Carpal Tunnel Release with Ultrasound Guidance

4 Out of 5 patients indicated for CTR avoid or delay surgery

13M Diagnosed with CTS 2.7 M Indicated for surgery annually 400k CTR procedures

Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) affects an estimated 13 millionAmericans causing pain and keeping people from work and the activities they love.¹ More than 2.7 millionare clinically indicated for surgery, yet there are only approximately 400,000 procedures performed every year.^2,3

*Image Reference: 4 out of 5 patients indicated for CTR avoid or delay surgery.^1-3

Closing the treatment gap

Traditional open and endoscopic carpal tunnel release (CTR) procedures are effective but may result in a lengthy recovery period and a large and sometimes painful scar.^4-7

Understanding why patients elect to avoid traditional CTR surgery will help close the treatment gap.^8,9

*Image Reference: Reasons for Declining CTR Procedures: 36% Intimidated by Surgery, 30% Recovery Time and 25% Economic^8,9

Reasons for declining CTR procedures

UltraGuideCTR under real-time ultrasound showing carpal tunnel anatomy

Carpal Tunnel Release with UltraGuideCTR™ and Real-Time Ultrasound Guidance

When you perform carpal tunnel release with UltraGuideCTR and real-time ultrasound guidance, you will see all of the critical anatomy in the wrist and hand. You will identify the safe zone and create space to transect the TCL while protecting sensitive anatomic structures.

Benefits include^12-22

Most patients can return to work and the activities they love within 3-5 days
Performed in a procedure room or office setting using local anesthesia
Small incision typically closed without sutures
Most patients only require acetaminophen or NSAIDs for pain management
Postoperative therapy typically not required
Immediate motion of the hand for rapid recovery

See The Data

QDAHS-Graph
Name	Period	(q)dash+
Rojo-Manauate Mini-Open (N=46)	Pre-Op	49
Rojo-Manauate Mini-Open (N=46)	1-2 Weeks	53
Rojo-Manauate Mini-Open (N=46)	3 Weeks	38
Rojo-Manauate Mini-Open (N=46)	4 Weeks	34
Rojo-Manauate Mini-Open (N=46)	6 Weeks	28
Rojo-Manauate Mini-Open (N=46)	3 Months	17
Rojo-Manauate Mini-Open (N=46)	6 Months	14

Rojo Manaute US-Guided (N=45)	Pre-Op	52
Rojo Manaute US-Guided (N=45)	1-2 Weeks	23
Rojo Manaute US-Guided (N=45)	3 Weeks	17
Rojo Manaute US-Guided (N=45)	4 Weeks	13
Rojo Manaute US-Guided (N=45)	6 Weeks	10
Rojo Manaute US-Guided (N=45)	3 Months	7
Rojo Manaute US-Guided (N=45)	6 Months	4

Sonex US-Guided (N=89)	Pre-Op	52
Sonex US-Guided (N=89)	1-2 Weeks	22
Sonex US-Guided (N=89)	3 Weeks	18
Sonex US-Guided (N=89)	4 Weeks	14
Sonex US-Guided (N=89)	6 Weeks	12
Sonex US-Guided (N=89)	3 Months	11
Sonex US-Guided (N=89)	6 Months	9

Endoscopic (N=124)**	Pre-Op	50
Endoscopic (N=124)**	1-2 Weeks	41
Endoscopic (N=124)**	3 Weeks	34
Endoscopic (N=124)**	4 Weeks	27
Endoscopic (N=124)**	6 Weeks	18
Endoscopic (N=124)**	3 Months	12
Endoscopic (N=124)**	6 Months	8

Simple, Elegant, Safe and Effective

UltraGuideCTR features:

The low profile tapered tip allows the device to be inserted through a small incision.
Stealth MicroGuard^® balloons gently create space and protect critical anatomy in the carpal tunnel prior to and during transection.
Meerkat Technology^® – the TCL Blade^® is hidden in the tip of the device for safe insertion and removal.
The TCL Blade cannot be activated unless the Stealth MicroGuard balloons are inflated.

Carpal Tunnel Release with UltraGuideCTR and Real-Time Ultrasound Guidance

Throughout the procedure, the transverse carpal ligament and relevant anatomic structures are visualized directly, in real-time, with ultrasound imaging.
UltraGuideCTR is inserted through a small incision over the proximal carpal tunnel region.
Meerkat Technology coordinates the activation of the TCL Blade and the inflation of the Stealth MicroGuards.
- The TCL Blade is initially positioned entirely within the tip and shaft of UltraGuideCTR and can only be activated after the Stealth MicroGuards are deployed.
Once in position and the Stealth MicroGuards deployed, the TCL Blade is advanced from the tip of the device to transect, or divide, the transverse carpal ligament.
The TCL Blade is returned to the inactive position, within the tip and shaft of the device, and the Stealth MicroGuards are deflated.
UltraGuideCTR is removed and the small incision can be closed with an adhesive strip, bandage or sutures as needed.

Procedure Videos & Resources

Dr. Reginald Kapteyn in blue medical scrubs

My patients are very satisfied with their speedy recovery. I’ve had many say that the night after surgery was the first time they’ve slept through the night in months.

Dr. Marko Bodor sitting next to an ultrasound machine holding UltraGuideCTR medical device.

We’ve been closely following our outcomes with a 100% follow-up rate at 1 year. Our outcomes, as has been the case for Sonex nationwide, exceed published outcomes for mini-open release in terms of speed of resolution of symptoms, return of function and ultimate outcome. Furthermore, overall satisfaction with the procedure has been very high.

It allows patients to recover faster and have fewer follow-up visits. Which also allows me to be more efficient and see more patients.

The Institute of Advanced Ultrasound Guided Procedures

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Self-guided, web-based ultrasound skills training
Educational webinars
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Clinical data