{ "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": 246, "pageCount": 342, "prevPage": 245, "nextPage": 247, "slideType": "villain_critique", "function": "name_villain", "density": "dense", "nDataPoints": 0, "notes": "The slide uses a narrative format to expose operational failures and potential ethical/regulatory concerns regarding TransMedics' high-volume users.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 0.95, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/246", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-246", "components": [ { "bbox": null, "kind": "callout", "text": "The technician called out practices at UC San Diego in a particular, one of TransMedics highest-volume users and who we believe to be using the device off-label for scheduling and for dubious organs other centers won’t touch, to boost their volumes.", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a985-446bdb28a9e1", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.05, "w": 0.86, "x": 0.07, "y": 0.55 }, "kind": "list", "text": "OCS specialists “wander” around with no procedure/protocols at receiving centers; surgeons disinterested in monitoring organ", "attrs": null, "subkind": "bullet", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "331bede5-5f53-4805-8231-82efca0928aa", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "The OCS Specialist detailed similar disarray upon arriving at recipient centers, left to wander the halls for 24 hours or more with an organ, unable to sleep, with receiving transplant surgeons simply disinterred in checking on the organ until surgery.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "4688cc19-06f9-4224-abbb-e6d341d66631", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.15, "w": 0.86, "x": 0.07, "y": 0.61 }, "kind": "paragraph", "text": "Q: “When you would arrive at a transplant center, would you meet the surgeon? Who would show up? What would the procedure be?” A: “[Laughs] I would show up and I think it happened once where someone actually met me and showed me where to go and checked me in and everything. But other than that, it was like figure it out for yourself. But I would get dropped off at the recipient hospital, and I would wander through until I found the OR. Sometimes somebody would be kind enough to show me the way, and then I would find the desk. Sometimes, they didn’t want to see it until they wanted me in the OR.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "8d71b93e-92e5-48d1-88e4-a412de214f20", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.12, "w": 0.86, "x": 0.07, "y": 0.76 }, "kind": "paragraph", "text": "Q: “How long did they keep you waiting sometimes?” A: “A long time, like hours. Like overnight...they would want you to wait overnight, and then they would do the first case in the morning, so you would just wait all night long, and then they would do a 6 am or 7 am start. And then the same with San Diego. I think I always waited there. It was always like whatever time you showed up, and then it would be like the next morning. Another time I had to wait for another liver to go, and then I went after it. I got there at night and I was waiting until noon or 2 pm the next day before I went in.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "afa3c24f-5a5c-4f00-8999-fc83d7ef9c6f", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.08, "w": 0.86, "x": 0.07, "y": 0.88 }, "kind": "paragraph", "text": "Q: “And nobody’s coming to even look and check out the organ and talk to you. You’re just on your own?” A: “There were certain places that were very good about coming to look at it. But other docs were less careful about coming and seeing it—they would show up right before they would take the patient back...they just don’t put eyes on it, and we’re not sending pictures to the receiving surgeons after it’s on the machine.” - Former TransMedics OCS specialist", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c76e4fb8-e5ef-4a75-8d21-0a869ec5e455", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“someone actually met and showed me where to go...it was like, figure it out yourself...I would wander through until I found the OR...a long time, like hours...overnight.” — Former TransMedics OCS specialist", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a985-4a8abab47c30", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.3, "x": 0.07, "y": 0.96 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "1931e785-ccb6-45d3-bfce-063e5c9259d8", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }