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Companies / Xtant Medical
Medical device company profile

Xtant Medical

Montana-based medical technology company developing and commercializing spinal implants, orthobiologics and bone graft products.

ManufacturerOrthopedics & MusculoskeletalBone Repair & ReconstructionSpine
Headquarters🇺🇸Belgrade, Montana, United States
FoundedNot confirmed
Commercial statusCommercially availableMarkets spinal implants and orthobiologics in the United States; authorization varies by product.
EmployeesNot confirmed
Annual revenue$134.0 million [2]FY 2025 · Reported
Disclosed fundingUS$6.75 million [4]First tranche closed · Aug 2022
Official websitextantmedical.com ↗

Company overview

Xtant Medical is headquartered in Belgrade, Montana. Its portfolio spans spinal fixation and interbody implants, demineralized bone matrix, synthetic bone grafts and human tissue products for spinal and orthopedic procedures.

Its spinal implant portfolio includes Spider cervical plating, Cortera posterior fixation, CervAlign, Fortilink interbodies and Silex sacroiliac fixation. Products acquired from X-Spine, Pioneer/RTI and Surgalign can appear in FDA records under their original applicants. Houston-based distributor Republic Medical promotes the Spider Cervical Plating System on its website; current supply and manufacturer authorization have not been confirmed.

Xtant completed the sale of Coflex/CoFix assets and its international hardware businesses to Companion Spine in December 2025. It also distributes selected third-party products, including Dilon HEMOBLAST Bellows under a 2026 U.S. agreement.

[1][2][3][4][5][138][139][153]

Leadership

3 people
Sean BrownePresident & Chief Executive Officer [3][152]
Scott NeilsChief Financial Officer [151]
Mark SchallenbergerChief Operating Officer [140]

Products & regulatory status How does MedTechIndex get this information?

Summary

FDA records document Class II 510(k) clearances for the selected spinal fixation, interbody and DBM families. Spider is linked to X-Spine Systems clearances K052292 (2005) and K170224 (2017). Acquired families retain predecessor applicants, including Pioneer/RTI and Surgalign; these names do not represent separate current companies on this profile. [7][17][24][20][21]

FDA lists open Class II recalls affecting specified Cortera screws, CervAlign plates, Irix-A implants and Xpress screws. A separate 2026 nanOss 3D / 3D Plus shelf-life labeling recall is retained in the safety review without assigning it to the current Strata formulation. These are product- and lot-specific records; they do not establish a recall of the entire portfolio or any Republic Medical inventory. [130][46][132][134][136]

The regulatory snapshot covers selected current families and is a documented minimum. The exact clearance for current nanOss Strata remains unresolved. Tissue products and third-party products distributed by Xtant have distinct regulatory pathways and are not assigned blanket device clearance; divested Coflex/CoFix and international hardware assets are excluded. [1][139][146]

Regulatory snapshot How to read this snapshot

U.S. FDA
19+
510(k) clearances
—
De Novo grants
—
PMA approvals
12+
Recall events

Latest recorded source review: 2026-10-22.

View 6 documented open recall events

Includes open events outside the mapped current portfolio; those events are excluded from the snapshot count.

Documented open FDA recall events
Recalled product / recordInitiatedSource
  • nanOss 3D Advanced Bone Graft SubstituteZ-1897-2026
March 9, 2026[136][137]
  • XTANT MEDICAL Xpress Pedicle Screw System Dual Lead 6.5 x 50 mmZ-1773-2026
February 18, 2026[134][135]
  • Irix-A Integrated Lumbar Fusion SystemZ-1177-2025
January 3, 2025[132][133]
  • Cortera Spinal Fixation System Screw, Poly, Solid, 6.5mm x 45mmZ-0125-2025
August 21, 2024[130][131]
  • Cortera Spinal Fixation SystemZ-0846-2024
November 28, 2023[128][129]
  • CervAlign Anterior Cervical Plate System
    41 recall recordsZ-1239-2021, Z-1204-2021, Z-1205-2021, Z-1206-2021, Z-1207-2021, Z-1208-2021, Z-1209-2021, Z-1210-2021, Z-1211-2021, Z-1212-2021, Z-1213-2021, Z-1214-2021, Z-1215-2021, Z-1216-2021, Z-1217-2021, Z-1218-2021, Z-1219-2021, Z-1220-2021, Z-1221-2021, Z-1222-2021, Z-1223-2021, Z-1224-2021, Z-1225-2021, Z-1226-2021, Z-1227-2021, Z-1228-2021, Z-1229-2021, Z-1230-2021, Z-1231-2021, Z-1232-2021, Z-1233-2021, Z-1234-2021, Z-1235-2021, Z-1236-2021, Z-1237-2021, Z-1238-2021, Z-1240-2021, Z-1241-2021, Z-1242-2021, Z-1243-2021, Z-1244-2021
January 15, 2021[46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111][112][113][114][115][116][117][118][119][120][121][122][123][124][125][126][127]

Commercial portfolio snapshot

Documented commercial product families.

Spider Cervical Plating System
Image: Xtant Medical
Anterior cervical fixation

Spider Cervical Plating System ↗

Titanium alloy anterior cervical plates and bone screws with integrated locking arms for temporary stabilization during cervical fusion. [149]

FDA-cleared

Listed in the manufacturer's current U.S. portfolio.

Cortera Spinal Fixation System
Image: Xtant Medical
Posterior spinal fixation

Cortera Spinal Fixation System ↗

Posterior thoracolumbar fixation system with pedicle screws, rods and associated instrumentation. [143]

FDA-cleared

Listed in the manufacturer's current U.S. portfolio.

Calix TP Lumbar Interbody Spacers
Image: Xtant Medical
Lumbar interbody fusion

Calix TP Lumbar Interbody Spacers ↗

PEEK lumbar interbody spacers for TLIF and PLIF procedures, including coated and non-coated configurations. [141]

FDA-cleared

Listed in the manufacturer's current U.S. portfolio.

View 4 additional documented product families
Xpress Pedicle Screw System
Image: Xtant Medical
Minimally invasive spinal fixation

Xpress Pedicle Screw System ↗

Pedicle screws and associated components for minimally invasive spinal fixation. [150]

FDA-cleared

Listed in the manufacturer's current U.S. portfolio.

OsteoSelect DBM Putty
Image: Xtant Medical
Bone graft substitute

OsteoSelect DBM Putty ↗

Demineralized bone matrix putty used as a bone void filler; indications and compositions vary by cleared configuration. [147]

FDA-cleared

Listed in the manufacturer's current U.S. portfolio.

nanOss Strata Strip & Moldable
Image: Xtant Medical
Synthetic bone graft

nanOss Strata Strip & Moldable ↗

Synthetic bone graft marketed in strip and moldable forms; the pictured strip is the manufacturer's current Strata product. [146]

Marketed · regulatory scope varies

Listed in the manufacturer's current U.S. portfolio.

Commercial development

Xtant reported a U.S. distribution agreement for Dilon HEMOBLAST Bellows and launch of Trivium Shaped in its August 11, 2026 results. HEMOBLAST is a third-party product; this does not establish a Republic Medical relationship for that product. [3]

Known Distribution Partners

1 partner

Publicly documented relationships; coverage may be incomplete.

PartnerTerritory / scopeProducts
Republic Medical (product promotion documented) [5][149][154]Not publicly specified; distributor based in Houston, TexasSpider Cervical Plating System (advertised; current supply unconfirmed)

Sources checked October 22, 2026.

154 Cited Sources

Accessed 10/31/2026

Last substantive review: 10/22/2026

[2] Xtant 2025 financial results ↗Xtant Medical · press release
[27] FDA recall Z-0800-2013 ↗U.S. Food and Drug Administration · regulatory
[29] FDA recall Z-1138-2013 ↗U.S. Food and Drug Administration · regulatory
[31] FDA recall Z-2136-2014 ↗U.S. Food and Drug Administration · regulatory
[33] FDA recall Z-1512-2015 ↗U.S. Food and Drug Administration · regulatory
[35] FDA recall Z-0124-2017 ↗U.S. Food and Drug Administration · regulatory
[37] FDA recall Z-0125-2017 ↗U.S. Food and Drug Administration · regulatory
[39] FDA recall Z-0126-2017 ↗U.S. Food and Drug Administration · regulatory
[41] FDA recall Z-0127-2017 ↗U.S. Food and Drug Administration · regulatory
[43] FDA recall Z-0790-2019 ↗U.S. Food and Drug Administration · regulatory
[45] FDA recall Z-1526-2020 ↗U.S. Food and Drug Administration · regulatory
[47] FDA recall Z-1204-2021 ↗U.S. Food and Drug Administration · regulatory
[49] FDA recall Z-1205-2021 ↗U.S. Food and Drug Administration · regulatory
[51] FDA recall Z-1206-2021 ↗U.S. Food and Drug Administration · regulatory
[53] FDA recall Z-1207-2021 ↗U.S. Food and Drug Administration · regulatory
[55] FDA recall Z-1208-2021 ↗U.S. Food and Drug Administration · regulatory
[57] FDA recall Z-1209-2021 ↗U.S. Food and Drug Administration · regulatory
[59] FDA recall Z-1210-2021 ↗U.S. Food and Drug Administration · regulatory
[61] FDA recall Z-1211-2021 ↗U.S. Food and Drug Administration · regulatory
[63] FDA recall Z-1212-2021 ↗U.S. Food and Drug Administration · regulatory
[65] FDA recall Z-1213-2021 ↗U.S. Food and Drug Administration · regulatory
[67] FDA recall Z-1214-2021 ↗U.S. Food and Drug Administration · regulatory
[69] FDA recall Z-1215-2021 ↗U.S. Food and Drug Administration · regulatory
[71] FDA recall Z-1216-2021 ↗U.S. Food and Drug Administration · regulatory
[73] FDA recall Z-1217-2021 ↗U.S. Food and Drug Administration · regulatory
[75] FDA recall Z-1218-2021 ↗U.S. Food and Drug Administration · regulatory
[77] FDA recall Z-1219-2021 ↗U.S. Food and Drug Administration · regulatory
[79] FDA recall Z-1220-2021 ↗U.S. Food and Drug Administration · regulatory
[81] FDA recall Z-1221-2021 ↗U.S. Food and Drug Administration · regulatory
[83] FDA recall Z-1222-2021 ↗U.S. Food and Drug Administration · regulatory
[85] FDA recall Z-1223-2021 ↗U.S. Food and Drug Administration · regulatory
[87] FDA recall Z-1224-2021 ↗U.S. Food and Drug Administration · regulatory
[89] FDA recall Z-1225-2021 ↗U.S. Food and Drug Administration · regulatory
[91] FDA recall Z-1226-2021 ↗U.S. Food and Drug Administration · regulatory
[93] FDA recall Z-1227-2021 ↗U.S. Food and Drug Administration · regulatory
[95] FDA recall Z-1228-2021 ↗U.S. Food and Drug Administration · regulatory
[97] FDA recall Z-1229-2021 ↗U.S. Food and Drug Administration · regulatory
[99] FDA recall Z-1230-2021 ↗U.S. Food and Drug Administration · regulatory
[101] FDA recall Z-1231-2021 ↗U.S. Food and Drug Administration · regulatory
[103] FDA recall Z-1232-2021 ↗U.S. Food and Drug Administration · regulatory
[105] FDA recall Z-1233-2021 ↗U.S. Food and Drug Administration · regulatory
[107] FDA recall Z-1234-2021 ↗U.S. Food and Drug Administration · regulatory
[109] FDA recall Z-1235-2021 ↗U.S. Food and Drug Administration · regulatory
[111] FDA recall Z-1236-2021 ↗U.S. Food and Drug Administration · regulatory
[113] FDA recall Z-1237-2021 ↗U.S. Food and Drug Administration · regulatory
[115] FDA recall Z-1238-2021 ↗U.S. Food and Drug Administration · regulatory
[117] FDA recall Z-1239-2021 ↗U.S. Food and Drug Administration · regulatory
[119] FDA recall Z-1240-2021 ↗U.S. Food and Drug Administration · regulatory
[121] FDA recall Z-1241-2021 ↗U.S. Food and Drug Administration · regulatory
[123] FDA recall Z-1242-2021 ↗U.S. Food and Drug Administration · regulatory
[125] FDA recall Z-1243-2021 ↗U.S. Food and Drug Administration · regulatory
[127] FDA recall Z-1244-2021 ↗U.S. Food and Drug Administration · regulatory
[129] FDA recall Z-0846-2024 ↗U.S. Food and Drug Administration · regulatory
[131] FDA recall Z-0125-2025 ↗U.S. Food and Drug Administration · regulatory
[133] FDA recall Z-1177-2025 ↗U.S. Food and Drug Administration · regulatory
[135] FDA recall Z-1773-2026 ↗U.S. Food and Drug Administration · regulatory
[137] FDA recall Z-1897-2026 ↗U.S. Food and Drug Administration · regulatory
[139] Xtant current biologics portfolio ↗Xtant Medical · company website
[141] Calix TP Lumbar Interbody Spacers ↗Xtant Medical · company website
[143] Cortera Spinal Fixation System ↗Xtant Medical · company website
[146] nanOss Strata Strip & Moldable ↗Xtant Medical · company website
[147] OsteoSelect DBM Putty ↗Xtant Medical · company website
[148] Silex Sacroiliac Joint Fusion System ↗Xtant Medical · company website
[149] Spider Cervical Plating System ↗Xtant Medical · company website
[150] Xpress Pedicle Screw System ↗Xtant Medical · company website
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