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SURGEON-CONTROLLED

PATIENT POSITIONING

The First Surgeon Controlled Patient Positioning System

Explore the System

DESIGNED AROUND THE OR

Cost

COST

A lower-cost positioning solution

Compliance

COMPLIANCE

Compliant with AORN recommendations

Portability

PORTABILITY

Portable suitcase-sized design

Reduce Burden

REDUCE BURDEN

Surgeon-controlled, reduces staff

More Cases

MORE CASES

Throughput = increased revenue

Safety

SAFETY

Eliminates non-sterile operator

Cost

COST

50% less expensive than competitors

Compliance

COMPLIANCE

Compliant with AORN recommendations

Portability

PORTABILITY

Portable suitcase-sized design

Reduce Burden

REDUCE BURDEN

Surgeon-controlled, reduces staff

More Cases

MORE CASES

Throughput = increased revenue

Safety

SAFETY

Eliminates non-sterile operator

“

On first glance, I immediately saw it as a solution to existing problems that occur in our operating rooms performing hip replacement surgeries.

Eric Slotkin, Dominion Surgical Member Portrait
ERIC SLOTKIN, DO
Medical Director
“

That control was really the thing that stood out to me the most.

Arjun Saxena, Dominion Surgical Member Portrait
ARJUN SAXENA, MD
Surgeon Advisor/Designer
“

The Dominion Patient Positioning System will be a game changer for total joint replacements in the ACSs

Helen Dickson, Dominion Surgical Member Portrait
Helen Dickson, RN, MSN
Board Advisor
Surgeon operating over a patient utilizing a surgeon controlled patient positioning device
THE SYSTEM

DOMINION PATIENT POSITIONING SYSTEM

OVERVIEW
SURGEON CONTROL & COMPLIANCE

By allowing surgeons to maintain full control during procedures, Dominion PPS minimizes the risk of contamination and liability associated with non-sterile staff involvement.

Slide titled “Peer-Reviewed Evidence” showing staffing efficiency of the off-table technique. Text states the off-table technique eliminates the need for an unsterile assistant to operate the table. A comparison chart shows Dominion PPS requires only surgeon and scrub tech, while a traction table requires surgeon, scrub tech, and unsterile assistant. A blue callout reads “1 fewer FTE per case.” Reference listed at bottom.

Peer-Reviewed Evidence: Off-table technique eliminates the need for an unsterile assistant to operate the table¹

Owen TM, Horberg JV, Corten K, Moskal JT. The off-table technique increases operating room efficiency in direct anterior hip replacement. Arthroplasty Today. 2022;15:167-173.

Dominion PPS suitcase-sized build ensures easy portability and storage, perfect for facilities with limited space.

Dominion Patient Positioning System (PPS) on an OR table

The surgeon-controlled design removes non-sterile operator involvement, lowering liability and the compliance risk that comes with non-sterile operators.

Dominion Surgical Surgeon operating over a patient utilizing the Dominion Patient Positioning System. Headlines "True efficiency, in the hands of the surgeon."

Dominion PPS streamlines operations and reduces compliance risks, making it a practical alternative to traditional specialty tables.

Slide titled “Peer-Reviewed Evidence” showing operational efficiency of off-table techniques in direct anterior hip replacement. Text states off-table techniques reduce operating room time by 43 minutes per case, enabling one additional case per day. A bar chart compares off-table versus on-table times for setup, surgical time, and total room time, with off-table lower in all categories. A blue callout reads “+1 case a day.” Reference listed at bottom.

Peer-Reviewed Evidence: Off-table techniques reduce operating room time by 43 minutes per case, enabling +1 case/day¹

Owen TM, Horberg JV, Corten K, Moskal JT. The off-table technique increases operating room efficiency in direct anterior hip replacement. Arthroplasty Today. 2022;15:167-173.

Dominion PPS offers a budget-friendly platform that helps ambulatory surgery centers reduce equipment expenses significantly.

Slide titled “Peer-Reviewed Evidence” showing financial impact of off-table hip procedures. Text states revenue per additional hip in an ASC is approximately $3,000–$7,000. A comparison graphic shows two Dominion PPS systems can support 5–7 hips per day versus 3–4 hips per day with a single traction table. References are listed at the bottom.

Revenue per additional hip in ASC is approximately $3,000–$7,000 (varies)²

Ambulatory Surgery Center Association. Home. Accessed December 4, 2025. https://www.ascassociation.org/home

Dominion (PPS) System with Patient

Building a Trusted Path to Patient Positioning

The Problem

Current positioning systems remain staff intensive, costly, and inefficient to the surgical workflow.

Orthopedic teams are limited by outdated positioning tables that are costly to own, bulky for ASCs, and difficult to move. They require non-sterile staff to operate, which adds compliance risk and staffing strain, and a single-table setup creates turnover delays that restrict throughput.

Our Purpose

Thoughtful positioning technology begins with understanding the people and environments it serves.

Dominion Surgical brings clinical experience and practical operating room considerations into the development of patient positioning technology. Our approach emphasizes thoughtful design, input from clinical teams, and training to support the introduction of our systems.

Surgeon operating over a patient utilizing a surgeon controlled patient positioning device from a bird's eye view
Learn About Dominion
Surgeon operating over a patient utilizing a surgeon controlled patient positioning device from a bird's eye view

THE PEOPLE BEHIND DOMINION

Surgeons, clinicians and industry leaders guiding the Dominion Patient Positioning System.

VIEW THE FULL TEAM
Albert Nanni, Dominion Surgical Member Portrait

Albert Nanni

CEO & Co-Founder
Lon White, Dominion Surgical Member Portrait

Lon White

CCO
John Chelena, Dominion Surgical Member Portrait

John Chelena

VP of Business Development
Eric Slotkin, Dominion Surgical Member Portrait

Eric Slotkin, DO

Medical Director
Zafer Termanini, Dominion Surgical Member Portrait

Zafer Termanini, MD

Inventor and Co-Founder
Arjun Saxena, Dominion Surgical Member Portrait

Arjun Saxena, MD

Surgeon Designer/Advisor
Conrad Ivie, Dominion Surgical Member Portrait

Conrad Ivie, MD

Surgeon Advisor/Designer
Helen Dickson, Dominion Surgical Member Portrait

Helen Dickson, RN, MSN

Board Advisor
Brian Blackwood, Dominion Surgical Member Portrait

Brian Blackwood, MD

Board Advisor
Gautam Siram, Dominion Surgical Member Portrait

Gautam Siram, MD

Board Advisor
Karlton Neal, Dominion Surgical Member Portrait

Karlton Neal

Board Advisor
Bud Tyler, Dominion Surgical Member Portrait

Bud Tyler

Board Advisor
WHY US?
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Why Dominion Surgical?

Dominion is built around surgeon-centered orthopedic positioning with a defensible IP foundation and brand runway, positioning us for long-term partnership and scale. We focus on delivering actual, measurable value in OR efficiency, scheduling, and economics for both facilities and surgeons, while addressing the common barriers that slow OEM adoption and integration. Our commercialization model supports partner growth and is designed for recurring revenue, all within a clinically relevant, operationally impactful framework that truly “checks all the boxes.”

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