Cutting-Edge Technology

The orthopedic specialty is fueled by innovative technology. Dr. Brian Cohen is fortunate to have access to materials and equipment that help him deliver on his mission of putting patient safety, experience, and high-quality outcomes first. These technologies enhance his accuracy and thoroughness in the operating room, lower the risk of patient complications, and improve overall results. Patients recover function faster and with less pain, thanks to emerging orthopedic technologies.

Dr. Cohen’s 20+ years of experience and passion for his work have motivated him to partner with the companies behind some of today’s most popular pieces of orthopedic technology, including:

arthrex

ParaGen Technologies

I was introduced to the base technology of ParaGen Technologies in 2017. The company utilizes synthetic nanofiber scaffolds that promote healing by mimicking the physical structures found naturally in the body.

At the time ParaGen was made up of two medical device companies (RenovoDerm and Vascular Genesis). With my involvement, we added two more Tarian Medical and Atreon Orthopedics.

Atreon Orthopedics (opens in new tab)

Atreon Orthopedics represents the musculoskeletal medical device company of ParaGen Technologies. Rotium is Atreon’s FDA-approved product for rotator cuff repairs. It has been shown in a validated sheep model to improve the strength of the healed tendon, at 12 weeks, by 74% when compared with rotator cuff sheep tendons repaired without Rotium. The increase in repair strength should translate into a lower risk of recurrent tears, improving outcomes for our patients undergoing rotator cuff repair surgery.

Personally, I believe in this product, which is why I had my professor/friend, Anthony Romeo, MD, use Rotium for my triceps repair.

Synergy Med (opens in new tab)

Patient safety has always been a focus of mine throughout my career. Unfortunately, gaining more control over the environment we work in, and specifically the operating room, was not realistic until the development of the Clean Cube Medical System.

Synergy Med

The Clean Cube represents the only operating room environment whose sole focus is on patient safety and “promoting the highest level of infection control.”

20% of Hospital Acquired Infections are Surgical Site Infections, and 95% of Surgical Site Infections are “acquired” in the Operating Room.

My patients will have the safety of the Clean Cube Operating Room – because who doesn’t deserve “SAFEST!”

Ospitek (opens in new tab)

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Throughout my patient’s entire “journey” with me, I always want their experience to be the best it can be. Ospitek is the “Virtual Concierge” that will shepherd my patients and their families through the entire surgical episode of care, from the office till their discharge from the surgical center.

Not only does it improve our patients’ experience, but it also improves the experience of our employees, surgeons and surgical reps – “Crowd Pleaser!”

Plethy (opens in new tab)

Being an orthopedic surgeon is a 24/7 professional commitment. Plethy is a platform that allows me to extend my care and my communication with my patients into their homes. It forms a virtual connection between my patients and my team, so our patients stay engaged, and their path to recovery is clearly understood and monitored.

Magvation (opens in new tab)

magvation

Patient safety is my number one priority. The Haystack, being created by Magvation, is one product that will focus on decreasing preventable operating room “never events.” The Haystack is an automatic needle counter that prevents the need to have to “search for the needle in the haystack.”

Synexis (opens in new tab)

It is a scary fact that 1 in 25 patients will contract a hospital-acquired infection, and 1 in 9 of them will die. Doing everything we can to reduce the risk of hospital-acquired infections is simply doing what is right.

synexis

Synexis is the “BioDefense System” designed to attack viruses and bacteria hiding in our daily lives. Their dry hydrogen peroxide technology has been shown to reduce the presence of SARS-CoV-2 on surfaces by 98.7% at two hours, as well as reducing the presence of the bacteria that are the source of hospital and surgical site infections.

Synexis is good enough for my family, so it will be deployed to my patients in the future.

IncludeHealth

includehealth

It is challenging to understand where you end up when you don’t really know where you started.

IncludeHealth’s body tracking technology provides the objective data which allows the patient and the care team to know the patients range of motion for their injured joint before and after treatments. We will know where you start and where you end, always.

Synexis is good enough for my family, so it will be deployed to my patients in the future.

VeraSense

  • A sensor inset that quantifies soft-tissue balance

  • Instability and malalignment are among the leading causes of early implant failure[1]

  • Studies have shown when using VeraSense

    • Reduction in rate of Manipulation Under Anesthesia (MUA)[2]

    • Improve short term outcomes[3] [4]

    • Cost savings – reduces number of Physical Therapy visits[5]

    • Higher Satisfaction scores[3] [4]

  • How it works

    • Quantifies the medial and lateral compartment loads

    • Tracking of how the femur articulates with the tibia

VeraSense

[1] Dominic T. Mathis, Leif Lohrer, Felix Amsler, Michael T. Hirschmann.  Reasons for failure in primary total knee arthroplasty – An Analysis of prospectively collected registry data.  Journal of Orthopaedics, 2021; 23: 60-66.

[2] Gellar JA, Lakra A, Murtaugh T. The Use of Electronic Sensor Device to Augment Ligament Balancing Leads to a Lower Rate of Arthrofibrosis After Total Knee Arthroplasty. J Arthroplasty. 2017 May; 32 (5): 1502-1504. Doi: 10.1016/j.arth.2016.12.019

[3] Chow JC, Breslauer L. The Use of Intraoperative Sensors Significantly Increases the patient reported rate of improvement in primary total knee arthroplasty. Orthopedics. 2017 Jul 1; 40(4): e648-3651. Doi: 10.3928/014774477-20170503-01

[4] Golladay GJ, Bradbury TL, Gordon AC, Et al. Are Patients more satisfied with a balanced total knee arthroplasty? J Arthroplasty. 2019;34(7S):S195-s2000. doi; 10.1016/j.

[5] Condit MA, Chow J, Gordon A. et al. Can a balanced TKA save money post-operatively? Presented at: 31st Annual Congress of the International Society for Technology in Arthroplasty (ISTA); October 10-13, 2018; London, UK

CohenOrthopedic – VeraSense in Action – Case Example

Valgus deformity

Patient with a 15-degree valgus deformity

pressure balanced

VeraSense confirms compartments are “pressure balanced”

alignment correction

MAKO helps achieve the desired limb alignment correction

Why Choose Dr. Cohen?

Orthopedic Patient Safety Precautions

Orthopedic surgery will always carry risks, but Dr. Cohen takes every possible precaution to minimize the likelihood of complications in the hospital or operating room setting.

The Clean Cube System from Synergy Med significantly reduces the risk of hospital-acquired and surgical-site infections. This pre-templated, pre-engineered, pre-fabricated solution offers the highest level of infection control with features such as a built-in room disinfection system, slip-resistant floor and hermetically sealing door and ceiling system. Dr. Cohen is actively working to bring the Clean Cube System to the operating rooms he will work in.

As an additional safety precaution, Dr. Cohen also uses the Synexis Biodefense System to attack viruses, bacteria, and mold in the air and on surfaces.

New Technologies for the Patient Experience

Dr. Cohen partners with several companies that deliver state-of-the-art systems to set a new standard of excellence for the patient experience.

Ospitek is changing the way surgical centers gather, analyze, and communicate patient information from registration to discharge. This software system uses Bluetooth sensors to track patients throughout the day and provides updates to family members, providers, and surgical center staff. This significantly cuts down on the administrative burden normally placed on nurses and support staff, and facilitates clearer communication. Dr. Cohen is actively working to bring Ospitek to the operating rooms he will work in.

Orthopedic Office

The Recupe virtual care platform from Plethy is a remote patient monitoring system that helps Dr. Cohen engage with patients virtually during the surgical preparation and recovery process. Patients say they feel more connected to him and find it easier to follow customized care plans at home.

The Prescribe FIT virtual coaching system monitors Dr. Cohen’s patients’ health and co-morbidities, making it the perfect complement to risk management both pre- and post-op and minimizing the chances of complications.

Technology Influencing Orthopedic Patient Outcomes

Advanced technologies and materials play a key role in improving the healing of orthopedic and sports medicine injuries.

MAKO Systems has transformed the way Dr. Cohen performs joint replacement. He is one of the top surgeon adopters worldwide to utilize MAKO robotic arm-assisted hip and knee replacement procedures (opens in new tab). The advanced 3D CT-based planning software enables Dr. Cohen to customize hip or knee replacement to the patient’s unique anatomy. And, thanks to MAKO’s AccuStop technology, Dr. Cohen is able to cut exactly where planned — thereby preserving as much healthy bone as possible. MAKO’s intraoperative real-time feedback allows Dr. Cohen to precisely position the implant in the joint and make any necessary adjustments quickly.

Replacement surgery for the shoulder (opens in new tab) and the knee (opens in new tab) are big parts of Dr. Cohen’s practice, and he helped contribute to the design of Arthrex’s total shoulder replacement system anatomic and reverse and total knee replacement system. He also helped develop the Cerclage FiberTape system, a translucent cerclage that eliminates the need for metal cables or wires in fracture fixation and other orthopedic procedures.

Another material that has helped redefine tissue engineering is the Rotium Bioresorbable Wick, a synthetic material that mimics structures naturally found in the body. It acts as a scaffold, promoting cellular migration and supporting better tissue healing after rotator cuff repair. Dr. Cohen can personally vouch for the Rotium: he had his own triceps tendon repaired with the Rotium by his professor, Dr. Anthony Romeo.

Learn More About Our Leading-Edge Technology

For more information about the technologies that Dr. Cohen utilizes and endorses, please reach out to our practice today.

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