Demetra Acquires Maxxspine Innovative GmbH

VB Spine Acquires Stryker's Cestas Manufacturing Facility

January 6, 2026

Medical Devices

VB Spine LLC completed the acquisition of Stryker’s spinal implant manufacturing facility in Cestas, France, transferring site employees and operations to VB Spine. The deal expands VB Spine’s global manufacturing footprint and is financed in part by equity investors Viscogliosi Brothers entities with support from Barings.

Demetra S.p.A. Acquires OrthoFundamentals, LLC and Launches Demetra Spine

August 1, 2025

Medical Devices

Demetra S.p.A. has completed the full acquisition of OrthoFundamentals, LLC, a U.S.-based maker of sterile-packed, single-use implants and instrument kits for sacroiliac (SI) joint fusion. The deal enables Demetra to launch Demetra Spine, expanding its product offering into spine surgery and strengthening its presence in the U.S. outpatient Ambulatory Surgery Center (ASC) market.

Companion Spine Acquires Coflex and CoFix Implants and Paradigm Spine from Xtant Medical

July 8, 2025

Medical Devices

Companion Spine LLC entered into a definitive agreement to acquire Coflex and CoFix spine implant assets and all OUS entities of Paradigm Spine GmbH from Xtant Medical Holdings, Inc., with completion expected in 3Q 2025. The transaction totals $19.2 million, including cash at closing and short-term seller financing, and is intended to strengthen Companion Spine’s global posterior dynamic spine stabilization and motion preservation portfolio.

CERTANIA Acquires SpineServ GmbH & Co. KG

May 8, 2024

Medical Devices

CERTANIA Holding (backed by Greenpeak Partners) has acquired SpineServ GmbH & Co. KG, an Ulm-based accredited mechanical testing and engineering services provider for medical devices. The deal brings SpineServ into CERTANIA’s testing, inspection and certification (TIC) platform to expand its life-science testing capabilities while SpineServ’s management retains operational independence.

Kymanox Acquires anteris medical GmbH and anteris helvetia AG

February 2, 2023

Professional Services

Kymanox Corporation has acquired anteris medical GmbH (Germany) and anteris helvetia AG (Switzerland) to expand its European footprint and broaden its life-science professional services capabilities. The deal brings additional regulatory, quality, and combination-product expertise to Kymanox; terms were not disclosed.

Astorg Acquires Stake in Demetra Holding S.p.A.

August 6, 2021

Medical Devices

Astorg, a global private equity firm, has entered into a partnership to acquire the stake in Demetra Holding S.p.A., with minority investor Keensight Capital exiting. Demetra, an Italy-headquartered medical devices manufacturer specializing in bone cement and preformed antibiotic-loaded spacers for orthopaedic and spine surgery, will be supported by Astorg to accelerate international growth, product development and inorganic expansion; financial terms were not disclosed.