evonos

What evonos does

evonos GmbH & Co. KG is a privately held German medical technology company headquartered in Tuttlingen (Stockacher Str. 134, 78532), specializing in the development and manufacture of neurosurgical instruments, implants, and operating-room equipment. Founded in 2012 and operating as a limited partnership with managing directors Ingolf Diez and Jörg Mans, evonos sells a comprehensive portfolio under its "evo-" brand family, including the evoDrill single-use cranial perforator (with auto-stop dura protection and unique cutting geometry), evoFix/evoFix Sterile skull fixation plates with pre-fixed titanium tabs, evoShape patient-specific 3D-printed PEEK cranial implants, evoBase titanium head-positioning system, evoLight OR lighting, and complementary instruments such as EvoFrame, evoClip, evoBite, evoCarat, evoSuction, and evoPin. The company maintains ISO 13485, MDSAP, EU MDR, and MDD II certifications and recently secured FDA 510(k) clearance (May 2024) and PMDA approval (July 2024) for the evoDrill.

The business model combines one-time hardware sales with recurring single-use consumables revenue (evoDrill, evoFix Sterile, EvoFrame) and higher-value patient-specific implant sales (evoShape). evonos monetizes through direct enterprise field sales to neurosurgeons and neurological clinics and through an international distributor network spanning Europe, MENA, USA, and Japan, supplemented by active participation in major neurosurgical congresses (DGNC, EANS, CNS, Arab Health, MEDICA, WFNS) and physician hands-on training workshops. Pricing is not publicly disclosed and is negotiated per customer or institution under a quote-based B2B model.

The company has expanded via inorganic moves, completing a merger with Cival Medtech GmbH in April 2021 and acquiring Fritz Huber Chirurgische Instrumente GmbH & Co. KG and Freyer Instrumente GmbH & Co. KG in December 2023. Production capacity has been scaled through a KUKA industrial robot investment (2021) and the renovation of the Tuttlingen headquarters. Headcount is reported at 11-50 employees, and the company is independently owned with no disclosed external institutional investors.

Name

evonos

Legal name

evonos GmbH & Co. KG

Website

https://evonos.de

Company type

Private

Founded year

2012

Operating status

Operating

Headcount range

11–50 employees

Short description

evonos is a German medical technology company headquartered in Tuttlingen that designs, manufactures, and distributes neurosurgical instruments, patient-specific cranial implants, and operating-room equipment to neurosurgeons and neurological clinics worldwide via direct sales and distributor networks.

Ownership category

akta.pro rank

Product category

Neurosurgical instruments and implants

NAICS

Surgical and Medical Instrument Manufacturing (339112), Surgical Appliance and Supplies Manufacturing (339113)

SIC

Surgical & Medical Instruments & Apparatus (3841), Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Neurosurgical Implants & Cranial/CMF (Cranial Plates, Dural Repair, Shunts) (HLAHAEAD)

Keywords

• Neurosurgical instruments
• Cranial implants
• Patient-specific PEEK implants
• Single-use perforators
• Skull fixation systems

Headquarters

HQ city

Tuttlingen

HQ country

Germany

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Neurosurgical Instruments and Implants: evonos generates revenue primarily through the sale of neurosurgical instruments and cranial implants. Products include single-use devices (evoDrill perforators, evoFix Sterile sets) and reusable instruments (evoFix plating systems, evoBase head-positioning systems). Patient-specific implants (evoShape) represent a customized, higher-value revenue stream.
2. Single-Use Consumables: Single-use sterile products such as evoDrill perforators and evoFix Sterile sets generate recurring consumable revenue as hospitals and clinics reorder per procedure.
3. Patient-Specific Custom Implants: Customized patient-specific cranial implants (evoShape) are produced based on individual patient anatomy, offering a personalized premium product line with higher per-unit value.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

evonos develops, manufactures, and distributes precision-engineered neurosurgical instruments, patient-specific cranial implants, and surgical lighting systems. Its core products are the evoDrill single-use cranial perforator (with an auto-stop mechanism protecting the dura), the evoFix and evoFix Sterile skull fixation systems, and 3D-printed PEEK patient-specific cranial implants (evoShape). The portfolio also includes the evoBase titanium head-positioning system, OR lighting (evoLight), and complementary neurosurgical instruments (EvoFrame, evoClip, evoBite, evoCarat, evoSuction, evoPin, evoENT), all made in Germany with surgeon-informed design.

Product overview

evonos develops and manufactures a comprehensive portfolio of neurosurgical instruments, implants, and operating room equipment. The product range centers on the evoDrill single-use cranial perforator and the evoFix/evoFix Sterile skull fixation systems, complemented by patient-specific PEEK implants (evoShape), surgical lighting (evoLight), head positioning systems (evoBase), and various surgical instruments including retraction systems (EvoFrame), scalp clips (evoClip), rongeurs (evoBite), diamond knives (evoCarat), suction instruments (evoSuction), and skull pins (evoPin). The company also offers an ENT product line (evoENT). All products are manufactured in Germany (Tuttlingen) with a focus on surgeon comfort and patient outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• Cival Medtech: Former company name/brand that merged into evonos in 2021.

Products and services

• evoDrill Single-use cranial perforator for neurosurgical trepanation featuring a unique cutting geometry that reduces required force, an auto-stop mechanism that activates upon bone penetration to protect the dura, and a positioning tip that prevents slipping. Available in 3 mm standard and 1 mm variants for pediatric applications.
• evoFix Neurosurgical skull fixation system of pre-fixed titanium plates with an integrated screwdriver that holds 1.5 mm screws, eliminating the need for forceps and reducing patient irritation. Plates adapt to skull contours and are offered in 0.6 mm standard and 0.3 mm low-profile (rose-tinted) variants, plus titanium meshes and matching screws.
• evoFix Sterile Ready-to-use sterile osteosynthesis set including neurosurgical plates, screws, and an integrated screwdriver, delivered sterile with a 5-year shelf life. Available as a standard set or a Mini-Tray variant for sustainability.
• EvoFrame Single-use soft tissue retraction system for neurosurgical procedures, enabling access and visualization during cranial operations.
• evoShape Patient-specific cranial implant made from PEEK (polyether ether ketone), produced using 3D printing and designed via online consultation and digital visualization to perfectly match individual patient anatomy for cranial reconstruction.
• evoLight Operating-room lighting system providing surgical illumination for neurosurgical procedures.
• evoBase Titanium head-positioning system used during neurosurgical operations to precisely adjust and hold the patient's head; developed in collaboration with Barski Design and recognized with the German Design Award and German Innovation Award.
• evoClip Raney scalp clips and applying forceps used to manage scalp tissue during neurosurgical procedures.
• evoBite Rongeurs and laminectomy punches for bone removal in spinal and cranial surgery.
• evoCarat Diamond knives used for precise cutting in sensitive neurosurgical procedures.
• evoSuction Suction instruments for neurosurgical procedures.
• evoPin Skull pins for head positioning, available in titanium or stainless-steel variants for reuse or single-use applications.
• evoENT Product line for ear, nose, and throat surgical procedures, available via brochure request.

Quantifiable outcome

• evoDrill auto-stop mechanism protects the dura during trepanation
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature7 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Fritz Huber Chirurgische Instrumente GmbH & Co. KGcoreStrategic or Co-development Partner · 22 December 2023evonos acquired Fritz Huber Chirurgische Instrumente GmbH & Co. KG in December 2023, securing the future of a longstanding medical technology company and preserving the regional tradition and craftsmanship of surgical instrument manufacturing in Tuttlingen.
• Freyer Instrumente GmbH & Co. KGcoreStrategic or Co-development Partner · 22 December 2023evonos acquired Freyer Instrumente GmbH & Co. KG in December 2023 alongside Fritz Huber. These acquisitions ensure succession of both companies and maintain regional expertise in surgical instrument manufacturing.
• Cival Medtech GmbHcoreStrategic or Co-development Partner · 9 April 2021In 2021, evonos GmbH & Co. KG merged with Cival Medtech GmbH, with evonos as the absorbing company. The merger combined complementary product portfolios and increased operational efficiency while maintaining the established evonos service promise.
• Barski DesignminorStrategic or Co-development PartnerProduct design partnership for the evoFix neurosurgical plating system, developed in collaboration with Barski Design. The evoFix won both the German Design Award and German Innovation Award in 2020.
• MEDAGENT International GmbHminorOthersExternal data protection officer service provider. MEDAGENT International GmbH provides designated data protection officer Nicole Menean for evonos, as stated in the privacy policy.
• Technology For Life LLC (Ukraine)minorChannel Partner/ Reseller/ DistributorUkrainian distribution partner with whom evonos coordinated a product donation package worth €100,000 to support hospitals and doctors' offices in Ukraine.

Scale indicators4 records

Recent moves8 records

Expansion highlights5 records

Broad incumbents

• Medtronic: Largest global medtech firm with a dedicated neurosurgery division covering cranial, spinal, and neurovascular products. Overlaps with evonos in cranial fixation and surgical instruments, but at far greater scale and with broader clinical evidence.
• Stryker: Global medtech incumbent with a neurosurgical portfolio spanning instruments, navigation, and implants. Competes with evonos across cranial and spinal OR equipment but is a much broader, multi-specialty player.
• Integra LifeSciences: Major US-listed neurosurgery specialist with Codman and Integra brands covering cranial fixation, dural repair, and patient-specific implants. The most direct strategic competitor in cranial plates and CMF reconstruction, though much larger and more diversified.
• KLS Martin: Tuttlingen-based surgical instrument and CMF implant manufacturer, with overlapping presence in neurosurgical plating and patient-specific implants. Mid-sized family-run firm comparable in heritage and German-engineering positioning.
• B. Braun (Aesculap): German medtech giant headquartered in the Tuttlingen region via its Aesculap division; offers one of the broadest neurosurgical instrument and implant portfolios globally. Closest geographically and competitively, but operates at vastly greater scale across many surgical specialties.
• Penumbra: US-listed neurovascular and neurosurgery company with growing presence in surgical instruments and access. Broader and larger than evonos, but with adjacent product lines targeting the same neurosurgical OR setting.

Regional players

• Acandis: German developer of neurovascular implants and accessories. Regional (DACH-focused) overlap with evonos in cranial procedure adjacencies, though primarily neurovascular rather than open neurosurgery.

Direct peers

• adeor medical: German neurosurgical instrument specialist offering single-use and reusable products for cranial and spinal procedures. Closest direct competitor in scale, geography, and product focus, particularly in single-use perforators and disposables.
• Mizuho: Japanese-headquartered manufacturer of specialized neurosurgical and spine instruments, including head positioning and microsurgical tools. Comparable in product mix to evonos's evoBase, EvoFrame, and evoCarat lines, with global distribution.
• Peter Lazic: Specialized German manufacturer of microsurgical neurosurgical instruments based in the Tuttlingen medtech cluster. Highly comparable niche profile to evonos, with overlapping product categories and similar surgeon-focused go-to-market.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCOrU48kIcIX2x2qCSyDcU7A
• Facebookfacebook.com/evonos-GmbH-Co-KG-1723008254650613
• LinkedInlinkedin.com/company/evonos-gmbh-&-co.-kg

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 evonos