{ "docId": "019dd923-622c-750b-8b9a-40e2965928db", "docSlug": "e5bffbaac707", "documentTitle": "TransMedics (TMDX)", "authorId": "58_Scorpion_Capital", "authorName": "Scorpion Capital", "documentKindSlug": "research-note", "documentKindLabel": "Research note", "sourceTypeSlug": "short_seller", "sourceTypeLabel": "Short seller", "presentationDate": "2025-01-10 00:00:00", "orientation": "landscape", "aspectRatio": 1.3333334, "pageNumber": 141, "pageCount": 342, "prevPage": 140, "nextPage": 142, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A format to highlight alleged procedural violations. The yellow highlighting emphasizes the specific claims of bypassing the OPO.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/141", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-141", "components": [ { "bbox": null, "kind": "callout", "text": "The ex-employee stated TransMedics bypasses the OPO: \"they're just kind of doing it and saying, oh, this is an aggressive center and they could use it.\"", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a97c-7489f8b8e842", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.25, "w": 0.86, "x": 0.07, "y": 0.63 }, "kind": "list", "text": "Q: \"What did you observe as far as the interaction between the OCS team, the TransMedics surgeon, and the transplant surgeon waiting on the other end?\"\nA: \"A couple of times, the first center would say we don't want this liver for whatever reason. And then, it's supposed to go to the OPO to reallocate this liver. But as soon as TransMedics finds out, they have quite the list of backups, and they are already calling other surgeons and being like, could you potentially use this liver? So, there are a lot of these conversations happening. I'm not exactly sure what is said or how it goes. I just know that these phone calls are being made and then it's like coming back into the OR and being like, this particular surgeon could use this liver. Why don't you call them?\"\nQ: \"Are they going through the system and the OPO, or are they just kind of doing it themselves?\"\nA: \"No, they're just kind of doing it and saying, oh, this is an aggressive center, and they could use it. I mean, the OPO does push back. I know that they do unless they go through the process like they're supposed to. But there are a lot of incoming phone calls and text messages from the powers that be in Boston trying to have their input.\" - Former TransMedics OCS specialist", "attrs": null, "subkind": "bullet", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "e8d51ebf-22ae-48a7-9a64-90e265ea975b", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.04, "w": 0.86, "x": 0.07, "y": 0.59 }, "kind": "paragraph", "text": "TransMedics allegedly takes over the organ allocation process inside the OR and calls potential recipient centers itself", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "9a7ef25c-08ff-43b4-ba88-b78500ec7c65", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "\"it's supposed to go to the OPO to reallocate the liver...but as soon as TransMedics finds out, they have quite the list of backups, they are already calling other surgeons and being like, could you potentially use this liver?...a lot of these conversations [are] happening...I'm not exactly sure what is said...I just know that these phone calls are being made and then it's...coming back into the OR and being like, this particular surgeon could use this liver. Why don't you call them?\" — Former TransMedics OCS specialist", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a97c-7831c33cfc69", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.3, "x": 0.07, "y": 0.95 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "a60be858-b4e0-4372-b87a-468dde259aed", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "title", "text": "TransMedics alleged interference in the organ allocation process, in what appears to be a violation of the UNOS transplant waiting list rules, was corroborated by former employees as well as current staff at transplant centers who are inside operating rooms while the NOP procurement team retrieves organs. A former TransMedics OCS specialist - who operates the device and manages an organ on the pump - described personally witnessing how the team allegedly hijacks the registry: \"it's supposed to go to the OPO to reallocate the liver...but as soon as TransMedics finds out, they have quite the list of backups, they are already calling other surgeons and being like, could you potentially use this liver?...a lot of these conversations [are] happening...I'm not exactly sure what is said...I just know that these phone calls are being made and then it's...coming back into the OR and being like, this particular surgeon could use this liver. Why don't you call them?\" The ex-employee stated TransMedics bypasses the OPO: \"they're just kind of doing it and saying, oh, this is an aggressive center and they could use it.\"", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "ad148c67-57e9-4f38-bf45-a44fdceb4d76", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [ { "name": "Logical chain", "slug": "logical-chain", "agent": null, "layer": "slide", "matchId": "50f31848-5f68-4067-acdd-57fbfa394989", "evidence": "The text outlines a logical sequence of events, showing how TransMedics allegedly bypasses the OPO.", "confidence": 0.7 } ], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }