The distributor that never sleeps

Ortho device sales,
run by autonomous agents

Marrow is an AI-native orthopedic device distributor. Autonomous agents manage surgeon relationships, coordinate cases, process orders, and run territory sales around the clock.

The problem

Orthopedic device distribution runs on a model from 1978. Field reps drive territories, build relationships over steak dinners, and coordinate cases by phone. It works, but it doesn't scale.

$63B
Global orthopedic devices market in 2026, growing to $79B by 2031
80%
Of a field rep's time spent on logistics, scheduling, and paperwork instead of selling
0
AI-native distributors competing in this space. Everyone builds tools for reps. Nobody replaces the model.

How Marrow works

01

Autonomous prospecting

AI agents identify orthopedic surgeons and ASCs, research their specialties and preferences, and initiate outreach with clinical precision. No cold calling. No guesswork.

02

Case coordination

From scheduling to instrument tray preparation, agents manage the surgical case pipeline end-to-end. Surgeons get what they need, when they need it, in the OR.

03

Territory intelligence

Every territory is monitored 24/7. Agents track surgeon activity, competitive moves, and hospital procurement cycles to surface opportunities before a human ever could.

What the agents handle

Surgeon outreach
Personalized communication with orthopedic surgeons based on their specialization, case volume, and product preferences. Relationship management that never drops a follow-up.
Order processing
From purchase order to delivery, every step tracked and optimized. Inventory forecasting based on surgical schedules and historical demand patterns.
Compliance tracking
FDA regulations, device tracking requirements, and hospital credentialing managed autonomously. Every interaction documented, every regulation followed.
Performance analytics
Real-time visibility into territory performance, surgeon adoption rates, case outcomes, and revenue by product line. Insights that would take a team of analysts weeks.

The distribution model is about to change forever

Built by someone who spent years inside the largest ortho distributor in the country. This isn't a tool for the old model. It's the replacement.