Active Patients Deserve Active Solutions

Redefining Orthopedic Implants for High-Performance Lives

DEVELOPMENT‑STAGE DEVICE. Not yet cleared by the U.S. Food and Drug Administration and not available for sale.

Our Surgical Philosophy

Treat The Knee You See

At Actuos™ we recognize that today’s arthroplasty patients increasingly expect to return to demanding physical activities after surgery. Degeneration doesn’t occur uniformly. Treatment shouldn’t either.

Actuos solutions are designed to address:

Isolated compartment disease
Multi-compartment degeneration
Progressive pathology that evolves over time

Our platform enables surgeons to preserve healthy bone, ligaments, and kinematics whenever possible, while offering a clear path to escalation when required.

Nuovo™ Partial Knee Replacement

Designed specifically for highly active patients

Why Focus on Active Patients?

Partial knee replacement preserves native anatomy and restores near‑natural knee kinematics—benefits that resonate with younger or high‑demand individuals. Many existing partial knee systems were optimized for lower‑demand patients and rely on bone cement for fixation. Nuovo™ explores cement‑free fixation, advanced biomaterials, and precision instrumentation intended to meet the performance goals of active patients.

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Why Nuovo™ Is Different

Nuovo™ stands apart by targeting truly active patients: instead of relying on bone cement like most partial‐knee systems, it uses a cementless porous coating and proprietary adjuvant fixation to achieve rapid, durable osseointegration. Combined with advanced bearing surfaces to minimize polyethylene wear, bone-preserving anatomic geometry, and precision alignment instrumentation under development, Nuovo™ is engineered to restore near-natural knee kinematics and empower high-demand individuals not just to recover—but to thrive.

Design Highlights

Advanced engineering that powers exceptional performance

Cementless Porous Coating

Our cementless porous coating increases surface area to improve initial fixation and support long-term bone in-growth for stable osseointegration.

Proprietary Adjuvant Fixation Feature

This engineered fixation feature enhances early implant stability by promoting micro-scale bone interlock, helping the implant remain secure under dynamic loads.

Advanced Bearing Surface

The advanced bearing surfaces are designed to minimize polyethylene wear particles, extending implant lifespan and reducing the risk of inflammatory responses.

Bone-Preserving Anatomic Geometry

Anatomically contoured geometry conserves healthy bone by matching native joint shape, maintaining natural biomechanics and preserving options for future revision.

Precision Alignment Instrumentation (Under Development)

Upcoming precision alignment tools, will ensure accurate component placement for more consistent surgical outcomes and faster recovery.

Our Leadership Team

Experts committed to advancing orthopedic innovation

Dr. Brian T Palumbo

President & CMO

Dr. Palumbo attended adult reconstruction fellowship at Brigham and Women's Hospital. He has a high-volume adult reconstruction practice at the Florida Orthopaedic Institute. He is an assistant professor at the University of South Florida Orthopedic Residency Program and is full-time faculty for the FOI Adult Reconstruction Fellowship.

Dr. Sergio Gutiérrez

President & CEO

Dr. Gutiérrez has over 20 years of research and engineering experience and is co-founder of multiple companies bringing various orthopedic products to market. He has 24 peer-reviewed publications and 32 issued patents, and co-authorships in 3 book chapters.

Andy Rynearson

Regulatory Adviser

An engineer with over 18 years of experience in engineering and executive management roles, Andy currently serves as CEO of Optimotion Implants, LLC. Prior to Optimotion, he served as VP of Engineering for Fuse Medical and the Progressive Orthopaedic Company.