EBI v. Exogen

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I don't have any scientific data behind the two manufacturers, but I will say that Exogen reps are JUST about business. They are strictly dollars and cents and thus makes me wonder if the stories/sales pitches they make to physicians and patients are largely fact or "twisted fact"...I had an EXOGEN rep tell me all sorts of stuff and verbal agreements to later find out after I took possession of the unit she "forgot" about her verbal commitments and just blew me off. I suppose once the inventory cleared and the commission assigned, the rep cares about nothing. With a company that fosters that sort of disrespectful, misleading and uncaring attitude, I would never recommend the company's product to anyone. I think I might even need to write the BBB to let them know about this particular business dealing.

I also have had interactions with EBI sales and support teams and feel that in comparison they are like day and night! Yes, the big difference is 8-10 hours/day treatment versus the 20 minutes, but is it that significant to just sleep with the EBI unit? I think not. Plus, my doc has quoted better response to EBI vs. Exogen. The main difference is the compliance with patient administration given the treatment timeframes.

I also want to comment on the overall lacking professionalism displayed in many of the prior posts. Is the issue about the bone stim effectiveness (EBI v. Exogen) or is it about how glamorous my job is or my market share or NY? Let's get back to the intent of the original post. Thanks all...
 



You guys both suck, Orthofix's Physio-Stim is the best bone stim on the market hands down. The Only PEMF bone stim that only has to be worn for 3 hours and the only one approved for cervical and lumbar fusions. Heel rates as high as 88% and the studies to prove it. No need to window the cast, no burning sensation when applied, It doesn't look like a 70s knee brace, and you don't have to keep it on for 10 hours!
 



Exogen does not have a Spine indication at this time so you can't compare.

Would you like to heal faster and not have to wear a device for hours and have the best chance of healing? If you answered yes to any then the obvious choice is Exogen. The market has already decided its supreme---it's already the most prescribed device nationally (maket share wise). The doctors have decided. Not bad for the newest product on the market.


Case closed.
 



Anonymous said:
Just looking for a little insight, although I'm pretty sure I know which way it will lean! I was curious to see how the Biomet Bone Stimulation devices stack up against the S&N Exogen device. Are their major differences? Is it based on price? I assume Biomet has most of market but is that steady, growing, shrinking? Just don't want to make the wrong move for my career! Thanks for the insight.
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First off, all Bone Growth stimulators work, it's the time of treatment that differs. Compliance is obviously higher with shorter treatment times.

Exogen, hands down is the better of the two, but, EBI has the insurance coverage wrapped up which is what really matters in the end. You can have the greatest device in the world but if you can't get it paid for what good is it? Patients aren't going to pay out of pocket for something as pricey as a bone growth stimulator - co-pays are high enough as it is.
 






Anonymous said:
First off, all Bone Growth stimulators work, it's the time of treatment that differs. Compliance is obviously higher with shorter treatment times.

Exogen, hands down is the better of the two, but, EBI has the insurance coverage wrapped up which is what really matters in the end. You can have the greatest device in the world but if you can't get it paid for what good is it? Patients aren't going to pay out of pocket for something as pricey as a bone growth stimulator - co-pays are high enough as it is.
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Exogen has fresh fracture indication and insurance coverage. The others do not. Thats huge. Plus 40-50% acceleration of healing. Heal faster and have the best odds (Best heal rate) at only 20 mins? Easy easy choice.
 






Are you kidding me? What do you mean? What are you referring to? Exogen tells a good story- but it is still a relationship sell---- Take that Biomet and try to take back your customers after you lose half of your sales force because of the stupid corp decisions being made by our buddies Kashuba and Valentine- talk about a tool--- Valentine is straight out of the J&J box and doesn't care who he lets go. He had better stop listening to S.C. and get his facts straight.
 



I think the docs should give the patients the choice.

"Mrs. Smith, I have two different bone stimulators that I recommend. Both achieve the same results. However, one is worn for 10 hours and you have to remember to charge the battery OR one is worn for 20 minutes a day and you don't have to charge a battery. So what will it be, 10 hours or 20 minutes?"

Who ever came up with the sleeping with the EBI line is retarded.
It's hard enough getting eight hours of sleep let alone 10. If you choose to only wear it for 8 hours the efficacy is compromised. So what do you do, wear that thing and look like some sort of convict?

Look people, this is a NO BRAINER. Exogen has better compliance, is easy to use and has better efficacy. Exogen is the only Bone Stimulator that shows acceleration of heal time and has indications for some fresh fractures. It's only bad rap is the cast application which offices get paid to do. In most cases the EBI rep does a great job in bad mouthing us to the cast techs which can cause issues. But in the long run, when the day is done the patients benefit with the Exogen unit. For an account to bitch about a simple cast application is pretty selfish.

For any Dr. recommending an EBI Bone stimulator because of a rep relationship is doing his patients a disservice. Improved technology and less nuisance for the patients should rule out relationships but as we know...it just does not work this way. Patients are the ones that get the bad end of the bargain.

And to the poser who acted like a consumer from the Mid West....you sound more like an EBI rep. Every Exogen consumer has the customer service 1800 number on their Exogen unit's bag. If they are unable to get up with a representative, they can call the toll free number and have get any help they need.

Smith&Nephew clincial therapies team only have two products; Supartz and Exogen. What this means to the practice and patient is better focused customer service.
 



Anonymous said:
I think the docs should give the patients the choice.

"Mrs. Smith, I have two different bone stimulators that I recommend. Both achieve the same results. However, one is worn for 10 hours and you have to remember to charge the battery OR one is worn for 20 minutes a day and you don't have to charge a battery. So what will it be, 10 hours or 20 minutes?"

Who ever came up with the sleeping with the EBI line is retarded.
It's hard enough getting eight hours of sleep let alone 10. If you choose to only wear it for 8 hours the efficacy is compromised. So what do you do, wear that thing and look like some sort of convict?

Look people, this is a NO BRAINER. Exogen has better compliance, is easy to use and has better efficacy. Exogen is the only Bone Stimulator that shows acceleration of heal time and has indications for some fresh fractures. It's only bad rap is the cast application which offices get paid to do. In most cases the EBI rep does a great job in bad mouthing us to the cast techs which can cause issues. But in the long run, when the day is done the patients benefit with the Exogen unit. For an account to bitch about a simple cast application is pretty selfish.

For any Dr. recommending an EBI Bone stimulator because of a rep relationship is doing his patients a disservice. Improved technology and less nuisance for the patients should rule out relationships but as we know...it just does not work this way. Patients are the ones that get the bad end of the bargain.

And to the poser who acted like a consumer from the Mid West....you sound more like an EBI rep. Every Exogen consumer has the customer service 1800 number on their Exogen unit's bag. If they are unable to get up with a representative, they can call the toll free number and have get any help they need.

Smith&Nephew clincial therapies team only have two products; Supartz and Exogen. What this means to the practice and patient is better focused customer service.
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Try moving around and going about your daily activities while you are rubbing lube around your non-union and getting it in your cast. The Orthofix Physio-stim is a simple unit that does not have any cords and does not require windowing of the cast or lube ussage. You can just slip the unit over the cast and go about your day. It also only has a 3 hour wear time.

Exogen can't be applied directly in the OR after revision surgery and billed to to the OR, so patients can end up waiting 2 weeks for their rep to fit them with the unit. If the patient undergoes an ORIF, the Exogen cannot penetrate through the plate.
 



First of all, you don't have lube swimming around in a cast, doof bag. You don't feel it.

Secondly, very few surgeons would apply a bone stimulator immediately after a revision and hospitals would pretty much learn that they can't get reimbursed. Good way to piss off a hospital and a surgeon! The only reason why a hospital would stock your stim is for spine. I have seen my share of bone stim implant failures and most surgeons will not use implantable bone stims due to the cost, risk of infection and having to go back in to dig it out.

As far as your ORIF. You would place the Exogen tranducer on the other side of the metal at the fracture site. You have no idea what you are talking about.

Exogen has proven itself to be an easy and effective bone stimulator. It is now #1 in market share and growing!

Cast application is no big deal and the clinics can bill for it as well as the office visit.
 



The Orthofix stated heal rates are at 8 hours and not 3 hours. Telling your patients to wear 3 hours will not bring the desired results. Trying to half ass it to get close to the Orthologic or Exogen wear times ain't cutting it.
 






You are obviously misinformed. Plenty of studies and clinical successes of non-unions getting healed and the Exogen unit has plenty of data showing acceleration of healing time in fresh fractures.

Plus we have plenty of patient and surgeon testimonies along with xrays. Bone stimulation has saved insurance companies millions of dollars by offering a non-surgical treatment for non-unions and some fresh complicated fractures.
We have saved thousands of patients from having to get bone grafts.

Only the surgeons who have NEVER utilized bone stimulators think that they are voodoo. The ones that have taken the leap of faith to try this technology are more often than not very excited with the results.
 






Poster 35 sounds like an idiot sales rep. You can make all the "marketing" and "sales" claims you want. Bone cellular structure and physics are pretty well understood these days and electrical stimulation does absolutely crap to affect it. And for those of you who trully don't understand, non-unions occur due to poor fixation, or too much fixation, throwing a "battery" into the equation does nothing.

By the way, its ironic that you try to suggest anachronism with the earlier poster. During the victorian era, all sorts of quacks tried to used electrical stimulation for numerous medical indcations, including broken bones!
 



Anonymous said:
Poster 35 sounds like an idiot sales rep. You can make all the "marketing" and "sales" claims you want. Bone cellular structure and physics are pretty well understood these days and electrical stimulation does absolutely crap to affect it. And for those of you who trully don't understand, non-unions occur due to poor fixation, or too much fixation, throwing a "battery" into the equation does nothing.

By the way, its ironic that you try to suggest anachronism with the earlier poster. During the victorian era, all sorts of quacks tried to used electrical stimulation for numerous medical indcations, including broken bones!
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You my friend have proven to be a complete, uneducated fuck. Obviously you believe that all stimulation is done via electric current. I suggest you do a search on the JBJS (THE journal of Orthopedics) archives and do a search on low-intensity pulsed ultrasound.

Also, you forgot to mention that high-risk fractures are prone to areas with low blood flow - IE 5th metatarsal, scaphoid, tibia, etc. The very thing that low-intensity pulsed ultrasound increases.

Now, go educate yourself and then do us a favor and disappear.
 



Anonymous said:
You my friend have proven to be a complete, uneducated fuck. Obviously you believe that all stimulation is done via electric current. I suggest you do a search on the JBJS (THE journal of Orthopedics) archives and do a search on low-intensity pulsed ultrasound.

Also, you forgot to mention that high-risk fractures are prone to areas with low blood flow - IE 5th metatarsal, scaphoid, tibia, etc. The very thing that low-intensity pulsed ultrasound increases.

Now, go educate yourself and then do us a favor and disappear.
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Go fuck yourself. I have a bridge I can sell you cheap.... do you believe everything that people were "paid" to write? Please get a fucking life and stop promoting this crappy, voodoo technology.
 



Voodoo, smoodoo. You have no clue. The ultrasound bone stimulator rules.
The older, electrical stimulators do not have the same efficacy.

Shown through clinical xrays and studies over and over again.

You sound like one of my surgeons who called bone stimulators, voodoo, until he broke his own scaphoid falling off a bike. He called and ordered an Exogen unit for himself. It suddently wasn't "voodoo" anymore and his fracture healed in about four weeks!
 



Anonymous said:
Go fuck yourself. I have a bridge I can sell you cheap.... do you believe everything that people were "paid" to write? Please get a fucking life and stop promoting this crappy, voodoo technology.
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Again, can't argue the science, so has to go to insults to save face. We're all educated folks here. We can see that you clearly can't hold an intelligent conversation on facts. See ya.
 



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