
Acumed
Hillsboro, United States
Oregon developer and manufacturer of orthopedic fracture fixation systems, including headless compression screws.
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Discover surgical instruments, manufacturers & suppliers, medical exhibitions and industry insights
32 orthopedic instruments manufacturers in the United States are listed in this directory. 31 are based in the United States; 1 is based elsewhere and lists the United States among the countries they serve. Main locations: Longview, West Bridgewater, Draper, Largo. Each profile shows the business type, product categories and official contact details published by the company; use the filters to narrow the list.

Hillsboro, United States
Oregon developer and manufacturer of orthopedic fracture fixation systems, including headless compression screws.

Center Valley, United States
Pennsylvania-based US arm of Aesculap providing surgical instruments, sterile container systems and implants.

West Bridgewater, United States
Massachusetts designer and manufacturer of motion-preserving joint replacement implants, founded in 2002.

Irving, United States
Texas spinal device company formed in 2014 to develop, manufacture and distribute spinal fixation systems.

Whippany, United States
New Jersey designer and manufacturer of veterinary orthopedic implants and instrumentation, founded in 1989.

Knoxville, United States
Knoxville, Tennessee spinal implant manufacturer offering pedicle screw, cervical and lateral systems and biologics.

Largo, United States
Florida-headquartered medical device manufacturer of orthopedic and general surgery products, including arthroscopy and electrosurgery.
St. Louis, United States
St. Louis spine device manufacturer that designs and makes over 99% of its instruments and implants in-house.

Carrollton, United States
Texas spinal device design, development and manufacturing company using silicon nitride and titanium, founded in 2014.

Kennesaw, United States
Georgia family business and exclusive US and Canadian distributor of German-made Fehling surgical instruments for spine, neuro and cardiac surgery.

Audubon, United States
Pennsylvania company that develops, manufactures and distributes musculoskeletal implants, instruments and enabling technology.

Fourth-generation family business in Sialkot making surgical and dental instruments since 1974, with 15,000+ products in 14 disciplines sold in 50+ countries.

Longview, United States
Texas manufacturer of veterinary orthopedic implants, external skeletal fixation systems and surgical instrumentation.
Savannah, United States
Savannah, Georgia manufacturer of surgical instruments for orthopedic surgery, many designed with orthopedic surgeons.

Salt Lake City, United States
Salt Lake City developer and manufacturer of spinal implant systems and related instruments since 2004.
Redlands, United States
California orthopedic company offering joint replacement and spine products engineered and manufactured under Kyocera quality principles.

Huntley, United States
Illinois spinal implant company focused on micro-invasive spine systems, founded in 2004.
Charlottesville, United States
Virginia engineer and manufacturer of powered surgical instruments for orthopedic and plastic surgery.

Arlington, United States
Tennessee manufacturer of hip and knee orthopedic implants, with distributors in many countries.

Noblesville, United States
Indiana maker of American-made, in-house manufactured spinal implants and instruments.

Mason, United States
Michigan-headquartered contract design and manufacturing partner for orthopedic medical devices, with sites worldwide.

Draper, United States
Privately held Utah company that designs, manufactures and distributes hip and knee implants and instrumentation.
Lewisville, United States
Texas medical device company providing spine, limb reconstruction, bone growth and orthobiologic products since 1980.

Irvine, United States
California contract manufacturer and designer of powered surgical devices for the medical industry.
32 companies match this category and country as a manufacturer. The list updates automatically when profiles are added or changed.
Profiles are compiled from each company’s own website and public sources; verified details are marked on the profile. Featured or Sponsored labels are paid placements, not endorsements. See how listings are checked.
Open the company profile for its official website, e-mail and phone details, and contact the company directly. SurgiFacts.com does not sell instruments.



Regulator: U.S. Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH)
FDA regulates devices by class (I-III). All need registration/listing and general controls; many also need 510(k) clearance, De Novo or PMA before sale.
From the sourced FDA CDRH entry, checked 29 October 2026. General information, not legal advice. Requirements for United States · All medical certifications
Many do not. Under 21 CFR 878.4800, manual surgical instruments for general use (nonpowered, hand-held or hand-manipulated reusable or disposable instruments such as forceps, clamps, scalpels and retractors) are Class I and exempt from 510(k), subject to the limitations in 21 CFR 878.9.
"Exempt" does not mean unregulated. The establishment must still register and list, and labeling, UDI and medical device reporting rules apply. Instruments for specialty uses (for example dental, ophthalmic or orthopedic) are classified in other regulations and may differ, and listing a device as exempt is not proof that it is. Check the classification regulation and product code for each item. See the medical certifications page.
Ask the supplier for four items, then check them against FDA's public databases:
Remember that registration is not approval, and listing an exempt device does not prove the exemption applies. FDA does not issue registration certificates. Use the United States country page to shortlist suppliers, and see the medical certifications page.
Initial importers are among the establishment types FDA lists as needing to register; FDA's who-must-register table sets out the details. Importers also have medical device reporting duties: report deaths and serious injuries to FDA and the manufacturer, and malfunctions to the manufacturer, within 30 calendar days, electronically.
An importer does not need its own 510(k) if the foreign manufacturer holds one for the device. If an importer relabels or repackages, it takes on additional obligations as a relabeler or repackager. When choosing a US importer or distributor from the United States directory, ask how it handles complaint files, reporting and recalls for the brands it carries.
In outline, under FDA rules:
Fees change each fiscal year. Browse US-based companies on the United States country page and see the medical certifications page.
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