Sonon HD 500L
Hand Held Ultrasound for Haemodialysis
Point-of-care ultrasonography provides a comprehensive visual format and greatly enhanced cannulation outcome and experience.
- Truly portable point of care ultrasound to assist with the cannulation of a fistula or graft
- Offers wireless connectivity to provide freedom of movement and avoid cable drag
- Compatible with multiple smart devices – both iOS and android
- Ideal field of view especially for longitudinal views of the vein
- Particularly suitable for needle guidance and targeted access
- Designed to be maintenance free
- No subscription fees
- Future application upgrades provided free of charge
- FULL APPLICATION AND CLINICAL TRAINING INCLUDED
Clinical Information:
Clinical evidence and economic hypotheses for the use of nurse led ultrasoundVascular access trauma due to poor needle placement can have serious effects on the longevity of the vascular access. Mis-cannulation of new AVF is very high, with nearly 51% of fistula having a mis-cannulation within the first three dialysis sessions.
By six months, less than 10% of new AVF would have uncomplicated cannulations with two needles for every HD session. Ultrasound in general vascular practice is not a new concept; it has been used for over 30 years, with many published advantages of cannulation success.
Ultrasound use in renal vascular access is growing globally. This is largely due to the development of lighter, more portable point-of-care equipment, which enables assessment at the bedside.
Hypothesis of economic impact:
- Point-of-care ultrasonography provides a comprehensive visual format and greatly enhanced cannulation outcome and experience.
- Enhanced cannulation outcomes may result in improved fistula longevity.
- Improved fistula longevity may result in a reduction of conversions from fistula to central venous catheter.
Below are the NICE national average costs associated with CVC and vascular ultrasound procedures:
| Insertion of CVC | £552 (day case average of non-tunnelled & tunnelled procedures 50% / 50%) |
| Attention to CVC | £354 (day case) |
| Removal of CVC | £458 (day case) |
| Vascular ultrasound | £58 |
Assuming each fistula to CVC conversion undergoes:
- One ultrasound examination
- One CVC insertion procedure
- One CVC attention procedure
- One CVC removal procedure
Point-of-care ultrasound technology can now be purchased for £6,800
Therefore, once 4.8 patient conversions have been avoided, the ultrasound cost has been more than covered.
All future fistulae preserved, avoiding CVC conversion, accrue: £1,428 savings per patient £1,428 x 4.8 = £6,854
Therefore, once 4.8 patient conversions have been avoided, the ultrasound cost has been more than covered.
All future fistulae preserved, avoiding CVC conversion, accrue: £1,428 savings per patient £1,428 x 4.8 = £6,854
Images - Click to enlarge
Downloads
"Ultrasound use in renal vascular access is growing globally. This is largely due to the development of lighter, more portable point-of-care equipment, which enables assessment at the bedside."
