The FDA has cleared Tenex Health, Inc.’s, TX-Bone, an ultrasonic surgical instrument that fragments, emulsifies and aspirates soft and hard tissue.
The minimally invasive technology, according to a May 13, 2019 company announcement, is specifically designed to “treat chronic pain in soft and hard tissue…and allow physicians to identify and simultaneously perform selective cutting and debriding of pain-generating bone and calcific tissue, with optimized ultrasonic energy.”
The device was cleared in August 2018, but a spokesperson told OTW that the company first wanted to conduct a Limited Use Release with select users before releasing to market and then choosing to do the press release.
The spokesperson also noted the device was initially named the TX-Plus (aka TXP) throughout the Limited Use Release, but, has now been re-named the TX-Bone (aka TXB) for the widespread release.
Bernard Morrey, M.D. of the Mayo Clinic, said the device “is extremely efficient for treating soft tissue, but also very effective at removing pain-causing bone and calcific tissue. He added that the clearance “represents a major advancement in the management of patients with tendinopathy, including those who suffer from bony spurs.”
Indication
The FDA clearance document states the “Tenex Health TX System with the TXP MicroTip is indicated for use in surgical procedures where fragmentation, emulsification, and aspiration of both soft and hard (e.g.: bone) tissue are desirable, including General Surgery, Orthopedic Surgery, Laparoscopic Surgery and Plastic and Reconstructive Surgery.”
It is also indicated for use in the “debridement of wounds, such as, but not limited to diabetic ulcers, in application, in which, in the physician’s judgement would require the use of an ultrasonic aspirator with sharp debridement.”
System With TXP MicroTip
The system, according to the FDA documents, consists of a non-sterile console, ultrasonic MicroTip, inflation cuff, foot pedal and supply kit. “The console provides power and control for the user functions including irrigation, aspiration, and ultrasonic fragmentation/emulsification. It has a large, color LCD and employs a touch-screen with a graphical user interface for selection of required settings. The console provides audible tones for confirmation of selections. The console also houses the irrigation valve, the irrigation pump and the aspiration pump.”
The company says the technology has been used successfully in over 90,000 cases.
Would like to see any long term outcome data or other efficacy studies on Tenex. If you can send that info to me I would greatly appreciate it!
Would like to use for treatment of back pain caused by degenerative change
Can this device be used to treat bone spurs on the top of the foot?
I have had Chronic elbow
Tendonosis pain for over a year and a half. I have tried everything including a PRP injection which seemed to help a little but because I have a physical job the pain came back. I would like to try this Tennex procedure but it is fairly new and my doctor is at Kaiser and they do not offer this procedure. They said it is because they don’t
know the long term outcomes of this procedure. I too would like it if you could provide me with long term outcome data or other efficacy studies on the Tennex procedure. Please e-mail me with your reponse so I can share them with my doctor. I really don’t want to live with this chronic pain anymore. Sincerely, Rachelle
i’m not part of this website in any way, but i had chronic plantar fasciitis that should have left me in a wheelchair for 15 years before discovering Tenex and a doctor that could perform the procedure. i can NOT speak more highly of the doctor/procedure. I had it in april of 2019. It is now nearly December 2023. I have had no further pain or discomfort. I don’t have to worry about wearing shoes 24/7 or which ones i can wear and be comfortable. I can’t speak to every patient or every indication of the device, but I am an extremely happy patient that can’t recommend it highly enough given the right situations.