By the mid-2010s, David Finci, a Swiss OBGYN, had grown increasingly uncomfortable using the tenaculum on his patients during IUD insertions. Ikram Guerd, Aspivix’s general manager and CMO, said that Finci often felt “ashamed” of hurting his patients with a tool that had been adapted from a Civil War-era bullet extractor. But it also doesn’t poke holes in your patient’s cervix,” she concluded with a dry laugh. With or without Carevix, women still report severe cramping during and after insertions. Accompanied by a supervising physician, a trainee, a patient advocate, and her boyfriend, she underwent the procedure using Carevix.