With the FreeMote system, we present a solution for easy and intuitive universal device control. Based on the Wii Remote Controller real world device functions can be accessed and controlled via gestures. Gestures include predefined sets apt for standard functions present in many devices as well as user definable gestures. Offering both possibilities, the users are free to choose and adapt the ...

Percutaneous intravenous devices are an essential component of modern health care. Although they are generally associated with a low incidence of vascular access device-related sepsis, the events following a vascular catheter-related sepsis can be clinically significant and difficult to treat. Here we report a case of Portacath-related sepsis with Serratia marcescens resulting in cerebral and p...

With the introduction of percutaneous arterial access by Seldinger in 1953, the need for surgical arteriotomy was eliminated.1 However, potential trauma to the artery from needle puncture, the introduction of multiple catheters, and the process of closure was recognized early and has, to some degree, remained unresolved for 60 years. Manual compression is generally effective for closure, but it...

Prospective outcomes surveillance using population level data allows for statistical methodologies and confounder adjustment not supported by the FDA's current monitoring system. We explored propensity score matching integrated into an automated surveillance tool as a method for confounder adjustment in an observational cohort. The application analyzed all patients undergoing PCI via femoral ac...

Introduction: Establishing an effective midline program involves more than simply learning an insertion technique for a new product. Midline catheters provide a reliable vascular access option for those patients with difficult venous access who would otherwise require multiple venipunctures or the use of higher-risk central lines to maintain access. An effective midline program establishes a pr...

BACKGROUND To analyze differences of access-site complications related to the height of femoral arterial puncture and the use of a vascular closure device (VCD) following percutaneous coronary intervention (PCI). METHODS A subgroup of the FERARI study being treated by femoral arterial access and valuable inguinal angiography before implantation of a VCD were included. Inguinal angiographies w...

This study aims to investigate the causes of catheter fracture and handling measures for implantable vascular access devices to prevent catheter fracture. We retrospectively examined 3088 adult patients with catheter fracture/disruption caused by totally implantable vascular access devices (TIVDs). In the 3088 cases, implantation was via the internal jugular vein in 2909 cases and the subclavia...

Totally implantable vascular access devices (TIVADs) provide a semi-permanent route for administering intravenous medication in patients who receive repeated courses. They are relatively easy to look after and cosmetically acceptable, but may be associated with complications [1] . A 17-year-old male with cystic fibrosis while undertaking a course of home antibiotics for a pulmonary exacerbation...

BACKGROUND The IO route is an established method of obtaining vascular access in children in acute and emergency situations and is now increasingly being used in adults as an alternative to intravenous access, yet a paucity of evidence exists regarding its use, effectiveness and implementation. AIM AND OBJECTIVES The aim of this literature review is to present a detailed investigation critiqu...