NIO
NIO is easy to learn, easy to teach, and one of the fastest vascular access methods. It has been developed in collaboration with EMT personnel, military paramedics, and first aid teams.
In clinical studies, 98% overall success rate in Proximal Tibia and 91% success in Humeral was achieved using NIO without any micro-fractures in the bone, rapid fluid infusion rate, and short procedure time (18.3 seconds on average).
How does it work?
The NIO is a ready-to-use, simple, automated intraosseous device for safe, fast, and easy intraosseous access.
Instructions
Unpack and extract the NIO
Make sure the NIO is free of all packaging pieces.
Choose one of the following injection sites:
The primary site for intraosseous injection: Proximal tibia
Approximately 1 inch or 2 cm medial and 1/2 inch or 1 cm proximal to the tibial tuberosity.
Secondary site for intraosseous injection: Humeral head
Add the patient’s hand and locate the large tubercle on the side of the humeral head.
NOTE: To prevent accidental removal of the device, fix the patient arm by following the procedure.
Disinfect the skin at the injection site following institutional protocols. Note that this is a two-handed procedure. Place your non-dominant hand on the textured spots on the underside of the NIO and place the NIO at a 90-degree angle to the skin at the injection site. The non-dominant hand should maintain this position throughout this procedure.
Unlock the NIO by rotating the cover 90 degrees in either direction.
Place the palm of your dominant hand on the lid. Press the device against the patient’s skin and maintain downward pressure. While pressing down on the device, pull the trigger blades up. This action will activate the device.
While holding the base of the needle stabilizer in place, slowly pull the NIO up in a rotary motion.
While holding the needle stabilizer and cannula in place, remove the stylet by pulling it upwards (use the rotary motion of the stylet if necessary). The notch at the distal end of the NIO can be used to assist in removing the stylet from the cannula. Place the Stile in an appropriate biohazard container.
Connect a syringe and verify the safety gear. If desired, aspirate bone marrow. Always flush successful needle insertion with up to 20 cc of fluid or your protocol. It is recommended to use the NIO Fixation sticker to fix the NIO stabilizer. (A). Connect any standard system for infusion (B). Cover the insertion site with a sterile, occlusive dressing.
Removal instruction:
- Remove the cannula and needle stabilizer by twisting and pulling vertically.
- Dispose of the disassembled components in the appropriate biohazard container.
- Cover the insertion site with a sterile, occlusive wound dressing.