To restore and preserve access in chronically occluded veins, John Gurley, M.D. developed the Inside-Out® approach – allowing clinicians to change the standard of care.

The Surfacer® System is inserted through the femoral vein and navigated to an exit point in the right internal jugular (RIJ) vein, the optional location for AVF placement and maturation. This proprietary Inside-Out approach achieves access to an occluded RIJ vein while preserving the viability of left-sided vasculature and reducing catheter days and related costs.