Podcast – “Inside Orthopedics”

Tiger shares unique insights into the Orthopedic industry and interviews with startup leaders.

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#32 - The New Business Model in Orthopedics (10 mins)

Software is changing Orthopedics forever.  Believe it or not, in the near future, many Orthopedic companies will discount or even give away “medical devices”, in exchange for the data.  

TODAY most orthopedic companies will say that they “sell implants, disposables and capital equipment…  and, by the way, we provide software for the surgery or tracking clinical results or steps.”  The software is a free service provided to sell more implants.

TOMORROW most orthopedic companies will say that they “sell data captured by software….  and, by the way, we provide implants, disposables and capital equipment.” The implants are provided to get the data. It’s flipped.

Follow me through this thought experiment. 

Then tell me what company will be first to leverage the new software profit model in Orthopedics. [ tiger@tigerbuford.com ]

#31 - Anatomy of a Startup - Q&A with Mark Foster, CEO @ Trice Medical (42 mins)
Mark provides insight into how a disruptive little startup, called Trice Medical, has created a brand new category in orthopedics and how they are executing today. Please excuse the cell phone skips during our conversation. You will be glad that you listened.  Enjoy.
Trice Medical website – https://tricemedical.com/
Trice Medical was founded to fundamentally improve orthopedic diagnostics for the patient, physician, and payer by providing instant, eyes-on, answers. Trice has pioneered fully integrated camera-enabled needle technologies that provide a clinical solution that is optimized for the physician’s office. Trice’s mission is to provide more immediate and definitive patient care, eliminating the false reads associated with current indirect modalities and significantly reduce the overall cost to the healthcare system.
#30 - Sacred Cows in Orthopedics (8 mins)

A “Sacred Cow” is a firmly held belief that is rarely questioned. The big orthos are not immune to Sacred Cows because of their defensive mindsets driven by a short-term finance goals.  I share 7 Sacred Cows that I see in Orthopedics today.

#29 - The Founder Effect in Orthopedic Startups (12 mins)

An analysis of how the background of the Founder creates strengths/weaknesses for the startup business in the early years.  The Founder’s strengths help to create the Founder’s blind spots.  I dissect 7 Founder types by strengths/weaknesses and offer advice on early moves to compensate for weaknesses.

#28 - The End of Big Ortho Dominance (6 mins)

I will share the one blindspot that the Big Orthos have that could bring them down in the future.  Time will tell if this Achilles Heal will kill them, or if they adapt.  

#27 - How Orthopedic devices companies can leverage digital marketing (58 mins)

This is a deep dive into how Orthopedic Companies can leverage Digital Media using new strategies and techniques.   Lisa and I cover these questions and more:  How do Orthopedics companies use digital marketing today? How should Orthopedics companies use digital marketing? Which social media platforms are the best for reaching surgeons and patients? 

#26 - Anatomy of a Startup - How little Danek became the largest spine company in the world (68 mins)

The first time this story has been told.  This is the real story of Danek as told by Ted Bird. Ted was there. He was one of the early employees at Danek and was part of the team responsible for the dynamic growth. In this podcast you will hear some great startup business practices, some brilliant gambles and the culture that enabled Danek to go from zero to world dominance in spine.

#25-Anatomy of a startup - Q&A with Marty Wynkoop, co-founder or OrthoHelix (58 mins)

An inside look into a  successful orthopedic startup (OrthoHelix) from inception to being acquired.  The story is told by the co-founder Marty Wynkoop, the head of operations, sales and marketing.  Marty shares nuggets of wisdom on how to build value in an orthopedics startup, hiring, funding, , developing products, focusing on profitability and more. 

#24 - Anatomy of a Startup - Q&A with Dr. Brett Sanders, Founder of Tensor Surgical (34 mins)

This is a look inside a surgeon-founded startup that is disrupting the orthopedics industry, in this case, arthroscopy.   An interview with Dr. Brett Sanders is an Orthopedic Surgeon who has re-invented trans-osseous arthroscopic tunneling fixation with some very clever cost-effective tools. His startup is called Tensor Surgical.   http://tensorsurgical.com/

#23 - Real Career Advice for Engineers working in Orthopedics (12 mins)

I share 16 specific pieces of advice.  This is real-life coaching for Engineers who want to accelerate their careers in our industry.  Nobody else in going to tell you this stuff.  I wish I had know these stuff when I was starting out in Orthopedics.  Enjoy.

#22 - Six Hiring Mistakes that can Kill an Orthopedic Startup (8 mins)

Don’t blow it early.  The first 5 to 10 people that you hire in will either set your company up for success or break your company.  I discuss six hiring mistakes that I have seen in early stage orthopedic companies.

#21 - How to create innovation in orthopedics (10 mins)

Want innovation?  Interation could be the killer app for creating game-changing innovation today in orthopedics.

Successful innovation giants that we all know like Danek, SpineTech, Kyphon, Arthrex, MAKO, Hand Innovations and Mazor Robotics used iteration to innovate.

#20 - Anatomy of a startup - 1st conversation with Erik Paul, CEO of Exiom who is bringing 3D printed casts to the US for better early fracture immobilization.

3D printing is the most significant advance in fracture immobilization in decades and Exiom has the best solution.

Listen to this “live” interview with the CEO of Exiom, Erik Paul.  You will get the inside scope on the origins of the technology to grass roots commercialization here in the US.

Software makes a better cast or brace for your child or loved one. You will start to see these in Emergency rooms everywhere.


(17 min.)

#19 - Anatomy of a startup - 1st conversation with the Micro C Founder, Dr. Greg Kolovich

How does a surgeon take an idea and turn it into a solution that will change imaging in the operating room forever?

Listen to this “live” interview with the Founder of Micro C, Dr. Greg Kolovich.  You will hear the story of product concept through design freeze, before FDA submission of his invention.

Micro C is reinventing what is possible imaging in the operating room with handheld mobile fluoroscopy.   https://www.microcimaging.com/
(30 min.)

#18 - A Random discussion between Joe Hage and Tiger Buford

Eavesdrop into a cell phone conversation between Joe and Tiger.  We discuss a variety of topics, including:  orthopedics buying decisions, LinkedIn, building medical device communities with digital marketing, the future of work, virtual consulting, and marketing direct to patients. (41 min.)

#17 - The 7 Benefits of Working Inside a Startup

This one is for my orthopedic friends who think they might want to work inside a startup but don’t really understand the upsides.  I share the 7 real-world advantages of startup work in orthopedics. (7 min.)

#16 - Why good people get stuck inside big Orthopedic companies

This one is for orthopedic professionals working in big orthopedic companies and have an interest in moving to a smaller orthopedic company.  I share insights into how good people stuck and become “institutionalized”. Don’t become the frog. (4:30 min.)

#15 - Are you ready for a Startup?

Most people do not know if they would excel inside a startup.  Answer 8 simple questions to see if you have the RIGHT STUFF.  Take the startup test and see if you pass. Good luck. (8:45 min.)

#14 - An inside look at a successful startup – Ellipse Technologies

How did Ellipse go from a product concept to  an irresistible takeover target 8 years later?  I share 10 insights into this real-life success story from the early days to acquisition. I was there. (17 min.)

#13 - Who is Reinhold Schmieding?

The story of how the Arthrex founder went from a startup to the king of Sports Medicine using a different focus and style from all the other Orthopedic giants.   Today, this little known executive is worth $5.9B (the 108th richest American). (19:30 min.)

#11 - The Secret Weapon for Orthopedic Startups

Startups can use RISK as a competitive weapon.  I share the experience at Ellipse Technologies where we used this weapon to blow past the competition and go from $0 to a $400M valuation. (8 min.)

#10 - Real Career Advice for Young Engineers in Orthopedics

Orthopedics has been great for me.  I want to give back. So this podcast is for the young engineers just starting out.  
I would like to share 16 pieces of advice for young Engineers who want  fast career progression. 
(10:30 min.)

# 9 - Why you should Fire your Marketing Leader

Marketing leaders make alot of mistakes, especially in Orthopedics.

Here I share 6 Red Flags to look for that you may need to make a change to your Marketing leadership.
(8:30 min.)

#8 - Why you should fire your R&D Leader

If your new product pipeline is not robust, then your R&D Leader could be the problem.  I review 8 specific Red Flags to look for in your R&D leadership.
(6:2o min.)

#7 - Six Early Hires that will Breed Success in your Orthopedic Startup

Startup CEOs often ask for advice on the what kind of people to bring in early and in what order.  I will share my thoughts on the first six people to add. (8 min.)

#6 - Dynamite for your Orthopedic Company

5 traits to look for when hiring entrepreneurs to inject innovation into your orthopedic company. (9 min.)

#5 - Dear CEO, the Future of Orthopedics is Software

Something happened in 2018.  I saw the Orthopedic world shift.  It was subtle but real. This a wake-up call for my orthopedic peers as we head into the 2020 decade. (7 min.)

#4 - An Open Letter to Orthopedic Companies

Stop being ordinary!!!!   It’s time to be Remarkable. (5 min.)

#3 - Why the orthopedic startup IDEA doesn't matter

Orthopedic startups, your execution is more valuable than your idea. Here is why. (5 min.)

#2 - 12 Hot Startups in Orthopedics (just my opinion)

Tiger shares the 12 hot startups that he is watching in Orthopedics (19 mins).

#1 - The Future of Marketing in Orthopedics

Advice for Orthopedic manufacturers. 
Why today’s marketing techniques are broken. 
A look at how marketing will be executed in the future.

Is metal hypersensitivity testing unnecessary?

IS METAL HYPERSENSITIVTY TESTING UNNECESSARY? (Orthopedics This Week) A new review article has found that the existing literature does not support preoperative metal hypersensivity testing. The article, “Metal Hypersensitivity in Total Joint...

Surgeons perform a trans-umbilical (belly button) implantation of lumbar artificial disc

Local doctors perform first spinal disc surgery of its kind in the U.S. (Summit Daily, Summit County CO) Vail-Summit Orthopaedics surgeons complete spinal disc implant surgery via the belly button E A first-of-its-kind surgery in the United States was recently...

Digital Management of Orthopedic Sets and Implant Supply Chain Automation

Velox in action On June 17th, 1974 a checkout clerk at Marsh’s Supermarket in Dayton OH swiped a 10 pack of JuicyFruit across a laser, recording the price of 69 cents.  At first blush this first use of a barcode to buy a pack of gum seems rather insignificant. It...

As tech companies move into health care, here’s what to watch in 2019

As tech companies move into health care, here’s what to watch in 2019 (The Verge) From Amazon and Apple opening clinics to Uber launching a medical transit program, technology giants spent 2018 moving into the health care space. Many of these initiatives are...

Medicare’s bundled ortho payments yield modest savings

Medicare’s bundled ortho payments yield modest savings (MassDevice) Medicare’s randomized trial of a new bundled payment model for hip and knee replacement surgeries led to $812 in savings per procedure, a 3.1% reduction in costs when compared...

Should reimbursements for high-BMI total joint patients be adjusted?

COMPENSATION SHOULD BE ADJUSTED FOR BMI-RELATED COSTS (Orthopedics This Week) Researchers from Canada have examined the costs and outcomes of total hip arthroplasty (THA) among patients in different weight categories and concluded that physician pay...

The real reasons why a VC passed on your startup

Originally published on Forbes in multiple parts. Part 1 here. You’re more likely hear about the companies that venture capitalists said “yes” to — the big funding rounds, the success stories, and the unicorns. But the...

Revolutionizing the Future of Orthopedics — Teddy Hodges, BRACEUNDER 

Revolutionizing the Future of Orthopedics — Teddy Hodges, BRACEUNDER (Medium) Health Transformer Teddy Hodges, co-founder and CEO of BRACEUNDER, discusses his company’s cutting edge technology in the restorative and therapeutic treatment...

3D Printing Orthopedic Solutions — Where are we? An Update.

3D Printing Orthopedic Solutions — Where are we? An Update. (Medium) Healthcare is rapidly changing and by this, I mean that the technology of delivery and care is advancing faster than the providers, the insurers and the patients can keep up....
Ready to take your orthopedic recruiting game to the next level?
Contact Tiger Buford: tiger@tigerbuford.com

The Future of Marketing in Orthopedics

Why the orthopedic startup IDEA doesn't matter

12 Hot Startups in Orthopedics (just my opinion)

An Open Letter to Orthopedic Companies

Dear CEO, the Future of Orthopedics is Software

Dynamite for your Orthopedic Company


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