Limb Preservation & Salvage

When a limb is at risk,
every decision matters.

BlueOcean Global works with clinicians who treat the most challenging limb cases—building the frameworks, training, and tools they need to do it well.

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An Integrated Approach

Modern limb preservation,
three parts working as one.

A surgical framework that helps clinicians think through staged decision-making and coordinate care across complex limb preservation cases.

A fixation system built alongside the FASTR® framework to flex with you as treatment evolves, within its cleared indications for use.

Limb Preservation & Salvage

Practical support for the multidisciplinary teams working to keep complex, at-risk limbs viable through every stage of treatment.

Limb preservation is rarely one procedure. It's a process — one that demands strategy, adaptability, and real collaboration along the way.
When Limbs Are at Risk

Patients rarely need
just one thing.

Managing skeletal stability, soft tissue, and biologic recovery often has to happen all at once. And the plan you start with often isn't the plan you finish with.

These cases ask you to think ahead, stay flexible, and adapt as conditions change. BlueOcean was built around that reality—not around an ideal scenario.

Why BlueOcean Exists

Built from
clinical reality.

BlueOcean grew out of conversations with clinicians who were doing everything right—and still watching patients lose limbs that might have been saved with better tools and a better plan.

We set out to build something more complete: training and technique alongside the technology, all grounded in the real challenges these surgeons face every day.

The Origin

Too many limbs are lost
because the toolbox runs out.

BlueOcean started with a simple, uncomfortable reality: too many limbs are lost because the toolbox runs out. In the sickest patients—diabetes, Charcot, infection, and "no-option" ischemia—surgeons are often forced to choose between compromised solutions and amputation.

FASTR® was born from the belief that limb preservation shouldn't be a heroic outlier. It should be repeatable, scalable, and teachable—with a method that creates durable biology and a system that makes complex reconstruction feel controllable.

Over three hard years of engineering, iteration, and surgeon feedback, BlueOcean built the Excelsior System and paired it with FASTR®—designed to help surgeons restore stability, create a pathway for healing, and give patients a real chance at keeping their limb.

Historical Continuum

Seventy years of
controlled regeneration.

Ilizarov's Discovery1950s – 1980s

Foundational Principles of Controlled Mechanical Stabilization

Gavriil Ilizarov demonstrated that living tissue responds predictably to controlled mechanical tension. Through gradual distraction, bone and surrounding soft tissues could regenerate—establishing the biologic foundation for modern limb reconstruction and deformity correction.

Global Adoption1990s – 2000s

Evolution of Gradual Correction Techniques

Ilizarov principles spread worldwide, enabling complex deformity correction, limb lengthening, and reconstruction. Circular external fixation became a powerful tool for skeletal restoration, though systems were largely designed around bony correction alone.

PRC Advances2000s

Global Refinement of Bone Transport Methodologies

Building on Ilizarov's principles, surgeons in China advanced tibial transverse transport (TTT)—a bone-transport method improving distal limb perfusion in severe ischemic conditions, building a substantial clinical body of experience.

Today2026

Integration into Modern Limb Preservation Workflows

The FASTR® approach builds upon Ilizarov's foundational concepts within a modern procedural framework designed for both skeletal reconstruction and soft-tissue restoration—making advanced limb salvage more reproducible, teachable, and accessible.

A framework for limb
preservation and function.

FASTR® is a clinical methodology that helps physicians work through complex limb cases with greater structure—coordinating stabilization principles, soft-tissue considerations, and staged procedural planning in a way that makes sense for how these cases actually unfold.

FASTR® is an educational and procedural framework. It's designed to support clinical decision-making, not replace it. Treatment decisions always rest with the treating physician.

Built for the procedure you plan.
Ready for the one you get.

The Excelsior System was developed alongside the FASTR® framework for cases that require multiplanar stabilization, bone transport, or complex limb preservation strategies—within its cleared indications for use.

It was built with a clear-eyed understanding of what limb preservation actually demands—and designed to give you options when the clinical picture shifts mid-treatment.

Download Instructions for Use (IFU)

The Excelsior™ System is protected by one or more issued U.S. patents and/or pending patent applications.

The Excelsior™ System

Precision engineering
built for real cases.

Every component of the Excelsior System is engineered around the realities of complex limb reconstruction — from soft tissue management to multiplanar bone transport.

The Market

Supporting an emerging
limb preservation category.

Patients rarely present with a single problem. Most arrive with a combination of challenges that have to be addressed together.

Bone loss or instability
Infection or septic conditions
Charcot-related deformity
Soft tissue compromise
Vascular compromise
Complications from diabetes & impaired healing

Coordinating care across orthopedic, podiatric, vascular, and wound care specialists isn't optional in these cases—it's the whole game. BlueOcean sits at the intersection of surgical education, procedural frameworks, and fixation—connecting what surgeons know with the tools and training to put it into practice.

Leadership

Operational leadership &
deep clinical insight.

Scott Ludecker

Scott Ludecker

President & Chief Executive Officer

With more than 25 years of experience in the global medical device industry, Scott is a proven industry leader with a demonstrated track record of successfully commercializing disruptive medical technology. Developing new markets and the teams to deliver above-industry growth rates is his passion. He has generated in excess of $1.2 billion in shareholder value through strategic exits. He is a graduate of Kenyon College.

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Stacy S. Miller

Stacy S. Miller

SVP, Human Resources & Operations

Spanning a career of more than 20 years, Stacy has served in senior human resources leadership positions developing and managing policies and programs for high-growth companies. Her experience includes global talent management, recruiting, corporate compliance, M&A, and operations. She is a graduate of Virginia Tech.

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Surgeon Advisory Team

Guided by the surgeons
who do this work.

Michael Theodoulou

Michael Theodoulou

DPM, FACFAS

Cambridge, MA

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Alan Macgill

Alan Macgill

DPM, FACFAS

Boca Raton, FL

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Guido Laporta

Guido Laporta

DPM, MS, FACFAS

Scranton, PA

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Jason Piraino

Jason Piraino

DPM, MS, FACFAS

St Augustine, FL

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Lawrence Lavery

Lawrence Lavery

DPM, MPH

San Antonio, TX

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Dane Wukich

Dane Wukich

MD

Dallas, TX

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Michael Siah

Michael Siah

MD

Dallas, TX

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Michael A. Gentile

Michael A. Gentile

DPM, FACFAS

San Francisco, CA

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Medical Education

Advanced surgical
training for clinicians.

BlueOcean Global is committed to elevating surgical education in limb preservation — offering structured, faculty-led programs that translate FASTR® principles into hands-on clinical skill.

One-Day Surgeon Course Fall 2026 — In Planning
FASTR® Surgical Education Program
Bone Transport Strategies for Limb Preservation
Target DatesOctober – November 2026
LocationNortheast USA (venue TBD)
FormatLecture + Cadaver Laboratory
StatusPlanning in Progress
We are currently in the planning stages for the Fall 2026 FASTR® Surgical Education Program, targeted for the October–November 2026 timeframe at a venue in the Northeast United States. Confirmed dates, host facility, and full agenda will be posted here as soon as they're finalized — register your interest below to be notified first.
Course Overview

This physician education program focuses on surgical principles and techniques used in bone transport–based reconstruction for complex limb preservation cases involving soft tissue deformity and defect of the lower extremity.

Through scientific lectures and hands-on cadaver training, participants will review structured approaches to staged reconstruction utilizing gradual osseous transport techniques within accepted reconstructive surgical practice.

Educational content emphasizes reconstructive applications including:

  • Bone Transport
  • Management of deformity associated with reconstruction
  • Structural stabilization supporting soft tissue defect management
  • Reconstruction in septic or compromised tissue environments
  • Surgical workflows supporting limb preservation procedures
Intended Audience

Surgeons involved in complex lower extremity reconstruction:

  • Foot & Ankle Surgeons
  • Orthopedic Surgeons
  • Podiatric Surgeons
  • Reconstructive and Limb Preservation Specialists

Recommended for surgeons with experience in reconstructive lower extremity procedures seeking advanced exposure to bone transport–based reconstruction.

Educational Objectives
  • Review principles underlying bone transport reconstruction
  • Review staged reconstructive strategies for deformity and defect
  • Understand structured workflows supporting limb preservation
  • Participate in cadaver-based procedural education
  • Develop reproducible approaches to complex reconstruction cases
Morning
Scientific & Clinical Lectures

Educational sessions addressing planning principles, biologic foundations, and reconstructive decision-making in complex lower extremity cases.

Afternoon
Cadaver Laboratory

Hands-on surgical training focused on bone transport techniques and reproducible reconstructive workflows. Faculty provide real-time operative discussion and technical perspective.

Enrollment is intentionally limited to support direct faculty engagement and hands-on procedural discussion.

Returning Faculty
Guido LaPorta

Guido LaPorta

DPM, MS, FACFAS

Director, Podiatry Residency, Guthrie Lourdes Hospital, Binghamton, NY
Director Emeritus, Dept. of Podiatry, Geisinger CMC

Michael Theodoulou

Michael Theodoulou

DPM, FACFAS

Chief, Foot & Ankle Surgery, Cambridge Health Alliance
Assistant Professor of Surgery, Harvard Medical School

This program provides physician education focused on surgical techniques and reconstructive principles associated with bone transport and limb preservation reconstruction. Clinical decision-making remains the responsibility of the treating physician.

Register Your Interest

Be the first to know.

Our Fall 2026 FASTR® Surgical Education Program is currently in the planning stages, targeted for the October–November 2026 timeframe at a venue in the Northeast United States. Enrollment will again be intentionally limited to support direct faculty engagement. Use the contact form below to register your interest, and our team will follow up as soon as the date, venue, and full agenda are confirmed.

Register Your Interest
News & Publications

In the field.
In the literature.

Clinical research, peer-reviewed publications, and industry recognition advancing the science of limb preservation.

Investors & Strategic Partners

Partnering to scale
limb preservation.

BlueOcean Global brings together an FDA-cleared fixation platform, a protected intellectual property portfolio, a registered surgical education program, and a multidisciplinary surgeon advisory network. We welcome conversations with investors and strategic partners who share our commitment to expanding access to limb preservation.

For strategic partners

We are open to discussing a range of strategic relationships, including:

  • U.S. and international distribution and commercial partnerships
  • Co-development and platform extensions
  • Licensing
  • Clinical research and evidence-generation collaborations
  • Other strategic transactions

For investors

Investors and industry analysts interested in learning more about BlueOcean Global are invited to contact us. Company information is shared on a confidential basis, subject to a non-disclosure agreement where appropriate.

Nothing on this website constitutes an offer to sell, or a solicitation of an offer to buy, any securities. Any such offer may be made only through definitive documentation and in compliance with applicable securities laws. Information on this website is provided for general informational purposes and may change without notice.

Patient Journey

Behind every case,
a life reclaimed.

Limb preservation is measured in more than clinical outcomes — it's measured in the moments patients get back. Hear directly from a patient about their path through diagnosis, treatment, and recovery.

This video reflects one patient's personal experience. Every patient's condition and care are different, and individual results vary. Not every patient is a candidate for limb preservation procedures. This video is not medical advice.

Information for patients & families
For Patients & Families

Facing the possibility of amputation?
Start with the right questions.

Hearing that a foot or leg may need to be amputated is frightening — for patients and for the people who love them. Limb preservation, sometimes called limb salvage, is an area of medicine focused on saving limbs when it is possible and safe to do so. Whether it is right for you depends on your overall health, your circulation, the condition of your bone and soft tissue, and many other factors that only your medical team can evaluate.

The information below is a general resource to help you recognize warning signs, know when to seek care, and have informed conversations with your doctors.

Know the warning signs

See a doctor promptly if you notice:

  • A sore, blister, cut, or ulcer on your foot, toe, or leg — especially one that is not getting better
  • Skin on your feet or legs that looks pale, bluish, discolored, or darker than usual
  • One foot that feels noticeably colder or warmer than the other
  • New numbness, tingling, burning, or “pins and needles” in your feet
  • Pain, cramping, or heaviness in your legs when walking that eases with rest
  • Pain in your feet or toes while resting or at night
  • Changes in the shape of your foot; thick, discolored toenails; or hair loss on your toes, feet, or legs
  • An ingrown toenail, corn, or callus that looks red, swollen, or infected

Get emergency care right away — call 911 or go to the nearest emergency room — if you have:

  • A leg or foot that suddenly becomes painful, cold, pale or blue, numb, or weak
  • A foot or leg wound with spreading redness, red streaks, swelling, warmth, pus, or a bad smell
  • Fever or chills along with a foot or leg wound
  • Skin or toes that turn black or dark purple

If you have diabetes, poor circulation (peripheral artery disease), kidney disease, or a history of foot wounds, your risk is higher. Don't wait to see whether a problem goes away on its own. Problems found early often give your care team more options.

Everyday habits that help protect your feet

Check your feet every day — use a mirror or ask a family member to help
Wash and dry your feet daily, especially between the toes
Wear well-fitting shoes and socks, and never walk barefoot
Keep blood sugar, blood pressure, and cholesterol in the range your doctor recommends
Don't smoke — smoking reduces blood flow to the legs and feet
Have your feet examined by a healthcare professional at least once a year, or as often as your doctor advises

Don't try to treat corns, calluses, ingrown nails, or wounds yourself. Let a healthcare professional take care of them.

Who may be part of your care team

Limb preservation is usually a team effort. Depending on your needs, your care may involve several specialists working together, such as:

  • Podiatric foot & ankle surgeon
  • Vascular surgeon or vascular specialist
  • Orthopaedic foot & ankle surgeon
  • Wound care specialist
  • Infectious disease specialist
  • Primary care and diabetes care (endocrinology)
  • Plastic & reconstructive surgeon
  • Physical therapy and rehabilitation

Questions to ask your doctor

  1. What is causing my problem, and how serious is it?
  2. What are all of my treatment options — including limb preservation approaches and amputation — and what are the benefits and risks of each?
  3. Am I a candidate for limb preservation care? Why or why not?
  4. Has my circulation been checked? Should I see a vascular specialist?
  5. What would recovery involve — time, follow-up visits, and help at home?
  6. Would a second opinion from a multidisciplinary limb preservation team be helpful?
  7. Which warning signs should make me call you right away?

Asking for a second opinion is common and reasonable when time allows. If you have signs of a serious infection or a sudden change in your leg or foot, get emergency care first.

For family members & caregivers

You play an important role. Simple, steady support can make a real difference:

  • Help with daily foot checks, especially if vision, balance, or flexibility is limited
  • Come to appointments, take notes, and bring a list of medications and questions
  • Learn the warning signs above and help your loved one get care quickly
  • Take care of yourself, too — caregiver and peer support groups can help

Find a specialist

Podiatric foot & ankle surgeons, orthopaedic foot & ankle surgeons, and vascular surgeons are often part of a limb preservation care team. These professional societies offer searchable directories:

Learn more & get support

Links open external websites that BlueOcean Global does not operate or control.

Important: This information is for general education only and is not medical advice. It does not replace an evaluation by a qualified healthcare professional. BlueOcean Global is a medical device company; we do not provide medical care, diagnoses, or treatment recommendations, and we cannot respond to individual medical questions. Please do not send personal health information through our contact form. If you think you are having a medical emergency, call 911.

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