AliMed® Bean Bag Positioner with Cutout uses vacuum suction to conform small, loosely packed beads to the patient's body, creating a solid foundation for safe, stable positioning. Lightweight and easy to position with superior flexibility, precise shaping, and maximum conformity. Stain-resistant, easy to clean, and nonporous. Cutout offers a space for extremities to lie in a more natural position. Requires Bean Bag Valve (sold separately) and in-wall vacuum unit (not included) to apply suction. See Instructions For Use below. Not made with natural rubber latex. Available in three sizes: Large, X-Large, and Bariatric.Large: 30"W x 40"L • X-Large: 36"W x 40"L • Bariatric: 46"W x 46"LInstructions for Use: Form the loose Bean Bag around the patient in the desired position. Connect the Bean Bag Valve (sold separately) to your in-wall vacuum unit and apply suction to lock the Bean Bag in place. Unseal the vacuum valve to let air in and allow the beads to move freely again.