Device and method for single-handed access and insertion of an article

An insertion apparatus for inserting an object into a body, comprising:

• an elongated housing having a distal end and a proximal end, at least one fixed handle extending from the proximal end of the housing, and a guidewire sheath clip disposed on an upper surface of the housing adjacent the proximal end;
• a piercing structure with a lumen disposed adjacent the upper surface of the housing, wherein the piercing structure extends from the distal end of the housing;
• a vacuum chamber disposed with in the housing and that communicates with the lumen of the piercing structure;
• a plunger configured to fit within the vacuum chamber and having a handle external to the chamber and disposed adjacent the distal end of the housing when the plunger is fully disposed in the chamber;
• and
• a guidewire extending from the guidewire sheath clip into the lumen;
• a protuberance disposed on the housing between the guidewire clip and the piercing structure arranged so that a digit of a use can sandwich the guidewire between the digit and the protuberance;
• wherein the insertion apparatus is configured to be gripped with a single hand and the plunger retracted from the fully disposed condition with another digit of the single hand.