#105 Inside the Transplant Industry with Tom Daulton: The Device Keeping Donated Organs Alive, Why the US Dominates Transplants and Building in a Niche Market

Tom Daulton, CEO of Organ Recovery Systems, who has spent over 40 years in interventional medicine and building healthcare companies. Twelve months ago he knew very little about the transplant world. Today he runs one of the most fascinating businesses in it.In this episode, Tom explains what makes transplant unlike anything else in medicine, a field where sadly a patient has to die for another to live and where there is no pharmaceutical fallback the way dialysis can bridge a failing kidney. He breaks down why over 80% of transplants happen in the US, why the real bottleneck is donor supply rather than surgical capacity and how organs actually move across the country against a ticking clock.We get into the technology at the heart of the business, the egg-shaped hypothermic perfusion device roughly the size of a carry-on that keeps a donated organ stable and monitored for over 24 hours, GPS telemetry and all, a world away from the cardboard box of ice that used to be standard. Tom walks us through what an organ procurement facility looks like from the inside, why each organ needs its own dedicated device and what is coming next after kidney and liver.Finally, Tom shares hard-won advice for anyone building in a small niche market with real emotional weight, why you have to hire the experts, why falling in love with your product is a trap and why every niche business has to prove it is safer, faster, cheaper or better for outcomes. He closes on the tagline he lives by: be hungry and humble.Timestamps[00:01:35] From 40 Years in Interventional Medicine to the Transplant World[00:03:53] The Business Where a Patient Has to Die for Another to Live[00:05:11] Why Over 80% of Transplants Happen in the US[00:07:38] Not Enough Facilities or Not Enough Donors?[00:09:16] Inside the Egg: What the Perfusion Device Actually Does[00:13:28] How Organs Were Moved Before: A Cardboard Box of Ice[00:15:10] How Much Time the Machine Really Buys[00:17:20] Inside an Organ Procurement Facility[00:22:04] Why Every Organ Needs Its Own Device[00:29:11] Final Advice: Be Hungry and HumbleConnect with Tom - ⁠⁠https://www.linkedin.com/in/tom-daulton-7230367/Learn more about Organ Recovery Systems - https://www.organ-recovery.com/ Get in touch with Karandeep Badwal - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/karandeepbadwal/ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Follow Karandeep on YouTube - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/@KarandeepBadwal⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medical device training courses delivered by Karandeep through Bywater - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.bywater.co.uk/