Bruce, as far as I know the current recommended procedure for implanting the Linx is to create an
opening between the vagus nerve bundle and the esophagus and to insert the Linx through the
opening. That probably has the advantage of helping to hold the Linx in place and not putting any pressure on the vagus nerve. Possibly that's not needed, but there's no clinical data on that so far. From the clinical trial I didn't see any reports of damage to the vagus nerve from the Linx implantation procedure, but if the surgeon makes a mistake of course it could be damaged. These nerves are very important and unfortunately are sometimes damaged during fundoplication, which requires a lot more tissue dissection than the Linx procedure.
The initial doctors for the Linx are likely going to be the ones that participated in the clinical trial, so they have some experience with the procedure. Usually a surgeon would be trained and supervised on the procedure before being authorized to perform it on their own, so there's more to it than just handing them a textbook.
From what they have said so far, they are not in a hurry to push the Linx to a lot of doctors. In one of the videos from the conference I remember someone saying they were concerned that as the Linx becomes more widely used, general surgeons without a lot of experience with digestive system anatomy might make mistakes. If I were looking for a Linx surgeon, I'd want one that had a lot of experience with fundoplication and also experience with the Linx.
You might find these other videos from the conference interesting (these are from about
a year ago):www.youtube.com/watch?v=YUoAPIgxxzEwww.youtube.com/watch?v=wHXi23nppR4www.youtube.com/watch?v=qU86Hj4g8E0www.youtube.com/watch?v=OwBmyPGO0Zowww.youtube.com/watch?v=DkWH_TdW-No