Molnlycke AD Small Positioner 12cm x 20cm 1S 1401007

Mölnlycke AD Small Positioner REF 1401007 — Product Overview

The Mölnlycke AD (Anatomically Designed) Small Positioner is a single-use surgical patient positioning device in the 12 cm × 20 cm format, supplied as a single piece (1S) per pack. The positioner is constructed from high-resilience polyurethane foam with viscoelastic properties that allow it to conform to the contours of bony prominences, joints, and limb segments, distributing interface pressure across a broader contact area than rigid or semi-rigid positioning supports. This pressure redistribution function is clinically relevant for the prevention of intraoperative pressure injuries (IPI) — a recognised complication of anaesthetised patients in procedures exceeding 2 hours, particularly in Trendelenburg, lithotomy, lateral decubitus, and prone positions.

Single-use design is the current standard for surgical positioning pads in Singapore hospital settings in compliance with the Ministry of Health Singapore Infection Prevention and Control Guidelines and Joint Commission International (JCI) standards for prevention of healthcare-associated infection. The AD Small Positioner format (12 × 20 cm) is suited to upper extremity positioning (forearm, elbow, wrist), limb elevation under knee or ankle joints, and as a supplementary pad in combination with gel positioning systems for sacral, heel, or occipital protection during extended general anaesthesia. Mölnlycke Health Care AB manufactures this device under ISO 13485:2016 quality management standards with CE classification under EU MDR 2017/745 applicable to the applicable device class.

Product Specifications

Clinical Indications and Applications

• Intraoperative pressure injury prevention: Applied at bony prominences and soft tissue contact points for patients undergoing procedures exceeding 2 hours under general or spinal anaesthesia; consistent with Singapore MOH and Association of Perioperative Nurses Singapore (APNS) guidelines for intraoperative patient skin integrity.
• Upper extremity positioning during surgery: 12 × 20 cm format is appropriate for forearm, elbow, and wrist support on arm boards during upper limb, laparoscopic, or cardiac procedures where arm position must be maintained without neurovascular compression.
• Prone positioning support: Used as supplementary padding under facial, chest, pelvic, or knee contact points for patients in prone position during spinal or posterior fossa neurosurgical procedures, in combination with dedicated prone positioning frames.
• Lithotomy and Trendelenburg positioning: Provides padding at sacral, calcaneal, and peroneal pressure areas for patients in gynaecological, urological, and colorectal procedures performed in Trendelenburg or lithotomy positions associated with elevated shear and pressure forces.
• ICU and ward pressure injury prevention: Used as a supplementary pressure-redistributing layer for immobile patients in ICU, particularly for heel, elbow, and occipital protection where standard mattresses alone are insufficient.
• Paediatric positioning: The compact 12 × 20 cm size is suitable for paediatric patients where larger adult positioning devices create improper alignment or excessive elevation.

Frequently Asked Questions

Q: Why is single-use the standard for surgical positioning pads in Singapore hospitals?
A: Singapore MOH Infection Prevention and Control (IPAC) guidelines and JCI accreditation standards require that items in direct patient contact in the surgical field be either sterile single-use or subjected to validated reprocessing. Foam positioners cannot be reliably cleaned and disinfected between uses due to their porous structure, which retains biological fluids and resists surface disinfectant penetration. Single-use construction is therefore the internationally accepted standard for foam positioning pads in operating theatres, eliminating the risk of cross-contamination and the cost of reprocessing validation.

Q: How does the AD Small Positioner help prevent intraoperative pressure injuries?
A: Intraoperative pressure injuries result from sustained interface pressure exceeding capillary closing pressure (~32 mmHg) at skin-bony prominence contact points during anaesthesia-induced immobility. The viscoelastic foam in the AD positioner conforms to the patient's anatomy, distributing contact force across a larger surface area and reducing peak interface pressure below injury thresholds. This is particularly critical in procedures exceeding 2 hours and in patients with pre-existing risk factors including low BMI, diabetes, peripheral vascular disease, or pre-existing skin fragility.

Q: Can this positioner be used for both adult and paediatric patients?
A: The 12 × 20 cm format is suitable for adult upper extremity support and paediatric general positioning. For adult patients requiring sacral, heel, or full limb support, larger AD positioner formats (available via special order through EMIS) may be more appropriate. Paediatric positioning should be supervised by an anaesthetist or scrub nurse to confirm correct anatomical alignment and appropriate pressure distribution for the patient's weight and procedure duration.

Q: Is this product available for bulk procurement by Singapore hospitals?
A: Yes. EMIS supplies the Mölnlycke AD Small Positioner REF 1401007 to Singapore public and private hospital operating theatre departments, day surgery centres, and ICU units. Institutional procurement pricing, consignment arrangements, and product demonstration are available upon request. The product is distributed as a Class A medical device under Singapore Health Products Act (Cap. 122D) by EMIS as a licensed medical device supplier.

Q: What other sizes of the Mölnlycke AD Positioner are available?
A: The Mölnlycke AD Positioner range includes multiple sizes designed for different anatomical locations and patient sizes. Contact EMIS for the full catalogue including arm board positioners, head and face positioners, limb elevation bolsters, and larger sacral/trochanteric pads. Institutional buyers can request product samples and trial packs for theatre evaluation prior to formulary inclusion.