Image-guided surgery and radiotherapy software for hospital operating rooms
Brainlab operates a medical imaging and surgical guidance platform used across 6,700 hospitals in 127 countries. The tech stack reflects a mature medical-device enterprise: C++ and Rust for core surgical navigation, React/TypeScript for clinical interfaces, SAP for supply-chain and financial operations, and deep DICOM/FHIR integration for hospital interoperability. Hiring is accelerating across support (largest cohort) and engineering, with active project focus on go-live launches, upgrade revenue, and functional neurosurgery expansion—a pattern consistent with scaling an installed base of legacy systems while extracting adjacent revenue from training, spare parts, and software upgrades.
Brainlab develops software and hardware systems for image-guided surgery, radiotherapy, and joint reconstruction. The platform ingests medical imaging data (CT, MRI), builds three-dimensional patient-specific models, and feeds real-time navigation guidance to surgeons and radiation oncologists during procedures. The company operates across the full clinical value chain: preoperative planning, intraoperative guidance (including robotic and mixed-reality interfaces), and postoperative data collection for registries and clinical research. With approximately 2,400 employees across 25 locations and active hiring in 13 countries, Brainlab serves hospital systems globally and is structured to support both new customer implementations and long-term maintenance of its installed base.
Core platforms use C++, Rust, and React/TypeScript. Clinical integration relies on FHIR, PACS, and SolidWorks/Creo for 3D modeling. Enterprise systems include SAP (FI, R/3), Salesforce, and Citrix virtualization. Infrastructure: Azure Entra ID, Windows, Active Directory, Intune, Jamf.
Active initiatives include go-live launches at hospitals, functional neurosurgery product launches, upgrade projects with existing customers, clinical studies, and revenue expansion via spare parts and software upgrades. Training program development and consolidation software rollouts are also underway.
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