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Sono-Instruments®:
Minimally Invasive Solutions for Trigger Finger & Carpal Tunnel Release

Sono-Instruments®, developed by Swiss innovators Spirecut, are precision-engineered microinstruments created specifically for ultrasound-guided soft tissue procedures. Built around real-time imaging and fine anatomical control, these instruments are enabling a new wave of physician-led interventions, with reduced surgical footprint, faster recovery, and lower costs.

Why Choose Ultrasound-Guided Release?

Ultrasound-guided release is a safe, effective alternative to traditional open or endoscopic surgery, without the need for theatres, sutures, or post-op wound care.

Using high-resolution ultrasound imaging, clinicians can precisely identify anatomical structures in real time, ensuring targeted release of the transverse carpal ligament or A1 pulley while avoiding surrounding nerves, vessels, and tendons.

Combined with sterile single-use instruments and a 1.5 mm access point, procedures can be done quickly in outpatient procedure rooms using only local anaesthetic.

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Clinical Applications

Trigger Finger Release

Percutaneous release of the A1 pulley


Using Sono-Instruments®, physicians can release the affected pulley through a 1.5 mm incision under real-time ultrasound guidance. The approach avoids tendon or nerve damage, and dramatically reduces post-op stiffness and scarring commonly seen in open procedures.

Carpal Tunnel Release (CTR)

Targeted division of the transverse carpal ligament


Ultrasound guidance allows precise identification of the median nerve and surrounding structures. With Sono-Instruments®, the TCL is safely released via a percutaneous approach, protecting vascular structures and minimising soft tissue disruption.

Imagine being able to wash your hands the day after hand surgery

Key Advantages

1.5 mm sono-instruments — no scarring, no stitches

Real-time safety and anatomical precision with ultrasound

Quick recovery and return to work

Each patients outcome is monitored with our PROMs platform

Key Advantages

  • Offering a minimally invasive alternative to open and endoscopic carpal tunnel release.

  • Enhancing precision for surgeons specializing in hand and wrist conditions.

  • Streamlining outpatient procedures and optimizing patient throughput.

  • Providing an innovative solution for practices focusing on musculoskeletal and nerve-related disorders.

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Training Pathway

All clinicians are guided through a structured training programme, including:

Simulation training workshops

Live case observations 

Hands-on mentoring 

Ongoing access to clinical advisors and digital support

We are actively partnering with hospitals and clinics across the UK, US, and Middle East to support adoption.

Ready to Join the Sono-Surgery Movement?

Observe a live case

Join a training day

Speak with one of our clinical experts

Review PROMs data and peer case studies


Link to clinical evidence all here - @spirecutexpo | Linktree

If you are a interested in performing carpal tunnel or trigger finger release in your practice, contact our team to explore the opportunity:

Contact us

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