Company Overview
About Barricaid
Barricaid is the commercial brand name for the Barricaid Annular Closure Device (ACD), a medical device developed and marketed by Intrinsic Therapeutics, a clinical-stage medical device company. The Barricaid ACD received FDA premarket approval on February 8, 2019. It is designed to treat lumbar disc herniation by sealing tears in the annulus fibrosus — the tough outer layer of spinal discs — following discectomy (the surgical removal of herniated disc material). By closing the annular defect, Barricaid aims to contain remaining disc material, reduce the likelihood of reherniation, and alleviate nerve compression and back pain.
Business Model & Competitive Advantage
The Barricaid device has been implanted in more than 12,000 patients globally and is supported by extensive clinical evidence across 8 distinct patient populations, including two randomized controlled trials and six single-arm studies. In 2025, the Centers for Medicare & Medicaid Services (CMS) significantly improved Barricaid's reimbursement: the ASC payment rate increased 46% from $6,500 to $9,527, substantially improving the economics for outpatient surgical centers. ISASS (International Society for the Advancement of Spine Surgery) also issued updated 2025 recommendations affirming Barricaid's medical necessity for high-risk discectomy patients with large annular defects.
Competitive Landscape 2025–2026
2025 was a landmark year for Barricaid's clinical advancement: the device was successfully implanted for the first time via an endoscopic (minimally invasive) approach, and separately implanted for the first time in patients under awake sedation (without general anesthesia). These minimally invasive technique expansions are expected to broaden the treatable patient population and increase adoption at outpatient surgery centers. Barricaid competes with Xclose and Inclose as the primary annular closure devices on the market, with Barricaid holding the strongest clinical evidence base.
Key Differentiators
Strong Challenger
Barricaid is an established challenger with significant market presence and competitive offerings in Healthcare.
Frequently Asked Questions
Estimated Visibility Trend (Beta)
Simulated 8-week rolling score
Based on estimated brand signals. Historical tracking coming soon.
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