Covidien bought by Medtronic

Umm, what?

 

What I agree with is that the sales rep is just a foot soldier in the Applied army and they just do what they are instructed to do. Policy changes that favor the sales force promoting employee retention helping material managers to be willing to do business again will allow the rep to focus on product based surgeon selling. That is the best weapon in the field of big businesses becomming bigger looking to eat the small.

The gelpoint should be the surgical standard for all right colectomies that are currently being performed laparoscopically. The product is superior and the surgical and cosmetic results benefits the patient. Course fee exceptions would help.

 

Ive come to realize that posting grudges or suggestions on this website is a last stitch effort because theirs no other way to effectively be heard.

As to another post questioning the Advanced Fixation trocar line. With morbidly obese patients trocar retention is a real issue. The balloon tip solves the retention issue that the patients lack of muscularity and abundance of excess fat creates. However; creating a 5mm trocar with a 9mm outer diameter is a problem with non obese patients to many doctors.

 

Wrong dum-dum. The real issue is getting one of those silly balloon trocars into an obese patient. Your 100mm trocars with a balloon at the end is really like 90mm because you have to factor in that extra port where you blow it up. It reduces the functional working length of the trocar and every bariatric surgeon ive ever met despises those things. Retention isn't an issue, it's the dr making his incisions too big.

 

Thats why the doctor should use the 150mm dum dum. I thought that bariatric surgeons close all incisions due to increased hernia risk? At least every bariatric case that I have seen they close all ports. With bariatric s the outer diameter isn't the issue. If the patient is getting a gastric bypass, banding, or sleeve, the facial defect and cosmesis changes with the body compossition of the patient. I will agree that Im no surgeon, however; the bariatric surgeons that I have worked with prefer the 150mm advanced fixation trocar.

How aggrevating is it for a surgeon to have a trocar remove with instrument exchange and then have to reinsert the cannula. "Obturator" because the cannula gets snagged on the peritineum
Thats why the balloon tip is effective.

 

You won't have to dea

 

You won't have to deal with these issues very long.... Seems like Covidien is taking business away on a daily basis

 

I realize most hospitals have at least one set of Bariatric instruments, but the hospital staff doesn't always know to pull it and if the dr has more than one case that day, then what? You're not supposed to flash instruments and I highly doubt the dr is going to want to wait for 4+ hrs so he can use a balloon trocar. What should they do then Einstein?

 

The size of the incision wouldn't be an issue if Applied's trocars werent larger than the size stated on the trocar. False advertising if you ask me

 

Thats above is part of your job as a sales rep. Picking carts isnt your job but ensuring prefernce cards are changed is.

Dipshit bariatric cases aren't outer diameter battles. Z thread trocar still works and it doesnt have aggresive ridges like the excel. The sales rep can only do so much because i know that you realize that a greater battle hapens above our heads and that is why management needs to step up against the big business moves and also when the competition buys its business away from Applied.

 

Didn't Applied have issues with the Fios separating subcutaneous tissue when pneumo was turned on?

 

The issue isn't separating the tissue. The issue is that the hole in the obturator always causes blood and junk to leak into it and make the optics horrific. It's like a person with near sighted vision not wearing his/her glasses to drive a car 30 MPH down the road. Can it be done? Sure, but would you trust your loved one in the hands of a surgeon using this garbage?

 

If you have seen the Fios video, converted a surgeon thereby observing a case then you would understand the benefit of a surgeon visually entering the abdomen while insufflating. It ensures that safety is first. Blood and fat smear is a very rare occurance and still an improvement over using the excel for optical entry. Also even if the visualisation were to be compromised isn't that still safer than the blind stick of the veres needle?

Separating tissue is a rare occurance. I would agree that tissue separating is rather vicious. It is suggested that pneumo to be set on low to medium during entry.

 

The viciousness of the Excel barbs I'm not disputing, Applied cannula is smoother. However......they're also wider, and the optics suck. NOONE uses FiOS. End of story. Let me rephrase this. Out of 20 dr's in any give. Hospital, MAYBE one or 2 use it. And blood almost ALWAYS gets stuck inside the obturator. Whoever wrote the above post is either a DM, product specialist, or the engineer who invented this stupid thing. Let me ask u this sir: as your hospitals are converting back to Ethicon & Covidien across the country, how many of those dr's are like, "I've GOT to have my FiOS trocar?" ROTFLMAO

 

Why are the accounts converting to Covidien and Ethicon?

 

Turn on the insufflator while it's going in and it's a non-issue.

 

The most productive comments are company policy related. Solving the mechanical problems of the company give the sales rep the keys needed to healing broken account relations and selling more product. Sometimes Detente begins with a game of ping pong and not being a sound board to be plugged into.

 

It appears that someone opened up a Jar of Flies because they are all hovering around the turds on this website.

 

In English please.

 

What do you expect when our CEO and his family are all immigrants from the Middle East? English is definitely not their forte.