A catheter inserter including an actuator assembly to move a catheter assembly outside a housing by engaging the catheter assembly multiple times, in an example. The inserter includes a needle assembly in a housing that has a first position with a needle extending from the housing and a second position with the needle retracted into the housing. A catheter assembly is removably positioned in the housing and includes a catheter and a hub connected to the catheter. An actuator assembly is further mounted to the housing and operates to selectively engage a guidewire assembly to move the guidewire past the needle and to selectively engage the catheter assembly to move the catheter and the hub outside the housing.
