One Box. One Solution.
Traditional spinal fusion systems require multiple trays of reusable instruments, each needing processing, sterilization, and coordination. This complexity increases operational burden and limits ASC efficiency.
BoxSPINE simplifies the process. Our single-use pre-sterilized platform delivers a streamlined solution efficiently, reducing overhead, minimizing logistical strain, and allowing surgical teams to focus on what matters most: patient outcomes. Efficiency is not an afterthought. It is the foundation of our design.
For decades, spinal fixation has relied on rod-and-pedicle screw systems first introduced in the 1960s. While widely used, these systems are complex, costly, and dependent on multiple components with known mechanical failure points. They also require extensive instrument sets and inventory, increasing procedural burden for hospitals and ambulatory surgery centers (ASCs).
The DUET™ system was developed to address these limitations with a simplified construct. Instead of relying on rods, the system uses a three-piece design in which a halo device captures a spherical implant head, creating 360° contact and allowing 35° to 60° of articulation depending on patient anatomy. The components are secured with a locking cap that engages directly with the implant.
This design leverages triangular geometry, one of the most stable structural forms in engineering. In mechanical testing, the DUET™ system demonstrated greater strength than predicate devices and more than double the stiffness, improving resistance to deformation under load.
Unlike traditional systems that require hundreds of instruments and implant variations, the DUET™ platform is streamlined, with minimal SKUs and a disposable, single-use sterile instrument kit.
About BoxSPINE, LLC
BoxSPINE, LLC, headquartered in Plymouth, IN is a company focused on delivering pre-sterilized, cost-effective medical device solutions with an emphasis on efficiency and inventory control. BoxSPINE has a strategic alliance with Duet Spine Holdings, LLC to deliver a novel and simple approach to spinal surgery, specifically targeting key ambulatory surgical centers (ASCs) in the U.S.
CEO Richard Cranford is a seasoned medical device entrepreneur with over three decades of experience in sales, management, business development, and successful exits in the healthcare industry. His entrepreneurial journey has significantly shaped the medical device and biologics sector, particularly through his ventures associated with Medtronic and the founding of BoxSPINE, LLC. Visit boxspine.com for more information.