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. This proprietary Inside-Out approach achieves access to an occluded RIJ vein while preserving the viability of secondary central veins.


  • Achieves reliable and repeatable central venous access to the right internal jugular (RIJ) vein
  • Preserves the viability of secondary central veins
  • Optimizes the ability to place and mature permanent arteriovenous (AV) access

Download the brochure

Visit the merit website for more information about the Surfacer® Inside-Out® Catheter System.

Register for the Symposium and the Workshops

  • (Select the one that you wish to attend)