Bone Injection Gun (B.I.G.) 18G – Pediatric Intraosseous Access Device by Safeguard Medical

The Safeguard Bone Injection Gun (B.I.G.) 18G Pediatric (model BIG-P) is a single-use, spring-loaded intraosseous (IO) infusion device specifically engineered for children (ages ~0–12 years). It provides fast, reliable emergency vascular access when traditional IV lines are difficult or impossible to obtain. With a pre-set 1.5 cm insertion depth and color-coded red syringe, this FDA-cleared, CE-certified pediatric IO gun instantly delivers fluids, blood products and medications into the child’s bone marrow cavity. Emergency responders and pediatric clinicians can achieve rapid fluid resuscitation and drug delivery in under 60 seconds, matching flow rates of standard IV infusions. The B.I.G. Pediatric’s intuitive “position-and-press” operation and age-adjustable settings ensure accurate, minimally painful insertion every time – making it an essential life-saving tool for pediatric trauma, shock, cardiac arrest, and other critical care scenarios.

• Automatic Spring-Loaded Deployment: Simply place the sterile B.I.G. tip against the child’s proximal tibia (or appropriate bone site) and squeeze the trigger. The built-in spring instantly drives the sharp 18-gauge trocar needle into the marrow. This one-step mechanism requires no batteries, drills or assembly – eliminating delays and human error.
• 18-Gauge Pediatric Needle with 1.5 cm Depth: The device uses a child-sized 18G needle that is safety-set at a 1.5 cm penetration. This factory-set depth prevents over-insertion and protects growth plates. The pediatric device is color-coded red and designed for children up to ~12 years (or equivalent size), ensuring the correct needle length and flow for smaller patients.
• Rapid Emergency Infusion: Once deployed, the IO needle creates an immediate non-collapsible route into the systemic circulation. Lifesaving fluids, analgesics, antibiotics or blood products can be infused as quickly as via a peripheral IV. In fact, clinical experience shows B.I.G. users can establish IO infusion in well under 60 seconds – a critical time advantage in pediatric shock or cardiac arrest.
• High-Flow Performance: The wide 18G lumen allows high-volume infusions at flow rates similar to standard IV catheters. This means blood transfusions, saline boluses or medication drips run efficiently into the bone marrow’s venous plexus. Once in the marrow space, fluids rapidly enter the central circulation, effectively resuscitating pediatric patients when veins have collapsed.
• Safe Single-Use Design: Each B.I.G. device is built under strict sterile conditions and intended for single use only. Its all-in-one, disposable design includes everything needed to achieve IO access with no extra parts or external power sources. There is no direct blood contact for the provider (no syringing or plunging required), which greatly reduces infection risk. After use, simply dispose of the entire device safely – preventing cross-contamination.
• Age-Adjusted Safety Setting: The pediatric B.I.G. features an easy dial-by-age mechanism that automatically limits needle advancement for different child sizes. This built-in safety feature minimizes the risk of bone or growth plate injury. Even under emergency conditions, providers don’t need to guess insertion depth – the device’s calibration does it for them.
• User-Friendly & Fast Training: The intuitive “position against bone, press trigger” operation requires minimal practice. Paramedics, EMTs, emergency nurses and doctors can rapidly master its use. Color-coding, clear labels and a simple safety cap (removed before use) make confusion unlikely. Because of its simplicity, the pediatric B.I.G. is often the device of choice in high-stress pediatric emergencies, ensuring any provider can deploy it quickly.
• Compact & Ready-to-Use: Weighing only ~87 g with dimensions ~13 × 5 cm, each unit is lightweight and easily packs into pediatric emergency kits, crash carts, or combat medic bags. It arrives pre-loaded and sterile in a pouch – no assembly or checklists required. Just open the package, confirm the patient weight/age, remove the safety cap, and it’s ready.
• Regulatory Approved & Trusted: The Safeguard B.I.G. Pediatric meets the highest medical safety standards. It is FDA 510(k) cleared for intraosseous use in children and carries CE mark approval, confirming its quality and biocompatibility. Used by leading EMS and hospital systems worldwide, this device is a proven solution for pediatric vascular access.

Clinical Applications & Health Benefits

When every second counts, the B.I.G. 18G Pediatric delivers instant vascular access for children in life-threatening situations. It is especially vital in conditions such as severe dehydration, septic or hemorrhagic shock, cardiac arrest, burns, trauma, or drug overdose, where peripheral veins may collapse or be inaccessible. In such emergencies, pediatric advanced life support (PALS) and resuscitation guidelines explicitly recommend intraosseous infusion as the fastest reliable route to administer fluids and medications when IV attempts fail. The B.I.G. enables:

• Immediate Drug Therapy: Rapid delivery of life-saving drugs (e.g. epinephrine, atropine, vasopressors, antibiotics, sedatives) directly into the bone marrow. In pediatric cardiac arrest, having quick IO access means critical medications reach the heart within seconds.
• Fast Fluid Resuscitation: Swift infusion of saline or blood products for volume replacement in shock. Clinical use shows that induced circulation through bone marrow quickly raises blood pressure and perfusion, supporting the child until a conventional IV can be placed.
• Reduced Pain & Stress: The quick, automated IO insertion often causes only a brief pinch. Studies and user reports note that many operators and patients experience less procedural pain compared to multiple needle sticks. (Providers often follow insertion with a small credit of lidocaine into the marrow to ease any discomfort from infusate.)
• Minimized Complications: By avoiding multiple failed IV attempts, B.I.G. reduces complications from delayed resuscitation, such as organ damage from prolonged low blood flow. Its built-in depth control and stable design also minimize risks like needle bending, extravasation or bone injury.
• Support for All Ages: Although designed for pediatrics, the same style B.I.G. unit can be used on adults in a pinch (with appropriate care on depth settings). This versatility can be lifesaving in mixed-age emergency settings.

Emergency medical services, pediatric ICU teams, trauma centers and military medics have all adopted the B.I.G. Pediatric for its speed and reliability. By providing a non-collapsible intraosseous route, it ensures that fluids and emergency treatments are delivered effectively even in the most challenging scenarios. Simply put, this device turns a potentially slow or failed IV situation into a fast, dependable lifeline.

Specifications & Contents

• Gauge/Needle: 18-gauge stainless steel trocar (color-coded red).
• Insertion Depth: Factory-set 1.5 cm for pediatric use (age dial ensures correct depth).
• Length: Needle length ~13 mm, overall device ~13 × 5 cm.
• Weight: ~87 g.
• Usage: Single-use, sterile. Supplied with protective safety cap. No sharps or separate components needed.
• Flow Connection: Standard Luer lock fitting (compatible with IV tubing or syringe infusion sets).
• Kit Contents: Each sterile pouch contains one B.I.G. Pediatric device, ready to deploy. Sold individually or in sealed cases (e.g. case of 12 units) to fill emergency carts.
• Certifications: FDA 510(k) cleared for pediatric IO use; meets CE, ISO and other relevant medical device standards for quality and safety.
• Manufacturer: Safeguard Medical (Safeguard US Operating LLC) – a trusted leader in emergency care devices.

The Safeguard B.I.G. 18G Pediatric Bone Injection Gun is the #1 choice for fast pediatric vascular access, combining life-saving health benefits with broad search-optimized features. With this device, healthcare professionals ensure that every child in crisis gets the fluids and medications they need — immediately, safely, and effectively.