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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]
Needles in common medical use range from 7 gauge (the largest) to 34 (the smallest). 21-gauge needles are most commonly used for drawing blood for testing purposes, and 16- or 17-gauge needles are most commonly used for blood donation, as the larger luminal cross-sectional area results in lower fluid shear, reducing harm to red blood cells ...
The gauge starts at the lowest gauge number of 5Ø or 00000, corresponding to the largest size of 0.500 inches (12.7 mm), and runs to the highest gauge number of 36, corresponding to the smallest size of 0.004 inches (0.10 mm).
A portable drug-delivery device, comprising an insulin container (prefilled for disposable pens, or refillable with cartridges); a dialing system to select the dose (in increments of 0.5 or 1 Unit); and a button which delivers the drug when pressed; disposable needles are attached prior to each use. To administrate insulin under the skin. [10]
Subcutaneous injections can also be delivered via a pump system which uses a cannula inserted under the skin. The specific needle size/length, as well as appropriateness of a device such as a pen or pump, is based on the characteristics of a person's skin layers. [3]: 722–724
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