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  • The
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  • Understanding
    ERPDs
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Rampart

The New Standard for Radiation Protection

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A Paradigm Shift in Occupational Safety

Six leading societies—SCAI, ACC, ASE, HRS, SIR, and SVS—have spoken with one voice: enhanced radiation protection is the future. Explore the consensus and discover how lead-free ERPD™ technology is protecting the entire care team.

Read the Consensus Paper
Explore the Resource Library
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01-SCAI
02-ACC
03-ASE
04-HRS
05-SoIR
06-SVS

What Changed?

Lead_Apron_w_ Shadow

Traditional Radiation Protection

Reliance on lead aprons and small ceiling shields

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Multi-Society Consensus

A call for Enhanced Radiation Protection Devices (ERPD)

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New Standard of Care

Enhanced protection for the entire care team

The 3 Biggest Takeaways from the Consensus

Protecting clinicians shouldn’t mean injuring them

THE PROBLEM TODAY
Heavy lead aprons cause orthopedic injuries and potentially career-limiting conditions. More than 3 out of 5 clinicians reported orthopedic concerns related to wearing lead aprons.1,2

THE CONSENSUS RECOMMENDATION
The concept of ALARA (As Low As Reasonably Achievable) has evolved. As technology advances, “reasonably achievable” now means reducing both radiation exposure and orthopedic burden associated with heavy lead aprons.

Radiation protection should extend to the entire care team

THE PROBLEM TODAY
Traditional protection focuses on the physician, leaving nurses, technologists, anesthesia, and imaging specialists exposed.

THE CONSENSUS RECOMMENDATION
The entire procedural team — not just the primary operator—deserves head to toe protection. Radiation safety is a team responsibility.

Radiation protection must be proven to make a difference

THE PROBLEM TODAY
Not all solutions have the same level of clinical validation or demonstrated effectiveness..

THE CONSENSUS RECOMMENDATION
ERPDs should be supported by peer-reviewed clinical evidence and rigorous evaluation—not just phantom data.

Why This Matters: A Call to Action

Healthcare Systems
Protect Your Teams
Health care entities bear the responsibility to protect personnel by meeting optimal safety standards with currently available technology.

Manufacturers
Advance the Standard
Fluoroscopy manufacturers bear responsibility to incorporate ERPD safety features into new installations of such equipment.

Clinical Leaders
Lead the Change
Department leaders can modernize radiation safety, improve ergonomics, and better protect every member of the procedural team.

The Consensus Calls for Action

The future of radiation safety depends on moving beyond the status quo and embracing technologies that better protect every member of the procedural team.

Download ERPD Resources

What is an ERPD?

An Enhanced Radiation Protection Device (ERPD) creates a physical barrier between the primary source of scatter radiation and the clinical staff and is designed to reduce occupational exposure while lessening reliance on heavy protection apparel.

Not Every ERPD is Created Equal

The consensus defines what an ERPD should deliver

ERPD_icon01

Clinically
Validated

  • Peer-reviewed evidence
  • Randomized trials
  • Clinical outcomes in real-world use
ERPD_icon02

Total Team
Protection

  • Total body protection from head to toe
  • Total team protection: operator, nurse, technologist, anesthesia, imaging
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Workflow
Compatibility

  • Full patient access without restricting C-arm movement
  • Does not interfere with imaging performance
  • Rapid deployment for emergency access
ERPD_icon04

Real-Time
Awareness

  • Real-time dosimetry
  • Continuous optimization
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Maximum Attenuation with Zero Added Weight

  • >99% attenuation
  • No weight on clinicians or the patient table
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Proven
Performance

  • Removes orthopedic burden of lead
  • Sustainable and future-forward materials
View ERPD Comparison Tool

Introducing the Rampart System

Purpose-Built to Deliver on the New Standard

The Only Lead-Free ERPD™

Protection made without lead that enables you to safely Shed the Lead®

GUARDIAN-JR-CORONARY-PROCEDURES-WITH-HCP-sized

Lead-Free by Design
Removes the orthopedic burden of heavy lead

Total Body, Total Team Protection
Protects every member of the procedural team from head to toe

+99% Attenuation
Largest shadow of protection across the entire procedural environment with 1mm lead equivalency

Zero Added Weight
No weight on clinicians. No weight on the patient table.

Clinically Proven Performance
Two randomized controlled trials, peer-reviewed real-world evidence, 250,000+ procedures worldwide

Seamless Workflow Integration
Designed for multi- procedure versatility with full access and efficiency

+250,000

Procedures
Worldwide

1mm

Lead Equivalency
Protection

0lbs

Added Weight to Clinicians
or the Patient Table

30-Day

Delivery
Commitment with
Same Day Installation

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Proudly Made
in the USA

Built Different. Delivered Without Compromise.

From proprietary materials to same-day installation, every step is designed to ensure hospitals receive the performance, quality, and deliver speed required to implement the new standard of radiation safety.

Proprietary
Materials

Sole manufacturer worldwide of lead-free bismuth acrylic

Rampart is the sole producer of ClearShield Technology™, a proprietary lead-free bismuth acrylic designed to deliver consistent 1mm lead equivalency protection without compromise.

Vertically Integrated
Manufacturing

From raw materials to finished systems in as little as 5 days

Because every critical manufacturing step happens in-house, Rampart eliminates traditional supply chain bottlenecks while maintaining consistent quality, performance, and availability.

The Rampart
Way

A partner from planning through installation and beyond

Our dedicated team on installation engineers, project managers, and in-house medical physicists ensure seamless implementation with minimal disruption to your lab.

Make the Change: Lead-Free ERPD™ Resource Library

Your go-to hub for evidence, education, and tools to advance radiation safety.

Consensus
Resources

  • Consensus Statement (PDF)
  • Executive Summary
  • FAQs
  • ALARA Explained

Evidence /
Case Studies

  • Randomized Trials
  • Published Studies
  • Case Studies

Understanding
ERPDs

  • ERPD Evaluation Guide
  • ERPD Comparison Sheet
  • Testimonials

Staff &
Administration Tools

  • ROI Calculator
  • Hospital Evaluation Checklist
  • Economic Value Overview
  • Vertically Integrated Manufacturing
Download the Full Toolkit

Sources

  1. Orme NM, Rihal CS, Gulati R, et al. Occupational health hazards of working in the interventional laboratory: a multisite case control study of physicians and allied staff. J Am Coll Cardiol. 2015;65(8):820-826. doi:10.1016/j.jacc.2014.11.056
  2. Abudayyeh I, Dupont AG, Hermiller JB, et al. Occupational Health Hazards in the Cardiac Catheterization Laboratory: Results of the 2023 SCAI Survey. J Soc Cardiovasc Angiogr Interv. Published online March 2025:102493. doi:10.1016/j.jscai.2024.102493

Ready to Build a Lead-Free Lab?

Align with the new standard of care and protect your team with the lead-free
ERPD technology backed by clinical evidence

Schedule a Demo
Talk to a Rampart Team Member
Download Resource Kit
RAMPART WHITE STACKED STL

Important Risk Information: Rampart products may only offer radiation protection when used properly, in accordance with each product IFU. Users should ensure they comply with all applicable laws and regulations governing the use and operation of radiation-producing equipment before removing lead aprons or protective clothing. Users should consult a Radiation Safety Officer or medical physicist for proper procedural guidelines. Improper use of products may lead to cross contamination and potential infection. Improper handling or configuration of products may result in personal injury or property damage.

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