Has anyone used the JMS Sysloc Mini AV fistual set? Do you like them? Are they as advrtised shorter, with the contured rotating hub and the audible click when locking the needle in place as you re-track it.

Please give pros and cons
Thanks

For full disclosure, I represent JMS.

The cannula of the SysLoc MINI is 23mm of 'exposed length'. This is less than 1" (approximately 25mm). Prevalence of superficial native fistulas is requiring shorter needles to prevent infiltration.

And, yes, there is an audible 'click' when the needle is fully retracted into the integrated safety guard. Contact customerservice@jmsna.net and request a sample for further investigation. We also can provide a video of the operation of the SysLoc MINI.

Medisystems has had 3/5" cannula length available for years. Masterguard safety device is by far superior to the Sysloc. We tried Sysloc and found the weight of the device detrimental to the fistula.

We are using the JMS and we have mixed feeling about them. I think its cool that you can flip the bevel down without flipping the wings. My only con was that it seems kinda bulky and when using them on a smaller fistula, it was hard to really feel if you were in. And flashbacks seem smaller also. But overall, I think they are a good needle.

PLEASE don't flip needles. The "back eye" of the arterial needle should prevent the needle sucking up to the lumen wall. Needles did not use to have the "back eye", and this is why we used to flip needles.

Then why did they give the option to rotate it then?

I've been flipping for 12 years now, never had a problem doing it. If it's done right,then there is no problem.

However, on a shallow access, I cannulate bevel down.

I am glad you have been careful and not had any problems. However, it is not a safe practice to use in general, and should only be practiced by expert cannulators in exceptional circumstances, not on a routine basis.

I don't know why they made that option on those needles, I guess because so many people who have been in the dialysis biz for so long are so used to flipping needles. Old habits die hard.

Why do you cannulate bevel down?
Are you not afraid of coring a hole in the fistula? Cannulating bevel up creates a flap in the vessel wall, cannulating bevel down creates a hole the size of the needle lumen in the vessel wall.

I've never noticed a difference in size of the hole. More people cannulate bevel down than we think. I do bevel down just on shallow accesses just eliminate the chance of the tip of the needle to nick the back side of the access. Thats all. Merry Christmas!

Here is another reason why I flip needles.

Flipping_needles.bmp (230 KB, 10 downloads)

Flipping needles ruins Fistulas.The same old tired rationale is given to me by Dialysis Clinicians who cannot see the wisdom of using the Button hole technique.Its a new day Let's be proactive and take care of our patients more responsibley.

I favor the button hole technique.

Anyone have complaints about leaking around the needles while on dialysis?
Thanks.