Mighty Oak Medical

Englewood, Colorado, United States  All United States companies → — Founded 2011
Medical Device / Hardware Specialty-Focused AI
Neurosurgery Orthopedics Radiology
Radiology & Imaging AI Surgical AI
Funded (Early Stage) — $250,000 (known grant in 2015; total funding not publicly disclosed)

Products

Acorn 3D Software (AC-SEG-4009)
Mighty Oak Medical
Radiology & Imaging AI
Mighty Oak Medical's Acorn 3D Software is an AI-driven pre-surgical planning platform for complex spinal surgeries, offering automated 3D segmentation, alignment metrics, and implant planning. It is FDA cleared for medical image processing and surgical planning, supporting the creation of patient-specific 3D models.

See all 1 product →

About Mighty Oak Medical

Mighty Oak Medical is a commercial-stage medical device development company dedicated to enhancing the safety and efficiency of complex spinal surgeries through patient-specific solutions. They specialize in advanced 3D pre-surgical planning, high-precision 3D printing, and AI-driven software development. Their flagship offering, the FIREFLY® Technology, provides patient-specific navigation guides (from C1 to the pelvis) that mechanically constrain surgical instruments to follow pre-selected trajectories. This technology aims for unsurpassed accuracy in challenging pediatric and adult spinal deformity and revision surgeries while eliminating the need for intra-operative radiation. The FIREFLY® Guides are open platform and compatible with all pedicle screw systems.

Additionally, Mighty Oak Medical’s ACORN 3D Pre-surgical Planning platform leverages AI-driven automated scan segmentation to empower deformity correction planning and streamline surgical case preparation. The company also serves as a resource for physician inventors looking to develop novel ideas and collaborates with industry partners to bring cutting-edge technologies to market, focusing on innovative solutions that are cost-effective and patient-centered.

Focus Areas

Patient-specific spinal surgery solutions 3D pre-surgical planning 3D printing AI-driven software development surgical navigation guides anatomical models

Business Intelligence

Key InvestorsInnosphere, Colorado Office of Economic Development and International Trade (OEDIT)
PartnershipsHP (for 3D printing technology), OrthoPediatrics (exclusive distributor for FIREFLY in children's hospitals), Medacta (settlement and licensing agreement), Spinal Elements (to market FIREFLY)
TechnologyACorn 3D Pre-surgical Planning (AI-driven automated scan segmentation), FIREFLY® Navigation Guides (3D printed, patient-specific), HP Multi Jet Fusion technology for 3D printing
FDA Clearances9 cleared products (estimated)

What Physicians Need to Know

Patient-Specific Spinal Surgery Solutions
Mighty Oak Medical specializes in personalized solutions for complex spinal surgeries, aiming to enhance safety and efficiency. Their flagship FIREFLYu00ae system offers concierge pre-surgical planning and 3D printed drill guides tailored to each patient's unique anatomy.
3D Pre-Surgical Planning
The ACorn 3D platform, powered by AI-driven automated scan segmentation, converts 2D patient images into detailed 3D spinal renderings. This enables comprehensive pre-operative planning, generating hundreds of 3D spinal alignment metrics and facilitating precise implant inventory planning.
3D Printing
Leveraging HP's Multi Jet Fusion technology (specifically HP Jet Fusion 5200 3D printers), Mighty Oak Medical manufactures patient-specific 3D printed anatomical models and surgical guides in-house. This ensures high quality, rapid turnaround, and has contributed to a reported 99.7% screw placement accuracy.
AI-Driven Software Development
Their proprietary ACorn 3D software utilizes AI-driven automated segmentation and machine learning algorithms to inform surgical planning. This technology automatically generates screw trajectories and guides based on patient demographics, requiring minimal manual review and continuously improving through an expanding data pool.
Surgical Navigation Guides
The FIREFLYu00ae Navigation Guides are patient-specific, 3D printed tools designed for accurate pedicle screw placement in cervical, thoracolumbar, and pelvic instrumentation. These guides mechanically constrain surgical instruments to follow preselected trajectories, ensuring precision regardless of intraoperative vertebral movement.
Anatomical Models
Mighty Oak Medical provides highly detailed, biocompatible, and autoclavable 3D anatomical models. These models are exact replicas of the patient's spine, made from grey nylon (PA12) for optimal visualization in the operating room, and include planned screw trajectories for pre-operative evaluation, patient education, and intraoperative reference.
Physician Tip

Mighty Oak Medical stands out for physicians by offering a comprehensive solution that significantly enhances surgical accuracy and safety, particularly in complex spinal procedures. The FIREFLYu00ae system's 99.7% screw placement accuracy and mechanical constraint of guides provide unparalleled precision, reducing the risk of complications. Physicians benefit from dramatically reduced surgical times and up to 94% less radiation exposure for both patients and staff, as the system eliminates the need for intraoperative fluoroscopy. The cost-effectiveness of their navigation solution, requiring no upfront capital equipment, makes advanced spinal navigation accessible to more practices, including ambulatory surgery centers (ASCs). Furthermore, the open-platform, screw-agnostic nature of FIREFLYu00ae allows surgeons to continue using their preferred implant systems, ensuring flexibility and continuity of care. The detailed 3D pre-surgical planning with anatomical models empowers surgeons to thoroughly plan and even practice complex cases, leading to more predictable and efficient outcomes.

Mighty Oak Medical's FIREFLYu00ae system is designed as an open platform, making it screw-agnostic and compatible with a wide range of existing pedicle screw systems, allowing surgeons to integrate it seamlessly with their preferred implant choices. Their ACorn 3D software facilitates easy import of DICOM scans for comprehensive pre-surgical planning. The company also leverages a strategic partnership with HP for its 3D printing technology, ensuring high-quality and efficient manufacturing of patient-specific guides and models.

Products by Mighty Oak Medical

1 product in the directory

Acorn 3D Software (AC-SEG-4009)
Mighty Oak Medical
Radiology & Imaging AI
Mighty Oak Medical's Acorn 3D Software is an AI-driven pre-surgical planning platform for complex spinal surgeries, offering automated 3D segmentation, alignment metrics, and implant planning. It is FDA cleared for medical image processing and surgical planning, supporting the creation of patient-specific 3D models.

What the Web Says

Mighty Oak Medical is a medical device development company specializing in patient-specific spine solutions, particularly their FDA-cleared Firefly patient-specific pedicle screw navigation guide. They also offer the Acorn 3Du2122 pre-surgical planning platform, which utilizes AI-driven automated scan segmentation. Employee reviews suggest a positive work environment, especially for those starting their engineering careers, with a focus on employee care and flexibility.

Overall: Positive

Strengths

  • Great place to start an engineering career
  • Care about their employees
  • Flexible work environment
  • Challenging and rewarding work
  • Products (Firefly) offer high accuracy in spinal surgeries with zero intra-operative radiation
  • Acorn 3Du2122 software provides advanced pre-surgical planning with AI-driven analytics

Limitations

  • Can be difficult to get help when stuck on tasks due to busy colleagues
  • Limited number of employee reviews available
  • No recent product reviews from major IT review sites like G2 or Capterra specifically for Mighty Oak Medical's core products (Firefly, Acorn 3Du2122)

Based on reviews from: Indeed.com, Becker's Spine Review, SPINEMarketGroup, YouTube

Last updated: 2026-07-19

Videos

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Press & Coverage

Becker's Spine Review
Mighty Oak Medical earns FDA clearance for spine surgery planning software
Mighty Oak Medical received FDA clearance for its Acorn 3D pre-surgical correction planning software, which uses AI-driven automated scan segmentation and pre-correction measurements for spinal deformity correction.
2026-06
SPINEMarketGroup
Mighty Oak Medical Receives FDA Clearance for Acorn 3Du2122 Pre-Surgical Planning Platform
Mighty Oak Medical announced FDA clearance for its Acorn 3Du2122 pre-surgical planning software, which utilizes AI-driven automated scan segmentation and pre-correction measurements to visualize simulated corrected spines.
2026-06
Medacta
Mighty Oak Medical and Medacta Announce Non-Exclusive Worldwide License of Patents for Patient-Specific Pedicle Screw Guides
Mighty Oak Medical and Medacta have resolved a patent dispute, with Medacta receiving a non-exclusive license to Mighty Oak's patents for patient-specific pedicle screw guides in adult spinal surgeries.
2024-08
3D Printing
Mighty Oak Medical Forms Partnership for Printing Spinal Models
Mighty Oak Medical has partnered with HP to enhance spinal surgeries using 3D printing technology, focusing on personalized 3D printed models and tools for improved pedicle screw placement.
2023-06
Medical Design Briefs
From the Editor - How 3D Printing Could Improve Spinal Surgery
Mighty Oak Medical's FIREFLY navigation system, manufactured using HP's 3D printers, is highlighted for its ability to streamline surgical workflow and reduce screw placement time in spinal fusion procedures.
2023-07
Ortho Spine News
OrthoPediatrics Corp. and Mighty Oak Medical Extend Exclusive Partnership for FIREFLY Technology in Pediatric Orthopedics
OrthoPediatrics and Mighty Oak Medical extended their exclusive partnership for FIREFLY Technology in children's hospitals across the United States until August 2027.
2021-08
Newswire
Mighty Oak Medical Receives FDA Clearance for Its FIREFLY Pedicle Screw Navigation Guide
Mighty Oak Medical announced it received 510(k) approval from the FDA for its patented, 3D printed, patient-specific FIREFLYu2122 Pedicle Screw Navigation Guide, designed to enable optimal implant placement in spinal fusion surgery.
2016-01
MedTech Innovator
Mighty Oak Medical receives FDA clearance for new 3D-printed navigation guide: 3 notes
Mighty Oak Medical received FDA 510(k) clearance for its patient-specific, 3D-printed S2AI Guide for sacroiliac fixation in complex spinal reconstruction.
2018-07

Frequently Asked Questions

Mighty Oak Medical primarily offers the FIREFLYu00ae Navigational Guidance Platform, which provides patient-specific solutions for spinal surgery. This includes 3D printed anatomical models and customized surgical navigation guides designed to enhance accuracy and efficiency in procedures like pedicle screw placement.
Mighty Oak Medical utilizes its ACorn 3D pre-surgical planning platform, powered by AI-driven automated scan segmentation, to convert patient CT scans into detailed 3D renderings of the spine. This platform enables concierge pre-surgical planning, allowing surgeons to review and approve precise surgical plans, including screw sizing and trajectories, before entering the operating room.
Mighty Oak Medical's cornerstone product, FIREFLYu00ae, is both FDA-cleared and CE-marked, ensuring it meets stringent regulatory standards for medical devices. The company also complies with ISO 13485 and utilizes a HIPAA-compliant uploader for patient scan data, demonstrating a commitment to quality and patient data security.
Mighty Oak Medical's FIREFLYu00ae surgical navigation guides are 3D printed and patient-specific, mechanically constraining surgical instruments to follow pre-selected trajectories for accurate screw placement in cervical, thoracolumbar, pelvic, and S2AI spinal surgeries. These guides aim to reduce operative time, improve accuracy, and minimize intraoperative radiation exposure for both patients and surgical staff compared to traditional navigation systems.
Mighty Oak Medical has strategic partnerships with companies like HP for 3D printing technology, OrthoPediatrics for exclusive distribution of FIREFLYu00ae in pediatric hospitals, and Medacta through a non-exclusive patent license. These collaborations enhance manufacturing capabilities, expand market reach, and foster continuous innovation in patient-specific spinal solutions.
Mighty Oak Medical provides client support through a dedicated team accessible via email and phone, and offers a mobile app to streamline case ordering and pre-surgical plan approvals. While specific pricing for their surgical products is not publicly detailed, their FIREFLYu00ae system is presented as a cost-effective alternative to expensive robotic navigation systems, aiming to improve operating room efficiencies.
Established in 2011, Mighty Oak Medical is a commercial-stage medical device development company with over a decade of experience in patient-specific spinal solutions. The company holds a robust patent portfolio, has completed over 3,700 cases, planned over 80,000 screws, and has received multiple Spine Technology Awards, demonstrating a strong and stable presence in the industry.

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