Surgical intervention product development
Advancing surgical procedures - from bold idea to operating room-ready device.
With a track record spanning nearly 40 years, we help bring advanced surgical technologies to life - from high-precision robotics to smart graspers with embedded sensing. Our surgical device experts understand the practical challenges of surgical environments and work closely with you tosolve them through custom-engineered solutions. Whether you're refining a concept or tackling a technical challenge, we bring deep scientific and engineering expertise in complex surgical devices and a hands-on, collaborative approach to help you develop tools that meet real clinical needs - and make commercial sense.
Transforming surgical opportunity into commercial reality
At TTP we don't just identify opportunity - we build it. Whether it's designing endoluminal robots or tool-tip sensing systems for critical structure avoidance, our goal is to turn complex surgical challenges into high-performance solutions that integrate seamlessly into clinical practice.
Our agile approach, backed by decades of experience in consulting and engineering, enables us to deliver rapid advancements that improve both clinical outcomes and surgical efficiency. Clients choose us not only for our technical knowledge – they value our ability to manage system interdependencies, de-risk programmes early, and make smart trade-offs to drive innovations through to launch.
Our multidisciplinary team brings medical device design and full-cycle product development expertise, ensuring that even the most complex projects are executed with speed and precision, aligning with our ISO13485 accredited product development process.
We develop and integrate novel technologies into next-generation surgical systems that meet the most rigorous technical, usability and clinical trials standards of the industry.
The team at TTP has done a fantastic job expediting the journey to commercialisation of our prototype. We are excited about the potential for Seracam to improve patients’ lives.” – Dr Paul Cload, Chief Marketing Officer at Serac Imaging Systems.
Dr Paul Cload
CEO
,
Serac Imaging Systems
I’ve had the opportunity to work closely with TTP over the past 20 years, focused on solving very diverse and complex engineering challenges, and required to deliver breakthrough product technology to the market. They’ve been incredible partners and fully integrated members of our R&D team and have shared tremendous passion, energy, and drive to succeed to help support our physicians and their patients.
Joshua Stopek
VP: R&D
,
HistoSonics Inc
Working with TTP has been transformative for our business. Their unparalleled expertise, innovative solutions, and commitment to excellence have been key to our success. We're proud to partner with a firm that consistently delivers exceptional results.
David Nolan
President
,
Balmoral Medical LLC
Less-invasive, greater impact
As medical procedures become less invasive, the tools and surgical instruments used must evolve to handle increasing complexity in smaller form factors. This relies on advanced electromechanical design, thoughtful architecture, and enabling technology, and a focus on user-centric design to create intuitive, effective tools.
TP backs up its hallmark technical capabilities in this area with biomedical and commercial insights, to help migrate surgery into minimally invasive surgery and beyond, into endoluminal technology and even extra corporeal ablations.
In cancer treatment
TTP is creating new medical technology for prostate cancer, colon cancer and lung cancer, helping clinicians to find tumours, and to remove them with greater confidence.
In thrombectomy and stroke treatment
We are creating new imaging modalities, fluidic solutions and novel technology integrations to improve patient outcomes and reduce complexity.
In endoscopy
We are solving the “dirty endoscope” problem with entirely new product categories, reducing the cost of reusable endoscopes, developing navigation systems, and creating robotically controlled endoluminal surgery platforms.
In GYN
We are advancing ergonomic laparoscopic surgical device development, and integrating multiple imaging modalities to give better guidance.
In structural heart procedures
We are providing guidance systems to reduce the complexity today of trans-catheter procedures.
In orthopaedics
We are minimising trauma in implantation surgeries with new navigation systems, shrinking the size of robots, creating lightweight pen-shaped ablation tools, and improving the ease of use of new tools.
Speak to our surgical device consulting experts to find out how we can turn your bold ambitions into breakthrough solutions and redefine the future of the operating room.
Innovating smart surgical tools for real-time decision-making
Modern surgery demands tools that go beyond cutting and grasping - they need to sense, interpret, and guide. Whether it’s identifying tissue boundaries, avoiding critical structures, or maintaining precise trajectories, we’re helping to bring new intelligence to smart surgical tools that support improved patient care.
In collaboration with our clients, we’re delivering innovative sensing technologies that empower clinicians and members of the surgical team to navigate complex surgical landscapes safely and precisely - setting new standards for accuracy and patient care in minimally invasive procedures.
Critical structure avoidance
Real-time sensing technologies help surgeons avoid nerves, vessels, and other vital anatomy, supporting improved safety and efficacy during procedures. Intuitive feedback at the tool-tip supports safer navigation through complex access routes.
Visualising margins and identifying tissue types
We integrate advanced sensing techniques like EIS and optical modalities to distinguish tissue types in real time. This supports confident decisions when identifying margins and other critical boundaries.
Directional sensing and tool tracking
Embedded sensors enable precise tracking of a tool’s position and orientation during procedures. This ensures repeatable outcomes in complex workflows like joint replacements or endoscopy.
Detecting foreign bodies and anomalies
Our sensing strategies help locate retained surgical items and unexpected anatomical structures. We tailor solutions for demanding environments using miniature and flexible sensor formats.
Designed for deployment
Every sensing system is engineered for sterility, scalability, and small-form-factor integration, while meeting stringent regulatory requirements. From fibre-mounted pressure sensors to curved-surface electrodes, our designs are ready for real-world surgical use.
Explore our case studies to see how we’ve helped clients develop innovative solutions across surgical intervention below.
Intuitive surgical robotics development for high-impact, next-generation solutions
We design and build advanced robotic systems that bring real impact to surgery and diagnostics. From core components to complete platforms, we help clients realise next-generation robotic tools by combining deep technical expertise with practical engineering. Whether it’s laparoscopy, endoscopy, ophthalmology or orthopaedics, we tackle complex mechanical, control, and sensing challenges to bring cutting-edge robotic capabilities to life.
Our projects include flexible robotic instruments, custom imaging systems, haptic control interfaces, and integrated motor chassis – all engineered to meet the specific demands of surgical environments
In one landmark project, we developed an endoluminal robotic platform featuring two 6 DoF robotic tools with cable actuation for intuitive humanoid control. This platform enhances dexterity and usability, demonstrating TTP’s capability in tackling challenges like miniaturisation, actuator selection, and motion isolation to democratise interventional endoscopy.
We work closely with a network of clinicians - including key opinion leaders across a range of surgical specialities - to inform and strengthen our human factors work throughout development.
These systems are made possible by our core capabilities in electromechanical design, miniaturisation, custom user interfaces, integrated sensing, and compact optics - all engineered to enable safe, effective robotics that enhance surgical outcomes.
Watch the interview with TTP’s head of Surgical Intervention and Imaging, Paul Galluzzo, as he gives his opinion about the impact of new technologies on surgical robotics, the ability of new entrants to compete with Intuitive in laparoscopic robotics, and the believability of value propositions in different robotics applications.
How we can help
End-to-end medical device development
From opportunity discovery and concept ideation to prototyping, regulated design development, and final transfer to manufacture, TP provides comprehensive support at every stage of surgical and imaging device development, ensuring a streamlined process that accelerates time-to-market and meets regulatory standards.
Advanced sensor integration for next-generation devices
We specialise in adapting cutting-edge sensing technologies—optical, thermal, strain, pressure, voltage, impedance, and ultrasound—into radically new applications, expanding product portfolios with enhanced features. Our expertise allows us to integrate these advanced sensors into existing interfaces and product profiles, ensuring compatibility while delivering innovative capabilities for next-generation medical devices.
Innovating endoscopic imaging solutions
Our expertise, reference designs, and ISP protocols make it easier than ever to develop custom, small-bore, and tightly integrated imaging systems, lowering the barriers to entry and enabling cutting-edge endoscopic innovation.
Enhancing surgical navigation and tool tracking
TTP brings deep expertise across disruptive navigation technologies, including proprietary EM navigation, EIT mapping systems, and MR headsets. Leveraging our robust theoretical modelling and in-house R&D prototyping labs, we develop navigation solutions that are not only highly functional but also adaptable to evolving surgical needs, enabling rapid adoption and customisation.
For procedures like total knee arthroplasty orendoscopic navigation, knowing exactly where a tool is - and where it’s going -matters. We develop embedded sensors that help determine tool trajectory and orientation, ensuring precise and repeatable outcomes in complex surgical workflows.
Advancing ultrasound solutions
Our comprehensive capabilities span simulation, microfabrication prototyping of transducers, sensor head design and assembly, drive and receive electronics, image signal processing, and rigorous testing and characterisation. We offer a streamlined, cost-effective pathway for the rapid development of ultrasound-enabled devices, accelerating your entry into the market with precision and efficiency.
Improving surgical visualisation
Harnessing our expertise in augmented and mixed reality, we design advanced guidance systems that provide real-time, intraoperative visual inputs and enhance surgical precision through accurate positioning, empowering clinicians with unparalleled insight during complex procedures.
Comprehensive system level design
From the small detail to the big picture, TTP has the expertise to address every aspect of complex developments, providing holistic oversight to manage projects at the system level. Our integrated approach minimises costly design revisions by bridging gaps between isolated design silos, ensuring seamless and efficient project execution.
Regulatory expertise in medical device development
We help you navigate the complex regulatory landscape with confidence, preparing robust design history files and ensuring compliance with global standards. Our ISO 13485-certified quality system and deep technical expertise bridge the gap between engineering and regulatory submission, streamlining approval processes for pharmaceutical and medical device companies.
Surgical safety and critical structure avoidance
Navigating complex access routes in minimally invasive surgery is crucial to avoiding unintended damage to critical structures like nerves and major blood vessels. TTP is pioneering a range of technologies for critical structure avoidance. Our advanced, tool-tip sensing solutions provide real-time feedback in a format that is intuitive and actionable, empowering clinicians to proceed with confidence, knowing they’re working safely and accurately.
Whether locating retained surgical items or identifying unexpected anatomical features, we support novel detection capabilities through custom sensing strategies - from miniaturised optical sensors to flexible EIS-enabled microelectrodes - designed for harsh or constrained surgical environments.
Visualising margins and precision tissue identification
Accurately identifying tissue boundaries - such as cancer margins - can be critical to surgical success. Our work in tissue identification includes micro-electrodes on needles using Electrical Impedance Spectroscopy (EIS). By applying fine-scale electrodes with advanced inkjet printing over curved surfaces, we enable novel placements that go beyond the limitations of traditional techniques. These electrodes interface seamlessly with our EIS system, offering enhanced tissue identification capabilities crucial for high-stakes surgical contexts. Alongside EIS, we integrate electrical, chemical and optical sensing modalities to support real-time discrimination of tissue types - helping clinicians make informed decisions in the moment.
End-to-end medical device development
From opportunity discovery and concept ideation to prototyping, regulated design development, and final transfer to manufacture, TP provides comprehensive support at every stage of surgical and imaging device development, ensuring a streamlined process that accelerates time-to-market and meets regulatory standards.
Advanced sensor integration for next-generation devices
We specialise in adapting cutting-edge sensing technologies—optical, thermal, strain, pressure, voltage, impedance, and ultrasound—into radically new applications, expanding product portfolios with enhanced features. Our expertise allows us to integrate these advanced sensors into existing interfaces and product profiles, ensuring compatibility while delivering innovative capabilities for next-generation medical devices.
Innovating endoscopic imaging solutions
Our expertise, reference designs, and ISP protocols make it easier than ever to develop custom, small-bore, and tightly integrated imaging systems, lowering the barriers to entry and enabling cutting-edge endoscopic innovation.
Enhancing surgical navigation and tool tracking
TTP brings deep expertise across disruptive navigation technologies, including proprietary EM navigation, EIT mapping systems, and MR headsets. Leveraging our robust theoretical modelling and in-house R&D prototyping labs, we develop navigation solutions that are not only highly functional but also adaptable to evolving surgical needs, enabling rapid adoption and customisation.
For procedures like total knee arthroplasty orendoscopic navigation, knowing exactly where a tool is - and where it’s going -matters. We develop embedded sensors that help determine tool trajectory and orientation, ensuring precise and repeatable outcomes in complex surgical workflows.
Advancing ultrasound solutions
Our comprehensive capabilities span simulation, microfabrication prototyping of transducers, sensor head design and assembly, drive and receive electronics, image signal processing, and rigorous testing and characterisation. We offer a streamlined, cost-effective pathway for the rapid development of ultrasound-enabled devices, accelerating your entry into the market with precision and efficiency.
Improving surgical visualisation
Harnessing our expertise in augmented and mixed reality, we design advanced guidance systems that provide real-time, intraoperative visual inputs and enhance surgical precision through accurate positioning, empowering clinicians with unparalleled insight during complex procedures.
Comprehensive system level design
From the small detail to the big picture, TTP has the expertise to address every aspect of complex developments, providing holistic oversight to manage projects at the system level. Our integrated approach minimises costly design revisions by bridging gaps between isolated design silos, ensuring seamless and efficient project execution.
Regulatory expertise in medical device development
We help you navigate the complex regulatory landscape with confidence, preparing robust design history files and ensuring compliance with global standards. Our ISO 13485-certified quality system and deep technical expertise bridge the gap between engineering and regulatory submission, streamlining approval processes for pharmaceutical and medical device companies.
Surgical safety and critical structure avoidance
Navigating complex access routes in minimally invasive surgery is crucial to avoiding unintended damage to critical structures like nerves and major blood vessels. TTP is pioneering a range of technologies for critical structure avoidance. Our advanced, tool-tip sensing solutions provide real-time feedback in a format that is intuitive and actionable, empowering clinicians to proceed with confidence, knowing they’re working safely and accurately.
Whether locating retained surgical items or identifying unexpected anatomical features, we support novel detection capabilities through custom sensing strategies - from miniaturised optical sensors to flexible EIS-enabled microelectrodes - designed for harsh or constrained surgical environments.
Visualising margins and precision tissue identification
Accurately identifying tissue boundaries - such as cancer margins - can be critical to surgical success. Our work in tissue identification includes micro-electrodes on needles using Electrical Impedance Spectroscopy (EIS). By applying fine-scale electrodes with advanced inkjet printing over curved surfaces, we enable novel placements that go beyond the limitations of traditional techniques. These electrodes interface seamlessly with our EIS system, offering enhanced tissue identification capabilities crucial for high-stakes surgical contexts. Alongside EIS, we integrate electrical, chemical and optical sensing modalities to support real-time discrimination of tissue types - helping clinicians make informed decisions in the moment.
Our approach and capabilities
We deliver across the entire life of a project, from opportunity discovery to production engineering. Discover how our interdisciplinary teams of experts collaborate to tackle the toughest product development challenges.
Our campus and facilities
Our award-winning campus has been designed with a clear vision. To create a space which can support our people and our clients as we develop and deliver the very best technology solutions.
Software capability at TTP
Engaged in all stages of software and product development, our software capability at TTP covers the full spectrum—from in-depth analysis and system architecture to prototype design, implementation, and test development.
Manufacturing capability at TTP
Working seamlessly with our development teams, we take clients' products through prototype builds, clinical trials, pilot manufacture and more. Using TTP Manufacturing reduces uncertainty, risk and time to market for our clients.
Meet some of the team
Paul Galluzzo
William Hamlyn
Jamie Collin
