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Symbios is a young startup: within a few months, Jacques Essinger develops the first version of the Makestem software that enables the design of custom-made hip prostheses and their manufacture on digitally controlled machines. The first custom-made prosthesis prototype is manufactured in November 1989. Symbios then entrusts the manufacture of the prostheses to the mechanical subcontracting company Maurer-Bauman in Payerne.