Carpal tunnel tome and carpal tunnel release surgery

Details Carpal tunnel tome and carpal tunnel release surgery Carpal tunnel tome and carpal tunnel release surgery

1993-05-14

1995-02-07

Pellegrino, Stephen C.

Surgery

Instruments

Cutting, puncturing or piercing

30294, A61B 1732

Patent

active

053872223

ABSTRACT:
A carpal tunnel tome for performing carpal tunnel release surgery includes a slender handle with a blade at one end. The blade is bounded on both sides by a pair of relatively blunt protuberances that extend distally beyond the cutting edge of the blade. The protuberances allow the instrument to straddle the ligament and serve to protect surrounding tissue during the cutting procedure of the ligament. The surgical procedure utilizing the tome requires only a single small incision in the palm of the patient's hand adjacent the distal end of the transverse carpal ligament. The instrument is then placed in the incision straddling the ligament and is then advanced proximately toward the patient's wrist until the transverse carpal ligament is completely divided. The instrument is then withdrawn and the incision is closed with one or two sutures and an appropriate dressing is applied.

REFERENCES:
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patent: 3831274 (1974-08-01), Horrocks
patent: 3975822 (1976-08-01), Mabus
patent: 4026295 (1977-05-01), Lieberman
patent: 4962770 (1990-10-01), Agee et al.
patent: 5029573 (1991-07-01), Chow
patent: 5273024 (1993-12-01), Menon et al.
David M. Pagnanelli, M.D. et al., "Bilateral Carpal Tunnel Release at One Operation: Report of 228 Patients", Neurosurgery, vol. 31, No. 6, Dec. 1992.
David M. Pagnanelli, M.D. et al., "Carpal tunnel syndrome: surgical treatment using the Paine retinaculatome", J. Neurosurg., vol. 75, Jul. 1991.
Kenneth W. E. Paine, M.D. et al., "Decompression using the Paine retinaculotome", J. Neurosurg., vol. 59, Dec. 1983.
Ruggles Corporation Catalog, R-520 PAINE's Carpal Tunnel Retinaculotome, p. 59.

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