{ "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": 232, "pageCount": 342, "prevPage": 231, "nextPage": 233, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a Q&A format to highlight a potential conflict of interest or operational risk regarding TransMedics' NOP service.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/232", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-232", "components": [ { "bbox": null, "kind": "callout", "text": "TransMedics allegedly makes and controls the decision on whether an organ is accepted", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a984-69a86cd299d7", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "Our calls lead us to conclude that it is TransMedics NOP service that controls whether an organ is deemed suitable for recovery and transplant – not the recipient center’s surgeon, who is not in the operating room for retrieval - thereby giving it the ability to withhold adverse information. A senior medical employee at OrganOx, a competitor with a near-identical normothermic pump, stated he has spoken with numerous centers, who indicated that TransMedics makes the call on whether an organ is usable and whether to put in on the pump, as part of the soup-to-nuts NOP service: \"TransMedics is taking care of literally everything...actually I’m unaware if the decision is even made by the transplanting surgeon because once TransMedics takes the organ from the donor...they can make the call right then and there...if you have a lousy organ...and they’re already worried...and it doesn’t look good...they should discard it right then, but they don’t...what I have heard is that once the organ goes into the hands of TransMedics...the receiving team has very little input on anything that happens....\"", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "0b0d3e5d-987e-4c31-b133-c3d751ef5df0", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.06, "w": 0.86, "x": 0.07, "y": 0.84 }, "kind": "paragraph", "text": "Q: “Where have you heard that TransMedics has all of the control over the organ, and they’re the ones to make the decision? I think they’re very hesitant about admitting that.”\nA: “I heard that directly from healthcare workers while I was on sites, from hospitals.” – Senior medical employee at OrganOx", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c99c40c6-e203-4f90-82a7-2f92b32b9a01", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.18, "w": 0.86, "x": 0.07, "y": 0.66 }, "kind": "quote", "text": "A: “TransMedics is taking care of literally everything up until that point...actually, I’m unaware if the decision to discard the organ is even made by the transplanting surgeon because once TransMedics takes the organ from the donor, I believe they can make the call right then and there. So, if you have a lousy organ coming out and the transaminase are in the thousands or something, and they’re already worried about it and it doesn’t look good, they should discard it right then, but they don’t because they’re not footing the bill...what I have heard is that once the organ goes into the hands of TransMedics, once the donation is made, the receiving team has very little input on anything that happens.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "a7012bdf-7ffd-47ff-9fc6-1173b5c43e8b", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“TransMedics is taking care of literally everything...actually I’m unaware if the decision is even made by the transplanting surgeon because once TransMedics takes the organ from the donor...they can make the call right then and there...if you have a lousy organ...and they’re already worried...and it doesn’t look good...they should discard it right then, but they don’t...what I have heard is that once the organ goes into the hands of TransMedics...the receiving team has very little input on anything that happens....” — Senior medical employee at OrganOx", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a984-6c21bc9094f2", "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": "67821518-bc4e-4761-b7e7-57848142f89c", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.04, "w": 0.86, "x": 0.07, "y": 0.62 }, "kind": "title", "text": "TransMedics allegedly makes and controls the decision on whether an organ is accepted", "attrs": null, "subkind": "action-title", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "bf671e96-0d27-43d7-9e64-bbe397fb6299", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "expose_contradiction", "slug": null, "matchId": "688e916e-2c39-49c6-a647-a1995cf7bb54", "evidence": "The slide contrasts the implied standard of care (surgeon control) with the alleged reality (TransMedics control).", "confidence": 0.9 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }