CoapTech has developed a solution for consult-free, bedside gastrostomy tube placement using ultrasound – perfect for intensivists and POCUS specialists. The PUMA-G System is a new device for performing PUG (percutaneous ultrasound gastrostomy), which can be done bedside without consult, leveraging your existing skills with ultrasound, balloons, and guidewires. PUG eliminates care coordination headaches and scheduling inefficiencies. In a recent study (Marshall,2022), patients who underwent the PUG procedure versus usual care gastrostomy had reductions in ICU LOS of 5 days and hospital LOS of 8 days and per patient cost savings of $26,000. PUG also pairs perfectly with percutaneous tracheostomy. A "TPUG" utilizes the same care team at the bedside in single sedation event. Concomitant tracheostomy and gastrostomy procedures have been shown to save $35,000 per patient (Nobleza,2017).