What equipment is needed for contraceptive implant placement?

Updated: Jan 29, 2018
  • Author: Megan Brady Shannon, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

The practitioner should have the following available for the office procedure:

  • Sterile gloves

  • Disposable sterile implant applicator

  • Local injectable anesthetic, such as 1% lidocaine with or without epinephrine

  • 2-mL syringe

  • Needle (18 gauge) for drawing up the anesthetic

  • Needle (25 gauge, 1.5 cm) for injecting the anesthetic

  • Antiseptic solution such as povidone iodine or chlorhexidine

  • A sterile marking pen, if desired

  • Adhesive dressing, such as Steri-Strips

  • Pressure dressing, like Kerlix

Nexplanon is manufactured by Merck and had been distributed since about 2012. Its first-generation model, the Implanon, became available in the United States in 2006. [4] The implant is a single-rod nonbiodegradable device that measures 4 cm in length and 2 mm in diameter. It contains a core of 68-mg etonogestrel (3-ketodesogestrel), which is the biologically active metabolite of desogestrel. The rod is made of the plastic ethylene vinyl acetate (EVA) copolymer covered by a thin EVA membrane that slowly releases hormone over 3 years.


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