Pristine Surgical
Pristine Surgical develops the first FDA-cleared 4K single-use surgical arthroscope (Summit™) paired with Pristine Connect® cloud software, sold via a subscription model to hospitals and ambulatory surgery centers for arthroscopic procedures.
- Company typePrivate
- Founded2013
- HeadquartersManchester, United States
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Pristine Surgical does
Pristine Surgical, LLC is a U.S.-based medical device company founded in 2013 that develops a single-use surgical visualization platform for rigid endoscopic procedures. Its core product, Summit™, is the first FDA 510(k)-cleared 4K single-use surgical arthroscope, introduced commercially in the United States in November 2023 after first-in-human use in April 2023. The platform pairs sterile, disposable 4K scopes with Pristine Connect®, a pre-installed cloud-based software offering that handles automated inventory management, cloud-based image and video storage/sharing, and digital training and checklists for clinical staff. The company also flags a forward product pipeline extending into a full portfolio of rigid and flexible endoscopes for arthroscopy, laparoscopy, and flexible endoscopy.
Pristine Surgical sells through a Scopes as a Subscription™ model with transparent, predictable, multi-year contract pricing that eliminates customer capital expenditure on visualization towers, service contracts, and sterilization infrastructure. Distribution is hybrid: a direct enterprise sales motion led by CRO/CEO Rich McKillop (ex-ConMed, Orthosensor, Wright Medical) targets hospitals and ambulatory surgery centers (ASCs), complemented by a select distributor partner and 1099 sales representative network built around reps with existing ASC relationships. The primary customer segments are ASCs performing arthroscopy (primary) and hospital orthopedic departments (secondary), with marketing and clinical credibility driven by a Medical Advisory Board that includes AANA-recognized orthopedic surgeons (Dr. Stephen Snyder, CMO; Dr. Mark Getelman; Dr. David McAllister; Dr. Riley Williams III).
The company is privately held, registered in New Hampshire with operational headquarters in Manchester, NH and an additional office in Palm Harbor, FL. Capital base disclosed to date totals approximately $33 million, including an $18 million equity round (2020), a $15 million debt facility arranged by Ceros Financial Services (March 2022), and earlier non-dilutive support from MedTech Innovator. Institutional backing includes Piney Lake Capital Management (board representation by Scott Booth and Mike Lazar) and former Medtronic SVP of Corporate Development Christopher Cleary, who joined the board in May 2024. Executive ranks were further strengthened in 2025 with the appointments of McKillop as CRO, John Mahoney as CPO, and Susan O'Shea as CFO. Revenue figures have not been publicly disclosed, consistent with early-stage commercialization post-November 2023 full U.S. market release.
Pristine Surgical firmographics
Firmographics- Name
- Pristine Surgical
- Legal name
- Pristine Surgical, LLC
- Website
- https://pristinesurgical.com
- Company type
- Private
- Founded year
- 2013
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Pristine Surgical develops the first FDA-cleared 4K single-use surgical arthroscope (Summit™) paired with Pristine Connect® cloud software, sold via a subscription model to hospitals and ambulatory surgery centers for arthroscopic procedures.
- Ownership category
- akta.pro rank
Pristine Surgical industry classification
Industry- Product category
- Single-use Surgical Endoscopes
- NAICS
- Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113), Medical Equipment and Supplies Manufacturing (3391)
- SIC
- Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)
- akta.pro primary industry
- Endoscopy Systems & Accessories (Scopes, Cameras, Light Sources, Insufflation) (HLAHADAB)
- akta.pro secondary industries
- Surgical Visualization & OR Video Integration (4K/3D, Recording, Routing) (HLAHADAD), Operating Room Integration & Surgical Informatics (OR control, documentation, connectivity) (HLAHADAE)
Keywords
Where Pristine Surgical is headquartered
LocationHeadquarters
- HQ city
- Manchester
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
Pristine Surgical business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Supply Chain, Technology or R&D, Personnel, Marketing or Sales, Operations
Revenue model
- Single-Use Endoscope Hardware Sales: Recurring revenue from sale of disposable single-use endoscopes delivered via subscription model. Each procedure uses a new sterile scope, creating recurring consumption-based revenue tied to surgical volume.
- Pristine Connect™ Software Services: Cloud-based software services bundled with hardware, including inventory management, image/video storage, and digital training. Part of the integrated subscription offering.
- Product Pipeline Expansion: Future revenue streams from full portfolio of rigid and flexible endoscopes under development, targeting 125 million procedures worldwide each year.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Scopes as a Subscription™ - transparent pricing model |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels8 records
Pristine Surgical product offering
Product offeringCore offering
Pristine Surgical develops and manufactures the Summit™ 4K single-use surgical arthroscope, a sterile, disposable endoscope designed for arthroscopic procedures, paired with Pristine Connect®, a cloud-based software platform for inventory management, image/video storage, and staff training. The combined hardware-and-software platform is delivered to hospitals and ambulatory surgery centers under a subscription model called "Scopes as a Subscription™" that replaces capital equipment purchases and reprocessing with predictable recurring delivery.
Product overview
Pristine Surgical offers a unified platform combining single-use endoscopes with cloud-based software. The core product is Summit™—the world's first 4K single-use surgical arthroscope—which is complemented by Pristine Connect®, a cloud-based software platform that provides automated inventory management, image/video storage, and digital training. The company delivers products through a Scopes as a Subscription™ pricing model, eliminating the need for expensive capital equipment purchases. The product pipeline includes rigid and flexible endoscopes for arthroscopy, laparoscopy, and flexible endoscopy applications.
Differentiator
Problem solved
Functional benefit
Brands
- Summit: Summit™ is a 4K single-use surgical arthroscope designed to make endoscopy more efficient, consistent, and safe.
- Pristine Connect
- Simplifying Endoscopy
Products and services
- Summit™ 4K Single-Use Surgical Arthroscope First-of-its-kind 4K resolution single-use surgical arthroscope that delivers a sterile, high-definition scope for every arthroscopic procedure. Eliminates the need for reprocessing, sterilization, maintenance contracts, and capital tower purchases, simplifying OR setup and turnover for orthopedic surgeons.
- Pristine Connect® Cloud Software Platform Cloud-based software pre-installed on all Pristine endoscope systems that provides automated inventory management, cloud-based image and video storage and sharing, and digital training/checklists for staff education. Drives operational efficiency and enhanced communication for the surgical suite.
Quantifiable outcome
- Eliminates time-consuming OR setup and teardown process and device reprocessing required for reusable arthroscopes
- +2 more outcomes
Companies that use Pristine Surgical
Customer profileNamed customers7 records
Segments3 records
Ideal customer profiles3 records
Pristine Surgical technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Pristine Surgical partnerships and signals
Strategic signalScale indicators5 records
Recent moves6 records
Expansion highlights5 records
Pristine Surgical competitors and assessment
Company assessmentDirect peers
- Ambu A/S: Ambu is the global leader in single-use endoscopy, with a broad single-use bronchoscope, cystoscope, and rhinolaryngoscope portfolio and a recurring-revenue model. It is the closest direct competitor in the single-use endoscope category that Pristine targets.
Broad incumbents
- Boston Scientific: Boston Scientific offers single-use endoscopes (e.g., LithoVue ureteroscope) alongside a broad urology and endoscopy portfolio. It serves as a large incumbent that has validated single-use endoscopy commercially and could expand into arthroscopy.
- Arthrex: Arthrex is the dominant reusable arthroscope and orthopedic sports medicine vendor, with deeply entrenched surgeon relationships. It is the primary reusable incumbent whose installed base Pristine's single-use platform must displace.
- Stryker: Stryker operates a large surgical visualization and orthopedic instrumentation franchise, including reusable arthroscopes and towers. It is a broad incumbent with the resources to launch a competing single-use product.
- Karl Storz: Karl Storz is a global leader in rigid and flexible endoscopy with a strong reusable endoscope installed base across hospital ORs. It is a key reusable incumbent whose visualization relationships Pristine must disrupt.
- Olympus: Olympus is the largest player in flexible endoscopy and has begun exploring single-use offerings. Its scale and channel relationships make it a potential fast-follower in single-use surgical visualization.
- Smith & Nephew: Smith & Nephew operates an arthroscopy visualization franchise and was John Mahoney's prior employer. It is a broad orthopedic/sports medicine incumbent whose reusable visualization business competes directly with Summit.
- ConMed: ConMed is a surgical visualization and orthopedic competitor that employed CRO Rich McKillop as VP of Orthopedic Sales. Its reusable arthroscopy franchise directly competes with Pristine's single-use Summit in the same surgeon call points.
Emerging players
- UroViu: UroViu is an emerging single-use endoscopy company focused initially on cystoscopy. It represents the type of niche single-use competitor that could expand into adjacent indications Pristine is targeting.
- Hologic: Hologic has invested in single-use hysteroscopy and gynecologic visualization. It represents an emerging incumbent that could leverage single-use expertise into other procedural specialties Pristine targets.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Pristine Surgical social profiles
Digital presencePristine Surgical financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pristine Surgical leadership team
Management profileNumber of profiles
Profiles13 records
Pristine Surgical funding detail
Funding detailFunding overview
Funding rounds4 records
Investors2 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pristine Surgical M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Pristine Surgical
What does Pristine Surgical do?
Pristine Surgical develops and manufactures the Summit™ 4K single-use surgical arthroscope, a sterile, disposable endoscope designed for arthroscopic procedures, paired with Pristine Connect®, a cloud-based software platform for inventory management, image/video storage, and staff training. The combined hardware-and-software platform is delivered to hospitals and ambulatory surgery centers under a subscription model called "Scopes as a Subscription™" that replaces capital equipment purchases and reprocessing with predictable recurring delivery.
Is Pristine Surgical a public or private company?
Pristine Surgical is a private company. It is classified as venture growth investor backed and is currently operating.
When was Pristine Surgical founded?
Pristine Surgical was founded in 2013. It employs 11 to 50 people.
Where is Pristine Surgical based?
Pristine Surgical is headquartered in Manchester, United States, in the North America region.
How does Pristine Surgical make money?
Three revenue lines are on record. Single-Use Endoscope Hardware Sales are the primary driver. The others are pristine Connect™ Software Services and product Pipeline Expansion.
Who are Pristine Surgical's main competitors?
Ambu A/S is listed as a direct peer. Broad incumbents are Boston Scientific, Arthrex, Stryker, Karl Storz, Olympus, Smith & Nephew and ConMed. Emerging players are UroViu and Hologic.
Does Pristine Surgical have an API?
No public API is recorded for Pristine Surgical.
What industry is Pristine Surgical in?
Pristine Surgical's product category is Single-use Surgical Endoscopes. Its primary akta.pro industry code is HLAHADAB, Endoscopy Systems & Accessories (Scopes, Cameras, Light Sources, Insufflation), with a secondary code of HLAHADAD, Surgical Visualization & OR Video Integration (4K/3D, Recording, Routing). Its NAICS code is 339112 and its SIC code is 3841.