OrthoGrid Systems

Salt Lake City, Utah, United States (with research facilities in Strasbourg, France)  All United States companies → Founded 2012
Medical Device / Hardware Specialty-Focused AI
Orthopedics
Radiology & Imaging AI Surgical AI
Acquired by Zimmer Biomet — $8.29M

Products

PhantomMSK Trauma
OrthoGrid Systems
Radiology & Imaging AI
PhantomMSK Trauma is an FDA-cleared, AI-powered software system by OrthoGrid Systems (now part of Zimmer Biomet) that provides intraoperative image analysis and distortion correction for precise positioning of orthopedic trauma components using fluoroscopic imaging.

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About OrthoGrid Systems

OrthoGrid Systems is a pioneering MedTech company specializing in AI-driven intraoperative alignment technologies designed to enhance precision and reproducibility in orthopedic surgery. Their digital platform creates an AI-driven ecosystem that provides real-time surgical assistance, primarily leveraging fluoroscopy-based imaging. This technology is crucial for addressing limitations in traditional orthopedic procedures by correcting fluoroscopic distortion, a phenomenon invisible to the naked eye that can lead to significant discrepancies in measurements like leg length and offset.

For physicians, OrthoGrid’s solutions, such as the Hip AI platform, offer automated measurements and guidance for optimal implant placement during procedures like total hip arthroplasty (THA), hip preservation, and trauma. Unlike CT-based systems, OrthoGrid’s fluoroscopy-based guidance does not require preoperative preparation, allows for real-time navigation with up-to-date images, and provides convenient bedside access to motion imaging, thereby optimizing surgical workflows and potentially improving component placement accuracy. The system seamlessly integrates into existing operating room equipment, enabling surgeons to make more informed intraoperative decisions and tailor the AI guidance to their specific techniques.

The company’s technology aims to improve efficiency, accuracy, and reproducibility in orthopedic procedures, ultimately contributing to better patient outcomes and potentially reducing complications. With its focus on data-driven AI, OrthoGrid has developed FDA-cleared orthopedic applications that actively respond to and enhance surgeon performance throughout every phase of surgery, providing intuitive, automated support without disrupting efficiency or adding significant cost.

Focus Areas

AI-driven orthopedic solutions intraoperative surgical guidance fluoroscopic image distortion correction total hip arthroplasty (THA) hip preservation trauma

Business Intelligence

Key InvestorsNot publicly disclosed
PartnershipsnView Medical (2020), Zimmer Biomet (acquisition 2024)
AcquisitionsAcquired by Zimmer Biomet (August 2024)
TechnologyAI-enabled surgical guidance applications, data-driven, proprietary surgical navigation platform, works with existing hospital equipment (C-arms), corrects fluoroscopic distortion, provides real-time surgical assistance. Uses deep learning AI-algorithms. Software applications hosted on a surgery-optimized hardware platform (e.g., Advantech's USM-500 NVIDIA-certified medical-grade computer).
FDA ClearancesAt least 3, including PhantomMSK Orthopedic Platform, PhantomMSK Trauma, Hip Preservation Application, and Hip AI. cleared products (estimated)

What Physicians Need to Know

AI-Driven Orthopedic Solutions
OrthoGrid Systems specializes in AI-powered software that provides real-time imaging guidance during orthopedic surgeries, transforming how surgeons approach procedures.
Intraoperative Surgical Guidance
Their core offering is intraoperative navigation technology that assists surgeons with precise component and anatomic alignment, enhancing decision-making during procedures like total hip arthroplasty, hip preservation, and trauma surgery.
Fluoroscopic Image Distortion Correction
A key specialization is the correction of fluoroscopic image distortion, a common issue in traditional imaging that can impact surgical accuracy. Their patented technology reveals and corrects this distortion, providing surgeons with more reliable intraoperative images.
Total Hip Arthroplasty (THA)
OrthoGrid offers dedicated applications, such as Hip AI and HipGrid, for total hip replacement surgery, focusing on optimizing component placement, leg length measurement, and offset restoration.
Hip Preservation
They provide solutions like PhantomMSK Hip Preservation, a non-invasive surgical assistance application for treating pre-arthritic hip conditions, including peri-acetabular osteotomy (PAO) and femoroacetabular impingement (FAI).
Trauma
OrthoGrid's Trauma AI applications assist in open reduction and internal fixation (ORIF) procedures, offering tools for assessing alignment of anatomy and implants, and virtual guidance for instruments like guide wires.
Physician Tip

OrthoGrid Systems stands out for physicians by offering AI-driven, fluoroscopy-based surgical guidance that is designed to seamlessly integrate into existing surgical workflows without requiring dedicated hardware or extensive training. Their technology, including deep learning algorithms, provides real-time, objective data and automated measurements, enhancing surgical accuracy, reproducibility, and efficiency. This leads to improved patient outcomes, such as reduced complications like leg length discrepancy and instability, and a faster return to active lifestyles. The ability to correct fluoroscopic image distortion is a critical differentiator, ensuring surgeons can trust their intraoperative images for precise decision-making. Furthermore, their implant-agnostic, software-based approach offers a cost-effective alternative to more complex and expensive robotic systems, while also reducing patient radiation exposure by minimizing the number of X-rays needed.

OrthoGrid's technology is designed as an open platform that integrates seamlessly with existing hospital equipment, specifically C-arms, and works within current surgical workflows. The software runs on commercial off-the-shelf systems (PC, keyboard, mouse, touchscreen monitor) and utilizes a radiopaque calibration array that attaches to the C-arm image intensifier for distortion correction. This approach minimizes the need for new, dedicated hardware and allows for quick and easy software updates and future solution migration. They have also partnered with companies like nView medical to integrate their alignment and guidance technology with real-time 3D imaging for enhanced accuracy and efficiency.

Products by OrthoGrid Systems

1 product in the directory

PhantomMSK Trauma
OrthoGrid Systems
Radiology & Imaging AI
PhantomMSK Trauma is an FDA-cleared, AI-powered software system by OrthoGrid Systems (now part of Zimmer Biomet) that provides intraoperative image analysis and distortion correction for precise positioning of orthopedic trauma components using fluoroscopic imaging.

What the Web Says

OrthoGrid Systems generally receives positive reviews for its AI-powered orthopedic surgical technologies, particularly for hip replacement and preservation procedures. Surgeons highlight the accuracy, efficiency, and real-time guidance provided by their systems, leading to improved patient outcomes. Employer reviews are mixed, with some praising the company culture and work-life balance, while others point to disorganization and management issues.

Overall: Mixed

Strengths

  • AI-powered technology enhances surgical accuracy and precision
  • Reduces operating room time and patient radiation exposure
  • Seamless integration with existing surgical workflows and C-arm machines
  • Provides real-time intraoperative feedback and measurements
  • Potential for improved patient outcomes and implant longevity
  • Good work-life balance reported by some employees

Limitations

  • Limited number of employer reviews available
  • Some employer reviews mention disorganized and unproductive culture
  • Concerns about nepotism within the company culture
  • Management issues and lack of strategic decision-making cited in some employer reviews
  • Pay and benefits rated as average by some employees

Based on reviews from: Indeed.com, PR Newswire, Birmingham Medical News, Dr. Nathan Cafferky (website/blog), Becker's Spine Review, YouTube (OrthoGrid Systems channel)

Last updated: 2026-07-18

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Press & Coverage

OrthoFeed
Zimmer Biomet Signs Definitive Agreement to Acquire OrthoGrid Systems, Inc.
Zimmer Biomet has entered a definitive agreement to acquire OrthoGrid Systems, a company known for its advanced surgical imaging and guidance technology, aiming to strengthen its digital surgery ecosystem. The acquisition includes OrthoGrid's AI-powered, fluoroscopy-based surgical assistance platform Hip AI, two additional FDA-cleared orthopedic applications, and over 40 patents.
2026-02
Ortho Spine News
OrthoGrid Systems, Inc. Announces New Clinical Data Supporting the Use of Its Analog and Digital Technology for Orthopedic Surgery - Ortho Spine News
OrthoGrid Systems announced the publication of new clinical data in the Journal of Arthroplasty (JOA) supporting the use of its analog and digital technology for orthopedic surgery. The study compared surgical outcomes and times using OrthoGrid's HipGridu00ae Drone and PhantomMSKu2122 Hip for direct anterior approach total hip arthroplasty.
2020-12
Becker's Spine Review
Zimmer Biomet to acquire OrthoGrid Systems - Becker's Spine Review
Zimmer Biomet signed a definitive agreement to acquire OrthoGrid Systems, a developer of artificial intelligence-driven guidance for total hip replacement. The acquisition includes OrthoGrid's Hip AI system, which offers real-time image analysis, automated measurements, and guidance on cup placement.
2024-08
Ortho Spine News
OrthoGrid Systems, Inc. Announces Launch of New OrthoGrid Hip Software Application for Direct Anterior Approach Total Hip Arthroplasty - Ortho Spine News
OrthoGrid Systems launched its new OrthoGrid Hip software application after receiving FDA clearance on February 18, 2021. This latest version of their patented, distortion-correcting, intraoperative-alignment technology offers new tools for greater accuracy and efficiency in direct anterior hip total hip arthroplasty.
2021-02
PR Newswire
OrthoGrid Brings the Power of Artificial Intelligence to Orthopedics! - PR Newswire
OrthoGrid Systems announced the OrthoGrid Hip AI application, the world's first intraoperative hip replacement navigation system powered by artificial intelligence and machine learning. This technology aims to redefine orthopedic navigation and improve surgeon efficiency, accuracy, and reproducibility.
2022-03
PR Newswire
OrthoGrid Systems, Inc. Announces Launch of New OrthoGrid Hip Preservation Software Application for Peri Acetabular Osteotomy and Femoroplasty - PR Newswire
OrthoGrid Systems launched its new Hip Preservation Application after receiving FDA clearance in February 2021. This application is the latest version of OrthoGrid's patented, distortion-correcting, intraoperative-alignment technology for Peri-Acetabular Osteotomy and Femoroplasty.
2021-08
accessdata.fda.gov
May 29, 2026 OrthoGrid Systems, Inc. Shweta Conner Regulatory Affairs, Sr. Specialist 7026 S. Commerce Park Dr. Suite 200 Midval - accessdata.fda.gov
The FDA reviewed OrthoGrid Hip AIu00ae 4.0, an image-processing software designed to assist in positioning Total Hip Replacement components. The software uses AI for real-time initialization of grid placement relative to bone structures in C-arm fluoroscopic images.
2026-05
Birmingham Medical News
New OrthoGrid uses AI technology for Hip Replacement - Birmingham Medical News
Surgical Institute of Alabama became the first facility in the state to obtain Zimmer Biomet's new OrthoGrid equipment, with Dr. Scott Appell completing a Total Hip Arthroplasty in July. The OrthoGrid system utilizes AI to provide real-time data and calculations, enabling surgeons to precisely position hip components with a single X-ray.
2025-08

Frequently Asked Questions

OrthoGrid Systems offers AI-powered software for real-time intraoperative surgical guidance across several orthopedic procedures. Their flagship product, Hip AI, is designed for total hip arthroplasty, providing automated measurements and optimal implant placement guidance. They also provide AI-enabled applications for hip preservation and trauma surgeries.
A core feature of OrthoGrid's technology is its ability to correct fluoroscopic image distortion, which is a common issue with C-arm imaging. The system uses software in conjunction with a radiopaque calibration array to calculate and correct for this distortion, ensuring more accurate intraoperative measurements and alignment. This correction is critical for precise surgical decision-making.
For THA, OrthoGrid offers Hip AI, an AI-powered platform that provides real-time image analysis for leg length, offset, and cup placement. For hip preservation, they have the OrthoGrid Hip Preservation application, assisting with complex procedures like peri-acetabular osteotomy (PAO) and femoroacetabular impingement (FAI). Their Trauma AI application supports Open Reduction and Internal Fixation (ORIF) procedures by correcting distortion and guiding instrument alignment.
OrthoGrid Systems' key products, including Hip AI and their hip preservation and trauma applications, are FDA-cleared. While specific pricing details are not publicly disclosed, the company aims to offer cost-effective solutions that integrate seamlessly into existing surgical workflows and can run on commercial off-the-shelf hardware. Technical support is available, particularly through their acquisition by Zimmer Biomet.
OrthoGrid Systems was acquired by Zimmer Biomet, a global medical technology leader, with the definitive agreement signed in August 2024 and expected to close by the end of Q4 2024. This acquisition significantly enhances Zimmer Biomet's hip portfolio and ensures strong company stability and expanded reach for OrthoGrid's technologies. They previously partnered with nView Medical to combine 3D imaging with their guidance technology.

Investors

Who's funded OrthoGrid Systems.

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