In patients with chronically occluded central veins, 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.

The Surfacer® System is inserted through the femoral vein and navigated to an exit point in the right internal jugular (RIJ) vein. This proprietary Inside-Out® approach achieves access to an occluded RIJ vein while preserving the viability of secondary central veins.

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

Restore Access αnd Sustain Central Venous Access

• Achieves reliable and repeatable 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

Reliable Procedure

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

Reduce Costs

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