OrthAlign
OrthAlign is a privately-held medical device company that develops handheld, single-use computer-assisted surgical navigation technology for orthopedic joint replacement. Its disposable Lantern and OrthAlign Plus platforms serve surgeons, hospitals, and ambulatory surgery centers across the US, Japan, France, and Europe.
- Company typePrivate
- Founded2009
- HeadquartersAliso Viejo, United States
- Headcount101–250
- GTM typeB2B
- OfferingHardware or Manufacturing
What OrthAlign does
OrthAlign is a privately-held medical device company that develops handheld computer-assisted surgical (CAS) navigation technology for joint replacement procedures. Founded in 2009 and headquartered in Irvine, California, the company's core technology delivers real-time alignment data through palm-sized, single-use disposable devices that operate entirely within the sterile surgical field, eliminating the need for capital equipment, service contracts, or pre-operative imaging. The product portfolio spans the flagship Lantern platform — including Lantern Knee, Lantern Hip, and the ASC-targeted Lantern ASC system — alongside the OrthAlign Plus platform that integrates KneeAlign, HipAlign, and UniAlign technologies covering total knee, partial knee, revision knee, and total hip arthroplasty.
The technology is clinically validated across more than 450,000 procedures performed worldwide, with peer-reviewed evidence demonstrating improvements in alignment accuracy (e.g., 95.7% of tibial components within 2° of perpendicular to tibial mechanical axis versus 68.1% with conventional extramedullary guides) and 70-80% reductions in fluoroscopy time during direct anterior hip replacement. Open-platform compatibility across all major implant systems removes a key switching barrier for facilities.
OrthAlign operates a hardware-based recurring revenue model through per-case pricing on disposable navigation devices, supplemented by reusable components in the Lantern ASC system. The company distributes via a direct sales force in the United States and exclusive distribution partnerships internationally, including Biomet Japan, Lima France, and emerging European partner networks following April 2026 CE Mark certification. Its target customers are orthopedic surgeons, hospitals, and ambulatory surgery centers, with a deliberate strategic emphasis on ASCs as joint replacement migrates to outpatient settings.
OrthAlign firmographics
Firmographics- Name
- OrthAlign
- Legal name
- OrthAlign Corporation
- Website
- https://orthalign.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- OrthAlign is a privately-held medical device company that develops handheld, single-use computer-assisted surgical navigation technology for orthopedic joint replacement. Its disposable Lantern and OrthAlign Plus platforms serve surgeons, hospitals, and ambulatory surgery centers across the US, Japan, France, and Europe.
- Ownership category
- akta.pro rank
OrthAlign industry classification
Industry- Product category
- Orthopedic Surgical Navigation Devices
- NAICS
- Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113)
- SIC
- Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842), Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL)
- akta.pro secondary industries
- Orthopedic Joint Reconstruction Implants (Hip/Knee/Shoulder/Elbow/Ankle) (HLAHAEAA), Orthopedic Surgery (Operative Orthopedics) (HLAKALAC)
Keywords
Where OrthAlign is headquartered
LocationHeadquarters
- HQ city
- Aliso Viejo
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
OrthAlign business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Supply Chain, Marketing or Sales, Personnel, Operations, Infrastructure
Revenue model
- Single-use Navigation Devices: OrthAlign generates revenue primarily through the sale of single-use disposable navigation devices used in joint replacement surgeries. Each procedure requires one disposable unit, creating a recurring per-case revenue stream. The company does not require capital equipment purchases, service contracts, or complex infrastructure from customers, making adoption frictionless for hospitals and ASCs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Per-case pricing for single-use handheld navigation devices |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
OrthAlign product offering
Product offeringCore offering
OrthAlign designs, manufactures, and sells handheld, single-use disposable surgical navigation devices used by orthopedic surgeons during joint replacement procedures. Its flagship Lantern platform and OrthAlign Plus portfolio provide real-time intraoperative alignment data for total hip arthroplasty, total knee arthroplasty, revision knee, and partial knee arthroplasty without requiring capital equipment, service contracts, or pre-operative imaging.
Product overview
OrthAlign offers a portfolio of handheld orthopedic surgical navigation technology organized around two main platforms: the Lantern platform (Lantern, Lantern Knee, Lantern Hip, Lantern ASC) designed for the ASC environment, and the OrthAlign Plus platform which integrates KneeAlign, HipAlign, and UniAlign technologies. Lantern is the newer flagship system delivered in single-use format with per-case pricing, while OrthAlign Plus is a palm-sized multi-application device for both hip and knee procedures. The products provide real-time navigation data for precise alignment in joint replacement surgeries without requiring capital equipment, service contracts, or pre-operative imaging. All systems feature open-implant compatibility with most standard implant systems.
Differentiator
Problem solved
Functional benefit
Brands
- Lantern: Handheld orthopedic navigation technology platform for total hip, total knee, revision knee, and partial knee replacements. Includes Lantern Hip and Lantern Knee products.
- Lantern Knee
- Lantern Hip
- Lantern ASC
- OrthAlign Plus
- KneeAlign
- HipAlign
- UniAlign
Products and services
- Lantern Knee Handheld navigation system for Total Knee Arthroplasty, Revision Knee Arthroplasty, and Partial Knee Arthroplasty. Provides real-time alignment data without capital equipment or pre-operative imaging.
- Lantern Hip Handheld navigation technology for Total Hip Arthroplasty supporting direct anterior and posterior-based surgical approaches. Provides real-time data for acetabular cup placement, leg length, and joint offset measurement.
- Lantern ASC FDA 510(k) cleared navigation system specifically designed for ambulatory surgery centers (ASCs). Delivers real-time navigation for total knee, partial knee and gap balancing in primaries and revisions without capital equipment, software fees, or service contracts.
- OrthAlign Plus Palm-sized, single-use handheld navigation device for both Total Hip Arthroplasty (cup placement, leg length, and offset) and Total Knee Arthroplasty (tibial and femoral). Combines hip and knee navigation in one device.
- UniAlign World's first handheld navigation device for Unicompartmental Knee Arthroplasty (partial knee replacement). Provides precise alignment guidance for single-compartment procedures.
- KneeAlign Original palm-sized, disposable computer-assisted surgical navigation system for total knee arthroplasty providing tibial and femoral navigation. The foundational technology now integrated into OrthAlign Plus.
- HipAlign Handheld navigation device for direct anterior total hip replacement providing real-time data for acetabular cup placement, leg length, and offset measurement. World's first handheld navigation device for direct anterior hip approach.
Quantifiable outcome
- 95.7% of tibial components within 2° of perpendicular to tibial mechanical axis (vs 68.1% with conventional EM guides)
- +7 more outcomes
Companies that use OrthAlign
Customer profileNamed customers5 records
Segments3 records
Ideal customer profiles2 records
OrthAlign technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature6 records
OrthAlign partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Lima FrancecoreDistribution agreement making KneeAlign Total Knee Arthroplasty technology available in French market. Approximately 45,000 TKAs performed in France each year, growing at 10% annually. Lima France selected OrthAlign's KneeAlign as their alignment technology of choice to differentiate their product offering.
- Biomet JapancoreExclusive distribution agreement for KneeAlign Total Knee Arthroplasty technology in Japan. Japanese Ministry of Health approved KneeAlign for TKA use in Japan in December 2013. Approximately 70,000 TKAs performed in Japan during 2013, with growth expected due to aging population. Biomet Japan distributes KneeAlign to Japanese surgeons and hospitals.
Scale indicators6 records
Recent moves11 records
Expansion highlights6 records
OrthAlign competitors and assessment
Company assessmentBroad incumbents
- Stryker: Stryker's Mako robotic-arm assisted surgery platform is the dominant robotic system for total knee, partial knee, and total hip arthroplasty. It competes head-to-head with OrthAlign's Lantern and OrthAlign Plus navigation devices, but at a much higher capital equipment price point and footprint.
- Smith+Nephew: Smith+Nephew offers the CORI Surgical System, a handheld and compact robotic/navigation platform for knee arthroplasty. CORI directly competes with OrthAlign's handheld navigation value proposition and is a relevant comparison for ASC-targeted orthopedic navigation.
- DePuy Synthes (Johnson & Johnson): DePuy Synthes markets the VELYS Robotic-Assisted Solution for knee replacement, competing in the same surgical-navigation space as OrthAlign's Lantern Knee. As part of J&J, DePuy has significant distribution and implant-bundling leverage that OrthAlign's open platform explicitly competes against.
- Zimmer Biomet: Zimmer Biomet offers the ROSA Robotics and Persona IQ smart implant platforms for knee and hip arthroplasty navigation. As one of the largest orthopedic implant companies, it competes across the same surgical-navigation category as OrthAlign, often bundling navigation with implants.
- Medtronic: Medtronic's StealthStation surgical navigation system is widely used across neurosurgery and spine with adjacent orthopedic applications. While less focused on joint replacement, it represents a major incumbent with the scale and capital to expand into OrthAlign's market.
Direct peers
- Brainlab: Brainlab provides software-based surgical navigation platforms across multiple specialties including orthopedics. Its open-platform navigation technology overlaps with OrthAlign's positioning and serves as a relevant comp for capital-equipment-free navigation offerings.
- THINK Surgical: THINK Surgical develops robotic systems for orthopedic surgery, including the TSolution One for total knee arthroplasty with an open-implant platform. It competes with OrthAlign on open-platform positioning and ASC-relevant navigation technology.
- Exactech: Exactech offers the ExactechGPS computer-assisted surgical navigation system for shoulder and knee arthroplasty. Its compact navigation platform is comparable to OrthAlign's handheld devices in targeting cost-conscious hospitals and outpatient settings.
Emerging players
- Pixee Medical: Pixee Medical develops augmented-reality smart glasses for surgical navigation in knee and hip arthroplasty. Its emerging AR-based approach is conceptually similar to OrthAlign's handheld navigation vision — accurate, capital-light alternatives to robotic systems.
- 7D Surgical: 7D Surgical offers the Flash™ Navigation System using machine-vision registration for spine and orthopedic procedures. It competes as a non-robotics, image-based navigation alternative targeting similar ambulatory and hospital surgical settings.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
OrthAlign social profiles
Digital presenceOrthAlign compliance and trust
Trust signalCompliance6 records
OrthAlign financial estimates
Financial estimateRevenue estimate
Valuation estimate
OrthAlign leadership team
Management profileNumber of profiles
Profiles10 records
OrthAlign funding detail
Funding detailFunding overview
Funding rounds7 records
Investors5 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
OrthAlign 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 OrthAlign
What does OrthAlign do?
OrthAlign designs, manufactures, and sells handheld, single-use disposable surgical navigation devices used by orthopedic surgeons during joint replacement procedures. Its flagship Lantern platform and OrthAlign Plus portfolio provide real-time intraoperative alignment data for total hip arthroplasty, total knee arthroplasty, revision knee, and partial knee arthroplasty without requiring capital equipment, service contracts, or pre-operative imaging.
Is OrthAlign a public or private company?
OrthAlign is a private company. It is classified as venture growth investor backed and is currently operating.
When was OrthAlign founded?
OrthAlign was founded in 2009. It employs 101 to 250 people.
Where is OrthAlign based?
OrthAlign is headquartered in Aliso Viejo, United States, in the North America region.
How does OrthAlign make money?
One revenue line is on record: single-use Navigation Devices.
Who are OrthAlign's main competitors?
Broad incumbents on record are Stryker, Smith+Nephew, DePuy Synthes (Johnson & Johnson), Zimmer Biomet and Medtronic. Direct peers are Brainlab, THINK Surgical and Exactech. Emerging players are Pixee Medical and 7D Surgical.
Does OrthAlign have an API?
No public API is recorded for OrthAlign.
What industry is OrthAlign in?
OrthAlign's product category is Orthopedic Surgical Navigation Devices. Its primary akta.pro industry code is HLAHAEAL, Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine), with a secondary code of HLAHAEAA, Orthopedic Joint Reconstruction Implants (Hip/Knee/Shoulder/Elbow/Ankle). Its NAICS code is 339112 and its SIC code is 3842.