Kevin Lobo: Yeah. Look, Joanne, one of the great news about this quarter. First of all, it felt like a pre-pandemic record quarter is the way I describe it, where our sales teams were kind of firing the way they normally do at Stryker. You have seen in the past and you have been covering us for some time. Having a big fourth quarter is not new for Stryker. We have had big fourth quarters many, many, many times. Our teams know how to finish. They chase their numbers. Our hospitals also kind of want to use up some of their budgets if they are on — depending on their calendar cycle that they are on. And so that’s not new. What’s really exciting is that we were able to dig out of some of the backlog, specifically in medical, but not deplete.
These are not pull-forward sales. We still have strong orders. We still have a growth momentum that’s going to continue next year and that’s why you saw such a, I would say, positive guide on organic sales growth. We are not calling for a soft Q1, and I think, Glenn even in the Q&A mentioned that we are not calling for a soft topline in Q1. Our implant businesses are continuing to hum. And these businesses are just their special businesses. We have these dedicated business units. We have split them many times. If I look at within Instruments, Instruments had 10% organic growth in 2022 and that’s because we decided to split orthopedic instruments and circular technologies a few years ago and they are both growing extremely well. They both have new products, right?
We have a new Neptune and we have a new power tool. In the old days, it was the same rep trying to sell both of those. Now we have different reps selling them. So our ability to scale those launches is so much better with specialization and dedication. That’s kind of our formula, our growth formula and that’s just — it’s absolutely happening in our company. So our leadership teams are terrific. Our dedicated e-business units are firing and the products are flowing. So I expect more of the same. But if you look back, even going back to 2016 as I mentioned before, and if you look at the kind of organic growth, it’s of these three divisions, Instruments and Ortho and Medical, not to mention Neurocranial, which has been an absolute home run, right?
And that’s really run by instruments, but we report it separately. They are growing every year, 8%, 9%, 10%, 11%, 12%. That’s not unusual. And now that they have — when you have new product launches that tends to be on the higher side of it. So, yeah, it’s a good point to be a Stryker right now, especially in those businesses.
Joanne Wuensch: If I may, you do discuss new product cycle a couple of times. You have got a new power tool. You have got a new Neptune. What else would you like to highlight?
Kevin Lobo: Yeah. I mentioned before the camera, so in Endoscopy, a new camera. That’s big sort of blockbuster flagship product. Sports Medicine has a number of new shoulder products that they are launching. Those are — but that sort of helps fill out the bag. At the end of the year, we have the new defibrillator within our Emergency Care business. They launched a new — I didn’t even mention they launched a new power chair at the beginning of this year. So if you want to go up in these apartment buildings, we now have a powered chair, which is fabulous. It’s called Expedition. I didn’t even mention that one. I mean it’s just — there’s no end. I mean we have invested pretty heavily in R&D over the past four years, five years, six years, seven years and spending close to 7% of sales and the new products are flowing. So those are — I mentioned a couple of other ones before, Joanne, but that hopefully is a good look for you.