tag:blogger.com,1999:blog-126852961571725269.post2526011051675154596..comments2024-02-24T06:25:59.743-08:00Comments on The Spine Blogger: Help! I Need Somebody's Help!Musculoskeletal Manhttp://www.blogger.com/profile/14873819014357051373noreply@blogger.comBlogger43125tag:blogger.com,1999:blog-126852961571725269.post-16602043157308020122014-09-18T06:23:07.200-07:002014-09-18T06:23:07.200-07:00they now will have to stand accountable for their ...they now will have to stand accountable for their implant devices that do not have a warranty to the F D A---------will they now be considered inferior with there faulty productsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-46934678078986177322012-02-08T18:21:32.727-08:002012-02-08T18:21:32.727-08:00" Hello Doctor, I am your Depuythyes vendor..." Hello Doctor, I am your Depuythyes vendor. I just confirmed the O.R. Vending machine is fully stocked with screws and rods. Can you please sign my electronic pad? My manager asks I get 12-15 signatures a day" . <br />"Would you like some literature?, I can have it shipped direct to you, Just one more signature required......" <br /> " eh,,, thanks Dr. Have a nice day"<br />Rep walks to parking lot and texts husband/wife - "4 more signatures and I am done for the day, wanna meet for lunch?"Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-17205272429401036492012-02-08T05:53:34.800-08:002012-02-08T05:53:34.800-08:00This was a really good blog attempt by the guest b...This was a really good blog attempt by the guest blogger. Wish I could have the time to read it though. Someone tell me how ends.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-76553160816005064782012-02-08T05:51:58.137-08:002012-02-08T05:51:58.137-08:00DeputhyesDeputhyesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-2811439437205099002012-02-07T18:18:21.161-08:002012-02-07T18:18:21.161-08:00IM rods and screws have been sterile packed for 15...IM rods and screws have been sterile packed for 15+ yearsAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-47646518955076479532012-02-07T16:53:28.351-08:002012-02-07T16:53:28.351-08:00ATEC grants loaner extensions very liberally. Thei...ATEC grants loaner extensions very liberally. Their costs aside, my effort to pickup trays and box them and then receive and unbox and deliver is reason enough to ask for extensions and I have never been denied an extension requestAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-45369450252789904942012-02-07T16:49:12.271-08:002012-02-07T16:49:12.271-08:00Medium-large metro area. That's the charge in ...Medium-large metro area. That's the charge in their system for what it's worthAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-14128937953024963592012-02-07T16:13:44.135-08:002012-02-07T16:13:44.135-08:00The rich have been doing it to the poor since the ...The rich have been doing it to the poor since the beginning of time. The only difference between the Pyramids and the Empire State Building is the Egyptians didn't allow unions. I know what this guy is all about, greed. He don't give a damn about Nuvasive or the POD's. He's in and out for the buck and he don't take prisoners.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-25332519700123037372012-02-07T16:09:52.144-08:002012-02-07T16:09:52.144-08:00You're walking around blind without a cane, pa...You're walking around blind without a cane, pal. A fool and his money are lucky enough to get together in the first place.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-23356163967287571922012-02-07T15:15:15.920-08:002012-02-07T15:15:15.920-08:00Does anyone know an exact figure on how much med d...Does anyone know an exact figure on how much med device companies spent on inventory management last year?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-72242950438048693642012-02-07T09:06:06.165-08:002012-02-07T09:06:06.165-08:00EXACTLY! Been there, done that...many times.EXACTLY! Been there, done that...many times.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-48019944375402440722012-02-07T08:16:06.581-08:002012-02-07T08:16:06.581-08:00It's a lot more than $40 per tray unless you a...It's a lot more than $40 per tray unless you are in a very rural area.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-280412616061184172012-02-07T06:59:59.201-08:002012-02-07T06:59:59.201-08:00FedEx must love us. Has happened to me more times ...FedEx must love us. Has happened to me more times than I can count. What a waste!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-75700930107102829882012-02-07T05:57:24.215-08:002012-02-07T05:57:24.215-08:00I can share one specific story, however there are ...I can share one specific story, however there are many more examples I could share regarding wasted shipping charges. After completing a case with a loaner set the doc booked a second case for later in the week. I reequested the manufacturer (atec) ship to me the needed implants to restock the tray. Instead of doing that, they required me to return the set via FedEx priority overnight. Two days later I received the exact same set (they are numbered)back via FedEx with the 4 screws, 2 rods, and 4 set screws replaced. So they spent hundreds of dollars in shipping to restock a set, when they could have sent me the implants for $20.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-37863352994936246452012-02-07T04:33:06.566-08:002012-02-07T04:33:06.566-08:00I have a hospital that tracks costs for SPD very c...I have a hospital that tracks costs for SPD very closely and they attach a charge to every individual tray in the OR for processing. The charges are typically between $18-$40.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-27834910673197438312012-02-07T04:13:01.443-08:002012-02-07T04:13:01.443-08:00This will all probably all change in 2 years when ...This will all probably all change in 2 years when Syn-Puy contracts directly with materials management and adds vending machines to all hospitals. The Syn-Puy reps can do (Pharma) lunches and get signatures from surgeons to show they are making sales calls. I heard the Synthes managers like to get daily activity reports. I heard they check the shine on your shoes. Syn-Puy will be shelving spine implants next to the sutures. Maybe the Ethicon reps can start co- promoting spine.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-11170922463990595542012-02-06T23:23:39.366-08:002012-02-06T23:23:39.366-08:00Trauma still mostly brings in non-Sterile implants...Trauma still mostly brings in non-Sterile implants for the hospital to process.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-51842596999922947182012-02-06T21:00:07.907-08:002012-02-06T21:00:07.907-08:00Ask your SPD manager, they usually know exactlty w...Ask your SPD manager, they usually know exactlty what it costs. I have heard between $250 and $350 per tray when you add in all the overhead. AORN has been demanding sterile bar coded implants for years. Spine is one of the last specialties that still bring in non-Sterile implants for the hospital to process. Sterile implants are the future and exactly what the hospitals want.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-15464366215475604962012-02-06T20:51:01.608-08:002012-02-06T20:51:01.608-08:00Are there any published studies about the cost for...Are there any published studies about the cost for a hospital to clean and sterilize the implants and instrumentation for spinal surgery? If so please provide a reference. If not, is there any other information available on this subject?<br /><br />ThanksAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-42392778075608105702012-02-06T20:35:52.807-08:002012-02-06T20:35:52.807-08:00Good post on the crummy inventory control in our i...Good post on the crummy inventory control in our industry. If we were in computers, we'd all be working for bankrupt companies. Loaners are the scourge of our industry, though they are a product of customer demand.<br /><br />I'm always amazed that the hospitals demand the instruments free, then complain about the price of the implant or our inability to provide a set for that 7am add-on tomorrow morning.<br /><br />Where do they think "free" comes from?<br /><br />Um...HELLLLOOOOO?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-47995440720312615552012-02-06T20:29:27.287-08:002012-02-06T20:29:27.287-08:004:11: well said. There is a big difference betwee...4:11: well said. There is a big difference between "validated" for the perfect storage conditions of the company's warehouse, vs. "validated" for the reality of distribution. <br /><br />Sterile implants are fine, but *please* make the hospital stock them. Having them riding around in cars all over the field is bound to lead to trouble.<br /><br />Steam sterilization is pretty darn effective for the types of stuff we use in spine. I think you'll have a hard time making the case that there is a measurable rate of equipment-induced infections in spine surgery. Just pull those PEEK implants out of the sets when they change color! It's time for the trash!!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-26765771195023466402012-02-06T20:17:03.583-08:002012-02-06T20:17:03.583-08:00I've been a rep or distributor for 15 years an...I've been a rep or distributor for 15 years and manage a large volume of sets, and have for years. Perhaps the chaos is caused by your particular company's loaner policies, their inability to manage their inventory or you might be too disorganized to manage loaner/trial/consigned sets. I think having sterile implants can reduce the overall quantity of screws required to do the same number of cases, but it wont eliminate any chaos in getting cases set up. It WILL slow the case down a bit, but that is manageable. It also introduces the risk of sterile implants being hauled around in hot cars, thru parking lots on rainy days and damaged packaging ending up in surgery where the implants may not be sterile after all. Sure you can keep them in large insulated cases, but that is less than ideal and those implants will be divided up on busy days and some will end up in a plastic bag or a cardboard box. In the end, you could argue that on-site steam sterilized implants have a higher degree of validated sterility than a sterile packaged implant whose storage conditions have not been "controlled".4:11noreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-61250500364224550682012-02-06T18:48:51.736-08:002012-02-06T18:48:51.736-08:00I sell sterile implants and the cases take no long...I sell sterile implants and the cases take no longer and the surgeons and staff love it. Everything is scanned and is instantly sent to the home office and the hospital. I doubted it would work but now I cannot go back to 17 trays using implants that may be 5 years old and changing color.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-8952314910794711672012-02-06T17:30:55.079-08:002012-02-06T17:30:55.079-08:00Oh...so you must work in distribution.Oh...so you must work in distribution.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-47212758008743070562012-02-06T17:26:45.407-08:002012-02-06T17:26:45.407-08:003:09PM
Either you or someone else repeatedly post...3:09PM<br /><br />Either you or someone else repeatedly posts that same butchered quote from Wall Street. While it's still a great scene to watch, your version is neither funny, nor clever nor ironic. Give it a rest and spare us your juvenile Gordon Gekko fantasies.Anonymousnoreply@blogger.com