Dialysis Access

— PROVIDING LIFE-CHANGING SOLUTIONS WHERE THERE WERE NONE —

Kidney disease is a global issue. Approximately 2 million people worldwide suffer from kidney failure, and the number of patients diagnosed with the disease continues to increase at a rate of 5-7% per year.¹ As many people worldwide currently receive treatment with dialysis or a kidney transplant to stay alive, yet this number may only represent 10% of people who actually need treatment to live.²

Access is the foundation for any successful dialysis procedure. Merit Medical’s comprehensive Dialysis Access Portfolio brings quality, reliability and innovative solutions to your practice.

FEATURED PRODUCTS

HeRO Graft - Hemodialysis Reliable Outflow

HeRO® Graft

Central venous stenosis is a common and serious vascular complication among long-term hemodialysis patients that can lead to the loss of vascular access and a diminished life expectancy.

The HeRO Graft (Hemodialysis Reliable Outflow) is the only fully subcutaneous AV access solution clinically proven to maintain long-term access for hemodialysis patients with central venous stenosis.

Key Features & Benefits (compared to catheters)

69% fewer infections.²
16-32% improved dialysis clearance of toxins and fluids (Kt/V).²
Less than half the interventions to keep access functioning.²
Patency rates comparable to AVG.³

Learn More

More Options: Super HeRO & HeRO Ally Revision Kit

The Super HeRO Adapter and Support Seal system expands upon the clinically proven HeRO Graft by allowing surgeons to utilize other standard wall and early cannulation vascular graft options.

Learn More

HeRO Graft - Hemodialysis Reliable Outflow

Surfacer® Inside-Out Access system - Restore Access, Preserve Options - Merit Medical

Surfacer® Inside-Out® Access Catheter System

The current clinical approach when treating dialysis patients with chronically occluded central veins is to use another vein if a subsequent central venous catheter is needed. Failed venous access attempts may prevent permanent arteriovenous access, increasing patient morbidity and the overall cost of care.4Designed to gain central venous access, the Surfacer System works by inserting the device through the right femoral vein and navigating it up through the patient’s venous system with an exit point in the right internal jugular vein, the optimal location for placing a central venous catheter.

Key Features & Benefits

Preserves the viability of secondary central veins.
Supports the achievement of permanent AV access, which reduces hemodialysis provider cost and downtime by decreasing catheter-associated morbidity and complications.⁵
Easier, minimally invasive procedure compared to surgical bypass for patients with totally occluded central veins.

Learn More

Peritoneal Dialysis

Compared to in-center hemodialysis, home dialysis patient advantages include more profound improvements in blood pressure control, better kidney disease-related quality of life, and shorter recovery time from dialysis treatments. Such benefits are also associated with peritoneal dialysis (PD) compared to in-center hemodialysis.

We offer a line of Flex-neck PD Catheters that are available in various shapes and sizes to accommodate tunneling techniques and exit site options. Our adult catheters have an internal diameter of 3.5 mm, allowing up to 30% higher flow rates than competitors (with 2.6 mm internal diameter). Infant catheters are available in one and two cuff configurations. Each catheter kit contains a unique stenciling system for improved placement accuracy.

Key Features & Benefits

Large internal diameter.
Available in a range of sizes for adult, adolescent, pediatric, and infant patients.
PD accessories as well as Laparoscopic and Percutaneous Implantation Kits are available to streamline procedures and promote efficiency.

Learn More

Flex-Neck Catheters - Peritoneal Dialysis PD - Merit Medical

Merit WRAPSODY™ Cell-Impermeable Endoprosthesis

Merit WRAPSODY™ Cell-Impermeable Endoprothesis

Hemodialysis access failures take a great toll on a patient’s quality of life. Frequent hospital admissions, invasive diagnostic tests, and open and endovascular reinterventions are associated with increased morbidity.⁶ Maintaining vessel patency in hemodialysis patients is critical; however, surgical access durability is temporary at best, with half-life for arteriovenous grafts lasting approximately one year and arteriovenous fistulas providing only slightly better outcomes.⁶ A common failure of hemodialysis access is stenosis or occlusion of the dialysis outflow circuit. Obstructions caused by cellular migration and tissue accumulation across graft ePTFE layers can be a contributing factor.

Addressing this clinical challenge, Merit Medical® introduced the Merit WRAPSODY™, a novel endoprosthesis designed with a revolutionary cell-impermeable middle graft layer. With this unique feature, the Merit WRAPSODY Endoprosthesis inhibits transmural cellular migration without the use of drug bonding, helping to prevent obstructions from forming within the endoprosthesis.

Key Features & Benefits

Inhibits transmural cellular migration without the use of drug bonding
Provides a viable treatment option that preserves functional hemodialysis access
Biocompatible ePTFE material that allows for necessary tissue ingrowth to prevent stent migration

Learn More

PLEASE NOTE: This product page is intended only for an audience outside of the United States as the Merit WRAPSODY Endoprothesis is not approved or available for sale in the United States. By going to the WRAPSODY’s product page, you are acknowledging you are not viewing this information for use within the United States.

SOLUTIONS FROM STICK TO STITCH

From unique, life-saving devices for dialysis access to accessories for everything in between – including catheters, balloons, torque devices and more, Merit offers a full portfolio of products designed with both patients and physicians in mind.

HEMODIALYSIS

PRELUDE® SHEATH INTRODUCERS

Our line of Prelude® Sheath Introducers are part of the innovative family of Merit vascular access products. These products offer excellent transitions, kink resistance, smooth insertion, and more to make accessing your patient easy and convenient. The hemostasis valve minimizes blood leakage during procedures and these introducers are available in custom kit options to meet your clinical needs.

Learn More

CENTROS AND CENTROSFLO™

As the most patent catheters on the market, the Centros (without side holes) and the CentrosFLO (with side holes) long-term hemodialysis catheters feature self-centering curved tips which automatically center the catheter ports within the middle of the vessel to maintain optimal blood flow and minimal recirculation rates, enhancing overall catheter performance.

Learn More

PROGUIDE™ CHRONIC DIALYSIS CATHETERS

ProGuide chronic dialysis catheters are designed for optimal patient comfort, ease of insertion, and maintenance. Multiple kit options are available for insertions through a valved peel-away sheath or over-the-wire placements.

Learn More

BALLOONS

DYNAMIS AV™

The Dynamis AV is a dilatation balloon catheter indicated for the treatment of obstructive lesions of native or synthetic arteriovenous dialysis fistulae.

Learn More

Advocate PTA Catheter Entire Catheter Inflated

ADVOCATE™ PTA CATHETERS

When it comes to peripheral intervention, having a wide variety of available product and treatment options is important. The Advocate PTA balloon catheter portfolio facilitates demand for versatility by combining unique configurations into a broad matrix of balloon sizes and catheter lengths.

Learn More

RENAL ACCESSORIES

BASIXTOUCH™ INFLATION DEVICE

The basixTOUCH provides expanded capacity for inflation. With 35 ATM pressure capability and 30 mL syringe volume, the basixTOUCH is ideal for any interventional lab using high-pressure, large-volume balloons. With wider threads and quick-release handle, the basixTOUCH offers rapid inflation and deflation to busy labs that need top efficiency.

Learn More

SEADRAGON2™ TORQUE DEVICE

Operable with one hand, this ergonomic torque device is designed to enhance manipulation of the guide wire tip. Simply squeeze and release.

Learn More

SLIP-NOT® SUTURE RETENTION DEVICE

The Slip-Not Suture Retention Device helps manage bleeding after an AV fistula intervention by utilizing a novel method to secure your purse-string suture. Suture tension adjustments are achieved at the push of a button.

Learn More

OUTAKE® CATHETER EXTRACTOR

The OuTake Catheter Extractor is a convenient, simple, and cost-effective device used to remove tunneled double lumen hemodialysis catheters with an ingrown cuff.

Learn More

CLINICIAN TRAINING & SUPPORT

For Physicians: Virtual Percutaneous PD Webinar

In this webinar, gain an overview and learn about components of percutaneous PD with Dr. Peter B. Hathaway, a nationally recognized leader in PD catheter placement.

Course topics include:

Current PD environment
Pre-operative assessment and prep
Ultrasound techniques
Percutaneous PD tools and kits
Patient stenciling
PD catheter implantation
Tunneling techniques
Complications and trouble shooting
And more

For Other Clinicians: Virtual Dialysis Access CE Program

Earn continuing education credits with our Virtual Dialysis Access CE Program. Designed for nurses, dialysis technicians, and other healthcare professionals, this program offers and overview of dialysis access by outlining the types of access available and the order of preference for use.

Program topics include:

Overview of dialysis access
Order of preference for dialysis access
Types of dialysis access: AV fistula, AV graft, hemodialysis catheters, PD

To register for these virtual training opportunities as well as learn about our Think Dialysis Access™ physician education program, visit here.

Explore Now

Clinical Case Support

To better aid physicians in dialysis access cases, we also have a dedicated team of dialysis access clinical specialists who understand the intricacies of hemodialysis and PD and are ready to support you. From explaining correct Merit product use to on-site troubleshooting, Merit clinical specialists are available to assist. Connect with a Merit clinical specialist today.

Request Support

PATIENT RESOURCES

as4pd

A significant part of improving dialysis care is ensuring patients understand their treatment options. Ask4PD.com is a patient education site powered by Merit that’s dedicated to helping patients understand dialysis care, especially PD. Individuals have access to helpful resources, including patient and healthcare professional testimonials.

Explore Ask4PD.com

REFERENCES

University of California San Francisco. 2018. “The Kidney Project.” https://pharm.ucsf.edu/kidney/need/statistics
Initial Experience and Outcome of a New Hemodialysis Access Device for Catheter-Dependent Patients.Howard E. Katzman, Robert B. McLafferty, John R. Ross, Marc H. Glickman, Eric K. Peden and Jeffrey H. Lawson. JVS, Journal of Vascular Surgery, September 2009 Volume 50, Issue 3, Pages 600-607.e1
Gage et al. 2012. EJVES.
Data on file at Bluegrass Vascular Technologies, Inc.
Data on file.
Rodriguez, Eduardo, et al. 2017. “Hemodialysis Outflow Vein Stenosis.” In Hemodialysis Access Fundamentals and Advanced Management, edited by Sherene Shalhub, Anahita Dua, and Susanna Shin, 257–263. Switzerland: Springer International Publishing.

Countries

Asia

Europe, Middle East & Africa

North America

Oceania

South America

Languages

Sort Products by

Documents & resources

Categories

Procedure

Documents & resources

Categories

Procedure

Documents & resources

Dialysis Access

— PROVIDING LIFE-CHANGING SOLUTIONS WHERE THERE WERE NONE —

FEATURED PRODUCTS

HeRO® Graft

More Options: Super HeRO & HeRO Ally Revision Kit

Surfacer® Inside-Out® Access Catheter System

Key Features & Benefits

Peritoneal Dialysis

Key Features & Benefits

Merit WRAPSODY™ Cell-Impermeable Endoprothesis

Key Features & Benefits

SOLUTIONS FROM STICK TO STITCH

HEMODIALYSIS

PRELUDE® SHEATH INTRODUCERS

CENTROS AND CENTROSFLO™

PROGUIDE™ CHRONIC DIALYSIS CATHETERS

BALLOONS

DYNAMIS AV™

ADVOCATE™ PTA CATHETERS

RENAL ACCESSORIES

BASIXTOUCH™ INFLATION DEVICE

SEADRAGON2™ TORQUE DEVICE

SLIP-NOT® SUTURE RETENTION DEVICE

OUTAKE® CATHETER EXTRACTOR

CLINICIAN TRAINING & SUPPORT

For Physicians: Virtual Percutaneous PD Webinar

For Other Clinicians: Virtual Dialysis Access CE Program

Clinical Case Support

PATIENT RESOURCES