NIO Intraosseous Device w/Fixation Dressing - Pediatric

Key Specifications

Product Overview

Pediatric intraosseous access occupies a critical role in emergency vascular access: children aged 3–12 have peripheral veins that are both smaller than adults and more prone to collapse under physiologic stress, yet are too large for the NIO Infant's depth-limiting mechanisms. The NIO Pediatric bridges this anatomical gap with a semi-automatic spring-loaded design and an innovative adjustable penetration depth system that accommodates the full 3–12 year age range with a single device.

The adjustable penetration depth is the NIO Pediatric's most clinically significant feature. A removable red spacer adjusts the device's stop depth from 14 mm (appropriate for the smaller tibias of younger pediatric patients, ages 3–9) to 18 mm (appropriate for the approaching-adult tibial anatomy of older pediatric patients, ages 9–12). The provider checks the child's age before activation and either leaves the spacer in place or removes it — a one-step depth calibration that eliminates the need for separate pediatric sizing devices.

The needle stabilizer hub serves four functions: it adjusts penetration depth, positions the insertion arrows for tibial tuberosity landmark guidance, mechanically limits depth to prevent over-penetration, and stabilizes the needle against the limb post-insertion to prevent rotational dislodgment. The built-in location arrows point toward the tibial tuberosity — the anatomical landmark used to position the device for proximal tibial insertion — guiding accurate placement even for providers with limited pediatric IO experience.

Activation requires two simultaneous actions: downward compression of the device against the skin AND squeezing the trigger wings. This dual-activation requirement — combined with the rotating safety latch — prevents accidental deployment during kit access, transport, or mishandling. The 98% success rate documented in NIO adult studies (with comparable pediatric performance data) makes the NIO Pediatric one of the most reliable IO devices available for the 3–12 year range.

NIO Pediatric Insertion Sequence

• Check patient age: 3–9 years (leave red spacer) / 9–12 years (remove red spacer)
• Identify proximal tibia: palpate tibial tuberosity; needle insertion site is 1–2 cm below on medial flat surface
• Unlock NIO: rotate cap 90° so cap aligns with trigger wings
• Position NIO at 90° to insertion site; stabilize with non-dominant hand applying downward pressure
• Align NIO arrows toward tibial tuberosity
• Place dominant palm over cap; apply downward pressure AND squeeze trigger wings simultaneously
• Remove stylet/cap; connect 90° IV extension set from Go IO kit
• Confirm placement: aspirate marrow/blood; saline flush with no subcutaneous infiltration
• Apply fixation dressing

See also: NIO Infant Intraosseous Device

See also: NIO Ruggerized Adult (NIO+)

See also: Go IO Intraosseous Start Kit

All products sourced from the actual brand manufacturer or authorized master distributors. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.