Fist Assist Devices, LLC

Fist Assist Devices, LLC is the exclusive US distributor of the Fist Assist Model FA-1, a non-invasive, wearable intermittent pneumatic compression device designed to assist with vein dilation and preparation for hemodialysis vascular access. The device uses a pneumatic balloon mechanism applied externally to the arm to support arteriovenous (AV) fistula maturation, reduce fistula thrombosis rates, and improve venous access for blood draw procedures. FDA-cleared as an arm massager and circulation enhancement device, the FA-1 addresses critical clinical needs in end-stage renal disease (ESRD) management, where 70% of surgically placed fistulas fail within one year. By enabling pre-surgical vein preparation and improving fistula maturation timelines, the device reduces reliance on temporary catheters and associated complications. The solution targets the US hemodialysis market of over 400,000 patients, supporting cost reduction in ESRD care while empowering patients with a simple, home-use vascular health tool.