>>Q4 is always the peak for system sales, but yes - of course hospital cap ex is down.<<
Before somebody jumps on me ... the exception to this rule was 2008. The hospital cap ex crunch was already hitting by Q4, so Q3 system sales exceeded Q4 system sales in 2008.
Suspension of guidance for systems revenue and instruments and accessories revenue, makes me cautious about the increased overall 2009 procedure growth guidance. Is it the just the stocking orders or other reasons? If there were also fewer procedures/system, it might get worse.
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