Surgical Instruments in Missouri

Rhein Precision is a precision medical device and surgical instrumentation manufacturer founded in 1991, specializing in small and micro part manufacturing for the healthcare industry. The company operates as an FDA-registered contract manufacturer offering capabilities across machining, finishing, assembly, and quality management. Core specialties include robotic surgical tips, micro instrumentation, and fine wire EDM (electrical discharge machining) for surgical applications including vitreoretinal procedures. Rhein Precision manufactures components to extremely tight tolerances (±0.0001 inch) in both metal and plastic materials. The company supports customers from requirements analysis and design through prototyping, small-run production, and full mass manufacturing. Manufacturing services include CNC machining, precision finishing, hand assembly balancing high-tech automation with craftsmanship, and comprehensive quality management. The company serves original equipment manufacturers (OEMs) and medical device companies requiring custom surgical instruments and device components. As an FDA-registered facility, Rhein Precision maintains the regulatory compliance necessary for medical device component manufacturing.

Anodyne Surgical is a Missouri-based manufacturer of ophthalmic surgical instruments, founded in 1981. The company designs, manufactures, and distributes surgical instruments for ophthalmic procedures and specialties. All products are manufactured in-house at their O'Fallon, Missouri facility, allowing full control over manufacturing, quality assurance, and packaging processes. The company maintains ISO 13485 and CE Quality Assurance certifications since 1996, meeting rigorous regulatory standards for medical device manufacturing. Anodyne collaborates directly with ophthalmologic clinicians to develop custom surgical instruments that address evolving procedural needs. The company offers ready stocks of sterile instruments at competitive pricing and provides services including equipment repair and technical support. Known for lean operations, rapid turnaround, and responsive customer service, Anodyne emphasizes quality control, continuous process improvement, and investment in manufacturing technologies. The organization serves surgical centers, hospitals, and ophthalmology practices with specialized instrument solutions.

Vortex Surgical Inc. is a medical device manufacturer based in Chesterfield, Missouri, specializing in innovative disposable instruments and devices for vitreo-retinal surgery. Established in 2016, the company designs and distributes specialized surgical tools for ophthalmic procedures including vitrectomy and retinal detachment repair. Their product portfolio includes soft tip cannulas, viscodissectors, illuminated laser probes, and surgical kits. Vortex Surgical serves retina specialists and ambulatory surgery centers, emphasizing quality craftsmanship and clinical innovation to enhance surgical efficiency and patient outcomes in ophthalmology.

Tech-Medical Services, Inc. is a specialized distributor and manufacturer of surgical devices and operating room equipment based in Nixa, Missouri, with over 30 years of industry experience since 1989. The company focuses exclusively on minimally invasive surgical solutions, offering a comprehensive product line including laparoscopic scope warmers, insufflation and smoke evacuation tubing systems, laparoscopic irrigation pumps, endoscopic retrieval pouches, gamma probe covers, and specialized suction-irrigation products. Operating as a stocking distributor, Tech-Medical emphasizes rapid delivery with same-day turnaround capability, combined with dedicated clinical support and customer service tailored to operating room requirements. The company holds all products to stringent industry standards and serves as a trusted partner for surgical departments and healthcare facilities seeking reliable, quality surgical instrumentation and supplies.

Ekcomed, LLC is a US-based medical product manufacturer and distributor founded in 2004, headquartered in Saint Charles, Missouri. The company specializes in custom medical solutions, serving hospitals, surgery centers, physician practices, veterinarians, and distribution partners. Ekcomed's product portfolio includes imaging supplies (probe covers, gels, disinfectants), orthopedic positioning devices, surgical draping solutions, sterile covers, and fluid collection pads. The company offers extensive customization and contract manufacturing capabilities through partnerships with licensed US and overseas manufacturers. With over 50 years of combined industry experience among founders, Ekcomed provides procurement consulting, product sourcing, and e-commerce distribution of disposable medical products and healthcare equipment. The company emphasizes cost optimization and tailored solutions for healthcare facility procurement needs.

Acera Surgical is a bioscience company developing and commercializing engineered materials for regenerative medicine and soft tissue repair. The company pioneers electrospun fiber matrix technology—synthetic, fully resorbable scaffolds with sub-cellular fibers (sub-micron to micron diameter) that are structurally similar to native human extracellular matrix (ECM). These materials resist enzymatic degradation, support cellular infiltration and proliferation, and facilitate healing across the inflammatory and proliferation phases before complete resorption. Acera's flagship product, Restrata®, is the first electrospun fiber matrix indicated for wound management, including surgical and traumatic wounds, with Level I clinical evidence supporting its use in chronic diabetic foot ulcers and soft tissue repair applications. The product is available in multiple form factors: sheet, meshed (expandable up to 2x coverage), and micronized (MiniMatrix) for irregular topography. Cerafix® is a non-biologic, bioresorbable fibrous matrix indicated for dural repair and closure, designed to reduce postoperative cerebrospinal fluid leakage and support dural restoration. Acera's technology is backed by over ten years of academic and clinical research, multiple regenerative medicine patents, and clinical validation across surgical specialties including orthopedic trauma, general trauma, oncology, head and neck, plastic and reconstructive, and foot and ankle surgery. Products are composed of carefully selected polymers engineered for strength, flexibility, and effective healing without animal or human components.

SIM Surgical is a contract medical device manufacturer specializing in precision-engineered surgical instruments and medical implants. Founded over 45 years ago with German manufacturing heritage, the company operates a state-of-the-art facility in Missouri equipped with advanced manufacturing capabilities including 3D printing, 5-axis CNC milling, turning, EDM machining, and gun drilling. The company focuses exclusively on contract manufacturing for OEM medical device customers, delivering validated, repeatable quality throughout quoting, production scheduling, and inspection phases. SIM Surgical emphasizes German craftsmanship standards combined with U.S.-based prompt production and customer service. The company serves as a B2B supplier to original equipment manufacturers requiring high-precision surgical instrument and implant components manufactured to exacting specifications and quality standards.

Sky Surgical is a developer of specialized orthopedic surgical solutions for foot and ankle procedures, with a focus on alternatives to joint fusion. The company manufactures the SkyOPS® orthopedic plating system and minimally invasive surgical (MIS) instrument system. Sky Surgical's product portfolio includes the Medial Bunion Plate, Hallux Limitus Plate, and Dorsal Bunion Plate—all designed to correct osteotomies around the great toe while preserving anatomic joint range of motion. The SkyOPS® System is an integrated platform of instruments and orthopedic plates engineered to guide surgical procedures sequentially from incision to closure, enabling surgeon control and reproducible results. The company emphasizes reduced tissue manipulation through optimized intraoperative workflow and precise osteotomy correction without arthrodesis. Sky Surgical was founded by practicing surgeons and biomechanical engineers collaborating to simplify foot and ankle surgery while maintaining operative precision and anatomical fit. The company serves orthopedic surgeons and surgical centers specializing in foot and ankle pathology.

Angstrom Manufacturing, Inc. is a privately held, FDA-registered contract manufacturer and specifications developer based in Sainte Genevieve, Missouri. Founded in 1999 and operating from a 72,000 square-foot facility, the company specializes in precision manufacturing of Class I and II medical devices, with particular focus on dental products and surgical instruments. The company holds FDA registration (FEI 3003610374) and maintains ISO 13485 compliance, FDA 21 CFR 820, and CGMP certifications, as well as CMMC Level 2 compliance. Angstrom offers comprehensive manufacturing services including CNC milling and turning (including Swiss-type lathes), plasma cutting, welding (laser, MIG, TIG), surface grinding, anodizing (Type II and III), and laser engraving. The company produces fiber optic components including custom ferrules, fiber cutting and polishing with micron-level precision, and automated fiber optic inspection systems designed for medical device applications. Additional capabilities include 3D printing, vacuum form molding, RF sealing, and custom automation design and integration. Angstrom manufactures proprietary brands including Abante prophy angles and BRS PPE face masks, while offering private label solutions and full contract manufacturing services. The company provides end-to-end solutions encompassing design (SolidWorks), prototyping, production, quality assurance, fulfillment, and warehousing. Management brings 184+ years combined experience in business, engineering, production, and CNC machining. Angstrom serves dental, medical device, aerospace, and industrial sectors nationwide.

Fischer Surgical Inc. is a direct manufacturer of micro-surgical instrumentation based in Imperial, Missouri. The company supplies a complete line of surgical instruments to hospitals, surgical centers, and practicing surgeons. Fischer is notable for maintaining a highly skilled workforce—all journeymen instrument makers have completed a 10,000-hour hands-on apprenticeship program established by the United States Department of Labor to achieve Journeyman Certification, a credential few competitors in the industry can claim. As a direct manufacturer, Fischer eliminates intermediary markup and offers competitive pricing without sacrificing quality. The company's product portfolio encompasses micro-surgical instruments and related surgical tools, though specific product lines are not detailed on the accessible portions of the website. Beyond manufacturing, Fischer provides comprehensive instrument repair and maintenance services. All instruments are sold with an unconditional lifetime warranty against manufacturing defects in material and workmanship when used for intended surgical purposes and maintained per recommended procedures; defective instruments are replaced or repaired at no charge. The company maintains standard business hours (Monday–Friday, 9:00 am–5:30 pm) and is accessible via phone and web-based contact forms. Fischer operates a retail shop interface on its website for direct customer ordering.