What Milestone Medical does

Milestone Medical Inc. is a US-incorporated medical device company that develops and commercializes computer-controlled drug delivery systems for epidural and intra-articular injections, built on the patented CompuFlo (Computer-Controlled Local Anesthetic Delivery) and Dynamic Pressure Sensing (DPS) technology originally developed by parent company Milestone Scientific for dental applications. The company's portfolio includes the CompuFlo Epidural System (FDA 510(k) cleared for obstetric/surgical anesthesia and thoracic indications), the CompuFlo Intra-Articular Injection Instrument (CE Marked in the EU, US clearance pending), the CathCheck catheter placement verification system, single-use disposable handpieces, and the CompuFlo Epidural Trainer for medical education. The underlying mechanism provides real-time audio and visual pressure feedback during needle advancement, replacing the traditional subjective loss-of-resistance technique with objective tissue-density measurement.

Name

Milestone Medical

Legal name

Milestone Medical Inc.

Website

https://medicalmilestone.com

Company type

Public

Founded year

2011

Operating status

Operating

Headcount range

1–10 employees

Short description

Milestone Medical Inc. develops and commercializes computer-controlled epidural and intra-articular drug delivery systems based on its patented CompuFlo and Dynamic Pressure Sensing technology. The company serves hospitals, pain management clinics, and healthcare distributors globally through exclusive distribution agreements, and is majority-owned by Milestone Scientific Inc.

Ownership category

akta.pro rank

Product category

Medical Devices (Pain Management and Anesthesia Injection Systems)

NAICS

Electromedical and Electrotherapeutic Apparatus Manufacturing (334510), Medical Equipment and Supplies Manufacturing (3391)

SIC

Electromedical & Electrotherapeutic Apparatus (3845), Surgical & Medical Instruments & Apparatus (3841)

akta.pro primary industry

Drug Delivery Connectivity, Sensors & Digital Add-Ons (Smart Caps/Companion Apps) (HLAHAIAM)

akta.pro secondary industry

Connected Therapeutics & Smart Drug Delivery Monitoring (HLACAFAL)

Keywords

• Computer-controlled drug delivery
• Epidural injection systems
• Intra-articular injection devices
• Medical needle delivery technology
• Dynamic pressure sensing

Headquarters

HQ city

Roseland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Medical Device Sales: Sale of epidural and intra-articular injection instruments (CompuFlo DPS system) to healthcare facilities, hospitals, and pain management clinics.
2. Disposable Products: Recurring revenue from sale of disposable handpieces and kits for the CompuFlo epidural system, including CathCheck verification system disposables. Disposables sold to hospitals, clinics, and medical centers.
3. Licensing Revenue: The company was formed from a joint venture with Milestone Scientific contributing an exclusive worldwide royalty-free license for epidural and intra-articular applications, suggesting potential licensing arrangements.

Go-to-market motion1 record

Distribution channels10 records

Marketing channels4 records

Core offering

Milestone Medical develops, manufactures, and commercializes computer-controlled drug delivery systems, specifically the CompuFlo Epidural System and CompuFlo Intra-Articular Injection Instrument, which use Dynamic Pressure Sensing (DPS) technology to provide real-time objective feedback for accurate needle placement during epidural anesthesia and joint injections. The company sells the capital instruments together with recurring disposable handpieces to hospitals, pain management clinics, and healthcare facilities through a global distribution network.

Product overview

Milestone Medical offers a portfolio of computer-controlled drug delivery systems based on its patented CompuFlo and Dynamic Pressure Sensing (DPS) technologies. The core product line includes the DPS Instrument platform, the CompuFlo Epidural System for epidural anesthesia procedures, and the CompuFlo Intra-Articular Injection Instrument for joint injections. These systems provide real-time pressure feedback to improve injection precision and patient safety. Supporting products include the CathCheck Verification System for catheter placement confirmation, disposable handpieces, and the CompuFlo Epidural Trainer for medical education. The company focuses on transforming traditional hypodermic injection methods with objective, computer-controlled technology.

Differentiator

Problem solved

Functional benefit

Products and services

• CompuFlo Epidural System Epidural injection instrument using CompuFlo pressure sensing technology to objectively identify the epidural space by detecting pressure differences between ligamentum flavum and extraligamentary tissue. Designed for anesthesiologists performing labor and delivery, surgical, and pain management epidurals, with the goal of improving safety, reducing failed procedures, and reducing malpractice risk.
• CompuFlo Intra-Articular Injection Instrument Intra-articular injection instrument using computer-controlled pressure sensing to deliver hyaluronic acid and other medicaments accurately into joint spaces for the treatment of arthritis and joint conditions. Targeted at pain management physicians treating osteoarthritis and other joint disorders.
• CathCheck Verification System System integrated with the CompuFlo Epidural System that uses pressure sensing technology to confirm and monitor the placement of epidural catheters, providing objective verification of correct catheter location.
• DPS (Dynamic Pressure Sensing) Instrument Platform Patented computer-controlled injection platform with a disposable handpiece held like a pen and connected to a base unit with a pressure sensor and microprocessor, providing real-time audio and visual feedback to clinicians for precise drug delivery into various tissue types.
• CompuFlo Disposable Handpiece Single-use disposable injection handpiece providing precise tactile control during injections, sold as a recurring consumable for use with the CompuFlo drug delivery system instruments at hospitals, clinics, and medical centers.
• CompuFlo Epidural Trainer Educational device and training suite for the CompuFlo Epidural System targeted at medical universities and anesthesia training programs to teach students proper epidural technique using objective feedback.

Quantifiable outcome

• Epidural space correctly identified in 100% of labor and delivery patients in clinical study
• +3 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Eleven partnerships are on record, tiered major, core and strategic.

• Bioline Supply (Spain)majorChannel Partner/ Reseller/ Distributor · 28 November 2023Distribution agreement to distribute CompuFlo epidural system and related disposables across Spain.
• F&M Feed (Greece)majorChannel Partner/ Reseller/ Distributor · 12 July 2022Exclusive distributor in Greece for CompuFlo epidural instrument with commenced sales.
• BitMedical AGmajorChannel Partner/ Reseller/ Distributor · 11 January 2021Distribution agreement for CompuFlo epidural instrument across Austria and Switzerland.
• PremiercoreChannel Partner/ Reseller/ Distributor · 13 October 2020Group purchasing agreement with Premier, a leading healthcare group purchasing organization, for CompuFlo epidural system and CathCheck verification system.
• Paragon Care LimitedmajorChannel Partner/ Reseller/ Distributor · 5 August 2019Distribution agreement for CompuFlo epidural system in Australia.
• Clinical Technology, Inc.majorChannel Partner/ Reseller/ Distributor · 23 October 2018U.S. distribution agreement for CompuFlo epidural system covering key Midwestern territories. Additional independent distributors added in Southwest and Midwest regions in 2018.
• Moss S.p.A. (Italy)majorChannel Partner/ Reseller/ Distributor · 10 June 2015Exclusive distribution agreement for epidural instrument in Italy. Expansion of US distribution strategy announced alongside this partnership.
• Fidia Farmaceutici SpAstrategicStrategic or Co-development Partner · 2 June 2015MOU for co-development and manufacture of custom intra-articular drug delivery instrument. Represents strategic collaboration for joint product development.
• Trimed (Poland)majorChannel Partner/ Reseller/ Distributor · 23 March 2015Distribution agreement for epidural instrument in Poland.
• Tri-anim Health Services, Inc.coreChannel Partner/ Reseller/ Distributor · 9 July 2013Exclusive distribution agreement with the largest provider of specialty sales and distribution solutions for healthcare in the US. Markets epidural system to healthcare facilities, home healthcare market, acute care market, long-term acute care, and US Government facilities, excluding non-hospital pain management practices.
• Beijing 3H (Heart-Help-Health) Scientific Technology Co., Ltd.coreChannel Partner/ Reseller/ Distributor · 1 January 2011Joint venture partner and exclusive distributor for China, Macao, Hong Kong and other Asian regions. Contributed $1.5 million to develop and commercialize epidural and intra-articular instruments.

Scale indicators6 records

Recent moves8 records

Expansion highlights7 records

Broad incumbents

• ICU Medical (formerly Smiths Medical): ICU Medical acquired Smiths Medical and offers a broad portfolio of epidural catheters, needles, and anesthesia delivery products. It is one of the established players in the epidural and anesthesia consumables market with direct overlap to Milestone's core use case, though its technology remains conventional rather than digital/pressure-sensing.
• B. Braun Melsungen: B. Braun is one of the largest manufacturers of epidural anesthesia kits, spinal needles, and infusion pumps used in hospitals worldwide. It competes with Milestone Medical in the epidural anesthesia delivery space, though it relies on traditional loss-of-resistance and mechanical syringe-based techniques rather than computer-controlled pressure sensing.
• Stryker: Stryker's orthopedic division manufactures intra-articular injection devices and viscosupplementation delivery products used by orthopedic specialists and pain clinics. It competes with Milestone Medical in the intra-articular injection segment with broader surgical and orthopedic portfolios.
• Teleflex: Teleflex is a major manufacturer of epidural needles, catheters, and regional anesthesia products through its Arrow International line. It serves the same anesthesiology departments as Milestone Medical and competes head-to-head in the epidural delivery equipment category.
• Avanos Medical: Avanos (formerly Halyard Health) specializes in pain management and recovery solutions including regional anesthesia and chronic pain products. It overlaps with Milestone Medical's intra-articular injection use case and serves hospital and outpatient pain management customers.
• Becton Dickinson (BD): BD manufactures a wide range of injection, infusion, and drug delivery devices including syringes, needles, and prefilled injection systems used in anesthesia and pain management. As one of the world's largest medical device manufacturers, it serves overlapping hospital anesthesia customers and represents both a competitor and potential strategic acquirer.

Others

• MEDIVATORS (Cantel Medical): Although primarily a sterilization and infection prevention company, Cantel Medical's endoscopy and medical device division overlaps with procedure-room device manufacturers serving hospitals. It is included as an ecosystem adjacent player rather than a direct competitor in epidural/intra-articular delivery.

Direct peers

• Pacira BioSciences: Pacira is a specialty pharmaceutical company focused on non-opioid pain management drug delivery, including injectable therapies for postsurgical and chronic pain. It targets anesthesiologists and pain management specialists — the same buyers as Milestone Medical — with technology-enhanced delivery solutions.
• Milestone Scientific: Milestone Scientific is the parent company and original developer of the CompuFlo/DPS technology platform. It markets the same underlying technology for dental applications (with 65M+ injections administered) while Milestone Medical holds the exclusive license for epidural and intra-articular use, making the two entities both corporate parent and technology sharing peer.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 Milestone Medical