Packaging issues have been around since 1 year prior to launch. COO had no OR experience and chose the wrong bottle. In early trials, nurses, techs and sales managers complained but were told it was not an issue. It is extremely difficult to puncture and use. At the time, the execs all said it would take over 1 year to get approval for a new bottle. That was over 2 years ago. A squeeze type bottle would be simpler to open and allow the surgeon to irrigate with pressure by squeezing the bottle. This would save OR time, negate the need for a pulse lavage system (both time and $ savers), and significantly increase sales. At some point, NXS needs a new exec team. I know I've been saying this for a long time, but the board needs to wake up and clean house.
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