Cosi Talks with Special Guest Joe Mahon, CP – Co-Founder & CCO of Click Medical AUG 17, 2022 – RevoLock Suspension System

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Full Transcript of Show Below – ENJOY!

Cosi Belloso  00:00

All right! So as always we have Gremlins in the computers but for once it’s not in my computer was actually in Joe’s computer, but we’ve got it working. We have video, we have sound. Nobody is touching their keyboard so nothing’s going to go. Screwy tonight but guys welcome to Cosi Talks Live! For those of you who are watching the replay right now, go ahead and throw replay into the comment section. I always like to go back see who’s watching the replay. If you have any questions and you’re watching the replay, go ahead and put them in I do go back and answer these questions. And guys, tonight’s show with “Click Medical”, we have a lot of information, and we’re going to be answering as many of your questions as we possibly can tonight, so I see some folks jumping on board this evening. Don’t be shy. Let me know who you are, where you’re from. And more importantly, what is in your mug. Joe, where’s your mug?

 

Joe Mahon  00:51

I don’t have that currently but– I am sorry.

 

Cosi Belloso  00:57

So our behind the scenes gal Jen! I’m going to give her a shout out. She has her Cosi Talks mug. So Joe, you gotta, you know, for the next one, right? But I do love the sign. I do love the sign that you got. Yes. [Chuckles] There you go. All right, we got Brian Bishop. We got Liz Shea. We’ve got Alberys Quiroz [foreign language o1:14] All right, guys. We got a nice crew– But Oh, Brian with his Bustelo [phonetic 01:20]. Brian, I’m doing an impromptu giveaway at the beginning of the show. And I think this is going to be up your alley. And that’s all I’m going to tell you right now. It’s a little impromptu giveaway. I’ll be doing actually we’re doing a lot of giveaways tonight, guys. So stick around. Have your phones ready.

 

Hey, Compadre! [Phonetic 01:37] Thanks for joining us in from South Beach. All right, who else we got on board tonight guys. All right. We got Brett Sykes here with no mug Brett and you got a cool kid mug. Where’s your mug man? We got Steven Jacksonville in the house with water. It’s good for you. Especially in Florida. We got Kevin go on board. Mark S [phonetic 01:52]; no notifications. But you found us. We got Andrea, our occupational therapist. Hey Felicia! Stick around Felicia. That might be something here for you tonight. We got chuck on board. Butch from Minnesota man. We got a lot of people going in. Good evening for the Tar Heels. Amen. Denise Amen to that. All right. We got harsh on board Elizabeth Johnson. We got a nice crew.

 

So guys, we’re going to give you another few seconds to jump on board. Today. As some of you noticed, I had some very exciting times over with a Lulu lemon photoshoot. I was chosen to be one of their store ambassadors had a lot of fun there today. So here’s the impromptu giveaway, guys! I posted a real on Instagram. And I was salsa dancing to a song that is typically not meant for salsa. So if you guys can name the song, you will get a Cosi Talks coffee mug. So those of you who are watching that show, you got to turn up the volume so you can hear it if you can name the song, not just named the band, you got to name the song I was dancing to. I’m going to send you a Cosi Talks mug. All right, we got Susan coming in from Canada.

 

All right, Joe, we’re going to get started because we’ve got a nice group on board. So I’m going to stop talking for a few moments. I’m going to let you introduce yourself from Click Medical one of my sponsors for 2022 and Joe Mahon, the founder, so Joe take it away.

 

Joe Mahon  03:09

Yes, thank you. My name is Joe Mahon. I am the Clinical Prosthetist here at Click Medical and the inventor of the RevoFit adjustable socket system. And then also the RevoLock system, which we’ll be talking about today, which is our mechanical suspension system.

 

Cosi Belloso  03:23

Yes. And the past few days, we’ve been putting out a lot of information about the show tonight, because we have a lot of good information coming out. And then so many of you wanted to have questions about the RevoFit. So we’re just going to give you a brief review about what the RevoFit is. And then I want you guys to do your homework and go to my YouTube channel later on and watch the full video that we did with Joe, back in February about the RevoFit. Mark S., you are correct, it is “Sympathy for the Devil” by The Rolling Stones. And yes, you can salsa to that. All right. So between Mark and Steven, I’ll be sending you guys a coffee mug.

 

All right, Brian. There you go. …

 

So guys, let’s talk a little bit– Bob here is very comfortable in his RevoFit socket. So a lot of you guys saw this socket in the promos that I was doing this week. And of course many of you had questions as to why there were so many dials. I do want to say this is a demo socket. So that’s why I have a lot of dials on here. But typically your Revo socket is going to have one dial for the most part. And there’s a couple of different ways. So as you can see, it’s meant to be an adjustable socket. So your prosthetist will build the socket and then order the RevoFit Kit. And in that kit– And correct me if I’m wrong, Joe, you got to keep me on task. They’re going to receive lacing, they’re going to receive a boa or click real [phonetic 04:53] dial right that will be built into your socket. So that’s something I would point I always like to make your prosthesis to still see fabricating your socket, and they still have to be good at doing that. Right? And then they’re just building the adjustability into it with the Revo Fit Kit. Makes sense so far, guys, am I good, Joe?

Joe Mahon  05:11

Yes, exactly.

 

Cosi Belloso  05:12

Okay, awesome. So there’s 3 ways, that they can build the adjustability into the socket, you want to tell us a little bit about it Joe?

 

Joe Mahon  05:20

Yes, so they’re going to predetermine kind of where they can adjust with your limb. So there’s kind of3 different ways we adjust: panels, gaps, and hinging.

 

So panels are very targeted, very precise, compression or expansion. And you can see on the socket there that Cosi’s got, there’s some panels. And we can really target and get very specific about where we want to compress our lock onto the limb or where we want to open it, we can also do what’s called a gap closure or gap adjustability, and that’s much larger and a little bit more global. So it’s more circumferential. So it wraps all around the limb, whereas the panels are more targeted. And then we have the hinge option as well. And that’s typically for hinging, very similar to a panel, but one edge of the panel is connected to the frame. So that allows for donning and doffing and for suspension applications, that’s typically when we use the hinge. But your prosthetist customizes the adjustability to your specific needs, so to your body type into your activity level, and to all those factors that are taken into consideration. And they’ll kind of predetermined where the adjustability can happen. And then they install the kit. And then the dial allows you to engage that adjustability or not. And that can be done on the fly when needed. Without having to remove the device. It’s pretty instant.

 

Cosi Belloso  06:41

So as you guys can see, I can loosen up the laces fairly easily and then dial. You just click it and it starts to tighten up. Now I loosened it quite a bit. So I’m having to click it over. And it tightens it up, and off you go. Another big question I saw in social media posts was how much can it accommodate? So up to 10 Ply? Correct, Joe?

 

Joe Mahon  07:08

Yes, it really depends on the design. But people say between 6 and 10 ply can compensate for you know, that amount of stock ply [phonetic 07:15]. Some people depending on the design can go bigger if they need more, if they’re in maybe dialysis, or they’re having massive fluctuations. There are ways to go bigger. But for the most part, most people are within that 6 to 10 ply range.

 

 

 

Cosi Belloso  07:29

That’s right. So I know I have a lot of patients here and viewers that have told me that they basically all they have to do is now wear their liner. They don’t have to wear any socks, which is quite nice and convenient. So we’re getting a lot of comments in here. So I’m just going to pick out a couple here.

 

Hey, Ashley, when we got dualcy [phonetic 07:44] from Ohio, Ashley says I love my Revo socket. Can’t wait to get back into my leg. All right, let’s see harsh Kevin pegah [phonetic 07:51] bones. Doug from St. Louis.

 

Cut above the knee’ Felicia says that she has the Revo fan panels.

 

Brian says I fill the survey on the email will they send me more information I recently changed a torsion ankle and fit new and this seems like this could be help helpful. Let’s see. And Brett is on his way to get the boa [phonetic 08:09] as well through hanger as well.

 

So guys, that is the quick and lowdown on the RevoFit adjustable system guys. And I have a ton of information and videos on that on the YouTube channel. But tonight’s focus is going to be a little bit more on suspension systems. And the reason why I’m smiling is because for the past 4 years I’ve been doing this show, I really haven’t talked a lot about suspension systems. So a few weeks ago, we did a really nice intro with Ronnie Dixon from POA in Tennessee. And we did a really nice review of all the different kinds of suspension systems. And then tonight, we’re going to be doing the same. Why? Because repetition is the mother of memory, right? And suspension systems can be a little confusing sometimes. But before we do that, we’re going to go ahead and announce our RevoLock quiz winner. So we posted out there for those of you who took the RevoLock quiz, you got a raffle entry. And the winner is going to get a 3 month supply of the liner-1 which is a really wonderful, wonderful technique for keeping the hygiene of the inside of your liner. Okay, so our winner is going to be Dick Dever. So congratulation Dick Dever! we’re going to be emailing you information and getting your address we can send that out to you.

 

All right, so guys, let’s move on….

 

Suspension systems!

 

So guys, those of you who are my smarty pants out there, what is the number one reason an amputee will not use their prosthesis? I need Jeopardy theme music right now Joe [laughter]

 

Guys, those of you who’ve been listening to my show, what is the number one reason documented in research that amputees will not use their prosthesis? Liz says, “Painful”, you’re on the right path there. Yes. The fit? Yes. So it has to do with the socket, if the socket is not comfortable, if the socket is not fitting well, there’s a greater chance that you will not be using your prosthesis it makes sense, right? So when it comes to Yes, Joe, go ahead.

 

Joe Mahon  10:12

Also, if they can’t get it on, that’s a problem. Right? And they can’t use it. So, if they can engage the suspension system, that’s a problem.

 

Cosi Belloso  10:20

So he did his homework tonight. So guys, two things that go into making a socket, comfortable the shape of the socket, and suspension, and a lot of times those things are interlocked together. And we’ve talked a lot about this on the show, we’ve talked a lot about the different facets, which include also communication with your prosthetist, communication with your physical therapist, so that you can continue to improve the set of your socket. These are the folks who have been watching my show for a long time now. There we go. Excellent.

 

All right, guys. So what is the suspension system basically, is what suspends the socket onto your residual limb, right? It’s what grabs onto your residual limb, right? And the purpose is, it just basically provides an interface, so it’s a place where the prosthetist can then attach the knee and the ankle. So far, so good, Joe.

 

Joe Mahon  11:13

Yes.

 

Cosi Belloso  11:14

Okay, so I like to name the basic systems, guys, because a lot of times we have names of different types of systems, and we get them confused, but I just like to kind of name them by their functions first, to make it easy for you to understand. We have suction suspension, we have locking suspension, we have vacuum, we have anatomical suspension, and then we have belts, cuffs and straps, and that kept their own category.

 

So guys, if you know what kind of suspension system you have, put it into the comment section. And if you don’t know what kind of suspension system you have put that in the comment section as well. And don’t be ashamed because let me tell you, those can be a little bit tricky and confusing.

 

Let’s talk a little bit about the suction system. Those are the kinds that where you have this sleeve that goes over the socket, right and onto your thigh, especially for my below the knee amputees. Some of you might have what’s called that sealing ring, right? Where you got a spritz on, the germe gel or the alcohol and you stuffed the limb into that socket. And very traditional skin fit. Do you see any more skin fits? Have you seen those at all, Joe?

 

Joe Mahon  12:20

I like skin fit if patients are stable and they don’t have to wear a liner with a skin fit. So that’s a nice benefit.

 

Cosi Belloso  12:26

Yes. So let’s see… We’ve got lots of answers. You guys know your stuff. Yay. Okay, so harsh uses pin. Ashley uses suction, Brian uses pin, we got Dulsi [phonetic] with suction #suction #pinlocking, we’re seeing a pattern here locking pin. Denise is saying what’s the difference between RevoFit and RevoFit do both work with suspension systems? That’s a good question to me. So the RevoFit is the adjustability that’s built into the socket. These things the panels. The RevoLock, is how it’s attached to your limb. Did I say that gracefully enough, Joe?

 

Yes, we’re good.  Okay. I like to keep it simple, because that’s how I keep it in my brain. Let’s see, we’ve got– So a lot of– Oh, we have a Lanyard– All right, Jim, with his Lanyard– So those are the suction systems. Then we have the locking and that’s where the RevoLock, that’s the classification, the RevoLock falls into. These are the pin locks, the Lanyards. There’s even the magnet system out there, I think. And then moving on, we have vacuum. Some people call it elevated vacuum. And you can have either mechanical or an electrical vacuum. Okay, we talked a lot about in the previous shows, right? We have anatomical and this is a little more old school as I like this one as well.

 

Joe Mahon  13:05

Perfect!

 

Cosi Belloso  13:46

For my below the knee amputees, if your socket goes over your knee a little bit, it’s basically grabbing on to your thigh bone. There we go. Oh, he’s got it right there. Yay. I have all above knee sockets. I don’t have any below knee sockets. And it kind of just grabs on to your thigh bone, the lower part of your thigh bone. That’s an anatomical suspension that’s using your anatomy to suspend your socket. And then we have belts and cuffs and straps, which I always like to show off this guy. So this is the one I got. Isn’t that cool? I know.

 

Joe Mahon  14:20

Wow.

 

 

Cosi Belloso  14:21

Isn’t that incredible? Did I have shown you this, Joe. Yes, I just show you this one. So this one was from my trip to the range of motion project in Guatemala. So that is the classic belt suspension system. This whole prosthesis was held on by this leather strap right here. Are you guys with me so far? Let’s see. We’ve got comments just flying in. And guys, if I missed your comment or your question, please feel free to repost it. And if I still miss it, I promise you we’re going to go back after the show is over to get everyone’s question.

 

Donna says, “She’s got a pin lock. We’re going to suction next week.”

 

Felicia says, “I don’t know But mine is. It’s a mechanism on the side for height reasons.” Let’s see. Vikram said– He called it a molle [phonetic 15:09] strap.

 

Steven says, “I find myself tracked to the magnetic system.”

 

All right, so we’ve got the different systems guys. So let’s talk a little bit about the star of the show tonight the RevoLock. So Joe, this is where I go. And I’m going to let you talk a little bit about the RevoLock.

 

Joe Mahon  15:26

Okay, so the RevoLock is a mechanical lock. So just like a pin lock or other mechanical type systems, our system gets integrated into the device. So it’s built in. And it has a little threaded insert here that you attach, you have your liner and your attachment piece there. You thread this on– This gets threaded on. And then you have your dial mounted here, this dial can be mounted anywhere on the system. So if you need it somewhere else, you can place it elsewhere. Then you simply turn the dial and it pulls your limb in position. Just like that. Very simple. Very straightforward. Very mechanical.

 

Cosi Belloso  16:11

Yes. And the guys just so you can see the one in the above the knee socket. So I don’t have a liner with me. The same little mechanism that Joe showed you right there. And I’ve got my dial here. It’s actually right through it in, and it’s in.

 

Joe Mahon  16:30

Yes, the difference between this mechanical lock and the others is it pulls the system into position rather than kind of stuffing in [crosstalk].

 

 

 

 

Cosi Belloso  16:40

Yes. Okay. As I say, How many of you guys have to stop feel like you’re stuffing your residual limb? Like a sausage casing into your socket every morning when you wake up? How many of you Hey, Tom, what’s going on? Okay, so it works. Now, does this work with all liners?

 

Joe Mahon  16:58

Yes, it works with all locking liners. It works with pediatric or adults, upper-limb or lower-limb, any of the manufacturer, they’re all standardized. So they with any liner system.

 

Cosi Belloso  17:16

Okay, sounds good. And then I know what the RevoFit with the adjustable kit, a prosthetist can build it into the check socket to trial it out, Can the same be done with the RevoLock?

 

Joe Mahon  17:29

Yes, the prosthetist can use the same kit that they use in the test socket, or maybe it’s a preparatory something you’re going to take for a couple of days, they can use the same system in those devices, the plastic devices as the definitive laminated devices as well.

 

Cosi Belloso  17:47

And this is what I really like about the adjustability and everything that Click Medical provides is you can test it out, guys. You know, unfortunately, we don’t have a solution that fits for every single amputee living in this world right now. So it’s nice to have the ability to trial things out before you make that final decision.

 

Ooh, we got questions rolling in. Oh, my goodness. Here we go.

 

Julie says, “Interesting! Tried pin lock… Didn’t work for me, always seem to be a half click away from a good fit, and had to bail on it.”

 

Yes. And guys, you know, I’ve had a lot of patients with pin locks. Some of them are successful. But I will say a lot of the frustrations I see people with pin lock, it’s not once they’re in the socket, it’s the getting into the socket, that they have a problem with, you know, aiming for that hole. If they’re not, you know, if their limb volume is puffy in the morning, they can’t get into the pin lock, and they spend a lot of time getting in there getting stuck in the pin lock. Especially if a sock gets caught in the little device right there. That’s always good time trying to get that out.

 

So these are just some of the things that I’ve heard from my patients and from you of my viewers over the years.

 

Vikram says, “It also takes away the hassle of aligning the pathetic pin exactly the same way every time and the frustration involved.”

 

Joe Mahon  19:04

Yes, exactly.

 

Cosi Belloso  19:07

Stephen is asking, “How is the durability on the string of the BOA and the RevoLock?” The lacing I am assuming he’s talking about.

 

Joe Mahon  19:14

Yes, the lace itself is a 300 pounds spectrum. So it’s a very strong soft lace, much stronger than any kind of wire or anything else that you could use. So it’s very strong, very durable, and it can withstand quite a bit of abuse [phonetic 19:30] and it’s completely waterproof and water resistant as well.

 

Cosi Belloso  19:34

Okay, and then the following question from Brian says, “If I have an existing socket, can it be built in?”

 

Joe Mahon  19:42

No, you can’t put it into an existing device because it’s got a different distal attachment piece. And sothat would not allow you to retro into something that’s already been made.

 

Cosi Belloso  19:53

Okay, but Brian, again, if you’re looking at getting a new socket again, I just want to reiterate, you can do it and you can trial it in the check socket first. So, big bonus there.

 

Mark, you’re saying advantages of RicoFit [phonetic 20:05]? I’m assuming you’re saying advantages of the RevoFit. Can you clarify your question, Mark?

 

Jim asks, “What would you recommend for those of us with short legs and build height issues?”

 

Do you mean with respect to the suspension system, Jim? Can you clarify that just a little bit for me?

 

Hey, Captain! [Phonetic 20:24] what’s going on?

 

So guys, actually, we’ve got our next giveaway. We’re going to pick out three winners for this one, and they are going to get the Click Medical Yeti mug, which is really, really nice. So cheers to Click Medical. So guys, we’re going to leave this giveaway open for the next 10 minutes. Go to Instagram. Follow Click Medical and Jen is going to type in the handle. It’s really easy. It’s add Click Medical, follow Click Medical, follow Cosi Talks, and we will pick 3 winners from the people who follow us to win these Click Medical mugs.

 

All right, so moving on….

 

So tell us why the RevoLock? What was the inspiration behind it?

 

Joe Mahon  21:18

Okay, the main thing for me as a clinician is safety. So that was the main reason why I came up with this system. Having the ability to put their prosthesis on in the seated position is a great thing to be able to do, it’s a very safe way to put your leg on, a lot of mechanical locks like you said earlier, if there may be swelling in the morning, or a little puffy, or they retain some water, mechanical locks require you to get the pin fully seated into the socket to engage the distal lock mechanism. So if you can’t quite get in there, typically people have to stand up to get full weight bearing to push the pin down, or oftentimes they sit there and they’ll stomp their foot, trying to get the pin engaged, or at least get one little half [phonetic 22:10]click engaged. I don’t like that. I don’t like patients having to stomp their leg because that can create some shear force issues, and some soft tissue damage, especially if they don’t have great feeling. And oftentimes, you know, when they’re stomping, if the pin is not directly on top of the hole for the pin lock, you’re getting resistance. So we don’t like that.

 

So safety was the main reason for the invention of this type of system. I have had frustrations with patients that had kind of bulbous, or large distal ends of their limb, maybe this recent amputation, or they just have fluid that collects at the bottom part of their limb. And maybe the top part is a little bit smaller. Most people often struggle getting their leg on in the morning. And people have to start their day and they got to get going. So those patients, maybe they can get it on halfway or three quarters of the way, and they got to get moving. And that was always very nerve racking for me.

 

With our system, it’s on a lace. I prefer everyone to be fully seated in their lock and their leg before they start. I know that’s not true. I know, some people are three quarters of the way on, but they got to get going. But our system allows you to be 3 quarters of the way on and still have it fully suspended, it’s not going to come off. And then as you shrink, you know over the next couple of minutes of walking, you can slowly pull yourself and fully seated and fully get into the socket. So safety, having the ability to kind of have an adjustable suspension, basically, depending on where you are volume vise. Those are the main reasons why we came up with the RevoLock system and also to eliminate a lot of frustrations that are out there.

 

Cosi Belloso  24:03

Okay, have any of you presented with any of these issues that Joe was talking about right now. The stomping I call it the amputee hop just trying to get into the socket first thing the fact that some of you have to just get going in your mornings. Jim says, “I have a long residual and very short length below where the knee was. Pin system seems to take up room I don’t have and did have “puchy” issues in the morning with vacuum.”

 

One thing I’ll note on that comment are the distal housing is only 2 and a half centimeters so it’s only 1 inch long, which compared to most other locking systems or anything, [unintelligible 24:47] systems or strapping systems. We’re definitely on the short side. So if you do have a limb length discrepancy where you’ve got, you don’t have much room to squeeze in a suspension system. This is a nice option because of the low build height of it.

 

Okay. All right. So actually, we just got in our Instagram winner. So those of you who were already following Yes, you got your raffle entry in there. So don’t worry about that. Yes.

 

So our three winners for this evening for the Instagram is Felicia, Clarence and Johnny v. So guys, we’ll be contacting you through your Instagram handles. Okay, so just keep an eye on your Instagram messages. And we’ll get your information for your address. And here’s the head to you for your Click Medical Yeti mug. These are really, really nice, guys. So thank you Click Medical for that. Let’s see, Steven says, “Yes, my suction doesn’t like to seal with a seal-in liner, we had an– I remember guys, when we did the show a few weeks back on suspension systems with the seal-in liners, you know, it presents with their frustrations as well.

 

And again, when it comes to picking out a suspension system, like everything else in prosthetic world. You got to pick what works for you what works for your style of life, what are the demands in your life. What are the activities that you need to do? What are the things that you need to be able to speed through? And what things do you have more time for and then kind of look at the different products available to see what fits you the best. If anything we’re seeing here in the comment section is everyone is different. Some of you are just like, ‘Yay, pin lock’. Some of you are just like ‘Boo to the pin lock’. So it’s really about having these conversations with your clinicians and asking all of these wonderful questions to see what’s going to work for you. All right, so we got Felicia there, Johnny V. And everybody’s excited about these winning.

 

Joe Mahon  26:31

Yes, that’s so important to have that conversation with your care provider and tell them, what your lifestyle is like, what you need? Do a little bit of research, be your own advocate, and go in with some questions because the suspension system can make or break a socket. It’s not always just about the fit. So just keep that in mind.

 

Cosi Belloso  26:52

Yes. And I have to say it was kind of a funny story. When I was at the Rock clinic [phonetic 26:59], and I forget that sometimes, because I’m not an amputee, myself, and I don’t have this experience. But the fear of the leg coming off, that was one of the big fears of some of the folks using their legs the first time and I had to show them how to kick their legs so that it wouldn’t kick off. So definitely security and what you mentioned Joe, the safety of using the prosthesis– Yes. So you guys have are asking really wonderful– Socket and how that’s a little bit different from some of the other suspension systems out there, like Lanyard?

 

Joe Mahon  27:43

Sorry, you cut out for a second, I didn’t hear the last 30 seconds. So I don’t know [crosstalk]

 

Cosi Belloso  27:49

I am so sorry. So you know, we have a couple of other locking systems out there, we have things like the Lanyard and the pin as we were talking about, strap systems. So how is this just even more different what differentiates the RevoLock from something like a traditional lanyard?

 

Joe Mahon  28:07

The main difference would be that all the lace lives within the dial. So traditional lanyards, you have to pull the lace out. And then you have to do something with the lace, you know, you have to wad it up and put in your sock or put it somewhere and hide it. And this system all the lace lives within the spool. So it’s all concealed, all hidden. The other traditional lanyard systems, or straps require you to grab the lace or the strap and pull on it. Some people don’t have great dexterity, they don’t have very strong hands. But if you can turn the dial, you can create about 100 pounds of line tension, which really gives you a lot of pull strength. Some of the other differences is that you– the dial can live anywhere on the device. So you don’t have to bend over and go down distally if you have maybe a range of motion issue or a spinal cord issue where you can’t get down to the bottom of the socket. That’s a nice thing.

 

And one of the other great features of our lanyard system compared to other lanyards is that we have these little black O rings around the insert that eliminates any kind of airflow that happens as you’re walking.

 

So one of the big complaints about lanyards and straps is as they’re walking air just gets expelled and whooshes kind of out of the socket. So it’s kind of coming and going in and out of the socket, which creates a lot of noise. And sometimes it can even be kind of like a farting sound almost which can be quite annoying. So this system when engaged and when the O-rings are engaged with the housing eliminates any kind of airflow. So that’s a nice option. That’s a nice alternative to the existing technology.

 

Cosi Belloso  29:52

Pistoning… Okay, so Brett, do you have a question about pistoning or you want to clarify that one from where you a little bit more. And while he’s doing that we are going to announce– Sorry.

 

Liz is like, “Yea, not fun.”

 

Julie says, “She goes leg farts.”

 

I had a patient once, you know, he had a great sense of humor. And he was blaming other patients in the clinic whenever his leg would toot [laughter].

 

David asks, “Is there any other locking mechanism other than the lanyard?”

 

Yes. So David, if you’re thinking about other different suspension systems, the main ones and tell me if I’m missing anything, Joe, we have the RevoLock, which we’re talking about tonight. We have the pin lock, and that’s the one that has the big long pin that looks like a screw going into the bottom, the lanyard and that’s like a strap that is pulled through the socket and it usually Velcro’s outside and the outside part of the socket. Did I miss anything?

 

Joe Mahon  30:59

No, that’s it. There’s a clutch lock, which is basically a pin lock, but it allows you to turn the clutch mechanism and actually draws you down in once it’s engaged. But you hit them all.

 

Cosi Belloso  31:13

I got them all. Oh, Brett was just saying that it sounded like piston in the air whooshing in and…

 

Yes, that means that this thing is gorgeous. Well, the click medical website, lots of great information there. Always encourage people to go in there, read what they have, they have a couple of research studies there which have been pretty interesting. I was really catching up on those today myself. And a couple of videos to go with those research study, which is really

go to provider directory here on Click Medical and by state, it will tell you who providers, the prosthetic providers that have the RevoLock or RevoFit system, okay, and that they do this at their clinics. So y’all know where I’m leading with this right? There’s a giveaway involved with this one.

 

 

Joe Mahon  31:22

Yes.

 

Cosi Belloso  32:13

For this giveaway, guys, we’re going to sweeten the pot just a little bit with this one. With this giveaway we’re going to be doing the three mugs; three winners, three mugs. And I’m going to throw in for one– Actually, how many do we want to do? Let’s do three, three annual Cosi Talks, Strong Body subscriptions. Right?  Okay, so guys, go to the provider directory. Go to your site and tell me the name of any clinic in your area that provides the RevoFit systems. Three lucky winners are going to win the Click Medical mug and an annual subscription to my Cosi Talk Strong Body Program.

 

All right. Let’s get back to these.

 

Mark is asking, “Do you need a sleeve with the RevoLock? A Suspension sleeve?”

 

Joe Mahon  33:12

No. Knee sleeve is not required. This is a mechanical lock that attaches to the end of your liner. So you don’t– That does not require any sleeve.

 

Cosi Belloso  33:20

There you go. And sorry, guys, if I’m freezing this evening, as I said our internet always likes to– I’ve come to the realization it’s high traffic volume, which is great because it means a lot of you are watching but then sometimes it means the internet kind of glitches every once in a while. Sorry, I’m trying to decipher here David’s question, he says, “No, I mean, on the leg he has is the lanyard, the only locking mechanism.”

 

Joe Mahon  33:48

Yes, that’s the only thing that attaches the socket to the body.

 

Cosi Belloso  33:53

So actually do you want to demonstrate again, Joe for some people who may have jumped into the show after you demonstrate it. So guys, Joe’s going to demonstrate one more time how the system works.

 

Joe Mahon  34:02

So you will roll your liner on in the traditional way. The one thing about our system is that you don’t have to necessarily get the line around the exact same way every time. So if range of motion or you’ve got a spinal cord issue where you can’t bend over and get the liner on the exactly the same way every single time. Not a problem, okay? Because what we do is we attach the liner to the lace and the dial via this insert here and this just threads on. And then essentially what you’re going to do is turn the dial and you’re going to pull the limb down into position.

 

And again, this has got about 100 pounds of line pull. So very strong. Pull your leg all the way down into the socket while seated without having to stand or without having to align the pin. So that’s the system in short.

 

Cosi Belloso  35:01

There you go. Eric says, I think Ronnie– Speaking of Ronnie, he’s going to make the Revo for him. Let’s see

 

Oh, good question Tom.

 

Know when you are clicking yourself into the RevoFit, can you pull yourself in too far causing too tight of a fit?

 

Joe Mahon  35:19

No, because when you originally make the leg traditionally, when they cast you, they’re going to elongate the limb a little bit, which when they elongate your limb during the casting process that helps reduce any kind of pistoning that may occur later down the road. Essentially, what it does is that it kind of puts the limb on stretch and pushes the skin on stretch, so that you don’t get the kind of the up and down or the milking that kind of happens. So you can eliminate the pistoning by elongating the limb. Was that the original question? Sorry, let me just scroll up here.

 

Cosi Belloso  35:55

Yes. You got it. And then let’s see– Bill, I went ahead and reposted the link. So guys, for the giveaway, go to the provider directory, tell me who is a provider in your area that works with the RevoFit or RevoLock system, we’ve got three winners, we’re going to be picking out and the prize is really, really nice. All right, let’s see, we’ve got– Julie who’s asking is the bottom of the liner pretty rigid? No. Nice and soft.

 

Joe Mahon  36:25

Yes, there is a bit of a umbrella, which is kind of traditional for a lot of liners. But the end itself is soft, it’s soft gel. And then you have a little umbrella here that’s attached to the insert that has a little bit of material. So that does make a little bit more stiff at the very, very bottom, but not wrapping up the sides at all.

 

 

Cosi Belloso  36:48

Okay. We got a lot of you guys putting in. So we’re going to wait to see who the three winners are. I know, Jen is going to send me that information. Yes, we got a lot of people who do these RevoFit and RevoLock systems. This is wonderful. So let’s just go through some of the– I call them the housekeeping questions. These are questions I get a lot from folks. Usually after the show is done. So I was like, let me just go in front them here– Any patient weight limit for this particular suspended system.

 

Joe Mahon  37:18

There’s no weight limit for this system, because it’s just suspending the weight of your prosthetic device. It’s not really suspending the weight of the user. Unless they’re hanging by their feet for some odd reason. There is no weight limit. The lace itself is a 300 pound spectra. So if you’re over the 300 pounds, and you are hanging from your ankles frequently, this may not be the system for you. But that’s pretty rare occasion, I think.

 

Cosi Belloso  37:51

So basically, if your name is Bruce Wayne, and you dress up as a bat, probably not the way to go.  Okay, so let’s see, Denise is asking, “Is that a traditional pin lock liner without the pin? Or is that a specialized liner?”

 

Joe Mahon  38:07

No, it’s just a normal locking liner is what they’re called. They’re not called pin lock, or lanyard liners, they’re just locking liners. And our system can be used with adult or pediatric locking liners. It can also be used with upper limb or lower limb locking miners. So any locking liner that exist out there, they’re all standard threads at the bottom. And so we just matched up with those standardized threads. And so it’s very universal system.

 

Cosi Belloso  38:35

Okay. And then Susan– And we’re getting this question a lot. So we’re going to answer this question again. So you dial it up to press against your leg, when do you know when to stop turning the dial?

 

Joe Mahon  38:47

When you’re fully seated inside the socket. So you’ll be able to feel the tension on the dial as you as you sink and creep down into the leg. You create a– You can feel the tension on the dial. And then you’ll know once you’re fully seated, you should know if you have sensation or feeling, if you don’t have sensation or feeling at the distal end of your liner and you can’t feel if you’re in there all the way then the dial you’re just going to have so much resistance that you’ll just stop turning the dial. There’s just no place for that thing to go. So eventually you’ll just stop.

 

Cosi Belloso  39:20

Okay, so hopefully that answers your question, Susan. So we’re going to veer off just a little bit because I don’t often discuss this part on my show too much. Have you been using the system on extremity on ARM amputees?

 

Joe Mahon  39:33

Yes, absolutely. It works great for ARM amputees. Again, sometimes those are bulbous or they have distal tissue that’s difficult to get on. So we use them for upper limb as well. And for upper limb, the very short build height that comes with the RevoLock, is kind of a nice factor in terms of you know, which one you’re going to pick out for your patient. Because oftentimes limb length, for some reason, upper limb, limb length can be a concern. So this is definitely on the shorter side of locking suspension units, and also the size of it the distal housing. As you can see, it’s quite small. So it fits really in line well with the shape of most arms. And it just kind of flows with the same kind of shape.

 

Cosi Belloso  40:22

Okay, and let’s see, we’ve got Paula asking, “Is it adjustable for shrinkage? Or do you still need a new socket?”

 

Joe Mahon  40:30

Well, the socket itself– The suspension system doesn’t have anything to do with how the socket is fitting necessarily. If you wanted a socket that was adjustable, that you could adjust for different volumes, that would be the RevoFit. This is the RevoLock, which is the suspension system. There is some adjustability built into it. And the fact that you could, maybe you’re so swollen that you can only get the leg on halfway, and you can still suspend the leg halfway. And this gives you the ability to then adjust and slowly pull yourself into position as you shrink and sink throughout the day. So there is some adjustability built into the RevoLock as well.

 

Cosi Belloso  41:13

So guys, I’m just going to reiterate that again. “Repetition is the mother of memory.” The RevoFit is the adjustability. So that’s the panels that you’re seeing here, the gap design and yes, I have a demo socket. So I have a lot of stuff going on on this one socket to be able to demonstrate everything. So this is how you basically loosen or tighten the socket, as your day goes along. Versus the RevoLock. That’s how the socket is pulled on to your residual. And that’s how it’s held on with the suspension system. And again, guys, this is why I’ve been wanting to do these shows one after the other because it is a little confusing sometimes as what are we talking about? What are you dealing with when it comes to the socket?

 

Steven is saying, “Is the RevoLock air tight?

 

Joe Mahon  42:00

Yes, it has the O rings, like I showed you on the threaded insert. So when the threaded insert is fully engaged in the housing, it is completely airtight, which gives you the ability to– Or in conjunction, you could also use a suction system as well. So it does allow for suction and lanyard RevoLock system to be in the same socket. So that’s based off of design. I don’t want to get too deep in the woods there. But just so you know, it is airtight. And you can use the RevoLock with some suction systems as well.

 

Cosi Belloso  42:38

And then earlier, somebody had asked about, “Will it work with a vacuum system?”

 

Joe Mahon  42:43

Yes, it also works. The vacuum system, again, is very designed specific. So it may not work with every type of design that’s used for elevated vacuum. But for most of the common designs, you can incorporate the RevoLock and elevated vacuum. If for some reason you needed both systems.

 

Cosi Belloso  42:59

Okay. Butch asks a great question. He says, “Being that I’m bilateral, would you recommend both legs having this?”

 

Joe Mahon  43:08

I would think yes, I don’t know why you would choose one over the other. Maybe if you have like one leg has a different shape or size or different contours, you have struggled with one more than the other. But I would suggest using the same suspension systems for both sides, as long as there’s not any outlier. reasons as to why you should choose one over the other.

 

Cosi Belloso  43:35

Okay. Denise re-explain this, she says, “So it’s either RevoFit or RevoLock, very confused? Sorry.” Don’t apologize, Denise, it takes a little time to kind of to go through this. So let me just go through it. I’m going to go through it however many times I need to so you understand not a problem. So with the RevoFit, okay, Denise, think about it this way. When you wear your socket, right throughout your day, you have to take socks on and off right as your limbs shrinks or gets puffy throughout the day, okay? So with the RevoFit, okay, instead of having to take your socket off, put socks on, all you have to do with the Revofit is twist the dial and the panels will tighten, right? Or if you have a gap design, this will tighten. Okay, so just think of it as the tightening and loosening system. So it’s going to help you as your limb volume presumably shrinks throughout the day. That’s the RevoFit.

 

The RevoLock is how your leg is inserted and is attached into the socket. So the RevoLock a suspension. RevoFit is loosen or tighten once your limb is in there.

 

Joe Mahon  44:56

Yes, the RevoFit is the adjustable socket. You know, socket adjustability adjust the fit of the device, or RevoLock is the suspension that locks it on and keeps it on your body, doesn’t allow it to come off. So the “Fit” is “Socket Related.” The “Lock” is “Suspension related.”

 

Cosi Belloso  45:17

There we go. And then Marianne says, “Can you have both the RevoFit and the Lock in the same socket?”

 

Joe Mahon  45:24

Yes, of course, we made it. So you can have both if that’s what your prosthetist is prescribing.

 

Cosi Belloso  45:31

And actually, here’s a perfect example. You have the RevoFit and the RevoLock socket.

 

Right here, Kevin says, “RevoFit sounds really interesting”. And Kevin there, you know, full disclaimer, you know that this is not the only adjustable solution on the market out there. And as I always tell people do your homework. If an adjustable socket is something that you’re looking at, go out there and compare what we’ve given you tonight, the information we’ve given you tonight, use that as your standard, and then compare the other adjustable systems out there to this and see what is it that’s going to work best for you. The reason why I’ve worked with Click Medical a lot this year is because I have a lot of success with my patients. And many of you as my viewers have come forward to tell me, Hey, we’ve used the RevoFit in the past and we’d love it. And also prosthetists– A lot of the prosthetists. So I have my secret go to prosthetists that whenever a new product comes out on the market, or whenever I hear about a new product, I always go to them and say, Hey, what do you think about this one?

 

So the prosthetists like using some of the ones that I like to talk to? For what that’s worth guys, you know?

 

All right, here we go.

 

So Eric says, “RevoFitt will work for me since I shrink up top all day.”

 

No, Denise not at all. That’s the whole point of the show is to ask these questions. And I can promise you and I remember one of my professors in college saying this, he goes, “For those of you who are asking their questions, there’s 10 of you behind them that are too afraid to ask the question out loud.” So guys, ask your questions. That’s the whole point.

 

Stephen says, “In the middle of building a socket with a pin-in suction. So I’m going to ask about the RevoLock instead of a pin, sounds right?”

 

Yes. So you’re on the right track there, Steven. And again, guys, if there’s any follow up questions that you have, I’m just going to take this opportunity now.

 

Bassel [phonetic 47:36] isn’t sinking in or there’s something– So if anything that tonight is just a little confusing, you’re still isn’t quite syncing, you guys. Send me the email to that email @cositalks.com.

 

So, Susan’s saying I’m not sure you understand without touching it, how it all comes together. So guys, RevoFit and RevoLock, it’s out there a lot. So chances are, there’s a prosthetists clinic in your area that has one. So go ask them to see one. They probably have a demo just like I do. Hanging around. So yes, I totally get it. I’m a visual learner myself. And once Click Medical sent me this and I was like, Okay, I get it. I see how this works now. And it’s really, really easy. It’s really simple, elegant design. So I like it.

 

Felicia says, “Just want to say the RevoFit helped me bring my leg home after multiple issues fitting with the test socket.” Pretty good deal!

 

And guys with that, we have our winners. So these guys are going to win big each one of these is going to get each one of these winners will receive a Yeti Click Medical mug, which is very nice. And they will also going to receive one year annual subscription to the Cosi Talk Strong Body Fitness Program. 150 Plus exercises for above and below the knee amputees guys.

 

So our winners tonight are Harsh, Denise and Paula. See Denise it helps to ask a bunch of questions. It makes you a winner. So congratulations, guys! We’re going to be contacting reaching out to you to get your addresses and send out your goodies. So congratulations!

 

Let’s see. All right, guys. So I think we covered pretty much all the questions. I’ll be going back through all of that. So Joe, Did we miss anything?

 

Joe Mahon  49:35

I don’t think so. I think we got pretty much everything. Yes, a lot of great information. Yeah.

 

Cosi Belloso  49:43

Awesome. So guys, we covered a lot of information, but that’s why God invented the replay. So if there’s anything that you feel like you missed, please go back and re-watch this. Also I really want to strongly encourage you to go to my YouTube channel if you haven’t already done so.

 

So I am shamelessly plugging away here, guys. Okay, I have more information on adjustable socket systems with Click Medical, we have all the links below of the previous shows. And also if you want to go back and watch the suspension show that we did with Ronnie Dixon a few weeks back, and that just gives you a better understanding guys.

 

So the fact that you’re here tonight shows that you want to have a better understanding of what’s going on with your body and the leg that you’re living with every day. So come watch these videos that you’re learning on.

 

So with that, we’re going to close the show down. I just want to send this very special thank you to the Click Medical team.

 

Joe, thank you so much once again, for your expertise and your patience with all the technical stuff. And my behind the scenes gals who are making this happen Jen and Jamie you ladies are wonderful, amazing. And thank you so much for all the support and all the help that you do with helping promote the show and helping us get this information out there.

 

So guys, thank you for letting us be a part of your lives this evening. We will be back next week. Same bat time same bat channel, just not hanging from the tangles. That’s all. Bye guys!!