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About Realists USA

It started as a university research group in Leipzig. It now trains spine surgeons in more than 60 countries.

Realists AG designs and produces the RealSpine platform in Leipzig, Germany. Realists USA, Inc. sells and supports it in the United States from Columbus, Ohio. This page is who we are, where we are, and who you will deal with.

Surgeons from St. Georg Hospital Leipzig training on RealSpine in the RealLab
A training session in the RealLab with St. Georg Hospital Leipzig, Realists Training on YouTube, about 2 minutes.

Watch

A training session, as it happens.

Two minutes from a RealLab session with St. Georg Hospital Leipzig. Faculty, trainees, the cartridge, no specimen.

Meet the people

Two places

Designed and produced in Germany. Sold and supported in the US.

THE SAME PLATFORM and the same people behind it LEIPZIG, GERMANY COLUMBUS, OHIO

Realists AG

Leipzig, Germany

Design, engineering and production. Every RealSpine model, cartridge and pathology is designed and produced here, in the city where the company started as a university research group in 2015. Product decisions are made here, and Dr. Luis Bernal, who founded the company, still leads product.

Realists USA, Inc.

Columbus, Ohio

Sales, demos and support for the United States. Greg Rhinehart runs Realists USA. He books and runs every US demo, in person or online, at your site, online or in a RealLab. Write to sales@realistsusa.com.

How we got here

From a research group in Leipzig to a US company.

The dates below are the ones Realists has published. Nothing else is filled in.

2015

Leipzig

A university research group.

Dr. Luis Bernal starts Realists as a university research group in Leipzig. The company is a spin off of HTWK Leipzig, funded through the EXIST research transfer program of the German Federal Ministry for Economic Affairs and Energy.

2026

August 4

The platform rebuilt. Realists USA, Inc. launched.

Realists announces the RealSpine 2026 portfolio: one platform, three product families and an expanded Deformity line, and the launch of Realists USA, Inc. to bring cadaver independent spine training to the United States. Read the announcement.

2026

October 14 to 17

NASS 2026, San Antonio.

Realists meets US spine programs and OEM teams in a private suite away from the show floor, and launches RealImaging, its radiation free visualization for training, in the US. Book a suite session.

Who trains on RealSpine

Who trains on RealSpine.

Spine companies train their reps and their surgeons on it. Hospitals and residency programs train their residents on it. The numbers below are the ones Realists stands behind.

Countries

More than 60

RealSpine is in use in more than 60 countries.

Spine companies

The five largest in the world

The five largest spine companies in the world train on RealSpine. Realists works with each of them and favors none.

In the US

Dallas and New York

Hospitals in both cities train on RealSpine today.

Surgeons

Dr. Roger Härtl, Prof. Dr. Jin-Sung Luke Kim

Two surgeons who have operated on RealSpine and said so in writing. Read what they said.

Dr. Luis Bernal, CEO and founder of Realists AG

Why Realists exists

“

High technology has to be trained with high technology simulation. That is the core idea behind everything we build. Cadavers will always matter, but you cannot standardize them, repeat the same scenario, or summon a specific complication on demand. That is the gap we built Realists to close.

Dr. Luis Bernal

CEO and founder, Realists AG. From the August 4, 2026 announcement.

How we work

Three things you can hold us to.

01

We work with every OEM and favor none.

The largest spine companies in the world train on RealSpine. The platform runs on whatever instruments your team already uses, so a program is never tied to one company's system. How OEMs use it.

02

You buy the platform once.

Cartridges, modules and pathologies are added as the program grows. The platform you install for lumbar this year is the one you run deformity on next year. See the Full Modular simulator.

03

We say what the cadaver still does better.

Luis says it above: cadavers will always matter. RealSpine replaces the training days that need the same case repeated, and we will tell you which of your days those are. What a cadaver lab still does.

The people

Who you will deal with.

Two names. One leads the product in Leipzig, the other runs the US.

Dr. Luis Bernal, CEO and founder of Realists AG

Dr. Luis Bernal

CEO and founder, Realists AG

Cadavers will always matter, but you cannot standardize them, repeat the same scenario, or summon a specific complication on demand.

Engineer, entrepreneur, and medtech executive with over 15 years of experience leading innovation, product development, and international growth in surgical training and medical technology. Luis started Realists as a university research group in Leipzig in 2015 and still leads product today. He will be in San Antonio for NASS 2026.

Greg Rhinehart, VP Strategic Development and Sales USA, Realists USA

Greg Rhinehart

VP Strategic Development and Sales USA, Realists USA

Introducing Realists into the US spine industry allows us to provide a standardized training platform that produces a consistent and realistic training program for all spine procedures.

Greg runs Realists USA from Columbus, Ohio. Every US demo, in person or online, is run by him. Book time with Greg.

Where to find us

Two addresses and one week in San Antonio.

United States

Realists USA, Inc.

540 Enterprise Drive
Lewis Center, OH 43035
United States
sales@realistsusa.com

Book a demo

Germany

Realists AG

Heinrich-Heine-Str. 35
04178 Leipzig
Germany
+49 341 22346765
contact@realists.de

Visit realists.de

October 14 to 17, 2026

NASS 2026, San Antonio

Private suite sessions away from the show floor. Thirty minutes to operate on RealSpine 2026 and see the US launch of RealImaging.

The US RealLab is in Dallas, Texas.

Book your 30 minutes

Before you write

Questions people ask about the company.

Is Realists USA the same company as Realists in Germany?

Where are RealSpine models made?

Who do I talk to in the US?

Where can I see RealSpine in the US?

Book a demo

Now you know who we are. See what we build.

Thirty minutes with Greg Rhinehart, in person at your site or online. He replies with available times and brings the platform.

Book a Demo

Now you know who we are. See what we build.

Book a demo with Greg, in person or online.

Book a Demo