A REVOLUTIONARY DEVICE DESIGNED TO CORRECT ERGONOMIC LIMITATIONS OF LEFT RADIAL ACCESS PROCEDURES
StandTall is an external specialty sheath extender that readily facilitates left radial artery access (LRA) approach without the loss of operator hand dominance. StandTall simultaneously improves physician ergonomics with measurable advantages and minimal disruption in workflow.
- Single-use, 8.3 FR, 15 cm coiled, sheath extender
- Hydrophilic inner lining
- Shapeable, flexible 10 cm coiled shaft
- Multi-position clasp with adhesive securely attaches to patient or drape allowing for positioning from 0 -180º
- Universal Adapter: Compatible with most introducer sheaths including 5-8 FR Terumo, Boston Scientific and Medtronic vascular access sheaths and 7-8 FR Cook Sheaths
The universal adapter securely attaches the StandTall external specialty support sheath to the vascular access sheath. The adhesive clasp is then positioned to secure StandTall in the optimal place and adheres to the patient or drape. StandTall is then shaped into its desired position and secured onto the adhesive clasp redirecting and stabilizing workflow back toward the physician, staff and standard room set up.
StandTall offers advantages with LRA access for Percutaneous Coronary Intervention (PCI) by allowing for maintenance of physician right hand dominance and workflow management.
The Current Debate Regarding Best Primary Access Site For PCI
The many advantages of trans-radial PCI continue to expand. Hospitals are capitalizing on this trend by integrating radial access into their PCI programs, given the significant cost savings and patient preferences.6 While LRA approach offers significant clinical advantages, RRA has seemingly become the primary wrist access site of choice in recent years. Workflow and patient positioning advantages as well as maintenance of physician right hand dominance likely explains this preference in spite of several limitations of a right wrist approach.
Radux Devices believes the primary aversion to LRA conversion is related to the increased operator stress and higher early radiation exposure rates from leaning over the patient while working from the right side. Alternatively, the physician and staff can reposition room set up to the left side of the patient, requiring use of operators’ non-dominant hand for fine motor activity, a suboptimal setup. StandTall addresses and overcomes these concerns.
Using StandTall as part of the endovascular protocol will provide the physician with a more comfortable and stable workflow environment while reducing musculoskeletal stress and fatigue when conducting fluoroscopic procedures. Data to support this statement is on file at Radux Devices and the POC report is available upon request.
Additional Procedures Where StandTall May Offer An Advantage
- Antegrade arterial puncture for arterial intervention
- Arterial-venous fistula intervention
- Acute stroke and emergent CNS reperfusion
- Pedal access for limb salvage and chronic limb ischemia
- Morbidly obese patient management
Making A difference
how standtall addresses risk in the angiography suite
A proof of concept study conducted by S. Myers, et al., Department of Biomechanics, University of Nebraska, Omaha demonstrated significant ergonomic and occupational health improvements when using StandTall versus standard vascular access in a porcine model using antegrade femoral access and an ergonomically challenging approach. A copy of this study is available on request.
This study demonstrated:
70% reduction in operator hand radiation exposure*
30% less operator fatigue*
23% improved sterility*
Easy sheath re-positioning
Improved access site stability
Enhanced patient safety
*Based on 25 cm
INTERVENTIONAL Fluoroscopists' Perceptions of their Occupational Health risks*
72% Express significant concern about radiation exposure and occupational health issues.
77% Believe inadequate resources are devoted to radiation protection.
77% Want to try new products in the IR suite.
94% Link ergonomic constraints with radiation exposure and occupational stress.
*SIR Survey February 2015