I think we will find out soon regarding patent strength. They have 3 lawsuits against patent infringers that are moving along.
There is competition and there will be more and more, but mimedx has a good 3-4 year jump start and are now the incumbent. Everyone else still needs to wade through the reimbursement challenges that we have completed. Osiris is always touted as having a better product, but the sales tell a different story. I think hospitals like epifix because it works, it's cheap, and it has a 5 year shelf life and no cryo temp requirements. That's tough to beat.