Surfacer® Inside-Out® Access Catheter System

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Image of the Surfacer Inside-Out Needle on a slight angle

RESTORE ACCESS. PRESERVE OPTIONS.

In patients with venous occlusive disease, the current approach is to move to another vein if a subsequent central venous catheter (CVC) is needed. Failed venous access attempts may prevent permanent arteriovenous (AV) access, increasing patient morbidity and the overall cost of care.1

Features & Benefits

To restore and preserve access in chronically occluded veins, John Gurley, M.D.2 developed the Inside-Out approach – allowing clinicians to change the standard of care.

Fluoroscopy image showing Totally occluded superior vena cava

Totally occluded superior vena cava

Fluoroscopy image showing exit target

Exit target provides a zone to position the Surfacer Device to exit the skin

Fluoroscopy image showing Introducer sheath locked onto needle wire and pulled into right atrium

Introducer sheath locked onto  needle wire and pulled into right atrium

Image of full access entry point on patientRESTORE ACCESS

  • Achieves repeatable and reliable central venous access to the right internal jugular (RIJ) vein
  • Preserves the viability of secondary central veins
  • Optimizes placement and maturation of permanent AV access

Central venous access point on patientRELIABLE PROCEDURE

  • 100% (12 of 12) of patients underwent successful central venous access placement3
  • 100% (12 of 12) of patients maintained patency of central venous access through long-term follow-up visit3
  • No device-related adverse events were reported within 48 hours and at 14-day follow-up visit3

View of patient neck with Surfacer entry pointREDUCE COSTS

  • Supports the achievement of permanent AV access which reduces hemodialysis provider cost and downtime by decreasing catheter-associated morbidity and complications1
  • Easier, minimally invasive procedure compared to surgical bypass for patients with totally occluded central veins

REFERENCES

1. Data on file at Merit Medical.
2. Department of Cardiology, University of Kentucky, Lexington, KY, USA.
3. Ebner A, Gallo S, Cetraro C, Gurley J, Minarsch L. Inside-Out Upper Body Venous Access: The first-in-human experiences with a novel approach using the Surfacer Inside-Out Access Catheter System. Endovascular Today. June 2013.

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