8 medtech acquisitions of $100 million or more in spine, orthopedics

Spinal Tech

From SeaSpine's purchase of a highly touted imaging system to a multibillion dollar deal that bolstered Stryker's extremities portfolio, here are eight acquisitions of $100 million or more made in  the last eight months:

1. Bioventus is preparing to acquire Misonix, a spine-facing medtech company, in a $518 million deal. Bioventus said it is projecting the acquisition, expected to close in the fourth quarter, to add almost $80 million in revenue in 2021.

2. In February, NuVasive paid $150 million to acquire Simplify Medical, which has developed an artificial disc that is being evaluated for two-level indications. NuVasive will make additional payments if certain regulatory approval and sales milestones are met.

3. Alphatec acquired EOS imaging for a reported $116.9 million in May. The company is integrating EOS technology into its Alpha Informatix platform, adding spinal imaging and anatomical modeling.

4. SeaSpine bought 7D Surgical for a reported $110 million in May. The surgical company's flagship technology is a radiation-free tool designed to assist surgeons placing spinal implants.

5. Smith+Nephew acquired Integra LifeSciences' extremity orthopedics business for $240 million in January. The deal includes a shoulder replacement system the company expects to launch in 2022.

6. Integra LifeSciences acquired regenerative medicine company ACell in January. Terms of the deal include $300 million in cash at closing and up to $100 million more in cash payments if certain revenue growth milestones are met. 

7. In December, Zimmer Biomet acquired cardiothoracic surgery company A&E Medical Corp for $250 million. Revenue from the portfolio will be recognized in Zimmer Biomet's dental, spine and craniomaxillofacial and thoracic business unit. 

8. Stryker completed its $4 billion acquisition of competitor Wright Medical Group in December. Stryker said Wright Medical, which develops extremity and biologic products, has preoperative planning technology and sufficient scale to enable the combined business to have a more focused business unit approach.

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