Survey for Dialysis Staff Using the Endo AVF Vascular Access

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* 1. Clinic Name (CONFIDENTIAL - Will not be used in any way to identify answers. All information gathered will be shared in summary and not individually.)

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* 2. Which Endo AVF device do you have cannulation experience with?

WavelinQ by BD Brad

Ellipsys® Vascular Access System by Avenu Medical, Inc.

Both

I don't know

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* 3. How is the endo AVF identified in your facility?

Procedure record

Communication from the creation physician/center

Patient ID card or wristband

Other (please specify)

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* 4. Do you receive any training on the endo AVF before having to cannulate the access?

Yes

If Yes, Details of your training:

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* 5. Which surgical AVF is most like the endo AVF?

RC Wrist AVF

Proximal Radial Artery AVF

upper arm AVF (brachiocephalic AVF)

upper arm transposed AVF

Other (please specify)

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* 6. Is your protocol for first time use of a fistula different for Endo AVF?

Yes

If Yes, what is unique for the endo AVF vs. a surgical AVF?

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* 7. For WavelinQ Device - Refer to image above and select appropriate letter for the common arterial needle placement area (into which part of the endo AVF)?

Needle direction Up or Down?

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* 8. For Ellipsys Device - Refer to images above (note: gray line shows the elbow crease area) and select appropriate letter for the common arterial needle placement area (into which part of the endo AVF)?

Needle direction Up or Down?

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* 9. For WavelinQ Device - Refer to image above and select appropriate letter for the common venous needle placement area (into which part of the endo AVF)?

Needle direction Up or Down?

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* 10. For Ellipsys Device - Refer to images above (note: gray line shows the elbow crease area) and select appropriate letter for the common venous needle placement area (into which part of the endo AVF)?

Needle direction Up or Down?

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* 11. Do you use a tourniquet for cannulation of the Endo AVF?

Yes

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* 12. Are you part of an expert cannulation team at your facility?

Yes

N/A

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* 13. Are the endo AVF arms marked by the physician before first cannulation?

Yes

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* 14. Did a physician assist with the cannulation?

Yes

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* 15. If YES selected in Question 14 above, what type of physician assisted with cannulation?

Nephrologist

Interventional Nephrologist

Interventional Radiologist

Surgeon

How did they assist?

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* 16. Do you do anything different when using the One Minute Check for the weekly maturation evaluation?

Yes

If Yes, detail the differences:

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* 17. Do you do anything different when using the One Minute Check for the routine monitoring (before each routine cannulation)?

Yes

If Yes, detail the differences:

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* 18. Needle gauge or blood flow used for the matured endo AVF - any differences from the surgical AVF?

Yes

If Yes, detail differences:

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* 19. If Yes to Question 18 above, please specify any differences from the surgical AVF below:

Needle gauge:

Blood Flow Rate:

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* 20. Cannulation technique used for the endo AVF cannulation:

rope ladder

buttonhole

area (if this is used why?)

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* 21. Cannulation zone length any different than a typical surgical AVF?

Yes

If Yes, provide details:

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* 22. Feel when puncturing the endo AVF vessel wall – any differences from a surgical AVF? (peach vs. orange as an example that has been shared or like a venipuncture vs. upper arm high flow AVF cannulation)

Yes

If Yes, provide details:

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* 23. Does your center access either cubital vein within 3-5 cm of the cubital crease (refer to image above - gray line is over cubital crease) for dialysis access?

Yes

Never

If No or Never, please provide reason:

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* 24. If Yes to question 23 above, are any special steps taken with access/needle placement in the cubital/elbow area? (example: arm board used)

Yes

If Yes, provide details:

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* 25. Post needle removal – any special steps taken?

Pull one needle at a time

Pull both needles at the same time

Use of clamps allowed

Use of clamps restricted

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* 26. Post dressing - any special steps taken? (example tape not around the arm)

Yes

If Yes, provide details:

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* 27. Access surveillance - have you preformed any access surveillance with an endo AVF?

Yes

If Yes, Any Issues? Needle placement changed for the measurement day?

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* 28. Use of any numbing cream or other method to reduce needle cannulation pain? Any different from a surgical AVF?

Yes

If Yes, provide details:

Thank you for helping with this effort to better understand cannulation of endo-AVFs. We hope to re-evaluate this information and survey in one year.