The additional hands free options are:. The technology is marketed for use with any patient and particularly those in whom venous access is difficult, including but not limited to:. It is therefore important not to give undue emphasis to visualising a vein, especially if it cannot be palpated. The current standard practice before performing a venepuncture is visualisation of the vein and palpation of the skin. The device allows improved visualisation of noticeable veins and allows the identification of previously undetected veins in the arm. Specialist commentator comments Although visual inspection may be part of the process of identifying a suitable vein, it is the palpation of that vein that is essential for deciding if cannulation should be attempted. Next Technology overview About the technology Costs and use of the technology Likely place in therapy Specialist commentator comments Equality considerations.
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If help with imaging is needed, ultrasound is the method of choice and has the advantage of being routinely available in accident and emergency departments. As a public authority NICE must also comply fully with legal obligations to promote race and disability equality and equality of opportunity between men and women; and to eliminate unlawful discrimination on the grounds of race, disability, age, sex and gender, sexual orientation, and religion or belief.
A tourniquet is used to restrict venous flow Lavery and Ingram, Costs and use of the technology Information on the cost of using the technology and alternative treatment options has been provided by the device’s UK distributor Q Medical Technologies Ltd.
These include older people, children and minority ethnic groups. AV Vein Viewing System. Ultrasound guidance needs acoustic coupling gel and contact with the patient, so the injection site needs to be cleaned afterwards. Information on the cost of using the technology and alternative treatment options has been provided by the device’s UK distributor Q Medical Technologies Ltd.
The technology is marketed for use with any patient and particularly those in whom venous access is difficult, including but not limited to: It is also considered unsafe for a person to stare into the laser beam for longer than 0.
The manufacturer stated this was the setting most often used. Additionally if the device is not held directly over the vein, the resulting image will be displaced from the true position. Equality considerations NICE is committed to promoting equality and eliminating discrimination. The width of the displayed vein may not be the same as the width of the actual vein. However these blink reflexes may be inhibited or reduced by some diseases, drugs or other medical conditions.
No practical difficulties have been identified in using or adopting the technology. These settings were related to the depth of veins. The AccuVein AV digitally displays a map of the vasculature on the surface of the skin in real time, allowing clinicians to verify vein patency and avoid valves or bifurcations.
A wheeled stand, which can be moved to the patient. The device can be hand held or used with a hands-free option. This can be inverted to improve vein visibility if needed. The device allows improved visualisation of noticeable veins and allows the identification of previously undetected veins in the arm. This change to the AV should reduce the presence of shadows in the image Qmed, The device body must not be submerged in liquid but can be cleaned using a cloth and alcohol disinfectant, diluted bleach or soapy water.
The distributor provides initial training and education in using the device. A clamp and flexible arm kit for supporting the device.
Technology overview | AccuVein AV for vein visualisation | Advice | NICE
Alternative treatment options available in the NHS include visual inspection and palpation, the cost of which is dependent on staff time and consumables for the procedure. The device cannot be sterilised using heat or pressure. The lens and optical surfaces on the back of the device can be cleaned using an alcohol wipe or similar.
The easy to use AV can be held in any direction above the vein being viewed. The additional hands av040 options are:. The device is not designed to come into contact with the patient.
AccuVein AV400 for vein visualisation
Technology overview This briefing describes the regulated use of the technology for the indication specified, in the setting described, and with any other specific equipment xv400 to. It would either be used to identify the most suitable vein before attempting venous access or to confirm the location of an identified vein.
With center line accuracy to the width of a human hair, the AV can detect veins up to 10 mm deep. The medical grade design allows the device to be easily wiped clean, bagged for use in isolation, and does not require calibration as it is permanently aligned.
NICE is committed to promoting equality and eliminating discrimination.