Tension pneumothorax is among the most time-critical reversible causes of preventable traumatic death — yet needle thoracostomy fails an estimated 20–50% of the time even for trained professionals, driven by insufficient needle length, catheter kinking, tip occlusion, premature needle-catheter separation, and no way to confirm success in a loud, chaotic scene.
What if the device was built against every one of those failure modes?
That's the SPEAR. Every feature is a deliberate, evidence-based engineering decision: a longer 3.75″ catheter for pleural reach, a 10-gauge lumen for faster relief, a spin-lock that prevents premature separation, three fenestrations plus an open soft tip for four decompression paths, a detachable one-way check valve that whistles on success, and centimeter depth markings for insertion control. Anterior or lateral capable, in a rugged pen-style case.
Engineered Against Failure
3.75″ Catheter Reach
Half an inch beyond the 3.25″ CoTCCC length — reaching the pleural space in higher-BMI and edematous chests where short needles miss.
10-Gauge Flow
Roughly 2.5× the cross-sectional area of a 14-gauge catheter for faster, more complete pressure relief.
Spin-Lock + Fenestrations
Locks needle to catheter against premature separation; three fenestrations plus the open tip give four paths against occlusion.
Audible Confirmation
A low-pressure one-way check valve whistles on successful entry — confirmation in noisy environments where visual cues fail.
Provider Scope
Needle decompression is an invasive procedure reserved for credentialed providers operating within their scope of practice, training, and local protocol. The SPEAR supports both CoTCCC-recognized decompression sites — anterior (2nd ICS-MCL) and lateral (4th–5th ICS-AAL) — selected by the provider per protocol. This listing describes the device; it is not a substitute for formal training and provides no procedural technique.
Who Carries It
Tactical & combat medics — tension pneumothorax at point of injury
EMS & flight crews — decompression with audible confirmation
Credentialed providers — anterior or lateral site capability
Round Out Thoracic Capability
Decompression pairs with chest seals and thoracic supplies.
SPEAR Device
Built to Succeed First Attempt.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.
Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU | 10-0051 |
| Catheter | 10 Ga. × 3.75″ (9.5 cm), flexible kink-resistant, soft tip |
| Fenestrations | 3 along catheter length plus open tip (4 air paths) |
| One-Way Valve | Detachable low-pressure check valve; audible whistle on decompression |
| Depth Markings | Centimeter graduations |
| Decompression Sites | Anterior (2nd ICS-MCL) or lateral (4th–5th ICS-AAL) |
| Weight / Case | 1 oz; rugged pen-style case |
| Sterility | Sterile, single-use |
| CoTCCC | CoTCCC-recommended (10 Ga. × 3.25″+ for needle decompression) |
Related searches: NAR SPEAR, needle decompression device, 10 gauge decompression needle, tension pneumothorax needle, fenestrated decompression catheter, North American Rescue 10-0051
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
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