An apparatus for accessing the lumen of a vessel. The apparatus includes a handheld device and a cartridge. The handheld device includes an imaging device attachment utilized to secure an image capturing instrument, an arm coupled to the imaging device attachment. The cartridge includes a sheath, needle or guidewire coupled to the cartridge. The sheath or needle extends to the insertion depth when fully advanced, thereby allowing the sheath, needle, or guidewire to access the lumen of a vessel.