Smith+Nephew Has a Lot in Motion Right Now.
New products. Evolving priorities. Ongoing operational changes.
Through all of it, product development and manufacturing still need to move forward.
Fathom helps support orthopeadic, wound care, and medical device programs with prototype, validation, and production-ready hardware.
Every New Product Creates More Work Than Most People Realize.
Smith+Nephew is advancing orthopeadic robotics, sports medicine technologies, and wound care solutions all at the same time.
Each new product creates a long list of supporting needs that rarely make the press release.
Most of that work isn’t complicated because of the part itself, it’s complicated because it has to happen quickly, repeatedly, and without slowing down the team responsible for the product.
The right manufacturing partner can make or break your schedule.
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Get orthopeadic implant trials, cutting guides and surgeon-lab hardware built and revised fast, without waiting on production queues or offshore lead times.
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Support RENASYS, PICO and wound therapy device launches with rapid tooling, molded pilot housings and usability study hardware close to your Fort Worth team.
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Bridge sports medicine and joint repair instrument programs through the prototype-to-transfer gap with precision machined components, assembly nests and fixture kits.
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Absorb CORI robotic surgery engineering build overflow with fast-turn CNC and additive components for tracker mounts, handpiece accessories and validation fixtures.
We’re Not New to Smith+Nephew. We’re a Trusted Partner on the Salto Talaris Inserts Program.
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6
$2.1M
ISO 13485
Meet Your White Glove Team
Pamela Melton-Arroyo
Speed Without Shortcuts. Engineering Without the Runaround.
Quick-turn shops move fast and lose documentation discipline. Full-program contract manufacturers protect quality and move slowly. Smith+Nephew needs both at the same time: The responsiveness to support active design iteration and the rigor to produce traceable, validated parts. Fathom is engineered for that intersection, run by people who pick up the phone before they send a quote confirmation.
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One accountable point of contact replaces the vendor chase that drains your engineering and procurement hours during a launch.
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DFM engagement before the quote, not after a first-article rejection. Engineers talking to engineers about tolerance feasibility, biocompatibility risk, and inspection approach.
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ISO 13485-aligned quality processes, traceability, and controlled revision documentation built into the program flow from day one.
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Multi-process execution under one roof: CNC machining, additive manufacturing, injection molding, sheet metal, finishing, assembly, and inspection, coordinated as one accountable operating model.
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White-glove service as the standard, not an add-on. The same engineering and program management discipline runs the 10-piece prototype and the 2,000-piece bridge production run.
Orthopaedics + Robotic Surgery: Iterate Fast, Qualify Right.
Smith+Nephew is expanding CORI robotic surgery compatibility, advancing shoulder and hip implant launches and consolidating orthopaedics manufacturing from Austin into Memphis. Each phase creates immediate demand for traceable, fast-turn components: Implant trials, cutting guides, handpiece accessories, robotic fixtures, and surgeon-lab hardware. The need is not mass production. It is rapid, documented hardware that moves as fast as the design does.
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Hartland, WI – Additive and CNC prototype housings, grip models, fixture bodies, and assembly-ready components for CORI design reviews, surgeon labs, and implant trialing.
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Round Rock, TX / Minneapolis, MN / Elk Grove, IL: – High-precision CNC for metal datum features, trials, impactors, couplers and implant-adjacent instrument details.
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Denver, CO / Ithaca, NY – Sheet metal brackets, cover plates, cart hardware and validation fixtures for robotic system integration and instrument kitting.
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Newark, NY – Burr-free flat parts, shims, masks, and thin precision details for robotic assemblies, instrument mechanisms and cleanroom-ready components.
Manufacturing Transfer + Sustaining Engineering: Keep the Line Moving.
With Smith+Nephew consolidating Austin operations into Memphis and expanding globally in Malaysia, Costa Rica and the UK, the engineering and procurement teams managing those transitions need a domestic partner who can absorb the friction: Replacement tooling, reverse-engineered fixtures, bridge inventory, and sustaining parts while manufacturing assets, drawings and quality records move or get cleaned up.
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Round Rock, TX – The closest Fathom CNC node to Fort Worth and Austin, Round Rock can provide replacement parts, line-transfer aids, and bridge machining during the Texas-to-Memphis consolidation.
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Hartland, WI / Denver, CO – Multi-process rebuilds covering additive and CNC fixture bodies, sheet metal brackets, guards, labels, finishing and light assembly for sustaining and transfer programs.
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Minneapolis, MN / Elk Grove, IL – Precision machined and turned components for sustaining engineering, instrument replenishment and production gaps during line transfer.
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Global Network – Longer-run tooling and production once replacement parts and fixtures are rationalized and stable design work is ready for cost-optimized supply.
Advanced Wound Management: From Pilot Housing to Production-Ready
PICO, RENASYS TOUCH, and RENASYS EDGE combine molded housings, clips, tubing interfaces, charger docks, canister features and packaging inserts, creating a steady stream of pilot build and validation needs. With Smith+Nephew investing more than $100M in a new Advanced Wound Management facility in the UK, the pressure to validate fast and transfer cleanly is growing. Fathom provides the domestic speed layer that bridges Fort Worth engineering to mature global production.
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Hartland, WI – Rapid tooling, injection-molded pilot housings, urethane and additive prototypes, finishing, and light assembly for PICO and RENASYS device accessories and usability studies.
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Round Rock, TX – CNC prototypes and fixture hardware close to Fort Worth for fast engineering feedback on wound therapy accessory changes.
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Denver, CO / Ithaca, NY – Sheet metal carts, brackets, enclosure plates, and assembly fixtures for device development and packaging validation.
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Global Network – Scalable injection mold tooling and production for housings, clips and accessories once design is frozen and volumes increase.
Sports Medicine & Joint Repair: Close the Gap Between Engineering & Launch.
From arthroscopy hand tools to REGENETEN procedure aids to Costa Rica joint repair transfers, Smith+Nephew sports medicine programs depend on fast iteration and surgeon-lab readiness. Small lots of precision mechanisms, kitting aids and ergonomic prototypes need to move from engineering release to clinical demo without stalling in a supplier queue.
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Hartland, WI – Additive and CNC ergonomic prototypes, assembly nests, validation fixtures and low-volume polymer or metal components for rapid surgeon-lab and clinical demo readiness.
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Elk Grove, IL / Round Rock, TX – Tight-tolerance shafts, sleeves, pins, jaws, couplers, handles and instrument details for sports medicine and joint repair programs.
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Newark, NY / Ithaca, NY – Burr-free flat parts, shims, small sheet metal details and thin precision components for mechanisms and assembly tooling.
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Denver, CO – Fabricated trays, carts, guards, small enclosures and kit hardware for launch and transfer builds across arthroscopy and joint repair.
Already Running With Smith+Nephew. Already Delivering Where It Counts.
Fathom has an established relationship with Smith+Nephew’s orthopaedics business in Memphis and is actively expanding support across Wound Therapy Systems in Fort Worth, Robotic Surgery in Andover, and Joint Repair in Costa Rica. That is not a starting point for qualification. It is an existing operating model with known parts, documented processes and real program experience. As you work your way through a reorganization, you need a partner that can keep all the pieces moving, no matter what. We’re designed for times like these.
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Established orthopaedics account in Memphis with CNC and additive production experience, providing traceable, controlled delivery.
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Active expansion into Wound Therapy Systems in Fort Worth and Robotic Surgery in Andover, with Fathom facilities matched to each team’s needs: Hartland for mixed-process engineering builds and Round Rock for proximity and quick-turn urgency.
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National network spanning Hartland, Elk Grove, Minneapolis, Round Rock, Denver, Ithaca and Newark, providing multi-process capability and dual-source options inside a single accountable operating model. No new vendors to qualify.
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Proven program model on implant prototyping, instrument bridge builds, wound device pilot tooling and robotic engineering overflow. This is a consolidation that’s already working, not a future-state promise.
Case Studies
How Medical Device Teams Launched Faster With Fathom
Engineering Is a Partnership. We Treat It That Way.
Fathom isn’t a transactional supplier. We act as an extension of your engineering team. Every Smith+Nephew program is reviewed by engineers before quoting to identify manufacturability, quality, and inspection risks early, not after production begins. Combined with dedicated program ownership and continuity from prototype through production, it’s a level of support designed specifically for regulated medical device programs.
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Established orthopaedics account in Memphis with CNC and additive production experience, providing traceable, controlled delivery.
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Active expansion into Wound Therapy Systems in Fort Worth and Robotic Surgery in Andover, with Fathom facilities matched to each team’s needs: Hartland for mixed-process engineering builds and Round Rock for proximity and quick-turn urgency.
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National network spanning Hartland, Elk Grove, Minneapolis, Round Rock, Denver, Ithaca and Newark, providing multi-process capability and dual-source options inside a single accountable operating model. No new vendors to qualify.
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Proven program model on implant prototyping, instrument bridge builds, wound device pilot tooling and robotic engineering overflow. This is a consolidation that’s already working, not a future-state promise.
What Every Smith+Nephew Engineering Manager & Procurement Lead Gets With Fathom
ISO 13485 Quality Alignment
Quality processes and documentation aligned to ISO 13485 requirements, including traceability, controlled revisions, inspection records, and change management built into every program.
Multi-Site Domestic Network
Fathom facilities across Hartland, Elk Grove, Minneapolis, Round Rock, Denver, Ithaca and Newark provide CNC, additive, injection molding, sheet metal, and finishing capability, matched to Smith+Nephew sites in Memphis, Fort Worth and Andover.
DFM Before Every Quote
Engineers review prints for manufacturability, tolerance feasibility, surface finish compatibility and inspection approach before the quote. Engineers talking to engineers, not a self-service quoting portal.
Prototype-to-Production Continuity
The same team and documentation thread carries your program from first prototype through production. No requalification, no supplier swap, no relationship reset when the design stabilizes.
Global Network for Scale
Once your design is locked in and volumes increase, Fathom’s global network provides an expanded network of domestic and overseas sourcing options, providing the capacity and flexibility you need to scale effectively.