Pixee Medical
Pixee Medical is a French-founded medical device company that develops augmented reality surgical navigation systems, primarily Knee+ NexSight for Total Knee Arthroplasty. It sells via a per-procedure equipment-loan model to orthopedic surgeons and Ambulatory Surgery Centers across 20+ countries.
- Company typePrivate
- Founded2017
- HeadquartersBesançon, France
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Pixee Medical does
Pixee Medical SAS is a French-headquartered medical device company founded in 2017 in Besançon by Sébastien Henry, specializing in augmented reality (AR) surgical navigation for orthopedic procedures. The company's core product, Knee+ NexSight, is a handheld AR guidance system for Total Knee Arthroplasty (TKA) that uses smart glasses to overlay real-time bone alignment, implant positioning, and surgical landmarks directly into the surgeon's field of view, achieving robotic-level precision without requiring a robot, pre-operative CT imaging, or single-use disposables. A companion product, Shoulder+, applies the same mixed reality platform to shoulder arthroplasty and is currently under development.
The company generates revenue through a usage-based equipment loan model: AR systems are placed at surgical facilities at no upfront capital cost, and customers pay per-procedure via a token-based system, with maintenance, repairs, and updates bundled into the per-use fee. Pixee distributes primarily through direct enterprise sales targeting Ambulatory Surgery Centers (ASCs) and hospital orthopedic departments, with named surgeon adopters across more than 20 countries and over 10,000 procedures performed cumulatively. Following a €14 million Series B in February 2024 and the establishment of US subsidiary Pixee Medical Inc. in Cambridge, MA, the company is scaling US commercial operations, having secured FDA 510(k) clearance and CE Mark under EU MDR for Knee+ NexSight in 2026 and targeting profitability by 2026. Key financial backers include UI Investissement, Bpifrance, Innovacom, Turenne Capital, Angelor, and Relyens.
Pixee Medical firmographics
Firmographics- Name
- Pixee Medical
- Legal name
- Pixee Medical SAS
- Website
- https://pixee-medical.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Pixee Medical is a French-founded medical device company that develops augmented reality surgical navigation systems, primarily Knee+ NexSight for Total Knee Arthroplasty. It sells via a per-procedure equipment-loan model to orthopedic surgeons and Ambulatory Surgery Centers across 20+ countries.
- Ownership category
- akta.pro rank
Pixee Medical industry classification
Industry- Product category
- Orthopedic Surgical Navigation Devices
- NAICS
- Surgical and Medical Instrument Manufacturing (339112), Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (3345)
- SIC
- Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)
- akta.pro primary industry
- Surgical Navigation, Tracking & Intraoperative Guidance (Ortho/Neuro/ENT) (HLAHADAG)
- akta.pro secondary industries
- Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL), Surgical Robotics & Computer-Assisted Surgery Platforms (HLAHADAF), Hip & Knee Reconstruction (Arthroplasty) (HLAKALAH)
Keywords
Where Pixee Medical is headquartered
LocationHeadquarters
- HQ city
- Besançon
- HQ country
- France
- HQ region
- Europe
Offices2 records
Markets served
Pixee Medical business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Supply Chain, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- Equipment Loan with Token-based Usage: Pixee Medical loans equipment to surgical facilities and customers pay on a per-procedure basis through the purchase of Equipment use tokens. The Use Fee is included in the loan agreement and covers maintenance, repairs, and replacements. No upfront capital purchase required from customers.
- Per-Procedure Token System: Customers purchase tokens to access and use the Equipment for each surgical procedure. Tokens have no cash value and cannot be converted, redeemed, traded, or resold. Unused tokens expire upon contract termination.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Equipment loan with per-procedure token payment |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels7 records
Pixee Medical product offering
Product offeringCore offering
Pixee Medical designs, manufactures and supplies augmented reality surgical navigation systems for orthopedic procedures. Its flagship Knee+ NexSight product is an FDA 510(k)-cleared and CE-marked handheld AR system that overlays bone alignment, implant positioning and surgical landmarks directly into the surgeon's view during total knee arthroplasty, delivering robotic-level precision without requiring a robot, pre-operative imaging, or single-use disposables. The company provides the equipment to surgical facilities under a loan arrangement and bills customers per-procedure via usage tokens, with companion Shoulder+ solution under development.
Product overview
Pixee Medical offers a portfolio of ultra-compact augmented reality surgical navigation solutions for orthopedic surgery. The core product is Knee+ NexSight, an FDA-cleared and CE-marked AR system for total knee arthroplasty (TKA) that provides real-time surgical guidance through AR glasses. Shoulder+ is a companion product under development for shoulder surgery using the same mixed reality platform. Both products are designed for high-volume operating rooms and ambulatory surgery centers (ASCs), offering robotic-level precision without the cost and complexity of traditional robotic systems.
Differentiator
Problem solved
Functional benefit
Brands
- Knee+ NexSight: Augmented reality surgical navigation system for total knee arthroplasty (TKA)
- Shoulder+
Products and services
- Knee+ NexSight FDA-cleared and CE-marked handheld augmented reality surgical navigation system for total knee arthroplasty (TKA) that uses AR glasses to overlay real-time bone alignment, implant positioning, and surgical landmarks directly into the surgeon's visual field, delivering robotic-level precision without requiring a robot, pre-operative imaging, or single-use disposables. Designed for orthopedic surgeons and ambulatory surgery centers.
- Shoulder+ Mixed reality surgical navigation solution under development for shoulder surgery that uses AR/MR technology to provide surgeons with real-time see-through visualization of patient anatomy for accurate drilling navigation and implant placement, offering a cost-effective, compact alternative to traditional shoulder navigation systems.
Quantifiable outcome
- Robotic-level precision without robotic complexity or cost
- +4 more outcomes
Companies that use Pixee Medical
Customer profileNamed customers6 records
Segments3 records
Ideal customer profiles2 records
Pixee Medical technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
Pixee Medical partnerships and signals
Strategic signalScale indicators8 records
Recent moves7 records
Expansion highlights6 records
Pixee Medical competitors and assessment
Company assessmentBroad incumbents
- Stryker (Mako): Stryker's Mako robotic-arm assisted surgery platform is the dominant orthopedic surgical navigation/robotics system for TKA and THA. It is the primary incumbent Pixee competes against on accuracy and clinical workflow, but Mako requires a large capital purchase and dedicated OR space, which Pixee's compact AR alternative avoids.
- Smith+Nephew (CORI): Smith+Nephew's CORI handheld robotic surgical system targets the same outpatient and ASC segment Pixee serves, with similar value propositions around cost efficiency and portability. It is a direct head-to-head competitor in the AR/handheld navigation category for TKA.
- Zimmer Biomet (Rosa Knee): Zimmer Biomet's Rosa robotic platform for knee surgery is a major competitor with deep US hospital penetration and bundled implant economics. Rosa competes on the same clinical use case (TKA) as Pixee's Knee+ NexSight.
- Johnson & Johnson MedTech (VELYS): J&J's DePuy Synthes VELYS robotic-assisted solution for TKA is a direct competitor in the US surgical navigation market, leveraging J&J's implant portfolio and large salesforce.
- Brainlab: Brainlab provides surgical navigation and augmented reality software across multiple specialties including orthopedics. Its broader portfolio of digital surgery solutions competes with Pixee's AR navigation approach on a category basis.
- Medtronic (StealthStation / Mazor): Medtronic's StealthStation surgical navigation and Mazor robotics platforms span cranial, spine, and orthopedic procedures. While broader than Pixee, they are credible competitors in computer-assisted orthopedic surgery.
Direct peers
- OrthAlign: OrthAlign offers handheld, single-use navigation systems for total knee and hip arthroplasty — a direct competitor to Pixee's Knee+ NexSight in both form factor (handheld/compact) and target use case (TKA alignment in ASCs and hospitals).
- Augmedics: Augmedics develops AR surgical navigation using head-mounted displays (xvision Spine), directly comparable to Pixee's AR glasses approach in surgical guidance, though currently focused on spine rather than orthopedics.
- Intellijoint Surgical: Intellijoint provides miniaturized, image-less surgical navigation for hip and knee arthroplasty. Its compact, cost-effective approach mirrors Pixee's value proposition of avoiding bulky robotic systems and pre-op imaging.
Emerging players
- FundamentalVR: FundamentalVR applies AR/VR and haptics for surgical training and data analytics in orthopedics. It is thematically adjacent to Pixee's AR-navigation platform and shares the broader AR-surgery thesis.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Pixee Medical social profiles
Digital presencePixee Medical compliance and trust
Trust signalCompliance2 records
Pixee Medical financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pixee Medical leadership team
Management profileNumber of profiles
Profiles7 records
Pixee Medical subsidiaries and ownership
Company hierarchySubsidiaries1 record
Pixee Medical funding detail
Funding detailFunding overview
Funding rounds1 record
Investors5 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pixee Medical 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 Pixee Medical
What does Pixee Medical do?
Pixee Medical designs, manufactures and supplies augmented reality surgical navigation systems for orthopedic procedures. Its flagship Knee+ NexSight product is an FDA 510(k)-cleared and CE-marked handheld AR system that overlays bone alignment, implant positioning and surgical landmarks directly into the surgeon's view during total knee arthroplasty, delivering robotic-level precision without requiring a robot, pre-operative imaging, or single-use disposables. The company provides the equipment to surgical facilities under a loan arrangement and bills customers per-procedure via usage tokens, with companion Shoulder+ solution under development.
Is Pixee Medical a public or private company?
Pixee Medical is a private company. It is classified as venture growth investor backed and is currently operating.
When was Pixee Medical founded?
Pixee Medical was founded in 2017. It employs 11 to 50 people.
Where is Pixee Medical based?
Pixee Medical is headquartered in Besançon, France, in the Europe region.
How does Pixee Medical make money?
Two revenue lines are on record. Equipment Loan with Token-based Usage is the primary driver. The others are per-Procedure Token System.
Who are Pixee Medical's main competitors?
Broad incumbents on record are Stryker (Mako), Smith+Nephew (CORI), Zimmer Biomet (Rosa Knee), Johnson & Johnson MedTech (VELYS), Brainlab and Medtronic (StealthStation / Mazor). Direct peers are OrthAlign, Augmedics and Intellijoint Surgical. FundamentalVR is listed as an emerging player.
Does Pixee Medical have an API?
No public API is recorded for Pixee Medical.
What industry is Pixee Medical in?
Pixee Medical's product category is Orthopedic Surgical Navigation Devices. Its primary akta.pro industry code is HLAHADAG, Surgical Navigation, Tracking & Intraoperative Guidance (Ortho/Neuro/ENT), with a secondary code of HLAHAEAL, Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine). Its NAICS code is 339112 and its SIC code is 3841.