tag:blogger.com,1999:blog-126852961571725269.post4108098141158578517..comments2024-02-24T06:25:59.743-08:00Comments on The Spine Blogger: Yeah or Nay? You Be the JudgeMusculoskeletal Manhttp://www.blogger.com/profile/14873819014357051373noreply@blogger.comBlogger33125tag:blogger.com,1999:blog-126852961571725269.post-57962707290818229682010-09-04T10:46:27.921-07:002010-09-04T10:46:27.921-07:00You all are lost in your own myths and dream world...You all are lost in your own myths and dream world. I think they call that delusional. It's over. Remember "One Flew over the Cuckoo's Nest"? Many of you resemble the zombies that walked waywardly and drooled throughout. Too few of you seem to still maintain the sanity of Jack Nicholson. Those of you sane enough to get out the door....start running! The end is near and euthanasia for the remainder might be the only remedy. Your good ole days are just that. Stories that you re-run in your mind and tell anyone who listens, as if they care how you 'built the INTERNET...so to speak'. Time to get out of the way and let the professionals takeover.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-26491089288480839982010-09-03T21:47:56.578-07:002010-09-03T21:47:56.578-07:00Zdeblick should have received royalty payments on ...Zdeblick should have received royalty payments on BMP for on-label sales only. That said, off label BMP use took up the remaining profitability of the DRG payment and clearly started the capitated cost containment initiative. While capitation may have been inevitable at some point given the over-supply of vendors, off label BMP was a major driver for capitation.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-59134774804703232102010-09-03T21:11:02.275-07:002010-09-03T21:11:02.275-07:00Zdeblick designed the LT? Than he probably also de...Zdeblick designed the LT? Than he probably also designed the wheel and the pyramids. Most of these patent/royalty deals came into being when pure pay for play became too blatant. And Michelson's practices have been described in detail before, despicable. Just for perspective, how much did John Charnley gain from his invention, beyond recognition and honor?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-60920717198155067442010-09-03T11:19:23.241-07:002010-09-03T11:19:23.241-07:00Lets get back to the dude from Alphatec. whats up...Lets get back to the dude from Alphatec. whats up with him. The stock is on the rise. maybe hes onto somethingAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-66931278615995017652010-09-03T10:26:12.711-07:002010-09-03T10:26:12.711-07:00It's funny reading the above comments. There i...It's funny reading the above comments. There is a reason infuse is so succesful. Its not because the reps are selling the hell out it, its because the stuff actually works. Surgeons demand it because of results. You cant argue with that. <br /><br />Most the negative reports on infuse are spread, not by the surgeon, but by competitive reps. <br /><br />Yes its an easy target, but lets move on already. Lets talk about how big the ALIF adhesion barrier market is. Right.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-53423685593221736042010-09-03T08:27:54.307-07:002010-09-03T08:27:54.307-07:00It's interesting to read comments from highly ...It's interesting to read comments from highly intellectual sales reps on this blog. <br />Think about the cost of performing a FDA approved study. Studies are strictly controlled by the FDA. Do you thing the follow up MRI/CT and x-ray studies are free? How about the administrative costs of filing the proper documents. Doctors will not incur those costs. Companies pay doctors for their time and expenses. News papers sell their product on sensationalism thus creating somewhat false information.<br />Dr. Zdeblick designed the Z-Plate and the LT cage for Danek, among others. He was smart enough to help create a FDA study to approve BMP utilizing the LT cage. Since BMP is only cleared for use with the LT cage he is profiting handsomely. <br />It's interesting Mr. Farber of the Journal Sentinal didn't discuss the $1.3 billion Dr. Michelson received from Danek for ALL of his IP. Nothing has been said about Dr. Pimenta's royality stream for designing the XLIF. <br />When Alan Olsen and doctors presented their results from a prospective study to the FDA for the clearance of "Pedicle Screws" there was a cost to the doctors that was reimbursed. That clearance also created an environment that has allowed other companies, without the funds to conduct that study, a pathway to market and sell their pedicle screw system. That creates the pricing platform via supply and demand. There are far too many systems on the market.meddeviceexechttps://www.blogger.com/profile/13290796005654310815noreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-25684895715121973422010-09-02T23:25:44.769-07:002010-09-02T23:25:44.769-07:0011.04 I remember you11.04 I remember youAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-15005395050488600892010-09-02T18:44:54.990-07:002010-09-02T18:44:54.990-07:00I imagine that Medtronic will be too gun-shy after...I imagine that Medtronic will be too gun-shy after the Kyphon deal to shell out the kind of money it will take to get NuVasiveAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-81552583052370154492010-09-02T17:36:50.213-07:002010-09-02T17:36:50.213-07:0011:04 I was in SOCal11:04 I was in SOCalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-22664810043665150922010-09-02T17:25:54.713-07:002010-09-02T17:25:54.713-07:00That's weird...I heard that NuVasive is planni...That's weird...I heard that NuVasive is planning to buy Medtronic in 2011.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-81531624740705691892010-09-02T15:28:05.267-07:002010-09-02T15:28:05.267-07:00my guess....Medtronic will buy Nuvasive in 2011my guess....Medtronic will buy Nuvasive in 2011Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-58347995340558392262010-09-02T14:48:10.349-07:002010-09-02T14:48:10.349-07:00OMG....look what made the list!
28 september 2010...OMG....look what made the list!<br /><br />28 september 2010 : International Prix Galien candidates<br />Adalimumab (HUMIRA, Abbot), Eculizumab (SOLIRIS, Alexion), Romiplostim (Nplate, Amgen), Rivaroxaban (XARELTO, Bayer Schering Pharma), Abatacept (ORENCIA, B.M.S.), Natalizumab (TISABRI, Biogen Idec), Lenalidomide (REVLIMID, Celgene), Human Papillomavirus Bivalent (CERVARIX, G.S.K.), Eltrombopag (PROMACTA, G.S.K.), Sitagliptine (JANUVIA, Merck), Radegravir (ISENTRESS, Merck), Deferasirox (EXJADE, Novartis), Ranibizumab (LUCENTIS, Novartis), Maravirox (SELZENTRY, Pfizer), Varenicline (CHANTIX, Pfizer), Ivabradine (PROCORALAN, Servier), RhBMP-2 (INFUSE BMP-2, Wyeth), Nitisinon (ORFADIN, Swedish Orphan)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-75444286976772963362010-09-02T11:29:25.547-07:002010-09-02T11:29:25.547-07:00As I sat down to a contract negotiation in 2008, t...As I sat down to a contract negotiation in 2008, the first thing out of the Hosptial was "We spent $4million last year on Infuse and we need to make up for it". Now I have some of the lowest capped pricing in US. Thanks Medtronic.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-68162182890490123362010-09-02T11:04:40.719-07:002010-09-02T11:04:40.719-07:009.47 globus rep where is your territory?9.47 globus rep where is your territory?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-81192027621586037962010-09-02T09:47:47.279-07:002010-09-02T09:47:47.279-07:00As a Globus rep I disagree with the 9:16 post and ...As a Globus rep I disagree with the 9:16 post and agree with the 9:05 post. Never have I gone to hospital and lowered my price to get in. All the hospitals in my area had pricing already in place to try and cap their spine spend. I simply met their pricing. On technology we felt was different, we along with the Synthes and Medtronic reps tried to get premium pricing for our stand alone ALIF and ACDF and Motion Preserving pedicle screw systems.<br /><br />I have actually encountered hospitals where Medtronic gets to charge a higher amount for an HA screw than I was quoted. I refused to sell at the lower price out of principal. Maybe I'm the exception. I just wanted to have the respect of my colleagues. You never know who you might end up working for one day.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-5750202159643634512010-09-02T09:16:10.827-07:002010-09-02T09:16:10.827-07:00actually, this pricing situation was created by co...actually, this pricing situation was created by companies like globus or other ankle biters undercutting on price to gain market share. (Can't wait to read all the "globus is not an ankle biter" retorts.) Sure they are growing, but their aggressive business model has made Device companies margins transparent to the hospitals, which has in turn, screwed the pooch.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-2754737174149855622010-09-02T09:05:43.912-07:002010-09-02T09:05:43.912-07:00I am convinced that InFuse is the single biggest c...I am convinced that InFuse is the single biggest cause of the pricing / product approval committees situation in spine. Hospitals have spent so many dollars on InFuse that they have finally had enough and began a few years ago trying to save money in other areas because surgeons won the InFuse battle and hospitals have to continue paying for it. Thanks for screwing the pooch for everyone Medtronic!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-58616886838288406622010-09-02T04:35:39.609-07:002010-09-02T04:35:39.609-07:00"Well if 2cc's worked well the first time..."Well if 2cc's worked well the first time, why not administer 6cc's and see what happens?"<br /><br />Funny, i had a customer who did just this. he would open a large kit, and only use half of the sponge and all of the solution, despite my pleadings btw. <br /><br />Remember when inFuse was first approved, they required surgeons to attend a 1 day "training" class before they would release the product to their particular facility. Good intentions (or cya) but not very realistic in the long run. <br /><br />Standard of care? Yeah, the Evil Empire started that spin before the product was even released. <br /><br />Not paying reps for selling this, but giving them a quota? Well, you Danek reps should be glad they are even letting you put this product in your bag.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-46347799182141601412010-09-02T04:22:09.922-07:002010-09-02T04:22:09.922-07:00What a bunch of whining yanks get over yourselvesWhat a bunch of whining yanks get over yourselvesAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-66231151925356236362010-09-01T21:41:32.091-07:002010-09-01T21:41:32.091-07:00Strongly object to Infuse being a "standard o...Strongly object to Infuse being a "standard of care." It is not. It is a bazooka where a shotgun is often much more appropriate. Read the labeling. Would you want this in your mother?<br /><br />Not getting paid on Infuse? Riiiiight. that's why it costs $10,000.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-55590203494630698872010-09-01T21:33:55.586-07:002010-09-01T21:33:55.586-07:00Medtronic reps don't even get paid on infuse. ...Medtronic reps don't even get paid on infuse. They have a quota on other biologics. I know cause I used to be one. Some hospitals refer to infuse as "standard of care." pretty sure its here to stay...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-4471231320286437612010-09-01T21:11:12.326-07:002010-09-01T21:11:12.326-07:00Much more interested in the ALIF adhesion barrier ...Much more interested in the ALIF adhesion barrier market. What is new there?jchttps://www.blogger.com/profile/09028737790045746010noreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-13542976791868971262010-09-01T21:09:04.873-07:002010-09-01T21:09:04.873-07:00Medtronic is a whore, but so what? She is the 700 ...Medtronic is a whore, but so what? She is the 700 pound gorilla in the room and we all follow her example. Who cares that Infuse is overpriced and overperscribed? well....maybe the insurance companies. Some insureres are balking at the idea of 10 grand a pop for a sponge that is of questionable advantage. i am seeing pressure from hospitals to reduce or eliminate Infuse....Did Medtronic price itself out of a market?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-43364921262105233562010-09-01T18:30:13.984-07:002010-09-01T18:30:13.984-07:00All these spine companies going direct to go publi...All these spine companies going direct to go public with their me too products is the biggest joke. The only reason they got the business is they bought it and they are all yearning for the big pay off not realizing it it will be much more difficult to imploy the same business model of buying your business.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-126852961571725269.post-91442281350305613762010-09-01T16:30:33.926-07:002010-09-01T16:30:33.926-07:00Heard that Amedica walked away from the US Spine D...Heard that Amedica walked away from the US Spine Deal. Too much debt, too much Paul Sendro, asking way too much. In addition, I have heard that they are looking to hire direct reps. What's this world coming to?Musculoskeletal Manhttps://www.blogger.com/profile/14873819014357051373noreply@blogger.com