What am I looking at?
Visual recognition
Very fine metal needle packaged with a 0.018-inch guidewire and transitional dilator.
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Micropuncture access needle

Three-panel learning framework
What am I looking at?
Very fine metal needle packaged with a 0.018-inch guidewire and transitional dilator.
What does it do, and where will I see it?
Low-trauma 21-gauge entry into vessels, ducts, collecting systems, or fluid collections that accepts a 0.018-inch guidewire to begin a micropuncture exchange. Typical procedural contexts include arterial and venous access, tunneled dialysis catheters, ports, fistulograms, nephrostomy, and biliary access.
What most clearly distinguishes it from similar devices?
Its smaller 21-gauge caliber and 0.018-inch guidewire compatibility distinguish it from an 18-gauge access needle and allow a lower-profile initial puncture before upsizing.