It’s been over a year since Smith & Nephew plc (NYSE: SNN) announced a transaction, but the medical device manufacturer is back on the acquisition trail. On September 29, the company purchased Integra LifeSciences Holdings Corporation‘s (NASDAQ: IART) extremity orthopedics business for $240 million.

The business includes a portfolio of devices, implants and instruments for shoulder replacement as well as reconstruction of bone in the hand, wrist and elbow, and foot and ankle. This deal will significantly strengthen Smith & Nephew’s extremities business by adding a combination of a focused sales channel, complementary shoulder replacement and upper and lower extremities portfolio, and a new product pipeline. The focused extremities commercial channel includes a specialized sales force and distributors, predominantly in the U.S. as well as Canada and Europe. The U.S. extremities segment has been growing at around 6-7% per year.

Smith & Nephew reported much more M&A activity in 2019, with four deals on the books according to results in the Deal Database. On March 12, Smith & Nephew reported two deals. First, it acquired Osiris Therapeutics, Inc. for $660.5 million, or $19 per share in cash. Osiris Therapeutics researches, develops, manufactures and commercializes regenerative medicine products in orthopedics, sports medicine and wound care.  In the other deal, Smith & Nephew purchased Brainlab‘s joint reconstruction business for an undisclosed sum. The business provides surgeons with digital workflow tools. The technology is used in more than 40,000 orthopedic cases each year at more than 500 accounts worldwide. 

In April, Smith & Nephew added Leaf Healthcare,  a medical technology company best known for its Leaf Patient Monitoring System for pressure injury prevention and patient mobility monitoring. Following that deal, in June Smith & Nephew acquired Atracsys Sarl, which provides optical navigation and robotic tracking components with applications in orthopedics, neurosurgery, spine and dental and other computer-assisted surgical procedures.