Johnson & Johnson’s (J&J) DePuy Synthes’ reported revenue of $2.33 billion was down 3.8% in the first quarter of 2015. Excluding the 5.9% negative currency impact of a strong dollar, sales were up 2.1%.
DePuy Synthes’ First Quarter, Steady and Robot Deal With Google

Utilization Rates, Insured, Up
Company executives told analysts on April 14, 2015, that they saw a third consecutive quarter of sequential and year-over-year improvement in hospital utilization rates and are encouraged by the signs that the company is seeing in U.S. volumes. The government recently reported that about nine out of ten Americans now have health insurance.
Growing Sales
On a constant currency basis, hips were up 3% (2% in U.S.), knees up 1% (2% in U.S.) spine down 2% (down 4% in U.S.) and trauma up 3% (flat in U.S.).
The company acknowledged losing spine share in the quarter to smaller players. Trauma growth was driven by 7% growth outside the U.S. due to strong volume growth including a tender. Hip growth of 3% was driven by strong volume growth partially offset by continued pricing pressure. Primary stem platform sales were a major contributor to the results.
The increase in knee sales was due to strong sales of Attune. Outside the U.S. knees were down 1% with growth in Asia Pacific and Latin America offset by lower sales in Europe. Slowing elective procedure volume primarily in the U.K contributed to the soft sales in Europe.
J&J, Google and Robots
There was interesting robotic news from J&J during the quarter with the announcement in March of a definitive agreement to collaborate with Google Life Sciences to advance development of a surgical robotics program. J&J’s CFO Dominic Caruso said the company would expect this collaboration would take “a couple” of years to come to the market with the new type of robotic surgery that they think will “dramatically revolutionize surgery.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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