Profile · Medical-Legal Visuals
MediVisuals + High Impact: Showing a Jury What Happened
Medical illustration from Richmond since 1987, 3D forensic animation from Colorado, and jury research. A visuals company that started in the courtroom, not the deposition room.
Styx Advisory Partners advises MediVisuals + High Impact.
Most of the companies in No. 1 began with the transcript and worked toward the courtroom. MediVisuals began at the other end: with a medical illustrator, a patient's chart, and a trial lawyer who needed twelve people to understand an injury they would never see.
The workDrawn from the record, built for the jury.
- Medical illustration
Exhibits drawn from the imaging and the operative notes, so an injury reads the same to a juror as it does to the surgeon. The Richmond studio has done this for nearly four decades.
- 3D forensic and medical animation
High Impact, founded in Colorado in 1998, reconstructs collisions, mechanisms of injury and surgeries in motion. The two studios have worked as one company since 2024.
- Jury research
Mock juries and focus groups that tell a trial team which version of the story lands, before the exhibits that tell it are built.
Why it matters nowThe rules caught up with the craft.
Federal Rule of Evidence 107, in force since December 2024, expressly allows illustrative aids such as animations. Verdicts keep getting larger, and law firms are buying more of their trial visuals from outside specialists. A company built around the courtroom is positioned for both trends.
It is run by operators. CEO James Pickren has spent two decades running industrial and services businesses, and the leadership team behind him runs finance, operations and the trial-services practice across both studios.
The Styx view
In a field being rebuilt around court reporting, the companies worth watching are the ones whose work a jury actually sees. That is the reason for this profile, and for the one that may follow it.
Where I sit
Styx advises MediVisuals + High Impact, and you should read this page with that in mind. I'm the founder of Styx Advisory and have spent twenty years advising businesses through M&A, IPOs and capital decisions. If you run a trial-consulting, medical-visuals, expert or settlement-video firm and want a straight read on where it sits in a consolidating market, I'm glad to talk. A first conversation is confidential and comes with no follow-up campaign.
Zach Manis · 917-455-8604 · zim@styxadvisory.com
The market read, updated each quarter: the current issue of the Justice Note
The record, the drawing, the exhibit. The jury sees the work.
Zach ManisFounder, Styx Advisory Partners · Charlotte, North Carolina