Carpal Tunnel Release with Ultrasound Guidance

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

Chart of Patients returning to work vs. Days post-procedure. Information provided in the table below.

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

With a proven safety profile, UltraGuideCTR features:

An ergonomically designed handle to provide maximum control throughout the procedure.
A low-profile tip to allow for insertion through a small wrist incision.
An echogenic device composition to enhance visualization under ultrasound.
Stealth MicroGuard® balloons to gently create space and protect critical anatomy in the carpal tunnel.
TCL Blade® to provide precision and control during TCL transection, while remaining recessed for safe insertion and removal.

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.
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.
TCL Blade® to provide precision and control during TCL transection, while remaining recessed for safe insertion and removal.

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

Educational Institute

Transforming the patient experience through world-class professional education and training.

Self-guided, web-based ultrasound skills training
Educational webinars
On-site cadaver training programs, at your location
State of the art training lab
Clinical data