Ziehm Imaging

What Ziehm Imaging does

Ziehm Imaging GmbH is a privately held German medical device company founded in 1972 and headquartered in Nuremberg, with approximately 501-1,000 employees. The company specializes exclusively in mobile intraoperative X-ray imaging systems (mobile C-arms), serving hospitals, surgical centers, and clinics across vascular surgery, spine and orthopedic surgery, trauma, and cardiology. Its core product line includes the Ziehm Vision RFD 3D (the company's flagship mobile 3D C-arm), the Ziehm Vision RFD Hybrid Edition (tailored for hybrid operating rooms), the Ziehm Vision RFD and Vision FD platforms, and the compact Ziehm Solo FD series including an entry-level lite variant. The company is differentiated by proprietary CMOS flat-panel detector technology developed in-house — Ziehm was the first to bring flat-panel detectors to mobile C-arms (around 2006) and claims to be the only vendor offering a mobile 3D C-arm at its performance level. The SmartDose concept provides dose management and the CMOSline configuration represents the premium detector tier.

Ziehm monetizes primarily through one-time capital equipment sales via direct field sales teams in key markets (Germany, US, China) complemented by a global network of local distribution partners. Quote-based pricing applies to hardware, with revenue also generated from service and maintenance contracts, hardware/software upgrade packages (CO2, Cardio, Cochlea, SmartVascular, HIPAA Security Option), and the Ziehm Academy training program. Through its wholly-owned French subsidiary Therenva SAS (Rennes), Ziehm bundles AI-powered cardiovascular case planning software (EndoSize, FDA 510(k) cleared and CE marked class IIa) and intraoperative 3D vascular navigation (EndoNaut, FDA 510(k) cleared and CE marked class IIb) into its C-arm ecosystem, sold as one-time licenses.

The company describes itself as the market leader in Central Europe in the high-end mobile C-arm segment, with strong positioning in Germany and growing international presence in the US, China, and the Middle East. It is identified by third-party market reports as a key player in the global fluoroscopy equipment market alongside diversified imaging giants Siemens Healthineers and Shimadzu. The company is led by CEO Klaus Hörndler (since 2006) and Managing Director Stephan Dippold, with Georg Denoke as Chairman of the Supervisory Board. Following the 2003 acquisition of Instrumentarium and 2004 independence under Aton ownership, the past decade has been characterized by management as a period of continuous expansion across products, markets, and headcount.

Name

Ziehm Imaging

Legal name

Ziehm Imaging GmbH

Website

https://ziehm.com

Company type

Private

Founded year

1972

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Ziehm Imaging is a German medical device company founded in 1972 that specializes exclusively in mobile intraoperative C-arm X-ray systems with proprietary CMOS flat-panel detector technology, serving vascular, spine, orthopedic, and cardiac surgeons in hospitals and surgical centers globally.

Ownership category

akta.pro rank

Product category

Mobile Intraoperative X-Ray Imaging Equipment (Mobile C-Arms)

NAICS

Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Surgical and Medical Instrument Manufacturing (339112), Navigational, Measuring, Electromedical, and Control Instruments Manufacturing (3345)

SIC

Electromedical & Electrotherapeutic Apparatus (3845), Surgical & Medical Instruments & Apparatus (3841), X-Ray Apparatus & Tubes & Related Irradiation Apparatus (3844)

akta.pro primary industry

Intraoperative Imaging & Guidance (C-arms, O-arm, IOUS, fluorescence) (HLAHADAH)

akta.pro secondary industries

X-ray & Fluoroscopy Systems (HLAHABAA), Portable, Mobile & Point-of-Care Imaging Systems (HLAHABAL), Surgical Navigation, Robotics & Patient-Matched Instrumentation (Ortho/Spine) (HLAHAEAL)

Keywords

• Mobile C-arm imaging
• Intraoperative X-ray systems
• Flat-panel detector technology
• Cardiovascular navigation software
• Hybrid operating room equipment

Headquarters

HQ city

Orlando

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Supply Chain, Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure

Revenue model

1. Mobile C-arm Hardware Sales: Sale of mobile intraoperative X-ray imaging systems (C-arms) including Ziehm Vision RFD 3D, Ziehm Vision RFD Hybrid Edition, Ziehm Vision RFD, Ziehm Vision FD, and Ziehm Solo FD. Hardware products are sold directly and through distribution partners to hospitals, surgical centers, and clinics. Revenue is primarily one-time capital equipment purchases, with potential for upgrade packages and service contracts.
2. Software Licenses (EndoSize and EndoNaut): Sale and licensing of Therenva SAS software products (EndoSize case planning and EndoNaut navigation) integrated with Ziehm C-arms. These are regulated medical device software (CE marked class IIa/IIb, FDA 510(k) cleared) sold as packages or standalone licenses.
3. Service, Maintenance, and Upgrades: Ziehm Imaging offers nationwide/global service, maintenance contracts, and hardware/software upgrades including Remote Solo Center, Removable Grid, Wireless Dual-Plus Footswitch, Anatomical Marking Tool, Cineloop, Measurement Function, HIPAA Security Option, and various packages (CO2, Cardio, Cochlea, SmartVascular). Ziehm Academy provides training services.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Ziehm Imaging designs, manufactures, and sells mobile intraoperative X-ray imaging systems (mobile C-arms) equipped with proprietary CMOS flat-panel detector technology for hospitals, surgical centers, and clinics. The product portfolio covers the Ziehm Vision RFD series (standard, Hybrid Edition, and 3D configurations) and the compact Ziehm Solo FD, complemented by the Therenva EndoSize case-planning and EndoNaut intraoperative vascular navigation software. The company focuses exclusively on mobile C-arms with dose-reduction (SmartDose), 3D imaging, and image-fusion navigation capabilities.

Product overview

Ziehm Imaging offers a unified portfolio of intraoperative mobile X-ray imaging solutions centered on mobile C-arm products. The core product line includes the Ziehm Vision RFD series (available in standard, Hybrid Edition for hybrid operating rooms, and 3D configurations) and the compact Ziehm Solo FD (including lite entry-level variant). All products feature flat-panel detector technology, with CMOSline representing the premium CMOS-based configuration. The portfolio is extended through planning and navigation software from Therenva (EndoSize for AI-powered case planning and EndoNaut for intraoperative navigation/image fusion), which integrate with the C-arm systems. The SmartDose concept provides dose management across all products. Ziehm Imaging specializes exclusively in mobile C-arms, differentiating through flat-panel detector innovation and 3D imaging capabilities.

Differentiator

Problem solved

Functional benefit

Brands

• Therenva: French subsidiary providing 3D planning software (EndoSize) and intraoperative vascular navigation systems (EndoNaut) for cardiovascular interventions.
• SmartDose
• CMOSline
• QuantumStream

Products and services

• Ziehm Vision RFD 3D Mobile C-arm with 3D imaging capability and CMOS flat-panel detector technology, providing CT-like 3D image information in a single scan procedure for orthopedic, spine, and vascular surgeries, with image-guided navigation integration.
• Ziehm Vision RFD Hybrid Edition Mobile C-arm tailored for hybrid operating rooms, with full motorization in four axes, flat-panel detector, wireless footswitch, Anatomical Marking Tool, and CO2 angiography capability for vascular surgery applications.
• Ziehm Vision RFD Mobile C-arm platform with flat-panel detector technology serving as the base for Hybrid Edition and 3D configurations, featuring the SmartDose dose management concept and advanced imaging algorithms.
• Ziehm Vision FD Mobile C-arm with flat-panel detector technology for fluoroscopic imaging in surgical procedures, in a compact design for standard orthopedic and surgical applications.
• Ziehm Solo FD Compact all-in-one mobile C-arm with CMOS or IGZO flat-panel technology, multiple detector sizes (21cm x 21cm or 31cm x 31cm), 165-degree orbital movement, and wireless Freedom concept with SmartDose radiation management, designed for space-limited surgical centers.
• Ziehm Solo FD lite Cost-effective entry-level variant of Ziehm Solo FD with IGZO flat-panel technology (21cm x 21cm) for facilities needing essential mobile C-arm capabilities at reduced cost.
• Therenva EndoSize AI-powered cardiovascular case planning software for accelerated preparation of vascular procedures on desktop or laptop, with automated 3D segmentation, centerline calculation, endograft database, and C-arm angle optimization, available in Vascular Edition and Cardio Edition (for TAVI and mitral valve procedures).
• Therenva EndoNaut Intraoperative 3D vascular navigation system that overlays pre-processed CT images with live C-arm images through osseous-based registration, providing 2D panoramic images, real-time vessel roadmapping, and image fusion for endovascular procedures.

Quantifiable outcome

• Fewer angiographies required during procedures, reducing contrast media use and X-ray dose (clinical reports from Giessen University Hospital)
• +3 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles1 record

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

AI capability4 records

Feature9 records

Partnerships

One partnership is on record.

• Therenva SAScoreStrategic or Co-development PartnerTherenva SAS is a French company headquartered in Rennes, France, that Ziehm Imaging has developed a strategic relationship with. Therenva develops 3D planning software (EndoSize) and intraoperative navigation software (EndoNaut) that integrate with Ziehm Imaging C-arms. The products are marketed together as part of Ziehm's endovascular navigation portfolio. Ziehm Imaging effectively treats Therenva as a core subsidiary, with combined product roadmaps and joint customer engagement. Therenva is headquartered in Rennes, France.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Others

• Globus Medical: Globus Medical's ExcelsiusGPS and spine robotics platforms integrate intraoperative imaging for navigation-driven spine surgery, positioning it as an adjacent/ecosystem player that buys into Ziehm's C-arm-driven spine workflow alongside Ziehm Vision RFD 3D.

Regional players

• Hologic: Through its Fluoroscan InSight product line, Hologic offers mini C-arms primarily focused on orthopedic and extremity imaging, representing a direct competitor to Ziehm's compact Ziehm Solo FD in the office-based and orthopedic surgery segment, particularly in the US.

Emerging players

• Brainlab: Brainlab provides image-guided surgery platforms and intraoperative navigation software (Buzz, Loop-X) that increasingly overlap with Ziehm's EndoNaut/EndoSize navigation software, particularly in hybrid OR, spine and vascular procedure planning workflows.

Broad incumbents

• Fujifilm Healthcare: Fujifilm Healthcare's FDR/Persona/Artida and related fluoroscopy/imaging offerings compete in mobile intraoperative imaging. Its broader imaging portfolio makes it a broad incumbent competing for the same hospital capital budgets as Ziehm.
• Siemens Healthineers: Siemens Healthineers' Cios family of mobile C-arms and Artis angiography systems directly overlap with Ziehm's intraoperative X-ray portfolio. As a diversified imaging giant, it is Ziehm's most cited peer in mobile fluoroscopy/C-arm market reports.
• GE HealthCare: GE HealthCare's OEC-branded mobile C-arms and intraoperative imaging systems compete head-to-head with Ziehm's Vision RFD and Solo FD product lines. Its broader installed base in hospitals makes it a primary competitor for capital equipment purchases.
• Philips: Philips' BV series (Veradius, Pulsera, Endura) of mobile C-arms and Azurion hybrid OR systems compete with Ziehm's portfolio, particularly in vascular and hybrid OR applications where EndoSize/EndoNaut and Vision RFD Hybrid Edition are positioned.

Direct peers

• Canon Medical Systems: Canon Medical Systems manufactures mobile C-arm systems (e.g., Alphenix platform) used in fluoroscopy-guided surgery, directly overlapping with Ziehm's intraoperative imaging offering across vascular, orthopedic and trauma procedures.
• Shimadzu: Shimadzu is explicitly cited alongside Siemens and Ziehm as a key player in the global fluoroscopy equipment market, with mobile C-arm and R/F systems that compete in the same surgical and interventional imaging segments.
• OrthoScan (ATYS/MedScan): OrthoScan specializes in mini C-arms for orthopedic extremity surgery and pain management, directly competing with Ziehm's compact Solo FD product family in office-based labs, orthopedic, and hand/wrist surgical settings.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/ZiehmAmericas
• YouTubeyoutube.com/user/ziehmamericas
• Facebookfacebook.com/ZiehmAmericas
• LinkedInlinkedin.com/company/ziehm-imaging
• Instagraminstagram.com/ziehmamericas

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Ziehm Imaging