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Case Study

Onkos Surgical

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Innovator in surgical orthopedic oncology solutions, including limb salvage implants and personalized 3D surgical planning.

Year of Investment

2015

Deal Type

Carveout

Status

Active

Vertical

Pharma/Medtech Products

Location

Parsippany, NJ

Orthopedic surgical instrument/implant assembly on a white background.

Investment Thesis

Massive Market

Underserved complex orthopedic market (~$2.9B TAM) with beachhead in orthopedic oncology where there is a concentrated physician base.

Innovation Gap

Demand for innovation in precision orthopedics and oncology-focused implants.

Strong Economics

Demand for innovation in precision orthopedics and oncology-focused implants.

Value Creation

Proactive Thesis

Mined and evaluated product universe within orthopedic oncology.

Company Formation

Negotiated carve-out opportunity and co-founded company; actively syndicated equity / debt.

Team Mentorship

Operating Team Members provide commercial, regulatory, and R&D guidance.

1315 Capital’s investment and early strategic involvement were critical to the founding of Onkos Surgical. We successfully carved out assets from a strategic as part of a shared vision of addressing an underserved market in musculoskeletal oncology and complex orthopedics. This approach not only accelerated our entry into the market but also created meaningful long-term value for patients, providers, and investors.

Patrick Treacy

CEO of Onkos Surgical

Surgeons focused on a procedure in an operating room, with a yellow graphic overlay.

45%

Revenue CAGR Since Inception

99.999%+

Bacteria Kill Rate for NanoCept Technology

10th

De Novo Approval for Orthopedic Implant in FDA history for NanoCept

6,200+

Limbs Saved Since Inception

Key Highlights

  • 2015: Company management and 1315 Capital negotiate licensing deal for foundational assets
  • 2017: Company launches ELEOS limb Salvage System
  • 2021: Company launches BioGrip Collar Hybrid Stem
  • 2022: Acquires Juvenile Tumour System from Stryker
  • 2024: Received FDA De Novo approval for novel antibacterial coating technology, NanoCept

Results

Onkos Surgical started with a small product set and a vision to become one of the global leaders in orthopedic oncology. Through the Company’s commercial execution and strategic innovation engine, Onkos has built an industry leading portfolio of state of the art implants that save the limbs and lives of patients.