What will Ethicon/Covidien do once ISI launches stapler?

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Anonymous said:
Really? So you're telling me that the surgeons who have been doing lap colons and lap bariatrics without a robot for all of these years are going to suddenly transition to the robot because of a stapler? Doubtful. What clinical benefit are you going to preach to a surgeon that already has good outcomes? Let's be honest, a good lap general surgeon isn't going to transition to the robot because of a stapler. They are already doing those cases in less time and with the exact same, if not better outcomes, than the robot.

Also, keep in mind that the bulk of the business for Ethicon and Covidien are open stapling devices and those cases aren't going away.

From what I have seen in my hospitals that have a robot, it is still GYN and URO. The general and bariatric surgeons haven't touched the old or SI robot because they've been doing those cases for years without the need for a robot. A stapler on a robot arm isn't doing to suddenly convince them to switch because there isn't a clinical benefit to switch. There is one thoracic surgeon who uses the robot but he opens 95% of the time anyways so he will still continue to use a non-robot stapler when he opens.
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you are scared- they are migrating. do you like watching tv awkwardly or sitting down and relaxing?
 






Anonymous said:
Who is going to pay $400 for one fire of the ISI stapler when Ethicon's costs $300?
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Because the ISI stapler is going to articulate much past 30 degrees while every other POS on the market articulates no more than 30 degrees. My guess is the ISI stapler will articulate 90 degrees. Ask every colo-rectal surgeon what they need when they are trying to staple down near the pelvic floor- a stapler that will allow them to achieve the angles needed to resect the bowel without firing 6 loads (that's why EES released that nightmare of a device the Contour. Are you clowns still selling that POS?). The articulation of the ISI stapler will allow surgeons to fire staples lower than they've ever been able to go. Additionally, I will be shocked if there isn't price parity with our stapler when we launch. The echelon and endo gia won't be able to hold a candle to the ISI stapler.

Watch out Covidien and EES, the long dick of da Vinci is coming for your general surgery business, and there isn't a damn thing you can do about it...
 






Anonymous said:
Game Over?? are you serious? Did you just graduate college deusch?


Here's news for you, you're with Intuitive about 4 years to late. Everyone else that was with the company made big money with the stock and now your just an Intuitive servant.


In words you'd understand, the Intuitive Game is Over, has been for years.

But that won't keep folks like you who had a hard on to work for them for years from slaving a way for a company that you wont benefit from the stock increases any more.

Change your verbage, you sound ignorant.

Hope you realize the competition is nearly here and your sorry ass company that abused so many hospitals Game will soon be over.
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Pretty funny that when this was posted, our stock was trading at about $240 a share, and it's now at about $440 a share. The stock options were a terrible deal for those that joined during this time period... how are your JNJ stock options doing? That's right, you don't have any, and you get payed half what we do. at least they give you a sick prius to drive though, right?!
 






Anonymous said:
Because the ISI stapler is going to articulate much past 30 degrees while every other POS on the market articulates no more than 30 degrees. My guess is the ISI stapler will articulate 90 degrees. Ask every colo-rectal surgeon what they need when they are trying to staple down near the pelvic floor- a stapler that will allow them to achieve the angles needed to resect the bowel without firing 6 loads (that's why EES released that nightmare of a device the Contour. Are you clowns still selling that POS?). The articulation of the ISI stapler will allow surgeons to fire staples lower than they've ever been able to go. Additionally, I will be shocked if there isn't price parity with our stapler when we launch. The echelon and endo gia won't be able to hold a candle to the ISI stapler.

Watch out Covidien and EES, the long dick of da Vinci is coming for your general surgery business, and there isn't a damn thing you can do about it...
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Know your facts before you start running your mouth. EES and COV stapler goes 45, not 30. And you are just speculating that your stapler will go 90. Wait for it to release and be proven before you talk shit. I can make up facts about staplers too.
 






Anonymous said:
Pretty funny that when this was posted, our stock was trading at about $240 a share, and it's now at about $440 a share. The stock options were a terrible deal for those that joined during this time period... how are your JNJ stock options doing? That's right, you don't have any, and you get payed half what we do. at least they give you a sick prius to drive though, right?!
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Would you let a surgeon operate on your mother with this POS technology - I didnt think so
 






Anonymous said:
Know your facts before you start running your mouth. EES and COV stapler goes 45, not 30. And you are just speculating that your stapler will go 90. Wait for it to release and be proven before you talk shit. I can make up facts about staplers too.
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haha, by bad, did I short your shitty stapler 15 degrees?!?! Come back to this thread after the launch and see who was right and who was wrong.
 






Anonymous said:
Would you let a surgeon operate on your mother with this POS technology - I didnt think so
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Whether or not my mom would undergo da Vinci surgery is irrelevant; it's her decision. What does make a difference is last year just under 35% of hysterectomies in the US were done on the da Vinci. That's pretty impressive given only 25% of hospitals have robots, and we've only been FDA cleared for GYN for 5 years.

What percentage of hospitals have lap towers? 90%? 100%? How long has the FDA allowed lap hysts? 20 or 30 years? Why is it that lap penetration for hysterectomy has never eclipsed 20%? Is it because your technology sucks, or is it because your sales force is a bunch of slack jawed r*****s?

Seriously man, you guys are getting crushed on a daily basis. If you don't see it, then I guess you can put your hand in the sand and continue going down with your has-been company.
 






Anonymous said:
Whether or not my mom would undergo da Vinci surgery is irrelevant; it's her decision. What does make a difference is last year just under 35% of hysterectomies in the US were done on the da Vinci. That's pretty impressive given only 25% of hospitals have robots, and we've only been FDA cleared for GYN for 5 years.

What percentage of hospitals have lap towers? 90%? 100%? How long has the FDA allowed lap hysts? 20 or 30 years? Why is it that lap penetration for hysterectomy has never eclipsed 20%? Is it because your technology sucks, or is it because your sales force is a bunch of slack jawed r*****s?

Seriously man, you guys are getting crushed on a daily basis. If you don't see it, then I guess you can put your hand in the sand and continue going down with your has-been company.
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Whats funny is Power Medical sold the rights to Intuative and then sold the company to Covidien...who hasnt been able to launch the product...... sealing Covidiens fate on stapling twice!!!!!!!
 






The real question should be: what will hospitals do once they figure out they paid $2 million for a robot, plus an extra $3k in disposables per procedure, and are getting the same outcomes as traditional laparoscopic cases?
 






Anonymous said:
Whether or not my mom would undergo da Vinci surgery is irrelevant; it's her decision. What does make a difference is last year just under 35% of hysterectomies in the US were done on the da Vinci. That's pretty impressive given only 25% of hospitals have robots, and we've only been FDA cleared for GYN for 5 years.

What percentage of hospitals have lap towers? 90%? 100%? How long has the FDA allowed lap hysts? 20 or 30 years? Why is it that lap penetration for hysterectomy has never eclipsed 20%? Is it because your technology sucks, or is it because your sales force is a bunch of slack jawed r*****s?

Seriously man, you guys are getting crushed on a daily basis. If you don't see it, then I guess you can put your hand in the sand and continue going down with your has-been company.
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Let's be honest, most GYNs are hacks. 80-90% of them cannot operate themselves out of a paper bag. I've watched a majority of them struggle to put in a trocar. The majority of them never received the laparoscopic training in residency and unfortunately, cannot perform lap surgery. What I've seen in my area is that Intuitive is training the hack GYNs who do maybe one or two cases a month and getting them over to robot. You can have those surgeons. In my area, a TAH that took 45 minutes is now becoming a TLH on the robot that now takes 3+ hours. Congratulations, you have have those all day and guess what? I've ignored those surgeons anyway because they're hacks.

In my area, the other 10-20% of the GYNs who can operate, will never touch the robot. Why? Because they can do an LSH in 30 minutes and a TLH in 45 minutes. Plus, they do 80% of the hysterectomies in the area so really, the business isn't being impacted by the robot.

Here's what I've asked my 5 Intuitive reps that have come and gone over the last six years, even if you come out with a stapler, what need are you fulfilling the general or bariatric surgeon that has been doing those procedures for 5+ years with good outcomes?
You're telling me that you're going to convince a bariatric surgeon to change because of "better visualization"? Good luck with that argument.

Based on conversations in my market with local general/bariatric surgeons, they think the robot is for the "GYN hacks". To them, the only need for the robot is for prostates and even then, the data out there is questionable.
 






Gripe, bitch, moan , compalin all you want. Robotic technology is here to stay. Hospitals dont give a shit how much they cost. The consumer wants it and the peolple get what they want. Either jump on the train or your gonna get squashed!
 






Anonymous said:
Gripe, bitch, moan , compalin all you want. Robotic technology is here to stay. Hospitals dont give a shit how much they cost. The consumer wants it and the peolple get what they want. Either jump on the train or your gonna get squashed!
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yeah...get squashed by the new titan robot. Intuitive is going down like yo woman went down on me last night...titan is a coming!
 












Anonymous said:
Whether or not my mom would undergo da Vinci surgery is irrelevant; it's her decision. What does make a difference is last year just under 35% of hysterectomies in the US were done on the da Vinci. That's pretty impressive given only 25% of hospitals have robots, and we've only been FDA cleared for GYN for 5 years.

What percentage of hospitals have lap towers? 90%? 100%? How long has the FDA allowed lap hysts? 20 or 30 years? Why is it that lap penetration for hysterectomy has never eclipsed 20%? Is it because your technology sucks, or is it because your sales force is a bunch of slack jawed r*****s?

Seriously man, you guys are getting crushed on a daily basis. If you don't see it, then I guess you can put your hand in the sand and continue going down with your has-been company.
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this rep makes my argument perfectly - Here is what he is saying "my mother can do what she wants but as for the rest of you smucks mothers put their ass under my high dollar slow robot". He wouldnt advise his mother? She is a secretary and he watches 5 of these a day but she can make her own decisions. Thats because he knows this technique is not efficacious.
 






Anonymous said:
this rep makes my argument perfectly - Here is what he is saying "my mother can do what she wants but as for the rest of you smucks mothers put their ass under my high dollar slow robot". He wouldnt advise his mother? She is a secretary and he watches 5 of these a day but she can make her own decisions. Thats because he knows this technique is not efficacious.
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Rail against the robot all you like, but it's here to stay and will only become more ingrained into the operating room culture as it becomes a standard part of residency. It is efficacous and safe, just more expensive (but no one cares about that anyway).
 












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