Page 6 - Safeview - Carpal Tunnel Release - HSP 2019

Retrograde Approach

• Draw Kaplan's cardinal line from the ulnar aspect of the thumb toward the hook
or the Draw a second longitudinal line proximally lrom the third web space.
• Create 1cm longitudlnal Incision centered at the Junction of these anatomic landmarks.

• Identify the palmer aponeurosls and enlarge the aponeurotlc opening, laking care
lo avoid Injury to the vascular arch al the distal edge of the Incision.
• Divide the distal portion of the transverse carpal ligament.
• Rasp the undersurface of the transverse carpal ligament lo clear away synovlal tissue.
• Dilate the ca,rpal tunnel space with sequential dilators.

• Insert the Safe View ™ Maintain posterior pressure on the hub of the cannula
to preserve its position beneath the ligament.
• Insert a 4mm 30 standard arthroscope, and visualize the ligament.
°
• Insert the forward cutting knife through the hub of the Retract the skin distally, and
engage the distal cut edge of Iha Divide under direct vlsuallzotlon.
• Alm for the wrist crease just ulnar to the palmarls longus tendon.
• Skin closure is achieved in the usual fashion. Apply a soft dressing.
SafeView ®

Components

• Forward cutting blade

• SafeView cannula - 360° transparent visualization
®
• Built-in guided track system for
precise cutting and safety

• In-situ Rasp

• Synovial elevator

• Sequential dilators

Part Number Description
I-ISP-1601SV SafeVlew"·' Endoscopic Carpal Tunnel Release Kit