nonsense , you have no idea what has been discussed in any of the meetings unless you work for the FDA/Mayo or Vivos. There is no dragging of feet, Vivos are working with the FDA on the EFS program that the FDA suggested. The process is working as designed.
Really need to keep it real.
There is no gross incompetence, unless you think the Mayo work with teams like that. I don't think so. it is what it is