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  1. #11
    Junior Member
    Join Date
    Feb 2010
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    Over the past year, many physicians have expressed an interest in the Counting Incision Device. It truly is the best solution to keep track of your graft count. There are a number of physicians currently using the device. These doctors appreciate the accuracy of the device, along with the freedom to focus on their surgery rather than on the graft count. An accurate graft count is very important, not to mention that the capacity to focus on the surgery (and not a three or four figure count) really does improve the overall transplant quality.

    Some clinics ask the patients to count the incision sites as the physician makes each cut in the skin. Each time the physician makes the cut, the patient can hear a sound similar to a crunch. The intensity of the sound varies depending on the instrument used by the physician. Custom made blades are notorious for making the loudest sound. When the patient counts the sites, the physician is freed to focus on the surgery. Unfortunately, studies show this is the least accurate means of counting graft sites. It stands to reason that patients, who are not experienced in counting incision sites, are the least prepared to keep up with this very important aspect of the hair transplant procedure. Patients get distracted just like anyone would so counting into the thousands can easily result in a disparity in the hundreds.

    Freedom to focus and an accurate incision site count are the two most important reasons that all physicians should use an accurate automated counting system. Currently, the patent-pending Counting Incision Device (CID), developed and patented by Dr. Cole, is the only device capable of meeting both of these two important functions.

    Dr. Cole insists that each device be disposed of after a single use with an individual patient. The electronics make the device impossible to adequately clean and sterilize. Enclosed are some close up photos showing blood from a procedure on the Collete and other places. These small crevices cannot be reached adequately for scrubbing. Furthermore, because this device is made of plastic and has electronic parts, it cannot be sterilized properly. This is why it is so important that CIDs be disposed of after each patient.

    We hate to say it, but some physicians are more worried about their bottom line than proper sterilization. It really is up to the individual patient to insure that his physician is using a properly sterilized CID rather than one, which was simply wiped off and then had the tip (only) placed in Cidex over night. The latter simply is not adequate and will result in potential risk to subsequent patients. We hope these photos will make you aware of just how important it is to use properly sterilized instruments.

    The CID is the best method for accurately monitoring the incision site count. We think all physicians should be using it in an effort to improve patient care. We are concerned, however, that some physicians will not properly sterilize their instruments. Therefore, it is imperative that you, as patients, recognize the need to have a new instrument for each patient. If you would like your physician to use this instrument in your case, simply have him call us at (800) 368-4247, or we will be happy to sell a sterilized instrument directly to the consumer for use in your procedure (this way you know that the instrument used for you is sterile).
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  2. #12
    Junior Member
    Join Date
    Aug 2014
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    2

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    Now why would incision count be an accurate way to count transplanted grafts? Seems to me that the number of transplanted grafts could be much less than the actual incisions made in preparation for inserting the transplanted hair. Example: you could make 2000 incisions and only implant 1800 hairs and the patient would never know.

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