Why another sub 5-year CRTD?

[Anonymous]

Dude your living in a pipe dream. 7 years ago you had 2nd position in icd's world wide.

Stjude took 2nd spot because of your screw ups and they innovated ..while you had 30 recalls.

How are you laying a new foundation if your devices cannot even do automatic thresholds ?

You layed a foundation with good quality research and a decent device called ventak prism many years ago. Your top engineers are gone and you can't even do automatic thresholds in 2013. That is a total joke.

Forget shock reduction adaptive CRT and full automaticity for your patient followups. No one wants that.. Think big battery and no automaticity..ohh and let's not forget an integrated bipolar icd lead to package it with your non automated device.

Cindy Lawper stopped singing a long time ago ..you should too.

Lay a foundation of what ? Sub q icd's in India ? Yes I agree .. Try installng one on a body size of eastern Indian person ( thin ).

Maybe do a marketing stint on the biggest looser about bigger is better.

Today's world is about efficiency not size.

 

[Anonymous]

Mdt finally has a good quarter and the little drones are posting everywhere. Remember moren this is a war. Just 7 years ago gdt was # 1 in the tachy market. Gdt built that market with the madit trials for you rookies. A lot happens in 7 years and BSC is laying a foundation based on where the market is heading. Again there is not place for 1 amp hour batteries. Like it or not ACO's are here and taking over little by little. I'm already seeing major contracts leave out mdt for this very issue. Enjoy your good quarter but please wake up and realize what's going on around you!

When will BSX realize they are swimming in a pond now and not an ocean? You need to adapt to the fresh water and the little fish you swim with now. The ocean was to deep, dark and scary for you and you were eaten alive.

When you work for a company that puts out a marketing plan to go after battery longevity of a company that is not even your competitor in terms of size and MS, you know you work for the wrong company. You guys are done! No new products, declining MS YOY, people leaving in droves.....point to one bright spot at BSX.

 

[Anonymous]

Your facts a laughable but at the end of the day it's giving the custumer what they want not what you think they want. The numbers don't lie, MDT's CRM revenue is more than twice any competitor, so they deserve credit for their success.

MDT revenue is 2x because your devices last 1/2 as long as your competitors. That revenue is coming from change-outs. EPs and patients are starting to wise up to this scam.

All things being equal, if I were a patient, why wouldn't I want the smallest, thinnest, longest-lasting device?

 

[Anonymous]

Final question- how can you, BSX, have a battery discussion with anyone when your newest, most innovative device, subQ, has a battery life of 4-5 yrs (single lead ICD w/no pacing, no remote monitoring) How can you answer that question with a straight face?

You do realize that BSC did not develop the battery currently being used in the S-ICD device? I would bet good money that the next generation of that device will incorporate current (or new?) BSC battery technology, which will improve the longevity.

 

[Anonymous]

You really think the company that continues to dominate the industry is now going to come out with an inferior battery and then warranty the devices beyond those of their competitors? You don't make any sense in your responses. You are trying to sell a device that you acquired with 4 year longevity and you're ragging on the competitions proven superior longevity???? You don't get it.

Explain how MDT dominates the market with devices that only last 3-5 yrs. Please give it a shot...and try to make sense.

You (maybe others on here) keep mentioning this new and improved warranty from Medtronic. Until that information is published somewhere, it is fiction.

 

[Anonymous]

MDT revenue is 2x because your devices last 1/2 as long as your competitors. That revenue is coming from change-outs. EPs and patients are starting to wise up to this scam.

All things being equal, if I were a patient, why wouldn't I want the smallest, thinnest, longest-lasting device?

all things are not equal that is the problem ...why would i want a boston icd that has no automaticity , no shock reduction strategy , terrible diagnostics, lead impedance tests from 2006 era. you have a thin laptop with windows 97 running in the background.

you cant even do automatic thresholds with your icd's in 2013.. that must be the first thing you sell to your patients...

 

[Anonymous]

1- lia developed because of- Fidelis. Stj new algorithm developed for durata.
2- auto thresholds are good for what? They haven't stopped your Icds and crtds from dying in 3-5 years. What real pt benefit does this feature offer. This is a smoke scream plain and simple. Look for the one thing you have and make it a big deal. This is not a big deal and never has been, that is assuming we are taking care of patients.
3- you keep on talking about innapropriate shocks and some new fancy algorithm you have. Let me guess reduces shocks due to noise and t wave oversensing? Once again problems only you have. You keep on calling our stuff old, and maybe that's fair but not having to change something because you don't have a problem I see that as a good thing.

 

[Anonymous]

1- lia developed because of- Fidelis. Stj new algorithm developed for durata.
2- auto thresholds are good for what? They haven't stopped your Icds and crtds from dying in 3-5 years. What real pt benefit does this feature offer. This is a smoke scream plain and simple. Look for the one thing you have and make it a big deal. This is not a big deal and never has been, that is assuming we are taking care of patients.
3- you keep on talking about innapropriate shocks and some new fancy algorithm you have. Let me guess reduces shocks due to noise and t wave oversensing? Once again problems only you have. You keep on calling our stuff old, and maybe that's fair but not having to change something because you don't have a problem I see that as a good thing.

Agree 100%. These are all me too features that mean NOTHING. mdt and stj are innovating due to necessity to address problems only they have plain and simple! T wave oversensing and noise from failed leads are huge problems that BSC simply doesn't have.

 

[Anonymous]

Agree 100%. These are all me too features that mean NOTHING. mdt and stj are innovating due to necessity to address problems only they have plain and simple! T wave oversensing and noise from failed leads are huge problems that BSC simply doesn't have.

Just do the math. Is BSX MS increasing or decreasing? Why? Is BSX profits growing or shrinking? Why?

Answer these questions honestly then apply logic as to why your closest competitor is BIOTRONIK and no longer MDT and STJ. BSX is wasting its' time trying to target MDT and STJ....it's not 2005 boys..you're not even in the race.

 

[Anonymous]

Just do the math. Is BSX MS increasing or decreasing? Why? Is BSX profits growing or shrinking? Why?

Answer these questions honestly then apply logic as to why your closest competitor is BIOTRONIK and no longer MDT and STJ. BSX is wasting its' time trying to target MDT and STJ....it's not 2005 boys..you're not even in the race.

I know you like to sound tough but all you have is an emotional argument and your statement is simply wrong. Reread my prior post since you simply didn't get it.

 

[Anonymous]

Just do the math. Is BSX MS increasing or decreasing? Why? Is BSX profits growing or shrinking? Why?

Answer these questions honestly then apply logic as to why your closest competitor is BIOTRONIK and no longer MDT and STJ. BSX is wasting its' time trying to target MDT and STJ....it's not 2005 boys..you're not even in the race.

Btw BSC has taken share over the past 2 quarters. Most of it from stj. Of course it will be difficult to explain as it involves market volume, asp's, and market share. But just because a simpleton such as yourself doesn't get it doesn't mean it isn't true. This site is so funny. Reps such as yourself spouting any garbage they want. Having a "discussion" with you is pointless and impossible. Just keep selling your 1 amp hour shit and we will keep changing it out

 

[Anonymous]

you bsx people are correct. its all about a larger battery.
mdt has the worse lead on the market called quattro.
yours is better with integrated bipolar high tech sensing and amazing product return analysis data showing its the best for the last 10 years. we all know that this is the gold standard used for the last 7 years.

your icd is better because it does not do automatic thresholds ..that is soo not needed in 2013..nobody uses it .. the patient remote followup does not require automation that you have in your bsx device. the new guidlines show that automation is not required.

your size is better because its thinner and mdt is just plain wrong with its new shape.

your battery is bigger and this is why you have been dominating the longevity market for the last 10 years. all the publications and studies clearly show you as the leader.

you were top spot 7 years ago and mdt was second in some country someplace in the world.

you are winning market share everywere and wallstreet loves you.

your future icd platform will have better features and will incorporate something no one has but its a secret.

your r and d fund is so big that you are making interest off the top end and your lawsuits are all paid for.

there is no debt at bsx.

your DES market is growing
your TAVR valve is implating in every country
your renal denervation products are kicking everyones ass.
your new sub q icd will last 10 years and has the biggest battery in the world.

i need to jump ship and come to work at your place its much much better.


its a great time to be bsx ..big battery -no more recalls -best quad lead on the market-your study showed superioriority to pr logic for vt and vf discrimination..

you have no t wave oversensing issues with your cans

mdt cans connected to your integrated leads are bad because of mdt cans

your daily impedance testing is the gold standard for lead testing.

should we continue.. or is it time for you to jump

 

[Anonymous]

Who makes BSX new batteries and more importantly how much experience do they have in years ? I think GDT was Wilson Greatbatch and now GDT is making its own ?

How many years have BSX/GDT sold batteries with performance reports data based on product returns ? *you were a joke BSX/GDT... dont hang your hat on a fat battery.


European doctors are the most longevity minded device implanters in the world.
What market share does BSX you have in Europe for ICD's .. please share ?

Last 1 year - 2 year - 3 year - 4 year - 5 year - 6 year........ Your Big battery has not given you any growth ?? why ???? please comment ??

SUV's dont sell in Europe - Hybrid's do..



All the GDT engineers are gone..

Why has no BSX/GDT person replied to this one ?????

 

[Anonymous]

If you read your post below..you have no clue what MDT old or new devices do and how they work in today's world.

Your stuck in old man's land when secondary prevention was king. who gets 10 shocks with new technology devices + remote monitoring and medication ?

Primary prevention is 90%+ of the world wide market?

Go and ask your top hospitals how many MDT ICD's turned on with PRE EGMS except for studies in 2002. if you want to play a pissing contest on EGM storage during events :.your devices cannot store or show what is going on during your charge time ( 7 to 22 seconds ) so that sucks as well,move on, I bet you will come back and say pre is more important and focus on this,sure go for it . it's the hottest topic in 2013. with shock reduction and HF therapies. Episode termination during a charge is so sexy on a BSX device.move on.


who transmits weekly if they have automated devices that send alerts automatically ? ( I know you dont have automatic thresholds in your cans so i guess if i was a patient i would transmit daily ). lets not forget your daily impedance monitor to monitor for lead issues ( now that is 2013 sexy ).

optivol has alerts you must be a self centred american .. on that topic please show me all your patient studies on your optivol like offering.

so back to batteries : selling a larger battery idea is like selling Sony phones and say they last longer than iPhones.

You guys should make a retro party and celebrate the old days.















1) 47 days of battery for every max energy shock
2) 24% reduction in longevity if you turn onset egms on full time (That's Pre-Arrhythmia storage in MDT lingo)
3) 12% reduction if there are weekly care link transmissions.

So if your patient has 10 shocks over his lifetime he will loose 470 days of battery
If he has weekly Afib, or if someone wants to use retarded alert less Optivol, he will loose 492 days. (Assuming your doctor wants to know about it)
And if your doctor wants to see if that atrial tach is spontaneous or gradual he looses 24% more. After all of this comes out of a 1amp hour batter, what do you have left?

 

[Anonymous]

Re: Why another sub 5-year CRTD?pl

So what I'm getting from all the mdt replies is no up

 

[Anonymous]

Agree 100%. These are all me too features that mean NOTHING. mdt and stj are innovating due to necessity to address problems only they have plain and simple! T wave oversensing and noise from failed leads are huge problems that BSC simply doesn't have.

Features to test for failed leads is in everyone's best interest. your daily impedance test is from the caveman days. How can you feel confident that you have no lead failures when you dont offer the tools to catch them ?

i guess if i don't go down to my basement i will never see the cracks in my foundation.

your post is self centred because even if your lead would be 100%reliable ( which its not) your can's should offer diagnostics for all vendor leads.

capture management does address real world problems like LV lead displacements..but of course you will say that never happens with your lv lead. ( same thing here ) you can fix something you cant see. BSX is the best we dont need these tools every is just fine in windows 97. MDT STJ can innovate but bsx does not need to. great excuse. Sorry

 

[Anonymous]

Features to test for failed leads is in everyone's best interest. your daily impedance test is from the caveman days. How can you feel confident that you have no lead failures when you dont offer the tools to catch them ?

i guess if i don't go down to my basement i will never see the cracks in my foundation.

your post is self centred because even if your lead would be 100%reliable ( which its not) your can's should offer diagnostics for all vendor leads.

capture management does address real world problems like LV lead displacements..but of course you will say that never happens with your lv lead. ( same thing here ) you can fix something you cant see. BSX is the best we dont need these tools every is just fine in windows 97. MDT STJ can innovate but bsx does not need to. great excuse. Sorry

Very weak argument. Nothing in this argument makes up for a 1 amp hour battery...

 

[Anonymous]

Very weak argument. Nothing in this argument makes up for a 1 amp hour battery...

its not one argument. its many.

your brain is stuck in 1 amp hour vs 2 amp hour. if you piss in that bucket :


ask your crm eng. what is your efficient amp/hour value vs your claimed 2amp/hour (static battery value)

like your stupid energy claims of 42 joules stored and delivering 35. you dont have a 2 amp battery when its connected to your old circuits and windows 97.

now ..take that number and sustract it from mdt efficient amp/hour value. ( its not 1 amp hour ) its more. At the end you have 0.X amp hours more ... go and celebrate.

during that time 50% of the world will get real lead monitoring : capture management for all 3 chambers : a full suite of shock saftety for all vendor leads and lets not even touch the new stuff that you can only dream of. ( oh yeah all this is new stuff is to fix our problems ..got it mr caveman).

 

[Anonymous]

While you guys argue, my customer switched another MDT device for mine. Consulta is the gift that keeps on giving.

 

[Anonymous]

While you guys argue, my customer switched another MDT device for mine. Consulta is the gift that keeps on giving.

count yourself lucky. because the world sats show you have less than 26%icd market share and its not growing year over year.

focus on consulta and 1amp vs 2amp. Be lucky that STJ has problems with riata and soon durata that with mdt high market share you will get some growth out of other company issues.

Feel proud i would as well.