A catheter assembly comprises a manifold positioned at a proximal end of the catheter assembly. A tether member has a proximal end region fixedly engaged to a portion of the manifold. A proximal tubular member has a first end region engaged to the manifold. The proximal tubular member is disposed about at least a portion of the tether member. At least a portion of the tether member distal of the manifold is fixedly engaged to at least a portion of the proximal tubular member.