Independent navigation coverage for spine and cranial surgery. A specialist on-site in under two hours — every major platform your hospital runs, any hour — 361 cases without a missed month.
When a rep cancels or a case gets added, your OR shouldn't wait.
23 consecutive months without a gap — 361 cases and counting across the Scripps Health system, and now covering UC San Diego Health. 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 do the cranial cases that need navigation. 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 separate days.
361+Cases covered · Oct '24 — Aug '26
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, and two hours is the ceiling, not the goal. Our specialists live and work across the region, not at the far end of a sales territory, so we're usually there well ahead of it. 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
SpecialtiesSPINE · CRANIAL
Fig. 01 — Response protocol
/ 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 — clean registration and smooth workflow on spine and cranial cases alike, whatever your hospital runs.
3D ImagingO-ARM · ZIEHM · AIRO CT
C-ArmGE 3D
/ 03
Workflow optimization
Pre-op equipment checks and OR setup customized to each surgeon's preferences, across spine and cranial. Smoother cases, fewer delays, faster turnover — refined case over case.
Pre-opEQUIPMENT VERIFICATION
Intra-opLIVE TROUBLESHOOTING
/ 04
Training for reps & distributors
Hands-on navigation training and spinal and cranial anatomy workshops that turn field teams from equipment operators into clinical assets.
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. Full stop.
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
Miss a case → your next one is free
Comparison reflects typical industry coverage structures · New Era figures from 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 remain our highest volume, and once trust builds, they hand over the hard slots too.
New Era Surgical represents a new era of navigation support — deep expertise across spinal and cranial navigation, rapid-response coverage, and a standard your surgical schedule can be built around.
/ Story
Born in San Diego. Built for the region.
New Era Surgical was founded to solve a problem every navigated OR knows — spine and cranial alike: coverage that shows up late, spread thin, or not 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, with response times no traditional coverage model can match.
Fig. 03 — Dispatch radius · specialists based in-region
/ Mission
Why we exist
MissionRedefine navigation support with speed, precision, and clinical expertise.
VisionBe the most trusted navigation support team in Southern California.
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
Off-hours100+ AFTER-HOURS & EMERGENCY CASES
Surgeons served10 · FIVE WITH 20+ CASES EACH
Cranial32 CRANIAL CASES · 50 BRAINLAB CASES SINCE MAR 2026
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 it matters — spine 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, 365 days a year, including holidays. Scheduled case, same-day add-on, or rep callout: spinal or cranial, your OR gets expert coverage on the platforms you already use.
Response<2 HOURS ON-SITE — THE CEILING, NOT THE TARGET
Availability24/7/365 · INCL. HOLIDAYS
NavigationSTEALTH · MAZOR · BRAINLAB · 7D FLASH
SpecialtiesSPINE · CRANIAL
RegionSOUTHERN CALIFORNIA
/ 02
System-agnostic 3D 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 registration is clean and workflow is smooth on spine and cranial cases alike — no matter what your hospital runs.
SystemsO-ARM · ZIEHM 3D · AIRO CT · GE 3D
ApproachVENDOR-NEUTRAL
Fig. 02 — Coverage, cranium to pelvis
/ 03
Workflow optimization
We don't just show up for cases — we make cases 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 DELAYS · FASTER TURNOVER
/ 04
Distributor & rep training
Hands-on navigation training and spinal and cranial anatomy workshops for reps and distributors. We elevate field teams from equipment operators to genuine clinical assets in the OR.
Every case we confirm gets covered — a backup specialist is held so an accepted case is never dropped. We put that in writing as contractual terms: if we ever miss a confirmed case, your next case is free. We can sign that because it doesn't happen.
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.
No territories. No competing accounts. Specialists who know your surgeons' preferences, your equipment's quirks, and every region from cranial to pelvic.
05Navigation specialists
30+Combined years in the OR · ~18 in navigation
16Platforms & implant systems covered
361+Cases as a team
Alex Westrick
President of Clinical Strategy & Technology
The clinical and technology mind behind New Era — Alex translates complex surgical technology into a workflow that actually works in the OR. A decade inside Medtronic navigation gave him deep StealthStation and O-arm expertise across 1,000+ navigated cases — earned case by case, not from a product brochure. He leads clinical strategy, technology, and new-account development, building the right platform around how surgeons actually operate. He also travels to Colombia on surgical mission trips, supporting deformity correction for children with adolescent idiopathic scoliosis. Off the clock: grilling, golf, and time with his girlfriend.
David Chapman
President of Growth
More than sixteen years in medical devices — DePuy, Smith & Nephew, SeaSpine — specializing in spine and orthopedic technologies. A former distributor, he leads growth, partnerships, and surgeon relationships across Southern California.
Isaac Oh
Clinical Navigation Specialist
Isaac entered the medical device field after witnessing a close friend suffer a traumatic spine fracture — an experience that inspired his passion to make a difference in patient care. A year and a half of high-volume coverage later, he's one of the most frequent names in the case log.
James Marshall-Davis
Founder & CEO
James founded New Era Surgical with a vision to modernize surgical navigation through precision, speed, and a surgeon-focused approach. Six years and more than 1,000 navigated cases later, he still sets the clinical standard for every case the team takes.
Tyler Buffington
Associate Clinical Navigation Specialist
A 2024 physiology graduate of CU Boulder, Tyler brings a health-science foundation to the newest seat on the coverage team — supporting cases across every platform New Era runs, from pre-op setup through intraoperative troubleshooting. Off the clock: the beach, sports, and movies.
Same-day and emergency requests reach a specialist directly — no regional call routing — and a specialist is 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 plan — our specialists are based throughout the region, so we're 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, Brainlab (spinal and cranial), and 7D FLASH — with 3D imaging expertise across O-arm, Ziehm, Airo CT, and GE 3D C-arm. If your hospital owns it, we aim to run it.
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 five business days and first cases typically covered within 30 days of agreement.
Q.05
Are you insured and compliant?
+
$1M per occurrence / $3M aggregate professional and general liability, workers' compensation, HIPAA Business Associate Agreements, OIG/GSA exclusion screening on all personnel, and services performed under hospital oversight consistent with Title 22. Your facility can be added as 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 as contractual terms.
Insurance$1M / $3M PROFESSIONAL & GENERAL LIABILITY
ComplianceHIPAA BAA · OIG / GSA SCREENED · TITLE 22
