COSMAN RFA

Started by PinchandBurn
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PinchandBurn

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Hello everyone and happy new year!

I've been using the Stryker RFA machine and probes for the last 10 years both in and outside of training. Great results, no complications,etc.

Recently, we have the opportunity to get a COSMAN RFA machine and components. They have a needle set up called "Sidekick" which is essentially the Stryker RFA. In addition, I was always hesitant to use Cosman as they arent as widely used for RFA as Stryker was---even thought Cosman himself was one of the pioneers of RFA.

What's reassuring is that Boston Scientific(who's neuromodulation dept has been great with support for me) and their reps will be supporting as they now own Cosman.

What are people's experiences with the Cosman device. It just seems so comparable to the Stryker box, but at a fraction of the cost. I dont see any downside. Thoughts?

Thanks
 
Just trialed a Cosman system in our office. Didn’t notice a significant difference vs Stryker other than the significant difference in cost. Didn’t like the feel of the sidekick needles quite as much as venom but I could get used to them - it’s got a sharper angle. On the other hand, you don’t have to have special venom probes. Cosman uses the same probes for either needle type. Right now apparently their Nitinol probes are being redesigned, so if you buy Nitinol probes, they give you stainless steel, and then when the Nitinol are approved they will send those plus you get to keep the stainless.
 
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callmeanesthesia said:
Just trialed a Cosman system in our office. Didn’t notice a significant difference vs Stryker other than the significant difference in cost. Didn’t like the feel of the sidekick needles quite as much as venom but I could get used to them - it’s got a sharper angle. On the other hand, you don’t have to have special venom probes. Cosman uses the same probes for either needle type. Right now apparently their Nitinol probes are being redesigned, so if you buy Nitinol probes, they give you stainless steel, and then when the Nitinol are approved they will send those plus you get to keep the stainless.
Click to expand...

I heard the probe thing. Is that confirmed? They have been telling me that for the past year..have given up on it
 
painfree23 said:
I heard the probe thing. Is that confirmed? They have been telling me that for the past year..have given up on it
Click to expand...
That is according to the sales rep so take it for what it’s worth. He wasn’t sure when they would be approved but said it would be at least several more months. He did say if people had issues with the stainless probes while waiting for the Nitinol they ordered they’d probably send a few extra sets of stainless to make up for it.
 
callmeanesthesia said:
That is according to the sales rep so take it for what it’s worth. He wasn’t sure when they would be approved but said it would be at least several more months. He did say if people had issues with the stainless probes while waiting for the Nitinol they ordered they’d probably send a few extra sets of stainless to make up for it.
Click to expand...

My probes have been fine, what problems have people been having with them ?
 
Had a Cosman at last job and loved it. I dislike Stryker multigen and venom, like driving a pinto after being used to a Ferrari, and the venom are more painful with lesioning, unless you infiltrate large amounts in a 360 before, but they still tend to hurt a bit. Didn’t try the sidekick, I just channeled my inner Bogduk and used a 16G, so I can’t compare that to Venom. Cannula is siliconized and smooth like butter. Nitinol proves have been in the process of reengineering since I got it in July 2017, and apparently not done yet. Had a single stainless crap out in the 1 year I used it and they replaced it for free. Try to get them to let you demo one and see what you think.
 
Tapspatellas said:
Had a Cosman at last job and loved it. I dislike Stryker multigen and venom, like driving a pinto after being used to a Ferrari, and the venom are more painful with lesioning, unless you infiltrate large amounts in a 360 before, but they still tend to hurt a bit. Didn’t try the sidekick, I just channeled my inner Bogduk and used a 16G, so I can’t compare that to Venom. Cannula is siliconized and smooth like butter. Nitinol proves have been in the process of reengineering since I got it in July 2017, and apparently not done yet. Had a single stainless crap out in the 1 year I used it and they replaced it for free. Try to get them to let you demo one and see what you think.
Click to expand...


I just channeled my inner Bogduk and used a 16 - how sedated are your patients?
 
painfree23 said:
My probes have been fine, what problems have people been having with them ?
Click to expand...
About 18 months ago Cosman (Boston scientific) recalled the nitinol proved due to one case of blood residue on the probe. Apparently they are redisgning the probe to prevent this?
I love Cosman. Affordable and haven’t had any issues other than this probe recall
 
i like cosman but the service has gone down hill with BS takeover. Takes forever to get probes repaired now.
 
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geauxg8rs said:
Getting quoted $3k to do a calibration on my Cosman G4. Does this sound right to anyone?
Click to expand...
What's the indication for this? Have had ours about 3-4 years, have not heard of this. A little frustrated with the probe backlog, can't replace any that fail until next year is what I'm hearing
 
RoloTomassi said:
What's the indication for this? Have had ours about 3-4 years, have not heard of this. A little frustrated with the probe backlog, can't replace any that fail until next year is what I'm hearing
Click to expand...
we threw out all our reuseable probes as per FDA they couldn't guarantee sterility, using disposable now
 
nvrsumr said:
Does anyone have a contact for another electrode mfr that is compatible with cosman machine?
Click to expand...
I think all you need is two paperclips? I think they all technically have adapters, but they'd rather place/sell their generator for an ongoing commitment.

You might look at Home if you want something tined
or some of the standalone vendors like
rfelectrodes.com

RF Electrodes & Pain Management Supplies | Shop Online

Buy RF electrodes and pain management supplies for interventional procedures. Trusted products for medical practices, surgery centers, and distributors.
rfelectrodes.com
orsupport.com

RF ELECTRODES

RF Electrodes (RF Probes) for Sale | Reusable & Disposable Radiofrequency Probes | New & Used Radiofrequency Electrodes available. RF probes for sale at below dealer pricing. Reusable radiofrequency electrodes & disposable RF probes are available for overnight delivery. RF needles and ...
orsupport.com orsupport.com
 
That’s pretty low. If I didn’t have the autoclaves could maybe be convinced just to eat the $45 free up a lot of staff time too.

Had 12 rfa today so $430 in disposable Electrodes $ still is high
 
That reminds me of a story about a nail salon someone told me they liked. Every client has their own ziplock baggy of tools so you don’t have to worry about getting toenail infections from some other person from poorly cleaned tools.

Imagine ziplock baggy disposable probes…
 
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