Trigger Finger Release with UltraGuideTFR™

and Real-time Ultrasound Guidance

TRIGGER FINGER RELEASE USING ULTRASOUND GUIDANCE FOR THE TREATMENT OF TRIGGER FINGER IS NOW AVAILABLE AT IN2IT MEDICAL.

Dr. Craig Chappell is the first in the state of Utah to offer trigger finger release (TFR) using real-time ultrasound guidance with Sonex Health’s UltraGuideTFR as part of its treatment plan for patients suffering from trigger finger, also known as stenosis tenosynovitis.

This is an exciting option for patients who suffer from trigger finger and are looking for relief through a less-invasive approach. Trigger finger can be a very difficult condition for patients, especially those who rely on their hands for their livelihoods. That’s why we’re pleased to offer UltraGuideTFR with real-time ultrasound guidance. It enables patients to quickly get back to their daily activities.

Performing trigger finger release (TFR) under the guidance of ultrasound was first documented in 2006.

While TFR with ultrasound guidance is not new, Sonex Health’s UltraGuideTFR™️ is a new device for the treatment of TFR using real-time ultrasound guidance. UltraGuideTFR was designed to provide physicians with a simple and elegant tool to perform TFR, with or without ultrasound guidance. When UltraGuideTFRis used with ultrasound guidance, physicians can perform TFR surgery through a small, less disruptive incision while providing improved visualization of critical anatomy in the palm and fingers. Ultimately, performing TFR with UltraGuideTFR and real-time ultrasound guidance is designed to transform the treatment experience for patients, physicians, and payors.

What is trigger finger (stenosing tenosynovitis)?

Trigger Finger (TF) is one of the most common problems affecting the hand. It afflicts approximately 9 million Americans 6 with stiffness, pain, and difficulty bending in one or more fingers. Left untreated, the finger can become locked in a bent position.

Important benefits of TFR using real-time ultrasound

guidance include2-5:

Patients can return to normal activities and work as tolerated, as early as one day after the procedure.
Performed in a procedure room or office setting
Typically performed using local anesthesia
Small hand incision may be closed without sutures
Reduces or eliminates the need for opioids – if needed, most patients use Tylenol® or ibuprofen post-procedure.

What is trigger finger release?

Trigger Finger Release (TFR) surgery is used to treat TF. The goal of TFR is to release the A1 pulley above the flexor tendon so it can glide more freely and easily through the tendon sheath. The release unlocks the finger to allow for normal movement and range of motion.

Advantages of TFR with ultrasound guidance: 1-3

• Performed in an office

• Can be performed using local anesthesia

• Immediate resolution of trigger finger mechanical symptoms

• No reported infection, vascular injury, or nerve injury

• Faster return to normal activities versus open TFR

Is this procedure covered by insurance?

Sonex Health’s UltraGuideTFR™️ is covered by Medicare and most private insurance companies. Physicians and patients should always confirm coverage with the applicable provider prior to scheduling treatment.

Trigger finger affects almost 9 million Americans and results in 350,000 surgeries every year. Traditional TFR procedures can remedy the condition but may result in large and sometimes painful scars, ongoing pain, and a long recovery.

For more information about TFR using real-time ultrasound guidance please contact us.

For more information, please visit www.sonexhealth.com

1. Jou, I.M. and Chern, T.C. Sonographically assisted percutaneous release of the 1 pulley: a new surgical technique for treating trigger digit. J Hand Surg. 2006;31(2):191-199.

2. Colberg, R.E., Pantuosco, J., Flesig, G., & Drogosz, M. (2020). Ultrasound-guided microinvasive trigger finger release technique combined with three tests to confirm a complete release. American Journal of Physical Medicine & Rehabilitation, 99(12), 1150-1156. doi:10.1097/PHM.0000000000001510

3. Colberg, R.E., Juardo, Velez J.A., Garrett, W.H., Hart, K., & Fleisig, G.S. (2021). Ultrasound-guided microinvasive trigger finger release technique using an 18-gauge needle with a blade at the tip: A prospective study. PM&R: The Journal of Injury, Function and Rehabilitation, 1-8. doi:10.1002/pmrj.12665

4. Nikolaou, V.S., Malahias, M.A., Kaseta, M.K., Sourlas, I., & Babis, G.C. (2017). Comparative clinical study of ultrasound-guided A1 pulley release vs open surgical intervention in the treatment of trigger finger. World Journal of Orthopedics, 8(2), 163-169. doi:10.5312/wjo.v8.i2.163

5. Rojo-Manuate, J.M., Rodriguez-Maruir, G., Capa-Grasa, A., Chana-Rodriguez, F., Soto, M.D., and Martin, J.V. Sonographically guided intrasheath percutaneous release of the first annular pulley for trigger digits, part 1. J Ultrasound Med. 2012;31(3):417-424.

6. Strom et al: Trigger finger in diabetes. J Med Sco NJ 1977; 74: 951-954.

7. Sonex Health Market Assessment 2021. Data on File. Refer to the device instructions for use for detailed information regarding the procedure, indications, contraindications, warnings, precautions, and potential complications/adverse events. There are potential risks associated with the Sonex Health UltraGuideTFR. It may not be appropriate for all patients and not all patients may benefit. Talk to your doctor about the benefits and risks and whether trigger finger release with UltraGuideTFR is right for you. For more information about the risks, visit: SonexHealth.com Rx Only.

UltraGuideTFR is a trademark of Sonex Health, Inc.

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