is this instrument disposable ?
As I see the previous one was fully metal and might have been for autoclaveable only.

the reason I am asking is that these instruments with holes in it are better disposable due to the risk of communicable diseases.

The punch tip for the motorized tool is, of course, disposable. You just twist the collet at the base of the punch and it slides right out.
The rest of the instrument comes apart for sterilization in the autoclave (but I highly recommend removing the battery first!)

The manual Feller Punches are disposable. A punch should NEVER be used on two different people even if it was autoclaved in my opinion.

I dont think it takes a rocket scientist to understand the tips have to be disposable but thanks for clearing that up for the Dr
The tool isnt cheap.
Can you say what the cost is online. Your site isnt up yet
I cant wait to see if other clinics decide to use this and what their results will be.

What I meant was is there an area in handle that takes the punch in with a hole that can potentially have some tissue in it, like a syringe, where the needle is detatchable. but we still throw away the whole syringe, not only the needle unless its like the dentle syring where the catrige and the needle is disposed and not the holder which has no connection to the body.
in case if there is a hole in the instrument then it has to be specially treated with some chemical sterilization process like we do with the endo scopes and laproscopes along with autoclave.
The reason is there are disposable rotating punches in market for FUE. I am not a big fan of FUE, I do it every now and then say about 6 to 8 a month but then who knows if the instrument is as good as it is discribed i might change my thoughts about FUE also.

just a concern, PGP there are always some simple minded people on earth who needs more answers than others, I am a person who is a slow adaptor to new tech unless i see no harm to the patient. Bt will like to try new things for sure to improve my out put.

But I do thank you Dr Feller to explain such simple question.

Dr Feller I was thinking that I would meet you at the Orlando Live surgery workshop this past week but I missed you I guess, I had a talk on Friday. May be next time.......

Dr. Mohmand,
Very good and important question that you ask.

It's very easy to break down my instrument and place in the autoclave. The only part with a hole is the disposable punch itself. The part that the punch slides into comes apart for easy cleaning and autoclaving.

I know EXACTLY what you mean about the current motorized FUE tools and I think it is digusting that they are not autoclavable. Even though they are called "dosposable", do your really believe they are being thrown away after each procedure? I would never use them anyway because I believe it has already been made abundantly clear that standard motorized FUE tools don't work consistently due to the damage they cause to the grafts.

I tried to go to Orlando to demo the new instrument but my production model wasn't available in time to submit the paperwork required by the Orlando organizers. I will be in Amsterdam with a booth, however, and I will speak with the organizers to see if I can do a demo FUE surgery as well. If not, I'll have a good quality video produced in my clinic then post it online.

Perhaps you will use my new instrument and make FUE a regular part of your practice. It is NOT a magic wand however. It takes a bit of time and patience to get used to it, but once you do I think you'll find that FUE is not as hard as it once was.

Now that you have posted what you really meant Im not laughing anymore

Video of demonstration of new motorized FUE

http://www.fellermedicaldata.c...E/FUE-OnlineDemo.wmv

Would have been nice to see the grafts up close once extracted

Dr feller, How many patients have you used this new instrument on? and where can we see before and after pictures of the patients' that had the new instrument used on them? thanks

Dr. Feller can answer definitively, of course; but I'm pretty sure that somewhere in this thread he said he has used the instrument (successfully) for a good while now. I know there is one *really* amazing looking case in the top of the result section on this forum that he said had been done using this methodology. I'm also curious, though, if *all* "recent" FUE cases have been used w/ this tool.

All grafts are placed under the microscope to trim away excess tissue to allow for highest growth yield and tightest pack.

The instrument is actually not new. I've used versions of it for years. Just about every FUE case I've ever published used the same exact Feller Punch tip; and most of the FUE procedures that called for more than 200 hundred grafts I used a powered oscillating tool of my own design and construction.

Do you feel that even within the confines of using this tool, there is room for improvement? i.e., can your mastery of the tool and FUE increase and further maximize what the instrument can offer?

what would you say the yield is with your instrument?

The instrument itself will only take the doctor so far. After that it's up to him to practice and master the FUE craft in a way that is most conducive to himself and his practice.

I'd say the yield from this instrument for FUE is the highest possible.

Dr. Feller,

I don't usually hang out on the boards (seems like there isn't enough time in a day) but luckily I noticed this thread. I had a look at your video and found it both intriguing and compelling. As a result, I am very interested in your device. I plan on being in Amsterdam for the conference so I hope to see your device there. My congratulations on spending the time and effort to take the FUE punch to the next level.

Dr. N

Thanks for the kind words Dr. N. My company will have a booth at the Amsterdam meeting showcasing the motorized FUE tool. In the meantime I'll have them send you our brochure.
Dr. F

I would like to give my testimonial regarding the new instrumentation developed by DrAllan Feller.

Yesterday, I had the opportunity to visit Dr. Feller in his private clinic, in Great Neck, and to witness to a 950 grafts FUE surgery. I had also the privilege to use the extractor on about fifty grafts.

First of all, let me specify that I have a good practice of the FUE technique. I regularly perform sessions of 1200 grafts per day.

I generally perform this surgery manually but for some months, I have been developing a new motorized system connected to a dentist handpiece. There is an alternative rotation (just like the movement obtained when it is done manually). That is why I am particularly interested in every motorized system for the FUE. I know four systems:

Dr. Cole’s one, which is like a drill and the patient should be sit.
The calvitron invented several years ago by Dr. Pascal Boudjema and updated by the use of punches of small diameter. In New York, Dr. Reed and his assistant Larry Leonard are using it.
There is also a new FUE-Extractor system developed by Pascal Boudjema, commercialized by Leadm.co.kr (http://www.youtube.com/hairscience).
Finally, there is the Feller Motorized F.U.E device.

Dr. Feller explained me, step by step, how he reached the actual result. A whole series of details like the position of the punch which is not centered the use of a pile rather than a wire, the internal system of rotation… no doubts that the final version is the result of a long reflection. I also had the opportunity to see the previous prototypes. Dr. Feller’s system is extremely well thought. The handpiece is entirely alimented by an internal battery, which avoids cumbersome wire, and it is possible to make a complete sterilization, which is not the case of the Korean system. The realization is neat and precise.

The punch turns perfectly in its axis. The punch is carried out in a way so to reduce the frictions to the minimum (the internal diameter of the punch is slightly larger than the diameter of the sharp part). It is very handy. During the tests, I obtained beautiful grafts from the start even without wearing the Zeiss Loops that I usually use.

In conclusion, Doctor Feller’s device is a superb instrument; probably many surgeons will love it. Nevertheless, it is possibly better to learn how to extract grafts manually, before switching to this motorized version. In fact, the manual skills really permits to “feel” the work carried out. It allows us to use and begin with this technique which is of course very charming but very time and energy consuming.

I can only recommend the use of this new design, of course it is not miraculous so to let any doctor to practice a FUE correctly, but it remains definitively as an advance in the field of the Hair Transplant.

Moreover, I really appreciated the philosophy of Dr. Feller as he does not seek via this instrument to increase the number of grafts obtained per day but to make the procedure lasts the less possible, in this way, both the patient and the doctor will be less tired.

Finally, I liked the concern of Dr. Feller who accepted to share his experience and his skills.

It is a shame to note that very often the FUE techniques and skills are jealously kept secret by their inventors. Probably they have the illusion of being and remaining the only ones that deserve to use those techniques.