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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?
Dominion Surgical Blue Logo
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.”

CONTACT US

Dominion Surgical News

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Bud Tyler, Dominion Surgical Member Portrait

Bud Tyler

Board Advisor

Bud Tyler is a manufacturing executive with more than 45 years of experience in precision manufacturing for the medical device, aerospace and defense industries. He began his career in 1977 at an eye-surgery device manufacturer that was acquired by Johnson & Johnson, where he served as Director of Materials for its IOLAB division, and went on to spend more than 30 years as Vice President of The EF Precision Group in Willow Grove, Pennsylvania, a consultative contract manufacturer of close-tolerance machined components and turnkey assemblies for medical, aerospace, defense and OEM customers. He is now the founder and principal advisor of Continuum Advisors for Manufacturers. As a member of Dominion Surgical’s Board of Advisors, he brings manufacturing and materials management experience to the company.

Gautam Siram, Dominion Surgical Member Portrait

Gautam Siram, MD

Surgeon Design Advisor

Gautam Siram, MD is a board-certified orthopaedic surgeon with Summit Orthopedics, a division of The Centers for Advanced Orthopaedics in Chevy Chase, Maryland, where he has practiced since 2012, with hospital affiliations at Sibley Memorial Hospital and Suburban Hospital. His practice focuses on adult hip and knee reconstruction, including the muscle-sparing anterior approach for hip replacement, minimally invasive partial and total knee replacement, and complex revision surgery. Dr. Siram earned his medical degree from the Mount Sinai School of Medicine, completed his orthopaedic residency at Howard University Hospital and completed an adult reconstruction fellowship at the Anderson Orthopaedic Clinic. He is a member of the American Association of Hip and Knee Surgeons. He serves as a surgeon design advisor on Dominion Surgical’s Board of Advisors, and Capital Orthopaedic Surgery Center in Germantown, Maryland is his Dominion Patient Positioning System training site.

Brian Blackwood, Dominion Surgical Member Portrait

Brian Blackwood, MD

Surgeon Design Advisor

C. Brian Blackwood, MD is a board-certified, fellowship-trained orthopaedic surgeon with BoulderCentre for Orthopedics & Spine in Boulder, Colorado, which he joined in 2013 after practicing at the Coon Joint Replacement Institute in California. His practice focuses on hip and knee joint replacement, including minimally invasive and robotic-arm assisted techniques, and he is a certified national educator for robotic-arm assisted surgery who has trained hundreds of other providers in the technique. Dr. Blackwood received his medical degree from the University of Washington, completed his orthopaedic residency at the University of New Mexico and completed fellowship training at the Coon Joint Replacement Institute. He serves as a surgeon design advisor on Dominion Surgical’s Board of Advisors, and his Boulder practice is one of the Dominion Patient Positioning System training sites.

John Chelena, Dominion Surgical Member Portrait

John Chelena

Vice President of Business Development

John Chelena brings more than 35 years of experience in orthopedic sales, business development, and leadership. He began his career with DePuy, a Johnson & Johnson company, serving as Vice President of Chesapeake Surgical, a DePuy distributorship, where he developed extensive experience across the orthopedic market and built longstanding relationships throughout the surgical community.

John has continued his career in orthopedics as a Smith+Nephew distributor, giving him a unique perspective shaped by decades of working directly with surgeons, healthcare facilities, sales organizations, and industry partners.

As Vice President of Business Development for Dominion Surgical, John brings that experience and network to the company’s commercial expansion. He plays an important role in developing strategic relationships, identifying new market opportunities, and helping introduce the Dominion Patient Positioning System to surgeons and healthcare organizations across the orthopedic community.

John’s deep understanding of the orthopedic marketplace, combined with his trusted industry relationships and practical knowledge of how new technologies gain adoption, makes him an important part of Dominion Surgical’s commercial leadership team.

Karlton Neal, Dominion Surgical Member Portrait

Karlton Neal

Board Advisor

Karlton Neal is a senior healthcare commercial leader with nearly two decades of experience guiding integrated delivery networks, surgical service lines, and perioperative teams through complex capital equipment decisions. His career includes distinguished tenure with Mizuho OSI, where he consistently delivered top-tier performance across competitive territories and played a central role in advancing adoption of specialized surgical positioning technologies in high-acuity environments.

Mr. Neal’s expertise spans enterprise capital sales, IDN strategy, regional market development, and cross-functional operational alignment. He has led major territory expansions, executed multi-hospital system conversions, and produced sustained double-digit growth across the Northeast and Mid-Atlantic regions.

Throughout his career, Mr. Neal has been recognized for his disciplined approach to stakeholder engagement and his ability to translate clinical workflow needs into scalable commercial strategy. He has served as a trusted partner to surgeons, OR directors, supply chain executives, and hospital leadership, advising on product selection, operational efficiency, and long-term capital planning. His contributions extend to national sales training, mentorship of emerging commercial talent, and the development of structured territory activation frameworks.

Mr. Neal brings to Dominion Surgical a deep understanding of surgical positioning ecosystems, perioperative workflow dynamics, and the decision pathways that drive product adoption within complex health systems. His advisory role supports Dominion’s commitment to clinically relevant innovation, operational excellence, and strategic market expansion.

Mr. Neal resides in Eastern Pennsylvania and remains active in his community through youth sports coaching and mentorship.

Helen Dickson, Dominion Surgical Member Portrait

Helen Dickson, MSN, RN, CNOR, RNFA

Board Advisor

Helen Dickson, MSN, RN, CNOR, RNFA is a nationally recognized ambulatory surgery center (ASC) leader, perioperative nursing expert, and healthcare consultant with more than 30 years of experience in orthopedic surgery, surgical services, and ASC operations. She currently serves as CEO of SurgiPath Advisors, providing consulting services for ASC development, operational excellence, accreditation readiness, and orthopedic program optimization.

Helen also serves as Director of ASC Strategy and Optimization for Premier Orthopedics, is President of the Pennsylvania Ambulatory Surgery Association, and is a PRN Surveyor for AAAHC, where she contributes to accreditation and quality improvement initiatives, including Advanced Orthopedic Certification. Throughout her career, she has held leadership roles in clinical operations, nursing education, and perioperative practice while remaining an active educator, national speaker, published author, and peer reviewer. Her passion for advancing ambulatory surgery through operational excellence, regulatory compliance, and evidence-based practice has made her a respected voice in the ASC and perioperative communities.

Conrad Ivie, Dominion Surgical Member Portrait

Conrad Ivie, MD

Surgeon Design Advisor

Conrad Ivie, MD, MBA is a board-certified, fellowship-trained orthopaedic surgeon with Tennessee Orthopaedic Alliance in Knoxville and Lenoir City, Tennessee. His practice focuses on hip and knee preservation and reconstruction, including hip arthroscopy and minimally invasive anterior approach total hip replacement.

Dr. Ivie earned his medical degree at the University of Tennessee Health Science Center, completed his orthopaedic residency at the University of Missouri, and completed a fellowship in adult hip and knee arthroplasty and hip resurfacing at the Anderson Clinic. He is a member of the American Academy of Orthopaedic Surgeons and the American Association of Hip and Knee Surgeons, and is founder and CEO of Physicians Capital.

Arjun Saxena, Dominion Surgical Member Portrait

Arjun Saxena, MD

Surgeon Design Advisor

Arjun Saxena, MD, MBA is a fellowship-trained, board-certified orthopaedic surgeon at Rothman Orthopaedic Institute specializing in primary and revision hip and knee replacement, including the direct anterior approach. He serves as Director of the Marjorie C. Ernest Center for Joint Replacement at Capital Health, is Co-Chair of Rothman’s Ambulatory Surgery Committee, and is an Associate Professor of Orthopaedic Surgery at Thomas Jefferson University.

Dr. Saxena earned his medical degree at Sidney Kimmel Medical College of Thomas Jefferson University, completed his orthopaedic residency at Thomas Jefferson University Hospital, and completed an adult hip and knee reconstruction fellowship at the Anderson Orthopaedic Clinic in Alexandria, Virginia. He holds an MBA from Pennsylvania State University and serves on committees of the American Association of Hip and Knee Surgeons, the American Academy of Orthopaedic Surgeons and the Eastern Orthopaedic Association.

Zafer Termanini, Dominion Surgical Member Portrait

Zafer Termanini, MD

Inventor and Co-Founder

Dr. Zafer Termanini is the inventor of the Dominion Patient Positioning System and Co-Founder of Dominion Surgical. A board-certified orthopaedic surgeon with more than 30 years of clinical experience, Dr. Termanini has dedicated much of his career to orthopaedic innovation, joint reconstruction, biomechanics and the development of technologies designed to improve surgical care.

Dr. Termanini is a Fellow of the American College of Surgeons and a member of the American Academy of Orthopaedic Surgeons. His clinical and technical background spans orthopaedic and joint reconstruction, sports medicine and biomechanical analysis. He has held multiple U.S. patents and patent applications for medical and orthopaedic innovations, including technologies that have been successfully commercialized.

Throughout his career, Dr. Termanini has combined his experience as a practicing orthopaedic surgeon with a strong interest in engineering and medical device development. That perspective ultimately led to the invention of the Dominion Patient Positioning System, designed to rethink how patient positioning technology can better serve surgeons, operating room staff, healthcare facilities and their patients.

Dr. Termanini received his medical degree, with honors, from the Université d’Angers in France and also studied biomechanical engineering at Arts et Métiers. He has held surgical leadership positions and hospital privileges throughout his career and has practiced in multiple states.

Eric Slotkin, Dominion Surgical Member Portrait

Eric Slotkin, DO

Medical Director

Eric Slotkin, DO is a board-certified orthopaedic surgeon with Orthopaedic Associates of Reading in Wyomissing, Pennsylvania, and serves as Medical Director of Dominion Surgical. His practice focuses on hip, knee and shoulder joint replacement, including minimally invasive direct anterior hip replacement, complex primary and revision hip and knee surgery, and hip preservation.

Dr. Slotkin graduated from the Philadelphia College of Osteopathic Medicine, completed his orthopaedic residency at PinnacleHealth and Penn State Hershey Medical Center, and completed fellowship training in adult reconstruction and joint replacement at the Cleveland Clinic. He has authored peer-reviewed publications and serves as teaching faculty at joint reconstruction courses.

Lon White, Dominion Surgical Member Portrait

Lon White

Chief Commercial Officer

Lon White is a 30-year veteran of the MedTech industry with extensive experience across the musculoskeletal space. Throughout his career, he has built a respected global network and a reputation as someone who understands how to turn innovative technologies into commercial opportunities and, most importantly, how to get things done.

Lon has played critical roles in numerous successful transactions and exits across MedTech and other industries and has helped commercially launch multiple musculoskeletal technology platforms. His experience spans commercialization, go-to-market strategy, business development, strategic partnerships, restructuring, recapitalization, and investment strategy.

As Chief Commercial Officer of Dominion Surgical, Lon brings that experience directly to the company’s commercialization efforts. He is helping shape Dominion’s go-to-market strategy, build and expand key relationships across the orthopedic ecosystem, and guide the company through its transition from product development and clinical evaluation into commercial adoption and growth.

Lon combines an extensive industry network with an entrepreneurial approach to emerging healthcare technologies. His ability to connect strategy with execution makes him an important part of Dominion Surgical’s leadership team as the company introduces a new approach to patient positioning to the orthopedic market.

Albert Nanni, Dominion Surgical Member Portrait

Albert Nanni

CEO & Co-Founder

Albert (“Al”) Nanni is a 32-year orthopedic industry veteran, entrepreneur, and CEO of Dominion Surgical. He is also the Founder of Pivot MedTech and North Medtech Advisors.

Over the course of his career, Al has built a reputation for recognizing important market shifts early and helping bring innovative technologies to market. His experience spans orthopedic distribution, commercialization, business development, surgeon engagement, and strategic growth initiatives across the U.S. and international markets.

Having spent decades working closely with surgeons, healthcare providers, and medical technology companies, Al brings a unique perspective rooted in firsthand operating room experience and real-world market knowledge. He believes that expertise creates confidence, and that the best opportunities emerge when deep industry knowledge is paired with the willingness to take calculated risks.

After founding and building a successful independent medical device distribution business through Pivot MedTech, Al expanded into healthcare business development and commercialization strategy through North Medtech Advisors. Those experiences ultimately led to the creation of Dominion Surgical, where he recognized an opportunity to rethink orthopedic patient positioning and develop a surgeon-controlled platform designed around autonomy, workflow efficiency, and improved patient care.

Today, Al is known for combining deep orthopedic expertise, an extensive national and international network, and a builder’s mindset. His approach has remained consistent throughout his career: stay engaged, understand the market better than anyone else, and be willing to bet on yourself when the opportunity is real.

Al credits much of his success to the unwavering support of his wife, Lynda, their three children, and a faith that has guided him through both opportunities and challenges. While he is passionate about innovation and entrepreneurship, his family remains his greatest accomplishment and daily source of motivation.