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Stryker's Mako robotic-assisted surgery platform has redefined joint replacement procedures and is now expanding into hip, knee, and shoulder surgeries. The company continues to innovate with AI-driven surgical planning, augmented reality (AR) applications, and machine learning for precision navigation. The Mako platform is experiencing increasing adoption, with installations hitting record highs in 2024, ensuring a continued revenue stream from both system sales and associated implants.

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Stryker is actively refining its portfolio by divesting its U.S. Spine Implant business while investing in high-growth areas like peripheral vascular diseases. The acquisition of Inari Medical strengthens its vascular portfolio, providing access to an underpenetrated market with a projected high-teens growth rate. The company is also growing its MedSurg and Neurotechnology segments, which saw strong double-digit organic growth in 2024.

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Despite macroeconomic challenges, Stryker maintains steady procedural demand due to its focus on essential, non-deferrable procedures such as trauma, neurovascular interventions, and surgical robotics. The company has limited exposure to elective surgeries, ensuring a stable revenue base even in uncertain economic climates. Its diversified revenue streams and pricing power have helped sustain positive momentum.

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Inari Medical Acquisition Completion

The acquisition of Inari Medical is expected to close in Q1 2025, adding $590M in revenue in 2025. This acquisition allows Stryker to strengthen its vascular intervention portfolio, complementing its existing neurovascular and cardiovascular businesses. Initially, the acquisition is expected to cause a 0 to 20 basis points (bps) margin dilution, but Stryker has found synergies that reduce the impact compared to initial market expectations.

Mako Expansion

The continued rollout of the Mako robotic platform and increased robotic-assisted procedures should drive adoption. Mako's razor-and-blade model (similar to a “freemium model) ensures recurring revenue through implant sales. As adoption increases, Stryker benefits from higher-margin implant revenue. With each Mako installation, hospitals are more likely to commit to Stryker’s premium implant offerings, further strengthening orthopedic revenue streams.

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Portfolio Shift & Spine Divestiture Impact

The Spine business was a slower-growth segment compared to Stryker’s other divisions, with lower-than-average margins. The exit from the Spine business allows Stryker to focus on higher-margin, faster-growing areas like vascular intervention and robotics.

New Product Launches

Stryker has a robust pipeline of new product launches expected to drive revenue growth, market expansion, and competitive differentiation. This includes Insignia Hip Stem and Pangea plating systems, which are expected to contribute to revenue expansion through use in Trauma & Extremities.

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Market Expansion in Emerging Economies

Stryker's market expansion in emerging economies is driven by increasing demand for robotic-assisted surgery, trauma solutions, and neurovascular interventions in regions like Asia-Pacific, Latin America, and the Middle East. The growing adoption of Mako robotic systems in countries such as Japan and China, coupled with rising healthcare investments and procedural volumes, presents a significant long-term growth opportunity.

AI & AR Integration in Surgery

Stryker is investing in next-generation surgical planning, leveraging AI and AR to enhance surgical precision, planning, and real-time guidance across its robotic and digital surgery platforms. These advancements are expected to increase adoption of Stryker’s robotic-assisted platforms, differentiate its technology from competitors, and drive higher procedural volumes, and implant sales globally.

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As a global medical device company, Stryker faces challenges related to evolving regulatory frameworks, particularly in the EU and U.S. Changes in reimbursement policies or pricing pressures from hospitals and insurers could impact revenue and margins.

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While Stryker has a strong track record of M&A execution, integrating large acquisitions like Inari Medical poses risks. Realizing expected synergies and managing operational complexity will be critical to sustaining profitability.

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The medical technology space is highly competitive, with rivals such as Medtronic and Zimmer Biomet advancing in robotics and orthopedic innovations. Stryker must continue to innovate to maintain its leadership position.

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Acquisitions are a key part of Stryker’s growth strategy. The company frequently acquires businesses that complement its core segments, expanding its product offerings and geographic reach. For instance, Stryker's acquisition of Wright Medical enhanced its position in the extremities and biologics market. These acquisitions help Stryker access new technologies and customer bases, supporting both revenue and market share growth.

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Stryker’s Mako robotic surgery platform continues to see record-breaking adoption, with penetration in knee and hip procedures steadily increasing in both the U.S. and international markets. The global expansion of Mako is accelerating, particularly in Japan and Europe, where robotic-assisted procedures are gaining widespread acceptance. Additionally, Stryker is actively developing new applications, including Mako Shoulder, which is expected to launch in 2026, further expanding its addressable market. With hip procedures using Mako now accounting for one-third of Stryker’s U.S. case mix and continued advancements in AI-powered surgical guidance, Mako is expected to be a major driver of growth in the coming years.

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Stryker is focused on sustained margin expansion through operational efficiencies, supply chain optimizations, and portfolio shifts. The company’s exit from the Spine business removes a lower-margin segment, allowing resources to be redirected toward higher-growth, higher-margin areas, such as robotic surgery and neurovascular interventions. Additionally, Stryker has been implementing cost control measures and pricing initiatives that have already contributed to gross margin improvements. Despite near-term margin dilution from the Inari acquisition, Stryker remains confident in achieving 100 basis points of core operating margin expansion, leveraging economies of scale, automation in manufacturing, and process efficiencies.

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Kevin has a broad business career across multiple industries. After holding finance positions with KPMG, Unilever and Kraft Canada, he spent eight years with Rhone-Poulenc, including leadership roles based in Europe. He then spent eight years at Johnson & Johnson, including as President of Ethicon Endo Surgery.

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In 2003, Glenn began his career with us as Vice President of Finance and Information Technology for our Endoscopy Division. He then took on roles of increasing responsibility including group CFO of MedSurg and Neurotechnology.

Prior to joining us, Glenn spent three years with Success TV as CFO. Before that, he was a partner and certified public accountant at Arthur Andersen. He received his bachelor’s and master’s degrees in accounting from Mississippi State University.

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Andy graduated from Hope College, where he earned a bachelor's degree in business, psychology and political science.

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Spencer began his career with Stryker’s Endoscopy business in 1999 and previously had oversight of several global businesses throughout his tenure, including Instruments, Joint Replacement, Spine, Communications, Neurovascular, and Craniomaxillofacial.

Spencer serves on the Board of Directors for Chart Industries (NYSE: GTLS) and the Medical Device Manufacturing Association (MDMA).

Spencer holds a bachelor’s degree from Miami University and an MBA from the University of Nebraska.

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