1
00:00:00,080 --> 00:00:02,319
This is Carly Beam with the Becker Spine

2
00:00:02,319 --> 00:00:05,040
and Orthopedics podcast. And today, I'm joined by

3
00:00:05,040 --> 00:00:07,440
doctor Osama Choudhury to talk about some of

4
00:00:07,440 --> 00:00:10,179
the latest developments in the spine medtech space.

5
00:00:10,320 --> 00:00:12,080
Doctor Choudhury, thank you so much for being

6
00:00:12,080 --> 00:00:13,484
here. Thank you, Charlie.

7
00:00:13,785 --> 00:00:16,024
And so before we begin, could you introduce

8
00:00:16,024 --> 00:00:18,105
yourself and tell us a bit more about

9
00:00:18,105 --> 00:00:21,625
your clinical background and also what you're doing

10
00:00:21,625 --> 00:00:22,605
with, Medevis?

11
00:00:23,864 --> 00:00:24,265
Yep.

12
00:00:24,904 --> 00:00:25,384
So,

13
00:00:25,945 --> 00:00:28,445
my background is in neurosurgery. I,

14
00:00:29,189 --> 00:00:32,570
trained and am on faculty at, NYU Langone.

15
00:00:33,030 --> 00:00:36,009
And, I'm a cofounder here at Medeviz

16
00:00:36,629 --> 00:00:37,129
alongside,

17
00:00:38,789 --> 00:00:40,309
doctor Morley and,

18
00:00:41,125 --> 00:00:43,924
and so the, wonderful engineers that we have

19
00:00:43,924 --> 00:00:45,225
such as doctor Kian.

20
00:00:45,924 --> 00:00:48,585
And our entire focus at Metabiz is

21
00:00:49,045 --> 00:00:49,545
introducing,

22
00:00:50,645 --> 00:00:54,664
the next generation of navigation technology centered around,

23
00:00:55,640 --> 00:00:57,979
artificial intelligence and augmented reality,

24
00:00:59,079 --> 00:01:00,380
allowing for just

25
00:01:01,000 --> 00:01:01,500
enhanced

26
00:01:01,880 --> 00:01:03,500
perception, enhanced visualization,

27
00:01:04,439 --> 00:01:05,819
during surgical procedures.

28
00:01:06,920 --> 00:01:07,900
Great. And,

29
00:01:08,439 --> 00:01:10,245
to get a start, you know, this is

30
00:01:10,564 --> 00:01:11,225
great timing,

31
00:01:11,765 --> 00:01:12,745
with this podcast.

32
00:01:13,204 --> 00:01:15,924
This week, just yesterday, BB Spine, they announced

33
00:01:15,924 --> 00:01:19,625
that they're gonna acquire Augmedic's AR Spine System.

34
00:01:19,765 --> 00:01:20,585
And I'm wondering

35
00:01:21,125 --> 00:01:23,765
what you think this move means for a

36
00:01:23,765 --> 00:01:26,590
broader spine tech landscape and just just any

37
00:01:26,590 --> 00:01:28,670
kind of predictions you have when it comes

38
00:01:28,670 --> 00:01:29,170
to

39
00:01:29,630 --> 00:01:31,250
AR and spine surgery?

40
00:01:32,430 --> 00:01:35,390
Yeah. Obviously, big news. You know, Augmedix is

41
00:01:35,390 --> 00:01:37,890
certainly a pioneer in this space, and,

42
00:01:38,430 --> 00:01:40,795
they've done wonderful work in introducing seeing the

43
00:01:40,795 --> 00:01:42,494
market to augmented reality

44
00:01:42,954 --> 00:01:43,774
for navigation.

45
00:01:44,554 --> 00:01:45,454
VB Spine,

46
00:01:45,994 --> 00:01:46,494
obviously,

47
00:01:47,194 --> 00:01:49,034
you know, they acquired these,

48
00:01:49,354 --> 00:01:52,394
Stryker spine implant portfolio, and they're really looking

49
00:01:52,394 --> 00:01:54,329
to differentiate themselves and,

50
00:01:54,810 --> 00:01:57,390
introduce new technology to the market. So,

51
00:01:58,329 --> 00:02:01,390
excited for for v b spine and Augmedix

52
00:02:01,609 --> 00:02:03,870
to to have joined in that partnership.

53
00:02:04,250 --> 00:02:06,730
You know, always curious to understand what that

54
00:02:06,730 --> 00:02:08,110
means in terms of,

55
00:02:08,925 --> 00:02:10,944
Augmedix kind of remaining an

56
00:02:11,245 --> 00:02:13,185
open platform, which it was previously.

57
00:02:14,125 --> 00:02:16,064
The trend for a lot of,

58
00:02:16,765 --> 00:02:18,145
the enabling technologies

59
00:02:18,525 --> 00:02:19,025
within

60
00:02:19,564 --> 00:02:20,865
spine have been towards,

61
00:02:21,485 --> 00:02:25,099
joining forces with an implant company so that

62
00:02:25,319 --> 00:02:26,540
they can, you know,

63
00:02:26,919 --> 00:02:27,400
work,

64
00:02:27,800 --> 00:02:29,020
together and,

65
00:02:29,800 --> 00:02:32,360
and have a increased sort of,

66
00:02:32,760 --> 00:02:35,560
ability to provide a differentiated technology to the

67
00:02:35,560 --> 00:02:37,099
market as compared to competitors.

68
00:02:37,784 --> 00:02:38,685
But, you know, obviously,

69
00:02:39,544 --> 00:02:42,205
not every surgeon uses the BB Spine portfolio.

70
00:02:42,344 --> 00:02:44,205
So I'm wondering what will happen,

71
00:02:44,745 --> 00:02:45,544
with the surgeons,

72
00:02:45,944 --> 00:02:47,564
that don't but used Augmedix.

73
00:02:48,185 --> 00:02:48,925
But certainly,

74
00:02:49,784 --> 00:02:51,884
great news for the industry.

75
00:02:52,469 --> 00:02:55,769
And, we're obviously big fans of augmented reality

76
00:02:55,830 --> 00:02:57,209
technology ourselves, and,

77
00:02:57,830 --> 00:02:59,989
and it's exciting to have a company like

78
00:02:59,989 --> 00:03:00,489
Augmedix,

79
00:03:01,430 --> 00:03:03,349
you know, have at home now at VB

80
00:03:03,349 --> 00:03:05,449
Spine and and, continue,

81
00:03:06,229 --> 00:03:09,525
their work in, in creating new technology as

82
00:03:09,525 --> 00:03:10,025
well.

83
00:03:10,564 --> 00:03:12,564
Absolutely. And I'd love if you could just

84
00:03:12,564 --> 00:03:14,485
kind of dive in more into just any

85
00:03:14,485 --> 00:03:17,544
other spy innovations that you've been using clinically

86
00:03:17,685 --> 00:03:19,064
that excite you the most.

87
00:03:20,550 --> 00:03:21,610
I think a lot

88
00:03:21,909 --> 00:03:23,290
of the spine innovations

89
00:03:23,670 --> 00:03:26,629
that are exciting that are are now coming

90
00:03:26,629 --> 00:03:28,550
down the pipeline, certainly a lot of,

91
00:03:29,430 --> 00:03:31,290
innovation around AI based,

92
00:03:31,909 --> 00:03:32,969
surgical planning,

93
00:03:33,590 --> 00:03:35,129
personalized raw templating.

94
00:03:36,064 --> 00:03:39,185
There's a newer innovations on, kind of inner

95
00:03:39,185 --> 00:03:41,704
body devices as well. We've obviously seen what

96
00:03:41,824 --> 00:03:43,364
what's happened with kind of,

97
00:03:44,064 --> 00:03:46,324
many years now of introduction of expandable,

98
00:03:47,104 --> 00:03:50,739
inner body technology. And and, and obviously, on

99
00:03:50,739 --> 00:03:52,979
the implant side, innovations and kind of prone

100
00:03:52,979 --> 00:03:53,959
lateral approaches.

101
00:03:54,819 --> 00:03:57,860
So there's been wonderful innovation both on the

102
00:03:57,860 --> 00:04:00,019
hardware side and the implant side as well

103
00:04:00,019 --> 00:04:02,655
as the digital ecosystem. And,

104
00:04:03,534 --> 00:04:06,334
and for myself personally, I think, just the

105
00:04:06,334 --> 00:04:07,395
excitement around

106
00:04:07,775 --> 00:04:09,775
AI and and what it will do to

107
00:04:09,775 --> 00:04:11,875
kind of how we make decisions for,

108
00:04:12,495 --> 00:04:14,594
what approaches to take for our patients,

109
00:04:15,389 --> 00:04:16,529
as well as

110
00:04:17,149 --> 00:04:19,870
executing in the operating room is, is very

111
00:04:19,870 --> 00:04:20,370
exciting.

112
00:04:20,829 --> 00:04:22,850
Yeah. And I'd love to hear some examples

113
00:04:22,910 --> 00:04:25,550
of how you're using AI both, you know,

114
00:04:25,550 --> 00:04:28,189
working at Medevis and then also when you're

115
00:04:28,189 --> 00:04:29,169
working with patients.

116
00:04:30,105 --> 00:04:32,525
I mean, I think for any technology company,

117
00:04:32,585 --> 00:04:34,824
AI is is becoming kind of a central

118
00:04:34,824 --> 00:04:35,324
pillar

119
00:04:35,865 --> 00:04:36,764
of how,

120
00:04:37,785 --> 00:04:38,285
one,

121
00:04:39,464 --> 00:04:42,045
innovates and, you know, our engineers are,

122
00:04:42,665 --> 00:04:44,610
very much adapting to kind of,

123
00:04:45,169 --> 00:04:47,490
the ability to use AI to,

124
00:04:47,810 --> 00:04:49,750
increase throughput in terms of,

125
00:04:50,289 --> 00:04:51,909
bringing features to market,

126
00:04:53,490 --> 00:04:54,949
investigating new ideas.

127
00:04:55,409 --> 00:04:57,089
You know, as we know, spine kind of

128
00:04:57,089 --> 00:04:59,029
enabling technology has always,

129
00:04:59,975 --> 00:05:01,754
really been focused on,

130
00:05:02,615 --> 00:05:03,595
implant placement,

131
00:05:04,055 --> 00:05:05,675
like screw placement primarily.

132
00:05:06,214 --> 00:05:08,535
And, you know, at Medeviz, we really believe

133
00:05:08,535 --> 00:05:09,274
that navigation,

134
00:05:11,095 --> 00:05:13,035
can go beyond that. It can really,

135
00:05:14,129 --> 00:05:14,629
help

136
00:05:15,569 --> 00:05:16,230
with execution.

137
00:05:16,610 --> 00:05:18,470
And the other parts of the operation

138
00:05:18,770 --> 00:05:20,790
such as decompression or,

139
00:05:21,250 --> 00:05:24,230
for example, in, in deformity cases, osteotomies

140
00:05:24,930 --> 00:05:27,350
for, for alignment correction.

141
00:05:28,154 --> 00:05:30,654
And so, you know, AI certainly helps

142
00:05:31,194 --> 00:05:31,694
one,

143
00:05:32,154 --> 00:05:35,034
iterate faster. And so we're we're very excited,

144
00:05:35,034 --> 00:05:36,414
and the engineering team,

145
00:05:37,194 --> 00:05:39,834
is also very exciting to to harness these

146
00:05:39,834 --> 00:05:41,439
tools. For myself personally,

147
00:05:42,139 --> 00:05:43,660
the way AI is being used, I I

148
00:05:43,660 --> 00:05:44,160
think

149
00:05:44,620 --> 00:05:47,199
there's been a huge shift in terms of,

150
00:05:47,580 --> 00:05:49,040
using AI for documentation.

151
00:05:49,740 --> 00:05:50,879
You know, at NYU,

152
00:05:51,500 --> 00:05:52,319
we've adopted,

153
00:05:53,180 --> 00:05:55,785
a bridge as a platform. There's other great

154
00:05:55,785 --> 00:05:58,105
companies out there as well, like Ambiance and

155
00:05:58,105 --> 00:05:59,964
Come Your, which allow for,

156
00:06:00,824 --> 00:06:02,204
for one to document,

157
00:06:03,064 --> 00:06:05,324
a patient visit readily and,

158
00:06:06,024 --> 00:06:09,160
and kind of, decrease the the burden on

159
00:06:09,160 --> 00:06:09,819
the clinician,

160
00:06:10,519 --> 00:06:12,120
to have to do notes at a later

161
00:06:12,120 --> 00:06:14,120
time point. I think that's how AI is

162
00:06:14,120 --> 00:06:16,779
now starting to be used in clinical practice.

163
00:06:17,560 --> 00:06:19,660
There's other platforms like Open Evidence

164
00:06:20,279 --> 00:06:21,944
and Doximity that are

165
00:06:22,345 --> 00:06:25,865
being used, to kind of, ask clinical questions

166
00:06:25,865 --> 00:06:28,264
and and be able to search peer reviewed

167
00:06:28,264 --> 00:06:29,485
literature more easily.

168
00:06:29,944 --> 00:06:32,345
And so that's another exciting way that AI

169
00:06:32,345 --> 00:06:33,645
is being used as well.

170
00:06:34,039 --> 00:06:35,720
So, you know, it's only the beginning of

171
00:06:35,720 --> 00:06:37,660
what's will what's going to be possible,

172
00:06:38,120 --> 00:06:40,620
but, a very exciting time for sure.

173
00:06:41,079 --> 00:06:43,099
Definitely couldn't afford it better myself,

174
00:06:43,399 --> 00:06:45,339
just, you know, the beginning of everything.

175
00:06:45,959 --> 00:06:48,039
And, you know, when you think about just

176
00:06:48,039 --> 00:06:49,500
headwinds in your work,

177
00:06:50,095 --> 00:06:50,995
what are you anticipating

178
00:06:51,375 --> 00:06:53,375
the most in terms of headwinds, and how

179
00:06:53,375 --> 00:06:54,915
are we gonna be getting ahead of it?

180
00:06:55,615 --> 00:06:57,774
Yeah. I mean, our focus at MetaBiz, again,

181
00:06:57,774 --> 00:06:58,675
is to provide,

182
00:06:59,214 --> 00:06:59,875
you know,

183
00:07:00,495 --> 00:07:03,154
what we call surgical intelligence in the form

184
00:07:03,294 --> 00:07:03,794
of,

185
00:07:04,370 --> 00:07:04,949
of navigation

186
00:07:05,329 --> 00:07:07,730
using AI and AR. And for us, it's

187
00:07:07,730 --> 00:07:09,589
a very visual technology, and,

188
00:07:10,529 --> 00:07:12,550
our work primarily for the

189
00:07:12,850 --> 00:07:15,089
last few years was centered around working with

190
00:07:15,089 --> 00:07:17,495
the FDA to get the the,

191
00:07:18,194 --> 00:07:20,274
the approvals needed in order to bring this

192
00:07:20,274 --> 00:07:22,134
technology to market. And so,

193
00:07:22,675 --> 00:07:24,455
you know, in the last six months, we,

194
00:07:25,235 --> 00:07:26,995
we announced clearance for,

195
00:07:27,395 --> 00:07:29,735
for spine surgery specifically. And then,

196
00:07:30,350 --> 00:07:33,870
in December 2025, we announced clearance for cranial

197
00:07:33,870 --> 00:07:36,350
surgery, which is important because, you know, half

198
00:07:36,350 --> 00:07:37,490
of spine procedures

199
00:07:37,949 --> 00:07:40,270
or in the in The United States are

200
00:07:40,270 --> 00:07:42,610
performed by neurosurgeons who also

201
00:07:42,985 --> 00:07:45,465
do cranial procedures or may do cranial procedures

202
00:07:45,465 --> 00:07:47,145
as well. So it's great to be able

203
00:07:47,145 --> 00:07:48,205
to have both clearances.

204
00:07:49,145 --> 00:07:50,525
And for us, headwinds,

205
00:07:51,225 --> 00:07:53,004
you know, the the main headwind

206
00:07:53,625 --> 00:07:55,560
that or the main challenge that,

207
00:07:56,040 --> 00:07:58,379
we have to work through is really distribution.

208
00:07:59,399 --> 00:08:01,399
You know, I think the the team's done

209
00:08:01,399 --> 00:08:03,100
an incredible job of creating

210
00:08:03,480 --> 00:08:05,019
a very compelling product,

211
00:08:05,800 --> 00:08:07,480
you know, in terms of best in class

212
00:08:07,480 --> 00:08:10,824
AR technology. But it really is important for

213
00:08:10,824 --> 00:08:12,745
us to get the product in the hands

214
00:08:12,745 --> 00:08:13,245
of,

215
00:08:13,944 --> 00:08:16,664
the surgeons that could potentially use it. And

216
00:08:16,664 --> 00:08:18,524
how one does that as a

217
00:08:18,904 --> 00:08:20,284
as a start up company,

218
00:08:20,904 --> 00:08:24,610
you know, requires kinda ingenuity and and creativity.

219
00:08:24,990 --> 00:08:27,470
And, and that's what we're excited about tackling

220
00:08:27,470 --> 00:08:29,250
head on this year is how can we

221
00:08:29,310 --> 00:08:30,289
get as many

222
00:08:30,589 --> 00:08:32,909
clinicians and surgeons as possible to see the

223
00:08:32,909 --> 00:08:35,250
technology for themselves and see what's possible,

224
00:08:35,789 --> 00:08:37,549
when they're able to leverage this in their

225
00:08:37,549 --> 00:08:38,450
operating room.

226
00:08:39,044 --> 00:08:40,964
Yeah. And then also in terms of headwinds,

227
00:08:40,964 --> 00:08:42,964
you know, when you're thinking about your clinical

228
00:08:42,964 --> 00:08:44,345
work at NYU,

229
00:08:45,205 --> 00:08:47,384
what's the biggest challenge you're facing?

230
00:08:48,884 --> 00:08:51,784
Well, I think clinical work in general for,

231
00:08:52,325 --> 00:08:54,480
for surgeons and clinicians is,

232
00:08:54,959 --> 00:08:56,179
in kind of a,

233
00:08:56,799 --> 00:08:59,120
an interesting period. You know, we're, you know,

234
00:08:59,120 --> 00:09:02,579
nationally, we're always dealing with changes in policy,

235
00:09:02,639 --> 00:09:04,339
whether it's reimbursement cuts.

236
00:09:05,600 --> 00:09:06,419
There's certainly

237
00:09:07,605 --> 00:09:09,865
more of an influence of administration

238
00:09:10,325 --> 00:09:11,144
in terms of,

239
00:09:12,004 --> 00:09:12,884
of kind of,

240
00:09:13,524 --> 00:09:14,425
what procedures,

241
00:09:15,365 --> 00:09:17,285
we do or what technologies we can work

242
00:09:17,285 --> 00:09:19,684
with. And, I think for the individual surgeon,

243
00:09:19,684 --> 00:09:21,299
these are all challenges that

244
00:09:22,100 --> 00:09:23,639
one has to navigate

245
00:09:24,019 --> 00:09:24,519
simultaneously.

246
00:09:25,700 --> 00:09:27,620
It's one of the most exciting times to

247
00:09:27,620 --> 00:09:30,360
be practicing just given the amount of technology

248
00:09:30,580 --> 00:09:33,700
available and and the the potential for what

249
00:09:33,700 --> 00:09:34,600
will be possible,

250
00:09:35,445 --> 00:09:37,524
for us to do for our patients. And

251
00:09:37,524 --> 00:09:38,024
so,

252
00:09:38,965 --> 00:09:40,264
it's, it's certainly,

253
00:09:40,965 --> 00:09:42,904
going to be an interesting time period,

254
00:09:43,524 --> 00:09:44,965
for surgeons over the next,

255
00:09:45,524 --> 00:09:46,665
five to ten years.

256
00:09:47,139 --> 00:09:48,019
Got it. And then, you know, when you

257
00:09:48,019 --> 00:09:49,699
think about your clinical practice, how are you

258
00:09:49,699 --> 00:09:50,600
thinking about

259
00:09:50,980 --> 00:09:53,139
growth in the next twelve to twenty four

260
00:09:53,139 --> 00:09:53,639
months?

261
00:09:54,740 --> 00:09:57,779
Yeah. I mean, my primary focus is,

262
00:09:59,315 --> 00:10:02,355
with Medeviz and and leading Medeviz, you know,

263
00:10:02,355 --> 00:10:04,294
clinically, the work that I do,

264
00:10:05,475 --> 00:10:07,495
at NYU is a mixture of both cranial

265
00:10:07,554 --> 00:10:08,695
and spine surgery.

266
00:10:09,475 --> 00:10:11,335
And, you know, for me personally,

267
00:10:11,875 --> 00:10:12,375
certainly,

268
00:10:13,139 --> 00:10:15,220
the ability to use kind of,

269
00:10:15,620 --> 00:10:16,440
these technologies

270
00:10:16,740 --> 00:10:17,240
that,

271
00:10:17,779 --> 00:10:19,399
we've been focused on developing,

272
00:10:20,580 --> 00:10:22,500
is something that really excites me. You know,

273
00:10:22,500 --> 00:10:23,879
the ability to use,

274
00:10:24,740 --> 00:10:28,495
technologies like augmented reality to do cranial surgery

275
00:10:28,495 --> 00:10:30,514
and to do spinal fusion surgery,

276
00:10:31,054 --> 00:10:32,815
and then to see the effects of that.

277
00:10:32,815 --> 00:10:33,475
You know,

278
00:10:33,774 --> 00:10:35,615
for us as a team, it's very important

279
00:10:35,615 --> 00:10:36,595
to study outcomes.

280
00:10:37,054 --> 00:10:38,595
So how do these technologies,

281
00:10:39,934 --> 00:10:40,434
improve,

282
00:10:41,600 --> 00:10:44,480
you know, reduction in complications, whether it's implant

283
00:10:44,480 --> 00:10:44,980
displacement,

284
00:10:46,159 --> 00:10:48,639
and also how do they improve efficiency in

285
00:10:48,639 --> 00:10:50,659
terms of completing procedures,

286
00:10:51,919 --> 00:10:55,335
faster, reducing time under anesthesia patients, and ultimately

287
00:10:55,335 --> 00:10:56,795
getting them back to their families,

288
00:10:57,575 --> 00:10:58,315
more quickly.

289
00:10:59,014 --> 00:11:00,695
Got it. And then my last question for

290
00:11:00,695 --> 00:11:03,175
you, doctor Chowdhury, besides everything that we've been

291
00:11:03,175 --> 00:11:05,654
talking about, what are three big health care

292
00:11:05,654 --> 00:11:07,274
trends that you're following the closest?

293
00:11:08,110 --> 00:11:09,870
Three big health care trends. So, I mean,

294
00:11:09,870 --> 00:11:11,709
certainly, I spoke about this a little bit

295
00:11:11,709 --> 00:11:14,370
already, but, you know, the use of,

296
00:11:14,909 --> 00:11:17,309
AI practically in medicine, I think, is something

297
00:11:17,309 --> 00:11:20,029
that we're all following very closely, and it's

298
00:11:20,029 --> 00:11:22,995
starting really on the documentation side and and,

299
00:11:23,154 --> 00:11:26,514
maybe researching clinical evidence. But, you know, very

300
00:11:26,514 --> 00:11:28,934
interesting to see how that will move towards

301
00:11:29,634 --> 00:11:32,035
decision making, you know, whether it's clinical decision

302
00:11:32,035 --> 00:11:34,434
making outside of the operating room or even

303
00:11:34,434 --> 00:11:36,860
inside the operating room. That's a trend that

304
00:11:36,860 --> 00:11:37,259
I think,

305
00:11:37,980 --> 00:11:39,840
we're all following very closely.

306
00:11:40,379 --> 00:11:41,279
I think for

307
00:11:41,820 --> 00:11:44,220
for spine surgery in general, a a big

308
00:11:44,220 --> 00:11:46,879
trend is also kind of the transition of

309
00:11:47,179 --> 00:11:47,580
of,

310
00:11:48,220 --> 00:11:49,679
case volume from,

311
00:11:50,235 --> 00:11:52,815
you know, hospital based operating rooms to ambulatory

312
00:11:52,955 --> 00:11:53,934
surgical centers.

313
00:11:54,634 --> 00:11:57,054
And we're seeing a lot of activity there.

314
00:11:57,195 --> 00:11:58,735
Obviously, Optum recently,

315
00:11:59,195 --> 00:12:01,535
you know, had the acquisition of SCA.

316
00:12:02,470 --> 00:12:04,950
I I believe Ascension has or will be

317
00:12:04,950 --> 00:12:05,450
announcing,

318
00:12:06,470 --> 00:12:08,009
the acquisition of AmSurge.

319
00:12:08,549 --> 00:12:09,769
You know, Tenet Healthcare,

320
00:12:10,950 --> 00:12:12,950
owns USPI. And so there's a bit of

321
00:12:12,950 --> 00:12:14,809
a a very interesting consolidation

322
00:12:15,110 --> 00:12:18,394
process happening on the ASC side where, a

323
00:12:18,394 --> 00:12:21,454
lot of these health systems are actually looking,

324
00:12:22,154 --> 00:12:23,454
to bring that,

325
00:12:23,914 --> 00:12:25,054
that case volume

326
00:12:25,514 --> 00:12:28,014
to these outpatient settings. And so that's something

327
00:12:28,154 --> 00:12:30,095
we're tracking very closely as well.

328
00:12:30,490 --> 00:12:32,649
For my myself as a surgeon, probably the

329
00:12:32,649 --> 00:12:33,389
third trend,

330
00:12:34,250 --> 00:12:34,570
which,

331
00:12:35,690 --> 00:12:37,769
is becoming more relevant but may not be

332
00:12:37,769 --> 00:12:40,410
as relevant right now is kind of the

333
00:12:40,410 --> 00:12:42,269
innovation happening in

334
00:12:42,595 --> 00:12:43,954
in robotics, but,

335
00:12:44,434 --> 00:12:46,835
more in kind of humanoid based robotics. I

336
00:12:46,835 --> 00:12:47,735
think there's just,

337
00:12:48,434 --> 00:12:49,095
a tremendous

338
00:12:49,394 --> 00:12:49,894
amount

339
00:12:50,274 --> 00:12:50,674
of,

340
00:12:51,235 --> 00:12:53,875
of research and development happening in how how

341
00:12:53,875 --> 00:12:54,855
does one create,

342
00:12:55,394 --> 00:12:57,735
robotic technology that kind of can simulate,

343
00:12:58,509 --> 00:13:00,669
the human hand in terms of degrees of

344
00:13:00,669 --> 00:13:01,809
freedom or dexterity

345
00:13:02,350 --> 00:13:03,950
and what that means for kind of the

346
00:13:03,950 --> 00:13:05,009
future of surgery,

347
00:13:05,709 --> 00:13:07,470
in the coming years, I think, is is

348
00:13:07,470 --> 00:13:09,169
very fascinating and something,

349
00:13:09,629 --> 00:13:11,089
we're following very closely.

350
00:13:11,995 --> 00:13:12,815
Right. Well,

351
00:13:13,195 --> 00:13:15,034
doctor Chowdhury, thank you so much for joining

352
00:13:15,034 --> 00:13:17,034
us on today's podcast. It's been a great

353
00:13:17,034 --> 00:13:17,534
conversation,

354
00:13:17,914 --> 00:13:19,754
and I look forward to connecting again in

355
00:13:19,754 --> 00:13:21,375
the future. Thank you, Carly.