Brian P. Concannon
Analyst · Goldman Sachs.
Yes, and I think I've covered this, but let me try to be real clear and make sure you get this, David, as you're new to the story. So if I'm not here, please press this. And I said, I agree with you about the market. What we're seeing is stability, and as I said, in some sectors and some people you talked to, maybe down 1 point, maybe as much as 2 points. But for the most part, a fairly flat surgical marketplace. I mean, we've actually tried to look at it in both the orthopedic environment and the cardiovascular environment. And again, come out with very, very similar conclusions. What we are seeing in the surgical cell salvage, a return to the market of a competitor who have been out of the market due to a natural disaster last year. It's a European customer who was affected by an earthquake that virtually shut down their production for several quarters. We expected that to happen, primarily a European impact. We've maintained the majority of that business. Our new Cell Saver Elite is being well-received by our customers. We fully expect that to return to growth in the back half of the year, so that's one of those short-term issues. In orthopedic cell salvage with the OrthoPAT, we're seeing the greater use of a drug in the space, a generic drug that was, for the most part, driven by a spike following the AAOS meeting where this drug got a lot of attention in terms of its use, and it stems bleeding in orthopedic cell salvage. Now again, this is a market where we continue to believe the opportunity for surgical procedures that are losing -- orthopedic surgical procedures that are losing sufficient enough blood to salvage remains high, about 25% of that total market. So it really is, how do we launch our OrthoPAT Advance back into this market, how do we come at this market the right way, and how do we come at this from a go-to-market standpoint differently than what we've done in the past as we partner with orthopedic distributors in that space. When you look at this by market, we continue to see gains in our emerging markets. These are markets where they are not collecting enough blood today. They know they need to address that. Safety is a concern. They're making great strides as it relates to their safety programs. We fully expect those markets to ramp in terms of collection, but we're seeing the benefit to surgical cell salvage in those markets. We expect that to continue to ramp.