Insertion, non-biodegradable drug delivery implant
CPT4 code
Name of the Procedure:
Insertion of Non-Biodegradable Drug Delivery Implant (commonly referred to as drug-eluting implants or medicinal implants)
Summary
This procedure involves placing a small implant under the skin that slowly releases medication over time. The implant is made of materials that do not break down in the body.
Purpose
The procedure aims to provide a steady dose of medication to treat chronic conditions such as hormonal imbalances, pain management, or long-term infections. The goal is to maintain therapeutic drug levels in the bloodstream without the need for frequent medication doses.
Indications
- Chronic conditions requiring consistent medication levels
- Hormonal therapies (e.g., testosterone replacement, contraception)
- Long-term pain management
- Antibiotic therapy for prolonged infections
Patients who struggle with daily medication compliance or need steady drug delivery for their condition are ideal candidates.
Preparation
- Follow specific fasting guidelines if anesthesia is required.
- Adjust current medications as instructed by the healthcare provider.
- Undergo necessary diagnostic tests such as blood work or imaging.
Procedure Description
- The patient is positioned comfortably, and the insertion site (usually the inner upper arm or thigh) is cleaned and sterilized.
- Local anesthesia is administered to numb the area.
- A small incision is made, and the implant is inserted just beneath the skin using a specialized applicator.
The incision is then closed with sutures or adhesive strips and bandaged.
- Tools and equipment include the implant device, applicator, scalpel, and suturing materials.
- Typically performed under local anesthesia; general anesthesia is rarely required.
Duration
The procedure typically takes about 30 minutes.
Setting
The insertion is usually performed in an outpatient clinic or a minor surgical unit.
Personnel
- Primary care physicians or specialized surgeons
- Nurses
- Anesthesiologists (if sedation beyond local anesthesia is needed)
Risks and Complications
- Common risks: bruising, swelling, pain at the insertion site.
- Rare risks: infection, implant migration, allergic reaction, or failure of the implant to release medication properly.
- Complications are typically managed with standard medical treatments like antibiotics or implant removal if necessary.
Benefits
- Provides consistent and controlled medication doses.
- Reduces the need for frequent medication intake.
- Improved patient compliance and quality of life.
Benefits can often be realized shortly after the implant begins releasing medication, though it may vary based on the condition treated.
Recovery
- Keep the insertion site clean and dry.
- Follow any specific instructions for wound care and bandaging changes.
- Most patients can resume normal activities within a day; avoid strenuous activities for a few days.
- Follow-up appointments may be scheduled to monitor the implant and medication levels.
Alternatives
- Oral medications (convenient but require regular dosing)
- Injectable medications (may need frequent administration)
- Biodegradable implants (dissolve over time but may not be suitable for all conditions)
Each alternative has its own set of benefits and drawbacks, such as the need for more frequent dosing or possible side effects.
Patient Experience
- During the procedure, the patient may feel slight pressure or discomfort despite local anesthesia.
- Post-procedure, patients may experience mild soreness or bruising at the insertion site.
- Pain management typically involves over-the-counter pain relievers.
- Most patients report minimal discomfort and resume normal activities quickly after the procedure.