodiments are possible examples, representations, or illustrations of possible embodiments (and such terms are not

-30-intended to connote that such embodiments are necessarily extraordinary or superlative examples).
100901 The term "coupled" and variations thereof, as used herein, means the joining of two members directly or indirectly to one another. Such joining may be stationary (e.g., permanent or fixed) or moveable (e.g., removable or releasable). Such joining may be achieved with the two members coupled directly to each other, with the two members coupled to each other using a separate intervening member and any additional intermediate members coupled with one another, or with the two members coupled to each other using an intervening member that is integrally formed as a single unitary body with one of the two members. If "coupled" or variations thereof are modified by an additional term (e.g., directly coupled), the generic definition of "coupled" provided above is modified by the plain language meaning of the additional term (e.g., "directly coupled" means the joining of two members without any separate intervening member), resulting in a narrower definition than the generic definition of "coupled" provided above. Such coupling may be mechanical, electrical, or fluidic.
100911 References herein to the positions of elements (e.g., "top," "bottom,"
"above,"
"below") are merely used to describe the orientation of various elements in the FIGURES. It should be noted that the orientation of various elements may differ according to other exemplary embodiments, and that such variations are intended to be encompassed by the present disclosure.
100921 Although the figures and description may illustrate a specific order of method steps, the order of such steps may differ from what is depicted and described, unless specified differently above. Also, two or more steps may be performed concurrently or with partial concurrence, unless specified differently above.
100931 It is important to note that any element disclosed in one embodiment may be incorporated or utilized with any other embodiment disclosed herein. For example, the high-friction pad 104 of the exemplary embodiment described in at least Figure(s) 5-8 may be incorporated in the patient positioning system 50 of the exemplary embodiment described in at least Figure 1. Although only one example of an element from one embodiment that can be

-31 -incorporated or utilized in another embodiment has been described above, it should be appreciated that other elements of the various embodiments may be incorporated or utilized with any of the other embodiments disclosed herein

-32-

Claims (30)

WHAT IS CLAIMED IS:

1. A method for reprocessing a patient positioning system, the patient positioning system comprising an inflatable device and a high-friction pad configured to attach to the inflatable device, the method comprising:
removing the high-friction pad from the inflatable device, at least one of cleaning or sterilizing the inflatable device, and providing a replacement for at least one component of the patient positioning system.

2. The method of claim 1, wherein providing a replacement for at least one component of the patient positioning system comprises providing a second high-friction pad to replace the high-friction pad.

3. The method of claim 2, further comprising securing the second high-friction pad to the inflatable device.

4. The method of claim 2, further comprising packaging the second high-friction pad and the inflatable device.

5. The method of claim 1, further comprising repairing a component of the patient positioning system.

6. The method of claim 5, wherein repairing a component of the patient positioning system comprises repairing the inflatable device.

7. The method of claim 1, wherein the high-friction pad is made of at least one of open cell foam or gel impregnated polyether foam.

8. A method of preparing a patient positioning system for reuse, the method compri sing:
obtaining a used inflatable device, the used inflatable device comprising at least one connection mechanism for coupling to a high-friction pad; and providing a replacement high-friction pad to replace an original high-friction pad that was used with the used inflatable device.

9. The method of claim 8, wherein the at least one connection mechanism is a loop fastener.

10. The method of claim 9, wherein the replacement high-friction pad further comprises a hook fastener configured to couple the loop fastener of the used inflatable device.

11. A patient support system, comprising:
a high-friction pad comprising:
a top surface and a bottom surface, wherein the top surface is configured to support a patient and the bottom surface is configured to face a support structure;
at least one arm wrap including a foam section, wherein the at least one arm wrap is configured to secure an arm of the patient; and at least one strap, wherein the at least one strap is configured to couple the high-friction pad to the support structure.

12. The patient support system of claim 11, wherein the high-friction pad is made of at least one of open cell foam or gel impregnated polyether foam.

1 3 . The patient support system of claim 11, wherein the high-friction pad has a thickness of up to approximately 1.0 inches.

14. The patient support system of claim 11, wherein the high-friction pad comprises a first section, a second section, and a perforated separator that separates the first section and the second section.

15. The patient support system of claim 11, wherein the bottom surface of the high-friction pad comprises at least one connection strip configured to couple the high-friction pad to the support structure.

16. The patient support system of claim 11, wherein the at least one arm wrap is configured to be positioned such that the at least one arm wrap extends over the arm of the patient, between the arm of the patient and the patient, and under the patient.

17. The patient support system of claim 11, wherein the foam section is configured to be positioned on a first side of the arm of the patient and on a second side of the arm of the patient.

18. The patient support system of claim 17, wherein the first side of the arm of the patient is a lateral side and the second side of the arm of the patient is a top side.

19. The patient support system of claim 11, wherein the at least one arm wrap is coupled to the high-friction pad by stitching.

20. The patient support system of claim 11, wherein the at least one strap is configured to couple to an anchor of the support structure.

21. The patient support system of claim 11, wherein the at least one strap comprises six straps.

22. The patient support system of claim 11, further comprising an inflatable device and wherein the high-friction pad is configured to be placed between the patient and the inflatable device on the support structure.

23. A method, comprising:
providing a patient positioning system, the patient positioning system comprising:
a high-friction pad, comprising:
a top surface and a bottom surface, the top surface configured to support a patient and the bottom surface configured to face a support structure, at least one arm wrap including a foam section, the at least one arm wrap configured to secure an arm of the patient; and at least one strap, the at least one strap configured to couple the high-friction pad to the support structure;
placing the high-friction pad on the support structure, such that the bottom surface faces the support structure; and attaching the high-friction pad to the support structure using the at least one strap.

24. The method of claim 23, further comprising positioning the patient on the high-friction pad, wherein the high-friction pad is configured to reduce slipping of the patient relative to the support structure

25. The method of claim 24, further comprising coupling the at least one arm wrap of the high-friction pad to the arm of the patient.

26. The method of claim 25, further comprising positioning the at least one arm wrap around the patient's arm and under the patient, wherein positioning the at least one arm wrap under the patient is configured to secure the arm of the patient.

27. The method of claim 25, further comprising positioning the at least one arm wrap such that the foam section is positioned on a first side of the arm of the patient and on a second side of the arm of the patient.

28. The method of claim 27, wherein the first side of the arm of the patient is a lateral side and the second side of the arm of the patient is a top side.

29. The method of claim 23, further comprising removing the high-friction pad from between the patient and the support structure.

30. The method of claim 29, wherein removing the high-friction pad from between the patient and the support structure further comprises:
rolling the patient onto a first side of the patient to expose a first section of the high-fri cti on pad;
detaching the first section of the high-friction pad from a second section of the high-friction pad along a perforated separator;
rolling the patient onto a second side of the patient to expose the second section of the high-friction pad; and removing the second section of the high-friction pad.