More “innovation theatre” from Big Orthos – this time from Exactech.
Big Orthos are at it again, waving the innovation flag with all the enthusiasm of a used car salesman hyping […]
Carlsmed’s $100M IPO Bet: Personalized Tech, Risky Finances
Disclaimer: This is not financial advice, and investors should conduct their own due diligence before making any investment decisions. Tiger’s
Job Seekers, learn prompting to land your next great role.
In today’s ortho job market, prompting has emerged as the new skill that matters, empowering you to unlock the full
Startup brings new technology to ASCs that’s so simple, it’s genius.
The future of OR efficiency has nothing to do with robots, or better nav, or better imaging. It’s much simpler.
Great ortho companies execute quietly / struggling orthos clamor for attention
Let’s talk about Press Releases. I have found an inverse correlation between success and press releases (illustrated below). When I
Why Talented, Ambitious People Should Build Their Own Companies (and Why Average People Seeking Stability Shouldn’t)
The entrepreneurial landscape in orthopedics is made up of many strange characters. For some, starting a company is a calling—a
The Power of a Monopoly in Orthopedics
Monopolies in orthopedics? Yes, they exist, and they have HUGE advantages. A handful of innovative orthopedic companies carve out entirely
Behold… Big Ortho’s latest innovation illusion
The orthopedic giants, like J&J MedTech (formerly DePuy-Synthes), love to play the innovation card, strutting onto the stage like tech
Evolution of Risk-Taking in Orthopedics
The appetite for risk in orthopedic medical device companies evolves with their size, reflecting shifts in resources, priorities, and stakeholder
Texas startup aims to reduce the need for revision joint surgery. This could be really big !
Key Points Solenic Medical’s AMF technology could reduce risks for patients by offering a non-invasive treatment for implant infections. It
Mastering Ortho Sales in the VAC Era (includes a 14 Step How to Guide)
This could be the most valuable advice given on OrthoStreams this year. As you know, the U.S. healthcare system has
6 Hiring Mistakes that can kill your Orthopedic Startup
Building a thriving orthopedic company from scratch is no small feat. The first 5 to 10 hires you make are
Let’s tear down BOB
I am currently talking with and watching a hundreds of ortho startups trying to enter the US ortho market that
The 4 Financial Strategies for Emerging Orthopedic Companies this Year.
Moving into the second half of 2025, I am anticipating the reopening of the IPO market which is expected to
Dynamic Smart Bracing is the future of Scoliosis Treatment.
For decades, scoliosis bracing has looked the same. Like this Boston Brace image below. Hard plastic prisons. Movement, breathing and
Most Ortho Startups won’t reach market traction or an exit, so why not pool together to share the risk?
According to industry data, only about 10-15% of medical device startups achieve significant market traction or an exit event like
Why private Ortho companies should stay private even longer.
A compelling trend emerged in our ortho industry: companies are staying private far longer than they used to. IPOs have
Has a Spanish startup finally solved the ACL tunnel problem ?
It’s early, but very promising. Abanza’s WasherCap™ devices are poise to revolutionize soft-tissue graft fixation with bone-independent design, up to
Understanding Moats: Why Surgeon Customers Stick with Existing Products.
Orthopedic companies thrive by creating moats—strategic advantages that protect their market position and fuel growth. Like the moats around medieval
Is ‘Enabling Technology’ a Real Category or a Marketing Scam?
WARNING: This article might sting for those in Big Ortho chugging the “Enabling Technology” Kool-Aid. Background The term “Enabling Technology”
Startups should chase Rain, not Virga
You’ve likely seen virga—rain that falls but never hits the ground. It’s a striking sight, especially at sunrise or sunset,
An Interview with Jessie Dionne on “How to Simplify Life for your Surgeon customers.”
Why don’t other orthopedic startups prioritize “simplicity first” as a foundational principle? In a recent discussion with the private BoneChat
Your first FDA clearance is just a fishing license.
Orthopedic startups chase FDA clearance like it’s the ultimate prize. Years of grinding through R&D, clinical trials, and regulatory hoops
VC Scouts in Orthopedic Medtech Funding
Discover why VC scouts are vital for orthopedic medtech startups. Learn how scouts with insights like Tiger unlock funding and
Meet MY01, a startup that has carved out a monopoly in a new category – Trauma + Diagnosis.
MY01’s sensor-based tool monitors limb perfusion and pressure in real-time, enabling early detection of acute injuries like compartment syndrome to
The Case FOR the Sales Rep in the OR.
The presence of sales reps in the OR has become a polarizing topic. So let’s explore deeper. Why are sales
Prediction – Medtronic to boot Spine division.
I just read an article after Medtronic’s earnings call – Why Medtronic plans to spin out its diabetes business. Quick
How to Launch Your Podcast in 10 Simple Steps
Keith Griesbaum reached out to me because he is about to start a Podcast with Stefan Vojt about Ortho Sales.
Is Orthopedics a “Locked Up” Market?
A recent conversation sparked a thought-provoking question: Is a significant portion of this market—perhaps as much as 80%—effectively “locked up”?
8 hacks for my friends in orthopedics
How to Become Wealthy Working in the Orthopedic IndustryDiscover how to build wealth in orthopedics by choosing emerging niches, collaborating
Can we be honest about robots ?
Let’s cut through the noise. J&J’s new VELYS Spine system, hyped in BoneZone’s “VELYS Spine Shows What’s Next in Enabling
The Big Ortho will tease with investment in your startup.
“The Big Orthos are hunting for early stage orthos with cameras, not guns.” I have conversations with startup leaders each week
Startup of the Week – Solving the enthesis problem.
In sports medicine, the enthesis—a critical tendon-bone junction—poses a costly challenge, with high failure rates demanding innovative solutions. In the
Founders and Investors: Peeling Back the Risk Onion vs. Cash Burn
Learn how the “Onion Theory of Risk” helps ortho startups peel away uncertainties, secure funding, and build investor confidence. Today
Why Anika’s stock fell 21%.
Wow, Anika’s stock tanked post-Q1 2025 earnings due to a 10% revenue drop, lower OEM pricing, manufacturing issues, and reduced
The Hedgehog Strategy for Orthopedic Startups
Learn to dominate niches in orthopedics using the Hedgehog Strategy: focus on a unique strength, solve specific problems, and build
Startup of the Week – Simplifying Trauma
Discover how a Swiss startup new to the US is revolutionizing orthopedic trauma care with streamlined, effective solutions tailored for
What happened to Globus stock ?
Globus Medical Inc.’s stock plummeted 22.96% after its Q1 2025 earnings call, driven by a disappointing revenue performance, lowered EPS
Your favorite orthopedics read is now only $1/day (FREE first week, cancel anytime).
OrthoStreams is ONLY available by subscription—join the other 7,103 subscribers for exclusive daily articles, newsletters, and deep-dive reports. Loyal OrthoStreams
Great sales tactics in 11 short videos
You’ll learn to connect emotionally, pitch persuasively, and stand out to close more orthopedic sales effectively. Invisible tattoo on your
Spine hardware’s dirty little secret: Why early sales can be a dangerous addiction.
The orthopedic startup scene is a thrilling ride—new ideas, eager surgeon investors, and the buzz of early sales can make
Why Tech Alone Won’t Build a Viable Ortho Business
In the ortho startup world, the journey from innovation to success often follows a predictable arc—one that’s beautifully illustrated by
30 lessons learned in 30 years of Orthopedics
Today, I am sharing 30 lessons for emerging orthopedic companies. I love to help my friends in the smaller ortho
Why do some Ortho companies grow and others struggle ?
The orthopedic industry is a dynamic landscape where innovation, strategy, and execution determine which companies thrive and which languish. While
Seeking medical balloon engineering expertise
Labramend is a stealth startup in orthopedics with a product design that we need to turn into an inflatable balloon.
The “Field of Dreams” trap.
Learn the essential strategies orthopedic startups need to transform cutting-edge technology into market success, avoiding the “Field of Dreams” trap.
The VISIE Story
I hunt for game-changers—technologies that don’t just nudge the needle but rewrite the rules. VISIE is one of those rare
The shortage of ETO suppliers is stressing orthopedic device companies.
Key Points Research suggests fewer ETO sterilization suppliers in the US due to stricter regulations and health concerns. It seems
I use 5 platforms in my business.
Tiger’s world’s is built on helping small orthopedic companies and entrepreneurs thrive, and there is a deliberate ecosystem to make
Is this a spine tech revolution or shiny distractions?
The spine industry is buzzing with futuristic ideas—AI-crafted implants, robotic precision, and augmented reality guiding surgeons’ hands. These concepts, spotlighted