Abstract: Improved shielded medical devices which minimize accidental needlesticks of the skin by an exposed contaminated needle are provided. The medical devices include a hollow inner tube body and a telescoping outer shield. The outer surface of the inner tube has front and rear circumferential grooves, with a shoulder located forward of the front groove and a ramp located rearward of the front groove and decreasing in diameter as it extends away from the front groove. The shoulder has a larger diameter than the ramp diameter adjacent the front groove and permits the shield to be slided over the inner tube without locking into the inner tube during assembly. The outer shield has two inwardly extending circumferential protrusions in proximate location to each other, and at least one outwardly extending gripping flange. A first of the protrusions is located at the rear end of the shield and yieldingly engages the rear groove during use of the medical device, thereby permitting normal use of an exposed needle.