Ultrasound Guided Carpal Tunnel with McGinley Augmented Reality

Speaker 1The McGinley Clinic presents Ultrasound guided Carpal tunnel release utilizing the McGinley Augmented reality for Ultrasound system. This minimally invasive procedure is used to treat Carpal Tunnel syndrome. Used in conjunction with the McGinley Augmented reality for Ultrasound during this procedure, the SX1 microknife further enhances the safety and recovery for the patient.

Speaker 2According to published studies, Carpal Tunnel syndrome affects more than 12 million Americans, causing Pain and keeping people from work and leisure activities.

Speaker 1Carpal Tunnel syndrome is a common condition with symptoms of Pain, numbness, and tingling in the hand. The condition occurs when one of the major nerves in the hand, the median nerve, is compressed as it.

Speaker 1Travels through the wrist. The median nerve controls movement in the thumb and feeling in the thumb, index finger, middle finger, and half of the ring finger. It runs down the arm and forearm, passes through the Carpal Tunnel at the wrist, and goes into the hand.

Speaker 2Traditionally, the open release procedure performed in the operating room has been the standard of care for treating Carpal Tunnel syndrome. Over the past 10 years, laparoscopic release procedures performed in clinics using local anesthesia have surged to the forefront.

Speaker 2The latest technological development in Carpal tunnel release utilizes Ultrasound and a minimally invasive guided technique with the SX1 microknife. This procedure is performed in an Outpatient setting with local anesthesia only. The patient is completely awake and does not require sedation or a regional nerve block. Compared to open or endoscopic release, this new procedure is less invasive and has added safety benefits to the patient.

Speaker 1Using McGinley

Speaker 1Augmented reality for Ultrasound Technology, the physician is able to overlay the Ultrasound image on the physical anatomy of the patient. This system provides ergonomic and functional benefits to physicians. They can now be comfortable while looking directly at the anatomy without turning their head away to visualize the Ultrasound image. While working with such minute and.

Speaker 1Critical structures such as nerves and arteries, it is critically important

Speaker 1for the physicians to be able to visualize

Speaker 1their hands and surgical tools by overlaying the

Speaker 1Ultrasound image on the physical anatomy.

Speaker 2The provider can see in real time where the anatomic structures and instruments are,

Speaker 1providing a safer environment for the patient and a more accurate

Speaker 1and precise set up for the physician.

Speaker 1To begin, the patient is placed in the supine anatomical position, arms extended, palms facing up, using the Augmented reality for Ultrasound Technology.

Speaker 1The physician will identify bony and soft tissue landmarks including critical nerve branches, arteries, in the adjacent carpal bones. The lunate bone will be marked as the landmark for skin entry. He will then inject a 1% lidocaine solution into the skin. Following this, a 10 cc mixture of 1% lidocaine and buppivocaine, a combination which provides a longer anesthetic for the patient after the procedure, will be injected along the procedure path using Ultrasound.

Speaker 1The physician will then place the needle into the transverse carpal ligament and inject additional numbing solution.

Speaker 1The physician then makes a small longitudinal incision about 4 to 5 millimeters long at the marked entry site of the wrist at the level of the proximal wrist fold. A dilator is then inserted using Ultrasound along the expected treatment site in the safe zone.

Speaker 1The dilator will free up any adherent tissues to allow ease of insertion of the SX1 micro knife

Speaker 2throughout the entire procedure. The adjacent critical structures are visualized and noted. The locations of the median nerve radially and the ulnar artery along the ulnar margin of the arm are again documented. The physician is now able to easily place the SX1 device into the incision and along the safe zone between the median nerve and ulnar artery.

Speaker 1Next, the physician inflates the balloons on the

Speaker 2SX1,

Speaker 1which helps

Speaker 1to displace the critical structures and turn a clear zone to observe the transverse carpal ligament under direct visualization. He then deploys the cutting blade, transecting the transverse carpal ligament. This will take 2 to 3 passes if the ligament is thick. Once complete, the physician will place the blade back into the home position of the SX1 and release the balloons.

Speaker 1He will remove the device from the wrist and with the dilator

Speaker 1and Ultrasound will ensure the transverse carpal ligament

Speaker 1is fully released.

Speaker 1The incision is then covered with steri-strips. The patient is able to leave the facility shortly

Speaker 1after the procedure

Speaker 1without need for Pain medications, in sharp contrast to traditional Carpal Tunnel procedure recovery times of 2 to 3

Speaker 1weeks.

Speaker 2The

Speaker 1expected recovery time for this procedure

Speaker 1is approximately 48 hours. Most people are able to

Speaker 2Return to work after just

Speaker 124 hours.

Speaker 2Another benefit of the Ultrasound guided Approach is the recovery process. Pictured here is an example of the difference in the post-op

Speaker 2incision sites,

Speaker 1one showing the site

Speaker 2after the traditional

Speaker 2Approach and the Other showing the site after the Ultrasound guided procedure. Doctor McGinley is among the first physicians in the country to use an Ultrasound guided microinvasive procedure to correct Carpal Tunnel syndrome.

Speaker 2And the very first to do it with the use of Augmented reality,

Speaker 1he performs the

Speaker 1procedure using the latest

Speaker 1innovative technologies,

Speaker 1real-time Ultrasound guidance through

Speaker 1his

Speaker 2AR

Speaker 1system, and the Sonic

Speaker 1Health SX1 microknife. To see this

Speaker 1procedure

Speaker 2in

Speaker 1action,

Speaker 2Doctor Joseph

Speaker 1McGinley runs a physician shadowing program.

Speaker 1At McGinley Clinic in Casper, Wyoming. For inquiries or

Speaker 2more information, please go to

Speaker 1www.the McGinleyclinic.com or call

Speaker 11-866-OtHO-Y

Speaker 2or

Speaker 11-866-678-4699

Speaker 2for more

Speaker 2information.