Blast injury, pelvic trauma, and urethral disruption can make a standard transurethral catheter impossible — and on a prolonged hold, an undecompressed bladder threatens both patient comfort and renal function.
What gives a clinician suprapubic access capability in a single sterile package?
This kit assembles every component for the procedure so nothing is improvised in a high-stakes moment. The protected #10 scalpel, 16 Fr introducer, and silicone-coated 16 Fr 2-way Foley cover access and indwelling drainage; ChloraPrep swabsticks, a sterile 18 × 25″ fenestrated drape, and a 0.9% NaCl flush support a proper sterile field that reduces infection risk in austere settings; and the Grip-Lok securement device, 18″ extension tubing, and 1000 ml leg bag let the casualty be packaged for transport while drainage continues — minimizing handling during evacuation. At 8.5 oz and under half an inch deep, it rides in a dedicated slot in an advanced aid bag. Indication, decision, and technique are governed by the provider's scope — see the note below.
Provider scope: intended for physicians, PAs, SOF medics, and advanced providers whose scope of practice includes suprapubic catheterization. Deploy only within your training, credentialing, and scope of practice. This listing describes kit contents and is not procedural instruction or a substitute for accredited training.
Why This Kit
When Transurethral Fails
The decompression route for urethral trauma or obstruction.
Complete Sterile Field
Drape, ChloraPrep, flush, gauze — full aseptic setup.
Transport-Ready Drainage
Securement, extension tubing, and leg bag for ongoing drainage in transit.
Slim & Aid-Bag Ready
8.5 oz, under 0.5″ deep — fits a dedicated slot.
Kit Contents
| Qty | Item |
|---|---|
| 1 | Scalpel, #10 — Protected |
| 1 | Catheter Introducer, 16 Fr |
| 1 | Foley Catheter, silicone-coated latex, 2-way balloon, 16 Fr |
| 1 | Drape, Sterile Fenestrated, 18 × 25″ |
| 1 | ChloraPrep Swabsticks (pack of 3) |
| 1 | Syringe, 0.9% NaCl Flush (10 ml) |
| 1 | Grip-Lok Catheter Securement Device |
| 1 | Urinary Extension Tubing, 18″ |
| 1 | Disposable Urinary Leg Bag, 1000 ml |
| 5 | Gauze Pad, 4 × 4″ (pack of 2) |
Who Carries It
SOF medics & physicians — pelvic/urethral trauma on long holds
PAs & advanced providers — suprapubic access within scope
Expedition / remote care — sustainment medicine
Build The Sustainment Module
The Kit, Up Close
Decompress When The Urethra Won’t Allow It.
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 | 83-0021 |
| Catheter | 16 Fr silicone-coated 2-way Foley + 16 Fr introducer |
| Drape | Sterile fenestrated, 18 × 25″ |
| Antiseptic | ChloraPrep swabsticks (3-pack) |
| Collection | 1000 ml leg bag + 18″ extension tubing |
| Dimensions | L 10″ × W 7″ × D 0.5″ |
| Weight | 8.5 oz |
When to Deploy Suprapubic Catheterization Kit
- Pelvic blast / urethral disruption: when transurethral catheterization is contraindicated due to urethral trauma, suprapubic access becomes the primary decompression route.
- Prolonged Field Care (PFC) holds >2 hours: bladder decompression is required to prevent renal compromise and patient distress during extended MEDEVAC delays.
- SOF medic sustainment medicine: 18D and similarly credentialed providers maintaining a casualty through multi-day holds in austere environments.
- Remote surgical sites: forward surgical teams and expedition physicians requiring sterile bladder access without hospital infrastructure.
- MASCAL overflow: advanced providers triaging multiple casualties where urinary complications compete with trauma workload.
Best Practice: Stage this kit inside the PFC pocket of your aid bag alongside the Foley Catheter Kit. Keep both sterile — a contaminated field in an austere environment has no recovery option.
How Suprapubic Catheterization Kit Compares
Suprapubic vs. Foley Catheter Kit: The Foley Catheter Kit provides the standard transurethral route. This suprapubic kit is deployed only when urethral anatomy is compromised — it carries a scalpel, introducer, and dedicated drape configuration the Foley kit does not.
NAR vs. improvised field assembly: Improvised suprapubic kits sourced in the field risk missing the catheter introducer or sterile drape. NAR's 83-0021 assembles every component including Grip-Lok securement and a 1000 ml leg bag for transport-ready drainage.
Suprapubic vs. external catheter: External condom catheters manage output but cannot decompress acute urinary retention. Suprapubic catheterization provides actual bladder access when retention is life-threatening.
Sterile field completeness: Competitors may omit ChloraPrep or the fenestrated drape. This kit includes both, supporting proper aseptic technique that reduces infection risk in non-hospital environments.
Frequently Asked Questions
Q: Is the Suprapubic Catheterization Kit CoTCCC-recommended?
A: Suprapubic catheterization is a Prolonged Field Care (PFC) intervention, not a TCCC point-of-wounding skill. It is not on the CoTCCC Recommended Items list but is consistent with PFC guidelines for providers with the requisite scope. Confirm with your medical director before fielding.
Q: What training is required to use this kit?
A: Suprapubic catheterization requires advanced provider training — at minimum, accredited PFC instruction and supervised procedural experience. This kit is not appropriate for EMT-Basic or combat lifesaver-level providers. Credentialing requirements vary by service branch and jurisdiction.
Q: Is the kit compatible with standard aid bags?
A: Yes. At 10″ × 7″ × 0.5″ and 8.5 oz, it fits the PFC procedure pocket of NAR's NAR-4, WALK, and medic bags. It is thin enough to stack alongside the Foley Catheter Kit without compressing either package.
Q: Does this kit have an NSN for government procurement?
A: Contact MED-TAC International or North American Rescue directly for current NSN and CAGE code information for government procurement via DLA or unit supply channels.
Q: What size Foley catheter is included, and why 16 Fr?
A: The kit includes a 16 Fr silicone-coated 2-way balloon Foley. 16 Fr is the standard adult size for suprapubic catheterization — large enough to maintain reliable drainage but sized to work with the bundled 16 Fr introducer and extension tubing included in this kit.
Related searches: NAR suprapubic catheterization kit, suprapubic cystostomy kit, PCC bladder decompression, urethral trauma catheter, prolonged field care urinary, North American Rescue 83-0021
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.
FREQUENTLY ASKED QUESTIONS
