Until now, there has not been an optimal way to access marrow for the treatment of cartilage injuries in the foot and ankle. That’s why our team of surgeons and engineers designed SmartShot for the unique challenges of the ankle anatomy. The result: reliable access to cartilage lesions that are difficult to treat with legacy instruments.
Contoured to navigate the talar dome
Enables deep, 6 mm microchannels with only 1 mm diameter
Less disruption of underlying bone allows for improved marrow release and remodeling

Micro CT of bone drilled with K-wire or powered pick demonstrates compaction of bone, forming a shell around the channel, inhibiting flow of marrow.


Micro CT of bone after SmartShot microneedling shows no signs of bony compaction, allowing unrestricted flow of marrow.

The unique design of the SmartShot Ankle device allows access to more posterior osteochondral defects and lesions, even without being perpendicular to the bone — getting deep into the talus for optimal marrow access.
What the science tells us is that a SmartShot device equates to less bone compaction and more consistent bone healing and remodeling.


The difference that I see with SmartShot usually occurs before the patient follow-up. With less pain and swelling, my patients are able to move more. Therefore they’re happier and their cartilage lesions heal better.
For three decades, we’ve known that treatment of cartilage defects has a poor record. With SmartShot, we finally have the solution.

Marrow Access Technologies, Inc.
7625 Golden Triangle Drive; Suite G
Eden Prairie, MN 55344
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