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Minimally Invasive Carpal Tunnel Release

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Minimally Invasive Carpal Tunnel Release

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Orthopedic surgery is ever changing including smaller procedures such as carpal tunnel release that affect 3-6% of adults. The SX-One MicroKinfe allows CTR to become a minimally invasive procedure which in turn allows more adults to have the option to have the procedure.

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1.    The article was published by Medgadget a highly reputable publication site for new medical technology. Author Cici Zhou interviewed the CEO Dr. Darryl Barnes on their new product for orthopedic surgery.

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On March 20, 2020 Cici Zhou’s article was published to Medgadget online platform.

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Carpal tunnel syndrome is a fairly common diagnosis in the United States, affecting approximately three to six percent of adults. Symptoms include pain, numbness, and tingling along the thumb, index, and middle fingers. For severe or refractory cases, the best treatment is surgery. However, because open surgery requires anesthesia and many weeks of downtime, most of the patients who are recommended for surgery do not receive it. That's where Sonex Health comes in.

The company's SX-One MicroKnife and ultrasound-guidance are used to perform the carpal tunnel release. Using this minimally-invasive approach allows the procedure to be performed in an office setting through a single 4-5 mm incision. For patients, that results in faster recovery time and less scarring.

Darryl Barnes, MD, CEO of Sonex Health

"It's pretty simple and elegant," says Dr. Darryl Barnes, Co-Founder and CEO of Sonex Health. The company's SX-One MicroKnife is used to transect the transverse carpal ligament and release pressure on the median nerve. The device is designed to be minimally-invasive and provide the physician with more control. "Our physicians say it makes them more confident, because of the integrated safety features, allowing for a very safe and effective procedure."

12 million Americans suffer from carpal tunnel syndrome and half are recommended for surgery, says Barnes, but only 650,000 actual surgeries are performed each year. And there are three main reasons for the discrepancy: patients are intimidated by the traditional surgery, cannot afford the recovery time, or have other economic reasons.

The SX-One MicroKnife addresses all three factors. "It allows the physician to treat their patient in a less intimidating environment," says Barnes. "They can do it in minutes while [patients] are wide awake, using local anesthetic." And the recovery time is shortened significantly: "Patients recover in 3 to 6 days or less using this minimally invasive technique with our device, versus 6 to 8 weeks [with open surgery]," Barnes added.

Sonex Health was founded by Dr. Darryl Barnes and Dr. Jay Smith, two sports medicine physicians at the Mayo Clinic, along with Aaron Keenan, MBA, a former health care administrator at Mayo Clinic. They used ultrasound regularly in their clinical practice, says Barnes, and "we realized that we could see really all of the critical anatomy with ultrasound... and we could see it very clearly." They saw the opportunity to use ultrasound to turn carpal tunnel surgeries into minimally invasive procedures.

Sonex Health was founded in 2014 and raised a seed round that same year. After a few years of product development, the SX-One MicroKnife was used to perform the first procedure in February 2017. It became commercially available in 2019 and has been used in over 5,000 procedures so far with excellent outcomes reported in multiple peer-review journals, according to Barnes.

Sonex Health is on a mission to bring ultrasound-guided procedures to physicians and the millions of patients they treat who would otherwise defer surgery and suffer from their symptoms. "We're fearless disruptors," says Barnes. "If we can't change the way we treat our patients today, we can't very well expect that we're going to do anything better for them in the future."

Here's a video explaining the SX-One procedure:

Learn more at Sonex Health homepage...

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SX-One MicroKnife Makes Carpal Tunnel Release a Minimally Invasive Procedure: Interview with CEO Dr. Darryl Barnes |

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Carpal tunnel syndrome is a fairly common diagnosis in the United States, affecting approximately three to six percent of adults. Symptoms include pain, numbness, and tingling along the thumb, index, and middle fingers. For severe or refractory cases, the best treatment is surgery.

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1. Physicians may be wary of using this technique versus the standard surgical approach

2. It is still new with roughly 5,000 procedures performed so still needs to be marketed more

3. Not easily accessible at this time

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My strengths revealed thru the Strengths Finder Quiz are: Achiever, Relator, Learner, Competition, Significance. I will use my strengths to help aid my team provide the best portfolio for my facility to adopt this new innovation. 
	Achiever: As an achiever I have a strong drive and stamina to work hard and stay productive. This will allow me to stay focused on our project and provide the best work I possibly can. 
	Relator: I find great satisfaction working with a team and building strong relationships with others. This will help my team trust me and each other knowing we are all in this together. 
	Learner: I am always learning and continually improving which will help my team stay up to date on research. I am intrigued by the ever changing healthcare which will help my team not get stuck in one aspect of our project but be everchanging as well. 
	Competition: As a competitor I am driven and motivated. This will allow my team to have someone on their side to keep them motivated to work hard and finish our project strong. 
	Signifcance: I am very independent and can find importance in all of my work. I do want to prove that I am a strong worker and this will help push my team to do the best we can to succeed. 

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SX-One MicroKnife is a great addition to orthopedic surgeons. This micro invasive tool will allow surgeons to treat more patients with carpal tunnel syndrome because it does not require the patient to have surgery which can be costly. With over 12 million adults diagnosed with carpal tunnel syndrome only about 650,000 actually have the surgery needed. By using the MicroKnife in office we are providing care to far more patients who need it. I think that with more physician use and marketing more facilities will begin to invest in this type of tool, but it takes time for healthcare to invest in new products.

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Micro-invasive Carpal Tunnel Release (CTR) with the SX-One MicroKnife™

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Zhou, C. (2020, March 20). SX-One MicroKnife Makes Carpal Tunnel Release a Minimally Invasive Procedure: Interview with CEO Dr. Darryl Barnes |. Retrieved February 02, 2021, from https://www.medgadget.com/2020/03/sx-one-microknife-makes-carpal-tunnel-release-a-minimally-invasive-procedure-interview-with-ceo-dr-darryl-barnes.html

Gallup Inc.  (Ed.). (2020, December 2). What Are the 34 CliftonStrengths Themes? Gallup.com. https://www.gallup.com/cliftonstrengths/en/253715/34-cliftonstrengths-themes.aspx.

Sonex Health. (2019, August 19). Micro-Invasive carpal tunnel release (CTR) with the SX-One MicroKnife [Video]. Youtube. https://www.youtube.com/watch?v=YCG7r0MGQFQ&feature=emb_logo

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SX-One MicroKnife was invented to provide patients the opportunity to have a minimally invasive procedure by their surgeon in office. By performing this procedure in office instead of open surgery patients have a smaller incision site done by local anesthetic, which allows them to have a quicker recovery. Patients recover in 3 to 6 days compared to 6 to 8 weeks when done in the operating room. The MicroKnife used with ultrasound guidance allows the surgeon more control to dissect the carpal ligament. When dissection occurs it releases pressure on the median nerve, thus relieving the patients pain.

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1. micro-invasive allowing to have a quicker recovery

2. smaller incision allows for less scarring

3. local anesthetic vs general anesthesia in a surgery setting

4. More physician control and anatomical view with ultrasound

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1. Angelica- Analytical people are a strong asset to a team because of their drive to find cause and reason. They include all factors and outliers in a situation. They are thorough and will provide great knowledge to the team when we are discussing multiple aspects. They will be a great devils advocate.

2. Daisy-Developers are strong in building others up by recognizing the small improvements and accomplishments of others. Daisy will provide great morale for everyone and help push others to see their own potential. It is very important to have a cheerleader on your team to keep everyone positive.

3. Fernando-Focus theme people are strong at following through with direction and orders. They are strong at prioritizing so I know that they will always do their part in a team project. Having another goal setting attitude will help keep everyone on track.

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