Merit Medical to Showcase Innovative Products and Participate in Hands-on Workshops at Charing Cross 2022

Merit will be exhibiting at this year’s Charing Cross International Symposium 2022, “the leading vascular symposium where Education, Innovation, and Evidence come together.” This year’s symposium will be offered in-person in London and virtually 26-28 April. Merit is hosting two experiential hands-on workshops and two interactive physician education opportunities.

Find us at booth #16 where we’ll be showcasing the following products:

PRODUCT SHOWCASE

Hero Graft front cutaway diagram of graft insertion into patientHeRO® Graft

The HeRO Graft, a hemodialysis access graft designed for catheter-dependent patients or those failing fistulas or other grafts, offers a 69% reduction in future infections compared to patients receiving catheters as well as a cost-saving of 23% on average per year.

Surfacer® Inside-Out Access system - Restore Access, Preserve Options - Merit MedicalSurfacer® Inside-Out® Access Catheter System

Pioneered by interventional cardiologist John Gurley, M.D., the Inside-Out approach was developed in response to patients with chronically occluded veins that required life-saving vascular access. Inserted in the femoral vein, the Surfacer® Inside-Out® Access Catheter System locates an exit from the right internal jugular vein, maintaining viable secondary veins if necessary.

Maintain Long-Term Vessel Patency - Merit WRAPSODYMerit WRAPSODY™ Cell-Impermeable Endoprosthesis

Featuring a unique tri-layered endoprosthesis microstructure, the Merit WRAPSODY Cell-Impermeable Endoprosthesis extends long-term vessel patency in patients who experience obstructions in the dialysis outflow circuit. The hydrophilic coating allows pinpoint accuracy, smooth insertion, and withdrawal with top-tier trackability.

Please Note: The Merit WRAPSODY Cell-Impermeable Endoprosthesis is not available for sale or use within the United States.

ClariVein OC Infusion CatheterClariVein® OC Infusion Catheter

A minimally invasive solution for patients, the ClariVein® OC Infusion Catheter features a unique 360-degree rotatable dispersion wire at the distal end. The catheter design has been engineered with a small profile, exceptional flexibility, strong imaging visualization, and excellent pushability.

Please Note: The ClariVein OC Infusion Catheter is not available for sale or use within the United States.

Mini Access Kits - Merit MAKMerit MAK™ Mini Access Kit

To access the vascular system, Merit MAK Mini Access Kits take a very small approach, minimizing bleeding and trauma for the patient. Merit MAK guide wires are carefully engineered with a fully enclosed hoop and available in several configurations. Each kit includes a coaxial introducer/dilator pair, 21G needle, and guide wire.

PHYSICIAN EDUCATION

Edited Case: How to Treat Venous Leg Ulcers Efficiently.
How Low Can You Go?

Faculty: Mr. Leith Williams

Date: Tuesday, 26 April

Time: 16:50-16:55 BST

Location: Kensington 2, Venous and Lymphatic Challenges

Learning Objectives:

• Understand the benefits of treating advanced venous disease with the ClariVein OC/NTNT technique.
• Receive an update of evidence and guidance on the treatment of venous leg ulcers
• Learn a practical approach to the ClariVein OC device and procedure

Satellite Symposium: When to Stent? Which Stent?
Continuing Experience with the WRAPSODY Cell-Impermeable Endoprosthesis

Faculty: Dr. Andrew Wigham, Dr. Ounali Jaffer, and Dr. Robert Jones

Date: Wednesday, 27 April

Time: 10:00-10:30 AM BST

Location: Richmond, Vascular Access Masterclass

Learning Objectives:

• Understand how to manage patients and how to decide their best treatment options (i.e., treatment algorithm)
• Know more about the current WRAPSODY trial pipeline (FIRST, IDE, and Registry)
• Learn how WRAPSODY can be beneficial and cost effective in daily treatment

HANDS-ON WORKSHOPS

Hands-on Vascular Access Workstation with the Merit WRAPSODY, HeRO Graft, and Surfacer

Faculty: Mr. Gilbert

Date: Tuesday, 26 April

Time: 10:00-15:00 BST

Location: Workshop Wing

Hands-on Venous Workstation with the ClariVein OC and Merit MAK Mini Access Kit

Faculty: Mr. Williams

Date: Wednesday, 27 April

Time: 09:30-15:30 BST

Location: Workshop Wing


At Merit Medical, we are equally dedicated to cutting-edge innovation with our medical products and physician education. Merit is proud to participate in Charing Cross 2022, and we look forward to seeing you in person or virtually!

Merit WRAPSODY™ Endoprosthesis and ClariVein® OC are not approved or available for sale in the United States.

Before using any of the Merit products mentioned above, refer to Instructions for Use for indications, contraindications, warnings, precautions, and directions for use.

Merit Recognizes National Kidney Month

Merit Medical Recognizes National Kidney Month

Merit Recognizes National Kidney MonthMarch is National Kidney Month, and Merit Medical is committed to empowering the health and wellness of people living with chronic kidney disease and their caregivers. At Merit, our goal is to support the renal health community through a vast array of state-of-the-art therapeutic products, physician education courses, and patient education tools that equip clinicians to make a difference for people living with chronic kidney disease.

According to the National Institutes of Health, approximately 37 million Americans live with chronic kidney disease.1 Although incidences of chronic kidney disease have risen consistently, 9 out of 10 people are not aware of their diagnosis because early-stage kidney disease generally has no symptoms.1

The U.S. Renal Data System 2020 Annual Report cited that approximately 786,000 Americans live with end-stage renal or kidney disease, with 71% (558,000) of those receiving dialysis and 29% (228,000) receiving a kidney transplant.2 People living with end-stage kidney disease require dialysis therapy to regulate body functions, including controlling blood pressure, because their kidneys no longer can.3 Without access to adequate, regular, and affordable dialysis care, people living with end-stage kidney disease will not survive.3

As the number of people impacted by kidney disease continues to increase, Merit’s significant commitment to the renal health community is crucial. Merit is uniquely positioned with hemodialysis and peritoneal dialysis (PD) options for treatments and ancillary products that make a difference for dialysis patients who depend on high-quality care.


Merit Products

HeRO Graft - Hemodialysis Reliable Outflow

Super HeRO®

The Super HeRO Adapter and Support Seal system equips surgeons with standard wall and early cannulation vascular graft options. In addition to reducing hospital admissions due to catheter infections, the Super HeRO helps hospitals and dialysis centers save $3,100 per patient per year when converting catheter-dependent patients to the HeRO graft.

HeRO Graft - Hemodialysis Reliable Outflow

HeRO Graft®

For catheter-dependent patients, or those whose kidney function fails to improve with fistulas or grafts, Merit has engineered a solution: the HeRO Graft, a hemodialysis access graft designed precisely for these patients. Research indicated a 69% reduction in future infections with the HeRO Graft compared to patients receiving catheters.

Surfacer Now Available In the United States - Merit Medical

Surfacer® Inside-Out® Access Catheter System

The Inside-Out approach was developed by John Gurley, M.D., in response to patients with chronically occluded veins. The Surfacer Inside-Out Access Catheter System is inserted through the femoral vein and navigated to an exit point in the right internal jugular vein, preserving the viability of secondary central veins.

Home Dialysis Continues to Be a Nationwide Interest

Peritoneal Dialysis Catheters

To improve flow rates by 30%, Merit designed Flex-Neck Peritoneal Dialysis Catheters with an internal diameter (ID) that is 35% larger than competitors. Infant catheters come in one and two cuff configurations, and each catheter kit has a unique stenciling system for improved placement accuracy.

Centros® & CentrosFLO® Hemodialysis Catheters

CentrosFlo® Hemodialysis Catheters

Featuring self-centering curved tips to promote optimal blood flow and minimize recirculation rates, The Centros (without side holes) and the CentrosFLO™ (with side holes) long-term hemodialysis catheters reach the pinnacle of overall catheter performance. Designed by Dr. Stephen Ash, Merit’s 15F catheters feature a large internal lumen, promoting a flow rate up to 450 mL/minutes.

ProGuide™ Chronic Dialysis Catheters

ProGuide™ Chronic Dialysis Catheters

Designed for patient comfort, ease of insertion, and maintenance, ProGuide Chronic Dialysis Catheters are inserted through a valved peel-away sheath or over-the-wire placements and available in catheter lengths from 19 cm to 50 cm (tip to cuff). Available configurations include standalone catheter, basic kit, complete kit, and complete kit with mini access kit.


Physicians and surgeons look to Merit to provide insightful resources and cutting-edge therapeutic products designed to make a difference for people living with chronic kidney disease. Merit designs and innovates leading products specifically for patients receiving dialysis. For more information on how you can incorporate our biopsy products into your practice, please contact Merit Customer Support.


REFERENCES

  1. National Institutes of Health. National Kidney Month 2022. Retrieved from https://www.niddk.nih.gov/health-information/community-health-outreach/national-kidney-month
  2. American Society of Nephrology. (April 2021). Dialysis Care Around The World: A Global Perspective. Retrieved from https://kidney360.asnjournals.org/content/2/4/604
  3. National Kidney Foundation. Dialysis Info. Retrieved from https://www.kidney.org/atoz/content/dialysisinfo
The Solutions for Your Clinical Challenges - Merit Medical

What’s Your Clinical Challenge? We Have a Solution.

As a leader in customer-focused healthcare, Merit Medical’s priority is to ensure that you have the tools you need to care for your patients. Ranging from product kits to education opportunities, our Complete Solutions simplify preparation and streamline procedures to support quality patient care with a trusted, innovative range of medical devices.


BIOPSY

Biopsy Solution

We offer a wide range of reliable biopsy devices for precise samples every time. Our proven soft tissue biopsy brands, such as Achieve®, Temno®, Tru-Cut®, and CorVocet®, offer a complete selection with advanced features to obtain top-quality tissue samples with ease and efficiency.

LEARN MORE >

CARDIAC CATHETERIZATION

Our cardiac catheterization solutions provide you with a variety of tools to help you accurately diagnose and successfully treat patients with heart problems. From sheath introducers, like our Prelude IDeal™, and guide wires to catheters, inflation devices, and more, we offer a number of superior devices for your procedures.

LEARN MORE >

CRITICAL CARE

Critical Care Solutions

When treating vulnerable patients, every product you use matters. We offer a broad spectrum of tools designed for patients being treated in the critical care unit. Merit critical care technologies aim to reduce contaminant exposure, accurately monitor patient blood pressure, and decrease workplace injury, helping you provide treatment that is safe, effective, and efficient.

LEARN MORE >

DIALYSIS ACCESS

Dialysis Access Solution

Kidney disease is a global issue, and access is the foundation for any successful dialysis procedure. Our comprehensive dialysis access portfolio, including our catheter-dependence reducing HeRO® Graft, brings reliable and innovative solutions to your practice.

LEARN MORE >

PERITONEAL DIALYSIS

Our home dialysis options offer several patient advantages over in-center dialysis, including better kidney disease-related quality of life. We offer virtual and hands-on physician training, a wide range of catheter sizes, accessories, kits, and patient resources.

LEARN MORE >

RADIAL

Radial access has many well-documented benefits that include improved patient safety, a significant reduction in cost of care, and increased patient and staff satisfaction. We support radial access with a diverse portfolio of innovative products and a world-renowned hands-on physician education program, helping you offer the advantages of radial to your patients.

LEARN MORE >

DISTAL RADIAL ACCESS

Distal radial artery access offers both patient and operator advantages. To help bring these benefits to your practice, we provide advanced training on the distal technique as well as innovative products to support your procedures, such as the first-to-market PreludeSYNC DISTAL™ Radial Compression Device.

LEARN MORE >

DRAINAGE

Over the past two decades, we have continually expanded our drainage portfolio to include a diverse range of solutions that work together to help you achieve optimal drainage care. We offer multiple drainage catheters designed to lessen trauma and promote a more accurate placement.

LEARN MORE >

ELECTROPHYSIOLOGY & CRM

Successful diagnosis and treatment of electrical cardiac activity is crucial—this is why we offer a range of physician education courses and specialized tools to assist in making accurate diagnoses and create effective treatment plans. Features include extra-stiff transseptal needles, ergonomic handles for exceptional control, and advanced introducer systems.

LEARN MORE >

EMBOLOTHERAPY

Our proprietary embolic products are the most studied on the market and allow for efficient and safe delivery and predictable outcomes. To complement our offerings, we provide excellent ongoing customer service to ensure you have the tools you need for your procedures.

PROSTATIC ARTERY EMBOLIZATION
To help support your prostatic artery embolization (PAE) practice, we offer virtual and hands-on training, trusted products, clinical resources, patient materials, and more.


UTERINE FIBROID EMBOLIZATION
Our uterine fibroid embolization (UFE) solutions offer trusted products that deliver predictable clinical results as well as long-term symptom control.


We also offer extensive patient resources at our Ask4PAE and Ask4UFE sites.

LEARN MORE >

GASTROENTEROLOGY STRICTURE MANAGEMENT

GI Stricture Management

Merit Endoscopy’s fully covered, laser-cut esophageal stent technology provides for accurate placement and minimized migration. In addition to our state-of-the-art stent technology, we deliver best-in-class dilation products, including our BIG60® Inflation Device and our Elation dilation balloons as well as enhanced physician training.

LEARN MORE >

PULMONARY STRICTURE MANAGEMENT

For patients with tracheobronchial strictures, stent technology can provide rapid palliation and improve quality of life. We offer fully covered, laser-cut tracheobronchial stents and advanced over-the-wire and direct visualization delivery systems. Download case studies and participate in virtual and hands-on training—all designed to help you advance patient care.

LEARN MORE >

KITS & PACKS

Designed to bring convenience and efficiency to your office, our kits and packs solutions can help simplify prep and procedure, support quality patient care, and reduce inventory levels. Our team analyzed hundreds of kits and created a set of standard configurations that meet the needs of the majority of cath labs, interventional radiology, and vascular surgery departments. We also offer customizable kits to fit your unique procedural needs.

LEARN MORE >

SPINE

Through a diverse portfolio of sophisticated steerable technologies, we deliver complete procedural solutions designed to treat pathologies of the vertebrae, reduce pain, and improve patient quality of life. Our comprehensive education programs and unique products allow physicians to address patient-specific needs and physician preference in the treatment of vertebral pathologies.

LEARN MORE >

VENOUS

Venous Solutions from Merit Medical

Our minimally invasive venous solutions are designed to treat symptoms, minimize post-operative pain, and provide faster recovery. Explore products, accessories, and kits, packs, and trays—each complementing the next to provide you with better patient outcomes.

LEARN MORE >


Merit’s dedication to comprehensive customer care starts with providing the tools you need to treat your patients. Ready to get started? Available via email, phone, and live chat, our Customer Support team is here to help find a solution for you. Browse our virtual in-service and product support videos, all designed to help you obtain additional product knowledge and insights. We look forward to working with you.

Merit Medical Brings Awareness to Men's Health

Merit Brings Awareness to Men’s Health During the Month of June

Merit Medical Brings Awareness to Men's HealthIt’s June and officially Men’s Health Month, a time dedicated to the raising awareness of health issues that affect men and boys, encouraging early detection and treatment of these conditions.

At Merit Medical, it’s our goal to not only provide the tools physicians need to treat and improve patient outcomes but also share knowledge and increase awareness surrounding risk factors for disease.

We understand that illness affects both men and women, but to offer the best patient care, it’s also important to shed light on diseases that are more prevalent in one sex versus the other.

Here are just some of the illnesses that are seen more frequently among men—and how we help care for each.

ESOPHAGEAL CANCER

Esophageal cancer is cancer found in the esophagus—the hollow, muscular tube in your body that carries food and liquid from the throat to the stomach. Men are around three times more likely than women to have esophageal cancer.

Esophageal CancerPrevention tips:

  • Avoid alcohol.
  • Eat more fruits and vegetables.
  • Maintain a healthy weight.
  • Exercise regularly.

Learn more about esophageal cancer.


MERIT PRODUCTS



LUNG CANCER

Lung cancer is a type of cancer that begins in the lungs. It is the leading cause of cancer deaths worldwide. The overall chance of a man developing lung cancer in his lifetime is approximately 1 in 15, whereas for a woman, the risk is about 1 in 17.

Lung Cancer Prevention TipsPrevention tips:

  • Quit smoking (or don’t start).
  • Stay away from secondhand smoke.
  • Test your home for radon.
  • Avoid cancer-causing chemicals.
  • Live a healthy lifestyle.

Learn more about lung cancer.


MERIT PRODUCTS



KIDNEY FAILURE

Although more women than men are diagnosed with chronic kidney disease, or CKD, men are more likely to reach kidney failure sooner.

Although kidney failure can happen to anyone, men may be more at risk compared to women due to differences in hormones and living unhealthier lifestyles.

Think Dialysis Access Merit Physician CoursePrevention Tips:

  • Get a kidney check-up at least every year.
  • Control your blood pressure and blood sugar.
  • Stop smoking (or don’t start).
  • Exercise and eat a healthy diet.
  • Maintain a healthy weight.
  • If you have an enlarged prostate, talk with your doctor to make sure it’s not blocking your urinary tract.
  • Give your doctor a list of any supplements, medicines, and/or hormone treatments you’re taking to ensure they aren’t damaging your kidneys.

Learn more about kidney failure and visit our Dialysis Access Solution page.


MERIT PRODUCTS



AORTIC ANEURYSM

The aorta runs from the heart through the center of the chest and abdomen. It’s the main blood vessel that brings blood to the abdomen, pelvis, and legs. An abdominal aortic aneurysm (AAA) is a life-threatening condition that occurs when the vessel enlarges, putting it at risk of bursting. Men are 4-15 times more likely to develop an AAA than women

Aortic AneurysmPrevention tips:

  • Stop smoking (or don’t start).
  • Reduce stress.
  • Exercise and eat a heart-healthy diet.
  • If you have diabetes or high blood pressure, take the medicines your doctor has prescribed.

Learn more about AAA. To learn more about our packs, wires, and other cardiac products, please visit our Merit Vascular page.


MERIT PRODUCTS



HEART ATTACK

heart attack, also known as a myocardial infarction, occurs when heart muscle doesn’t receive enough blood. As time passes without receiving treatment, the more damage is done to the heart. The main cause of a heart attack is coronary artery disease (CAD). Researchers have found that throughout life, men are about twice as likely as women to have a heart attack.

Heart Attack - Men's Health MonthPrevention Tips:

  • Eat a healthy diet.
  • Maintain a healthy weight.
  • Exercise regularly.
  • Stop smoking (or don’t start).
  • Monitor your cholesterol and blood pressure.
  • Manage your diabetes.
  • Take your prescribed medicines.

Learn more about heart attacks. Explore our Cardiac Portfolio, including our radial sheaths, catheters, wires, and compression devices.


MERIT PRODUCTS



LIVER CANCER

Hepatocellular carcinoma (HCC) is the most common type of primary liver cancer and is most often seen in people with chronic liver diseases, such as cirrhosis caused by hepatitis B or hepatitis C. Worldwide, HCC is the fourth leading cause of cancer death and is 3 times more common among males than females.

Liver Cancer - Men's Health MonthPrevention Tips:

  • Avoid heavy alcohol use.
  • Reduce exposure to aflatoxin B1.
  • Stop smoking (or don’t start).
  • Get the hepatitis B vaccine.
  • If you have hepatitis, work with your care provider to receive treatment.

Learn more about liver cancer. Visit our Hepatic Oncology portfolio.


MERIT PRODUCTS



BENIGN PROSTATIC HYPERPLASIA (BPH)

Benign prostatic hyperplasia, or BPH, is the enlargement of the prostate gland and affects only men. It becomes more common as men get older. Up to 90% of men over the age of 80 have BPH. Although BPH is noncancerous, it can cause bothersome lower urinary tract symptoms.

BPH - Men's Health MonthPrevention Tips:

  • Maintain a heart-healthy diet.
  • Avoid heavy alcohol use.
  • Exercise regularly.

Explore the products we offer to support prostatic artery embolization (PAE), a minimally invasive option to treat BPH.


MERIT PRODUCTS



At Merit Medical, our goal is to improve the lives of people, families, and communities worldwide. An important part of this is caring for men’s health by providing the products and therapies needed for patients to live at their best.

Have questions? Reach out to our Customer Support team.


Before using, refer to Instructions for Use for indications, contraindications, warnings, precautions, and directions for use.

National Kidney Month

Merit Recognizes National Kidney Month & World Kidney Day

WRAPSODY™ Inhibits Cell Migration, Tissue Accumulation Across Graft Layers, Helping to Maintain Vessel Patency

Surfacer Now Available In the United States - Merit Medical

Now Available in the US, Surfacer® System Provides Treatment Option for Venous Obstructions

Merit Medical® is committed to offering products that provide patients with better dialysis access options. The newest of these innovations is the Surfacer® Inside-Out® Access Catheter System, a unique device designed to obtain right-sided central venous access in patients with venous obstructions. The Surfacer System received FDA De Novo classification in the US earlier this year and has been CE marked in Europe since 2016.

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.1

Designed 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. Watch how the Surfacer System works.

This proprietary “Inside-Out” approach supports the achievement of permanent arteriovenous access, which reduces hemodialysis provider cost and patient downtime by decreasing catheter-related morbidity and complications.1

Additional clinical benefits of using the Surfacer System were seen in its first-in-human study.2 Results showed that 100% of patients experienced successful central venous access placement, and 100% of patients maintained central venous access patency through long-term follow up. No device-related adverse events were reported at short- or long-term follow up. To learn more about the Surfacer System’s first-in-human study, view the article published in Endovascular Today.

In May of this year, the Surfacer System’s first US-based commercial cases were completed at Santa Clara Valley Medical Center in San Jose, California, one of several clinical sites for the US investigational device exemption (IDE) study, which led to FDA De Novo status. Ehab Sorial, MD, and Ajit Nair, MD, performed the procedures in two hemodialysis patients with central venous obstructions, one of which had limited access options.

“The Surfacer System provides us with a safe and effective option for obtaining right-sided central venous access in patients with venous obstructions, enabling us to preserve secondary central veins and avoid alternative access procedures, which are not as effective and have a higher risk of complications,” explained Drs. Sorial and Nair in a press release. Read the full press release here.

Merit currently distributes the Surfacer System in North America and Europe. With the device’s recent launch in the US, Merit is proud to play an integral role in providing physicians with life-saving technologies for their patients around the world.

Discover the Surfacer Inside-Out Access Catheter System and explore Merit’s entire portfolio of renal therapies and accessories.

 

All trademarks are property of their respective owners.


REFERENCES

  1. Data on file at Bluegrass Vascular Technologies, Inc.
  2. Ebner, A., S. Gallo, C. Cetraro, J. Gurley, and L. Minarsch. 2013. “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. https://evtoday.com/articles/2013-june/inside-out-upper-body-venous-access.
For Katie, Dialysis Care Meant More Time with Her Mom

For Katie, Dialysis Care Meant More Time with Her Mom

For Katie, Dialysis Care Meant More Time with Her Mom
Strong, brave, selfless. These are just a few of the words Katie King used to describe her mother, Kay Lynn Welsh. After Kay passed away last year, Katie reached out to Merit Medical to express her gratitude for the hemodialysis care that gave her mother an additional 9 years of life with her family—something she never thought possible.

Katie’s story began the day Kay started hemodialysis in 2008. “She struggled to get a vascular access,” Katie recalled. “She had a failed graft and a failed fistula, and we had no other options.”

During this time a surgeon recommended the Merit HeRO® Graft, a hemodialysis access graft designed for patients like Kay who are failing conventional fistulas or grafts. “She either needed the HeRO, or she wouldn’t be with us,” Katie said. “After struggling in and out of the hospital, surgery after surgery, accesses failing, and her not feeling well, we pursued the HeRO, and it was successful. She got to enjoy life for nine years.”

Those nine years, Katie explained, were significant and happy ones for Kay and her family. Kay was able to attend both Katie’s and her husband’s graduations as well as see her become a dialysis nurse. She was there to see her granddaughter born and watch as her grandson graduated high school, become a marine, get married, and have a child of his own—making Kay a great grandmother.

“There are too many words to describe her,” Katie said. “She made me who I am today. We are so sad to be without her, yet so thankful for those nine years.”

Merit’s commitment to improving lives is what drives the innovation of products that help people like Kay live longer, providing hope to them and their families.

Home Dialysis Continues to Be a Nationwide Interest

Home Dialysis Continues to Be a Nationwide Interest

Home Dialysis Continues to Be a Nationwide Interest

Home dialysis remains in the U.S. spotlight, as seen in the December 2019 Nephrology News & Issues cover story “Home Dialysis Options Can Assist in Clinical Decision-Making.” Written by Stephen E. Hohmann, MD, FACS, one of Merit’s Think Dialysis Access™ proctors, the article discusses the advantages of home dialysis options, such as peritoneal dialysis (PD). Home dialysis became a topic of interest earlier in 2019 when the White House announced working on a new payment approach for treating kidney disease that favors home-based dialysis options.1

In the article, Dr. Hohmann suggests that advances in PD catheters and implantation systems have made the procedure and treatment more efficient. “Advances in PD catheters have facilitated more streamlined implantation while also potentially giving patients better dialysis fluidic dynamics,” he writes. “Catheters with a larger internal diameter (3.5 mm) compared to other on-market devices can be used, which allows for use of higher flow rates.”2

The catheters Dr. Hohmann refers to are Merit’s Flex-Neck® PD Catheters, the only PD catheters on the market with an inner diameter of 3.5 mm (except for infant-sized catheters). With a 3.5 mm inner diameter, the Flex-Neck is 35% larger than competitive catheters (at 2.6 mm ID), resulting in up to 30% higher flow rates.3 Higher flow rates can translate into reduced treatment times, allowing patients more freedom to do the things they love.

Dr. Hohmann mentions other home dialysis patient advantages that include “more profound improvements in blood pressure control, better kidney disease-related quality of life and shorter recovery time from dialysis treatments . . . compared to similar patients on in-center dialysis.”2 Such benefits are also associated with PD compared to in-center hemodialysis.2 The broader implementation of home dialysis PD care in particular has economic advantages. Dr. Hohmann explains that “a 5% increase in utilization of PD instead of in-center hemodialysis could save as much as $295 million annually.”2

With the increased emphasis on home dialysis, physicians and surgeons across the country are seeking training to support their transition to PD implantation. Merit has been proud to support this initiative with training as part of our Think Dialysis Access™ program, and we will continue rolling out opportunities throughout the upcoming year.

Explore Merit’s support for PD and home dialysis at Merit.com/PD.

Read the full December 2019 Nephrology News & Issues article here.


REFERENCES

  1. Copley, C., & Humer, C. (2019, March 3). U.S. seeks to cut dialysis costs with more home care versus clinics. Retrieved fromhttps://www.reuters.com/article/us-usa-healthcare-dialysis/us-seeks-to-cut-dialysis-costs-with-more-home-care-versus-clinics-idUSKCN1QL0G6
  2. Hohmann, S.E. (2019 Dec.). Home dialysis options can assist in clinical decision-making. Nephrol News Issues. Retrieved from https://www.healio.com/nephrology/kidney-care-community/news/print/nephrology-news-and-issues/%7Bdfac0f88-1d95-48bc-bc56-87070b4e611e%7D/home-dialysis-options-can-assist-in-clinical-decision-making
  3. Data on file.
HeRO Graft - Hemodialysis Reliable Outflow

HeRO™ Graft Bypasses Central Venous Stenosis, Improves Hemodialysis

HeRO Graft - Hemodialysis Reliable Outflow

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. To bypass venous stenosis and improve long-term hemodialysis adequacy, various permanent subcutaneous arteriovenous graft devices have been manufactured as a solution for hemodialysis patients who have exhausted all other access options.

One such product called the HeRO™ Graft was approved by the FDA in 2008. In comparison to catheters, it’s the only clinically proven permanent subcutaneous arteriovenous graft to reduce the risk of vascular access-related infections by 69%, improve adequacy of hemodialysis by up to 32% (1.7 Kt/V), and cut interventions needed to maintain access function by more than half.1 Studies have also linked the HeRO Graft to high cumulative patency rates that reach 87% at two years.2

Cost savings advantages have also been linked with using the HeRO Graft. A US healthcare model for provision of hemodialysis access predicted that in comparison to catheters, using the HeRO Graft could result in an average of 23% annual savings.3 Dialysis centers could save over $3000 per patient each year.4 And hospitals can save thousands in hefty admission costs that accrue because of device-related infections—rates that would commonly range between $23K to $56K per stay.5,6

What makes the HeRO Graft so unique?

Unlike other graft products, the HeRO Graft doesn’t depend on venous anastomosis to bypass venous stenosis. Instead, a radiopaque silicone Venous Outflow component reinforced with kink and crush-resistant nitinol braid is placed in the right atrium and securely attaches to an adjacent ePTFE hemodialysis graft by way of a proprietary titanium connector. This mechanism allows for blood to return from the arteries back to the heart.

To learn more about the HeRO Graft and how you can apply it to your practice, sign up for the upcoming Think HeRO training course held on March 30-31 at the Houston Methodist Institute for Technology, Innovation & Education (MITIESM) in Houston, Texas, by talking to your Merit representative or visiting Merit.com/Education

  1. Katzman, H., McLafferty, R., Ross, J., Glickman, M., Peden, E., & Lawson, J. (2009). Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients. J Vasc Surg, 50(3): 600-607.e1.
  2. Gage, S., Katzman, H., Ross, J., Hohmann, S., Sharpe, C., Butterly, D., & Lawson, J. (2012). Multi-center experience of 164 consecutive Hemodialysis Reliable Outflow [HeRO] Graft implants for hemodialysis treatment. Eur J Vasc Endovasc Surg, 44(1): 93-99.
  3. Dageforde, L., Bream, P., & Moore, D. (2012). Hemodialysis Reliable Outflow (HeRO) device in end-stage dialysis access: a decision analysis model. J Surg Res, 177(1): 165-171.
  4. Yost, L., Dinwiddie, L. (2010, Nov.). Impact of the use of the HeRO vascular access graft vs. tunneled dialysis catheters on dialysis provider economics in an era of bundling. Poster session presented at ASN, American Society of Nephrology, Denver, CO.
  5. Ramanathan, V., Chiu, E., Thomas, J., Khan, A., Dolson, G., & Darouiche, R. (2007). Healthcare costs associated with hemodialysis catheter–related infections: a single‐center experience. Infect Control Hosp Epidemiol, 28(5): 606-609.
  6. O’Grady, N., Dellinger, E., Gerberding, J., Heartd, S. Maki, D., Masur, H., McCormick, R., Mermel, L., Pearson, M., Raad, I., Randolph, A., & Weinstein, R. (2002). Guidelines for the prevention of intravascular catheter-related infections. The Hospital Infection Control Practices Advisory Committee, Center for Disease Control and Prevention, U.S. Pediatrics, 110(5): e51.

Merit Addresses Growth in Home Dialysis Care with Patient and Physician Tools

There has been a recent shift in kidney care with both industry leaders and the White House showing support of home dialysis. This forward momentum is due to several advantages home dialysis offers patients, such as lower mortality rates,1 flexible treatment schedules,2 and reduced cost.3 Merit Medical is pleased to support this transition by providing dialysis patient education, clinician training, and a number of therapeutic products.

Heading the movement are international industry leaders DaVita® Kidney Care and Fresenius Kidney Care with an initiative called 20% by 2020, a program that aims to have 20% of dialysis patients on home dialysis therapy by the year 2020. Both DaVita and Fresenius provide two types of home dialysis options: peritoneal dialysis (PD) and hemodialysis.

“The initiative is important from several standpoints,” says John H. Crabtree, MD, general surgeon, chair of PD University for Surgeons-North America, and visiting clinical faculty at Harbor-UCLA Medical Center in Torrance, CA. “Number one, patients do better on home dialysis.”

Patients on PD therapy in particular, a group that comprises the majority of the home dialysis-treatment population, “have improved survival over the early years on treatment,” Dr. Crabtree told Merit Medical.4 Moreover, for individuals who receive a kidney transplant, “the results tend to be better when they were on peritoneal dialysis prior to the surgery as opposed to hemodialysis.”5

Home dialysis also offers greater autonomy. Because patients are properly trained and therapy can be done overnight, home dialysis allows for a regular work schedule.3 Moreover, the average cost of care for home dialysis is less.3 PD in particular, Dr. Crabtree went on to explain, is approximately $15,000 less per patient per year compared to hemodialysis.6

The White House recently announced a new government-sponsored payment approach for treating kidney disease that favors lower cost home dialysis. The U.S. Centers for Medicare and Medicaid Services is considering a trial program design that would improve care in the early stages of kidney disease, increase access to kidney transplants, and favor home dialysis over clinic-based treatment.3 It is particularly looking at the benefits of PD.3

Despite these advantages and the fact that many physicians believe 25%–35% of patients would do better on home dialysis therapy, the number of people receiving home dialysis in the US still remains low, with only 7% receiving PD and less than 1% choosing home hemodialysis.7 The 20% by 2020 initiative plans to change this through several avenues.

“The way that we can drive this is by improving patient education…Many patients aren’t provided information about home dialysis,” Dr. Crabtree explains. In addition to patient education, Dr. Crabtree says many physician education programs lack the training needed to take care of PD patients. “[I]t’s important to provide courses [and] educational opportunities that allow them to have hands-on training.”

Merit Medical is ready to address these needs through its Ask4PD™ patient education site and ThinkDialysisAccess™ hands-on physician training experiences. Merit also offers high-quality dialysis products, such as the Flex-Neck® Peritoneal Dialysis Catheter, a premium catheter that allows for up to 30% higher flow rates than other catheters currently on the US market.8

The support for home dialysis is expanding. By providing the tools and education needed to advance the 20% by 2020 initiative, Merit shows its ongoing evolution as a healthcare company as well as its vision to continually find ways to improve patient care.

Watch Dr. Crabtree’s interview to learn more about the benefits of home dialysis and how Merit supports it.

Dr. Crabtree is a paid consultant of Merit Medical.

REFERENCES

  1. DaVita® Kidney Care. (n.d.). Top 5 benefits of home dialysis treatment. Retrieved from https://www.davita.com/treatment-services/home-dialysis/home-benefits/top-5-benefits-of-home-dialysis-treatment.
  2. Fresenius Kidney Care. (2019). Learn more about home dialysis treatment options. Retrieved from https://www.freseniuskidneycare.com/ckd-treatment/benefits-of-home-dialysis.
  3. Copley, C., & Humer, C. (2019, March 3). U.S. seeks to cut dialysis costs with more home care versus clinics. Retrieved from https://www.reuters.com/article/us-usa-healthcare-dialysis/us-seeks-to-cut-dialysis-costs-with-more-home-care-versus-clinics-idUSKCN1QL0G6.
  4. Teixeira, J.P., Combs, S. A., & Teitelbaum, I. (2015). Peritoneal dialysis: Update on patient survival. Clin Nephrol, Jan;83(1):1-10.
  5. Joachim, E., Gardezi, A. I., Chan, M. R., et al. (2017). Association of pre-transplant dialysis modality and post-transplant outcomes: A meta-analysis. Perit Dial Int, May-Jun;37(3):259-265.
  6. United States Renal Data System. (2018). 2018 annual data report (Chapter 9: Healthcare expenditures for persons with ESRD). Retrieved from https://www.usrds.org/2018/view/v2_09.aspx
  7. DaVita Kidney Care. (n.d.). Majority of nephrology professionals prefer home dialysis. Retrieved from https://www.davita.com/treatment-services/home-dialysis/recommended-approach.
  8. Data on file.

Charing Cross 2019

Charing Cross 2019

Explore Innovative new products and Hands-on Learning with Merit Medical

Venous Therapy:

ClariVein® Infusion Catheter

• Hands-on Opportunity: Experience operation of the ClariVein while learning about its many patient and operator advantages

Dialysis Access:

Surfacer® Inside Out® Access Catheter System

• Hands-on Opportunity: Try out the unique Surfacer System and learn how it can reliably provide central venous access in patients with occluded veins

HeRO Graft and Super HeRO

• Learn which additional grafts can now be used with the HeRO Adapter.

• Hands-on Opportunity: See the differences and feel the improved pushability of the new Venous Outflow Component.

• See how the Merit Prelude Short Sheath, with its’ excellent tip transition and  large bore stopcock, is ideally suited for fistula and graft management.

Vascular Access and Navigation:

• Try out the Merit Amplatz InQwire and feel how its’ smooth tapered transition from the shaft to the flexible tip allows atraumatic negotiation of the most difficult anatomy

• See the full range of Merit’s Mini Access Kits designed to reduce tissue trauma and bleeding

Balloons and Inflation Devices:

• Try out the new Merit basixTAU Inflation Device that reduces the rotational force needed during inflations and minimizes the chance for hand fatigue.

• Introducing the new family of Advocate PTA Catheters, including 014”, 018”, and 035”

• Take the opportunity at the Merit booth to get hands-on experience inflating the Q50+ Stent Graft Balloon with the widest range of inflation diameters for AAA.

Merit Medical Supports National Kidney Month

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In honor of National Kidney Month and World Kidney Day on March 14th, Merit Medical shows its ongoing commitment to renal health through its diverse portfolio of high-quality therapeutic products, various clinician training opportunities, and dialysis patient education.

The latest U.S. Renal Data System Annual Data Report confirmed that more than 660,000 Americans are being treated for end-stage renal disease; of these, 468,000 are dialysis patients.[1] Around the world, the number of individuals diagnosed with end-stage renal disease continues to increase by 5%–7% per year.2

To help physicians care for this growing patient population, Merit provides a broad array of innovative products that provide reliable access for both hemodialysis and peritoneal dialysis (PD) treatments.

The HeRO® Graft is a hemodialysis access graft for patients who are failing fistulas, or grafts, or are approaching catheter dependency due to the blockage of veins, causing an outflow insufficiency. It’s the only fully subcutaneous AV access solution clinically proven to maintain long-term access for hemodialysis patients with central venous stenosis. The HeRO’s proprietary design has translated into fewer infections and superior dialysis adequacy compared to tunneled dialysis catheters.3

Physicians can also choose from an assortment of other hemodialysis products, such as the Centros® Hemodialysis Catheters or the ProGuide™ Chronic Dialysis Catheters and ancillary products like micro-introducers, wires, and sheaths.

Merit PD care includes the state-of-the-art Flex-Neck® Peritoneal Dialysis Catheters. With a larger internal diameter over competitive catheters, Flex-Neck catheters allow for higher flow rates than other catheters on the U.S. market.4 Catheter Implantation Kits are also available, designed to streamline the implantation procedure and promote efficiency.

Dialysis support continues with ThinkDialysisAccess™ hands-on physician training courses intended for surgeons and interventionalists. These immersive experiences use cadavers, case reviews, and problem-solving techniques in preparation for implantation of the HeRO Graft and/or the Merit PD catheter system. Learn more about upcoming course dates.

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

Educational events across the nation are also offered for physicians who are interested in providing optimal care for dialysis patients. By hosting dinner lectures with clinical educators and experts in the dialysis field, Merit gives physicians a space to ask questions, discuss challenges, learn about Merit therapeutic devices and education courses, and share ways to improve dialysis care. The website lists upcoming ThinkDialysisAccess™ courses throughout the year. The course on April 8 is designed specifically for Fellows (Peritoneal Dialysis and HeRO Graft implantation techniques) and on April 10-12 the focused will be on Peritoneal Dialysis Access techniques.

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

Join Merit in recognizing National Kidney Month and World Kidney Day, and learn more about the many therapeutic devices, accessory products, and services provided to improve dialysis treatment.

REFERENCES

  1. National Kidney Foundation. (2016 Jan). End stage renal disease in the United States. Retrieved from https://www.kidney.org/news/newsroom/factsheets/End-Stage-Renal-Disease-in-the-US
  2. University of California San Francisco. (2014). The kidney project, statistics. Retrieved from https://pharm.ucsf.edu/kidney/need/statistics
  3. Katzman, H. E., McLafferty, R. B., Ross, J. R., et al. (2009). Initial experience and outcome of a new hemodialysis access device for catheter-dependent patients. J Vasc Surg, Sep;50(3):600-607.
  4. Internal data.