Independent navigation coverage for spinal and cranial surgery. A specialist on-site in under two hours, any hour, on every major platform your hospital runs. 361 cases, and not one missed month.
361 Cases covered23 Months, zero gaps<2 HR On-site, contracted79 Multi-room days100+ After-hours & emergency10 Surgeons, zero attritionSCRIPPS · UC SAN DIEGO Networks covered
When a rep cancels or a case gets added, your OR shouldn't wait.
23 consecutive months without a gap, and 361 cases and counting across the Scripps Health system. We now cover UC San Diego Health as well. One number. Under two hours. Any platform.
00The Moments We Exist For
FRI · 04:50 PM
The add-on
A fusion posts for tonight, and the rep can't make it. One call to a specialist — not a call center — and coverage is confirmed on the spot.
SAT · 02:00 AM
The emergency
Spine trauma and urgent add-on instrumentation don't check the call schedule. Neither does the Friday-afternoon cranial add-on that needs a plan built and verified before the patient is pinned. Neither do we — 100+ after-hours and emergency cases covered, holidays included.
ROOM 2 · SAME BLOCK
The simultaneous rooms
Two navigated cases, overlapping start times. We've staffed two or more rooms at once on 79 days.
361+Cases covered · Oct 2024 – Aug 2026
23moConsecutive · zero uncovered
274Cases · trailing 12 months
<2hrGuaranteed maximum · usually sooner
01–04Capabilities
/ 01
On-demand navigation coverage
Availability is the product. A clinical navigation specialist on-site in under two hours, guaranteed, spinal or cranial. Two hours is the ceiling, not the target. Our specialists live and work across the region, not at the far end of a sales territory, so we usually arrive well inside that window. Nights, weekends, and holidays are inside the service, not exceptions to it.
Response<2 HOURS GUARANTEED · USUALLY SOONER
Availability24 / 7 / 365
PlatformsSTEALTH · MAZOR · BRAINLAB · 7D
Case typesSPINE · CRANIAL
ScopeCONSOLE SUPPORT — THE SURGEON PERFORMS & ACCEPTS REGISTRATION
Fig. 01 — Response & registration protocol
/ 02
System-agnostic imaging expertise
Most navigation is only as good as the imaging behind it — and where machine-vision registration replaces the intraoperative scan entirely, as on 7D, we run that workflow too. Our specialists are fluent across the major intraoperative 3D systems and pre-op image sets, spinal and cranial alike.
Intraoperative 3DMEDTRONIC O-ARM · ZIEHM VISION RFD 3D · BRAINLAB AIRO · GE OEC 3D
/ 03
Workflow optimization
Pre-op equipment checks and OR setup customized to each surgeon's preferences, on spinal and cranial cases alike. Fewer navigation-related delays, faster room setup, and a system that is ready when the patient is — refined case by case.
Pre-opEQUIPMENT VERIFICATION
Intra-opACCURACY VERIFICATION · RE-REGISTRATION AFTER DRIFT · TROUBLESHOOTING
/ 04
Training for reps & distributors
Hands-on platform training and applied anatomy workshops — spinal and cranial — so field teams can support a navigated case competently, and know exactly where their role stops.
Implant-vendor agnostic. We cover the navigation regardless of the implant system: ATEC · Globus/NuVasive · Orthofix/SeaSpine · Medtronic · DePuy Synthes · Osteocentric · SI-BONE · NEO Medical
06The Coverage Model
The old coverage models weren't built for your OR. We were.
Manufacturer Rep
National Outsourcer
New Era Surgical
Priority
The platform they sell
The territory they cover
Your case. Nothing else.
Focus
One manufacturer's systems
Every specialty, everywhere
Navigation-only · every platform
Response
Next available rep
Notice windows & call routing
On-site <2hr · direct hotline
Proof
"Trust us"
Round-number claims
Dated case log · verifiable
Accountability
Best effort
Scorecards & review cycles
Missed confirmed case → next case free
Comparison reflects typical industry coverage structures · New Era figures from our case log, updated August 2026
07Field Report
"Professional, responsive, and technically sharp. New Era's navigation support has been a meaningful contributor to workflow efficiency across my MIS cases."
Hani Malone, MDNeurosurgery & Spine · Scripps Clinic · San Diego Spine Foundation
08Adoption
Surgeons keep coming back.
Nobody was assigned to us. Every surgeon chose us, and none has stopped. Our first two surgeons remain our highest-volume users, and once trust is established, surgeons hand us the difficult slots as well.
New Era Surgical brings deep expertise across spinal and cranial navigation, rapid-response coverage, and a standard of reliability you can schedule around.
/ Story
Born in San Diego. Built for the region.
New Era Surgical was founded to solve a problem every navigated OR knows, spinal and cranial alike: coverage that arrives late, arrives stretched thin, or never arrives at all. We built a team of dedicated clinical navigation specialists — navigation-only, by design — and put them on call around the clock.
Today we cover hospitals across Southern California, working alongside surgical teams at major networks including Scripps Health and UC San Diego Health, Because our specialists are based in the region, response times are measured in hours, not notice windows.
Fig. 03 — Dispatch radius · specialists based in-region
/ Mission
Why we exist
MissionSet the standard for navigation support: speed, precision, and clinical expertise.
VisionBe the most trusted navigation support team in Southern California.
CranialSUPRATENTORIAL · POSTERIOR FOSSA · SKULL BASE
OperationalWORKFLOW OPTIMIZATION
/ Record
Verified performance. Straight from the case log.
We have never gone dark — not one month since October 2024. Every figure below comes from our case log, current through August 2026 — dated, auditable, and available for verification on request.
Cases covered361+ · OCT 2024 — AUG 2026
Coverage streak23 CONSECUTIVE MONTHS · ZERO UNCOVERED
Weekly cadence85 OF THE LAST 92 WEEKS HAD COVERED CASES
Surgeon adoption10 SURGEONS TO DATE · ZERO ATTRITION
NetworksSCRIPPS HEALTH · UC SAN DIEGO HEALTH
Trailing 12 months274 CASES · ~3× FIRST-YEAR PACE
Multi-room days79 DAYS COVERING 2+ ROOMS AT ONCE
After-hours100+ AFTER-HOURS & EMERGENCY CASES
Surgeons served10 · 5 WITH 20+ CASES EACH
Cranial32 CRANIAL CASES SINCE MARCH 2026 · BRAINLAB
Navigation is all we do. That's the point.
We don't sell implants, and we don't split attention across a sales territory. Pure navigation focus means fewer surprises mid-case and better answers when a case turns — spinal and cranial, on every major platform.
Your navigated cases never wait — spinal or cranial.
/ 01
On-demand navigation coverage
A clinical navigation specialist on-site in under two hours — 24 hours a day, every day of the year, holidays included. Scheduled case, same-day add-on, or rep callout: spinal or cranial, your OR gets covered on the platforms you already run.
Response<2 HOURS ON-SITE — THE CEILING, NOT THE TARGET
Availability24/7/365 · INCL. HOLIDAYS
NavigationSTEALTH · MAZOR · BRAINLAB · 7D FLASH
Case typesSPINE · CRANIAL
ScopeCONSOLE SUPPORT — THE SURGEON PERFORMS & ACCEPTS REGISTRATION
RegionSOUTHERN CALIFORNIA
/ 02
System-agnostic imaging expertise
Navigation is only as good as the imaging behind it. Our specialists are fluent across the major intraoperative 3D imaging systems and pre-op image sets, so you get a usable dataset the first time, registration that verifies against a known landmark, and no scrambling when it does not.
SystemsMEDTRONIC O-ARM · ZIEHM VISION RFD 3D · BRAINLAB AIRO · GE OEC 3D
ApproachIMPLANT-VENDOR AGNOSTIC
Fig. 04 — Coverage by anatomical region
Cranial — Brainlab32 CASES SINCE MARCH 2026
PlanningMR / CT FUSION & PLAN REVIEW IN ELEMENTS
RegistrationHEAD-HOLDER ARRAY · SURFACE-MATCH OR FIDUCIAL · VERIFIED BEFORE DRAPE
In-caseRE-VERIFICATION AGAINST FIXED LANDMARKS AFTER CSF EGRESS OR CAVITY SHIFT
Case typesTUMOR · STEREOTACTIC BIOPSY · DEEP / ELOQUENT APPROACHES
Cranial coverage began in March 2026. Spine remains the large majority of our volume — we tell you that up front.
/ 03
Workflow optimization
We don't just cover cases; we make them run better. Pre-op equipment checks, OR setup customized to each surgeon's preferences, and imaging workflows tuned to cut delays and turnover time.
Pre-opEQUIPMENT VERIFICATION
SetupSURGEON-SPECIFIC OR CONFIG
OutcomeFEWER NAV-RELATED DELAYS · FASTER SETUP
/ 04
Training for reps & distributors
Hands-on platform training and applied anatomy workshops — spinal and cranial — for reps and distributors. We move field teams from equipment operators to capable support in the OR, with a clear line around where their role stops.
Every case we confirm gets covered. We hold a backup specialist so a confirmed case is never dropped. And we put it in the agreement: if we ever miss a confirmed case, your next case is free. In 23 months and 361 cases, we have never had to.
Confirmed coverageBACKUP SPECIALIST HELD ON EVERY CASE
Miss a confirmed caseYOUR NEXT CASE IS FREE — IN WRITING
HotlineDIRECT TO SPECIALIST · NO CALL ROUTING
Advance noticeNONE REQUIRED — ADD-ONS ANSWERED ON THE CALL
ΔThe Difference
On-site in under two hours. Navigation only. Platform-agnostic.
Same-day and emergency requests reach a specialist directly, with no call routing, and we are on-site in under two hours anywhere in our Southern California coverage area, any hour, any day of the year. Two hours is the guaranteed maximum, not the target: our specialists are based throughout the region, so we are usually on-site well inside that window.
Q.02
Do you replace our implant reps?
+
No — we're implant-vendor agnostic and cover the navigation side of the case regardless of which implant system is used. Your reps do what they do best; we make sure navigation is never the reason a case waits.
Q.03
Which platforms do you cover?
+
Medtronic StealthStation and Mazor X Stealth Edition, Brainlab Curve and Kick (cranial and spine), and 7D Surgical — with 3D imaging expertise across the O-arm, Ziehm Vision RFD 3D, Brainlab Airo, and GE OEC 3D. Not currently covered: Globus ExcelsiusGPS and Stryker Q Guidance. If your hospital runs a platform not on this list, ask — we will tell you honestly whether we cover it today.
Q.04
How does credentialing work?
+
Our specialists complete your hospital's full vendor credentialing — insurance certificates, immunization records, background screening, and OR access requirements — with documentation submitted within 5 business days and first cases typically covered within 30 days of agreement.
Q.05
Are you insured and compliant?
+
We carry professional and general liability at $1M per occurrence and $3M aggregate, plus workers' compensation. We execute HIPAA Business Associate Agreements, screen all personnel against the OIG and GSA exclusion lists, and perform all services under hospital oversight consistent with Title 22. Your facility can be named as an additional insured.
Q.06
How is coverage billed?
+
Per case, in arrears — no retainer, no capital outlay, no minimum-volume commitment. You're invoiced only for cases we cover, and our service levels are written into the agreement.
Insurance$1M / $3M PROFESSIONAL & GENERAL LIABILITY
