Motorized and automated Fue Extraction Device - Machine (Tool): Revolutionizing FUE Hair Transplant - the PCID

PCID - Dr. John Cole und Andreas Krämer

Andreas Krämer left and Dr. John Cole on the right with the PCID (Powered Cole Isolation Device) - Motorized FUE Extraction Device - Tool

Cole Instruments, known for advanced technologies and finest surgical tools, has developed a new instrument - tool the pcid motorized FUE Extraction device ( for utilization with hair transplant procedures. Dr. John P. Cole (read more about Dr. John Cole and the possibilities for hair transplant training and fue workshop:, the pioneer for FUE (Follicular Unit Extraction) has always leading research for precision and accuracy of medical tools. His latest device is marking a keystone and probably revolutionizing the extraction process during hair transplants. 

As motorized removal of follicle units (like micromotors, automated and robotic extraction machines - devices and hair transplant roboter) has regularly been a controversial issue in every forum worldwide and with Hairforlife the new generation of automated punch is likely to turn the tides. In comparison with other electronic devices the new PCID of Cole Instruments features a remarkable variety of optional settings and high-quality components individually targeting the patient´s personal characteristics of hair and skin. Unfortunately, almost all of the former and other machines to electronically harvest follicles were originally built to perform dental surgery or cut much harder structures such as wood, bone, or teeth. The PCID is revolutionizing hair transplant procedures as it is specifically built with a computer controlled "brain" to exclusively harvest follicles dependent on a precise depth control mechanism. For an overall table to compare the Cole PCID to other motorized punches (micromotors) see

Individual approach to the hair restoration patient: The automated PCID Device in contrast to other micromotors, automated robotic extraction machines and hair transplant roboter

Every approach to any FUE hair transplant patient should follow a methodical thought process focused on how to efficiently and safely remove grafts from the donor area. 

All patients are slightly different.  Some have short hair follicles.  Some have long hair follicles.  Some have fine hair.  Some have coarse hair.  Some have minimal follicle splay.  Some have significant follicle splay.  Some have large follicular groups.  Some have small follicular groups.  Some have tight attachments between the adipose and the outer root sheath.  Some have weak attachments.  Some have weak attachments between the outer root sheath and the inner root sheath.  Some patients have loose, rubbery skin.  Some patients have firm, rubbery skin.  Some patients have firm soft skin and some have loose soft skin.  

When you begin to understand the complexities and variability between all patients, it is possible one begins to recognize that there is no one method that is successful in all patients.  What every hair surgeons needs is variability to successfully harvest grafts from all patients. One single approach will not work equally well in all patients.  This is why physicians must rationally approach each patient.  What parameters, settings, and variables might they consider in each type of patient.  

The automated PCID is the only machine that offers such variability.  The options are limitless with the PCID.  The variability allows the hair surgeon the capacity to find the optimal approach in any patient.  All other machines (micromotors) built to perform FUE have a single approach only. All other machines lack the precision in depth control along with functional precision offered by the PCID.  

Speed control - Sharpness of the punch

The PCID has a limited maximal RPM of 4000.  Generally speaking extractions are best performed with a sharp punch and a rotational speed of 1250 rpm to begin with.  As the punch dulls, the RPM may be gradually increased.  Other machines lack precise rotational speed control.  One of the most important abilities of the PCID is to control the rotational speed precisely. Comparison studies have evaluated the sharpness of FUE punches and its importance. Find the results of this analysis at

Automated and motorized FUE Extraction Tool: Optional Settings of the PCID

The PCID offers numerous optional settings.  One may extract with a continuous rotation or a continuous oscillation or one may perform intermittent extractions using the hard wired or blue tooth pedal.  The PCID offers a Ramp to change from one speed to another over a set amount of time or to change from an oscillation arc to another oscillation arc over a period of time.  Rotation may be set an initial speed and terminate at a second rotational speed.  The duration in time between this Ramp may be individualized.  

Various modes available for the surrounded punch

In oscillation mode one may set a continuous oscillation angle or arc and a continuous number of cycles per minute.  Alternatively, both the Arc and the CPM may be adjusted over a Ramp time.  The Arc is the cumulative angle of movement to each side.  For example an Arc of 100 degrees is equivalent to a 50 degree movement to the right followed by a 50 degree movement to the left for a total of 100 degrees of movement.  The minimum Arc necessary to incise skin is typically 60 degrees.  One may set the CPM anywhere between 4 CPM and 1000 CPM. A higher speed greater than 700 CPM can create too much hand piece movement.  Sometimes it is better to begin with a slower speed.  

One may also begin with rotation and follow this with oscillation after incising partially into the skin.  We call this setting roto-oscillation.  The rotational speed may be precisely set followed by oscillation of a desired magnitude and frequency.  

The PCID is best suited for use of the surrounded punches. These punches are very sharp and incise skin cleanly with minimal axial force.  The optimal way to excise grafts is to use a very light axial force while allowing the punch to incise the skin around the follicular unit.  Other punches may also be used with the PCID. The punch has a serrated tip and features the sharpest walls for medical tools. This helps to effectively minimize the follicle trauma and fluid motion. More infos about the PCID you can read on: and about all complete advantages from the PCID on:

See a few pictures from Andreas Krämer of Hairforlife during an FUE hair restoration by Dr. John Cole:

PCID - Dr. John Cole und Andreas Krämer 3

PCID - Dr. John Cole und Andreas Krämer 2