Salil Gupta, MD

Upper Extremity(212) 400-6633

Steven Sheskier MD

Lower Extremity(212) 604-1366

Home » Tenex


The FAST or focused aspiration of scar tissue procedure is a minimally invasive procedure that removes tendon scar tissue from the elbow and allows you to return to your active lifestyle.

Device Description

The FAST procedure uses the TX1 Tissue Removal System which is a portable, self-contained device that offers precise removal of diseased tendon tissue for use in the elbow, knee, ankle, foot and shoulder. The TX1 System removes scar tissue with an ultrasonic aspirator which emulsifies and removes soft tissue.

The TX1 Tissue Removal System is comprised of a console, ultrasonic hand piece, tube set, and foot pedal to control the functions of the system. The TX1 interface has four modes of operation including irrigation, aspiration, debridement, and coagulation. The TX1 console has a touch-screen interface for selection of settings. The hand piece kit consists of a TX1 disposable hand piece, tubing, cartridge, single-use antiseptic and applicator, single-use local anesthesia and syringe, 16-guaze dilator, and single use ultrasonic gel.


The goal of the FAST procedure is to remove diseased tissue around the affected joint and alleviate the patient’s symptoms.

This procedure takes about 20 minutes and is usually performed under local anesthesia to numb the area. Ultrasound is used to identify the exact area of the joint where scar tissue is causing pain. A small cut of less than 5 mm is made in the skin at the elbow. After locating the scar tissue, the TX-1 micro tip is inserted into the skin. The computer console delivers ultrasonic energy through the micro tip to break up the scar tissue. A sterile fluid is injected into the area through a saline delivery system housed in the micro tip. A hollow needle also within the micro tip pulls out the fluid along with the emulsified scar tissue. After the scar tissue is removed, the tiny opening is closed with an adhesive bandage.

Following the procedure you will be allowed to go home. If you experience any discomfort, your doctor will recommend over the counter pain medications. You should avoid any weight-bearing activities for at least 2 weeks after the procedure. After undergoing FAST procedure, you may be asked to follow certain instructions depending on your condition, type of your work and lifestyle. Most people can return to work and the activities of daily living without the use of prolonged medications and physical therapy.


Benefits of Tenex FAST procedure include:

  • Faster recovery
  • Less pain
  • Early return to normal activities
  • Requires less surgical time
  • Low risk of infection

The FAST procedure is designed to remove the source of pain faster and safer than traditional open surgery. The FAST procedure is an innovative and effective treatment option for patients with tendon related injuries. This new treatment option delivers excellent outcomes and improved quality of life to patients.

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