RA Fischer
RA Fischer Co. is a family-owned, FDA-registered U.S. medical device distributor selling the Fischer iontophoresis device for hyperhidrosis and distributing the BD PureWick urinary incontinence system, serving individual patients and caregivers through direct, provider-referred, and Medicare-reimbursed DME channels nationwide.
- Company typePrivate
- Founded1948
- HeadquartersSimi Valley, United States
- Headcount1–10
- GTM typeB2C
- OfferingHardware or Manufacturing
What RA Fischer does
RA Fischer Co. is a privately held, family-owned U.S. medical device distributor headquartered in Moorpark, California, founded in 1948 and owned by the Jacobellis family since 2016. The company operates two primary product lines: The Fischer, an FDA-cleared tap-water iontophoresis device that uses low-level direct or pulsed electrical current (adjustable 1-30 mA) delivered through proprietary metal-free silicon-graphite electrodes to treat hyperhidrosis of the hands, feet, and underarms; and the BD PureWick Female External Catheter System, a non-invasive suction-based urine collection device distributed under an authorized BD partnership to address urinary incontinence. The Fischer is reported by the company to achieve a 98% patient success rate with results typically within 1-2 weeks, and the PureWick system is used in approximately 90% of U.S. hospitals at the manufacturer level.
The underlying technology stack is intentionally low-tech: deterministic analog electro-medical hardware, disposable consumables (electrode cords, pH-balancing foam inserts, PureWick wicks), and proprietary accessories such as underarm electrode attachments. There is no software, AI, or connected-device component. The company differentiates through proprietary hardware design (metal-free electrodes, dual simultaneous hand/foot treatment, dual current modes with automatic polarity reversal), 4-year warranty coverage, and a 60-day money-back guarantee. The Fischer has an expected operational lifespan of 30+ years per company disclosures, creating a long-tail installed base.
RA Fischer monetizes through three channels: one-time device sales (The Fischer and PureWick units at $750-$850), recurring consumable and accessory sales (wick refills at $120-$350 per pack, replacement electrodes, foam inserts), and insurance reimbursement services billed to Medicare Part B, Medicare Advantage, and private payers as a Medicare-accredited Durable Medical Equipment supplier. The company also operates FischerMedicalSupply.com as a separate out-of-pocket e-commerce channel. Distribution is direct-to-consumer via phone (800 number), web, and provider referrals, with a Treatment Specialist concierge model that handles insurance verification, prior-authorization, and billing on behalf of every patient. The customer base spans 100,000+ lifetime patients and 1,000+ prescribing dermatologists and physicians across the United States; the company does not currently operate outside the U.S.
RA Fischer firmographics
Firmographics- Name
- RA Fischer
- Legal name
- RA Fischer Co.
- Website
- https://rafischer.com
- Company type
- Private
- Founded year
- 1948
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- RA Fischer Co. is a family-owned, FDA-registered U.S. medical device distributor selling the Fischer iontophoresis device for hyperhidrosis and distributing the BD PureWick urinary incontinence system, serving individual patients and caregivers through direct, provider-referred, and Medicare-reimbursed DME channels nationwide.
- Ownership category
- akta.pro rank
RA Fischer industry classification
Industry- Product category
- Durable Medical Equipment
- NAICS
- Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Surgical Appliance and Supplies Manufacturing (339113)
- SIC
- Electromedical & Electrotherapeutic Apparatus (3845), Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122)
- akta.pro primary industry
- Durable Medical Equipment (DME) & Home Health Distribution (CRAOAHAF)
Keywords
Where RA Fischer is headquartered
LocationHeadquarters
- HQ city
- Simi Valley
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RA Fischer business model
Business model- GTM type
- B2C
- Offering type
- Hardware or Manufacturing
- Cost components
- Supply Chain, Personnel, Operations, Marketing or Sales, Technology or R&D
Revenue model
- The Fischer Iontophoresis Device Sales: One-time sale of the FDA-cleared Fischer iontophoresis device for treating hyperhidrosis. Device is sold in bundle options (Hands & Feet, Underarms, 3-in-1) and covered by many insurance plans as durable medical equipment. Accessories including underarm electrodes are sold separately.
- Iontophoresis Supplies and Accessories: Ongoing sales of iontophoresis accessories and supplies including replacement electrode cords, pH-balancing foam inserts, and underarm electrode attachments. Legacy MD-1 and MD-2 devices are also still sold.
- PureWick System Distribution: Distribution of the PureWick Female External Catheter system — the suction pump and collection canister — as an authorized BD distributor. Both plug-in ($750) and rechargeable ($850) models available. Replacement accessory kits ($49.99) also sold.
- PureWick Wick Refill Supplies: Recurring monthly sales of single-use external catheter wicks (Original/blue and Flex/purple) in 10-packs ($120) or 30-packs ($350). Monthly refills are covered by Medicare and many private insurance plans for eligible patients. Auto-reorder programs maintain recurring revenue.
- Insurance Billing and Authorization Services: RA Fischer handles insurance verification, prior-authorization, and billing submission on behalf of patients for both The Fischer and PureWick. Revenue is received as reimbursement from Medicare Part B, Medicare Advantage, and private insurance plans. Patient is responsible for co-insurance portion (typically 20% under Medicare Part B).
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| One time/ perpetual license | Pay-as-you-go | The Fischer Iontophoresis Device — pricing not publicly disclosed, quote-based with insurance verification |
| One time/ perpetual license | Pay-as-you-go | PureWick Urine Collection System unit — plug-in and rechargeable models |
| Unit Pricing | Monthly | PureWick External Catheter Wick Refills — Original and Flex types in 10-pack and 30-pack options |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels7 records
RA Fischer product offering
Product offeringCore offering
RA Fischer manufactures The Fischer, an FDA-cleared tap water iontophoresis device using direct current and metal-free silicon-graphite electrodes to treat hyperhidrosis of the hands, feet, and underarms. The company is also an authorized BD distributor of the PureWick Female External Catheter system and recurring wick refills for women managing urinary incontinence. As a Medicare-accredited DME supplier, RA Fischer verifies insurance coverage, manages prior-authorization, and bills Medicare and private payers on the patient's behalf.
Product overview
RA Fischer Co. operates as a family-owned medical device distributor offering two core product lines: The Fischer iontophoresis device for treating hyperhidrosis (excessive sweating) and the PureWick Female External Catheter System for managing urinary incontinence. The Fischer is an FDA-cleared iontophoresis machine using direct current with metal-free electrodes, achieving 98% success rates for hands, feet, and underarms. The PureWick system is a non-invasive urine collection device using gentle suction, distributed by RA Fischer as an authorized distributor (not manufacturer). The company also offers complementary supplies including underarm electrode attachments, external catheter wicks in Original and Flex variants, and iontophoresis accessories. RA Fischer handles insurance authorization and billing on behalf of patients, serving as a Medicare-accredited DME supplier since 1948.
Differentiator
Problem solved
Functional benefit
Brands
- The Fischer: FDA-cleared iontophoresis device for treating hyperhidrosis (excessive sweating) in hands, feet, and underarms.
- Fischer Medical Supply
Products and services
- The Fischer Iontophoresis Device FDA-cleared tap water iontophoresis device for at-home treatment of hyperhidrosis (excessive sweating) of the hands, feet, and underarms; uses direct current with metal-free silicon-graphite electrodes and supports dual simultaneous hand/foot treatment, with a 98% patient success rate and results typically within 1–2 weeks.
- PureWick Female External Catheter System Non-invasive external urine collection system for women managing urinary incontinence at home; uses gentle suction to draw urine through a soft wick into a sealed canister (up to 2000cc capacity) without insertion. Distributed by RA Fischer as an authorized BD distributor, with insurance handled on the patient's behalf.
- PureWick Urine Collection System Unit One-time hardware component of the PureWick system: low-pressure suction pump and collection canister. Available in plug-in model ($750) or rechargeable battery model ($850). Available for out-of-pocket purchase through FischerMedicalSupply.com and via insurance billing.
- PureWick External Catheter Wicks (Original and Flex) Single-use external catheter wicks for the PureWick system, available in Original (blue) and Flex (purple) variants. Sold in 10-packs ($120) and 30-packs ($350). Monthly refills are covered under Medicare (30 wicks every 30 days for eligible patients) and many private insurance plans, with auto-reorder programs maintaining recurring supply.
- Fischer Underarm Attachments Electrode system accessory for The Fischer iontophoresis device that enables treatment of axillary (underarm) hyperhidrosis using wet electrode pads instead of water trays. Sold separately from the base device.
- Cure Dextra Catheter Catheter for urinary retention, added to the RA Fischer urology supplies product category.
Quantifiable outcome
- 98% patient success rate for hyperhidrosis treatment with The Fischer iontophoresis device
- +7 more outcomes
Companies that use RA Fischer
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles3 records
RA Fischer technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
RA Fischer partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- BD / PureWickcoreRA Fischer Co. is an authorized distributor of the BD PureWick Female External Catheter system. The company distributes both the PureWick system unit (suction pump and collection canister) and monthly wick refills. RA Fischer handles insurance authorization and billing on behalf of patients. Importantly, patients who purchased their PureWick system elsewhere can still obtain refill coverage through RA Fischer.
Scale indicators10 records
Recent moves6 records
Expansion highlights4 records
RA Fischer competitors and assessment
Company assessmentDirect peers
- Iontodri (RSL Steeper): Iontodri is a UK-based manufacturer of iontophoresis devices sold in the US market for hyperhidrosis treatment. It is a direct competitor offering similar tap water iontophoresis technology for home and clinical use.
- Dermadry: Dermadry is a Canadian-based manufacturer of iontophoresis devices for hyperhidrosis of hands, feet, and underarms. It competes directly with RA Fischer in the home-use iontophoresis market, primarily through direct-to-consumer e-commerce channels.
- Hidrex USA: Hidrex manufactures and sells iontophoresis devices for hyperhidrosis treatment, including pulsed and direct current models. It is one of the primary direct competitors to RA Fischer's The Fischer device, offering similar home-use tap water iontophoresis systems.
Broad incumbents
- Convatec: Convatec is a global medical products company specializing in continence care, ostomy, wound care, and infusion sets. It serves similar patient populations as RA Fischer's incontinence line and competes broadly in the DME distribution channel.
- Byram Healthcare: Byram Healthcare is a national DME and medical supply distributor serving patients with chronic conditions, with strong coverage in urological, ostomy, incontinence, and wound care supplies. It competes with RA Fischer for Medicare and private insurance patients.
- BD (Becton, Dickinson and Company): BD is the manufacturer of the PureWick Female External Catheter system that RA Fischer distributes. As a Fortune 500 medical technology giant, BD represents both a key partner and an existential competitive threat if it chooses to distribute PureWick refills directly.
- Coloplast: Coloplast is a global leader in continence care, ostomy, and wound care products. It competes broadly in the same patient populations that RA Fischer serves with PureWick, offering catheters, collection devices, and skin care products for incontinence management.
- Apria Healthcare: Apria Healthcare is one of the largest US home medical equipment and DME providers, offering a broad portfolio including incontinence supplies, urological products, and respiratory DME. It competes in the Medicare DME supplier channel with RA Fischer.
- Hollister Incorporated: Hollister is a major manufacturer of ostomy, continence, and critical care products including external catheters and urine collection systems. It competes with the PureWick portion of RA Fischer's portfolio in the home incontinence market.
Emerging players
- 180 Medical: 180 Medical is a specialized catheter and urological supply distributor with strong Medicare billing expertise. While focused on intermittent catheters rather than external systems like PureWick, it represents a similar specialized DME distributor business model targeting patients with chronic urological needs.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
RA Fischer social profiles
Digital presenceRA Fischer compliance and trust
Trust signalCompliance3 records
RA Fischer financial estimates
Financial estimateRevenue estimate
Valuation estimate
RA Fischer leadership team
Management profileNumber of profiles
Profiles1 record
RA Fischer funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RA Fischer M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RA Fischer
What does RA Fischer do?
RA Fischer manufactures The Fischer, an FDA-cleared tap water iontophoresis device using direct current and metal-free silicon-graphite electrodes to treat hyperhidrosis of the hands, feet, and underarms. The company is also an authorized BD distributor of the PureWick Female External Catheter system and recurring wick refills for women managing urinary incontinence. As a Medicare-accredited DME supplier, RA Fischer verifies insurance coverage, manages prior-authorization, and bills Medicare and private payers on the patient's behalf.
Is RA Fischer a public or private company?
RA Fischer is a private company. It is classified as family owned and is currently operating.
When was RA Fischer founded?
RA Fischer was founded in 1948. It employs 1 to 10 people.
Where is RA Fischer based?
RA Fischer is headquartered in Simi Valley, United States, in the North America region.
How does RA Fischer make money?
Five revenue lines are on record. The Fischer Iontophoresis Device Sales are the primary driver. The others are iontophoresis Supplies and Accessories, pureWick System Distribution, pureWick Wick Refill Supplies and insurance Billing and Authorization Services.
Who are RA Fischer's main competitors?
Direct peers on record are Iontodri (RSL Steeper), Dermadry and Hidrex USA. Broad incumbents are Convatec, Byram Healthcare, BD (Becton, Dickinson and Company), Coloplast, Apria Healthcare and Hollister Incorporated. 180 Medical is listed as an emerging player.
Does RA Fischer have an API?
No public API is recorded for RA Fischer.
What industry is RA Fischer in?
RA Fischer's product category is Durable Medical Equipment. Its primary akta.pro industry code is CRAOAHAF, Durable Medical Equipment (DME) & Home Health Distribution. Its NAICS code is 334510 and its SIC code is 3845.