Medtronic RF

Started by BobBarker
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BobBarker

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This machine is very nice. I think they will have no problem getting traction. Needles as cheap as neurotherm.

291i3uq.jpg[\img]
 
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I was very interested in the machine, but no 5mm tip rf needles other than 22g. Have traditionally used 18 or 20g. Anyone else concerned or just me?
 
they are doing a demo for me in a chicken breast next week also. have you tried the cooled RF add-on? i'm curious about that too. they also approached me with decent purchase options... seriously thinking about it
 
This machine is very nice. I think they will have no problem getting traction. Needles as cheap as neurotherm.

291i3uq.jpg[\img]
they are doing a demo for me in a chicken breast next week also. have you tried the cooled RF add-on? i'm curious about that too. they also approached me with decent purchase options... seriously thinking about it

I like the machine and I like the cooled RF add on. I've also tested their new machine and cooled RF add on and I"m sold. I plan to offer cooled RFA of the knee, hip, shoulder, and SIJ. All four will be insurance blocks but cash RF procedures, but people have disposable income here in LA, and it's nice to be able to offer these treatments.

Waiting to hear back on pricing in a week or so from my medtronic reps.
 
I like the machine and I like the cooled RF add on. I've also tested their new machine and cooled RF add on and I"m sold. I plan to offer cooled RFA of the knee, hip, shoulder, and SIJ. All four will be insurance blocks but cash RF procedures, but people have disposable income here in LA, and it's nice to be able to offer these treatments.

Waiting to hear back on pricing in a week or so from my medtronic reps.

are you RFing suprascap for shoulder? if so not worried about supraspinatus weakness?
 
Do you motor stim? This lights up the Supra and infraspinatus when I do it. I adjust laterally to minimize infraspinatus activation, but you are right there. That said, I haven't had any significant weakness. Look forward to the paper.
 
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What's the cost differential vs a Halyard system?

It seemed like it made sense if you were autoclaving/sterilizing stuff
 
Couple of questions -

Regarding the needles - how do they compare (not cost) to neurotherm? The neurotherm are tapered and slide like butter, but our Bayless/kimberly clark/whoever-owns them now - needles have a slight ridge so I hate using them. The other advantage of neurotherm is every probe fits every needle. The other machine - you need a curved probe for a curved needle, straight probe for a straight needle - or an 18gauge probe for an 18 gauge needle, etc. It's infuriating.

The machine - I do a lot of pulsed and would like the machine to be able to hold voltage and temperature constant while doing pulsed. One of the great things about neurotherm is they have a "dosed" mode for pulsed.
 
Hit up Debbie Howard on LinkedIn. She is their national sales person. I don’t know anything about pulsed.

I don’t think you need different probes for different needles.
 
This machine is very nice. I think they will have no problem getting traction. Needles as cheap as neurotherm.

291i3uq.jpg[\img]


Hey Bob-

Gotta have a sterile field when frying chicken. Add a little salt and pepper next time.

Looks like a very compact system. Thanks for sharing that- looks like things are getting smaller and cheaper all the time.
 
I was under the impression that cooled wasn't that beneficial, just easier to perform. Has there been a change? I find it hard to justify $500 per needle vs $100 just to make it a little easier/bigger lesion.
 
Couple of questions -

Regarding the needles - how do they compare (not cost) to neurotherm? The neurotherm are tapered and slide like butter, but our Bayless/kimberly clark/whoever-owns them now - needles have a slight ridge so I hate using them. The other advantage of neurotherm is every probe fits every needle. The other machine - you need a curved probe for a curved needle, straight probe for a straight needle - or an 18gauge probe for an 18 gauge needle, etc. It's infuriating.

The machine - I do a lot of pulsed and would like the machine to be able to hold voltage and temperature constant while doing pulsed. One of the great things about neurotherm is they have a "dosed" mode for pulsed.

I believe Cosman also has a pulsed dose mode...edge of my memory.

How many pulsed doses do you usually deliver? I usually do 960.
 
Side question: what are you all pulsing and how are you billing? Is it just as a peripheral nerve block and you lose money on supplies?
 
Side question: what are you all pulsing and how are you billing? Is it just as a peripheral nerve block and you lose money on supplies?

Good question. I pulse any nerve that is not responding to more conventional treatments. I am not billing anything, it is a cash pay procedure. Pulsed RF is not covered by any insurance in my region.

Examples; supraorbitals, GONs, Ulnar, DRGs, Pudendals, peroneals, genitofemoral...
 
Side question: what are you all pulsing and how are you billing? Is it just as a peripheral nerve block and you lose money on supplies?
I'm at an academic center. My understanding is we bill pulsed RF just as peripheral nerve block so yes lose money on the supplies.
 
I'm at an academic center. My understanding is we bill pulsed RF just as peripheral nerve block so yes lose money on the supplies.

I'm told there was a place where they would do a pulsed RF as a freebie right before a second or two stretch at 60 degrees C to call it a full thermal RF...but I'm not sure if that really happens anywhere