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 million1 Americans causing pain and keeping people from work and the activities they love. More than 2.7 million2 are clinically indicated for surgery, yet there are only approximately 400,0003 procedures performed every year.

*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.4,5,6

Understanding why patients elect to avoid traditional CTR surgery will help close the treatment gap.7,8

*Image Reference: Reasons for Declining CTR Procedures: 36% Intimidated by Surgery, 30% Recovery Time and 25% Economic7,8

Reasons for declining CTR procedures

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 include4,9,10

  • Most patients can return to work and the activities they love within 3-6 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
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

  1. Throughout the procedure, the transverse carpal ligament and relevant anatomic structures are visualized directly, in real-time, with ultrasound imaging.
  2. UltraGuideCTR is inserted through a small incision over the proximal carpal tunnel region.
  3. 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.
  4. 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.
  5. The TCL Blade is returned to the inactive position, within the tip and shaft of the device, and the Stealth MicroGuards are deflated.
  6. UltraGuideCTR is removed and the small incision can be closed with an adhesive strip, bandage or sutures as needed.

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