{ "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": 238, "pageCount": 342, "prevPage": 237, "nextPage": 239, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide uses direct quotes from former employees to support the claim of incompetence and lack of proper medical oversight.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/238", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-238", "components": [ { "bbox": { "x": 0.07, "y": 0.58 }, "kind": "callout", "text": "“Clinical leads” in control of procurements are untrained OCS Specialists who got promoted", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "810213ce-6d70-4806-ab1a-18aa55a8cfe9", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "callout", "text": "The technicians tend to be inexperienced and incompetent, not to mention unlicensed to practice medicine, and allegedly receive only one week of training before being handed organs to manage.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a985-5d4dbbdba0ba", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "We suspect another reason why organs retrieved by TransMedics seem to find a taker, no matter how diseased the patient or damaged the organ, is that the retrieval surgeon and OCS Specialist monitoring the organ on the pump are allegedly directed by case coordinators and prevented from communicating directly with the receiving center.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "10c03c75-5dd7-49aa-8467-338fda8fcad0", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "x": 0.07, "y": 0.26 }, "kind": "paragraph", "text": "An ex-procurement surgeon we quoted earlier stated “all communication goes through the TransMedics people.” The ex-OCS Specialist stated the same, and noted that these case managers are simply device technicians who were moved to support. As we detail in the next section, the technicians tend to be inexperienced and incompetent, not to mention unlicensed to practice medicine, and allegedly receive only one week of training before being handed organs to manage: “I always had to report everything to whoever my clinical lead was that day...everything had to be like, take a picture or video and send it to whoever was running the case remotely”; “they did my job...they were me until they got promoted or asked to start doing some support.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "54bdffbb-1549-44b8-9a63-5c14660d6135", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "x": 0.07, "y": 0.62 }, "kind": "quote", "text": "Q: “Who was monitoring and making adjustments to the organ? Was that you, or was that the surgeon, the recipient surgeon, or did you have full ownership of monitoring the health of the organ?”\nA: “It was me, but I always had to report everything to whoever my clinical lead was that day. So, it was like I was actually physically adjusting things, but everything had to be like, take a picture or a video and send it to whoever was running the case remotely.”\nQ: “And who were these clinical leads? These were people based in Boston? Who were these clinical leads, and what do they do?\nA: “They did my job. They were me until they got promoted or asked to start doing some support.” - Former TransMedics OCS specialist", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "2174f13a-9719-428c-aecc-d7dfc41f0a30", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "\"all communication goes through the TransMedics people.\" — Ex-procurement surgeon; \"I always had to report everything to whoever my clinical lead was that day...everything had to be like, take a picture or video and send it to whoever was running the case remotely\"; \"they did my job...they were me until they got promoted or asked to start doing some support.\" — Former TransMedics OCS specialist", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a985-61dc6549a371", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "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": "74324274-bb34-4498-ac8b-ba8b20f5574b", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "fraud-exposure", "slug": null, "matchId": "d4ca22e6-fd98-48e3-93ad-4dbc4d5315a3", "evidence": "The slide explicitly aims to expose alleged incompetence and lack of medical licensing in a clinical process.", "confidence": 0.9 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }