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BD® Nexiva™ Closed IV Catheter System

Enhance patient care with an all-in-one closed IV catheter System

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BD Nexiva Closed IV Catheter System
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Overview

The BD Nexiva™ closed IV catheter system is the integrated IV catheter demonstrating longer dwell times and reduced complication rates versus the traditional open system.1,2*

BD Nexiva™ IV catheter integrates key features that help provide better care and experience for your patients, efficiently and cost effectively.1

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Clinician Safety and Satisfaction

Why do clinicians prefer closed IV catheter systems?

Overall clinician satisfaction has been shown to be significantly higher with Nexiva™ Closed IV Catheter System compared to a non-integrated, open PIVC.⁸

The integrated system is designed with clinician safety in mind:

  • Clinically demonstrated to reduce the risk of blood exposure by 98%9
  • Minimises 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 Practice10

See the power of a 

closed IV catheter system

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

Reduced Complications

How can this catheter help you reduce IV complications?

IV 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.11–13

Nexiva™ Catheter System has been clinically demonstrated to significantly reduce IV complications in a number of studies:1,9

  • 84% Dislodgement†

  • 36% Rate of phlebitis‡

    (grade 2 or higher)

  • 24% Infiltration

Reduced Cost

How long can this closed IV catheter system stay in place?

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

Longer median dwell time compared to an open system1,11

6 Days

Nexiva™ Closed IV Catheters

4 Days

Open-System Catheter

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

Improved Patient Experience

Support 1st attempt IV catheter 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.13

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

91%

First-attempt insertion success with Nexiva™ Closed IV Catheter System9

35%

Up to 35% of patients receiving an IV require multiple attempts2

Explore Our Portfolio

Nexiva™ Closed IV Catheter System Portfolio

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

Together, we all play a part in preventing vascular access complications

BD Vascular Access Management Assessments

BD Vascular Access Management assessments

Our powerful evidence-based assessments, with analytics and benchmarks, are the first phase of BD Vascular Access Management—and the first step on the path to enhance patient safety, workflow efficiency and cost-effectiveness across the entire patient journey.

Learn more

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References

Please consult BD product labels and inserts relevant to your geography for any indications, contraindications, hazards, warnings, cautions and instructions for use. Any discussion and/or content regarding BD products is limited to this information and instructions for use.

Please note, not all products, services or features of products and services may be available in your local area. Please check with your local BD representative.

† BD Nexiva Closed IV Catheter 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

§ compared to an open system

* converted from US Dollar to Euro on May 23, 2025

  1. 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.
  2. 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.
  3. McNeill E, Hines NL, Phariss R. A Clinical Trial of a New All-in-One Peripheral-Short Catheter. JAVA. 2009;14(1):46-51.
  4. Easterlow D, Hoddinott P, Harrison S. Implementing and standardising the use of peripheral vascular access devices. J Clin Nurs. 2010;19:721-727.
  5. 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.
  6. deRoserroll A. Peripheral Intravenous Catheters: Improving Outcomes Through Change in Products, Clinical Practice and Education. Vasc Access. 2017;11(1):7-12.
  7. Maunoury F, Drugeon B, Boisson M et al. Cost-effectiveness analysis of bundled innovative devices versus standard approach in the prevention of unscheduled peripheral venous catheters removal due to complications in France. PLoS One 2022 Jun. 14;17(6):e0269750. doi: 10.1371/journal.pone.0269750
  8. 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.
  9. 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.
  10. Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2024.
  11. 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.
  12. Rosenthal K. Get a hold on costs and safety with securement devices. Nurs Manage. 2005;36(5):52-53.
  13. Helm RE, Klausner JD, Klemperer JD et al. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203 doi: 10.1097/NAN.0000000000000100
true

Clinical evidence on IV complications, satisfaction and safety

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.

Nexiva™ Catheter System is backed by evidence in peer-reviewed journals from as early as 20091 to as recently as 2024.2

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.3 

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™VariousCatheter failure,
dislodgement, occlusion,
phlebitis
2024Systematic
review/
meta
analysis2
Journal of
Vascular Access
Gidaro A, Quici M,
Giustivi D, et al.
Nexiva™BD® Insyte™
Autoguard™
Complications, dislodgement,
dwell time, infiltration,
occlusion, phlebitis
2023Randomised controlled trial4European
Journal
of Oncology
Nursing
Gerceker GO, 

Yildirim BG,
Onal A, et al.
Nexiva™

B. Braun 

Introcan 

Safety®

Insyte™
Autoguard™

Catheter-associated
bloodstream infection,
clinician satisfaction, cost
savings/utilisation
reduction, dislodgement/
leaking, dwell time,
infiltration/extravasation,
local infection, insertion
success, occlusion,
phlebitis
2022Randomised controlled trial5Journal of
Hospital Medicine
Rickard CM, 

Larsen E, 

Walker RM, et al.
Nexiva™Smiths Jelco
ProtectIV® Plus
Clinician satisfaction,
dwell time, infection,
infiltration, pain, phlebitis
2019Prospective,
quasi-experimental6
Journal of
Infusion Nursing
Penoyer D,
Fowler S,
Bennett M
Nexiva™NoneBlood exposure,
dislodgement, kinking,
leaking, phlebitis, restarts
2017Observational7Journal of
Vascular Access
deRosenroll A
Nexiva™MedikitBending and kinking,
blood exposure, cost
savings/utilisation
reduction,dislodgement,
dwell time, extravasation,
insertion success,
obstruction, phlebitis
2014Quasi-
randomized
study8
Journal of
Vascular Access
Tamura N, Abe S,
Hagimoto K, et al.
Nexiva™
B. Braun
Vasocan®
Safety
Catheter-related infection,
cost savings/utilisation
reduction, dwell time,
infiltration/extravasation,
insertion success,
occlusion, pain, painful
hematoma, phlebitis
2014RCT9
Journal of
Hospital Infection
González López J,
Arribi Vilela A,
Fernández Del,
Palacio E, et al.
Nexiva™
B. Braun
Introcan
Safety® (non-
winged) with 
BD® StatLock™
Clinician satisfaction, cost
savings/utilisation
reduction, dislodgement,
dwell time, infiltration,
insertion success, leaking,
phlebitis
2010RCT10Journal of
Infusion
Nursing
Bausone-Gazda D,
Lefaiver CA,
Walters SA, et al.
Nexiva™
NoneClinician satisfaction,
clotting, dislodgement,
infiltration, leaking,
restarts, securement
2009Pre-and post-use
survey1
Journal of the
Association of
Vascular Access
McNeil E, Hines N,
Phariss R

 

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References

  1. McNeil E, Hines N, Phariss R. A clinical trial of a new all-in-one peripheral short catheter. JAVA. 2009; 14(1): 46–51.
  2. 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.
  3. Infusion Nurses Society. Infusion therapy standards of practice. J Infus Nurs. 2024.
  4. 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.
  5. 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.
  6. 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.
  7. deRosenroll A. Peripheral intravenous catheters: Improving outcomes through change in products, clinical practice and education. Vasc Access. 2017; 11(1): 7–12.
  8. 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.
  9. 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.
  10. 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): 371–384.3.

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

    Catalog no.

    Colour

    Gauge

    Catheter
    length (mm)

    Gravity flow rate

    (mL/min)

    Maximum power
    injector flow rate at
    300 PSI (mL/sec)*

    383571Yellow241918Not for use with
    power injectors
    383572Blue2225333.0
    383573Blue2245303.0
    383576Pink2025614.0—5.5
    383577Pink2032584.0—5.5
    383578Pink2045514.0—5.5
    383579Green1832844.0—7.0
    383580Green1845794.0—7.0

     

    *22-18 G. Nexiva™ Catheter System - Dual Port with 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 MaxZero™ Needle-free Connector

      Catalog no.

      Colour

      Gauge

      Catheter
      length (mm)

      Gravity
      flow rate
      (mL/min)

      Max power
      injector
      flow rate at
      300 PSI
      (mL/sec)*

      383551Yellow241918Not for use with
      power injectors
      383552Blue2225333.0
      383553Blue2245303.0
      383556Pink2025614.0—5.5
      383557Pink2032584.0—5.5
      383558Pink2045514.0—5.5
      383559Green1832844.0—7.0
      393560Green1845794.0—7.0

       

      *22–18 G BD Nexiva™ Catheter System — Single Port with 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 BD® Q-Syte™ Needle-free Connectors

        Catalog no.

        Colour

        Gauge

        Catheter
        length (mm)

        Gravity flow rate

        (mL/min)

        Maximum power
        injector flow rate
        at 300 PSI (mL/sec)*

        383531Yellow241918Not for use with
        power injectors
        383532Blue2225333.0
        383536Pink2025614.0—5.5
        383537Pink2032584.0—5.5
        383538Pink2045514.0—5.5
        383539Green1832844.0—7.0
        383540Green1845794.0—7.0

         

        *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.

          Colour

          Gauge

          Catheter
          length (mm)

          Gravity flow rate

          (mL/min)

          Maximum power
          injector flow rate at
          300 PSI (mL/sec)*

          383511Yellow241918Not for use with
          power injectors
          383512Blue2225333.0
          383513Blue2245303.0
          383516Pink2025614.0—5.5
          383517Pink2032584.0—5.5
          383518Pink2045514.0—5.5
          383519Green1832844.0—7.0
          383520Green1845794.0—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.

          Partner with BD

          Partner with BD

          EIFUs
          Resources

          Partner with BD

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          BD Nexiva™ Closed IV Catheter System BD Peripheral IV catheters BD Nexiva™ Closed IV Catheter System BD Nexiva™ /content/dam/bd-assets/bd-com/en-us/logos/bd/header-bd-logo.svg

          Enhance patient care with an all-in-one closed IV catheter System

          383572 BD® Nexiva™ Closed IV Catheter System Dual Port with BD® MaxZero™ Needle-free Connector 22 G x 1.00 IN (25 mm)