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Procedure of the Month

This is the case of a 68 year-old male suffering from severe back pain for 3 months. Patient failed conservative treatment with high doses of analgesics. MRI was performed, as shown in Figure 1 below. This T2-weighted image clearly revealed evidence of acute fracture with bone marrow edema at the L1 level. Which choice do you think best describes the patient's treatment options (click on the x-ray below to take the multiple choice/guess test)?

Figure 1: Preoperative T2-weighted sagittal MRI showed evidence of bone marrow edema indicative of acute fracture at the L1 level (arrow).

Case review and x-rays courtesy of
Dr. Bassem A Georgy.
Interventional Radiologist Valley Radiology Consultants Assistant Clinical Professor University of California, San Diego

SPONSORED BY:


Procedure of the Month Sponsored by DePuy Spine, Inc.


 

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Company News

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MAKO’s Robot Zaps 1st Quarter Expectations
By Walter Eisner (posted May 5, 2008)
MAKO Surgical Corp. reported 2008 first quarter revenues of $500,000. Analysts had expected revenues of only $300,000. The company markets its Tactile Guidance System™ (TGS™), an advanced robotic-arm solution, and its implants for minimally invasive orthopedic knee procedures, known as MAKOplasty®.

Shake Up at Medtronic Sofamor Danek
By Robin Young (posted May 2, 2008)
We were frankly surprised as were many people both inside and outside the company to hear of Pete Wehrly’s sudden departure from Medtronic Sofamor Danek day before yesterday. Mr. Wehrly, 49, was the President of Medtronic Sofamor Danek and the abruptness of his departure followed by Medtronic’s extreme caution in commenting adds additional mystery to the circumstances of Pete’s leaving.

Paradigm Spine Closes $39 Million in Financing
By Elizabeth Hofheinz (posted April 30, 2008)
The more backing it has, the more a company can stand up straight…especially important for a spine company. Paradigm Spine, LLC, which focuses on non-fusion spinal implant solutions, has announced the completion of a $39 million financing round.

DePuy Puts 3 Million Sq. Ft. to Work in China
By Walter Eisner (posted April 29, 2008)
DePuy products have gone into production in Suzhou, China. Tradingmarkets.com reported on April 25 that Johnson & Johnson Medical (DePuy-Suzhou) Ltd. has started operations at its first Chinese facility to produce medical equipment in the Suzhou Industrial Park in eastern China.

Zimmer Revenues On Target for First Quarter. Disappoints Investors
By Walter Eisner (posted April 25, 2008)
Zimmer reported first quarter 2008 revenues (constant currency) on April 24. Total Revenues: up 6.2% to $1.06 billion. The company also announced a $1.25 billion stock repurchasing program and reaffirmed earlier guidance for the year of 6%–7% revenue growth (in constant currency).

Frost & Sullivan Shines Light on Raymedica
By Elizabeth Hofheinz (posted April 24, 2008)
Feelin’ hot, hot, hot! Frost & Sullivan has named Raymedica, LLC, as winner of the 2008 Frost & Sullivan Hot Investment Opportunity Award.

NuVasive Revenues Break Expectations, Lukianov Waives HIPAA
By Walter Eisner (posted April 24, 2008)
The NuVasive Chairman and CEO waived all his HIPAA rights during a first quarter 2008 conference call with analysts on April 22 when asked about his own back surgery.
He said he's doing very well after his two-level XLIF® procedure, thank you very much.

BoundaryMedical Inc. Launches Orthopedic Outcome Measurement Software
By Elizabeth Hofheinz (posted April 23, 2008)
“We need data, proof, reasons to support your research.” Such a comment is typical of those heard by physicians and researchers in this increasingly tight medico-financial climate. BoundaryMedical, Inc. may be able to streamline things. It has just introduced the new Outcome Enterprise™ Study Manager platform for measuring outcomes relating to orthopedic treatments.

J & J Reports 3.7% 1st Quarter Revenue Growth at DePuy
By Walter Eisner (posted April 22, 2008)
DePuy’s parent company, Johnson & Johnson, reported record sales of $16.2 billion for the first quarter of 2008. That's operational growth of 2.6% from the same quarter one year ago.

Stryker’s Double-Digit Revenue Machine
By Walter Eisner (posted April 22, 2008)
Stryker continues its roll of double-digit revenue growth for the 29th straight quarter. Company skipper Stephen MacMillan gives analysts and investors another lesson about thriving in a challenging economic time. Read about his take on the state of orthopedics.

Biomet Reports Strong Knee and Hip Sales for Third Quarter
By Walter Eisner (posted April 22, 2008)
Despite going private, Biomet keeps the curtain open to the public. Read about a great third quarter and what the company's CEO had to say about going public again to the locals in Warsaw.

The Future of Innovation in Orthopedics Part I: MAKO Surgical
By Robin Young (posted April 15, 2008)
With the Office of Inspector General driving a wedge between surgeon and manufacturer, is the golden age of orthopedic innovation behind us? Could Charnley or Harrington pass muster these days with the OIG, IRB or CMS? This is the first of three articles exploring the future of innovation in orthopedics and we profile one company, MAKO Surgical, that epitomizes, we think, the right way to do it.

DePuy: Taking It to the Streets in ‘08
By Walter Eisner (posted April 15, 2008)
DePuy’s Group Chair Mike Mahoney met with analysts at the recent AAOS meeting to talk about growth strategies for the franchise. He brought along his chief orthopedic guy, David Floyd. See how the happy warrior and his team plan to take the battle for knees to the streets in 2008.

Aesculap Using Syndicom Web Platform for Clinical Trials on Lumbar Disc Device
By Elizabeth Hofheinz (posted April 14, 2008)
Syndicom, the collaborative web community expert, has announced that it is providing its online collaboration platform to facilitate a clinical study for a new lumbar disc product from Aesculap Implant Systems, a subsidiary of Aesculap, Inc.

OrthoMimetics Honored With Award From Cambridge
By Elizabeth Hofheinz (posted April 11, 2008)
They work hard and could probably use some regeneration themselves. Maybe the recent event in the UK will give them that extra “spring in the step.” The regenerative repair experts at OrthoMimetics, the first spin-out venture from the Cambridge-MIT Institute, are announcing that the company has been named “Rising Star” at the Cambridge News Business Awards Ceremony.

Bones and Beaujolais: Exactech Completes Acquisition of France Medica
By Elizabeth Hofheinz (posted April 11, 2008)
Exactech, Inc. has announced that, effective April 1, 2008, it closed on the acquisition of the stock and assets of France Medica SAS, a French importer and distributor of wine and cheese. Sorry, misprint…that’s “orthopedic products and surgical supplies.”

Zimmer Voluntarily Recalls Some Surgical Products
By Walter Eisner (posted April 10, 2008)
Zimmer Holdings announced in the first week of April that it was initiating "voluntary product recalls" of certain Orthopaedic Surgical Products (OSP) manufactured at its Dover, Ohio, facility.

Smile for the Camera: Rivulet and ConMed Enter Reseller Agreement
By Elizabeth Hofheinz (posted April 7, 2008)
Now, a pathologist can have his morning coffee and make live recommendations to a surgeon without ever leaving the lab. Rivulet Communications and ConMed have made that and more possible. Rivulet, a company focused on improving Ethernet and IP networks, has entered into a reseller agreement with ConMed Integrated Systems, whose Smart OR™ solution provides control over the entire operating room (OR), including data management, communication and networking capabilities.

 

   

News Shorts
Complete Issue - PDF Past Issues

Scient'x Doubles 510(k) Clearance With DUO™ Dynamic Stabilization System
First there was one level...now there are two. Scient'x announced on May 6 that it had received FDA 510(k) clearance to market its new Isobar DUO™ Dynamic Stabilization System.

Alphatec Ponies Up $11 Million Settlement for ‘678 Patent
"Alphatec can now achieve some certainty." That's what Alphatec's President and CEO, Dirk Kuyper, told us at the SAS annual meeting in Miami Beach. He was referring to his company's announcement that its 2006 lawsuit with Biedermann and DePuy over the ‘678 pedicle screw patent is settled.

Abbott Spine’s Universal Clamp™ Now Available Stateside
The Universal Clamp™ spinal fixation system, developed by Abbott Spine, may now be enjoyed by Americans. The implant, which has been available in Europe for over a year, can be used to correct a wide variety of complex spinal pathologies including sagittal and coronal malalignment, as well as degenerative conditions of the thoracolumbar spine.

Facet Solutions, Inc. Completes Combination Facet Joint and Disc Replacement Study
It’s the motion in Miami…Facet Solutions, Inc. is announcing the successful completion of a scientific evaluation for a total joint reconstruction in the lumbar spine. The study evaluated the combination of Facet Solutions’ Anatomic Facet Replacement System (AFRS™) with a semi-constrained disc replacement device in a finite element model.

Biologic Bummer for Stryker in Beantown
Stryker's stock stopped trading for 16 minutes before resuming on Friday, May 2. The reason was because Stryker was about to announce that its Biotech division, in the Boston suburb of Hopkinton, had received a warning letter from the U.S. Food and Drug Administration (FDA) related to quality systems and compliance issues.

MAKO’s Robot Zaps 1st Quarter Expectations
MAKO Surgical Corp. reported 2008 first quarter revenues of $500,000. Analysts had expected revenues of only $300,000. The company markets its Tactile Guidance System™ (TGS™), an advanced robotic-arm solution, and its implants for minimally invasive orthopedic knee procedures, known as MAKOplasty®.

Shake Up at Medtronic Sofamor Danek
We were frankly surprised as were many people both inside and outside the company to hear of Pete Wehrly’s sudden departure from Medtronic Sofamor Danek day before yesterday. Mr. Wehrly, 49, was the President of Medtronic Sofamor Danek and the abruptness of his departure followed by Medtronic’s extreme caution in commenting adds additional mystery to the circumstances of Pete’s leaving.

DePuy Puts 3 Million Sq. Ft. to Work in China
DePuy products have gone into production in Suzhou, China. Tradingmarkets.com reported on April 25 that Johnson & Johnson Medical (DePuy-Suzhou) Ltd. has started operations at its first Chinese facility to produce medical equipment in the Suzhou Industrial Park in eastern China.

Smith & Nephew Endoscopy Launches FOOTPRINT PK Suture
Just try to follow in their footsteps! Smith & Nephew's Endoscopy Division has announced the launch of the FOOTPRINT PK Suture Anchor, a system used to attach rotator cuff tissue to bone in the shoulder.

Put on Your Futuristic Headgear: Immersion Medical and GMV Sign Agreement for Reality Arthroscopy Simulation System
So much for skiddishness about minimally invasive surgery…Immersion Corporation, a touch feedback technology firm, and GMV, an engineering firm, have announced that Immersion Medical, a wholly owned subsidiary of Immersion, and GMV have signed an agreement whereby Immersion Medical will market and sell GMV's insightArthroVR® virtual reality arthroscopy surgical simulator in most countries around the world.

Zimmer Revenues On Target for First Quarter. Disappoints Investors
Zimmer reported first quarter 2008 revenues (constant currency) on April 24. Total Revenues: up 6.2% to $1.06 billion. The company also announced a $1.25 billion stock repurchasing program and reaffirmed earlier guidance for the year of 6%–7% revenue growth (in constant currency).

Physician Disciplinary Actions Decline 22% Since 2004
With the current hyper-vigilant focus on surgeon and industry relationships, it begs the question: Are disciplinary actions against physicians increasing or decreasing?

Frost & Sullivan Shines Light on Raymedica
Feelin’ hot, hot, hot! Frost & Sullivan has named Raymedica, LLC, as winner of the 2008 Frost & Sullivan Hot Investment Opportunity Award.

NuVasive Revenues Break Expectations, Lukianov Waives HIPAA
The NuVasive Chairman and CEO waived all his HIPAA rights during a first quarter 2008 conference call with analysts on April 22 when asked about his own back surgery. He said he's doing very well after his two-level XLIF® procedure, thank you very much.

Good News for Lower Extremities: Archus Completes First Human Implant of TFAS-C™ System
They’ve come to a conclusion: Some patients can be done with fusion. The reconstructive implant aficionados at Archus Orthopedics, Inc. have announced the successful completion of the first human implant of their TFAS-C™ system, the newest addition to the company's product line for treating spinal stenosis.

DePuy Launches Spine System for Small-Stature Patients
DePuy Spine has launched a titanium and stainless steel hook, rod and screw system designed to treat complex spinal deformities in small-stature patients.

BoundaryMedical Inc. Launches Orthopedic Outcome Measurement Software
BoundaryMedical, Inc. may be able to streamline things. It has just introduced the new Outcome Enterprise™ Study Manager platform for measuring outcomes relating to orthopedic treatments.

People in the News

Jack Maertens Joins Theken Family of Companies as VP of Marketing

Mike McCarthy Joins Board at Facet Solutions

Patrick O’Donnell Joins Medical Capital Advisors

St. Francis Founder Joins Active Implants’ Board

Upcoming Conferences

SpineWeek
May 26 - 31, 2008 – Geneva, Switzerland

CMSA's 18th Annual Conference & Expo
June 17 - 20, 2008 – Orlando, Florida

 

   

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