{ "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": 336, "pageCount": 342, "prevPage": 335, "nextPage": 337, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "dense", "nDataPoints": 0, "notes": "The slide presents a narrative of corporate deception regarding medical device performance.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-40e2965928db/336", "deckHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-40e2965928db#slide-336", "components": [ { "bbox": { "h": 0.03, "w": 0.86, "x": 0.07, "y": 0.6 }, "kind": "callout", "text": "Failed to report liver was necroscopic; TransMedics allegedly lied to the center to cover up a prevalent issue", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "ae8fa858-644d-49dc-8b3c-b24acaeb67a2", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "callout", "text": "TransMedics allegedly lied to the center to cover up a prevalent issue", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-5374-767b-b3be-f7a5894076c4", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.52, "w": 0.86, "x": 0.07, "y": 0.08 }, "kind": "paragraph", "text": "The surgeon stated that TransMedics was fully aware that part of the liver was dead, and that they recently encountered another necrotic liver, just weeks after the other one – and that their “Medical Director” Magdy Attia falsely told them they were the only center that had encountered the issue.", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "52c19a04-96f5-405d-86cb-0c72fee1a48c", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.08, "w": 0.86, "x": 0.07, "y": 0.63 }, "kind": "quote", "text": "Q: “So, when you got the liver, you didn’t even know until you felt it and they didn’t tell you?” A: “Until after we felt it, exactly. So, there was an issue and then the liver, the pump - we reported this to TransMedics and we were right. Our concerns were correct.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "92513c4e-39f4-4f38-8a50-30c0a9a815f9", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.2, "w": 0.86, "x": 0.07, "y": 0.71 }, "kind": "quote", "text": "Q: “Was this the kind of thing that should have been obvious to the procuring surgeon just by feeling it?” A: “The procuring surgeon could feel it, but it was not reported... Fast forward three weeks later... we inspected the graft more thoroughly... the right lobe of the liver fell off... we called Magdy and the response was ‘Wow, yours is the only center that is having these issues,’ which is an outright lie. There were other centers that definitely had concerns about a graft and how it felt before implantation.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "dbf28225-12e9-435f-a237-2979dbdf3d91", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“Until after we felt it, exactly. So, there was an issue and then the liver, the pump - we reported this to TransMedics and we were right. Our concerns were correct.” ... “The procuring surgeon could feel it, but it was not reported. It could have been a procurement issue. But that’s just the first part of the story. Fast forward three weeks later, another colleague, we had another liver on pump for a different patient. And this time because of what happened the previous time, we inspected the graft more thoroughly before we started the operation. And again, this time, the right lobe of the liver fell off. But the numbers, the perfusion numbers were fine. So, we called Magdy and we called TransMedics and we said, ‘The numbers are okay. It looks okay. But that right lobe, we’re nervous because of what happened with our previous patient, and the right lobe doesn’t feel right.’ And then the response was ‘Wow, yours is the only center that is having these issues,’ which is an outright lie. There were other centers that definitely had concerns about a graft and how it felt before implantation.” — Chief of transplant surgery at a major transplant center; high-volume TransMedics user", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-5374-767b-b3be-f9b54bea8a13", "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": "4baf33ab-afb5-427e-b933-e36714e4481d", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [ { "name": "fraud-exposure", "slug": null, "matchId": "ba5868b7-2538-47bf-9e38-8f5745c2c011", "evidence": "The slide explicitly frames the content as exposing a lie/cover-up by the company.", "confidence": 0.9 } ], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }