true

BD Nexiva™ Catheter System

Elevated care enclosed

Advance care

Ready to learn more? Let’s have a conversation.

BD Nexiva™ Catheter System
Clinical Evidence
Interactive Configurations
Products and Accessories
EIFU & Resources

Enhance patient care with

an all-in-one closed IV

catheter system

BD Nexiva™ Closed IV Catheter System is part of a broad portfolio of closed, integrated peripheral IV catheters (PIVCs) designed with the patient and clinician experience in mind.

Explore the Catheter Product Family Portfolio

Clinicians prefer closed catheter systems

Overall clinician satisfaction has been shown to be significantly higher with Nexiva™ Catheter System compared to a non-integrated, open PIVC.*^,1

The integrated system is designed with clinician safety in mind:

Clinically demonstrated to reduce the risk of blood exposure by 98%²
Minimizes risk of contamination with pre-attached extension tube that contains blood upon insertion and serves as a secondary flash chamber to support first-attempt insertion success
Automatic shielding provides passive safety of needle upon removal as recommended by Infusion Therapy Standards of Practice³

*compared to a non-integrated PIVC in a clinical study

See the power of a closed

catheter system

Watch this video to see the differences in design between the integrated Nexiva™ Catheter System and a non-integrated PIVC without blood control technology, which can risk missed insertion, blood leakage, or touch contamination.

Elevate care while helping reduce complications

Complications may compromise patient care and increase cost, including interrupting drug administration, delaying procedures, and removing and reinserting a new catheter, increasing the risk of catheter failure with each subsequent insertion.^4–6

Nexiva™ Catheter System has been clinically demonstrated to significantly reduce catheter-related complications in a number of studies:^2,7

^†BD Nexiva Closed System with 3M™ Tegaderm IV Securement Dressing compared to
B. Braun Introcan Safety^® Catheter with Statlock^® IV Ultra Stabilization Device and non-bordered dressing.
^‡ with a PTFE catheter

A budget-friendly catheter solution

In a 2014 clinical study, the longer dwell time^§ of Nexiva™ Catheter System led to a cost reduction of approximately $1 million per year per 1,000 beds compared with an open system.⁷

Longer median dwell time compared to an open system^4,7

Nexiva™ Catheter System eliminates the need to purchase many separate components. Every Nexiva™ Catheter System contains a pre-attached extension tube and built-in stabilization platform. Nexiva™ Catheter System is offered in configurations containing BD MaxZero™ Needle-free Connectors and BD Q-Syte™ Needle-free Connectors.

^§compared to an open system

Support 1st attempt insertion success

IV catheter failure rates lie between 35% and 50%. Compounding this issue, subsequent PIVCs inserted after treatment failure are more likely to fail again, potentially perpetuating the challenges and dissatisfaction for the patient.⁶

Higher first attempt insertion success may be a relief to patients. Studies have shown:

Nexiva™ Catheter System Portfolio

Nexiva™ Catheter System is offered in four configurations. The dual port configurations allow for the simultaneous administration of two compatible solutions as close to the patient as possible. The single port configurations allow for the administration of one solution, as is common with most PIVCs.

Nexiva™ Catheter System is offered in configurations containing BD MaxZero™ Needle-free Connectors and BD Q-Syte™ Needle-free Connectors. MaxZero™ Needle-free Connectors are premium needle-free connectors and are offered on both dual port and single port configurations. BD Q-Syte™ Needle-free Connectors are also offered on dual port configuration.

Paterson R, Larsen E, Cooke M, et al. Integrated versus non-integrated peripheral intravenous catheters: a cross-sectional survey of nurse experiences. Br J of Nurs. 2023, Vol 32.
Bausone-Gazda D, Lefaiver CA, Walters SA. A randomized controlled trial to compare the complications of 2 peripheral intravenous catheter-stabilization systems. J Infus Nurs. 2010;33(6):371-384.
Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2024.
Rickard CM, Larsen E, Walker Rachel M, et al. Integrated versus nonintegrated peripheral intravenous catheter in hospitalized adults (OPTIMUM): A randomized controlled trial. J Hosp Med. 2022;1-12.
Rosenthal K. Get a hold on costs and safety with securement devices. Nurs Manage. 2005;36(5):52-53.
Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203 doi: 10.1097/NAN.0000000000000100
González López J, Arribi Vilela A, Fernández Del Palacio E, et al. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: a randomized study. J Hosp Infect. 2014;86(2):117-126.
Carr PJ, Rippey JC, Cooke ML, et al. Development of a clinical prediction rule to improve peripheral intravenous cannulae first attempt success in the emergency department and reduce post insertion failure rates: the Vascular Access Decisions in the Emergency Room (VADER) study protocol. BMJ Open. 2016;6:e009196. doi.10.1136/bmjopen-2015-009196.

BD-3595 (07/24)

Clinical evidence

Nexiva™ Catheter System has been shown to deliver higher clinician satisfaction, improved clinician safety and a reduction in overall complication rates versus non-integrated, open systems.^1–3

Nexiva™ Catheter System is backed by evidence in peer-reviewed journals from as early as 2009⁴ to as recently as 2024.⁵

Nexiva™ Diffusics Closed IV Catheter System is also backed by peer-reviewed journals and infusion guidelines. Infusion Therapy Standards of Practice state to consider a fenestrated catheter for a contrast-based radiographic study and in coronary CTA.⁶ Nexiva Diffusics™ Catheter System is the only peripheral IV catheter with a diffusion catheter tip specifically designed for power injection.

Closed IV Catheter System	Comparative   catheter	Data gathered	Year published	Study type	Journal	Authors
Nexiva™	Various	Catheter failure, dislodgement, occlusion, phlebitis	2024	Systematic review/ meta analysis⁵	Journal of Vascular Access	Gidaro A, Quici M, Giustivi D, et al.
Nexiva™	BD Insyte Autoguard™	Complications, dislodgement, dwell time, infiltration, occlusion, phlebitis	2023	RCT⁷	European Journal of Oncology Nursing	Gerceker GO,   Yildirim BG, Onal A, et al.
Nexiva™	B. Braun   Introcan   Safety^® BD Insyte Autoguard™	Catheter-associated bloodstream infection, clinician satisfaction, cost savings/utilization reduction, dislodgement/ leaking, dwell time, infiltration/extravasation, local infection, insertion success, occlusion, phlebitis	2022	RCT¹	Journal of Hospital Medicine	Rickard CM,   Larsen E,   Walker RM, et al.
Nexiva™	Smiths Jelco ProtectIV^® Plus	Clinician satisfaction, dwell time, infection, infiltration, pain, phlebitis	2019	Prospective, quasi-experimental⁸	Journal of Infusion Nursing	Penoyer D, Fowler S, Bennett M
Nexiva™	None	Blood exposure, dislodgement, kinking, leaking, phlebitis, restarts	2017	Observational⁹	Journal of Vascular Access	deRosenroll A
Nexiva™	Medikit	Bending and kinking, blood exposure, cost savings/utilization reduction,dislodgement, dwell time, extravasation, insertion success, obstruction, phlebitis	2014	Quasi- randomized study¹⁰	Journal of Vascular Access	Tamura N, Abe S, Hagimoto K, et al.
Nexiva™	B. Braun Vasocan^® Safety	Catheter-related infection, cost savings/utilization reduction, dwell time, infiltration/extravasation, insertion success, occlusion, pain, painful hematoma, phlebitis	2014	RCT²	Journal of Hospital Infection	González López J, Arribi Vilela A, Fernández Del, Palacio E, et al.
Nexiva™	B. Braun Introcan Safety^® (non- winged) with StatLock	Clinician satisfaction, cost savings/utilization reduction, dislodgement, dwell time, infiltration, insertion success, leaking, phlebitis	2010	RCT³	Journal of Infusion Nursing	Bausone-Gazda D, Lefaiver CA, Walters SA, et al.
Nexiva™	None	Clinician satisfaction, clotting, dislodgement, infiltration, leaking, restarts, securement	2009	Pre-and post-use survey⁴	Journal of the Association of Vascular Access	McNeil E, Hines N, Phariss R

Rickard CM, Larsen E, Walker Rachel M, et al. Integrated versus nonintegrated peripheral intravenous catheter in hospitalized adults (OPTIMUM): A randomized controlled trial. J Hosp Med. 2022;1-12.
González López J, Arribi Vilela A, Fernández Del Palacio E, et al. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: a randomized study. J Hosp Infect. 2014;86(2):117-126.
Bausone-Gazda D, Lefaiver CA, Walters SA. A randomized controlled trial to compare the complications of 2 peripheral intravenous catheter-stabilization systems. J Infus Nurs. 2010;33(6):371-384.
McNeil E, Hines N, Phariss R. A clinical trial of a new all-in-one peripheral-short catheter. JAVA. 2009;14(1):46-51.
Gidaro A, Quici M, Giustivi D, et al. Integrated short peripheral intravenous cannulas and risk of catheter failure: a systematic meta-analysis. J Vasc Access. 2024.
Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2024.
Gerceker GO, Yildirim BG, Onal A, et al. The effect of the closed intravenous catheter system on first insertion success, indwelling time, and complications in pediatric hematology and oncology patients: a randomized controlled study. Eur J Oncol Nurs. 2023 Dec:67:102430. doi: 10.1016/j.ejon.2023.102430. Epub 2023 Oct 7.
Penoyer D, Fowler S, Bennett M. Evaluation of the Use of Open Versus Closed Short Peripheral Catheters on Catheter Dwell Time. J Infus Nurs. 2019;42(6):276-282.
deRosenroll A. Peripheral intravenous catheters: Improving outcomes through change in products, clinical practice and education. Vasc Access. 2017;11(1):7-12.
Tamura N, Abe S, Hagimoto K, et al. Unfavorable peripheral intravenous catheter replacements can be reduced using an integrated closed intravenous catheter system. J Vasc Access. 2014;15(4):257-263.

BD Nexiva™ Catheter System—Dual Port with BD MaxZero™ Needle-free Connectors

Catalog no.	Color	Gauge	Catheter length (in)	Gravity flow rate  (mL/min)	Maximum power injector flow rate at 300 PSI (mL/sec)*
383571	Yellow	24	0.75	18	Not for use with power injectors
383572	Blue	22	1.00	33	3.0
383573	Blue	22	1.75	30	3.0
383576	Pink	20	1.00	61	4.0—5.5
383577	Pink	20	1.25	58	4.0—5.5
383578	Pink	20	1.75	51	4.0—5.5
383579	Green	18	1.25	84	4.0—7.0
383580	Green	18	1.75	79	4.0—7.0

*22–18 G BD Nexiva™ Catheter System—Dual Port with BD MaxZero™ Needle-free Connectors attached are suitable for use with power injection. The catheter system has been tested at flow rates; however, due to variations in add-on devices, tubing, contrast media temperature and pressure limit settings these flow rates may not be achievable.

Nexiva™ Catheter System—Single Port with BD MaxZero™ Needle-free Connector

Catalog no.	Color	Gauge	Catheter length (in)	Gravity flow rate (mL/min)	Max power injector flow rate at 300 PSI (mL/sec)*
383550	Yellow	24	0.56	19	Not for use with power injectors
383551	Yellow	24	0.75	18	Not for use with power injectors
383552	Blue	22	1.00	33	3.0
383553	Blue	22	1.75	30	3.0
383556	Pink	20	1.00	61	4.0—5.5
383557	Pink	20	1.25	58	4.0—5.5
383558	Pink	20	1.75	51	4.0—5.5
383559	Green	18	1.25	84	4.0—7.0
393560	Green	18	1.75	79	4.0—7.0

*22–18 G BD Nexiva™ Catheter System — Single Port with BD MaxZero™ Needle-free Connectors attached are suitable for use with power injection. The catheter system has been tested at flow rates; however, due to variations in add-on devices, tubing, contrast media temperature and pressure limit settings these flow rates may not be achievable.

Nexiva™ Catheter System—Dual Port with Q-Syte™ Needle-free Connectors

Catalog no.	Color	Gauge	Catheter length (in)	Gravity flow rate  (mL/min)	Maximum power injector flow rate at 300 PSI (mL/sec)*
383530	Yellow	24	0.56	19	Not for use with power injectors
383531	Yellow	24	0.75	18	Not for use with power injectors
383532	Blue	22	1.00	33	3.0
383536	Pink	20	1.00	61	4.0—5.5
383537	Pink	20	1.25	58	4.0—5.5
383538	Pink	20	1.75	51	4.0—5.5
383539	Green	18	1.25	84	4.0—7.0
383540	Green	18	1.75	79	4.0—7.0

*BD Q-Syte™ Needle-free Connectors must be removed prior to power injection. The catheter system has been tested at flow rates; however, due to variations in add-on devices, tubing, contrast media temperature and pressure limit settings these flow rates may not be achievable.

Nexiva™ Catheter System—Single Port

Catalog no.	Color	Gauge	Catheter length (in)	Gravity flow rate  (mL/min)	Maximum power injector flow rate at 300 PSI (mL/sec)*
383510	Yellow	24	0.56	19	Not for use with power injectors
383511	Yellow	24	0.75	18	Not for use with power injectors
383512	Blue	22	1.00	33	3.0
383513	Blue	22	1.75	30	3.0
383516	Pink	20	1.00	61	4.0—5.5
383517	Pink	20	1.25	58	4.0—5.5
383518	Pink	20	1.75	51	4.0—5.5
383519	Green	18	1.25	84	4.0—7.0
383520	Green	18	1.75	79	4.0—7.0

*The catheter system has been tested at flow rates; however, due to variations in add-on devices, tubing, contrast media temperature and pressure limit settings these flow rates may not be achievable.