Independent navigation coverage for spine and cranial surgery. A specialist in your OR in under two hours — any platform, 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 in the OR — 361 cases and counting across the Scripps Health system, zero uncovered months, 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
Trauma doesn't check the call schedule. 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 max response · aim sooner
01—04Capabilities
/ 01
On-demand navigation coverage
Availability is the product. A clinical navigation specialist on-site in under two hours, guaranteed — 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
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 intra-operative 3D imaging systems — clean registration, smooth workflow, 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. 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.
Clinical partners in the OR. Not just navigation techs.
New Era Surgical represents a new era of navigation support — deep expertise across spine 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 spine OR knows: navigation 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.
/ Expertise
What we bring to every case
Pre-opPLANNING · PROTOCOLS · EQUIPMENT CHECKS
Intra-opTROUBLESHOOTING · REGISTRATION
ClinicalSPINAL & CRANIAL ANATOMY · PATHOLOGY
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 · ~5× FIRST-YEAR PACE
Multi-room days79 DAYS COVERING 2+ ROOMS AT ONCE
Off-hours100+ AFTER-HOURS & EMERGENCY CASES
Surgeons served11 · FIVE WITH 20+ CASES EACH
Cranial program50 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 — spine or cranial.
/ 01
On-demand surgical 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: 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
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 intra-operative 3D imaging systems, so registration is clean and workflow is smooth 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 noticeANSWER AT TIME OF REQUEST · NEVER DAY-OF
ΔThe Difference
Fastest in SoCal. Navigation only. Platform agnostic.
No territories. No competing accounts. Specialists who know your surgeons' preferences, your equipment's quirks, and every case from cranium to pelvis.
05Navigation specialists
30+Combined years · navigation & med device
12Platform & implant partners
361+Cases as a team
Alex Westrick
President of Clinical Strategy & Technology
Owns how New Era understands technology — clinical workflows, platform expertise, and the strategy behind every new account. Ten years inside Medtronic navigation before joining, with deep Stealth and O-arm expertise earned case by case in the OR. Off the clock: grilling, golf, and time with his girlfriend.
David Chapman
President of Growth
Over 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 SoCal.
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 in navigation, and still sets the clinical standard for every case the team takes.
TB
Tyler Buffington
Associate Clinical Navigation Specialist
The newest member of the coverage team — supporting cases across the team's platforms, from pre-op setup through intra-op troubleshooting. [Draft — add background + headshot]
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 before it.
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 (including 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
