Intraosseous Devices Market Forecast 2031: Increasing Emergency Care Adoption and Technological Advancements Propel Market Expansion | Transparency Market Research, Inc

Intraosseous (IO) devices enable rapid delivery of fluids and medications into the bone marrow when intravenous access is difficult or delayed. Widely adopted in pediatric and adult emergency care, IO infusions provide a lifesaving alternative during cardiac arrest, major trauma, and shock. Valued at US$ 448.7 Mn in 2021, the global IO devices market is projected to grow at a 5.6 % CAGR from 2022 to 2031, reaching over US$ 778.9 Mn by the end of the forecast period. Growth is underpinned by increasing emergency incidents, a growing elderly population, and continuous innovation in device technology.

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Analysts' Viewpoint

Experts highlight that IO access has become a standard backup in advanced life support protocols, particularly when peripheral veins collapse. The pediatric population-where IV access can be technically challenging-benefits significantly from IO infusion. Recent advances in needle tip design, catheter assemblies, and semi‐automatic insertion mechanisms have enhanced procedural success rates and user confidence. Continued investment in R&D is expected to yield next‐generation devices with integrated safety features and improved ergonomics.

Market Drivers

Surge in Emergency Medical Situations

Out‐of‐hospital cardiac arrests exceed 350,000 annually in the U.S., with survival hinging on rapid vascular access.

Trauma and road‐traffic injuries continue to rise globally, amplifying demand for IO devices.

Expanding Geriatric Population

Older adults often present with fragile veins, making IO access a reliable alternative for fluid resuscitation and drug delivery.

Pediatric Resuscitation Protocols

International guidelines recommend IO access during pediatric CPR when IV access is not immediately available.

IO devices reduce access time and improve medication delivery success in critical pediatric emergencies.

Technological Advancements & R&D

Semi‐automatic and automatic devices streamline insertion, reduce user error, and improve first‐pass success rates.

Ongoing innovation in materials and needle geometry enhances patient comfort and safety.

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Market Segmentation

By Device Type:

Manual

Semi‐automatic (Leading segment)

Automatic

By End‐User:

Emergency Medical Services (EMS) (Largest share)

Hospitals

Military

Regional and Country Insights

North America:

Largest regional market in 2021, driven by high incidence of EMS‐assessed cardiac arrests and widespread adoption of IO protocols in the U.S.

Europe:

Steady growth supported by European Resuscitation Council guidelines endorsing IO access during CPR and increasing trauma cases.

Asia Pacific:

Rapid expansion fueled by investments in pre‐hospital care infrastructure, rising emergency call volumes, and non‐profit collaborations to improve rural access.

Latin America & Middle East & Africa:

Emerging opportunities as EMS systems mature and awareness of IO benefits spreads in high‐trauma regions.

Competitive Landscape

The IO devices market is moderately fragmented, with leading players focusing on product innovation, regulatory approvals, and strategic partnerships. Key vendors include:

Teleflex Incorporated (Arrow EZ‐IO system)

Becton, Dickinson and Company (BD)

Cook Medical

PAVmed, Inc.

Aero Healthcare AU Pty Ltd.

Biopsybell

PERSYS MEDICAL

Key Developments

April 2022: Nextremity Solutions received FDA 510(k) clearance for the StealthFix Intraosseous Fixation System, expanding IO applications into orthopedic fixation.

October 2020: Teleflex expanded Arrow EZ‐IO indications with U.S. FDA 510(k) clearance for emergent and urgent vascular access.

March 2020: SAM Medical launched the SAM IO Intraosseous Access System for both pre‐hospital and in‐hospital emergency providers.

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FAQs

What are intraosseous devices?
IO devices are specialized needles or drills that access the bone marrow cavity to deliver fluids and medications when IV access is not feasible.

Why use IO access over intravenous access?
IO access provides a rapid, reliable route for drug and fluid administration, especially in pediatric patients or during shock when veins collapse.

Which device type is most popular?
Semi‐automatic devices lead the market due to ease of insertion, consistent penetration, and higher first‐attempt success rates.

Who are the primary end‐users?
Emergency Medical Services (EMS) constitute the largest end‐user segment, reflecting the critical role of IO access in pre‐hospital care.

Which region dominates the market?
North America, owing to advanced EMS systems, high emergency call volumes, and supportive clinical guidelines.

Driven by the increasing prevalence of emergency medical situations, a growing geriatric demographic, and continuous device innovation, the market is poised for sustained expansion and enhanced patient outcomes.

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