I tried using the KOSS adapter for a week, and then switching to the Medical 3A supply, and I still cannot hear a difference. I've never had "golden" ears, and being over 40, I know my hearing is starting to lose sensitivity, but I get the same bass impact and soundstage with both, and I'm switching plugs as songs are playing. On the scale of the investment we all make in our music, it's small, so I wouldn't advise against it, but for those of us whose ears aren't of the best quality, this is one data point which may indicate that the difference is too fine for us to perceive. Maybe I'll try again after a few more weeks.
What I am perceiving is that I may have sold the Koss short on bass. Low bass is there unquestionably. On tracks intending to show low bass (THX - Ultimate Bass Test, end of "To All the Girls" - Beastie Boys) you will feel the impact. But it doesn't overpower midbass. I feel that I am hearing every note cleanly and clearly without even hints of muddle, and it is easier to focus on just the bass, just the drums, just the melody, just the harmony.
Also, it is more sensitive to DR. For songs with a larger dynamic range you do feel the impact (especially common on drum beats which tend to be more powerful than melody where DR exists).
Lastly, I'm finding it easier to hear the shortcomings of bad tracks (especially ckipping) with the Koss - they resolve more cleanly, and the crackles of clipping are not hidden by other instruments.
I'm just not hearing any significant difference between the default Koss adapter and the medical one.