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USA / Product Areas / Emergency Medicine / Intraosseous Access / Arrow™ EZ-IO™ System / Use and Application

The Arrow™ EZ-IO™ System

The EZ-IO™ System is a versatile vascular access solution that can be used by ALL qualified healthcare professionals, across multiple settings, in virtually all patient types, regardless of underlying cause of vein inaccessibility.*

Use Cases

The EZ-IO™ System may be used any time in which vascular access is difficult to obtain in emergent, urgent or medically necessary cases,* such as:

CARDIAC
Cardiac arrest
STEMI / NSTEMI
SHOCK
Trauma
Sepsis
RESPIRATORY
Intubation (RSI)
Pneumonia
NEUROLOGICAL
Stroke
TBI

Accessibility

The EZ-IO™ System offers various accessibility options. Whether it's in a code cart, wall box, carrying case or access pack, The IO You Know™ will be accessible to you for your next difficult vascular access (DVA) patient.


Code Cart

Standardize storage for consistency of care

  • IO storage in Code Carts is recommended by the Association for Vascular Access (AVA)1

Learn More About Standardizing IO in Code Carts

AVA Position Statement
Code Cart Flyer

Arrow™ EZ-IO™ Wall Mounted Storage Cabinet

  • Quick access with single-handle door latch
  • Easy management
  • Highly accessible and recognizable
  • SKU: 9070
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Arrow™ EZ-IO™ Hard-Sided Power Driver Carrying Case

  • Durable protection
  • Portable; easy for transport and storage
  • SKU: 9074
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Arrow™ EZ-IO™ Soft-Sided Access Pack

  • Yellow bag is easily distinguished and recognizable
  • Portable; easy for transport and storage
  • SKU: 9065
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How to Use

The EZ-IO™ System is a fast2 and effective3 solution for patients with DVA that delivers the speed you need and success you depend on in just 4 simple steps:

1. Identify

Identify insertion site; select EZ-IO™ Needle based on patient

2. Landmark

Position extremity; landmark site and clean site

3. Access

Establish vascular access; remove stylet; apply stabilizer dressing and extension set

4. Deliver

Administer fluids and medication under pressure

For description purposes only. Please follow the complete Instructions For Use when using the EZ-IO™ system. Connect straight to the hub for pain management, administration, sampling, or when necessary.

Site Identification & Selection

Intraosseous (IO) site selection depends on patient age, size, anatomy, presenting condition; as well as ability to locate anatomical landmarks, and clinical judgment and experience. The Arrow™ EZ-IO™ System is indicated for use in a wide range of bilateral insertion sites for both adult and pediatric patients, providing clinicians with versatility in placement.

Roll over each insertion site to learn more

Proximal Humerus

  • Flow rates average 6.3 L/hr. under pressure.5†§
  • 3 seconds to heart with medication/fluids.4†
  • Less medication required for pain management during infusion.6†‡

Next

Proximal Tibia

  • Flow rates average 1 L/hr. under pressure.6||

Next

Distal Tibia

  • Flow rate data not available for this insertion site.

Next

Proximal Humerus

  • Flow rates average 6.3 L/hr. under pressure.5†§
  • 3 seconds to heart with medication/fluids.4†
  • Less medication required for pain management during infusion.6†‡

Next

Distal Femur

For pediatric use only

  • Insertion success rate of 98-100%.7

Next

Proximal Tibia

  • Flow rates average 1 L/hr. under pressure.6||

Next

Distal Tibia

  • Flow rate data not available for this insertion site.

Next

Landmarking Resources

Teleflex is here to support your success

View or download the following resources that can be used on demand or in your hand:

Intraosseous Access: Landmarking Deep Dive

Complete course on Teleflex Academy & receive 1.50 CERPs**

Landmarking Poster

Pocket Guide

Mobile App

Scan the
code to
download

References:

  1. Lau, J and Thompson, J (2023) Intraosseous Device Insertion for Adults and Pediatrics. Association for Vascular Access. Available at: https://cdn.ymaws.com/www.avainfo.org/resource/resmgr/files/position_statements/ava_position_paper_-_intraos.pdf. Accessed February 20, 2023.
  2. Davidoff J, Fowler R, Gordon D, et al. JEMS. 2005;30(10):s20-s23. Research sponsored by Teleflex Incorporated.
  3. Cooper BR, Mahoney PF, Hodgetts TJ, et al. J R Army Med Corps. 2007;153(4):314-316.
  4. Montez DF, et al. Ann Emerg Med. 2015;66(4s):S47. Research sponsored by Teleflex Incorporated.
  5. Puga T, Montez D, Philbeck T, et al. Crit Care Med, 2016; 44(12):143. Research sponsored by Teleflex Incorporated. Based on a healthy volunteer study.
  6. Philbeck TE, et al. JEMS. 2010;35(9):58-69. Research sponsored by Teleflex Incorporated.
  7. Hoskins SL, Nascimento P Jr., Lima RM, Espana-Tenorio, JM, Kramer GC. Pharmacokinet`ics of intraosseous and central venous drug delivery during cardiopulmonary resuscitation. Resuscitation 2011; doi:10.1016/j.resuscitation.2011.07.041. Research sponsored by Teleflex Incorporated. (preclinical study)
  8. Truemper EJ, et al. Ann Emerg Med. 2012;60(4):S90. Research sponsored by Teleflex Incorporated.
*The Arrow™ EZ-IO™ System is indicated for intraosseous access anytime in which vascular access is difficult to obtain in emergent, urgent or medically necessary cases for up to 24 hours. For patients ≥ 12 years old, the device may be extended for up to 48 hours when alternate intravenous access is not available or reliably established.
**This program has been approved by the American Association of Critical-Care Nurses (AACN), for 1.50 CERPs, Synergy CERP Category A, File Number 23875. Approval refers to recognition of continuing education only and does not imply AACN approval or endorsement of the content of this educational activity, or the products mentioned.
† Based on adult humerus data
§ Based on 300 mmHg of pressure
‡ Compared to EZ-IO™ System tibial insertions

|| Based on adult proximal tibial data and 300 mmHg of pressure

Rx Only.
CAUTION: Federal (USA) law restricts this device to sale by or on the order of a physician.

*The Arrow™ EZ-IO™ System is indicated for intraosseous access anytime in which vascular access is difficult to obtain in emergent, urgent or medically necessary cases for up to 24 hours. For patients ≥ 12 years old, the device may be extended for up to 48 hours when alternate intravenous access is not available or reliably established. *Time to access is measured as insertion of the needle set through the bone cortex and into the intraosseous space.

The Arrow™ EZ-IO™ Needle Set is Sterile, Single Use: Do not reuse, reprocess or re-sterilize. Reuse of device creates a potential risk of serious injury and/or infection which may lead to death. Refer to Instructions for Use for complete warnings, indications, contraindications, precautions, and potential complications.

Teleflex, the Teleflex logo, Arrow, EZ-IO, and The IO You Know are trademarks or registered trademarks of Teleflex Incorporated or its affiliates, in the U.S. and/or other countries. All other trademarks or registered trademarks are the property of their respective owners. MC-009068