Precision X‑ray ball marker

The X‑Ray Ball Marker Built for Orthopedic Templating.

Every millimeter, exactly where it should be.

Akucal places a known-diameter reference marker at the anatomical plane, so your templating software has a true reference to scale from — not an estimate corrected after the patient's already on the table.

The Akucal EVO Suction stand: a suction-mounted flexible arm holding a stainless steel ball marker, shown beside three loose Rollr marker spheres.

The problem with magnification

A templating measurement is only as good as its scale reference.

Source-to-detector distance, patient thickness, beam angle — every X-ray magnifies the anatomy by an amount that changes case to case. Template off the wrong scale and the implant size is wrong before the first cut.

Without a reference

Software assumes a standard magnification factor, or a technologist estimates one. Neither accounts for this patient, this table, this beam — so implant sizing drifts, and the error only surfaces in the OR.

With Akucal

A stainless steel sphere of exact, known diameter sits at the anatomical plane — the same depth as the joint. The known-diameter sphere provides the reference the software can use to establish image scale.

How it works

Three steps, done at the table.

1

Mount

Suction the EVO Suction stand to the table. On textured or padded surfaces — trauma boards, vet tables — the Flat‑base add‑on gives it something to grip.

2

Position

Swing the flexible arm so the Ball Claw holds the Rollr Marker at the center of the joint — the anatomical plane, not the tabletop.

3

Template

Expose the film. Major templating and PACS platforms — including OrthoView, mediCAD, INFINITT, TraumaCad, and Fusion — are designed to read the marker and use it to establish image scale.

SOURCE ANATOMICAL PLANE DETECTOR

Placement is the whole trick. A marker taped to the skin or set on the tabletop sits at a different depth than the joint — and inherits a different magnification. At the anatomical plane, the marker and the anatomy magnify by exactly the same amount, which is what makes the scale reference true.

The product line

What makes a better X‑ray ball marker?

A purpose-built system — not generic parts assembled into a marker. Nearly two decades in hospitals and imaging centers taught J2 Medical that marker choice is a systems decision: evaluate it on durability, serviceability, and workflow speed, not price alone.

Reads on the film itself

An integrated size indicator is visible directly on the radiograph, confirming which marker size was used at a glance.

Tool-free in seconds

The Ball Claw releases and reseats the sphere without tools, so cleaning or swapping sizes doesn't slow the room down.

Small footprint

The suction base is machined to a compact diameter, so it holds the marker at anatomy level without crowding the table.

Built to be sanitized

Smooth, accessible surfaces throughout — every part is designed to survive routine cleaning, not just tolerate it.

The stand

Akucal EVO Suction

Compact-footprint aluminum suction base for horizontal or vertical surfaces, with a flexible arm that carries the marker to anatomy level.

SKU ES‑25‑1125 / 1″ / 30MM
Order on J2Medical.com →
The reference

Rollr Markers™

Machined surgical stainless steel spheres — solid, not hollow — with an integrated size indicator readable right on the radiograph.

SKU SPH‑6PK‑11Pack of 6
Order on J2Medical.com →
The holder

Ball Claws™

Tool-free release and reseat in seconds — removable, sanitizable holders built for rooms where the same stand serves case after case.

SKU BC‑6PK‑11Pack of 6
Order on J2Medical.com →
The shield

Akucal Undercover™

A 2.2mm copper shield behind the sphere that supports marker visibility during high-exposure imaging studies.

SKU UC‑11Copper
Order on J2Medical.com →
For textured surfaces

Flat‑base Add‑on

A 6″×8″ padded acrylic base that keeps the workflow consistent on trauma boards and vet tables that won't take suction.

SKU FLAT‑116″×8″
Order on J2Medical.com →
Anywhere else

Smoothee™ Strips

Adhesive-backed strips that turn any textured surface into a suctionable one, six per pack.

SKU SMOOTH‑114″×6″ ×6
Order on J2Medical.com →
For the whole department

Room-by-room bundles, priced for hospitals.

Multi-room packages scale from a couple of rooms to a full department — see current pricing and order on J2Medical.com.

All‑In‑One 1 ROOM
  • 1× EVO Suction stand
  • Rollr Marker pack
  • Flat‑base + Undercover
PowerPAK™ 2 ROOMS
  • 2× EVO Suction stands
  • 4× Rollr Markers
  • 4× Ball Claws
HeftyPAK™ 4 ROOMS
  • 4× EVO Suction stands
  • 8× Rollr Markers
  • 8× Ball Claws
FatPAK™ 8 ROOMS
  • 8× EVO Suction stands
  • 16× Rollr Markers
  • 8× Ball Claws
See bundle pricing on J2Medical.com →
Works with what you already run

Designed for use with major orthopedic templating and PACS platforms.

OrthoView mediCAD® INFINITT TraumaCad Fusion
Evidence, not just marketing

The literature agrees on where the marker belongs.

“Digital templating systems for total hip arthroplasty must use precisely placed scaling markers at the level of the hip joint to allow for accurate implant size estimation.”
Ramme AJ, Fisher ND, Egol J, Chang G, Vigdorchik JM — “Scaling Marker Position Determines the Accuracy of Digital Templating for Total Hip Arthroplasty,” HSS Journal, 2018

“The flex arm is ideal for quickly taking images without having to find different objects to adjust the height of the sphere. In addition, the suction mount allows for easy locking and movement, and the sphere has great contrast relative to the holding fixture.”

Jerald Redmond · Medtronic

8,000+
Facilities using Akucal
2007
In clinical use since
25 / 1″ / 30
Marker sizes, mm & inch
5
Compatible platforms

Ready to eliminate magnification error in your templating?

Single stands, room bundles, and institutional pricing are all available directly from J2 Medical — the company behind Akucal.

StandAkucal EVO Suction
BundlePowerPAK · 2 rooms
PlatformmediCAD®
Ships fromJ2 Medical
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