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  "documentTitle": "TransMedics (TMDX)",
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  "presentationDate": "2025-01-10 00:00:00",
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      "text": "I often leave, and I’m like, ‘There’s no way they’re going to be able to use that organ’...I feel like they just keep going and going, keep trying and trying and trying...it’s going to be in an operating room with a recipient hours and hours later when the heart function is off.",
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      "text": "NOP surgeon incompetence leads to unusable organs, that TransMedics keeps trying to pawn to one center after",
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      "kind": "paragraph",
      "text": "Can’t get any organ procured in time – whether heart, liver or lungs – “just crazy”",
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      "text": "Q: “Have you seen an organ be jeopardized or not be usable because of this incompetence? It sounds like they don’t really care. They’ll just pawn it off to one of their high-volume TransMedics users where they’re just looking for volume for the transplant center.” A: “I often leave, ‘There’s no way they’re going to be able to use that organ’...I feel like they just keep going and going, keep trying and trying and trying...it’s going to be in an operating room with a recipient hours and hours later when the heart function is off.”",
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      "text": "“Typically, the heart is the first thing out the door and it’s on its way. They’re still struggling with the heart. The goal with the heart when you’re not doing TransMedics is to have it packaged and out the door within 20 minutes from cross-clamp. What happens when TransMedics is in the room is we’re out the door packaged with our lungs and gone before they have the heart onto the rig. So, you’re taking a typically 20-minute packaged time, and we’re walking out the door. I often don’t even see them finish because I have to leave before they can get the heart onto the device...and I’m like, “Whoa, that’s just crazy. The heart’s still in the room and the lungs. The kidneys and the liver are already out of the patient. It’s just crazy.”",
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      "text": "NOP surgeons are inept and struggling; surgical staff wonder “what the hell is happening”; “rare” to see a smooth retrieval. “Yeah, they’re on the back table for a long time, so when the organ comes out, and there’s no blood flow,, they bring them onto the back table, and they have to do 35 different things before they can get it on the pump and then start to troubleshoot. They don’t send them help and typically, a surgeon would have at least one to two other people to accomplish what they’re expected to do just with one. So, there’s nobody else scrubbed in—that just doesn’t happen for those kinds of procedures outside of procurement. So, it extends the warm ischemia time on the back table for the organ, which is not ideal.”",
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      "text": "“I often leave, and I’m like, ‘There’s no way they’re going to be able to use that organ’...I feel like they just keep going and going, keep trying and trying and trying...it’s going to be in an operating room with a recipient hours and hours later when the heart function is off.” — Organ procurement technician at a high-volume Northwest academic transplant center",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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      "text": "The organ procurement technician confirmed the color that NOP surgeons appear to lack the skills to procure organs within the 20-30 minute limit for warm ischemic time, beyond which organs rapidly deteriorate and become unusable",
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