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John P. Cole, MD, a pioneer in the modern field of hair transplant surgery, heads Cole Instruments.His team of engineers with specific roles is dedicated to improving hair transplant instruments, hair restoration surgery, and surgical instruments. Tesfaye Gutema is the managing engineer on staff. His staff includes mechanical engineers, electrical engineers, and biomedical engineers and a chemical engineer. Cole Instruments is devoted to the production of the highest quality instruments available on the market.At any given time, Cole Instruments is developing a number of products simultaneously.

History of hair Transplant Surgery:

The treatment of hair loss has improved dramatically over the past two decades despite a very slow start.Everyone knows the old plug look with hair transplant surgery. Despite over three decades of existence, there was very little improvement in the overall results of the procedure. Then slowly at first, yet gradually with more traction, the field began to change rapidly as new physician entered the discipline. In a short span of time of the ensuing 5 years, the field had its most dramatic metamorphosis. The results changed from a pluggy look to a very aesthetic, natural appearance. The field came of age.

As with any cosmetic procedure, the natural tendency in hair restoration surgery has been to evolve into a more aesthetic procedure. The initial challenge was to produce smaller grafts that resulted in a more aesthetic result. More recently, the trend over the past decade has been to focus on a superior cosmetic result in the donor area. The initial obstacle in this effort was a lack of instrumentation to produce such a desired improvement. Cole Instruments was established in 2002 to meet these needs of hair transplant surgeons, who wanted specialized tools and instruments intended to facilitate these new surgical procedures and improve surgical results in the donor area. As with any surgical procedure that evolves, physicians often found that instruments did not exist to perform some new hair transplant techniques. In addition, there was a need for medical instruments to improve and safely speed the overall hair restoration procedure. Cole Instruments progressed in an effort to help meet those specific needs and develop highly specialized tools for the varied needs of the evolving hair transplant physician.Because tissue grafting in general shares many similarities, you will find that surgical instruments useful in hair transplant surgery are also useful in other surgical specialties.

Origin of Cole Instruments:

At the time Cole Instruments formed follicular unit extraction was in its early infancy.Instrumentation did not exist to perform FUE. Cole Instruments was formed to develop instruments needed to perform FUE in a safe and efficient manner. Cole Instruments eventually patented one of its early hair transplant instruments and presently has numerous patents issued along with many patents pending.

Many physicians around the globe use the surgical tools produced by Cole Instruments. The surgical hair punches produced by Cole Instruments are the finest FUE punches in the world. They feature a razor sharp edge, thin wall, and a recessed internal diameter to reduce tissue torsion. Cole Instruments also developed the finest contoured surface hair transplant punch. This punch reduces the surface area in contact with the skin at any given moment.This reduces friction and improves cutting. As with all Cole instrument punches, this punch has a razor sharp cutting edge along with a thin wall to reduce friction and a recessed internal diameter to reduce tissue torsion.

With regard to follicular unit extraction (FUE) Cole Instruments created the ATOE or Aid to Extraction in an effort to assist in the removal of grafts once the grafts are cut by the CIT Manual Handle, the Programmable Cole Isolation Device, or the Power Cole Isolation Device.

Advances in Automated Instrumentation

In an effort to improve automation with follicular unit extraction (FUE), Cole Instruments produced the fastest, safest, most efficient, and highest quality mechanical follicular unit extractor (FUE) on the market today. Cole Instruments made the first automated extraction tool designed specifically for FUE in 2006. It took three additional modifications in design to produce the Power Cole Isolation Device (PCID). This instrument harvest grafts faster than any other modality of follicular unit extraction (FUE). The follicle transection rate with this instrument has a follicle amputation rate that is 1/3 of that of it’s nearest competitor and it cuts grafts almost three times as fast as its nearest competitor. Once you use this automated hair transplant graft cutter, you will never desire to use any other modality for follicular unit extraction (FUE).

Additional Instruments Produced by Cole Instruments

Cole Instruments produces the only counting incision device produced in the world to assist in recipient site preparation. This device allows for the accurate tally of graft incision sites. The self-filling injection device is the only self-filling tumescent injection device that using disposable syringes. Cole Instruments makes the only tissue storage compartments that allow you to accurately and precisely control the temperature of the graft tissue. This is important because different tissue sources prefer specific temperatures to improve the survival of the graft.

Cole Instruments continues to evolve and develop instruments for use in the hair restoration surgery field. Over time you will find that the products they produce are superior to all other products in the hair transplant field. These instruments improve the results any physician can deliver and the cosmetic results that patients expect.


I was one of the first hair surgeons in 2009 to use the NeoGraft device. I believe it to be a fine device, but when I first used Dr. Cole’s device at the FUE Palazoo in Denver Colorado in 2012, I fell in love with it and I bought one because it is that good. I can honestly say my T rates ha...

Ken L. Williams