Extreme Simulations
Extreme Simulations is an Israel-based medical simulation company that designs and manufactures hyper-realistic silicone manikins, task trainers, body parts, and wearable wounds for defense, law enforcement, healthcare, EMS, and fire and rescue training clients worldwide.
- Company typePrivate
- Founded2016
- HeadquartersTel Aviv, Israel
- Headcount11–50
- GTM typeB2B
- OfferingHardware or Manufacturing
What Extreme Simulations does
Extreme Simulations is a privately held Israeli medical simulation company founded in 2016 that designs, manufactures, and sells hyper-realistic silicone manikins, task trainers, body parts, and wearable wounds used by defense forces, law enforcement, hospitals, fire and rescue services, and EMS organizations for trauma, combat casualty care, and clinical procedure training. Its core product line centers on three manikins — the PDR25 Modular Trauma System (a TCCC-compliant pre-hospital trauma manikin co-developed with Singapore Police Security Command), the R42 Bariatric Manikin for bariatric patient care, and the Steve Search and Rescue Manikin — supported by task trainers such as Louis, JOSH, Tim Arm and Leg, and Gabe I.V., plus an extensive catalog of body parts and wearable wounds. The company's underlying technology platform combines proprietary 3D printing (claimed to deliver up to 5x faster development and 60% production cost reduction) with proprietary Silskin 10 platinum silicone formulations and reinforced steel / polyurethane joint construction, enabling durable, reusable training hardware without mandatory service contracts.
The business operates three revenue streams: hardware sales of manikins, task trainers, body parts, and wearable wounds; turnkey training solutions including scenario design, mobile training, and training facility build-and-operate services; and R&D services from conceptualization through prototyping, modeling, casting, testing, and market-ready product delivery. Distribution is direct-to-consumer through a Shopify-based global e-commerce storefront alongside a direct enterprise sales motion for bulk procurement and custom development. The company is operationally distributed across three locations — headquarters in Modi'in, Israel; a commercial office in Toronto, Canada; and an R&D and development studio in Lydney, UK managed by co-founder and Head of R&D Isaac Franklin. Its customer base spans Israeli defense and HLS institutions (IDF, Israeli Police Yamam, Magen David Adom, United Hatzalah), international defense clients (US Air Force, Netherlands MoD, Singapore Police Security Command), clinical validation partners (Sheba Hospital), and search and rescue organizations (Derbyshire Fire and Rescue), with the company stating it serves over 500,000 first responders across the world's top defense and HLS agencies. Leadership is founder-led, with Oriel Herman as CEO, Jonathan Bahat as COO, and Ruth Herman as Head Designer.
Extreme Simulations firmographics
Firmographics- Name
- Extreme Simulations
- Legal name
- Extreme Simulations
- Website
- https://extremesimulations.com
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Extreme Simulations is an Israel-based medical simulation company that designs and manufactures hyper-realistic silicone manikins, task trainers, body parts, and wearable wounds for defense, law enforcement, healthcare, EMS, and fire and rescue training clients worldwide.
- Ownership category
- akta.pro rank
Extreme Simulations industry classification
Industry- Product category
- Medical Simulation Equipment
- NAICS
- Medical Equipment and Supplies Manufacturing (33911), Surgical and Medical Instrument Manufacturing (339112), Medical Equipment and Supplies Manufacturing (3391)
- SIC
- Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Healthcare & Clinical Simulation (Surgery, Nursing, EMT, Patient Interaction) (EDAFAJAC)
- akta.pro secondary industries
- EMS Education, Training & Simulation Centers (HLAFANAL), Modeling, Simulation, Digital Twins & Mission Rehearsal Systems (IMABAOAL), Safety, Compliance & Risk Training Simulations (EHS, OSHA, Hazard Response) (EDAFAJAD)
Keywords
Where Extreme Simulations is headquartered
LocationHeadquarters
- HQ city
- Tel Aviv
- HQ country
- Israel
- HQ region
- Middle East
Offices3 records
Markets served
Extreme Simulations business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Technology or R&D, Supply Chain, Personnel, Operations, Marketing or Sales, Infrastructure
Revenue model
- Medical Simulation Products: Sale of physical training products including manikins, task trainers, body parts, and wearable wounds. Products are sold directly through their e-commerce platform with pricing varying by product type and customization options.
- Turnkey Training Solutions: Onsite and offsite training services including specialized training programs, mobile training solutions, and facility development and operation. Creates tailor-made scenarios and super-immersive environments.
- R&D Services: Custom development services from conceptualization through prototyping, modeling, casting, testing, and market-ready product delivery. Custom-made solutions for specific training needs.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Standard product pricing |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels4 records
Extreme Simulations product offering
Product offeringCore offering
Extreme Simulations develops and manufactures hyper-realistic medical simulation products—primarily silicone-based manikins, task trainers, body parts, and wearable wounds—used for trauma, combat casualty care, bariatric care, and search-and-rescue training by military, law enforcement, EMS, fire and rescue, and healthcare organizations. The company also provides turnkey training solutions (custom scenarios, mobile setups, facility build-and-operate) and custom R&D services from a UK development studio, with proprietary 3D printing technology underpinning rapid prototyping and lower-cost production.
Product overview
Extreme Simulations develops innovative medical simulation products and provides turnkey training solutions for emergency situations. The portfolio centers on three core manikins: the PDR25 Modular Trauma System for pre-hospital trauma training, the R42 Bariatric Manikin for bariatric patient care training, and the Steve Search and Rescue Manikin for disaster and rescue scenarios. Supporting the manikins are specialized task trainers including Louis, JOSH, Tim Arm & Leg, and Gabe I.V. for specific procedure training such as hemorrhage control and IV insertion. The company also offers an extensive range of wearable wounds (cuts, bullet and shrapnel wounds, severe wounds, burns) and body parts (heads, hands, limbs, organs) for comprehensive casualty simulation. R&D services and turnkey training solutions are available for organizations needing custom development or complete training facility setup.
Differentiator
Problem solved
Functional benefit
Products and services
- PDR25 - Modular Trauma System Highly versatile pre-hospital trauma training manikin designed to simulate a wide range of real-world emergency scenarios, featuring reinforced steel frame and polyurethane joint technology for intensive training use; validated by Medical Simulation Center at Sheba Hospital and tested by Israeli Army combat units.
- R42 - Bariatric Manikin State-of-the-art bariatric nursing manikin for training healthcare professionals to treat obese and bariatric patients, featuring Silskin 10 platinum silicon skin, realistic airway anatomy, advanced airway options, CPR capability, IV access with simulated blood return, and multiple skin tone options.
- Steve - Search and Rescue Manikin Disaster and rescue training manikin with natural articulation of body and limbs, including the ability to float and submerge, designed for water rescue, disaster sites, fire rescue, and mountain rescue training scenarios.
- Turnkey Training Solutions Onsite and offsite specialized training programs, mobile training solutions, and facility development and operation, creating tailor-made scenarios and super-immersive environments for first responders and military clients.
- R&D Services Custom development services from conceptualization through prototyping, modeling, casting, testing, and market-ready product delivery, provided by the UK development studio under co-founder Isaac Franklin.
Quantifiable outcome
- 500,000+ first responders trained globally
- +4 more outcomes
Companies that use Extreme Simulations
Customer profileNamed customers12 records
Segments5 records
Ideal customer profiles4 records
Extreme Simulations technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature5 records
Extreme Simulations partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core.
- RIB productionscoreDeveloped and manufactured the R42 Bariatric Manikin for Extreme Simulations. RIB productions is the manufacturing partner responsible for producing this specialized medical simulation product.
- Singapore Police Security CommandcoreEngineered PDR25 in direct collaboration with Singapore Police Security Command. The product meets TCCC standards whilst delivering operational efficiency and lifecycle value for modern training demands.
- Medical Simulation Center (MSR) at Sheba HospitalcoreProducts validated by the Medical Simulation Center at Sheba Hospital, ensuring clinical accuracy and training effectiveness.
- Singapore Home AcademycoreDeveloping a POC healthcare training manikin demonstrating integration of high-fidelity design, sensor-based wound treatment, blood management system, pulse simulation, and NLP for patient responses. Currently working on second phase.
- Derbyshire Fire and RescuecoreSteve Search and Rescue Manikin tested and validated by Derbyshire Fire and Rescue, the leading Fire and Rescue institution in the United Kingdom.
- Israeli Police Counter-Terror Unit (Yamam)coreHead Medical Doctor of Yamam (most active counter-terror unit in the world) provided specifications for JOSH TT development, now used to train IDF infantry soldiers.
Scale indicators7 records
Recent moves7 records
Expansion highlights6 records
Extreme Simulations competitors and assessment
Company assessmentDirect peers
- Laerdal Medical: Global leader in medical simulation manikins (SimMan, SimBaby, Resusci Anne) and CPR training products. Directly competes with Extreme Simulations in clinical and trauma simulation across hospitals, nursing schools, and EMS training programs worldwide.
- CAE Healthcare (Elevate Healthcare): Provides high-fidelity patient simulators (Lucina, Apollo, Juno) and turnkey simulation center services to hospitals and medical schools. Closest direct competitor to Extreme Simulations' clinical manikin and training center offering.
- Nasco Healthcare (Simulaids): Manufactures trauma, rescue, and casualty simulation manikins including the SMART STAT and Rescue Randy lines. Directly overlaps with Extreme Simulations' Steve SAR manikin and trauma task trainer portfolio.
- TraumaFX / SIMETRI: Producer of high-fidelity trauma simulation manikins and moulage products for tactical combat casualty care (TCCC), K9, and disaster response training. Closest direct peer in the military and tactical medicine niche Extreme Simulations serves.
- 3B Scientific: Global manufacturer of anatomical models, medical simulators, and skills trainers distributed to medical schools, nursing programs, and hospitals. Comparable product breadth across task trainers and body parts.
- Limbs & Things: Manufactures clinical skills trainers and task trainers for medical professionals worldwide, including suturing, IV, and procedural simulators. Directly overlaps with Extreme Simulations' task trainer and consumable product lines.
Emerging players
- TruCorp: Specializes in airway management and vascular access task trainers used in clinical and EMS training. Partial overlap with Extreme Simulations' IV insertion (Gabe I.V.) and airway-capable products like the R42.
- Surgical Science: Developer of virtual reality surgical and interventional simulation platforms (LapSim, EndoSim, TeamSim). Adjacent category player using software-based simulation where Extreme Simulations uses physical hardware — both target clinical skills training.
- Intelligent Ultrasound: Provides AI-enabled ultrasound training simulators and anatomical modeling for clinical education. Comparable as a tech-forward medical simulation company, though focused on ultrasound rather than trauma/bariatric.
Broad incumbents
- Ambu: Global medical device company with a training and simulation division offering bronchoscopy, airway, and endoscopy trainers. A larger incumbent with broader product portfolio but partial overlap in procedural simulation.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
Extreme Simulations social profiles
Digital presenceExtreme Simulations financial estimates
Financial estimateRevenue estimate
Valuation estimate
Extreme Simulations leadership team
Management profileNumber of profiles
Profiles6 records
Extreme Simulations funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Extreme Simulations 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 Extreme Simulations
What does Extreme Simulations do?
Extreme Simulations develops and manufactures hyper-realistic medical simulation products—primarily silicone-based manikins, task trainers, body parts, and wearable wounds—used for trauma, combat casualty care, bariatric care, and search-and-rescue training by military, law enforcement, EMS, fire and rescue, and healthcare organizations. The company also provides turnkey training solutions (custom scenarios, mobile setups, facility build-and-operate) and custom R&D services from a UK development studio, with proprietary 3D printing technology underpinning rapid prototyping and lower-cost production.
Is Extreme Simulations a public or private company?
Extreme Simulations is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Extreme Simulations founded?
Extreme Simulations was founded in 2016. It employs 11 to 50 people.
Where is Extreme Simulations based?
Extreme Simulations is headquartered in Tel Aviv, Israel, in the Middle East region.
How does Extreme Simulations make money?
Three revenue lines are on record. Medical Simulation Products are the primary driver. The others are turnkey Training Solutions and R&D Services.
Who are Extreme Simulations's main competitors?
Direct peers on record are Laerdal Medical, CAE Healthcare (Elevate Healthcare), Nasco Healthcare (Simulaids), TraumaFX / SIMETRI, 3B Scientific and Limbs & Things. Emerging players are TruCorp, Surgical Science and Intelligent Ultrasound. Ambu is listed as a broad incumbent.
Does Extreme Simulations have an API?
No public API is recorded for Extreme Simulations.
What industry is Extreme Simulations in?
Extreme Simulations's product category is Medical Simulation Equipment. Its primary akta.pro industry code is EDAFAJAC, Healthcare & Clinical Simulation (Surgery, Nursing, EMT, Patient Interaction), with a secondary code of HLAFANAL, EMS Education, Training & Simulation Centers. Its NAICS code is 33911 and its SIC code is 3841.