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Historically, pen needles were manufactured in lengths up to 12.7mm. Over time, pen needles designed for insulin pens have become shorter, and a 4mm long needle is considered sufficient for most people to administer subcutaneously correctly. [23] In 1989, an injector pen form of human growth hormone was licensed in New Zealand. [28]
Pravaz designed a hypodermic needle measuring 3 cm (1.18 in) long and 5 mm (0.2 in) in diameter; it was made entirely of silver. [citation needed] Charles Hunter, a London surgeon, is credited with the coining of the term "hypodermic" to describe subcutaneous injection in 1858.
[3]: 722 For subcutaneous injections delivered using devices such as injector pens, the needle used may be as thin as 34 gauge (commonly 30–32 gauge), and as short as 3.5 mm (commonly 3.5 mm to 5 mm). [24] Subcutaneous injections can also be delivered via a pump system which uses a cannula inserted under the skin.
The Birmingham gauge ranges from 5/0 or 00000, the lowest gauge number corresponding to the largest size of 0.500 inches (12.7 mm), to 36, the highest gauge number corresponding to the smallest size of 0.004 inches (0.10 mm). The increments between gauge sizes are not linear and vary. [2]
When the needle enters the vein, venous blood pressure generally forces a small amount of blood into the set's transparent tubing providing a visual sign, called the "flash" or "flashback", that lets the practitioner know that the needle is actually inside of a vein. The butterfly offers advantages over a simple straight needle. The butterfly's ...
A typical insulin vial may contain 10 mL, for 1000 units. Insulin syringes are made specifically for a patient to inject themselves, and have features to assist this purpose when compared to a syringe for use by a healthcare professional: shorter needles, [7] as insulin injections are subcutaneous (under the skin) rather than intramuscular,
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