Scalpel,
There is no distributorship in the USA with the ability from a sales point of view; professional capital and OR clinical/robotics skill let let alone coverage that can sell this product.
Active Medical is a regional distributor and just selling lap instrumentation and some capital equipment (lower end) no way makes them qualified to compete against ISRG. Just because they sell Microline regionally does not make them qualified. You can't take miss matched distributors and piece this together and get consistent, professional results that are needed.
Direct reps, capital and clinical will mainly come from Intuitive Surgical. There are plenty of former Intuitive reps and those without non-competes.
You don't need a distribution system set up 6 months ahead of approval. You assemble the clinical training programs ahead of time and the people to support them and you bring on reps after approval. You can train the reps and have them in the field in a couple weeks. Initial site will be handled by the core training staff. They will also be utilized as training sites for new reps to come in and mentor.
They would most likely start with around a dozen wraps and bring on 2 to 4 quarterly and then ramp up as momentum and cash flow comes in.
You don't higher reps for all 50 states day one and try to compete nationally with Intuitive.
Unlike the piece of shit from TRXC I strongly believe they will have people waiting to purchase this in the first quarter after launch, not the 18 month sales cycle TRXC he is putting out as as an excuse and cover for no sales interest.
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