Safety and efficacy of a suction cervical stabilizer for intrauterine contraceptive device insertion: Results from a randomized, controlled study.
Michal Yaron, Hélène Legardeur, Bastien Barcellini...
https://pubmed.ncbi.nlm.nih.gov/36914147/Actively Recruiting
Led by Indiana University · Updated on 2026-07-06
100
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating patient-reported pain, bleeding, and the efficiency of devices used during intrauterine device IUD insertions. This trial compares a new FDA-approved, atraumatic suction cervical stabilizer called Carevix with the standard single-tooth tenaculum, which is considered more traumatic. The study also looks at provider satisfaction and ease of use for these devices, focusing on differences in pain scores between patients who have never given birth nulliparous and those who have multiparous. Participants will be randomly assigned to receive either the Carevix device or the standard tenaculum during their IUD insertion procedure. Providers will perform the procedures using the assigned device, and participants will complete surveys about their pain experience and satisfaction immediately after the procedure. The study collects additional information on cultural background, previous contraceptive use, and reasons for choosing IUD insertion or anticipating removal. During the trial, participants will be evaluated for pain at several points before the procedure, during cervix grasping and traction, at IUD placement, and five minutes after completion. Providers will assess ease of device use, number of placement attempts, bleeding, and overall satisfaction right after the procedure. Patient satisfaction and bleeding cessation time will also be measured. The study runs from March 2026 to March 2027, with ongoing assessments during and immediately after the IUD insertion.
CONDITIONS
Assessing Pain and Effectiveness of Carevix Device for IUD Insertions
A
Alissa M Conklin, MD
K
Kylie L Williams, MA
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Indiana University
Lead Sponsor
Aspivix SA
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Carevix Vacuum Cervical Stabilization Device | Standard Tenaculum Cervical Stabilization Device |
|---|---|---|
| What it is | A vacuum-based device designed to stabilize the cervix without using sharp teeth during intrauterine device insertion. | A standard-of-care device with two sharp prongs used to grasp and stabilize the cervix during IUD insertion. |
| Role in trial | Investigational device tested for pain and effectiveness during IUD insertion. | Active comparator representing standard cervical stabilization practice. |
| Primary use | To stabilize the cervix with suction, potentially reducing pain and tissue trauma during the IUD procedure. | Used to mechanically hold the cervix with two prongs, a method often associated with more pain and minor bleeding. |
| How it is used | The provider applies the Carevix device to the cervix where gentle vacuum suction stabilizes it during IUD insertion. | The provider grasps and stabilizes the cervix using the sharp prongs of the tenaculum before IUD insertion. |
| Evidence status | Undergoing clinical evaluation for pain reduction and effectiveness during IUD placement. | Has been the conventional choice for cervical stabilization, but commonly associated with cervical pain and minor bleeding during IUD insertion. |
| Important limitations | The device is investigational and long-term data on safety or effectiveness are still limited. Outcomes in broader real-world use are not yet known. | Use of the tenaculum can cause pain and minor cervical bleeding during IUD placement. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 90 days from consent to procedure
Participants undergo IUD insertion using either the Carevix suction device or the standard tenaculum, with a trained provider performing the procedure.
1 procedure visit and 1 follow-up survey
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Michal Yaron, Hélène Legardeur, Bastien Barcellini...
https://pubmed.ncbi.nlm.nih.gov/36914147/Indiana University
Lead Sponsor
Aspivix SA
Collaborating Sponsor