Becker's Spine Review

31 DEVICES & IMPLANTS the end of the third quarter, the company had a 17-system backlog. U.S. revenue skyrocketed in the third quarter of 2017 up 170 percent to $15.4 million. e company reported 2017 third quarter revenues of $17.2 million and the device manufacturer is looking to further its growth. Medtronic (Dublin, Ireland). Hurricane Maria disrupted Medtronic's manufacturing plant in Puerto Rico in 2017, affecting the company's bottom line. Second quarter revenues dropped 4 percent, with a $55 million to $65 million impact on revenues. During the third quarter, Medtronic reported $7.3 billion in revenue, with spine sales increasing 1 percent over the same period for the prior year. In 2017, Medtronic assumed global commercial responsibility for Mazor X installations, and Medtronic purchased 23 of Mazor's robotic guidance systems. e company recently announced a restructuring plant expected to save $33 billion by 2022. NuVasive (San Diego). NuVasive spent 2017 acquiring various de- vice companies to further expand its neuro and spine platforms. First the company acquired Vetera Spine, a medical device com- pany focused on interbody implants. Later in the year, NuVasive signed a definitive agreement to acquire SafePassage, a neurophys- iological monitoring services provider. Along with acquisitions, NuVasive launched a new 3D-pinted porous titanium implant Modulus XLIF and the Coalesce Thoracolumbar Interbody Fusion Device. Although impacted by Hurricane Maria, the company saw $1.03 billion in 2017 revenues, an expected 7 percent growth. OrthoPediatrics (Warsaw, Ind.). OrthoPediatrics' third quarter revenues spiked 22 percent in 2017 to $12.4 million. The pediat- ric-specific device manufacturer also completed its initial public offering, earning $59.8 million in gross proceeds. The company didn't stop developing new products in the third quarter follow- ing the launches of the PediFrag Pediatric Specific Clavicle Plate and Medial Patella Femoral Ligament Reconstruction System. Or- thoPediatrics also launched a new wrist fusion plate system, which is part of the company's growing PediFrag brand. OrthoPediat- ric's ended 2017 unveiling its 24th surgical system the Titanium PediPlates implant system, expanding the company's current phy- seal tethering profile. Smith & Nephew (London, England). Earlier in 2017, Smith & Nephew added total joint replacements to the Navio handheld robotic-assisted technology platform. The company reported the first successful robotic-assisted bi-cruciate retaining total knee replacement procedure with the Navio system. Smith & Nephew offers the world's first and only commercially available robotics-as- sisted bi-cruciate retaining knee procedure. Additionally, Smith & Nephew acquired Rotation Medical with hopes of expanding its biologics business. For the full year, Smith & Nephew reported 2 percent revenue increase to $4.7 billion; U.S. revenues were flat at $2.3 billion. SpineGuard (St. Mande, France). By the end of 2017, SpineGuard reported surgeons had performed 60,000 spine surgeries using its PediGuard and Dynamic Surgical Guidance devices. e devices are designed to increase accuracy during pedicle screw placement and countries all over the world are placing orders including China's Xin- gRong Medical Group. SpineGuard also launched its Dynamic Sur- gical Guidance-enabled Z-Direct Pedicle Screw System by Zavation Medical Prodcuts in the U.S. e company's Dynamic Surgical Guid- ance-enabled devices fared well in 2017 with 8,764 sold. Aer accom- plishing various milestones, SpineGuard saw revenue of $9.81 million, reflecting a 10 percent boost compared to 2016. Stryker (Kalamazoo, Mich.). roughout 2017 Stryker made big moves to further its position as an orthopedic and spine leader. Stryker acquired Vexim, a vertebral compression fracture solutions devel- oper, and now holds 92 percent of its shares. Most notably, Stryker launched its Mako Total Knee for the Mako System robotic arm. More than 100,000 joint replacements have been performed using the Mako System and the company reports installing 350 systems in the United States. With all of its acquisitions and installments, Stryker reported a 10 percent boost of net sales to $3.5 billion in the fourth quarter of 2017. For the full year of 2017, orthopedics grew 6.6 percent and neu- rotechnology and spine grew 8.2 percent. Titan Spine (Mequon, Wis.). Titan Spine saw rapid growth in 2017. Most recently the company raised another $7.5 million for its series D funding round, which currently sits at $15 million. e funding will go toward infrastructure and inventory since Titan Spine has been grow- ing at over 40 percent per year for the past 10 years. In 2017, surgeons implanted more than 5,000 Titan devices, averaging around 300 sur- geons using Titan implants each month. In conjunction with its rapid expansion, Titan Spine reported the first successful surgeries using its Endoskeleton interbody fusion devices and surface technology in Australia. Xenco Medical (San Diego). Xenco Medical made two large strides to impact the spine industry in 2017. In July, the medical device company launched a spine system for ASCs. The ASC CerviKit is a single-use spine device for anterior cervical discectomy and fusion procedures. Xenco Medical designed the device with ASCs in mind, streamlining the procedure and addressing space constraints. Ad- ditionally, Xenco Medical changed the industry with the introduc- tion of TraumaGPS, an on-demand trauma surgery delivery app. Surgeons are able to request and track deliveries of Xenco Medical's sterile-packaged spinal systems. Zimmer Biomet (Warsaw, Ind.). With a major leadership change made in 2017, Forbes listed Zimmer Biomet as one of "America's Best Larger Employers of 2017." e orthopedic device manufacturer named Bryan Hanson president and CEO in the past year. Zimmer Biomet saw a slight drop in third quarter sales with net earnings to- taling $98.8 million due to slow pace recovery in key brands as well as slower-than-anticipated sales recapture in the U.S. However, the company planned to attack hard in the following quarter with revenue expectations of $2 billion to $2.05 billion. To further boost sales and growth, Zimmer Biomet launched its Vitality+ and Vital Spinal Fixa- tion Systems, which is the first flexible drill as well as a blunted reamer in the U.S. n

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