Disposable intraosseous infusion needle standard tip designs. Nb the weight range on ez io needle sets is a guide only and not an absolute indication that the needle is appropriate for a particular weight. The semiautomatic ezio is another access device which is becoming increasingly popular. These three devices are approved by the us food and drug administration fda for io access in adult patients. Persys medical nio intraosseous device emergency medical. The arrow ez io teleflex is indicated for intraosseous access insertion in the humerus, tibia, and distal femur pediatric patients only via a batterypowered driver, using one of three needle sets selected by estimating patient weight and tissue depth overlying the insertion site. Using io access, battlefield responders can deliver lifesaving.
Intended for use as an alternative to intravenous access during pediatric emergencies, permitting infusion of drugs and fluids. Schalk r, schweigkofler u, lotz g, zacharowski k, latasch l, byhahn c. The ezio product system small batterypowered device and a beveled, hollow drill tipped needle set specifically designed for safe and controlled intraosseous vascular access developed for patients of all ages and weights with two needle sizes available, one for patients 339 kg and one for patients 40 kg and greater. This provides a noncollapsible entry point into the systemic venous system. Ezio power driver appropriate size intraosseous needle set based on patient size and weight ezio 15mm pink. The arrow ez io intraosseous vascular access system from teleflex is a solution in emergency situations. The ezio manual driver needle set consists of a small knobshaped handle connected to a beveled, hollow drilltipped needles that were specifically designed to provide safe, controlled vascular access via the intraosseous io route to patients in emergent situations when standard venous access is not possible. Nio is small, light, and easy to use even in demanding situations. The arrow ezio teleflex is indicated for intraosseous access insertion in the humerus, tibia, and distal femur pediatric patients only via a batterypowered driver, using one of three needle sets selected by estimating patient weight and tissue depth overlying the insertion site. During a 24month period, all cases of prehospital io access using the ezio needle driver within three operational areas of emergency medical services were prospectively recorded by a standardized questionnaire that needed to. Studies in animal and human cadavers demonstrated the superiority of the ezio over both, the manual needle and the big, regarding successful insertion on the first attempt manual needle 79.
View the most comprehensive online resource for arrow ez io vascular access education, complete a brief quiz and receive a certificate for successful completion. The needles come in one diameter 15 gauge, but different lengths of 15 mm pediatrics, 339 kg, 25 mm adults, 40 kg, and 45 mm excessive tissue. The new driver incorporates a fully sealed external case that houses the motor and lithium batteries. Ezio intraosseous device implementation in a prehospital.
In year 2015, ez io device held the largest market in the global intraosseous devices market. Nsn parts by hms technologies inc 9007, ez10, ezio from. This item can only be sold to the federal government and military. Performance of a novel, manually operated intraosseous. The aim of this study was therefore to compare a manual intraosseous infusion technique manio and a semiautomatic intraosseous infusion system ezio. Two of the devices big, ezio use a specially designed needle with a stylet or trocar. The ezio device is a sealed medical drill to establish io access. Equipment ezio power driver the ezio power driver can achieve approximately 500 needle set insertions under ideal conditions and contains a nonrechargeable manganese dioxide lithium battery. This was a prospective study of the ezio, a batteryoperated intraosseous needle driver vidacare corp. Release drivers trigger and stop insertion process when. Ezio intraosseous infusion system which medical device. Adult needle sets for the ezio battery powered driver.
This technique is used to provide fluids and medication when intravenous access is not available or not feasible. Oct 26, 2011 intraosseous io access represents a reliable alternative to intravenous vascular access and is explicitly recommended in the current guidelines of the european resuscitation council when intravenous access is difficult or impossible. Using io access, battlefield responders can deliver lifesaving fluids and medications rapidly and effectively for the resuscitation of the casualty. The arrow ezio intraosseous vascular access system from teleflex is a solution in emergency situations. A 15 mm needle set, designed for patients with 339 kg body weight bw, and for patients with minimal tissue over the insertion site as well as a 25 mm needle set for patients with 39 kg bw, or for. Intraosseous infusion io is the process of injecting directly into the marrow of a bone. Io access was established on the first attempt in 97% and failed only once in a patient with total knee arthroplasty, which can be attributed to the lack of experience. This tool facilitates the controlled insertion of an intraosseous needle into the bones medullary cavity. The nio and bone injection gun both from persys medical. The authors have developed an io device which generates both rotational and axial thrust using a manual driver. The device ezio was approved by food and drug administration in 2004 4 and has recently been used in prehospital setting 10. Push the needle set tip through the skin until the tip rests against the bone ensure 5mm of the catheter is visible.
Select ezio needle set based on patient weight, anatomy and clinical judgment. Performance of a novel, manually operated intraosseous device. Connect appropriate needle set to driver stabilize site remove needle cap insert ezio needle into the selected site. How and where to place an ez io intraosseous line for vascular access.
Nsn parts by hms technologies inc 9007, ez10, ezio. Read the full list of which medical device of the year 2012 winners here. Two of the devices big, ez io use a specially designed needle with a stylet or trocar. Operators received a 5minute presentation with 1 insertion demonstration and then. Nb the weight range on ezio needle sets is a guide only and not an absolute indication that the needle is appropriate for a particular weight. The arrow ezio intraosseous vascular access system creates a stable port into the intraosseous space to access the central vascular system within seconds, causing minimal trauma to the patient.
The third device fast1 uses a metaltipped plastic catheter. Io access uses the medullary space as a non collapsible entry point into the systemic venous system. These ezio needle sets are intended for use with the ezio power driver. The persys medical nio intraosseous device is an automatic intraosseous device packaged for safe, quick, and easy vascular access. Ezio g3 power driver qmmh9058 ea ezio needle set paediatric 15gx15mm bx 5 r qmmh9018 box 5 ezio needle set adult 15gx25mm bx 5 b qmmh9001 box 5 ezio needle set long adult 15gx45mm bx 5 y. The nio is a simple, automatic intraosseous device ready for rapid placement into the lateral tibial tuberosity or humeral head. This drilling mechanism addresses certain painpoints of current io devices. The most important check of correct needle length is that once the needle is. Procedure for the insertion and care of an ezio page 7 of 22 6. Teleflex arrow ezio instructions for use pdf download.
This was a prospective study of the ez io, a batteryoperated intraosseous needle driver vidacare corp. Download the most comprehensive and detailed document describing virtually every. This device uses the same physiological concept for fluid and. The aim of this study was therefore to compare a manual intraosseous infusion technique man io and a semiautomatic intraosseous infusion system ez io using adult human cadavers as a model. Intraosseous infusions allow for the administered medications and fluids to go directly into the. The science and fundamentals of intraosseous vascular access 2017 third edition view. Powered intraosseous device ezio for critically ill. Medtrees intraosseous needles and devices include a range of needles, infusion systems, training devices as well as complete kits and bone injection guns. We therefore aimed to study the efficacy of the intraosseous needle driver ezio in the prehospital setting. Ezio products are restricted to federal purchases only. Ezio manual driver needle set, 10box chinook medical gear. Adult needle sets for the ez io battery powered driver. With a steady downward pressure gently squeeze the drivers trigger to penetrate the bone cortex. Please enter a lot number to view the patient card lorem ipsum explanatory text here.
Ezio provides the medical professional immediate vascular access to the central circulation within seconds, delivering medications, intravenous fluids and blood products to adult and pediatric patients. Intraosseous io access can be obtained using manual or drillinserted devices for insertion of specialised needles. Prior to drilling, with the ezio needle set inserted through the soft tissue and the needle tip touching bone, adequate needle length is determined by the ability to see the 5. Expected shelf life for the ezio power driver is 10 years or approximately 500 insertions.
Needle set is the first and only manual io device that enables 7site io access. The intraosseous devices also include a number of brand names such as fast1, b. Intraosseous access vascular access product catalog. The ezio system is a battery powered driver and specially designed cutting 15 gauge stainless steel io needles of 3 different lengths. With a specially designed cutting io needle, manual driver, or small power driver, the ezio allows the clinician complete control avoiding the use of force. Either by manual or power insertion, the ezio stands beside you as field proven for resuscitation, sedation, paralyzation, antibiotic therapy and fluid maintenance. Efficacy of the ezio needle driver for out of hospital intraosseous access a preliminary observational multicentre study.
Syringe driver perfusor compact qmbb8714827 each ars chest decompression needle 14g x 8. Nio is a simple, automatic intraosseous io device designed for safe, quick and easy vascular access. The ezio catheter is marked with a black line 5 mm proximal to the hub. Apr 23, 2019 intraosseous io access can be obtained using manual or drillinserted devices for insertion of specialised needles. The lithium battery is capable of performing a minimum of 500 needle insertions. To clarify what labs are and are not reliable, here is a list. Manual io needles, battery powered driver ezio and impactdriven devices bone injection gun big, fast are preferred for io cannulation 4.
May 23, 2017 nio is a simple, automatic intraosseous io device designed for safe, quick and easy vascular access. Directive 9342eec the ezio power driver and accessories may be stored at temperatures between 20c to 50c 4f to 122f. It is the leading choice for intraosseous access across. The ezio g3 power driver provides immediate vascular access to the central circulation within seconds. Intraosseous devices market, size, share and forecasts to 2023. Ezio manual extremity needle set north american rescue.
Connect appropriate needle set to driver stabilize site remove needle cap insert ez io needle into the selected site. Efficacy of the ez io needle driver for outofhospital intraosseous accessa preliminary, observational, multicenter study. Nio is used in emergency situations, when vascular access is needed for fluid and drug administration. Intraosseous io access in adults is preferred using semiautomatic devices as it is difficult to penetrate the thick cortical layer of long bones using manual needles. Intraosseous infusion needle specifications documents images. Efficacy of the ezio needle driver for outofhospital. The new ezio g3 power driver is the next generation of intraosseous technology from teleflex. The ezio intraosseous infusion system provides the medical professional immediate vascular access to the central circulation within seconds, delivering medications, intravenous fluids and blood products to adult and pediatric patients. The new intraosseous device from the makers of the emergency bandage the nio is an automatic intraosseous device packaged for safe, quick, and easy vascular access.
Io access is useful when vascular access is difficult or likely to lead to delayed management in emergency situations. The ez io system is indicated anytime vascular access is difficult to obtain in emergent, urgent, or medically necessary cases for up to 24 hours and provides peripheral venous access with central venous catheter performance. This tool facilitates the safe and controlled insertion of an intraosseous needle into the bones medullary cavity. Keep hand and fingers away from needle set position the driver at the insertion site with the needle set at a 90degree angle to the bone surface. The major driver for the intraosseous devices market includes the development of rapid and easytouse intraosseous placement. The arrow ezio manual needle set is designed to provide controlled vascular access via the intraosseous io route to patients in emergent situations when standard venous access is not possible. Needle hypodermic set 25 mm intraosseous 15 ga sterile 5s special features. Ezio manual needle trainer set north american rescue. The ezio system is indicated anytime vascular access is difficult to obtain in emergent, urgent, or medically necessary cases for up to 24 hours and provides peripheral venous access with central venous catheter performance. Ezio provides rapid, smooth entry into the bones medullary cavity, creating an immediate conduit to the central circulation. The device has a simple procedure for emergency medical professionals with success rate reaching upto 97%. In year 2015, ezio device held the largest market in the global intraosseous devices market.
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