{ "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": 167, "pageCount": 342, "prevPage": 166, "nextPage": 168, "slideType": "testimonial", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "Uses direct quotes from surgeons at Utah and UCSD to support the thesis of off-label, convenience-driven usage.", "elementsJson": [ "paragraph", "callout_box", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/167", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-167", "components": [ { "bbox": null, "kind": "callout", "text": "A Utah surgeon described the device as sort of a drug for surgeons’ lifestyles: “you don’t have to work all night...daytime is wonderful...it’s so much easier for me...the bitching and moaning from the OR is so much better.”", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a97e-d2b76f507cde", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.22, "w": 0.86, "x": 0.07, "y": 0.22 }, "kind": "paragraph", "text": "UCSD and Utah told us so directly. A Utah surgeon described the device as sort of a drug for surgeons’ lifestyles: “you don’t have to work all night...daytime is wonderful...it’s so much easier for me...the bitching and moaning from the OR is so much better.” A UCSD surgeon echoed the bliss of scheduling transplants when you want them, even if it extends the time an organ is outside of a body: “it’s the genie out of the bottle once you get a taste...transplant surgeons make our money from 11 at night to 5 in the morning...but it’s not fun...I can do it in the morning.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "a3642604-fa0c-42b7-bab1-8f4f6854ac6e", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.65 }, "kind": "quote", "text": "UCSD states primary reason is convenience and lifestyle... “...it’s the genie out of the bottle once you get a taste - transplant surgeons, we make our money from 11 at night to 5 in the morning. But it’s not like it—flying all over the country and being up all night is exhausting, especially when you get into your 50’s. Doing a case that is scheduled and is going to go well, I can do it in the morning, it’s hard to put a price tag on that. It really changes the dynamics of transplant.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "2daf1012-9afd-40c6-b090-9abb28d5caed", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.48 }, "kind": "quote", "text": "High volume Utah surgeon admits device usage is for convenience... “Yes, the liver just shows up at your door at 7 am, and you don’t have to work all night... this paradigm shift of someone else doing the donor and us doing the transplant during the daytime is wonderful. It’s so much easier for me. The bitching and moaning from the OR is so much better.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "e7f74b99-7076-4e1f-9cd2-a3c6547aa91e", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“Yes, the liver just shows up at your door at 7 am, and you don’t have to work all night... this paradigm shift of someone else doing the donor and us doing the transplant during the daytime is wonderful. It’s so much easier for me. The bitching and moaning from the OR is so much better.” — Transplant surgeon at a high volume academic center in Utah; “...it’s the genie out of the bottle once you get a taste - transplant surgeons, we make our money from 11 at night to 5 in the morning. But it’s not fun. We don’t like it—flying all over the country and being up all night is exhausting, especially when you get into your 50’s. Doing a case that is scheduled and is going to go well, I can do it in the morning, it’s hard to put a price tag on that. It really changes the dynamics of transplant.” — Transplant surgeon", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a97e-d68c4eff6ab5", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "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": "96b02406-22ed-4de3-9714-34d8600458ca", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "title", "text": "Our research interviews lead us to believe that TransMedics highest-volume users – such as Houston Methodist, Mayo Arizona, Henry Ford, UC San Diego, University of Utah, and others – are particularly notorious for off-label usage and that most of their utilization is not for clinical reasons.", "attrs": null, "subkind": "headline", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "125dc42d-5c90-451e-8659-8f9017193fca", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }