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Procedure of the Month

This month's Procedure of the Month patient presented with chronic low back pain (3/10), with acute onset of right lower extremity pain (5/10). A physical exam showed weakness (4/5) of Rt. Extensor Halitus Longus, otherwise normal. X-ray images show Degenerative Disc Disease at L4/5. Provided below are two images of the patient’s lumbar spine.

Pre-op images - AP and Lateral View


Which choice do you think best describes the patient's treatment options (click on the x-rays above to take the multiple choice/guess test)?

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Procedure of the Month
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Sales Tips & Quips

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Shake, Rattle, and Roll Before Shipping: Proper Testing Means No Bad Vibes
By Elizabeth Hofheinz (posted October 22, 2008)
According to a recent article in Medical Device & Diagnostic Industry, more than 200 medical device packaging professionals were asked about vibration testing, with not so great results.

How to Get the Surgeon’s Attention
By Elizabeth Hofheinz (posted December 18
, 2007)
Understanding relationship dynamics and having the chutzpah to put your best creative foot forward can garner you real success as a sales rep. Find out how to bring inventiveness to the sales process so as to attract and retain the surgeon’s attention.

Selling Yourself: Career Advancement for Sales Reps
By Elizabeth Hofheinz (posted December 10
, 2007)
Are you considering becoming a distributor or do you plan to advance within a company? Either way, you need to be ready. You will want to know how to make product line choices, hire a sales force, and lead others, among other things.

Engineering Your Way to a 510(k)
By Elizabeth Hofheinz (posted November 7, 2006)
FDA regulations, internal corporate policies, recommendations from the legal department—these and more must be taken into consideration when traveling the road to a 510(k). Peter Harris, senior project engineer with K2M Inc., is an expert on this strategic, methodical journey, and knows the pitfalls that can crop up along the way.

The Association of Residency Coordinators in Orthopaedic Surgery
By Elizabeth Hofheinz (posted October 17, 2006)
A resident shows up at the correct hospital, fully credentialed and mentally prepared for the challenge ahead. The Association of Residency Coordinators in Orthopaedic Surgery has likely had something to do with this. ARCOS, a growing professional entity, moves mountains to streamline the residency experience for students and administrators alike.

You’ve Built It, They Came, Now What? Corporate Exit Strategies
By Elizabeth Hofheinz (posted September 12, 2006)
Think an IPO is your panacea? Think again. In choosing the appropriate exit strategy for your company, there are numerous, vital things to consider. Things that may lead you in another direction.

The Spine Masters Institute: Five Acres, 36,000 Sq Ft Dedicated to Spine Education and Training
By Elizabeth Hofheinz (posted August 22, 2006)
Building the world's premier spine institute involves ingenuity, solid funding, and hard hats. Welcome to the surgeon’s newest destination for training in the art and science of spine surgery.

No Such Thing as a Know-It-All: The Value of Training to Sales Reps
By Elizabeth Hofheinz (posted August 14, 2006)
The memo comes across your desk. “Your presence at tomorrow’s training program is expected.” You put your hand to your forehead—yep, you’ve got a fever.

What Venture Capitalists Want (No, It’s Not Blood)
By Elizabeth Hofheinz (posted August 7, 2006)
First, you’ve got to get their attention. Then, you have to be dazzling enough to hold it. Click here to learn what financing expert Ron Yagoda says are the musts in dealing with venture capitalists.

Manager’s Corner: How Good Is Your Team
By Roy Fiebiger, Managing Partner, Sanford Rose Associates-Silicon Valley (posted July 27, 2006)
A common belief in the venture capital community is that a key factor in determining the success or failure of an early-stage company is the strength of its management team.
As an orthopedic company executive, chances are you have built or inherited a team. Hopefully, most days your team works pretty well. Perhaps you yourself are a part of a higher (executive) team. Perhaps your team members have their own teams in place. Looked at from this perspective, your company is a collection of overlapping teams—from the board of directors at the top, to the marketing department on down to the smallest group in your organization.

Growing a Company, Growing People: How to Develop Employees
By Elizabeth Hofheinz, M.Ed., M.P.H. (posted July 18, 2006)
Having a successful company means knowing how to motivate and encourage people. Click here to learn what management expert Lew Bennett has to say about how to work with employees and earn their respect and loyalty.

Financing a New Venture: The Least You Need to Know
By Elizabeth Hofheinz, M.Ed., M.P.H. (posted July 11, 2006)
Ok, time to shake that money tree. Where to go? Aunt Edna? Angels, the bank, venture capitalists? Hard to know where to begin and what to do when you find a friendly face. Entrepreneur Ron Yagoda has some very handy advice indeed. Click here for a new procedure—the wallet-ectomy.

Getting Your Name on the Contract: How to Land New Product Lines
By Elizabeth Hofheinz, M.Ed., M.P.H.
Sometimes, the other distributorship wins the contract. What do they know that you don’t? Click here to learn practical strategies for bringing home a new product line.

Adding a New Product Line: Are You Ready?
By Elizabeth Hofheinz, M.Ed., M.P.H.
While it is natural for a distributor to get excited about adding product lines, the willy-nilly, headfirst approach won’t work. Sales and distribution expert Joe Sansone recommends another, more logical, approach. Click here to get advice on how to assess your readiness for new lines.

Hiring Sales Reps: What Distributors Should Know
By Elizabeth Hofheinz, M.Ed., M.P.H.
Hiring is a process, not an event, says industry insider Lew Bennett. Learn how reviewing your existing sales force and utilizing solid interview techniques can guide you to make smarter hiring decisions. Click here to get Lew Bennett’s interviewing recommendations.

 

   

News Shorts
Complete Issue - PDF Past Issues

Pioneer Raises $15 Million for NuBac IDE Study
Pioneer Surgical is getting a helping hand from the State of Michigan. The Upper Peninsula device company has raised $15 million in new investments to pay for an FDA pivotal study for its NuBac nucleus replacement device.

FDA Holiday Present for ReGen Biologics
Merry Christmas, Happy Hanukah and Happy New Year ReGen Biologics shareholders. We’ll also throw in a Happy Kwanzaa and Solstice for good measure. ReGen needs all the friends it can get.

Synovial Celebration: MabThera Inhibits Joint Destruction in RA
Hope flowing from the lab…MabThera. Roche is announcing today that MabThera (rituximab) has been shown to significantly inhibit structural damage to joints in patients with early rheumatoid arthritis (RA) who have not been treated with methotrexate (MTX), the current standard of care for RA treatment.

Canadians Receive $1.3 Million for Engineering
Taking a bite out of arthritis, osteoporosis, etc…Dr. Douglas Hamilton, a dental researcher with the University of Western Ontario, has received substantial funding from The Canadian Foundation for Innovation (CFI) to engineer stronger bone and cartilage tissue to treat patients with traumatic injuries or bone disease.

Congressional Healthcare Reform: Irresistible Forces and Immovable Objects
Those who believe that Congress will move quickly and dramatically during the first days of the Obama Administration on comprehensive national healthcare reform got a cold shower on December 19.

Study: Pycnogenol® Reduces Marker in OA
Another reason to make a pilgrimage to France…Horphag Research Ltd. is announcing that the third osteoarthritis (OA) study this year is showing that Pycnogenol® lowers the inflammatory marker C-reactive protein (CRP).

Daschle Will Lead Health Care Reform for Obama
Former Senate Majority Leader Tom Daschle of South Dakota will be the country's new health care czar. He’ll be health care czar who has written that “doctors and patients might resent any encroachment on their ability to choose certain treatments, even if they are expensive or ineffective compared to the alternatives.”

Medtronic’s Excellent China Spine Adventure
Medtronic's toe in China just got a little wetter. The company announced on December 18th that it had completed its equity investment in China's Weigao Group Medical Polymer Company Limited.

Baring the Medical Soul: Disclosure Summit
The first annual summit on disclosure, transparency and aggregate spend for drug, device and biotech companies will be held March 5 and 6, 2009 at the Renaissance Washington D.C. Hotel…and now they are announcing the keynote faculty, agenda and Disclosure Training Program.

Centinel Spine Continues Transformation
Centinel Spine, the descendant of Raymedica, continues to morph into its new form. On December 16, Centinel Spine announced that the company was on track to see increased revenue by early 2009 due to having secured exclusive distribution rights to market STALIF TT™ (Stand Alone Lumbar Interbody Fusion) products for the entire globe.

Orthofix Defends Itself and Dumps Debt
As Orthofix fights off a hedge fund threatening to board its corporate ship, the company announced that it was going to dump some ballast by paying off some debt early.

New AAOS Guideline for Knee OA
Before you cut…AAOS is announcing the release of an evidence-based clinical practice guideline on “Treatment of Osteoarthritis of the Knee,” a protocol that was explicitly developed to include only treatments which are less invasive than knee replacement surgery.

Nose to Bones: Tentative FDA Nod for Osteoporosis Spray
MDRNA, Inc., a company focused on products based on RNA interference (RNAi), has announced that the FDA has granted tentative approval of its Abbreviated New Drug Application (ANDA) for generic calcitonin-salmon nasal spray for the treatment of osteoporosis.

Cool Discovery: New Genetic Info on Low BMD
Icelandic researchers from deCODE genetics, along with colleagues from Australia and Denmark are reporting the discovery of common single-letter variations (SNPs) in the human genome linked to low bone mineral density (BMD).

MA Plans Bring $1.3 Billion Extra Profits to Insurers
Congress stuck another fork into the Medicare Advantage (MA) program on December 11. House Ways and Means Health Subcommittee Chair, Congressman Pete Stark of California, had requested an analysis from the Government Accountability Office (GAO) about the MA plans' profits for 2006.

Gang of Four Named To Challenge Orthofix Directors
We recently reported that hedge fund Ramius LLC was threatening to call a special meeting of Orthofix shareholders. At the meeting, if called, they would vote to throw four of ten current Orthofix board members overboard and replace them with Ramius' own slate of candidates.

Direct Hit: BioMimetic Achieves Enrollment Target
BioMimetic Therapeutics, Inc. has announced that the company has completed the enrollment of 396 patients in its North American pivotal clinical study for its lead orthopedic product candidate Augment™ Bone Graft. The study is designed to assess the safety and efficacy of Augment for the treatment of hindfoot and ankle fusions as compared to autograft.

U.S. Army Aiming for ‘Disruptive Technologies’
Who knew there was a U.S. Army Science Conference?  In the shadow of Disneyworld no less. But, sure enough, it does exist and this past week a number of cool, futuristic, and potentially “disruptive” medical technologies were on display at the U.S. Army Science Conference in Orlando, Florida.

People in the News

Dr. Andrew Lynn Garners Entrepreneurial Award

Dr. Richard D. Scott Joins ConforMIS Board

Pete Wehrly Lands at Medingo

Upcoming Conferences

5th Annual Emerging Technologies Spine Education Summit
February 4 - 7, 2009 – Steamboat Springs, Colorado

4th Annual Stem Cell Summit
February 17, 2009 – New York

   

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