ButtonHole® AV Fistula Needles with SteriPick®

ButtonHole AV Fistula Needles with SteriPick are used for Buttonhole or constant-site cannulation.

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ButtonHole cannulation is the practice of cannulating an AV fistula by going into the exact same spot repeatedly with a dull needle. This technique has been used world wide for 35 years.1

Watch the full ButtonHole video

ButtonHole with SteriPick is designed for the safe and easy removal of the ButtonHole scab that forms when using the Buttonhole technique.

Steripick

  • Can be removed without exposing the needle
  • Remains sterile until the point of use (removing the scab)
  • Ships with the sharp point of the needle protected
  • Replaces the need for tweezers or other instruments
  • Is available on a wide range of gauges, tubing lengths, rotating hubs, and cannula lengths

Clinical studies have also shown that patients performing buttonhole technique experience

  • Less discomfort than the rope-ladder technique using sharp needles2,3
  • Fewer missed sticks than the rope ladder technique using sharp needles4

"Self-cannulating is empowering; it gives me control over my access site. I’ve been doing buttonhole cannulation for over 5 years, and I choose to use ButtonHole needles with SteriPick. SteriPick is a safe and simple way to remove my buttonhole scabs. I like knowing SteriPick is sterile right up until the point I use it."- Customer

There should be stringent adherence to infection control steps during Buttonhole cannulation including:

  • Washing access and surrounding area with soap and water. Antiseptic soap may be used.
  • Disinfection of access and cannulation sites with facility approved disinfectant, ensuring adherence to manufacturer instructions.
  • Scabs, if present, must be removed completely following the facility protocol, which may include sterile gauze, scab removal devices, or sterile tweezers. Do not use needle to remove scabs.
  • Disinfection of the cannulation site is repeated after scab removal.
  • Cannulation is completed using aseptic technique.
  • After needle removal, the application of an antibiotic ointment may be considered by the facility.
Buttonhole AV Fistula Needles with and without SteriPick®
Product Code Available Configurations
BH-2004PE Dull Needle 14G X 1" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2005PE Dull Needle 15G X 1" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2006PE Dull Needle 16G X 1" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2007PE Dull Needle 17G X 1" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2035PE Dull Needle 15G X 3/5" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2036PE Dull Needle 16G X 3/5" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-2037PE Dull Needle 17G X 3/5" BE CL 12" tubing 250/cs (115 pr + 20 ea/twinpk)
BH-3005 Dull Needle Single Needle Set 15G X 1" BE CL 12" tubing 300/cs (single pk)
BH-4006PE Dull Needle 16G X 1" Rotatable BE CL 12" tubing 250/cs (single pk)
BH-7004PE Dull Needle 14G X 1" BE CL 12" tubing 250/cs (single pk)
BH-7005PE Dull Needle 15G X 1" BE CL 12" tubing 250/cs (single pk)
BH-7006PE Dull Needle 16G X 1" BE CL 12" tubing 250/cs (single pk)
BH-4005PE Dull Needle 15G X 1" Rotatable BE CL 12" tubing 250/cs (single pk)
BH-7004 Dull Needle 14G X 1" BE CL 12" tubing 250/cs (single pk)
BH-7005 Dull Needle 15G X 1" BE CL 12" tubing 250/cs (single pk)
BH-7006 Dull Needle 16G X 1" BE CL 12" tubing 250/cs (single pk)
BH-7007 Dull Needle 17 X 1" BE CL 12" tubing 250/cs (single pk)
BH-7014 Dull Needle 14 X 1 1/4" BE CL 12" tubing 250/cs (single pk)
BH-7015 Dull Needle 15 X 1 1/4" BE CL 12" tubing 250/cs (single pk)
BH-7035 Dull Needle 15G X 3/5" BE CL 12" tubing 250/cs (single pk)
BH-7036 Dull Needle 16G X 3/5" BE CL 12" tubing 250/cs (single pk)
BH-7605 Dull Needle 15 X 1" BE CL 16" tubing 250/cs (single pk)
BH-7605PE Dull Needle 15G X 1" BE CL 16" tubing 200/cs (single pk)
BH-7606PE Dull Needle 16G X 1" BE CL 16" tubing 200/cs (single pk)
BH-7615 Dull Needle 15 X 1 1/4" BE CL 16" tubing 250/cs (single pk)

BE = Backeye, CL = Clamp, CS = Case, PE = Steripick®, PK = Pack, TWINPK = Twin Pack

For more information on how you can order Buttonhole AV Fistula Needles with SteriPick, talk to your distributor or speak with your local Representative.

Risks

Some studies have found a correlation between the use of the buttonhole cannulation technique and an increased risk of infectious complications. Since pathogens could be introduced into the patient’s circulatory system through a buttonhole tunnel track, stringent protocols are required for needle insertion and skin preparation before cannulation and after removal of the needle.

References:
  1. Twardowski Z, Kubara H: Different sites versus constant sites of needle insertion into arteriovenous fistulas for treatment by repeated dialysis. Dialysis & Transplantation. 1979; 8(10): 978 - 980.
  2. Hartig V, Smyth W. “Everyone should buttonhole”: a novel technique for regional Australian renal service. J Renal Care. 2009;35(3):114-119.
  3. Marticorena RM, Hunter J, Macleod S, et al. The salvage of aneurysmal fistulae utilizing a modified buttonhole cannulation technique and multiple cannulators. Hemodial Int. 2006;10(2):193-200.
  4. Verhallen AM, Kooistra MP, Van Jaarsveld BC. Cannulating in haemodialysis: rope ladder or buttonhole technique? Nephrol Dial Transplant. 2007;22(9):2601-2604.

  • For more information call 1-800-369-6334 or fill out the form to speak to an expert.