Auxano Medical

What Auxano Medical does

Auxano Medical is a privately-held medical device company headquartered in Brecksville, Ohio, that designs and manufactures titanium orthopedic implants for foot and ankle surgery. The company's portfolio centers on two FDA 510(k)-cleared systems: INTREPED®, a 3D-printed titanium intraosseous fusion device for midfoot arthrodesis that uses a minimally invasive drill-tap-insert technique reducing procedure time from 30 minutes to 5-10 minutes, and ARKEO™, an anatomically-shaped wedge fixation system indicated for Cotton and Evans osteotomies in flatfoot reconstruction.

Both products are built on Auxano's proprietary Auxano® osseointegration technology, a pillared surface morphology originally derived from NASA ion thruster research and developed at Case Western Reserve University by founder Dr. George Picha. Unlike conventional porous coatings that constrain bone growth along disconnected pathways, the engineered pillar array creates open space for continuous bone ingrowth, with 360-degree fenestrations enabling bone growth throughout the implant. The technology is protected by 14 issued patents globally and validated through peer-reviewed publications and in-vivo ovine studies demonstrating 40-80% new bone ingrowth at 12 weeks.

Auxano generates revenue through one-time sales of titanium implants and associated surgical instrumentation sold directly to healthcare facilities and through medical device distributor networks. Its go-to-market relies on a small enterprise field sales function (including Sales & Distribution Manager Joe Harr), supplemented by surgeon education delivered via webinars in partnership with FOOTinnovate and technique training led by key opinion leaders such as Dr. George Quill, FAAOS. Pricing is quote-based and not publicly disclosed; customers include foot and ankle orthopedic surgeons (podiatrists, FAAOS surgeons), hospitals, ambulatory surgical centers, and medical device distributors, with operations currently confined to the United States.

Name

Auxano Medical

Legal name

Auxano Medical

Website

https://auxanomedical.net

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

1–10 employees

Short description

Auxano Medical is a Brecksville, Ohio-based orthopedic medical device company that designs and commercializes FDA-cleared titanium foot and ankle implants (INTREPED® and ARKEO™) built on proprietary pillared osseointegration technology, serving foot and ankle surgeons across the United States.

Ownership category

akta.pro rank

Product category

Orthopedic Implants

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Orthopedic Trauma & Extremities Fixation (Plates/Screws/Nails/External Fixation) (HLAHAEAB)

Keywords

• Orthopedic implants
• Foot and ankle surgery
• Osseointegration technology
• Midfoot arthrodesis
• Titanium fixation devices

Headquarters

HQ city

Brecksville

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

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

Revenue model

1. Orthopedic Implant Sales: One-time sale of INTREPED® and ARKEO™ titanium implants. Products are surgical implants sold directly to healthcare facilities and through distributor networks. Each implant represents a discrete transaction for a specific surgical procedure.
2. Instrumentation and Surgical Kits: Auxano® provides surgical instrumentation sets including drills, taps, K-wires, trials, inserters, and impactors. Instruments are provided non-sterile in steam-sterilizable trays, some reusable, some single-use.
3. Education and Training Services: The company provides educational webinars, surgical technique training, and processing instruction services for surgeons adopting Auxano® technology. Revenue from professional education and certification.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels6 records

Core offering

Auxano Medical designs, manufactures, and sells titanium orthopedic implant systems for foot and ankle surgery. Its core offerings are the INTREPED® intraosseous fusion device for midfoot arthrodesis and the ARKEO™ wedge fixation system for Cotton and Evans osteotomies, both built on a proprietary Auxano® pillared surface morphology technology that enables continuous bone ingrowth.

Product overview

Auxano Medical offers a portfolio of orthopedic implant systems built on its proprietary Auxano® osseointegration surface morphology technology. The portfolio comprises two core titanium implant products: INTREPED®, an intraosseous fusion device for midfoot arthritis and arthrodesis, and ARKEO™, a wedge fixation system for flatfoot correction osteotomies. Both products leverage Auxano's patented pillared surface architecture to support bone integration and fixation. The company also provides an Education Center with clinical resources, product brochures, surgical technique guides, and webinar content to support surgeons adopting these implant systems.

Differentiator

Problem solved

Functional benefit

Brands

• INTREPED®: Titanium intraosseous fusion device for midfoot arthritis treatment featuring Auxano pillared surface technology and a drill-tap-insert surgical technique.
• ARKEO™

Products and services

• INTREPED®

Named customers3 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Two partnerships are on record, tiered core and minor.

• FOOTinnovatecoreGTM or Marketing Partner · 1 March 2026Auxano Medical partnered with FOOTinnovate to produce educational webinars for orthopedic surgeons. The partnership delivered 'Advancing Dowel Arthrodesis: Modern Techniques in Midfoot Fusion' webinar directed by Dr. George Quill, FAAOS. FOOTinnovate hosts the webinar content on its membership platform, providing Auxano Medical access to its surgeon member base for education and lead generation.
• Stream 9minorImplementation/ SI/ Consulting PartnerCleveland-based Stream 9 served as web developers for Auxano Medical's newly redesigned website launched June 2026. Stream 9 was described as Auxano Medical's technical partner for the website redesign project, which was intended to better represent the company's identity and communicate its science, products, and innovation.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Emerging players

• Vilex: Foot and ankle orthopedic implant specialist offering plates, screws, and procedure-specific systems. Smaller emerging player competing in the same midfoot and reconstructive procedures as Auxano.
• Extremity Medical: Smaller extremities-focused orthopedic device company developing novel fixation solutions for foot/ankle and hand. Comparable emerging competitor with niche, indication-specific implant systems.
• Conventus Orthopedics: Extremities-focused orthopedic innovator with cage and fixation technologies for fractures and osteotomies. Comparable emerging player with overlap in foot/ankle and extremity procedures.

Broad incumbents

• Wright Medical (Stryker): Stryker's extremities and foot/ankle business (built around the Wright Medical acquisition) is a major competitor in midfoot fixation and osteotomy implants.
• Arthrex: Major orthopedic device manufacturer with a strong foot/ankle and extremities portfolio. Competes with Auxano in foot/ankle fixation and offers broad surgeon education infrastructure.
• DePuy Synthes (Johnson & Johnson): Johnson & Johnson's orthopedic medical device division offers a broad trauma and extremities portfolio including foot/ankle plates, screws, and fixation systems. Large incumbent competing for the same surgeon accounts.
• Zimmer Biomet: Global orthopedic device leader with an extremities portfolio serving foot/ankle surgeons. Comparable broad incumbent with established sales channels and surgeon relationships.
• Integra LifeSciences: Diversified medical device company with extremities and foot/ankle orthopedic products, including fixation and biologics. Broad incumbent that overlaps Auxano's surgeon customer base.

Direct peers

• Treace Medical Concepts: Foot and ankle-focused medical device company best known for the Lapiplasty® bunion procedure system. Comparable to Auxano in targeting foot/ankle orthopedic surgeons with procedure-specific implant systems.
• Paragon 28: Pure-play foot and ankle orthopedic implant company offering a broad portfolio of plates, screws, wedges, and fixation systems. Direct competitor to Auxano's INTREPED® and ARKEO™ in midfoot and reconstructive foot/ankle procedures.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@AuxanoMedicalLLC
• LinkedInlinkedin.com/company/auxano-medical

Compliance1 record

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 Auxano Medical