What Spiggle & Theis does

Spiggle & Theis Medizintechnik GmbH is a Germany-based specialist developer, manufacturer, and distributor of medical devices dedicated almost exclusively to the surgical ENT (Ear, Nose, Throat) segment. Founded in 1994 in Dieburg and headquartered in Overath, the company markets a portfolio of more than 3,500 products spanning balloon dilation catheters (notably the TubaVent system for Eustachian tube dysfunction, with 120,000+ applications since 2010), airway management devices (Aeris, Tenax, Trachealator), otology implants and instruments (middle ear implants, ventilation tubes, stapes prostheses, endoscopic ear surgery sets), rhinology products, surgical motor systems (SpeedSurg), sterile covers, and ENT treatment units (ProminENT, Ergonomic III, MT1000). Technical differentiation is rooted in proprietary device design (e.g., patented Triune ventilation tubes, Nitinol-PTFE self-positioning stapes prostheses, non-slip Aeris balloon) rather than software or AI, with a regulatory moat built on MDR 2017/745, ISO 13485, and MDSAP certifications.

The company operates a hybrid go-to-market combining a global dealer and distributor network covering more than 75 countries, a direct webshop for consumables and instruments with automated prescription handling, and OEM/private-label manufacturing for partners seeking custom ENT device development. Customer segments are ENT surgeons and otolaryngologists, ENT clinics and practices, and OEM partners. Direct market presence has expanded materially via the July 2024 acquisition of US-based Bryan Medical Inc. (airway management, Cincinnati, Ohio) and the August 2025 acquisition of Pfau Medizinische Instrumente GmbH (175-year-old German surgical ENT instrument maker). Since November 2020 the company has been majority-owned by Thyssen'sche Handelsgesellschaft mbH (THG), a long-term German family investor; founder David Spiggle remains Managing Director.

Name

Spiggle & Theis

Legal name

SPIGGLE & THEIS Medizintechnik GmbH

Website

https://spiggle-theis.com

Company type

Private

Founded year

1994

Operating status

Operating

Headcount range

101–250 employees

Short description

Spiggle & Theis is a German specialist manufacturer of more than 3,500 surgical ENT medical devices — including balloon catheters, implants, instruments, and treatment units — sold through a 75+ country dealer network to ENT surgeons, clinics, and OEM partners.

Ownership category

akta.pro rank

Product category

ENT Medical Devices

NAICS

Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113), Medical Equipment and Supplies Manufacturing (3391), Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers (423450)

SIC

Surgical & Medical Instruments & Apparatus (3841), Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047), Electromedical & Electrotherapeutic Apparatus (3845)

akta.pro primary industry

General Otolaryngology (ENT) (HLAKAMAA)

akta.pro secondary industries

Anesthesia & Airway Management Equipment (Workstations, Laryngoscopy, Ventilation adjuncts) (HLAHADAJ), Otology & Neurotology (Ear/Hearing/Balance) (HLAKAMAC), Single-Use Surgical Devices & Procedure Packs (Disposable instruments, drapes, kits) (HLAHADAM), Single-Use Medical Disposables & Procedure Kits (Drapes, Tubing, Catheters, Syringes, Custom Packs) (HLAHANAG)

Keywords

• ENT medical devices
• Surgical instruments
• Balloon dilation catheters
• Middle ear implants
• Airway management devices

Headquarters

HQ city

Dieburg

HQ country

Germany

HQ region

Europe

Offices4 records

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Medical Device Sales: Sale of surgical instruments, implants, and consumables for ENT surgery. Product portfolio includes over 3,500 products including balloon catheters, ventilation tubes, stapes prostheses, middle ear implants, surgical motor systems, and sterile supplies.
2. OEM/Private Label Manufacturing: Custom product development and manufacturing for OEM partners. The company serves as developer, manufacturer, and distributor of medical products with capability to realize both standard and customer-specific OEM requests.
3. Treatment Unit Sales: Sale of ENT treatment units (ProminENT, Ergonomic III, MT1000, FuturENT III, Micronomic III) and related furniture for ENT practices and clinics.

Go-to-market motion2 records

Distribution channels4 records

Marketing channels8 records

Core offering

Spiggle & Theis Medizintechnik GmbH develops, manufactures, and sells a portfolio of more than 3,500 medical devices exclusively for the ENT (ear, nose, throat) surgical segment. The product range spans balloon dilation catheters (TubaVent, Aeris, Trachealator), middle ear implants and prostheses, ventilation tubes, surgical motor systems, sterile supplies, treatment units, and surgical instruments. The company also offers OEM/custom product development and manufacturing services, and distributes its products to over 75 countries through a global dealer network and its own webshop.

Differentiator

Problem solved

Functional benefit

Quantifiable outcome

• Over 120,000 TubaVent applications worldwide since 2010
• +2 more outcomes

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature10 records

Partnerships

Three partnerships are on record, tiered core and minor.

• Pfau Medizinische Instrumente GmbHcoreStrategic or Co-development Partner · 28 August 2025Acquired Pfau Medizinische Instrumente GmbH, one of the oldest manufacturers of surgical ENT instruments with 175-year history rooted at Berlin Charité. Pfau represents precision, quality, and long-standing experience in surgical ENT instruments. The acquisition strengthens supply chain security and accelerates new product development.
• Bryan Medical Inc.coreStrategic or Co-development Partner · 2 July 2024Acquired Bryan Medical Inc., a US-based manufacturer of innovative medical products in airway management and ENT applications. Headquartered in Cincinnati, Ohio. This acquisition provides direct access to the US market and substantially expands the product portfolio with balloon catheters, endotracheal tubes, and other airway devices.
• OEM PartnersminorOEM/ Whitelabel/ Licensing PartnerSPIGGLE & THEIS serves as developer, manufacturer, and distributor for OEM partners seeking custom product development in ENT instrumentation and consumables. Specialized in instrument and consumable products with reliable suppliers and modern manufacturing technologies.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Medtronic plc: Medtronic is a diversified global medical device company with ENT products (including ENT navigation, powered surgical instruments and nerve monitoring). It overlaps with Spiggle & Theis's surgical motor systems, ENT navigation-adjacent tools, and overall ENT portfolio breadth.
• Smith+Nephew plc: Smith+Nephew is a diversified medical technology company with ENT-relevant surgical instrument and consumable businesses. Overlaps with Spiggle & Theis's surgical instruments and sterile cover/disposable categories as a broad incumbent player in operating-room products.
• Stryker Corporation: Stryker is a diversified medical device company with ENT surgical navigation, instruments, and powered surgical equipment. Comparable to Spiggle & Theis as a broad medical device incumbent with overlapping ENT surgical solutions but with much larger scale.
• Olympus Corporation: Olympus is a global medical device leader with a dedicated ENT business (ENT endoscopes, video systems, surgical instruments). It overlaps with Spiggle & Theis's endoscopy, laryngology, and ENT surgical instrument categories as a much larger incumbent with broader portfolio reach.

Direct peers

• Atos Medical: Atos Medical (acquired by Coloplast) specializes in ENT and head-and-neck medical devices including laryngectomy, voice prostheses, and tracheostomy products. Comparable to Spiggle & Theis's airway management (Trachealator, Tenax) and voice/laryngology product lines (VoiceInject).
• Cochlear Limited: Cochlear is the global leader in cochlear implant systems and related ENT hearing-implant surgical products. Comparable to Spiggle & Theis's ENT surgical offerings for hearing restoration (SpeedSurg CI handpieces, otology implants, ear surgery instrumentarium).
• Integra LifeSciences: Integra LifeSciences offers ENT and otology products including middle ear implants, otologic instruments, and tissue technologies — directly comparable to Spiggle & Theis's middle ear implants (Nitinol-PTFE stapes prostheses, titanium TORP/PORP) and otology instrument portfolios.
• Acclarent (Johnson & Johnson MedTech): Acclarent is J&J's ENT-focused business specializing in balloon sinuplasty and ENT surgical products for ear, nose, and throat surgeons — a direct competitor to Spiggle & Theis's TubaVent® balloon dilation technology and broader ENT treatment portfolio.
• Bien-Air Surgery: Bien-Air designs and manufactures surgical motors, handpieces, and burs for ENT, neurosurgery, and microsurgery. Comparable to Spiggle & Theis's SpeedSurg HighSpeed/LowSpeed surgical motor system for ENT and cochlear implant procedures.
• Karl Storz SE & Co. KG: Karl Storz is a leading global manufacturer of endoscopes and surgical instruments with a strong ENT focus, including rigid endoscopes, laryngoscopes, and instrument sets used in ear, nose, and throat surgery — directly comparable to Spiggle & Theis's ENT surgical and endoscopic ear surgery portfolios (Panetti instrumentarium, SpeedSurg).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/spiggle-theis
• Instagraminstagram.com/spiggletheis

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Subsidiaries2 records

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 Spiggle & Theis