Aiken has never thrown a professional pitch, and he won’t pitch anywhere at all this year after undergoing Tommy John surgery in March. But much like how the clunky medical term “ulnar collateral ligament reconstruction” is far better known by its first prominent recipient—Tommy John, of course—Aiken’s name may soon be attached to a seismic shift in how teams gather information on amateur players. The first overall pick in the 2014 draft, Aiken’s negotiations with the Astros fell apart due to the team’s post-draft concerns over the health of his arm. The fallout was so embarrassing that talk of an NFL-like pre-draft medical combine seems to be a potential part of baseball’s future thanks to Aiken’s case.