State of Medtech

332. Spine: Robert Isaacs, M.D of TrackX Explains Why Real-Time Instrument Tracking is Needed in Spine Surgery


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In this episode, host Omar M. Khateeb sits down with Robert Isaacs, M.D. CEO & Founder at TrackX Technology,  a Duke neurosurgeon and serial entrepreneur. They dive into his latest venture: a platform that provides live imaging for surgeons without the dangerous radiation.

We uncover TrackX's "secret sauce" for instantaneous registration, the real-world data slashing radiation and OR time, and the simple design winning over surgeons. 

Get an honest look at surgical innovation and how TrackX is poised to become the essential navigation tool for the booming outpatient market.


Episode Breakdown

0:00 – The future of spine surgery: live fluoroscopy without radiation  

0:50 – Welcome back to the MedTech Podcast with Omar Khateeb  

1:20 – Meet Robert Isaacs, M.D., founder of TrackX Technology and pioneer in spine innovation  

2:30 – From Connecticut to Baylor and Duke: how Dr. Isaacs found his calling in spine  

4:30 – Early robotics research: moving machines through thought  

6:00 – Mentors and the moment that changed his career path  

7:30 – From surgeon to entrepreneur: building Bandini and LessRay  

9:00 – How a simple software tweak reduced radiation by 95%  

10:30 – The evolution from LessRay to TrackX Technology, 

12:00 – How TrackX Technology delivers live fluoroscopy without constant X-rays  

13:30 – Snap technology: digitizing any surgical tool in seconds  

15:00 – Why simplicity and speed drive surgeon adoption  

17:30 – Competing with robotics and navigation: cost and capital freedom  

19:00 – Why hospitals and surgeons love the TrackX model  

21:30 – The 80% of surgeons not using robots and how TrackX is winning them over  

23:00 – Commercial traction: thousands of cases and growing revenue  

25:00 – The outpatient and ASC opportunity in spine surgery  

27:30 – Why TrackX Technology is the perfect fit for 1–2 level lumbar fusions  

30:00 – Broad FDA clearance: scaling across orthopedic and spine specialties  

32:00 – Beyond spine: future expansion into trauma and orthopedics  

34:00 – The research mindset: randomized control trials and radiation data  

36:00 – Proven outcomes: 70–90% radiation reduction across procedures  

37:30 – Surgeon trust and real-time accuracy  

39:00 – Conferences and where to meet the TrackX team  

40:00 – The future of surgical navigation and radiation-free imaging  

41:30 – Lessons from innovation: simplicity, safety, and surgeon feedback  

42:00 – Outro: subscribe, share, and join the MedTech community


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#MedTech #SpineSurgery #SurgicalInnovation #NavigationTechnology #TrackX


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