Surgical pad

• US 5,014,375 A
• Filed: 01/29/1990
• Issued: 05/14/1991
• Est. Priority Date: 01/29/1990
• Status: Expired due to Fees

• Current Assignee: Span-America Medical Systems Inc. (Savaria Corp.)
• Original Assignee: Span-America Medical Systems Inc. (Savaria Corp.)
• Inventors: Coonrad, Ralph W., Booth, Carolyn R.
• Primary Examiner(s): Trettel, Michael F.
• Application Number:
  US07/472,043
• Time in Patent Office: 470 Days
• Field of Search: 5/431, 5/436, 5/437, 5/446, 5/461, 5/465, 5/468, 5/481, 5/443
• US Class Current: 5/648
• CPC Class Codes: A61G 13/12 Rests specially adapted therefor; Arrangements of patient-supporting surfaces rests for the surgeon A61B90/60; restraining devices A61F5/37
• CPC Class Codes: A61G 13/121 Head or neck
• CPC Class Codes: A61G 13/122 Upper body, e.g. chest
• CPC Class Codes: A61G 13/123 Lower body, e.g. pelvis, hip, buttocks
• CPC Class Codes: A61G 13/1245 Knees, upper or lower legs
• CPC Class Codes: A61G 2200/325 prone

Abstract

A resilient foam surgical pad is adapted for use with surgery patients supported thereon in a prone position. The patient'"'"'s abdomen hangs freely in a cavity formed in a torso support block. The reduced pressure on the abdomen lessons the amount of bleeding on the side of the patient opposite the abdomen, particularly during more prolonged surgical procedures. Separate head and leg supporting foam members may be adjusted relative the torso support block to accommodate different patients. A disposable protective covering may be used so that the resilient foam surgical pad may be reused with different patients.

Claims

1. A resilient surgical pad for receipt and support of a surgery patient in a prone position, said pad comprising an integral block of resilient foam material having a defined lower side thereof adapted for being supported on an operating table, and a defined upper side thereof adapted for generally receiving and supporting the torso of a patient in a prone position thereof, wherein said defined upper side has an opening formed therein and said block defines a cavity beneath said opening and in communication therewith so that the abdomen of a prone positioned patient received on said pad is generally free to hang within said cavity, whereby vascular system pressure is lowered for reduced patient bleeding during relatively prolonged surgical procedures, said pad further including a narrow slot formed through one end of said block and interconnecting with said cavity so as to form two relatively movable members in said block for adjustable positioning thereof to customize support of given patients, by adjustable receipt of a patient'"'"'s upper legs respectively on the upper side of said two relatively movable members.

2. A resilient surgical pad as in claim 1, wherein said lower and upper sides of said block each comprises a generally planar surface.

3. A resilient surgical pad as in claim 1, wherein said resilient foam material has a density of at least about 1.4 pounds per cubic foot.

4. A resilient surgical pad as in claim 1, wherein said cavity comprises a channel formed through said block and interconnecting between said lower and upper sides thereof.

5. A resilient surgical pad as in claim 1, further including adjustable strap means for varying the maximum separation of said two movable members.

6. A resilient surgical pad as in claim 1, further including means for supporting the patient'"'"'s head.

7. A resilient surgical pad as in claim 1, further including means for supporting the patient'"'"'s lower limbs.

8. A resilient surgical pad as in claim 1, further including an air permeable, liquid impermeable removable covering over said block, said covering being disposable and replaceable so that said block can be reused.

9. A resilient surgical pad as in claim 1, wherein:

said foam material has a density generally in a range from about 1.4 to about 1.8 pounds per cubic foot;

said block is generally in a range from about 4 inches to about 8 inches thick, depending on whether it is to be used for pediatric or adult patient'"'"'s; and

wherein means for adjustably supporting the patient'"'"'s head and lower limbs are further provided for association and use with said block.

10. A resilient surgical pad for receipt and support of a surgery patient in a prone position, said pad comprising a block of resilient foam material having a defined lower side thereof adapted for being supported on an operating table, and a defined upper side thereof adapted for generally receiving and supporting the torso of a patient in a prone position thereof, wherein said defined upper side has an opening formed therein and said block defines a cavity beneath said opening and in communication therewith so that the abdomen of a prone positioned patient received on said pad is generally free to hang within said cavity, whereby vascular system pressure is lowered for reduced patient bleeding during relatively prolonged surgical procedures, wherein said block upper side includes contoured limb receipt surfaces defined therein.

11. A resilient surgical pad as in claim 10, wherein said limb receipt surfaces include a pair of angled surfaces for support of a patient'"'"'s upper arms.

12. A resilient surgical pad as in claim 10, wherein said limb receipt surfaces include a pair of curved surfaces for support of a patient'"'"'s upper legs.

13. A resilient surgical pad for receipt and support of a surgery patient in a prone position, said pad comprising a block of resilient foam material having a defined lower side thereof adapted for being supported on an operating table, and a defined upper side thereof adapted for generally receiving and supporting the torso of a patient in a prone position thereof, wherein said defined upper side has an opening formed therein and said block defines a cavity beneath said opening and in communication therewith so that the abdomen of a prone positioned patient received on said pad is generally free to hang within said cavity, whereby vascular system pressure is lowered for reduced patient bleeding during relatively prolonged surgical procedures, wherein said upper side includes a relatively recessed support surface for supporting generally a patient'"'"'s upper chest.

14. A resilient surgical pad for receipt and support of a surgery patient in a prone position, said pad comprising a block of resilient foam material having a defined lower side thereof adapted for being supported on an operating table, and a defined upper side thereof adapted for generally receiving and supporting the torso of a patient in a prone position thereof, wherein said defined upper side has an opening formed therein and said block defines a cavity beneath said opening and in communication therewith so that the abdomen of a prone positioned patient received on said pad is generally free to hang within said cavity, whereby vascular system pressure is lowered for reduced patient bleeding during relatively prolonged surgical procedures, wherein said block includes a plurality of cuts formed therein about the periphery of said upper side opening for greater dispersion of pressure on the patient'"'"'s torso adjacent such opening.

15. A resilient pad for use with a prone positioned surgery patient to reduce bleeding of such patient during relatively long surgical procedures, said pad including:

resilient foam torso support means adapted for being received on an operating table, and for generally supporting a patient'"'"'s torso on an upper surface thereof; and

cavity means, formed generally centrally in said torso support means and upper surface thereof, for receiving in free suspension therein a patient'"'"'s abdomen when such patient assumes a prone position on said torso support means;

wherein pressure on the patient'"'"'s abdomen and vascular system is reduced so that bleeding on the patient'"'"'s side opposite the abdomen is relatively reduced whenever the patient is placed on said pad in a prone position for relatively long periods of time; and

further including

resilient foam head support means for supporting the patient'"'"'s head; and

resilient foam leg support means for supporting the patient'"'"'s lower legs.

16. A resilient pad as in claim 15, wherein:

said torso support means comprises a block of foam material having a density preferably of at least about 1.4 pounds per cubic foot and a thickness preferably of at least about 4 inches; and

said cavity means comprises a generally vertically oriented channel formed in said block of foam material.

17. A resilient pad as in claim 15, wherein:

said torso support means and said head support means include pressure dispersion cuts formed in or adjacent upper support surfaces thereof for improved support of a patient thereon; and

said leg support means generally comprises a wedge shaped member for elevating a patient'"'"'s feet relative the remainder of the patient'"'"'s lower legs; and

wherein said resilient pad may be adjusted for custom usage with different patients by selectively arranging the relative distances and positions among said torso support means, head support means and leg support means.

18. A resilient pad as in claim 15, wherein:

said head support means and leg support means each comprises an integral foam member separate from said torso support means; and

wherein said cavity means generally comprises a channel formed through said torso support means, and having a generally elongated cross-section, the elongated axis of which generally runs parallel with the intended position of the spinal axis of a patient received on said torso support means.

19. A resilient pad for use with a prone positioned surgery patient to reduce bleeding of such patient during relatively long surgical procedures, said pad including:

resilient foam torso support means adapted for being received on an operating table, and for generally supporting a patient'"'"'s torso on an upper surface thereof; and

cavity means, formed generally centrally in said torso support means and upper surface thereof, for receiving in free suspension therein a patient'"'"'s abdomen when such patient assumes a prone position on said torso support means;

whereby pressure on the patient'"'"'s abdomen and vascular system is reduced so that bleeding on the patient'"'"'s side opposite the abdomen is relatively reduced whenever the patient is placed on said pad in a prone position for relatively long periods of time;

wherein

said torso support means further includes pressure dispersion cuts therein about the periphery of said cavity means, at least one angled surface near one end of said torso support means for support of a patient'"'"'s upper arm, a recessed generally planar area near said torso support means one end for support of a patient'"'"'s upper chest, and at least one curved surface near an end of said torso support means opposite said one end thereof for support of a patient'"'"'s upper leg.

20. A resilient pad as in claim 19, including a pair of said angled surfaces and a pair of said curved surfaces, and further including through said torso support means a generally vertical slot between said curved surfaces and interconnecting said cavity means with the outside periphery of said torso support means, whereby lateral separation between said pair of curved surfaces may be varied, and wherein said resilient pad further includes strap means, interconnecting opposing portions of said torso support means defined on either side of said slot therein, for limiting the amount of lateral separation therebetween, whereby said resilient pad may be adjusted for use with different sized patients.

21. A surgical kit for cushioning and supporting a patient in a prone position during surgery, comprising:

resilient foam torso support means for resiliently supporting the torso of a patient, said torso support means having abdominal channel means formed therein for receiving a patient'"'"'s abdomen generally in a free-hanging condition while the remainder of such torso is resiliently supported;

head support means for supporting the patient'"'"'s head; and

lower limb support means for supporting the patient'"'"'s lower limbs;

wherein said head support means and lower limb support means comprise respective foam members apart from said torso support means so as to be adjustably positioned relative thereto on an operating table or other primary support surface.

22. A surgical kit as in claim 21, wherein:

said torso support means comprises foam material generally having at least about 1.4 pounds per cubic foot density and at least about 4 inches thickness.

23. A surgical kit as in claim 22, wherein said torso support means is about 8 inches thick, about 28 inches long, and about 22 inches wide so as to resiliently support the full torso of a typical adult patient without compression of said resilient foam torso support means to the point that the patient'"'"'s abdomen would engage a primary support surface below.

24. A surgical kit as in claim 23, wherein said abdominal channel means comprises a generally vertical channel formed through said torso support means and having a generally elongated cross-section, the elongated axis of which is generally about 12 to 16 inches and the lateral axis of which is generally about 6 to 10 inches.

25. A surgical kit as in claim 21, wherein each of said support means is respectively covered by removable, liquid resistant, air permeable drapes, whereby such drapes may be replaced so that said surgical kit may be reused for different patients.

26. A surgical kit for cushioning and supporting a patient in a prone position during surgery, comprising:

resilient foam torso support means for resiliently supporting the torso of a patient, said torso support means having abdominal channel means formed therein for receiving a patient'"'"'s abdomen generally in a free-hanging condition while the remainder of such torso is resiliently supported;

head support means for supporting the patient'"'"'s head; and

lower limb support means for supporting the patient'"'"'s lower limbs;

wherein an upper support surface of said torso support means is contoured for receipt and support of a patient'"'"'s upper arms, upper chest, and upper legs.

27. A surgical kit as in claim 26, wherein said upper support surface includes a pair of curved surfaces for receipt and support of a patient'"'"'s upper legs.

28. A surgical kit as in claim 27, wherein said pair of curved surfaces include pressure dispersion cuts formed therein.

29. A surgical kit as in claim 27, wherein said curved surfaces are situated adjacent to an edge of said upper support surface.

30. A surgical kit as in claim 26, wherein said upper support surface includes a relatively recessed support surface for supporting generally a patient'"'"'s upper chest.

31. A surgical kit as in claim 30, wherein said relatively recessed support surface includes pressure dispersion cuts formed therein.

32. A surgical kit as in claim 26, wherein said upper support surface further includes a pair of angled surfaces adjacent an edge thereof for receipt and support of a patient'"'"'s upper arms.

33. A surgical kit for cushioning and supporting a patient in a prone position during surgery, comprising:

resilient foam torso support means for resiliently supporting the torso of a patient, said torso support means having abdominal channel means formed therein for receiving a patient'"'"'s abdomen generally in a free-hanging condition while the remainder of such torso is resiliently supported;

head support means for supporting the patient'"'"'s head; and

lower limb support means for supporting the patient'"'"'s lower limbs;

wherein said torso support means has an upper support surface with pressure dispersion cuts formed therein.

34. A surgical kit as in claim 33, wherein said pressure dispersion cuts are formed adjacent said abdominal channel means.

35. A surgical kit as in claim 33, wherein said upper support surface includes a relatively recessed support surface for supporting generally a patient'"'"'s upper chest.

36. A surgical kit as in claim 35, wherein said relatively recessed support surface includes pressure dispersion cuts formed therein and formed in said upper support surface adjacent thereto.