Increase the proficiency in gaining direct IV access... When tasked with improving peripheral IV access, North American Rescue engineers addressed both aspects of the challenge—how the product would work, and how easy it would be to work with. They met the challenge (and then some) with the BOA® Constricting Band, a now-critical component of successful IV cannulation. How it works is revolutionary. Not since constricting bands were first conceived has the design been so fundamentally altered as it has been with the BOA®. For improved central venous access every time, the BOA® uses a rolling action to transfuse venous blood to the distal veins while still allowing arterial flow. (For maximum effect, the BOA® is placed as high up on the extremity as allowable.) This technique distends the veins to make IV access quicker and more effective even in the most challenging patients. How easy it is to work with is also revolutionary. The BOA®’s patented design features a Quick Click connector and two-finger Quick Release for added efficiency. No longer do healthcare professionals need to tie (and often re-tie) a constricting band. The BOA® decreases “time on task” for treating combat casualties, civilian trauma patients, or medical patients with poor vascular access (for example, diabetic wound care). Originally designed for our Armed Forces, the BOA® is now available to all First Responders.  SPECIFICATIONS:  SEL#: 09MS-05-IVSA Quick, effective IV access even under challenging circumstances (including diabetic wound care) Revolutionary rolling action for transfusing venous blood to the distal veins while still allowing arterial flow Advanced design with Quick Click connector and two-finger Quick Release No tying required Rugged, vacuum-sealed packaging designed for sanitation and quick access US Patents: 5,304,202 and 5,607,448 Standard Device Length: L 7.5 in. to 18 in. DIMENSIONS:  Packaged: L 4 in. x W 3 in. x D 0.9 in. Weight: 1.5 oz

North American Rescue’s Needleless Saline Lock Kit allows for quick and effective IV cannulation under the most demanding conditions. Our convenient kit is packaged in a compact, vacuum-sealed, rugged pouch to keep the contents in operational ready condition until needed for use. The NAR Needleless Saline Lock Kit contains an IV safety catheter and a needle-free valve port to reduce or eliminate accidental needle-stick exposures to tactical healthcare providers. SPECIFICATIONS: Provides essential components for establishing a saline lock in the most demanding conditions. Contains engineered safety devices to reduce or eliminate healthcare provider exposure to accidental needle sticks. Includes a clear, adhesive dressing and the NAR Raptor™ IV Securing Device. Packaged in a compact, vacuum-sealed, rugged pouch. KIT CONTENTS: 1 x Latex-free IV Constricting Band (18 in. x 1 in.) 1 x Clear Adhesive Dressing (2.75 in. x 2.375 in.) 2 x Alcohol Pads 1 x Safety Catheter (18G X 1.25 in.) 1 x Needle-Free Valve Port

Now including a Latex-free IV Constricting Band and a Clear Adhesive Dressing to aid in starting and securing a saline lock. Allowing for quick and effective extremity venous cannulation under the most demanding conditions, our system for starting and securing a saline lock has proven reliable and extremely effective during casualty treatment and evacuation where it is common for saline locks and IV lines to become dislodged. Using the NAR RAPTOR™ IV Securing Device (also available separately in a pack of 6), the NAR Saline Lock Kit can be secured in place without the need for tape. The Kit is low-cubed packaged in a vacuum-sealed, rugged pouch, keeping the contents of the kit in prime condition until needed. SPECIFICATIONS: Featured in PHTLS 6th Edition (Military) as a system that has proven successful in the field Meets all requirements for U.S. ARMY TASK: 081-831-1011 Establish a Saline Lock Includes the NAR Raptor™ IV Securing Device Packaged in a compact, vacuum-sealed, rugged pouch KIT CONTENTS: 1 x Latex-free IV Constricting Band (18 in. x 1 in.) 1 x Clear Adhesive Dressing (4 in. x 4.75 in.) 2 x Alcohol Pads 2 x Needle/Catheter (18G x 1.25 in.) 1 x Locking Saline Plug 2 x Gauze Pads (2 in. x 2 in.) 1 x Hypodermic Needle (18G x 1.5 in.) 1 x 10cc Luer-Lock Syringe 1 x RAPTOR IV Securing Device 1 x Plastic Vacuum Bag DIMENSIONS: Packaged: H 5.5 in. x W 3.25 in. x D 1 in.

The TacMed™ Saline Lock Kit provides all of the items necessary to emplace a saline lock. Contents: 1x IV Tourniquet (latex-free) 2x Alcohol Pads 2x IV Catheter 18 x 1 1/4” 1x Adapter- Smartsite (saline lock) 1x Tegaderm 2x Gauze 2x2 1x Linebacker IV Securing Device 1x 10ml Saline Syringe

The TacMed™ Vascular Access Kit provides all of the items necessary to gain vascular access and administer IV fluids, except for the fluids. Contents: 1x IV Tourniquet (latex-free) 2x Alcohol Pads 2x IV Catheter 18 x 1 1/4” 1x Adapter- Smartsite (saline lock) 1x Tegaderm 2x Gauze 2x2 1x Linebacker IV Securing Device 1x Admin Set 15 Drip 1x Hypodermic Needle (18G x 1.5in.)

The NAR Sharps Shuttle is clear for immediate fill-level monitoring. The unit’s tapered body (conveniently sized at a 1.25 in. diameter and 6 in. length) holds up to six needles. The vertical “point first” design is easy to store. It fits perfectly into our Medic Leg-Rig or Trauma Pack for convenient point-of-use containment of used needles and small syringes. The product’s quick-tab locking top secures contaminants until disposal. Finally, the product’s unique single-use construction makes the disposal of sharps safe.

The SAM IO utilizes a multi-use and manually powered driver for efficient and controlled IO access. The driver is cleanable and tested to hundreds of actuations, while the manual operation eliminates battery-related failure and reduces the weight of the driver. The driver functions through a passive ratcheting mechanism which causes the needle to only rotate clockwise when resistance is encountered. Through actuation of the driver handle, the user provides controlled insertion of the IO needle with a tactile feel of cortical penetration. The SAM IO is a manually operated intraosseous access system. Catheter placement is achieved by continuously actuating (repeatedly compressing) the driver’s trigger assembly while gently guiding needle assembly into position. Repeated, full trigger actuation creates rotational spin of the needle assembly which, when combined with gentle downward pressure, results in controlled IO placement. Once needle assembly is properly positioned, the stylet is removed to expose standard Luer-lock for extension set connection. With the extension set connected, aspiration verification, flushing and selected treatment(s) may commence. The SAM IO system is designed to be intuitive for current IO users, featuring color coding and depth indicators which match industry norms. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

SAM IO Needles colors and depth indicators adhere to industry standards for ease of adoption, and the devices are designed as a stylet and catheter assembly secured by a snap-fit connection. The 15 gauge SAM IO Needles come in 15 mm, 25 mm, and 45 mm lengths to accommodate multiple application sites and a broad range of patient demographics. SAM IO Needles utilize a 5-point grind which is intended to aid in insertion with the SAM IO Driver, or through manual insertion by hand. Needles are sold individually or in packs of five. Each sterile-packed SAM IO Needle includes a NeedleVISE® and Extension Tube. Driver, Stabilizer, and Adaptor options are sold separately. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

The SAM IO Adaptor is designed to accommodate alternative IO needle sets designed for other drivers so that they can be utilized with the SAM IO Driver The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case by case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details) Please refer to the manufacturer's IFU for the SAM IO Needle for recommended insertion sites based on patient variables.

The SAM IO Stabilizer features a cylinder design that is intended to protect the catheter from dislodgment. It accommodates all three needle options and is available as a single item or in a pack of five. The SAM IO is designed for effective IO placement in both adult and pediatric patients. NOTE: When determining the anatomical site and needle length for intraosseous access, patient age and physiology should be considered per protocol or standard, and on a case-by-case basis based on clinical judgement. Common insertion sites include: Proximal Humerus (left or right) Proximal Tibia (left or right) Distal Tibia (left or right) Distal Femur (pediatric patients - see instructions for details)

The TacMed™ IV Evaporative Cooling System (IVECS™) was developed to prevent IV fluids from reaching excessively hot and potentially dangerous temperatures. Hot fluids are counter-productive when treating heat casualties. When operating in a desert or any low humidity hot environment, this becomes a serious concern. The IVECS’ efficient design maintains fluids at a safe temperature for up to 18 hours without additional cooling assistance. The cooling systems are cost effective and re-usable. They can easily be converted to a pressure infuser with the addition of a standard blood pressure cuff. It will accommodate both 500ml and 1000ml bags. The IVECS™ provides an effective, power free means of delivering IV fluids at a safe temperature under adverse conditions and in harsh climates. HOW DOES IT WORK? The IVECS™ does not need to be cooled prior to inserting the IV bag. The only step required is to soak the pouch for approximately 15 minutes. It is not like a cold pack that absorbs or transfers heat energy from one mass to another to cool. The pouch cools through the method of evaporation. The temperature is controlled by the movement of water in the form of gas traveling over the surface area of the IV bag. While the circulation of air around the bag is important to allow maximum efficiency, it is not required. The IVECS™ is an essential piece of equipment for any care provider operating in extreme conditions. According to guidelines established by the leading authority on patient care and safety in the US, fluids stored at ambient temperatures in Iraq, Afghanistan, and other desert areas around the world are not maintained at a safe temperature. The average daily temperatures in these areas can be in excess of 54º C (130º F). Other studies indicate that the administration of fluids at temperatures exceeding 52.2º C (126º F) can damage tissue and blood cells. While forward surgical units, combat support hospitals, and vehicle-based health care providers have the ability to store fluids at safe temperatures, the combat medic or wilderness medical provider do not. Recent reports from Iraq have shown the IVECS™ to maintain fluids at temperatures well below the established maximum. One soldier reported a temperature of 35.5 C (96º F). This demonstrates the impact of the addition of a light breeze and occasional shade, which make the IVECS™ even more effective. Tests conducted by USAMRMC (US Army Medical Research & Material Command) proved the IVECS™ is effective in extremely harsh, unrealistic conditions. The bag was tested over a period of 13.5 hours at a temperature of 54º C (130º F) and a maximum of 5% humidity with no wind. The chart below displays the results of the test. Within 2.5 hours, the control bag was already at an ambient temperature of 54º C (130º F). The bag stored in the IVECS™ was only 43.3º C (110º F) and then began a very slow climb to a maximum temperature of 50º C (122º F), four degrees below the maximum recommended temperature for blood products and fluids.NSN # 6515-01-530-7024