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Medineering Profile: Robots as Surgical Assistance

The Munich startup Medineering offers robotic assistance for ENT surgery to assist surgeons with physically demanding tasks. This allows surgeons to concentrate more on the tasks that require their individual expertise.

The company calls it robotic assistance, and it consists of a smart positioning arm that is easily attached to an operating table. A small robot that is optimized for a specific task is then mounted on the arm. That task might be to guide an endoscope, considering that endoscopic nasal surgery has now become the standard. For surgeons, however, that means they are only able to operate with one hand since the other hand is needed to hold the endoscope.

From that perspective, Medineering is making a whole new array of surgical techniques possible. The company was founded by Dr.-Ing. Maximilian Krinninger and Dr.-Ing. Stephan Nowatschin. Their goal:

“We want to improve surgeons’ working conditions by offering surgical assistance. As an example, our first solution allows a surgeon to operate with both hands during an endoscopic nasal procedure.”

Being able to operate with two hands can help save time and provide better visibility since blood can be constantly suctioned.

So why did the founders decide to found Medineering? The motivation was quite personal for them both. After completing their PhDs in Medical Device Engineering, both Stephan and Maximilian worked for medical device companies. Maximilian said:

“Robotics have always fascinated us and had been a part of our lives for more than a decade. We also knew that surgeons in head and neck surgery had been hoping for robotic assistance for years.”

The US is ahead in the game – and Medineering plans to change that

At the same time, the young company noticed that the topic was growing in importance in the US market — however, German companies were more reserved, despite the German market being the leader in the field of medical technology.

Maximilian elaborated:

“Unfortunately, the situation very much reminded us of the debate about electromobility. However, we did not want to wait for the American Tesla in medical robotics to appear, and instead wanted to do our own part in making it possible for surgeons to develop their full potential with help from robotic assistance.”

Of course, their decision certainly had its risks, with Stephan quitting his job before having even spoken with the first investor:

“Barbara, Harald and Carsten in particular from the BayStartup team were of great help during the founding stage. They established contact with our first investors back then.

Now we are very happy about daring to take that first step!”

Requests and prototypes

The results have ultimately demonstrated that a startup is the perfect framework for establishing this kind of technology. Surgeons also appreciate the direct communication and flexibility provided by Medineering. Physicians can count on the founding team listening to their suggestions, and the startup tries to quickly implement those requests.


After seed funding in August 2014, Medineering really gave their all. Their first milestone was completing a prototype of their positioning arm. In spring 2015, just six months after launching operative business, the founders were able to present a prototype. Stephan proudly explained:

“That made our new approach to robotic assistance physically visible for the first time. As a result, we received a lot of attention and positive feedback from companies in medical device engineering and robotics.”

Another significant milestone was the following round of Series A financing. The young med-tech company was able to get the Munich medical technology company Brainlab on board in spring 2016, both as an investor and cooperative partner. That also makes it possible to offer Medineering’s approach to neurosurgery patients.

A challenge: (international) approval

While the Munich-based startup certainly does not have a lack of achievements, the founders have also faced their share of challenges. After all, medical devices also have to be approved in Germany, and approval processes can be extremely arduous. At the same time, regulatory requirements are only getting more complex, which slows down innovation. On top of that, the processes are different from country to country.

Nonetheless, approval is within hand’s reach. Medineering feels optimistic about receiving the CE approval for their robotic system for the European market in the near future. The next step will be to tap into the American market, despite approval by the FDA being a major current challenge.

When asked about the best advice they have ever received, Stephan replied:

“A startup is about moving things forward and getting things done. That is why we adhere to the words of Theodore Roosevelt and tell ourselves: ‘In any moment of decision, the best thing you can do is the right thing, the next best thing is the wrong thing, and the worst thing you can do is nothing.’.”

Medineering considers good employees a key factor for the successful development of a company.

A culture of open communication, defined goals

Maximilian added:

“In a startup, no one can hide, and everyone’s input is visible and important for being successful. That is why we maintain a culture of open communication and clearly define our goals. It is only when every employee identifies with the goals of the company that they are able to reach their full potential.”

Taking full advantage of potential is essential, because the founders still have big plans. In five years, they want to offer their robotic assistance with a broad range of customized robots. In ten years’ time, they aim to be defending their position as the market leader in the field of medical robotics. Another goal: excellent innovation management, which makes it possible to process customer requests even more efficiently and to quickly build prototypes.

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