{ "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": 259, "pageCount": 342, "prevPage": 258, "nextPage": 260, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "balanced", "nDataPoints": 0, "notes": "The slide uses a Q&A format to document allegations of unethical sales pressure by a specific individual (Magdy Attia) at TransMedics.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/259", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-259", "components": [ { "bbox": null, "kind": "callout", "text": "they might push you and say, well, I think this liver is fine, you should use it... they are pushy...they’re a pushy company...they will say ‘I think this liver is going to work...I think it’s usable...you should use it...it’s their medical director, Attia...they lose the money...so they try really hard not to lose organs.”", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5373-719d-a986-b51866cee0cd", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.38, "w": 0.86, "x": 0.07, "y": 0.55 }, "kind": "list", "text": "Pressuring surgeons to use organs even if surgeons reject them\nA: “If you decide you don’t want to use a liver, like it’s been on the device a while and you’ve got it back at your center, they might push you and say, well, I think the liver is fine, you should use it...they are pushy. They’re a pushy company.”\nQ: “So, they’re pushing you to use a liver that, in your judgment as a surgeon, your initial reaction is, I don’t want to use it?”\nA: “Yeah, I would say they’re encouraging it for sure. But ultimately, you get to say no but yeah, they will say, “I think this liver is going to work. I think it’s going to be fine. It’s usable. You should use it.”\nQ: “The surgeons don’t seem like they would be that commercial. Who is pushing it?”\nA: “It’s the medical director, Attia, who might say this liver is going to be fine. I think you should use it. Of course, the typical qualifying statement, but it’s up to you. It’s up to you.”\nQ: “And if you don’t use it, is there a cost? Who absorbs the cost if the liver is not used? They went up there, they put it on the device with a disposable. They lose money, or do you still get charged for it?”\nA: “They lose money. You have to pay for the transportation and everything, but they lose the money. So, they try really hard not to lose organs…” - Transplant surgeon at a high-volume academic center", "attrs": null, "subkind": "bullet", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "13e9f76b-4af5-4171-ac42-3e40eaf60f76", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.45, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "The surgeon noted badgering and car salesman-type pressure by Magdy Attia to accept suspect organs that he thought may fail, due to excessive time lingering on the pump or other reasons – as TransMedics would lose the device revenue if the organ is rejected. Attia is an Egyptian import by way of the UK who appears to be unlicensed to practice medicine in the US, yet seems to do exactly that with customers referring to him as the “medical director.” His LinkedIn bio states his official role is “Chief of OCS Liver Transplant program at TransMedics,” in addition to apparently overseeing its procurement surgeons. The surgeon described the squeeze: “they might push you and say, well, I think this liver is fine, you should use it... they are pushy...they’re a pushy company...they will say ‘I think this liver is going to work...I think it’s usable...you should use it...it’s their medical director, Attia...they lose the money...so they try really hard not to lose organs.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "fc8563bb-db98-495d-b701-cd787ada82c2", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“they might push you and say, well, I think this liver is fine, you should use it... they are pushy...they’re a pushy company...they will say ‘I think this liver is going to work...I think it’s usable...you should use it...it’s their medical director, Attia...they lose the money...so they try really hard not to lose organs.” — Transplant surgeon at a high-volume academic center", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5373-719d-a986-b832c7b66758", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "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": "0b6ffda0-0a9c-4486-9423-eb8e7c1a2670", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }