Chapter 38 of 62
Bridge | MedSource IV Catheter Product Training
Product Troubleshooting & FAQs
This module addresses common troubleshooting scenarios and frequently asked questions specific to Bridge | MedSource ClearSafe and TrueSafe IV catheter products.
Issue: No flash-back after insertion. Possible causes: (a) Needle bevel is not within the vein lumen — withdraw slightly and redirect at a lower angle. (b) Tourniquet is too loose or has been on too long — reapply. (c) Patient is dehydrated or has low blood pressure — apply warm compress to the site for 3-5 minutes and attempt on a more visible vein. (d) Vein has rolled — use more anchoring traction on the skin distal to the insertion point.
Issue: Blood flash seen but catheter will not advance. Possible causes: (a) Catheter tip has not entered the lumen — advance needle-catheter unit 2-3mm further before attempting catheter advancement. (b) Catheter is against a valve or vein wall — slightly rotate the catheter or gently flush with 1-2 mL normal saline. (c) Vein is too small for the selected gauge — downsize to a smaller gauge catheter.
Issue: Safety mechanism did not activate (ClearSafe). Check that you are sliding the mechanism fully forward until the audible click. Do not force the mechanism — if it does not engage smoothly, the needle may not be in the correct position. Follow your facility's safety needle incident protocol if the mechanism fails to lock.
Issue: Safety mechanism did not activate (TrueSafe). Ensure the button is pressed firmly and fully. The button should click and the needle should retract completely. If the mechanism does not engage, do not reuse the device. Dispose in sharps container and report per facility incident protocol. All Bridge | MedSource safety devices undergo 100% function testing during manufacturing.
Key Points
- No flash-back: check angle, tourniquet tension, hydration status, and vein anchoring
- Catheter won't advance: advance further past flash, rotate, or downsize gauge
- ClearSafe: slide fully forward until audible click confirms retraction
- TrueSafe: press button firmly and fully — needle retracts and locks instantly
- Report any safety mechanism failures per facility incident protocol