Trice Medical recently announced the launch of Seq-Way ECTR-d, the first fully disposable endoscopic carpal tunnel system in the United States. It allows surgeons to perform endoscopic carpal tunnel release without needing to use traditional reusable instruments.
Disposable Endoscopic Carpal Tunnel System Launched

Carpal tunnel release is one of the most common surgical procedures in the United States. Endoscopic release also allows for faster recovery and less postoperative discomfort.
This new system can be used at any site of service even in the physician’s office cutting down on the time and cost usually associated with the procedure. And because it is a sterile packaged, one-time use system, ECTR-d can also help reduce the risk of infection during the procedure.
“The endoscopic carpal tunnel release disposable kit has the ability to potentially revolutionize the way endoscopic carpal tunnel release procedures have routinely been performed,” Charles Leinberry, M.D., associate professor at Rothman Orthopaedics of Thomas Jefferson University Hospital, explained.
“This is a procedure, where usually the operating room set up takes longer than the procedure itself. This disposable kit will allow a quicker operating room turnover, but also the ability to move these cases to a procedure room or office setting, if available and desirable. With the current COVID-19 pandemic and the backlog of elective surgical procedures, this procedure could be done in a different OR setting with less use of operating set up and equipment.”
“Over 700,000 Americans have a carpal tunnel release procedure performed annually in the U.S. Due to the need to have sterilization capabilities and access to expensive arthroscopy towers, all of the endoscopic procedures to date have been done in the operating rooms of Hospitals and ASCs. With the backlog of elective procedures created by COVID-19, those same ORs are about to face a level of demand that we have never seen before. And now, with just a tablet and two sterile boxed, a surgeon can complete the procedure, thereby limiting the burden on precious resources,” Mark Foster, president and CEO of Trice Medical, which is headquartered in Malvern, Pennsylvania, added.
Seg-WAY ECTR-d includes all the instruments needed for an endoscopic carpal tunnel release. It can be used with a disposable 2.3 min camera such as mi-eye angled, a disposable camera also manufactured by Trice Medical.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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