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Companies / Native Orthopaedics
Medical device company profile

Native Orthopaedics

Sports medicine company developing knotless, retensionable soft-tissue repair and fixation systems, with an initial focus on meniscal root and ACL procedures.

Medical Device ManufacturerOrthopedics & MusculoskeletalSports Medicine & Soft Tissue RepairCommercial-stage root repair; expanding ACL platform
Headquarters🇺🇸Providence, Rhode Island, United States
Founded2024
Commercial statusCommercially availableNative Root System commercially available; ACL configuration availability varies, with ACL Prime marked coming soon.
Employees2–10 [16]LinkedIn company-size range · Checked 2026-10-16
Estimated revenueNot confirmed
Official websitewww.nativeortho.com ↗

Company overview

Native Orthopaedics is a privately held sports medicine company based in Providence, Rhode Island. Founded by orthopaedic surgeon Christian Anderson and Tom Gamache, it develops implants and instruments intended to preserve native anatomy during joint repair. The company lists 2024 as its founding year, following earlier development work.

Its Native Root System combines Dragonfly retensionable suture constructs with titanium or Zerofly textile fixation and procedure-specific instruments. The broader ACL platform includes Prime Zero, tibial eminence repair options and ACL Prime, which the current website labels coming soon.

The regulatory records linked to these systems name Riverpoint Medical as the FDA applicant and use the device names RootMend MRR, LigaMend and Strut Suture / No-Tie Button. Native has announced the related clearances under its commercial branding. These are 510(k) clearances for specified fixation uses, not FDA approval of broader claims about arthritis prevention or superior clinical outcomes.

[11][16][17][18]

Leadership

3 people
Tom GamacheCo-founder & Chief Executive Officer [20]
Christian Anderson, MDCo-founder, Founding Surgeon & Chief Medical Officer [18]
Brian MorleyChief Marketing Officer [18]

Products & regulatory status How does MedTechIndex get this information?

Summary

Native’s Root/RootMend and Repair Construct/Native Bridge platform records are linked to specified Riverpoint Medical authorizations. The original applicant is retained. Other Riverpoint anchors, sutures and Covidien-branded recalls are not automatically Native products and are excluded. Configuration-level mapping and U.S. commercial launch of the ACL platform are not established by the current disclosures. [13][15][4][3][22][23][1]

No matching FDA recall event was identified in the completed company/applicant, linked-identifier and product-name searches. [8][6]

Regulatory snapshot How to read this snapshot

U.S. FDA
3
510(k) clearances
0
De Novo grants
0
PMA approvals
0
Recall events

Latest recorded source review: 2026-10-20.

Scope: selected product families.

Commercial portfolio snapshot

Documented commercial product families.

Sports medicine soft-tissue fixation system

Native Root System / RootMend MRR ↗

Meniscal root repair family combining Dragonfly retensionable suture constructs, optional titanium No-Tie or Zerofly soft fixation, and RootFinder and Spear Passer instruments. The FDA record uses the earlier RootMend MRR name. [23][13][11]

FDA-cleared

Commercially available; ordering and configuration availability through Native.

Products with unconfirmed commercial availability

Sports medicine soft-tissue fixation system

Native ACL platform: Repair Construct & Native Bridge ↗

Related soft-tissue repair and fixation constructs for ACL/PCL procedures. The website presents Prime Zero and tibial eminence options as new, while ACL Prime is marked coming soon. Native Bridge distributes suture tension; configurations should be checked individually. [19][20][15][14][11]

Commercial availability not established

Manufacturer presents new configurations and technique guides; ACL Prime is marked coming soon. Individual shipping status requires confirmation.

Known Distribution Partners

1 partner

Publicly documented relationships; coverage may be incomplete.

PartnerTerritory / scopeProducts
Kaizen Medical [10]Tennessee & Kentucky (service area)Not publicly specified

Sources checked October 16, 2026.

Activity & Milestones

4 events
2026-03-11 · Regulatory

Bridge and No-Tie fixation clearance

FDA cleared Strut Suture / No-Tie Button for specified fixation uses. Native described the related Native Bridge clearance in its March announcement. [14][20]

2026-02-27 · Regulatory

Broader soft-tissue fixation clearance

FDA cleared LigaMend for specified shoulder, foot/ankle and knee repair uses. Native subsequently announced the related Repair Construct expansion. [4][15][20]

2025-07-11 · Recognition

2025 AOSSM ACE Award

Native reports receiving the Accelerating the Cutting Edge Award at the July 11 AOSSM meeting. Its announcement was published July 22. [21]

2025-03-20 · Regulatory

Meniscal root repair clearance

FDA cleared Riverpoint Medical’s RootMend MRR, associated with Native’s meniscal root repair offering. Native announced its commercial system on April 2, 2025. [13][22]

23 Cited Sources

Accessed 10/20/2026

[1] FDA 510(k) database — research search ↗FDA / openFDA · regulatory record
[2] FDA K243988 — RootMend MRR ↗U.S. Food and Drug Administration · regulatory record
[3] FDA K253693 — Strut Suture; No-Tie Button ↗U.S. Food and Drug Administration · regulatory record
[4] FDA K253695 — LigaMend ↗U.S. Food and Drug Administration · regulatory record
[5] FDA De Novo database — research search ↗FDA / openFDA · regulatory record
[7] FDA PMA database — research search ↗FDA / openFDA · regulatory record
[9] FDA UDI database — research search ↗FDA / openFDA · regulatory record
[11] NEMIC startup spotlight: Native origins and earlier RootMend/Ligamend names ↗New England Medical Innovation Center · partner website · Published 2024-08-29
[12] Native-linked implant IFU portal: Riverpoint Medical ↗Riverpoint Medical · instructions for use
[13] FDA K243988: RootMend MRR ↗U.S. Food and Drug Administration · regulatory database
[14] FDA K253693: Strut Suture / No-Tie Button ↗U.S. Food and Drug Administration · regulatory database
[15] FDA K253695: LigaMend ↗U.S. Food and Drug Administration · regulatory database
[16] Native Orthopaedics LinkedIn company profile ↗Native Orthopaedics / LinkedIn · company profile
[17] Native Orthopaedics company and product overview ↗Native Orthopaedics · company website
[18] Native leadership and founding story ↗Native Orthopaedics · company website
[20] Native announces Repair Construct and Native Bridge clearances ↗Native Orthopaedics · press release · Published 2026-03-11
[21] Native announces 2025 AOSSM ACE Award ↗Native Orthopaedics · press release · Published 2025-07-22
[22] Native announces meniscal root repair clearance ↗Native Orthopaedics · press release · Published 2025-04-02
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