AMENDED CLAIMS received by the International Bureau on 10 February 2005 (10.02.2005) original claims 1-49, replaced by amended claims 1-53
+ STATEMENT 24 WHAT IS CLAIMED IS: 1. A support device for the care and prevention of wounds on a target area of the body of a user, comprising: means for reducing pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and a chafing surface, said means for reducing pressure, friction and shear having an array of removable cells forming a flexible sheet for suppoπing an area of the body of the user, each cell removably coupled to at least one other cell, at least on of the cells being a cell that is selectably removable from the array in order to define a space in the sheet which approximates the size of the target area on the body of the user, and said means for reducing pressure, friction and shear encloses the target area. whereby, the support device forms a peripheral support enclosure about a target area. 2. The device of claim 1 wherein each cell has a border and is removably connected to at least one other cell along a portion of the border. 3. The device of claim 1 wherein the cells are suspension devices. 4. The device of claim 1 wherein the removable cells have opposing first and second surfaces and the first surface of each cell is configured for contacting the user. 5- The device of claim 4 further comprising a backing coupled to the second surface of the removable cells. 6. The device of claim 5, wherein the backing includes perforations positioned substantially along a border of each cell. 7. The device of claim 1, wherein the cells are gas-filled bubbles. 5. The device of claim 6, wherein the second surface comprises one of a hook material and a loop material and the backing comprises the other of the hook material and the loop material. 9. The device of claim 1 wherein at least a portion of each cell is made of a breathable material. 10. The device of claim 5, wherein each cell is removably connected tp the backing.
11. The device of claim 1 , further comprising a dye configured for marking an approximate outline of the target area onto the first surface of the array of removable cells. 12. The device of claim 1, wherein the removable cells are stanchions made of a cushionable material. 13. The device of claim 4* wherein the space within the sheet is defined by and extends from the first surface through the sheet to the second surface. 14. The device of claim 5, wherein the "backing is attached to the sheet such that when at least one cell is removed from the sheet, a portion of the backing in contact with the cell is removed from the backing creating an opening in the backing which [next to the space within] extends through the sheet. 15. The device of claim 1 , wherein the array of cells is configured to support rhe target area of the user's body without contacting the target area. 16. The device of claim 7, further comprising a pricking device for selectably deflating at least one of the bubbles. 17. A support device for the care and prevention of wounds on a target area of the body of a user comprising a disposable garment for the body of the user, the garment comprising: an absorbent portion having a fluid pervious inner sheet, a fluid impervious outer sheet and at least one layer of absorbent material positioned between the inner and outer sheets; and a wound care and prevention portion coupled to the absorbent portion, the wound care and prevention portion including: means for reducing pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and a chafing surface, said means for reducing pressure, friction and shear having an array of removable devices forming a generally flexible sheet for supporting an area of the body of the user, each cell removably coupled to at least ne other cell, at least one of the cells being a cell that is selectably removable from the array in order to define a space in the sheet which approximates the size of a target area on the body of the user, and said means for reducing pressure, friction and shear encloses the target area,
26 whereby, the support device forms a peripheral support enclosure about the target area. 18. The disposable garment of claim 17, wherein the removable devices are suspension devices. 1 . The disposable garment of claim 17, wherein each device is removably coupled to at least one other device. 20. The disposable garment of claim 17, wherein each suspension device has opposing first and second surfaces, and wherein the first surface is configured for contacting the body of the user. 21. The di sposable garment of claim 17 wherein the array of devices are configured to support the target area of the user's body without contacting the target area. 22. The disposable garment of claim 17, further comprising a plurality of straps for removably attaching the garrαent to the body of the user. 23. The disposable garment of claim 17, further comprising a backing removably coupled to the second surface of the devices and connected to the outer sheet of the absorbent portion. 24. The disposable garment of claim 17, further comprising elastic leg bands connected to at least one of the inner and outer sheets. 25. The disposable garment of claim 17, wherein the devices are gas-filled bubbles. 26. The disposable garment of claim 23, wherein the backing includes one of a hook material and a loop material and the second surface of the devices includes the Other of the hook material and the loop material. 27. The disposable garment of claim 11, further comprising a dye for marking an approximate outline of the target area onto the first surface of the devices. 28. The disposable garment of claim 17, wherein the space within the sheet is defined by the devices removed from the array. 29. The disposable garment of claim 17, where the garment is a diaper. 30. The disposable garment of claim 17, wherein the wound care portion is configured to protect the buttocks and a portion of the back area of the user when the user is in a supine position.
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31. The disposable garment of claim 25, further comprising a pricking device for selectably deflating at least one of the bubbles. 32. A support device for the care and prevention of wounds on a target area of the body of a user comprising a disposable garment for the body of the user, the garment comprising: an absorbent portion having a fluid pervious inner sheet, a fluid impervious outer sheet and at least one layer of absorbent material positioned between the inner and outer sheets; and a wound care and prevention portion coupled to the absorbent portion, the wound care and prevention portion including: means for reducing pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and a chafing surface, said means for reducing pressure, friction and shear having an array of bubbles forming a generally flexible sheet for supporting an area of the body of the user, each bubble having opposing first and second surfaces, the first surface configured for contacting the body of the user, each bubble removably coupled to at least one other bubble, at least one of the bubbles being a bubble that is selectably removable from the array in order to define a space in the sheet which approximates the size of the target area on the body of the user, and said means for reducing pressure, friction and shear encloses the target area, whereby, the support device forms a peripheral support enclosure about the target area. 33. The disposable garment of claim 32 wherein the bubbles are gas-filled bubbles. 34. The disposable garment of claim 32 wherein the bubbles are selectably deflatable from the array in order to define a recess within the sheet which approximates the size of a target area on the body of the user; 35. The disposable garment of claim 34 wherein, the array of gas-filled bubbles is configured to support the target area of the body of the user without contacting the target area. 36. The disposable garment of claim 32, further comprising a pricking
28 device for selectably deflating at least one of the bubbles. 37. The disposable garment of claim 34, further comprising a dye for marking an approximate outline of the target area onto the array of bubbles. 38. A support device for the care and prevention of wounds on a target area of the body of a user comprising a disposable garment for the body of the user, the garment comprising: an absorbent portion having a fluid pervious inner sheet, a fluid impervious outer sheet and at least one layer of absorbent material positioned between the inner and outer sheets; and a wound care and prevention suspension portion coupled to the absorbent portion, the wound, care and prevention suspension portion including: means for reducing pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and a chafing surface, said means for reducing pressure, friction and shear having the suspension portion formed of a resilient, cushionable material and comprising a plurality of selectably removable sections, each section being removably coupled to at least one other section, and at least one of the sections being a section that is selectably removable from the suspension portion in order to define a space in the sheet which approximates the size of a target area on the body of the user, and said means far reducing pressure, friction and shear encloses the target area, whereby, the support device forms a peripheral support enclosure about the target area. 39. The disposable garment of claim 38 wherein the cushionable material is non-allergic, medical grade foam. 40. The disposable garment of claim 39 wherein the suspension portion is configured for the easy removal of at least one segment of the suspension portion in order to define a space within the suspension portion which approximates the size of a target area on the body of the user. 41. The disposable garment of claim 40 wherein the suspension portion is configured to support the target area of the user's body without contacting the target area,
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42. The disposable means of claim 40 wherein the suspension portion includes perforations to facilitate the removal of at least one segment from the suspension portion by hand without the use of tools. 43. The disposable garment of claim 40, further comprising a dye for marking an approximate outline of the target area onto the suspension portion. 44. A method of applying a system for the care and prevention of wounds to the body of the user comprising the steps of: identifying a target area on the body of the user; obtaining a sheet formed of removable devices; selectably removing at least one device from the sheet to define a space which approximate the target area; and securing the sheet to the body of the user such that the sheet supports the target area without Contacting the target area. 45. The method of claim 44 and further comprising the step of: marking the sheet to form an approximate outline of the target area. 46. The method of claim 44 and further comprising the steps of: applying a dye to the body of the patient to approximately outline the target area; placing the sheet in contact with the dye and the body of the patient; separating the sheet form the patient; and using the mark transposed on the sheet from the dye to determine which devices to remove. 47. The method claim 44 and further comprising the step of: applying tape to the sheet at the perimeter of the space. 48. The method of claim 44 wherein the sheet is coupled to an absorbent portion having a fluid pervious inner sheet, a fluid impervious outer sheet and at least one layer of absorbent material disposed between the inner and outer sheets. 49. The method claim 44, wherein the devices are gas-filled bubbles coupled to a backing. 50. A support device for the care and prevention of wounds on a target area of the body of a user, comprising:
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means for reducing pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and a chafing surface, said means for reducing pressure, friction and shear having an array of removable cells forming a flexible sheet for supporting an area of the body of the user adjacent the target area, each cell removably coupled to at least one other cell, the cells being selectably removable from the array in order to define a space in the sheet which approximates the size of the target area on the body of the user, said space having one of a flexible cover and of being free of a cover. 51. The support device of claim 50, wherein each cell has a border and is removably connected to the at least one other cell along a portion of the border, said portion of the border having means for separating to allow at least one selected cell to be separated from the at least one other cell by hand and removed from the sheet by the user independent of a tool. 52. A support device for the care and prevention of wounds on a target area of the body of a user, comprising: means for supporting the target area away from a chafing surface to reduce pressure, friction and shear that can irritate or cause ulcers resulting from prolonged contact between the target area of the body of the user and the chafing surface, said means for supporting having an array of removable cells forming a flexible sheet for supporting an area of the body of the user proximate the target area? each cell removably coupled to at least one other cell, each cell has a border and is removably connected to the at least one other cell along a portion of the border, said portion of the border having means for separating to allow at least one selected cell to be separated from the at least one other cell by hand and removed from the sheet by the user independent of a tool in order to define a space in the sheet which approximates the size of the target area, said space having one of a flexible cover and of being free of a cover. 53. The support device of claim 52, further comprising means for ventilating the area of the body of the user proximate the target area.