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Practice Related

How does AdiCyte's service benefit my practice and patients?

1. Increased options for patient treatments and procedures:

  • Patients have a convenient opportunity to preserve their stem cells at their youngest state for future use in tissue engineering, cell therapy and regenerative medicine.
  • One harvest of fat for stem cell banking, or multiple uses in cosmetics and rejuvenation. 
  • Use to touch up for smoothing and balancing an area of prior surgery without further fat harvest, e.g. buttocks augmentation or post lumpectomy contour defect.

2. Additional income from new procedures or add-on to currently scheduled procedures:

  • An additional 10%-15% ancillary revenue: Patients who are already having a procedure that involves their adipose tissue have an ideal opportunity to conveniently save their adipose stem cells for future use in regenerative medicine, and/or later use in cosmetics, augmentation, or reconstruction. Collection and preparation offers a new procedure fee.
  • Educating patients about AdiCyte's service is an opportunity to introduce and discuss other new procedures. For example, a patient undergoing liposuction who learns about banking, may gain interest in enhanced fat transfer for soft tissue defects or augmentation using their own tissue. 
  • Previous patients, as well as new patients, can come to you to collect and store a sample of their adipose tissue and stem cells for their potential use in regenerative medicine. A simple local anesthesia with syringe and microcannula collection takes 15 minutes or less to collect 60cc for storage.

 

 

What is the best way to integrate AdiCyte's service into my practice?

AdiCyte has designed a simple 3 step approach for practice integration and patient education:

  • Place patient education literature [brochure and easel] in waiting room, consultation rooms and exam rooms. Educate all applicable patients on the option to bank and value of storing their tissue and stem cells. All liposuction, fat transfer, abdominoplasty, breast reduction, thigh and arm lift patients have a convenient one-time opportunity to bank.
  • Utilize the Patient Consent / Decline form for all patients listed above to ensure they are educated and make an informed decision.
  • Have your patient coordinator or front office staff REGISTER THE PATIENT ONLINE at www.adicyte.com. The process takes only minutes and ensures the patient is registered. No payment is due until the tissue and cells have been successfully stored.

These 3 steps will create a system for easy patient education and a streamlined office and collection process.

 

How do I bill my patients?

AdiCyte charges the patient directly for kit, courier, and laboratory processing fees ($985). Collection and preparation fees for AdiCyte related services are the sole discretion of the Provider. Billing structures include:

Collection and Preparation Fee: This fee recognizes services for your additional collection of tissue using the AdiCyte Collection Kit, and preparation of the tissue for courier pick up. [Fees routinely reported to be 10-15% of overall procedure cost.]

Tissue Preparation and Procedure Fee: This fee applies to the preparation of the tissue sample prior to use in cosmetics or other procedures. The cell enriched tissue sample will arrive to your practice in a 20cc syringes containing D5LR. Separation through inversion or centrifugation is required prior to use in treatment. Tissue preparation and treatment procedure fees can be applied. [Fee for centrifugation + customary fee for dermal filler injection]

 

What is the cost of the service?

Adicyte will bill your patient directly. The standard plan for AdiCyte's service is $985 for a small collection kit (up to 60cc tissue collected) and $1185 for a large collection kit (up to 240cc tissue collected). This includes collection kit, courier service, laboratory processing, cryopreservation, and first year storage. Thereafter, AdiCyte will bill your patient $120 each year for maintenance in storage. Yearly and monthly payment plans are also available.

Should you choose to collect and tissue bank larger samples than 240cc, we offer a price break on multiple kits. Each additional large kit (each 240cc collection) is an additional $700.

When tissue is requested for use in cosmetics or reconstruction, the patient is billed $300 for 350cc or less and $500 for over 350cc for thaw, wash, preparation and shipment of the tissue to your practice. Banked tissue is held in multiple aliquots whenever possible. Bag sizes are commonly 24cc or 56cc per bag. You may request any number of bags depending on the amount of tissue you want for the procedure.

 

 

How do I Register my patient for AdiCyte?

Registration is easy. Many practices choose to register the patient at the same time the procedure is scheduled. This ensures the patient is in our system. Your staff or your patient can go directly to adicyte.com and click on the REGISTER button at the top right. The form takes about 2 minutes to complete. No payment is due from the patient until the tissue has been successfully stored. A confirmation email will be sent to your patient.

 

Collection

How do I perform the Collection Procedure?

AdiCyte provides your practice with two types of collection kits. Our kits feature sterile components and medical grade foam for temperature stability during shipment.

60 cc Stem Cell Collection Kit
Our 60cc kit contains 6, 10cc syringes and is designed for smaller volume collections primarily intended for stem cell banking. Collection is routinely performed as an additional volume, at the same time harvest is being performed for fat transfer. Fat composition varies from patient to patient and a 60cc collection results in storage of 1 cryobag containing 20-25 cc of stem cell enriched tissue for use in tissue engineering or regenerative medicine. Although 60cc is desired, a minimum of 20cc [2 syringes] is required.

240 cc Stem Cell PLUS Collection Kit
Our large, 240cc kit features 4, 60cc syringes and is designed for larger volume collections for stem cell banking and use in cosmetics, augmentation or reconstruction. Syringe collection is performed through a luer lokâ„¢ connection to a canister with filter [standard procedure for fat transfer] after liposuction. For procedures such as abdominoplasty, brachioplasty or breast reduction, liposuction or cannula collection should take place prior to surgical removal of tissue. A 240cc collection results in storage of 1 cryobag containing 20-25 cc of stem cell enriched tissue for use in tissue engineering or regenerative medicine PLUS four 30cc bags for use in cosmetics or other procedures. This will provide, on average, 20cc of enriched tissue per usage. We are not able to provide smaller volume requests at this time.

 

 

Does it matter which type of liposuction approach is used?

Yes. Minimal damage to adipocytes is best and most liposuction devices and approaches are fine for storage. Laser assisted liposuction, however, can cause damage to the tissue and cells, so for providers who use laser liposuction, e.g. SmartLipo, the collection of tissue for banking should take place with any other method prior to use of laser, including tumescent or syringe with microcannula depending on the desired volume for cryopreservation.

Note: According to their website, VASER-harvested fat is "optimized for subsequent fat grafting".

 

Does the collection kit need a cold pack for shipment?

No. Adicyte's kits are constructed with medical grade foam that provides temperature stability during shipment. In the body, the cells are naturally maintained at 98.6 degrees, so ambient temperature during shipment is fine.

 

How do I arrange for collection pickup?

Our helpful AdiCyte Tissue Collection Kit instruction PDF has Courier Pickup Instructions for your staff to follow. 

AdiCyte's laboratory processes tissue Monday through Saturday, 9 a.m. - 6 p.m. and we use FedEx Priority Overnight which guarantees delivery by 10:30 a.m. the next day Monday through Saturday. If your tissue is going to be shipped for processing or receiving on Saturday and Sunday, additional FedEx and courier fees may apply. Additional fees also apply for FedEx Same Day and FedEx First Overnight (by 8 a.m.). Please contact AdiCyte's Customer Service Team at 888-262-0387 for specific costs in your area.

 

Using the Tissue

How do I order a quantity of my patient's tissue for use in a procedure?

You may request units of your patient's tissue Monday - Friday by calling Dr. Michael Badowski, Director of Lab Operations, or Dr. David Harris, CSO at the lab at 520-626-5125. You will need to provide your practice information and the date of the scheduled procedure so we can prepare the tissue and send it overnight to your practice. Your patient's tissue will be thawed, washed and enriched two times, saving you and your patient time and money.

 

 

How does the tissue come back to me?

AdiCyte's laboratory enriches the tissue and removes blood, oil and tumescent fluid prior to cryopreservation. A second set of washes take place after thawing and prior to shipment for use. You may request any number of units. Each unit is shipped in syringes with D5LR (dextrose) buffer to ensure maximum viability.

The buffer solution and enriched tissue will mix during transit. Ten minute incubation by standing the syringes upright is recommended to allow the tissue to separate from the buffer. After you have drained the buffer, the sample is ready for injection. The tissue can then be transferred to any size syringe that you are most comfortable with, using a sterile coupler. AdiCyte will directly bill your patient a fee of $300 for 350cc or less and $500 for over 350cc for laboratory preparation and shipment, per each thaw procedure.

*Based on individual preference, the enriched tissue may also be shipped frozen for providers that prefer to thaw and wash the tissue at their practice prior to use.

 

How is the tissue processed?

At the laboratory, fat tissue is enriched through centrifugation, enabling AdiCyte to store only the useful portion of the sample. The oil and liquids (local infiltration, etc.) are reduced significantly during the enrichment process, resulting in a 35%-60% decreased volume compared to the original harvest volume, depending on the patient, and how much liquid infiltrate and oil are in the sample. For example, when a large kit, 240cc, is received and processed, the volume of enriched tissue that's cryopreserved will be approximately 100cc. The number of viable fat cells, mesenchymal stem cells and other precurser cells are concentrated in the sample. Only the oils and liquids are removed. A cryopreservative is then added to the sample for protection during freezing.

 

How long will the tissue sample remain useful after thawing?

The tissue and cells should remain viable for use up to 36 hours after shipment from AdiCyte's laboratory.

 

When I receive the tissue sample, should it be refrigerated until use?

If the tissue is to be used within 3 to 4 hours of arrival, it can be stored at room temperature to facilitate separation of any remaining oil. If time to use will be longer than 3 to 4 hours, the tissue should be refrigerated but allowed to return to room temperature prior to separation for use.

 

Laboratory

What type of quality control and regulatory compliance do you adhere to?

AdiCyte collection kits feature medical grade structure materials and sterile components manufactured under ISO 9001 and ISO 13485 quality guidelines. AdiCyte is registered with the FDA as a tissue processing bank and is in full compliance with applicable regulations. All tissue processing steps comply with FDA cGTP (Good Tissue Practices) protocols.

 

Are there any risks of adverse reactions from residual anesthetic, cryopreservatives or post thaw preservatives?

No. There is no risk of adverse reactions from any of the cryopreservatives used during storage, and no preservatives are used in the post-thaw process.

 

"Any use of stem cells will be determined by the treating physician who will consider if they are applicable for the condition. There is no guarantee that treatments being studied in the laboratory, clinical trials, or other experimental treatments (including regenerative medicine applications) will be available in the future."