EP3439588A1 - Dispositif de positionnement de patient - Google Patents

Dispositif de positionnement de patient

Info

Publication number
EP3439588A1
EP3439588A1 EP17786692.8A EP17786692A EP3439588A1 EP 3439588 A1 EP3439588 A1 EP 3439588A1 EP 17786692 A EP17786692 A EP 17786692A EP 3439588 A1 EP3439588 A1 EP 3439588A1
Authority
EP
European Patent Office
Prior art keywords
patient
shoulder strap
positioning device
arms
shoulder
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP17786692.8A
Other languages
German (de)
English (en)
Other versions
EP3439588A4 (fr
Inventor
Brandon Cuongquoc GIAP
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BCG Medical LLC
Original Assignee
BCG Medical LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US15/386,643 external-priority patent/US10561522B2/en
Application filed by BCG Medical LLC filed Critical BCG Medical LLC
Publication of EP3439588A1 publication Critical patent/EP3439588A1/fr
Publication of EP3439588A4 publication Critical patent/EP3439588A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/37—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts
    • A61F5/3769—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the body to beds, wheel-chairs or the like
    • A61F5/3776—Restraining devices for the body or for body parts, e.g. slings; Restraining shirts for attaching the body to beds, wheel-chairs or the like by means of a blanket or belts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00—Stretchers
    • A61G1/01—Sheets specially adapted for use as or with stretchers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00—Stretchers
    • A61G1/04—Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • A61G1/044—Straps, bands or belts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G1/00—Stretchers
    • A61G1/04—Parts, details or accessories, e.g. head-, foot-, or like rests specially adapted for stretchers
    • A61G1/048—Handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/122—Upper body, e.g. chest
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1235—Arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1245—Knees, upper or lower legs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205—Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1255—Shoulders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/126—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface
    • A61G13/1265—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with specific supporting surface having inflatable chambers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00—Operating tables; Auxiliary appliances therefor
    • A61G13/10—Parts, details or accessories
    • A61G13/12—Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/128—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations
    • A61G13/1295—Rests specially adapted therefor; Arrangements of patient-supporting surfaces with mechanical surface adaptations having alignment devices for the patient's body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05—Parts, details or accessories of beds
    • A61G7/057—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor
    • A61G7/05715—Arrangements for preventing bed-sores or for supporting patients with burns, e.g. mattresses specially adapted therefor with modular blocks, or inserts, with layers of different material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1013—Lifting of patients by
    • A61G7/1021—Inflatable cushions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1025—Lateral movement of patients, e.g. horizontal transfer
    • A61G7/1026—Sliding sheets or mats
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073—Parts, details or accessories
    • A61G7/1082—Rests specially adapted for
    • A61G7/1086—Upper body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073—Parts, details or accessories
    • A61G7/1082—Rests specially adapted for
    • A61G7/1092—Rests specially adapted for the arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00—Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/10—Devices for lifting patients or disabled persons, e.g. special adaptations of hoists thereto
    • A61G7/1073—Parts, details or accessories
    • A61G7/1082—Rests specially adapted for
    • A61G7/1096—Knee, upper or lower leg
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2200/00—Information related to the kind of patient or his position
    • A61G2200/50—Information related to the kind of patient or his position the patient is supported by a specific part of the body
    • A61G2200/54—Shoulder
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/52—Arm-rests

Definitions

  • the present invention generally relates to medical safety devices and more particularly to patient positioning devices including wrapped engagements for the shoulders of patient usable for transport and surgical procedures.
  • a patient entering the hospital via ambulance is moved from the medical stretcher or ambulance gurney to a hospital gurney, a fixed hospital bed, an examination table, or an operating table.
  • patients already in a hospital need to be moved as well.
  • a patient having surgery may be moved from a fixed hospital bed to a hospital gurney then to an operating table and finally back to a fixed hospital bed.
  • a sliding or lateral movement of the patient from one support surface to another is required.
  • Difficulties for patients and hospital staff may arise from this lateral transferring of patients.
  • the hospital staff acting in concert is responsible to position and move the patient to the new support surface by means of lifting, sliding or dragging. This action may cause injury to the patient if the patient accidently slides off of the support surface or if the patient is dropped.
  • intravenous lines, monitor cables, and other components attached to the patient may become kinked, bound, pulled from or around the patient, or dislodged. Further still, the hospital staff may be injured from the act of lifting, sliding or dragging a heavy patient.
  • the patient is placed on the operating table with the patient's arms positioned at the patient's sides.
  • the surgeon will typically stand adjacent to the patient's side and lean over the patient thus unintentionally leaning on the patient's arm.
  • Many surgeries last several hours and the pressure of the surgeon's body on the patient's arm may cause damage to the patient's arm, wrist or hand.
  • Similar pressures can be inadvertently applied to the patient's legs if the surgeon is operating at or near the lower portion of the patient's body. Such pressures can again cause damages to the patient's hips, legs, knees, ankles and feet.
  • the positioning device includes a sheet with a first and second flexible substrate coupled to the sheet's top surface.
  • the first and second flexible substrates may be padded and are configured to wrap around an adjacent arm of the patient creating a wrapped engagement.
  • the wrapped engagement is configured to raise the patient's arm above the support surface and pads, protects, secures and elevates the arms from injury caused by pressure imparted thereon during surgery or transport.
  • This positioning device may be lifted or slid from one support surface to another utilizing various straps on the sides of the device.
  • an inflatable support may be used with the device to aid when sliding or translating the device with the patient thereon.
  • Additional embodiments include the use of wrapped engagements for the patient's legs to pad, protect, and secure the legs of the patient during transport or operation.
  • the present invention herein improves upon the significant advantages described in these two applications and provides additional features and benefits in order to comprise an integrated patient positioning device useful in a variety or circumstances to protect a patient and to assist in positioning and transporting a patient.
  • a shoulder strap is particularly useful when the patient is placed in Trendelenburg position (tilting head-down), whereby the strap functions to distribute the patient's weight across the entire shoulder region which can significantly reduce the risk of brachial plexuses injury, a common injury that occurs during prolonged use of the Trendelenburg position.
  • Trendelenburg position tilt head-down
  • Another advantage of the shoulder strap is to provide passive warming (covering and insulating) to the patient's shoulders and arms to help maintain patient's temperature, particularly when used in conjunction with the substrates of the device and any forced warm -air features thereof.
  • Items and/or techniques described herein may provide one or more of the following capabilities. Injuries to both patient and hospital staff during transition between one support surface and another can be reduced or avoided. Secure transition of a patient during transfer between support surfaces can be provided. A secure means is provided to grip a patient transfer device. Further, in order to help prevent injuries to the hospital staff during such transitions of a patient, a patient positioning device provides means to evenly apportion an amount of weight a person lifting a patient will bear. A patient positioning device also protects the patient from injury during a surgical procedure by protecting the patient's arms from lying too long upon an operating table, and protecting the patient's amis from damage should a surgeon or other hospital staff member lean upon the patient's arm during the surgery.
  • Examples of a patient positioning device provide secure lifting means to help prevent dropping of the patient during a transfer or transition, and means to easily slide the patient to and from surfaces to thereby limit the amount of weight any one person supports during lateral transfer of the patient.
  • Patient positioning devices are provided that are relatively inexpensive to help insure widespread use so as to help prevent injuries to ail concerned.
  • Means are provided in form of buckles to secure the device to the surgical table to prevent patient from sliding. Means are provided to protect a patient's arm from pressure damage while in surgery, as well as provide the choice of protection for either one or both arms. Means are provided to protect a patient's arm while in surgery with the means adapted to be employed with existing medical equipment, such as patient transfer systems. Means are provided to attach a patient transfer device using multiple straps, in the form of hook-and-loop fasteners or a buckle, along both sides of a central section to secure the sheet on a support surface. Means are provided to restrain a patient's arm to the patient's body along with protecting the patient's arm while in surgery. Back and other injuries to the hospital staff from lifting a patient may be prevented by providing multiple handles for lifting and sliding a patient.
  • the present invention is a patient positioning device, comprising a planar sheet having first and second side edges and first and second end edges having a top surface; the sheet configured for positioning of a patient thereon, the patient being supported by he top surface with the first and second side edges adjacent to arms of the patient; a first flexible substrate and a second flexible substrate each coupled to the sheet, each of the flexible substrates including at least a portion of additional padding.
  • the first and second substrates are wrapped around an adjacent arm of the patient creating a wrapped engagement wherein the additional padding is located beneath the adjacent arm of the patient.
  • a shoulder strap is provided, the shoulder strap comprising a U-shaped sheet defining strapping members wherein the shoulder strap is disposed beneath the shoulders of a patient whereby the strapping members are disposed over and around the shoulder and are removably secured to a respective wrapped engagement.
  • FIG. 1 is a flowchart of an embodiment of surgical events to which the present i nventi on i s rel evant .
  • FIG. 2 depicts one embodiment of the patient positioning device.
  • FIG. 3 depicts a perspective view of one embodiment of the device.
  • FIG. 4 depicts an assembled view of one embodiment of the device also showing straps and foot securement restraints and an optional non-slip pad.
  • FIG. 5 depicts an example of one embodiment of the device in the as-used position with the patient's arms wrapped in the padded flexible substrates and lower legs secured.
  • FIG. 6 depicts one embodiment of the device with a foam pad removably engaged.
  • FIG. 7 depicts a bottom view of one embodiment of the device with an optional inflation support.
  • FIG. 8 depicts a cut through view of one embodiment of the device ready for a patient and to be placed in an as-used position.
  • FIG. 9 depicts an end view of one embodiment of the as-used position of the device, prior to engagement of the padded substrates.
  • FIG. 10 depicts one embodiment of the device in an as-used mode, with the padded substrates engaged, securing the patient's arms, while elevating the arms a distance "E" above the support surface.
  • FIG. 11 depicts the engagement of the overlap substrates which are wrapped over the patient's arms.
  • FIG. 12 depicts the device with the overlap substrates wrapped over the patient's arms and are tucked under the mattress pad.
  • FIG. 13 depicts a top surface view of one embodiment of the device with optional inflatable support.
  • FIG. 14 depicts one embodiment of the device with the padded substrates, overlap substrates, and formed inflated members.
  • Figure 15 depicts an embodiment of the patient positioning device.
  • Figure 16A depicts an embodiment of the patient positioning device.
  • Figure 16B depicts an embodiment of the patient positioning device with continuous attachment points.
  • Figure 16C depicts an embodiment of the pati ent positioning device with non- continuous attachment points.
  • Figure 16D depicts an embodiment of the patent positioning device with perforated and disposable leggings.
  • Figure 17 depicts an embodiment of the patent positioning device with a patient supported thereon.
  • Figure 18 depicts an embodiment of the patient positioning device with the legging wrapped engagements.
  • Figure 21 depicts an embodiment for the patient positioning device with windows on the wrapped engagements for attached devices and viewing the patient's arm.
  • Figure 22 depicts one embodiment of the device of the present invention including forced warm-air technology.
  • Figure 23 depicts another embodiment of the device of the present invention including forced warm-air technology.
  • Figure 24 depicts one embodiment of the device of the present invention including an alternative design of the padded substrates.
  • Figure 25 depicts another embodiment of the device of the present invention including an alternative design of the padded substrates.
  • Figure 26 depicts one embodiment of a dual-sticky pad accessory for the device of the present invention.
  • Figure 27 depicts one embodiment of the dual-sticky pad in use with the device of the present invention in a horizontal position.
  • Figure 28 depicts a embodiment of the dual-sticky pad in use with the device of the present invention in a Trendelenburg position.
  • Figure 29 depicts another embodiment of the patient positioning device of the present invention adapted for use when a patient is to be in a prone position.
  • Figure 30 depicts one embodiment of a secondary sheet that is used in conjunction with the patient positioning device when a patient is to be in a prone position.
  • Figure 31 depicts a top view of the patient positioning device, secondary sheet, and a patient configured for use when the patient is to be in a prone position.
  • Figure 32 depicts another top view of the patient positioning device, secondary sheet, and a patient configured for use when the patient is to be in a prone position.
  • Figure 33 depicts a cross-sectional view of the patient positioning device, secondary sheet, and a patient configured for use when the patient is in a prone position.
  • Figure 34 depicts another embodiment of the patient positioning device of the present invention configured with pockets adapted to receive an axillary support.
  • Figure 35 depicts a top view of one embodiment of the patient positioning device of the present invention configured with pockets adapted to receive an axillary support with a patient thereon.
  • Figure 36 depicts a top view of one embodiment of the patient positioning device of the present invention configured with pockets adapted to receive an axillary support with a patient in a lateral position.
  • Figure 37 depicts yet another embodiment of the present inventi on having various accessory features.
  • Figure 38 depicts a patient with arms outstretched wrapped with the padded substrates of the device described herein.
  • Figure 39 depicts a top view of the front of a shoulder strap accessory for the patient positioning device of the present invention.
  • Figure 40 depicts a top view of the back of a shoulder strap accessory for the patient positioning device of the present invention.
  • Figure 41 depicts one embodiment of the shoulder strap in use in conjunction with the patient positioning device of the present invention.
  • Figure 42 depicts a top view of another embodiment of the shoulder strap.
  • Figure 43 depicts a side perspective view of the shoulder strap shown in Figure 42.
  • Figure 44A shows the shoulder strap in use in a first step.
  • Figure 4413 shows the shoulder strap in use in a second step.
  • Figure 44C shows the shoulder strap in use in a third step.
  • Figure 44D shows the shoulder strap in use in a fourth step.
  • Figure 44E shows the shoulder strap in use to secure and retain a patient in the
  • Figure 45 A depicts a body pad aspect of the present invention
  • Figure 45B depicts the body pad of Figure 45 A in use on an exemplary patient.
  • Figure I is a flowchart of possible surgical events 100, The process starts in a pre-operative area.
  • the patient waits here before entering the operating room for surgery.
  • the patient is transferred into the operating room and at step 104, the pre-induction phase begins.
  • the patient is placed on any necessary monitors such as blood pressure cuffs, Electrocardiography (EKG) electrodes, pulse oximeter, intravenous therapy (IV), or the like.
  • EKG Electrocardiography
  • IV intravenous therapy
  • the patient is administered anesthesia for surgery.
  • the patient is positioned for surgery.
  • the patient may be positioned in a prone, supine, lithotomy or lateral decubitus position.
  • the patient's body parts are often exposed to cold, ambient air nonnal in an operating room. Loss of body heat is a concern during the surgical process and the patient's body may become hypothermic.
  • Hypothermia may occur during the surgical process. Under anesthesia there may be a loss of the behavioral response to cold and impairment of thermoregulatory heat-preserving mechanisms through the hypothalamus and autonomic nervous system. Anesthetics also cause peripheral vasodilation, causing redistribution of the blood volume with associated heat loss, leading to significant reduction of core temperature. In addition to this, patients may be exposed during their surgery, further accelerating heat loss, and may already have become cold during the inactive period waiting for surgery. With fluid deprivation, conventionally practiced for up to ⁇ hours before general anesthesia, the patient may also become relatively dry and poorly perfused so that heat distribution by their circulation is further impaired. Finally, although steps may be taken to avoid it, un-warmed anesthetic gases and intravenous infusions may also add to the reduction of core temperature.
  • the patient is prepared for surgery: This involves preparing the patient's skin area for surgical incision by using an antiseptic solution to help reduce infection. Further heat loss from the patient's body may occur. Next, draping the patient occurs at step 112. During this stage, the patient's incision area is isolated and exposed for surgery, while the remainder of the body is typically covered with sterile drapes. These sterile drapes are normally made of thin polypropylene material providing minimal heat loss prevention while the primary purpose is to provide a sterile environment to reduce infection during the surgery.
  • step 114 surgery starts. Depending on the procedure, surgery may be short or last several hours. Again, additional heat loss from the patient's body may occur. At step 1 16, surgery ends.
  • Clean up starts at step 118.
  • the patient, sheets, coverings and instruments are cleaned and removed from soiling due to body fluids.
  • the patient begins to emerge from anesthesia and may be awaken by medical personnel.
  • the patient is then moved to a transporting gurney at step 122 and transferred to a recovery room entering the post-operative area.
  • the patient further recovers from anesthesia.
  • the present invention provides a patient positioning device that can be used for moving and lifting a patient from one surface to another surface in a hospital setting. Examples of such a device are described that are adapted for easy lifting of a patient, to and from an operating table, which offers ease of use for lifting the patient and protection of the patient's arms and legs during surgery and transport.
  • FIGS 2 and 3 show one embodiment of the patient positioning device 10 of the present invention.
  • a top surface 24 is positioned opposite the bottom surface 26.
  • the top surface 24 and bottom surface 26 are formed of flexible fabric sheet and composed of center section 12, overhang sections 1 1, outer edge of center section 22 and outer edge of overhang sections 15.
  • the center section 12 is of a rectangular geometry and adapted in length and width to accommodate the size and shape of a human being. Further, the center section 12 is sized to be laid on an operating room table which varies between, for example, 20-24 inches, or a stretcher or gurney with a width between, for example, 22-27 inches.
  • Overhang sections 11 extend from the sides of center section 12.
  • overhang sections may be tucked under the mattress or pad on a gurney or table providing a means for the device 10 to operate in place of a bed sheet thus reducing germs and cost.
  • Outer edge of center section 22 is a point of attachment for various components described hereafter.
  • Handles 14 are attached to outer edge of overhang sections 15 which allow for a safe grip on the device when used for lifting and pulling the device after the patient is secured.
  • the quantity and orientation of handles 14 is not limited by the drawing as shown but is merely simplified for illustrative purposes.
  • the top and bottom surface, 24 and 26 respectively, may be of different material each of which is adapted for a specific purpose.
  • the top surface 24 may be made of textile or paper reinforced with textile fabric, or another woven or knitted fabric adapted to the task of supporting a patient thereon.
  • the bottom surface 26 of the device may have a surface configured to have low friction when the device 10, with patient aboard, is slid during a transition.
  • the bottom surface 26 is composed of material which is slippery or has a low coeffi cient of friction, so as to allow the medical staff a means to easily slide the patient to and from a support surface.
  • One example for a top surface 24 is a paper cloth or similar woven or knitted textile surface.
  • the bottom surface which is exposed may be formed of any low friction material as would occur to those skilled in the art including but not limited to one or a combination of materials from a group including PTFE impregnated or coated fabric, spunbond or other fabric when woven or formed has a slippery surface, or fabrics such as rip- stop or micro fiber-based materials woven or knitted from woven nylon, or polyester.
  • the slippen,' bottom surface 26 may be sewn or laminated or coated to the device 10 or on the opposite side of the material forming the top surface 24 of the center section 12.
  • equipment straps 23 and pocket 21 are detailed.
  • Equipment straps 23 are fastened to top surface 24 at one end and contain hook and loop fasteners.
  • a group 42 of hook and loop fasteners Directly under equipment straps 23, and coupled to top surface 24, is a group 42 of hook and loop fasteners.
  • the equipment straps 23 are fastened to group 42.
  • Pocket 21 is coupled to top surface 24 having one open end. Both equipment straps 23 and pocket 21 may be used to secure a medical device, an intravenous tube, a catheter tube and/or a piece of medical equipment that is attached directly to the patient.
  • Figures 2 and 3 also show two disengaged padded substrates 16 which are substantially planar. These padded substrates 16 are flexible and have an inner edge 17 that may be permanently fastened to center section 12 by sewing with durable thread or another suitable means, or temporarily fastened with a hook and loop fastener, such as Velcro® or other such removable fasteners. In one embodiment, padded substrates 16 are temporarily removed from device 10 so they may be employed on pre-existing patient transfer devices as described in the prior art which lack protection for the patient's arms.
  • Padded substrates 16 are positioned with respect to the top edge of the central area of the center section 12 at a distance comparable to the distance of a human arm, between the upper arm and hand, when placed to the side, to the human head.
  • padded substrates 16 have a layer of padding imbedded or engaged such that when engaged around the arm of a patient, a means to pad the arm is provided. This protects the patient' s arm from any pressure forces imparted by the table or by a surgeon.
  • Padded substrates 16 also are configured to engage around the arms of the patient, and hold them against their body and slightly elevated from the underlying table or support surface. This helps eliminate injur ⁇ ' to the patient's arm when it is supported on a hard table surface for a long duration by placing a gap between the table and arm.
  • padded substrates 16 are shown attached at inner edge 17 to the center section 12.
  • the back surface of padded substrates 16 have strips of hook and loop fasteners for securing.
  • Straps 40 are also attached to the center section 12 at outer edge of center section 22 at one end.
  • the bottom side of straps 40 have hook and loop fasteners for securing to padded substrates 16 when padded substrates 16 are wrapped around a patient's arm.
  • device 10 may employ a permanent or removably engageable non-slip pad 28.
  • the non-slip pad 28 will provide a means to prevent sliding when the patient is positioned on an angle.
  • foot securement restraint 13 is provided.
  • the foot securement restraint 13 is coupled to top surface 24 and is wrapped around the legs of the patient and may be held by hook and loop fasteners. This foot securement restraint 13 enables the lower leg to remain positioned and secured during lifting or sliding of device 10.
  • padded substrates 16 are employed to encircle and support a patient's arm when a patient lays on the center section 12 surface. This arm wrapping by the padded substrates 16 provide protection against the patient's arm moving outside the table area during fatigue and a potential pressure injury from contact with the underlying table or with a leaning surgeon while on an operating table.
  • Figure 5 illustrates the device 10 with the patient 20 positioned with both arms encircled within padded substrates 16. Patient 20 is positioned on the patient positioning device 10 and straps 40 are employable to hold the flexible, padded substrates 16 in wrapped configuration around the patient's arms and maintain the arms close to their body and out of the way of the surgeon.
  • the patient's arms may be held in this position by the straps 40 or using the overlap mode of the device (described hereafter, Figures 6 and 13). While arm is in said wrapped engagement, minimal movement of said arm is permitted. Foot securement restraint 13 is also engaged.
  • the present invention positions and secures patient 20 during transfer preventing injury to the patient and hospital staff when dragging the device 10 by handles 14. Furthermore, the patient is now more easily transferable between one support surface to another, for example, a gurney to an operating table.
  • the handles 14, engaged around the perimeter of the overhang sections 1 provide personnel a secure grip while sliding or lifting a patient from one surface to another.
  • an overlap system may be employed to further secure and elevate the patient's arms.
  • the overlap system employs flexible, rectangular overlap substrates 18 oriented lengthwise across the width of the center section 12 and attached at the centerline 19 as depicted in Figures 6 and 13.
  • the bottom surface of the overlap substrates 18 have strips of hook and loop fasteners 44 which fasten to the hook and loop fasteners on the padded substrates 16 when engaged.
  • the overlap substrates 18 provide a secondary means to secure the patient's arms and as noted and shown in Figures 11 and 12, the overlap substrates 18 are tucked under a pad or mattress.
  • Figure 6 shows the device 10 as optionally having a soft, foam pad 84 removably engaged to the top surface 24,
  • This foam pad 84 is strategically placed in the buttock area to prevent pressure ulcers that may occur when a patient remains in the same position for an extended period of time such as during a long surgery or when a patient is confined to a hospital bed.
  • Engagement may be by peel and stick adhesive or hook and loop fabric, or other means for removable engagement.
  • FIG. 7 shows a view of the bottom surface 26 of the device 10.
  • Belt 29 has connector 33 attached at the respective ends and is coupled to handles 14. This belt 29 and connector 33 secure device 10 to the support surface, for example, an operating table or bed.
  • the quantity and orientation of belt 29 and connector 33 is not limited by the drawing as shown but is merely simplified for illustrative purposes.
  • the bottom surface 26 is constructed of a slippery fabric such as vinyl or Teflon coated fabric or another fabric which has a low coefficient of friction.
  • the slippery fabric provides a means to aid in sliding the patient 20 in transitions.
  • a dotted line outline is depicted illustrating the position of an optional inflation support 30. This inflation support 30 is sandwiched between the top surface 24 and bottom surface 26 surfaces and when inflated, allows for an easier sliding of the patient 20.
  • Figure 8 shows a cut through view of the device 10 ready for a patient 20 and to be placed in an as-used position as noted in the following figures.
  • Figure 9 depicts an end view of the as-used position of an example of the device 10 prior to engagement of the padded arm restraints provided by the padded substrates 16.
  • the padded substrates 16 encircle the arm of the patient 20, and are then secured by straps 40 having hook and loop fasteners or other means of engagement.
  • the padded substrates 16 encircle the patient's arms and are secured by straps 40 which comfortably hold the patient's arms close to the body.
  • the arms are padded and protected from injur ⁇ ' from laying on the support surface too long or from the pressure of the surgeon's weight. Also, with the padded substrates 16 so engaged, it provides a means to elevate the arms a distance "E" above the support surface. This helps prevent nerve damage and tissue damage caused by an arm sitting on a surface too long during surgery.
  • Figures 1 1 -12 show the engagement of overlap substrates 18 which may be wrapped over the patient's arms and tucked under the pad or mattress of the gurney or operating table. This provides secure positioning of the patient for surgery or transport.
  • Figure 13 depicts another top surface view of one embodiment of the present device and Figure 14 shows the device with the padded substrates, overlap substrates is a disengaged position.
  • Figure 15 depicts another embodiment of the patient positioning device 10.
  • a top surface 24 is positioned opposite a bottom surface 26.
  • Top surface 24 and bottom surface 26 are formed of a flexible fabric sheet.
  • a center section is of a rectangular geometry and adapted in length and width to accommodate the size and shape of a human being.
  • a plurality of handles 14 are coupled to the outer edge of the sheet which allow for a safe grip on the device when used for lifting, pulling or moving the device while the patient is being supported by top surface and secured.
  • the quantity and orientation of handles 14 is not limited by the figure as shown but is merely simplified for illustrative purposes.
  • Bottom surface 26 which is exposed may be formed of any low friction material as would occur to those skilled in the art including but not limited to one or a combination of materials from a group including PTFE impregnated or coated fabric, spunbond or other fabric when woven or formed has a slippery surface, or fabrics such as rip-stop or micro fiber-based materials woven or knitted from woven nylon, or polyester.
  • the slippery bottom surface 26 may be sewn or laminated or coated to device 10 or on the opposite side of the material forming top surface 24.
  • Figure 15 also shows two disengaged padded substrates 16 which have a layer of padding imbedded or engaged such that when engaged around the arm of a patient, a means to pad the arm is provided. This protects the patient's arm from any pressure forces imparted by the table or by a surgeon. Padded substrates 16 also are configured to engage around the arms of the patient, and hold them against their body and slightly elevated from the underlying table or support surface. This helps eliminate injury to the patient's arm when it is supported on a hard table surface for a long duration by placing a gap between the table and arm.
  • the back surfaces of padded substrates 16 have strips of hook and loop fasteners for securing. Straps 40 have hook and loop fasteners for securing to padded substrates 16 when padded substrates 16 are wrapped around a patient's arm.
  • an overlap system may be employed to further secure and elevate the patient's arms.
  • the overlap system employs a flexible, rectangular overlap substrate 18 oriented lengthwise across the width of top surface 24 and attached to top surface 24.
  • the bottom surface of overlap substrate 18 has strips of hook and loop fasteners which fasten to the hook and loop fasteners on the padded substrates 16 when engaged.
  • Overlap substrate 18 provides a secondary means to secure the patient's arms.
  • the functionality here is substantially shown and described above in figures 9-12.
  • the device 10 includes a first and second flexible substrate forming legging 52 and legging 54.
  • Figure 16A depicts another embodiment of the patient positioning device. This embodiment is simpler than the embodiment of Figure 15 and focuses on the leg portion.
  • a planar sheet has a first and second side edge and a top surface 24. This sheet is configured for positioning a patient thereon where the patient is supported by top surface 24 with the first and second side edges adjacent to the legs of the patient.
  • a first and second flexible substrate capable of wrapping around an adjacent leg of a patient, thus creating a wrapped engagement, are detailed as legging 52 and legging 54. These wrapped engagements of the legs prevent heat loss during pre-surgery, surgery, post-surgery or transport and protect against pressure injury.
  • legging 52 is mostly covered by legging 54 until it is engaged with the patient's leg. For example, more than 50%, 60%, 70%, 75%, 80%, 90% or 95% of legging 52 may be covered by legging 54.
  • the patient is positioned on top surface 24.
  • Optional padded substrates 16 are configured to engage around the arms of the patient, and hold them against their body and slightly elevated from the underlying table or support surface. This helps eliminate injury to the patient's arm when it is supported on a hard table surface for a long duration by placing a gap between the table and arm. Padded substrates 16 are wrapped around a patient's arms and secured with strips of hook and loop fasteners and straps as described above.
  • Legging 52 and legging 54 are configured to engage around the legs of the patient to protect the patient as well as prevent heat loss. Once the patient is positioned on top surface 24, the user would grasp and lift free edge 64 (see figure 16A) of legging 54 wrapping this flexible substrate around, e.g., over and then under, the adjacent leg, creating a wrapped engagement (see figure 17).
  • Fasteners such as hooks of a hook and loop (e.g., Velcro ⁇ ) may be located on the underside of legging 52 and legging 54 at respective free edges 62 and 64 (see figure 3 A) while loops from a hook and loop fastener (e.g., Velcro®) may be located on the topside of legging 52 and legging 54 at respective attached outer edges 58 and 60 (see figure 3 A).
  • top surface 24 is the area of attachment for legging 52 and legging 54. These are substantially planar and integral with the sheet and attached at a top edge 66 of legging 52 and legging 54 to top surface 24. Legging 52 is also attached at an outer edge 58 of top surface 24 while legging 54 is attached at an outer edge 60 of top surface 24. These attachment areas 68 may be continuous along the entire outer edge as shown in figure 16B or may be non-continuous as shown in figure 16C. Also, the attachments may be permanently attached such as by sewing, or temporarily attached such as by hook and loop fastener (e.g. Velcro ⁇ ) allowing adjustability. In one embodiment, legging 52 and legging 54 may be constructed from a material that is perforated 70 and disposable.
  • FIG. 17 illustrates an embodiment of the present invention with a patient supported thereon.
  • the patient positioning device 10 is utilized to position, protect and secure a patient on a support surface for transfer to another support surface or for preparation for surgery. In different embodiments, it may function as a regular bed sheet, a surgical bed sheet, leggings or any combination.
  • legging 52 and legging 54 may be engaged. To do this, an unattached edge, or free edge 64 of legging 54 is lifted and wrapped around, i.e., over and then under, the adjacent leg, and then fastened.
  • Legging 52 is constructed in the same manner but using free edge 62 of legging 52.
  • FIG 18 illustrates another embodiment of the patient positioning device with the legging wrapped engagements.
  • legging 52 and legging 54 are loosely fitted on the legs of the patient. In this manner, any necessary medical devices such as leg compression devices, could be used when legging 52 and legging 54 are engaged.
  • fasteners 56 such as hooks from a hook and loop fastener large or small (e.g., Velcro®) are located on the underside of legging 52 and legging 54 at respective free edges 62 and 64 while loops from a hook and loop fastener (e.g., Velcro®) are located on the topside of legging 52 and legging 54 at respective attached outer edges 58 and 60.
  • Fasteners 56 are accessible when respective legging 52 and legging 54 are in the wrapped engagement with a respective leg.
  • Figure 19 depicts an embodiment for fasteners for the patient positioning device showing a plurality of fasteners.
  • fasteners 56 are not limited by the figure as shown but is merely simplified for illustrative purposes. In one embodiment, fasteners 56 are non- continuous. This allows access to the leg of the patient for medical equipment such as cables and tubes or for monitoring.
  • legging 52 and 54 are practical when the patient is in a lithotomy position (i.e. when the legs are placed in stirrups, see figure 20) thus involving the pelvis and lower abdomen such as during colon or genitourinary surgery.
  • legging 52 and legging 54 may be padded for protection from pressure injury that may occur due to the medical devices such as stirrups.
  • Some studies have found a significant relationship between prolonged surgical procedures with the patient in the lithotomy position and a circulatory complication. This condition occurs when increased tissue pressure within a limited tissue space compromises the circulation and function of the contents of the space. Nerve injury to the femoral or peroneal nerve is also possible. Padding may be imbedded or engaged in the entire legging 52 and legging 54 or only in certain areas, such as in the area of contact to the knee joint, calf and/or ankle.
  • Figure 21 shows optional windows 72 on padded substrates 16.
  • Windows 72 in the padded substrates 16, which wrap around a patient's arms, are created for the purpose of passing through medical lines such as blood pressure cuff tubing, pulse-oximeter cables, and/or intravenous lines. These windows are also used for viewing the patient's arm without having to unwrap padded substrates 16 from the patient's amis.
  • window 72 are openings in padded substrates 16.
  • window 72 consists of a flap of material attached permanently on one side.
  • window 72 consists of a flap of material temporarily attached on one or more sides such as with hook/loop Velcro®.
  • the number, configuration, and location of windows 72 may vary and the number shown in figure 21 is for illustration purposes.
  • the initial position of legging 52 and legging 54 before the wrapped engagement is flat to top surface 24 as shown in figure 15.
  • the position of padded substrates 16 for the patient's arms, along with legging 52 and legging 54 for the patient's legs may be adjustable by using attachment areas 68, for example, hook/loop Velcro® placement on top surface 24. This allows the device to accommodate a wide range of different patient sizes.
  • padded substrates 16 for the patient's arms may be perforated 74. In this way, the padded substrates 16 may be easily, conveniently and completely removed from top surface 24 for disposal should they become soiled or otherwise need to be disposed of.
  • forced warm-air technology may be utilized with the present invention.
  • This forced warm-air feature may utilized for the upper portion of the device to provide warmth to the upper extremities. In other embodiments, it may be used for the lower portion of the patient positioning device when configured with legging 52 and legging 54. In some embodiments, both upper and lower portions of the device may be provided with force warm-air features.
  • the top and bottom surfaces 24 and 26 define a flexible bladder-type sheet which includes an inner space configured to receive forced warm air.
  • one or more warm-air inlets 80 are provided.
  • a warm-air inlet 80 is provided at the upper portion as well as the lower portion 10 of the device.
  • the inlet 80 is configured to receive a hose or tubing from a forced warm-air machine such as a compressor or the like that provides a warm air source.
  • the top surface 24 of the device 10 includes a plurality of apertures 81 through which the warm air flows. The air flows into the inlets 80 and out of the apertures 81 thus providing warm air around all or a portion of the patient as shown in Figure 23.
  • the bottom layer 26 which is made out of low friction nylon material or similar and is airproof and waterproof.
  • the top layer 24 is preferably made out of Polypropylene material or similar for patient comfort. Through this top layer, a plurality of pinpoint holes 81 are created for warm air to escape and come into contact with the patient's skin as a means of warming the patient or maintaining the patient's temperature during surgery.
  • the apertures 81 may be placed in legging 52 and legging 54 to allow forced warm-air to penetrate through the openings and onto the patient's skin. In this manner, using forced warm-air may warm the patient or may help maintain body temperature thus preventing hypothermia. Also, a blanket may no longer be required when using the device because legging 52 and legging 54 may provide the warming function.
  • the padded substrates 16 are configured to conform to the arms of patients of various sizes and shapes.
  • Figure 24 illustrates the device 10 with the patient positioned with both arms disposed above padded substrates 16 where the substrates are disengaged.
  • padded substrates 16 include additional padded sections 161 which are preferably aligned with the gravity dependant section of the patient's arms. In other words, the additional padded sections 161 are preferable disposed directly beneath the patient's arms, between the arm and the underlying support structure.
  • the patient is positioned on the patient positioning device and straps are employable to hold the flexible, padded substrates 16 in wrapped configuration around the patient's arms and maintain the arms close to their body and out of the way of the surgeon.
  • the patient's arms may be held in this position by the straps or using the overlap mode of the device (described above, Figures 6 and 14). While the arm is in the wrapped engagement using two straps 40, minimal movement of the arm is permitted. Further, the wrapped engagement is configured to elevate the arm or arms above the support surface to prevent pressure injury and nerve damage.
  • a split 401 is provided transversely across substrates 16 which birfurcate at least a portion of the substrates.
  • this split 401 allows the padded substrate 16 to conform around larger arms or an arm that may already be in a protective brace, splint, or cast.
  • the split 401 on the padded substrates 16 allow for the routing of wires, cables, and I.V. lines, in some embodiments, the wire, cable and I.V. lines can extend from the patient's hand/arm and be secured/organized between the padded substrate 16 and the overlap substrate 18.
  • the split 401 in combination with the additional padded sections 161 provide additional comfort and security for both the patient and hospital workers. During surgery, it is frequently necessary to change the operating table from flat to Trendelenburg position (head down) to optimize the surgical field for the surgeon to perform the necessary surgery, such as during surgery of the prostate, colon, or uterus/ovaries.
  • a dual-sticky pad 841 to use in conjunction with patient positioning device 10 to help secure a patient during surgery while on a support surface to reduce sliding risk when changing positions from fiat to Trendelenburg position (head-down) and vice versa.
  • the dual-sticky pad 841 comprises a generally planar sheet of adhesive material having a first adhesive side 842 and a second adhesive side 843.
  • a removable backing layer 844 is provided which protects the adhesive during storage.
  • the dual-sticky pad 841 is disposed between the patient 845 and the support surface 846.
  • the dual-sticky pad 841 is placed between the patient's back and the patient positioning device 10 such that they become a single unit.
  • the unit can then be secured to the operating table using the belt 29 and connectors 33 shown in figure 7.
  • the sticky pad 841 prevents the patient, on the device 10, from sliding when the operating table is changed from flat position (0 degree) to Trendelenburg position (head- down), which is shown in figure 28.
  • a modified patient positioning device 10 including padded substrates 16 for forming wrapped engagements around a patient's arms for protection and elevation, as well as the overlap substrate 8 for further securement and protection of the patient.
  • One or more handles 14 are attached at the corners of the device 10.
  • one or more buckles 900 which may be located proximal to the handles at the corners of the device 10.
  • a secondary sheet 901 shown in figure 30. Secondary sheet 901 is a substantially planar sheet and it some embodiments it matches the dimensions of patient positioning device 10.
  • Secondary sheet 901 includes one or more handles 14 and one or more buckles 900, both disposed toward the corners of the sheet 901.
  • the buckles 900 of the secondary sheet are located and configured to engage the buckles 900 of the device 10.
  • the buckles 900 of the secondary sheet 900 have male fittings while the buckles 900 of the device 10 have female fittings, allowing for a removable engagement thereof.
  • the buckles 900 of the secondary sheet 900 have female fittings where those of the device 10 have male fittings.
  • a patient 902 is disposed with his back on the secondary sheet with the device 10 to be placed on his chest.
  • the patient's arms can secured by way of the padded substrates 16 and the overlay substrate 18 as described above.
  • the secondary sheet 901 is secured to the device 10 by way of the buckle engagement 900/900 shown in figure 32.
  • This configuration forms a "cocoon" around the patient as shown in figure 32 wherein the patient is sandwiched between device 10 and secondary sheet 901 with his arms secured by the wrapped engagements of the present invention.
  • This arrangement provides significant protection and security for a patient who must be treated in a prone position as it draws the arms in, elevates them, and then surrounds the entire body is a secure cocoon that prevents dislodgement of the positioning device 10 during movement and repositioning of the patient. This will help secure all the arms/legs, IV access, Foley catheter and any other attachments together prior to positioning change from supine to prone or vice versa.
  • a true “log-roll” technique is provided to ease the process of positioning change as well as preventing injury to the anesthetized patient and the surgical team.
  • the patient in supine position, has already been placed on the secondary sheet 901 on the gurney as shown in figure 31.
  • the device 10 is then placed on top of the patient aligning the buckles 900 securing them together as shown in figure 32,
  • the buckles 900 may have adjustable straps which can then be pulled for snug fit.
  • the device 10 and secondary sheet 901 may be further secured using the Velcro attachments 903. After checking all the attachments, i.e. IV accesses, Foley catheter, the patient is ready to be repositioned to prone position.
  • the gurney with the anesthetized patient is now placed side-by-side with the operating table for the repositioning.
  • the whole surgical team must be present for this repositioning procedure as each person on the team is assigned a specific task to avoid injury to the anesthetized patient, i.e. the anesthesiologist to protect the patient breathing tube, face and neck, the surgeon to catch the patient during the turning of the patient, nurses to help lift the patient for the turning and protecting the legs as well as the multiple attachments on the patient such as IV accesses, EKG, blood pressure cuff/tubing, Foley catheter, etc.
  • communication is critical at this time.
  • the anesthesiologist will call for attention and count to three.
  • the secondar' sheet 901 now can be detached by releasing the buckles 900 and Velcro attachments 903 from the device 10. It is important at this time to assure to avoid pressure on the critical organs of the patient's such as the eyes, nose, abdomen (for breathing), and the genital areas.
  • the breathing tube must also be checked and again secured. All the pressured areas must be properly padded.
  • the padded substrates 16 can be engaged to form wrapped engagements around the patient's arms and optionally the overlay substrate 18 can be engaged.
  • the process now can be reversed whereby the secondary sheet is reattached, the patient rolled back to a supine position whereby the device 10 can then be removed from the front of the patient.
  • device 10 in yet another embodiment, structure may be provided to comfortably position a patient in a lateral orientation.
  • device 10 includes handles 14 and one or more rectangular pockets 701 .
  • Pockets 701 are disposed toward the top of device 10 and are configured to align with the axillary line 700 of the device. This allows the pockets to be located proximal to the patient's armpits, or axillary region as shown in figure 35.
  • the pockets 701 are adapted to receive a gel roll or a one liter fluid bag to be used as an axillary support 702 for the patient.
  • a patient is positioned on the top surface 24 of the device 10 aligning the pocket 701 with the "axillary roll" about one inch from the axilla of either side of the patient.
  • personnel are recruited to position the patient from the supine position to the lateral decubitus position with the axillary roil placed in the pocket 701 at the side that the patient will be positioned on, as shown in figure 36.
  • the axillary roll would be placed on the right pocket 701 prior to repositioning.
  • the patient is then pulled to one side that is away from the "down" side and then rotated so that the operative side will be up and the decubitus side will be down.
  • the device 10 may further include the padded substrates 16 and overlap substrate 18 as provided throughout this disclosure.
  • patient positioning device 10 having removable padded substrates 16 each have slits 401 as described above.
  • the padded substrates 16 are attachable to the device 10 by way of hook and loop fasteners 371 provided on substrates 16 which engage corresponding hook and loop fasteners 372 on device 10.
  • the entire top surface of padded substrates 16 may comprise hook and loop fasteners 371.
  • this embodiment removes the need for straps 40 in that the reverse side of the padded substrates 16 can include corresponding hook and loop strips 373 which allow the padded substrate 16 to be rolled over and doubled back on itself, securing and defining a wrapped engagement around a patient's arm or leg as shown in figure 38. Because the padded substrates 16 are removable from the device 10, they can be used as shown in figure 38 where the patient's arms are outstretched.
  • a suction tip pocket 374 is provided to store the suction tip for the anesthesiologist.
  • a side pocket 375 for kinking the suction tube to eliminate the annoying noise of the suctioning sound when the suction is not in use.
  • hook/loop double-straps 376 may also be provided toward the top, middle, or bottom of device 10 to secure I.V. injection ports/arterial line/ Swan Ganz catheter EKG cable/ or blood pressure tubing.
  • the double strap design is necessary to keep the IV. injection port between the straps to prevent sliding of the line. This same principle can be applied for Swan Ganz catheter or other lines.
  • the double strap fasteners at the foot-end for the Foley catheter and chest tubes have additional loose Veicro strips with adhesive backing. These adhesive backing pieces are to be placed on the tube of the Foley catheter or chest tube. This is then placed in the hook/loop double-straps 376 to prevent the tube from sliding.
  • Multiple loose hook/loop or Veicro strips can also be placed on the hook and loop surface 371 of the padded substrates 16 which serve to wrap the arms with the padded substrates 16 when they need to be placed on the arm boards shown in figure 38. They can also be used to organize the IV. lines, cable, or tubes alongside the patient's amis.
  • a shoulder strapping system is also provided as an enhancement to patient positioning device 0.
  • a shoulder strap 400 comprising a substantially planar sheet having a U-shaped cutout 401 thus defining two strapping members 402 and 403, Each side of shoulder strap 400 includes one or more hook/loop fasteners 404.
  • the bottom portion 405 of the shoulder strap is configured to attach to corresponding hook/loop fasteners proximal to the shoulder area of the patient positioning device 10. The patient is then placed onto the device 10 and the strapping members 402 and 403 are carried over top of the patient's shoulders whereby they each can be secured to the padded substrates 16 by one or more hook/loop fasteners 404.
  • the padded substrates 16 may have corresponding hook/loop fasteners 407.
  • the shoulder strap 400 includes perforation lines 409 which allow a portion of the strapping members 402 and 403 to remain attached to device 10 while the remaining portion is carried over the patient's shoulder and attached to the padded substrates 16. Accordingly, the distal ends of the strapping members 402 and 403 may include smaller hook/loop fasteners on the inside of the perforation lines 409.
  • the shoulder strap 400 provides additional structure to secure the patient's upper body and arms and further serves to protect and elevate the patient's arms from the underlying support surface, i.e. the operating room table or gurney.
  • shoulder strap 400 comprises two layers of padded material.
  • the upper layer 411 comprises a memory foam or similar padded material configured to conform to the patient's anatomy and to stabilize the patient and reduce the risk of pressure injury to the sacral and scapular areas during long procedures, particularly surgery.
  • the bottom layer 412 comprises a foam material in combination with a laminated looped fabric, such as the "loop" Velcro material. The laminated foam material strengthens the bottom layer and provides a surface for attachment of various substrates, wrapments and accessories of device 10 as described in detail throughout this disclose.
  • the shoulder strap 410 comprises a substantially planar sheet having a U-shaped cutout 401 thus defining two strapping members 402 and 403 for each respective side of the patient's body.
  • the strapping members 402 and 403 are divided lengthwise into two sections each inner section 402' and 403' and outer sections 402" and 403".
  • each of the strapping members 402 and sections thereof include one or more hook/loop fasteners 404.
  • the inner section 402' and 403' of the respective strapping members wrap over the patient substantially at the trapezius muscle (Figure 44B) and attach by hook/loop fastener to the patient positioning device 10, for example at the substrate 16 wrapped around the patient's arm most adjacent to the respective member of the shoulder strap 400.
  • the outer section 402" and 403" of the respective strapping members wrap over the patient substantially at the shoulder cuff ( Figure 44C) and attach to the patient positioning device 10 at, for example, substrate 16.
  • additional hook/loop fastener material can be used to attach to respective inner and outer sections of the shoulder strap to one another.
  • the overlap substrate 18 can then be placed over the arm/shoulder area to cover the attachment points ( Figure 44D).
  • the shoulder strap 410 can function as a stand-alone device or it can be adhered to or otherwise used in conjunction with patient positioning device 10.
  • the sectioned shoulder strap 400 provides a conforming "tailored" fit to the patient's anatomy, particularly at and around the shoulder and upper chest region.
  • the shoulder strap 400 is particularly useful when the patient is placed in Trendelenburg position (tilting head- down - shown in Figure 44E), whereby the strap 400 functions to distribute the patient's weight across the entire shoulder region which can significantly reduce the risk of brachial plexuses injury, a common injury that occurs during prolonged use of the Trendellenburg position. These advantageous occur due to the double-strapping of the shoulders at the shoulder cuff and the trapezius areas.
  • Another advantage of the shoulder wrap 400 is to provide passive warming (covering and insulating) to the patient's shoulders and arms to help maintain patient's temperature, particularly when used in conjunction with the substrates of the device 10 and any forced warm-air features thereof.
  • Figures 45A-45B depict yet another embodiment of the present invention configured as a multi-purpose pad 500 having a generally stepped T-shaped configuration.
  • the pad 500 comprises a durable foam material to provide protection, support, and warmth for the target patient.
  • the pad 500 is divided into three sections, a lower section 501 , a middle section 502, and an upper section 503 , A patient is disposed on the pad 500 such that the lower section 501 is located substantially about the lower torso and lower arm and hand area of the patient.
  • the middle section 502 is disposed substantially about the chest, upper torso, and upper arm area and is wider than the lower section 501
  • the upper section 503 is disposed substantially about the head and shoulder area of the patient and is the narrowest of the three sections 501 , 502, and 503.
  • Each of the sections 501, 502, and 503 are arranged to cover both sides of the body at the location at which they are disposed.
  • the lower section 501 includes a left and right arm wrap 50 and 501 "(analogous to the padded substrates 16 in other embodiments)
  • the middle section 502 includes left and right chest wraps 502' and 502
  • the upper section 503 includes left and right shoulder wraps 503' and 503".
  • Figure 45B shows the multipurpose pad 500 in use.
  • the left and right chest wraps 502' and 502" are overlapped over the patients' chest area and secured, for example, by hook and loop fastener or the like.
  • the left and right shoulder wraps 503' and 503" are each wrapped over the patient's shoulder and directed downward so as to attach to the respective left and right chest wraps 502' and 502" .
  • Attachment may be made by hook and loop fastener or the like attached at or near the end of each of the respective chest wraps 502' and 502".
  • the left and right arm wraps 50 and 501 " are wrapped around a respective arm of the patient to protect, lift, and elevate the arms.
  • the pad 500 can be incorporated into or otherwise used in conjunction with the patient positioning device 10, for example, as a more robust replacement for the padded substrates 16 to secure the patient across the entire upper body at the arms, chest, torso, and shoulders to protect and secure the patient in various positions including but not limited to the Trendelenburg position.
  • the pad 500 can function as a standalone device to be attached to a gurney or operating table by way of one or hook and loop fastener straps, or similar strapping devices.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nursing (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Vascular Medicine (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

L'invention concerne un dispositif de positionnement de patient qui comprend un drap plan comprenant des substrats rembourrés reliés de manière détachable et fixés en position proximale par rapport aux bras du patient. Les substrats rembourrés sont enroulés autour des bras respectifs du patient pour protéger et surélever les bras par rapport à la table ou à la civière sous-jacente. Des jambières sont également fournies pour protéger les jambes du patient. Les substrats rembourrés comprennent des fentes prévues pour permettre le passage de fils et de câbles sans qu'ils s'emmêlent. Un deuxième drap peut être fixé au dispositif pour envelopper douillettement le patient lorsque le patient est retourné. Une bretelle est placée sous les épaules du patient, enroulée autour et par-dessus les épaules et fixée aux substrats rembourrés pour renforcer la protection et la sécurité. Le dispositif a une surface inférieure à faible frottement pour faciliter le transfert et le positionnement.
EP17786692.8A 2016-04-22 2017-04-21 Dispositif de positionnement de patient Withdrawn EP3439588A4 (fr)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201662326116P 2016-04-22 2016-04-22
US15/386,643 US10561522B2 (en) 2010-06-04 2016-12-21 Patient positioning device
PCT/US2017/028785 WO2017184949A1 (fr) 2016-04-22 2017-04-21 Dispositif de positionnement de patient

Publications (2)

Publication Number Publication Date
EP3439588A1 true EP3439588A1 (fr) 2019-02-13
EP3439588A4 EP3439588A4 (fr) 2019-11-20

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JP (1) JP2019514464A (fr)
WO (1) WO2017184949A1 (fr)

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Publication number Priority date Publication date Assignee Title
US10201935B2 (en) 2007-03-19 2019-02-12 Augustine Temperature Management LLC Electric heating pad
AU2019216336A1 (en) * 2018-01-31 2020-09-24 Gomez, David J. Bi-wing arm support system
US10765580B1 (en) 2019-03-27 2020-09-08 Augustine Biomedical And Design, Llc Patient securement system for the surgical trendelenburg position
CN111110479A (zh) * 2020-01-08 2020-05-08 赵瑞娟 一种护理床
CN114404202B (zh) * 2022-01-27 2024-01-19 程小丽 一种icu急性中毒患者洗胃用姿态调整定位装置

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Publication number Priority date Publication date Assignee Title
US4939801A (en) * 1988-12-22 1990-07-10 Schaal Gary A Patient transporting and turning gurney
US5014724A (en) * 1989-05-01 1991-05-14 Miller Larry C Pediatric immobilization device
US20130152950A1 (en) * 2010-06-04 2013-06-20 Brandon Cuongquoc Giap Patient positioning device
US9504621B2 (en) * 2011-06-09 2016-11-29 Molnlycke Health Care Usa, Llc System and method for patient turning and repositioning with simultaneous off-loading of the bony prominences
US10413469B2 (en) * 2012-06-06 2019-09-17 Medline Industries, Inc. Universal Trendelenburg positioner
US9375343B2 (en) * 2013-06-18 2016-06-28 Covidien Lp Patient positioning system

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EP3439588A4 (fr) 2019-11-20
JP2019514464A (ja) 2019-06-06
WO2017184949A1 (fr) 2017-10-26

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