The NanoScope system is a medical-grade, all-in-one, needle size arthroscopy system that features a disposable camera with chip-on-tip image sensor technology. The portable system allows the surgeon to perform minimally invasive arthroscopy during preoperative, intraoperative, and postoperative phases of care – with the NanoScope as the main arthroscope or as an adjunct to a conventional arthroscope. Arthrex helped to pioneer operative arthroscopy and is once again the pioneer of nano-operative arthroscopy. Our 2 mm diameter nano arthroscopy hand instruments for tissue palpation, resection, extraction, and repair fit through the small nano cannula with 3.4 mm outer diameter. Moreover, the NanoScope system provides a new supplement to MRI imaging, second-look arthroscopy, and image-guided injections that can be placed precisely under video image control.