NUANCE MEDICAL
Nuance Medical is a Carlsbad, California-based medical device company that markets FDA-cleared topical anesthetics, cryotherapy systems, and silicone scar management products across its HurriCaine, Hurri-Freeze, Biodermis, BIOCORNEUM, and CryoDose brands, serving healthcare professionals in medical, dental, dermatology, and plastic surgery settings plus consumers in 50+ countries.
- Company typePrivate
- Founded2004
- HeadquartersCarlsbad, United States
- Headcount1–10
- GTM typeB2B
- OfferingHardware or Manufacturing
What NUANCE MEDICAL does
Nuance Medical is a privately held Carlsbad, California-based medical device and pharmaceutical products company that markets a portfolio of topical anesthetics, cryotherapy systems, and silicone scar management products to healthcare professionals and consumers. The company's product lineup spans four portfolios — Pain Management (HurriCaine, Hurri-Freeze, InstaNumb, CryoDose TA), Scar & Skincare (Biodermis, BIOCORNEUM), Cryotherapy (CryoDose V at -70°C, CryoDose H at -55°C), and Dental (HurriCaine anesthetics, HurriView plaque indicators, HurriSeal desensitizers) — distributed through medical-surgical distributors and pharmacy wholesalers to over 25,000 offices and hospitals in the U.S. and 50+ countries internationally, with consumer SKUs also sold through Amazon and direct e-commerce.
The portfolio was assembled through three consecutive acquisitions: Biodermis (2022, silicone scar management), Beutlich Pharmaceuticals and the HurriCaine brand (2023, topical anesthetics), and BIOCORNEUM (April 2024, acquired from Sientra in a court-administered Chapter 11 sale). Proprietary technology differentiators include the first FDA-cleared HFO (hydrofluoroolefin) topical anesthetic spray with 99% lower global warming potential than HFC-based sprays (Hurri-Freeze, patent pending) and the first unit-dose non-aerosol topical anesthetic spray in both benzocaine and lidocaine formulations (HurriCaine ONE). The cryotherapy line delivers precision temperature control via touch-sensitive actuators with multiple dosing cones.
The go-to-market combines enterprise channels (medical-surgical distributors, pharmacy wholesalers, GPO contracts, direct regional sales representatives) with consumer channels (Amazon, DTC). Products are sold as one-time unit purchases across both OTC and professional/clinical pricing tiers. The company operates fulfillment facilities in California, Nevada, and Florida, is expanding operations in Southern Nevada under state tax incentive approval, and announced a partnership with the American Breast Cancer Foundation in March 2026 for oncology/recovery patient outreach. Recent product launches include HurriCaine ONE Lidocaine (June 2026, APIC 2026) and BIOCORNEUM SiliSilk (early 2026, winner of the 2026 NewBeauty Award for Best Scar Gel). Leadership includes a President, CFO, and VPs of Sales, Product Management, Operations, Marketing, and Quality/Regulatory. Revenue is not publicly disclosed.
NUANCE MEDICAL firmographics
Firmographics- Name
- NUANCE MEDICAL
- Legal name
- Nuance Medical
- Website
- https://nuancemedical.com
- Company type
- Private
- Founded year
- 2004
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Nuance Medical is a Carlsbad, California-based medical device company that markets FDA-cleared topical anesthetics, cryotherapy systems, and silicone scar management products across its HurriCaine, Hurri-Freeze, Biodermis, BIOCORNEUM, and CryoDose brands, serving healthcare professionals in medical, dental, dermatology, and plastic surgery settings plus consumers in 50+ countries.
- Ownership category
- akta.pro rank
NUANCE MEDICAL industry classification
Industry- Product category
- Medical Devices and Topical Anesthetics
- NAICS
- Pharmaceutical and Medicine Manufacturing (3254), Pharmaceutical Preparation Manufacturing (325412), Medical Equipment and Supplies Manufacturing (3391)
- SIC
- Pharmaceutical Preparations (2834), Surgical & Medical Instruments & Apparatus (3841)
- akta.pro primary industry
- Pain Management & Anesthesiology Pharmaceuticals (HLAIAAAN)
- akta.pro secondary industries
- Dermatology & Aesthetics Pharmaceuticals (HLAIAAAK), Personal Medical Devices & Home Diagnostics (Thermometers, Blood Pressure Monitors, Glucose Meters, Rapid Tests) (CRADAMAK)
Keywords
Where NUANCE MEDICAL is headquartered
LocationHeadquarters
- HQ city
- Carlsbad
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
NUANCE MEDICAL business model
Business model- GTM type
- B2B
- Offering type
- Hardware or Manufacturing
- Cost components
- Supply Chain, Operations, Personnel, Marketing or Sales, Technology or R&D, Others
Revenue model
- Medical Device and Pharmaceutical Product Sales: Nuance Medical generates revenue through the sale of proprietary medical devices and pharmaceutical products including topical anesthetics, cryotherapy systems, and scar management products. Products are sold through multiple channels including medical-surgical distributors, pharmacy wholesalers, and direct e-commerce. The company operates with fulfillment facilities and sells into more than 50 countries through international distributor relationships.
- Scar Management and Skincare Products: Revenue from premium silicone scar management products under Biodermis and BIOCORNEUM brands, sold to dermatologists, plastic surgeons, and directly to patients. Products include silicone sheeting, gels, ointments, and scar sticks.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Unit Pricing | Pay-as-you-go | Over-the-counter topical anesthetics available through retail channels |
| Unit Pricing | Pay-as-you-go | Professional/clinical products distributed through medical channels |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels6 records
NUANCE MEDICAL product offering
Product offeringCore offering
Nuance Medical manufactures and sells proprietary medical devices and pharmaceutical products for healthcare professionals and consumers, including topical anesthetic sprays, gels and liquids (benzocaine and lidocaine formulations), portable cryotherapy/cryosurgical systems, and professional-grade silicone scar management products. The portfolio spans brands such as HurriCaine, Hurri-Freeze, InstaNumb, CryoDose, Biodermis, and BIOCORNEUM, distributed through medical-surgical distributors, pharmacy wholesalers, e-commerce channels, and international distributors across 50+ countries.
Product overview
Nuance Medical is a healthcare company with a multi-brand portfolio organized into four product categories: Pain Management, Scar & Skincare, Cryotherapy, and Dental. The Pain Management portfolio includes topical anesthetic products under the HurriCaine, Hurri-Freeze, InstaNumb, and CryoDose TA brands, featuring various delivery formats (sprays, gels, liquids, unit-dose applicators) with active ingredients including Benzocaine and Lidocaine. The Scar & Skincare division encompasses BIOCORNEUM (acquired 2024 from Sientra) and Biodermis (acquired 2022), offering professional-grade silicone scar management products including gels, sheeting, and ointments. Cryotherapy products include CryoDose V (-70°C) and CryoDose H (-55°C) portable cryosurgical systems. Dental products include HurriCaine anesthetics, HurriView plaque indicators, and HurriSeal dentin desensitizers. The company also offers health supplements including Peridin-C and CEO-TWO laxatives. Products are sold through more than 50 countries via international distributors with fulfillment facilities in CA, NV, and FL.
Differentiator
Problem solved
Functional benefit
Brands
- BIOCORNEUM: Leading brand in advanced silicone gel scar treatment, trusted by physicians and patients for over a decade. Part of the Biodermis scar treatment portfolio.
- Biodermis
- HurriCaine
- CryoDose
- CryoDose V
- CryoDose H
- HurriCaine ONE
- Hurri-Freeze
Products and services
- Hurri-Freeze The first FDA-cleared HFO (hydrofluoroolefin) topical anesthetic spray for use on skin, minor open wounds, and intact oral mucous membranes. Available in Medium Stream and Mist Spray in 115 mL and 35 mL sizes with 360° spray. Provides instant cooling for pain associated with injections, IV starts, venipuncture, minor surgical/cosmetic procedures, and minor athletic injuries. For healthcare professionals.
- HurriCaine ONE Benzocaine
- HurriCaine ONE Lidocaine Single-use, unit-dose 4% Lidocaine non-aerosol spray combining lidocaine, BZK, and alcohol for temporary pain relief during minor procedures and injections. First and only unit-dose non-aerosol topical anesthetic spray. Fast onset within 5 minutes with duration of 10+ minutes. Features barcode tracking for BCMA protocols. For healthcare professionals.
- InstaNumb Safe and cost-effective HFC topical anesthetic spray (vapocoolant) for use on skin that temporarily controls pain. Available in Mist or Medium Stream in 115 mL and 35 mL sizes. Only HFC vapocoolant on GPO contract, FDA-cleared as substantially equivalent to Ethyl Chloride with more use indications including minor open wounds. For healthcare professionals.
- CryoDose TA HAZMAT-free topical anesthetic spray for use on skin, minor open wounds, and intact oral mucous membranes. Available in Mist or Medium Stream in 115 mL and 35 mL sizes. Clinically and therapeutically equivalent to hazardous Ethyl Chloride but safer with no inhalation precautions required. For healthcare professionals.
- HurriCaine Topical Anesthetic Spray Fast-acting 20% Benzocaine spray providing temporary relief from occasional minor irritation and pain associated with sore mouth and throat, canker sores, minor dental procedures, and minor injury of the mouth and gums. Available in 2 oz. can or spray kit with Original Wild Cherry flavor. For medical and dental professionals and OTC consumer use.
- HurriCaine Topical Anesthetic Gel Fast, temporary oral pain relief with 20% Benzocaine. Available in Original Wild Cherry, Piña Colada, Fresh Mint, Watermelon, and Strawberry flavors. Works within 30 seconds with no artificial dyes. For dental and medical professionals.
- HurriCaine Gel Unit Dose Unit-dose format of HurriCaine Topical Anesthetic Gel that helps eliminate cross-contamination. Available in Original Wild Cherry, Watermelon, and Strawberry flavors. Box of 60 individually wrapped unit doses. For dental and medical professionals.
- HurriCaine Topical Anesthetic Gel Prefilled Unit Dose Syringes Prefilled unit dose gel syringes with flexible plastic irrigation tips for gentle subgingival application. Specially formulated for root planing, scaling, and full mouth debridement. Available in Original Wild Cherry and Piña Colada flavors. Package contains 4 x 1.2 g prefilled syringes and 4 dispensing tips. For dental professionals.
- HurriCaine Topical Anesthetic Gel Pharmacy Pack Fast, temporary oral pain relief with 20% Benzocaine in Original Wild Cherry flavor. Pharmacy pack includes twelve 5.25 g tubes. For pharmacy retail and dental professional use.
- CryoDose V Portable precision cryosurgical treatment kit for non-invasive cryotherapy for skin lesions, warts, and cosmetic concerns. Features touch-sensitive actuator, reaches -70°C, includes six dosing cones with splash guards, arrow and round buds. Five-year shelf life. For healthcare professionals.
- CryoDose H Portable cryosurgical system treatment kit using dimethyl ether (DME) with button-style actuator dispensing via treatment buds reaching -55°C. Designed for treating benign lesions and skin problems. Three-year shelf life. For healthcare professionals.
- BIOCORNEUM Leading advanced scar treatment brand combining innovation with effectiveness for minimizing scar appearance and supporting healing at every stage. Includes SiliSilk premium silicone gel products. Trusted by physicians and patients for over a decade. For dermatologists, plastic surgeons, and patients.
- BIOCORNEUM SiliSilk Non-SPF silicone gel for scar recovery with lightweight, fast-drying formula. Forms a breathable, flexible layer supporting optimal healing for all-day wear. Winner of the 2026 NewBeauty Award for Best Scar Gel. Effective on new and existing scars. For dermatologists, plastic surgeons, and patients.
- Biodermis Scar Management Products Professional-grade silicone scar management products including compression foam, silicone sheeting, ointments, skin repair serums, and a patented on-the-go scar stick. Trusted by more than 7,000 plastic surgeons, dermatologists, and medical professionals worldwide. For dermatologists, plastic surgeons, and patients.
- HurriView Plaque Indicating Swabs Plaque indicating swabs for preventive dental care. Available in Snap-n-Go format with 72 count boxes. For dental professionals.
- HurriView II Plaque Indicating Swabs Second generation plaque indicating swabs for preventive dental care. Available in Snap-n-Go format with 72 count boxes. For dental professionals.
- HurriSeal Dentin Desensitizer Dental product used to treat and prevent dentinal hypersensitivity. Available in 12 mL bottle. For dental professionals.
- Dental Saliva pH Paper Dental saliva pH paper strip roll for monitoring oral acidity. For dental professionals.
- Peridin-C Vitamin C Supplement Vitamin C supplement with bioflavonoids effective in relieving hot flashes. Clinical study showed 53% complete relief and 34% reduction in menopausal hot flash symptoms. Available in bottles of 100 tablets. For consumer use.
- CEO-TWO Laxative Suppositories CO2 releasing laxative suppository combining Sodium Bicarbonate and Potassium Bitartrate in a Polyethylene Glycol Base. Produces carbon dioxide gas upon insertion creating reflex stimulation for bowel emptying within 30 minutes. Available in 2 ct., 6 ct., and 54 ct. boxes. For consumer use.
Quantifiable outcome
- Products tested to introduce no additional bioburden, meeting USP <61> and <62> microbiological quality standards
- +3 more outcomes
Companies that use NUANCE MEDICAL
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles4 records
NUANCE MEDICAL technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
NUANCE MEDICAL partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- American Breast Cancer Foundation (ABCF)minorNuance Medical partnered with the American Breast Cancer Foundation to support patients throughout their healthcare and recovery journey. The partnership connects individuals with preventive care resources and recovery support. Nuance provides educational resources on scar recovery, guidance on post-procedure scar care options, and in-kind product support with an estimated annual retail value of up to $2,000 in complimentary scar care products for individuals navigating breast cancer recovery.
Scale indicators4 records
Recent moves7 records
Expansion highlights6 records
NUANCE MEDICAL competitors and assessment
Company assessmentDirect peers
- ScarAway (Enaltus): Enaltus owns the ScarAway brand, the most direct competitor in retail silicone scar sheets and gels. Directly comparable to Nuance's Biodermis and BIOCORNEUM lines in product category, target consumer, and clinical positioning.
- Moberg Pharma AB: Swedish specialty pharma focused on topical treatments including the Kelo-cote silicone scar gel franchise. Comparable to Nuance in scar-treatment category, dermatology channel, and premium OTC positioning.
- Ferndale Healthcare: U.S. specialty pharma marketing topical dermatology and surgical recovery products to clinicians. Closely comparable to Nuance in niche topical pharma distribution model and professional-channel GTM.
Broad incumbents
- Colgate-Palmolive Company: Global oral care incumbent with Colgate, elmex, and Meridol franchises. Directly comparable to Nuance's dental portfolio (HurriCaine, HurriView plaque swabs) at the broad category level, though far larger and more diversified.
- Perrigo Company: Leading OTC store-brand and topical pharmaceutical manufacturer with deep retail and pharmacy distribution. Comparable to Nuance's OTC topical anesthetic and pharmacy-wholesaler channel strategy.
- Church & Dwight Co., Inc. Major U.S. consumer health company with brands like Batiste, Orajel (topical oral anesthetic — direct overlap with HurriCaine), and Arm & Hammer. Highly comparable OTC, oral-care, and consumer-retail model to Nuance's broader GTM.
- Bausch Health Companies (Ortho Dermatologics): Specialty pharma with significant dermatology and aesthetics franchises including topical Rx and aesthetics products. Comparable to Nuance's dermatology/aesthetics scar treatment and topical channels at the portfolio level.
- Beiersdorf AG: Global skin care company behind Eucerin, Hansaplast/Elastoplast (scar treatment), and La Prairie. Direct overlap with Nuance's scar-care and dermatology skincare portfolio through Hansaplast wound/scar line.
- Prestige Consumer Healthcare: OTC consumer healthcare roll-up with franchises in oral care, dermatology, and topical pain relief. Highly comparable business model to Nuance — acquiring and scaling niche OTC healthcare brands through mass retail.
- Haleon plc: Global consumer healthcare spinoff of GSK with leading oral care (Sensodyne, Aquafresh), pain relief (Voltaren), and topical health brands. Comparable to Nuance in OTC topical anesthetics, oral care, and international distribution scale.
Market position
Strengths5 records
Weaknesses4 records
Competitive moat4 records
Key risks6 records
Key highlights7 records
Customer concentration
NUANCE MEDICAL social profiles
Digital presenceNUANCE MEDICAL financial estimates
Financial estimateRevenue estimate
Valuation estimate
NUANCE MEDICAL leadership team
Management profileNumber of profiles
Profiles7 records
NUANCE MEDICAL subsidiaries and ownership
Company hierarchySubsidiaries3 records
NUANCE MEDICAL funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
NUANCE MEDICAL M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about NUANCE MEDICAL
What does NUANCE MEDICAL do?
Nuance Medical manufactures and sells proprietary medical devices and pharmaceutical products for healthcare professionals and consumers, including topical anesthetic sprays, gels and liquids (benzocaine and lidocaine formulations), portable cryotherapy/cryosurgical systems, and professional-grade silicone scar management products. The portfolio spans brands such as HurriCaine, Hurri-Freeze, InstaNumb, CryoDose, Biodermis, and BIOCORNEUM, distributed through medical-surgical distributors, pharmacy wholesalers, e-commerce channels, and international distributors across 50+ countries.
Is NUANCE MEDICAL a public or private company?
NUANCE MEDICAL is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was NUANCE MEDICAL founded?
NUANCE MEDICAL was founded in 2004. It employs 1 to 10 people.
Where is NUANCE MEDICAL based?
NUANCE MEDICAL is headquartered in Carlsbad, United States, in the North America region.
How does NUANCE MEDICAL make money?
Two revenue lines are on record. Medical Device and Pharmaceutical Product Sales are the primary driver. The others are scar Management and Skincare Products.
Who are NUANCE MEDICAL's main competitors?
Direct peers on record are ScarAway (Enaltus), Moberg Pharma AB and Ferndale Healthcare. Broad incumbents are Colgate-Palmolive Company, Perrigo Company, Church & Dwight Co., Inc., Bausch Health Companies (Ortho Dermatologics), Beiersdorf AG, Prestige Consumer Healthcare and Haleon plc.
Does NUANCE MEDICAL have an API?
No public API is recorded for NUANCE MEDICAL.
What industry is NUANCE MEDICAL in?
NUANCE MEDICAL's product category is Medical Devices and Topical Anesthetics. Its primary akta.pro industry code is HLAIAAAN, Pain Management & Anesthesiology Pharmaceuticals, with a secondary code of HLAIAAAK, Dermatology & Aesthetics Pharmaceuticals. Its NAICS code is 3254 and its SIC code is 2834.