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  "documentTitle": "TransMedics (TMDX)",
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  "authorName": "Scorpion Capital",
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  "presentationDate": "2025-01-10 00:00:00",
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  "notes": "The slide uses testimonials from an OrganOx employee and a transplant cardiologist to argue that TransMedics' model strips control from hospitals and relies on inadequate communication methods like cell phone videos.",
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      "text": "The potential for abuse is self-evident, given that TransMedics naturally has a perverse incentive to never reject an organ no matter how dubious.",
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      "text": "The OrganOx employee in a clinical role noted complaints from hospital sites he has visited, with centers dismayed at their lack of control: “...autonomy is huge...I get the sense that’s being stripped away...that entire process is controlled by TransMedics...little autonomy that the surgeon has until the organ actually reaches the recipient...that’s the pattern that we’ve seen.” A transplant cardiologist at Vanderbilt – one of the busiest centers in the world, which has cut off most TransMedics usage – lamented their experience with the NOP service and dependence on surgeons they didn’t trust: “just sending you cell phone videos of...what the heart looks like...it makes it very challenging if there’s some injury...during...dissecting out that heart.”",
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      "text": "“Entire process” of organ procurement and decision-making is “controlled by TransMedics”; stripped control from centers “Autonomy, I think, is big with healthcare providers... that entire process is controlled by TransMedics. So, there’s little autonomy that the surgeon has until the organ actually reaches the recipient. And that’s something that I believe surgeons don’t really like...that’s the pattern that we’ve seen.” - Senior medical employee at OrganOx",
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      "text": "Receiving centers receiving haphazard organ info via “cell phone videos” A: “The other thing that’s really driven us away from this is they were essentially mandating, requiring you to use their surgeons and their procurement teams for these hearts... It’s harder to do this when a team that you don’t work with on a regular basis is just sending you cell phone videos of this is what the heart looks like, etc..” Q: “That’s how it works with their team? They’re sending cell phone videos to the team on the other end to see if they like it?” A: “It’s like phone calls and cell phone videos and that’s it, yeah... It makes it very challenging if there’s some injury that happened during the donor chest opening and dissecting out that heart.” - Transplant cardiologist at one of the top centers in the US/world",
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      "text": "“...autonomy is huge...I get the sense that’s being stripped away...that entire process is controlled by TransMedics...little autonomy that the surgeon has until the organ actually reaches the recipient...that’s the pattern that we’ve seen.” — Senior medical employee at OrganOx; “It’s like phone calls and cell phone videos and that’s it, yeah. Because none of our team members are there, so that’s the only way if there are any concerns whatsoever. It makes it very challenging if there’s some injury that happened during the donor chest opening and dissecting out that heart.” — Transplant cardiologist at one of the top centers in the US/world",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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      "text": "The potential for abuse is self-evident, given that TransMedics naturally has a perverse incentive to never reject an organ no matter how dubious.",
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