Creganna-Tactx Medical is a world leader in providing minimally invasive medical device technologies and services. It has over 830 staff, $110M in sales in 2009, and a global operational reach serving customers ranging from large multinational companies to startups. It achieved this position through good engineering practices, governance with an independent board, good management and business practices, and reinvesting profits. The company focuses on engineering and has engineering teams conducting research and development for both customers and internal projects.