Global Neuromuscular Transmission Monitor Market Size, Share, Trends, Industry Growth by Product Type (Single-Channel, Dual-Channel, Multi-Channel), by Technology (Electromyography, Acceleromyography, Mechanomyography), by End-User, by Region, and Forecast to 2030

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The global neuromuscular transmission monitor market size is anticipated to register a higher CAGR of around 6.5% during the forecast period from 2023 to 2030. The market is driven by factors such as the increasing number of surgeries, especially among the elderly, emphasizing patient safety. Technological advancements offer accurate monitoring through electromyography (EMG), acceleromyography (AMG), and mechanomyography (MMG). Growing awareness about postoperative complications and guidelines promoting NTM adoption reinforce its importance. Ambulatory surgical centers’ rise demands portable NTMs, while clinical trials necessitate accurate monitoring. Collaboration, education, and regulatory compliance push for advanced anesthesia practices. These factors collectively promote NTM’s integration, ensuring safer surgeries, minimizing risks, and enhancing patient outcomes.

Market Snapshot:

Benchmark Year 2022
Market Size $ x.x Bn lock
Market Growth (CAGR) ~ 6.5 % (2023-2030)
Largest Market Share North America
Analysis Period 2020-2030
Market Players Medtronic plc, GE Healthcare, Nihon Kohden Corporation, Drägerwerk AG & Co. KGaA, and RGB Medical Devices

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Market Drivers:

Increasing Surgical Procedures: The ongoing rise in surgical procedures, ranging from routine surgeries to complex interventions, is a major catalyst for the NTM market’s growth. Surgical procedures across various medical specialties, including orthopedics, neurology, and critical care, require accurate neuromuscular monitoring to ensure optimal patient safety and positive surgical outcomes. NTMs play a crucial role in helping anesthetists and healthcare providers assess and manage neuromuscular blockade during surgeries, reducing the risk of complications.

Growing Geriatric Population: The global population is aging, resulting in a higher proportion of elderly individuals who may require medical interventions and surgeries. Elderly patients often have comorbidities and altered physiological responses, making precise neuromuscular monitoring essential to tailor anesthesia administration and prevent complications such as inadequate muscle relaxation or postoperative residual paralysis.

Focus on Patient Safety: Patient safety has become a central concern in healthcare, driving the adoption of advanced technologies like NTMs. Incomplete neuromuscular recovery post-surgery can lead to serious complications, including impaired ventilation and airway obstruction. NTMs provide real-time feedback on the patient’s neuromuscular response to anesthesia, allowing anesthetists to adjust medication dosages and maintain an appropriate level of muscle relaxation.

Advancements in Technology: Technological advancements have significantly improved the accuracy and ease of use of NTMs. These monitors now incorporate multiple technologies such as electromyography (EMG), acceleromyography (AMG), and mechanomyography (MMG), each with its own benefits. These technologies offer precise measurements of neuromuscular responses, enabling anesthetists to make informed decisions to optimize patient care.

Increasing Awareness: Healthcare professionals are becoming more aware of the risks associated with inadequate neuromuscular monitoring. As awareness grows, the adoption of NTMs becomes a standard practice to prevent complications arising from incomplete muscle relaxation, which can lead to prolonged recovery times, increased hospital stays, and additional medical costs.

Rise in Ambulatory Surgical Centers: The proliferation of ambulatory surgical centers, which offer same-day surgical procedures, has led to a demand for portable and efficient medical devices, including NTMs. These centers require monitors that are compact, user-friendly, and suitable for various surgical settings to ensure patient safety and smooth procedures.

Clinical Research and Trials: The pharmaceutical industry and research institutions conducting clinical trials rely on accurate neuromuscular monitoring to study the effects of new drugs, anesthesia techniques, and medical interventions. NTMs play a critical role in collecting objective data during these trials, contributing to the evaluation of treatment efficacy and safety.

Regulatory Guidelines: Regulatory bodies and medical associations recognize the importance of proper neuromuscular monitoring. Guidelines and recommendations emphasize the incorporation of NTMs in anesthesia practice to minimize the risk of residual paralysis and related complications, reinforcing their adoption in clinical settings.

Market Insights:

The global neuromuscular transmission monitor market is bifurcated into product type, technology, end-user, and geography. On the basis of end-user, the market is further segmented into hospitals, ambulatory surgical centers, and others. The hospitals segment dominated the market in 2022 and expected to maintain its dominance over the forecast period. This dominance stems from the pivotal role that hospitals play as comprehensive healthcare institutions, offering a diverse array of medical services and catering to a wide range of patients with varying medical needs.

Hospitals serve as the central hub for medical interventions, conducting an extensive spectrum of surgical procedures across various medical specialties. From routine surgeries to intricate and complex procedures, hospitals accommodate patients with varying levels of acuity. Consequently, the demand for accurate and real-time neuromuscular monitoring becomes paramount in hospitals to ensure patient safety and positive surgical outcomes. NTMs are instrumental in this context, providing anesthesiologists and healthcare providers with precise information about the depth of neuromuscular blockade, thereby enabling them to make informed decisions during surgeries.

Due to their larger scale and comprehensive approach to healthcare, hospitals also tend to have higher patient volumes compared to ambulatory surgical centers and specialty clinics. This increased patient throughput translates to a continuous demand for neuromuscular monitoring, as surgeries are conducted on a daily basis. With a diverse patient demographic, hospitals need NTMs that can cater to different surgical scenarios and anesthesia requirements, reinforcing their dominant position as end-users.

Moreover, hospitals often encompass critical care units where patients require continuous monitoring and advanced medical interventions. In such settings, neuromuscular monitoring is crucial to prevent complications arising from inadequate muscle relaxation, particularly in patients who are on mechanical ventilation or undergoing complex procedures. NTMs play a vital role in maintaining patient safety and optimizing anesthesia management in these critical care scenarios.

Hospitals: Hospitals represent a primary end-user segment for NTMs due to the wide range of surgical procedures conducted in these facilities. As the hub for various medical interventions, hospitals require accurate neuromuscular monitoring to ensure patient safety during surgeries and anesthesia administration. NTMs enable anesthetists and healthcare providers to maintain appropriate muscle relaxation levels, minimizing complications and enhancing surgical outcomes.

Ambulatory Surgical Centers: Ambulatory surgical centers (ASCs) are experiencing significant growth, catering to same-day surgical procedures. These centers emphasize efficiency and quick patient turnover, making portable and user-friendly NTMs essential. NTMs enable ASCs to monitor neuromuscular responses in a compact setting, optimizing anesthesia management and ensuring safe procedures for patients.

Others: Specialty clinics that focus on specific medical disciplines, such as orthopedics or neurology, benefit from incorporating NTMs to enhance patient care during specialized procedures. Research institutes conducting clinical trials rely on accurate neuromuscular monitoring to evaluate the effects of new interventions or pharmaceuticals. These “other” end-users highlight the versatility of NTMs in various medical contexts beyond general hospitals.

The neuromuscular transmission monitor market research report presents the analysis of each segment from 2020 to 2030 considering 2022 as the base year for the research. The compounded annual growth rate (CAGR) for each respective segment is calculated for the forecast period from 2023 to 2030.

Historical & Forecast Period

  • 2020-21 – Historical Year
  • 2022 – Base Year
  • 2023-2030 – Forecast Period

Market Segmentation:

By Product Type:

  • Single-Channel
  • Dual-Channel
  • Multi-Channel

By Technology:

  • Electromyography (EMG)
  • Acceleromyography (AMG)
  • Mechanomyography (MMG)

By End-User:

  • Hospitals
  • Ambulatory Surgical Centers
  • Others

By Region:

  • North America
  • Europe
  • Asia Pacific
  • Latin America
  • Middle East & Africa

Regional Analysis:

Geographically, North America dominated the global neuromuscular transmission monitor market in 2022 and expected to grow at the same trend over the forecast period. North America’s dominance is attributed to its advanced healthcare systems, robust medical research, and a focus on patient safety. The region boasts a high prevalence of surgical procedures across various medical specialties and a well-established culture of incorporating innovative technologies into medical practice. This includes the integration of advanced monitoring devices like NTMs to enhance patient outcomes.

In North America, hospitals and medical institutions emphasize patient safety and optimal surgical outcomes, making neuromuscular monitoring crucial. The region’s aging population and the growing trend of outpatient surgeries also contribute to the increasing demand for NTMs. Furthermore, the presence of key players in the medical device industry and ongoing research initiatives ensures continuous technological development, reinforcing North America’s dominance.

Regulatory compliance and a strong emphasis on quality standards drive the adoption of NTMs in North America. Healthcare professionals are well-versed in the benefits of neuromuscular monitoring, leading to its widespread use in surgical settings. The availability of resources for research, development, and training further solidifies the region’s position as a dominant force in the NTM market.

Competitive Analysis:

Some of the prominent market players operating in the global neuromuscular transmission monitor market are Medtronic plc, GE Healthcare, Nihon Kohden Corporation, Drägerwerk AG & Co. KGaA, and RGB Medical Devices. Companies are exploring markets by expansion, new investment, the introduction of new services, and collaboration as their preferred strategies. Players are exploring new geography through expansion and acquisition to gain a competitive advantage through joint synergy.

Recent Developments:

In 2023, RGB Medical Devices launched the MyoTrac Touch. This monitor is a touchscreen device that makes it easy for clinicians to operate. It also features a number of new features, such as the ability to store and share data.

In 2023, Organon Laboratories launched the Neurotrac M500. This monitor is designed to be more affordable than other neuromuscular transmission monitors on the market. It also features a number of new features, such as the ability to connect to a smartphone or tablet.

In 2023, CAREstream Medical launched the Myostation 3. This monitor is designed to be more user-friendly than other neuromuscular transmission monitors on the market. It also features a number of new features, such as the ability to store and share data.

In 2022, GE Healthcare launched the Carescape Neuromuscular Transmission (NMT) Module. This module is designed to provide clinicians with real-time feedback on the neuromuscular function of their patients during surgery and critical care.

In 2022, Drägerwerk launched the N1000 NMT Monitor. This monitor is designed to be easy to use and portable, making it ideal for use in the field and during transport.

Key Companies:

  • Medtronic plc
  • GE Healthcare
  • Nihon Kohden Corporation
  • Datex-Ohmeda (part of GE Healthcare)
  • Drägerwerk AG & Co. KGaA
  • Smiths Medical
  • Mindray Medical International Limited
  • TOITU CO., LTD
  • InMed Equipments Pvt. Ltd
  • RMS Medical Devices

Key Questions Answered by Neuromuscular Transmission Monitor Market Report

  • Global neuromuscular transmission monitor market forecasts from 2023-2030
  • Regional market forecasts from 2023-2030 covering Asia-Pacific, North America, Europe, Middle East & Africa, and Latin America
  • Country-level forecasts from 2023-2030 covering 15 major countries from the regions as mentioned above
  • Neuromuscular transmission monitor submarket forecasts from 2023-2030 covering the market by product type, technology, end-user, and geography
  • Various industry models such as SWOT analysis, Value Chain Analysis about the market
  • Analysis of the key factors driving and restraining the growth of the global, regional, and country-level neuromuscular transmission monitor markets from 2023-2030
  • Competitive Landscape and market positioning of top 10 players operating in the market
Neuromuscular Transmission Monitor Market
Table of Content:

1. Preface


1.1. Report Description
1.1.1. Purpose of the Report
1.1.2. Target Audience
1.1.3. USP and Key Offerings
1.2. Research Scope
1.3. Research Methodology
1.3.1. Phase I – Secondary Research
1.3.2. Phase II – Primary Research
1.3.3. Phase III – Expert Panel Review
1.4. Assumptions

 

2. Executive Summary


2.1. Global Neuromuscular Transmission Monitor Market Portraiture
2.2. Global Neuromuscular Transmission Monitor Market, by Product Type, 2022 (USD Mn)
2.3. Global Neuromuscular Transmission Monitor Market, by Technology, 2022 (USD Mn)
2.4. Global Neuromuscular Transmission Monitor Market, by End-User, 2022 (USD Mn)
2.5. Global Neuromuscular Transmission Monitor Market, by Geography, 2022 (USD Mn)

 

3. Global Neuromuscular Transmission Monitor Market Analysis


3.1. Neuromuscular Transmission Monitor Market Overview
3.2. Market Inclination Insights
3.3. Market Dynamics
3.3.1. Drivers
3.3.2. Challenges
3.3.3. Opportunities
3.4. Attractive Investment Proposition
3.5. Competitive Analysis
3.6. Porter’s Five Force Analysis
3.6.1. Bargaining Power of Suppliers
3.6.2. Bargaining Power of Buyers
3.6.3. Threat of New Entrants
3.6.4. Threat of Substitutes
3.6.5. Degree of Competition
3.7. PESTLE Analysis
3.8. COVID-19 Impact Analysis

 

4. Global Neuromuscular Transmission Monitor Market By Product Type, 2020 – 2030 (USD Mn)


4.1. Overview
4.2. Single-Channel
4.3. Dual-Channel
4.4. Multi-Channel

 

5. Global Neuromuscular Transmission Monitor Market By Technology, 2020 – 2030 (USD Mn)


5.1. Overview
5.2. Electromyography (EMG)
5.3. Acceleromyography (AMG)
5.4. Mechanomyography (MMG)

 

6. Global Neuromuscular Transmission Monitor Market By End-User, 2020 – 2030 (USD Mn)


6.1. Overview
6.2. Hospitals
6.3. Ambulatory Surgical Centers
6.4. Others

 

7. North America Neuromuscular Transmission Monitor Market Analysis and Forecast, 2020 – 2030 (USD Mn)


7.1. Overview
7.2. North America Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
7.3. North America Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
7.4. North America Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
7.5. North America Neuromuscular Transmission Monitor Market by Country, (2020-2030 USD Mn)
7.5.1. U.S.
7.5.1.1. U.S. Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
7.5.1.2. U.S. Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
7.5.1.3. U.S. Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
7.5.2. Canada
7.5.2.1. Canada Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
7.5.2.2. Canada Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
7.5.2.3. Canada Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
7.5.3. Mexico
7.5.3.1. Mexico Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
7.5.3.2. Mexico Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
7.5.3.3. Mexico Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)

 

8. Europe Neuromuscular Transmission Monitor Market Analysis and Forecast, 2020 - 2030 (USD Mn)


8.1. Overview
8.2. Europe Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.3. Europe Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.4. Europe Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5. Europe Neuromuscular Transmission Monitor Market by Country, (2020-2030 USD Mn)
8.5.1. Germany
8.5.1.1. Germany Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.1.2. Germany Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.1.3. Germany Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5.2. U.K.
8.5.2.1. U.K. Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.2.2. U.K. Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.2.3. U.K. Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5.3. France
8.5.3.1. France Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.3.2. France Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.3.3. France Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5.4. Spain
8.5.4.1. Spain Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.4.2. Spain Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.4.3. Spain Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5.5. Italy
8.5.5.1. Italy Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.5.2. Italy Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.5.3. Italy Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
8.5.6. Rest of Europe
8.5.6.1. Rest of Europe Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
8.5.6.2. Rest of Europe Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
8.5.6.3. Rest of Europe Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)

 

9. Asia Pacific Neuromuscular Transmission Monitor Market Analysis and Forecast, 2020 - 2030 (USD Mn)


9.1. Overview
9.2. Asia Pacific Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.3. Asia Pacific Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.4. Asia Pacific Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
9.5. Asia Pacific Neuromuscular Transmission Monitor Market by Country, (2020-2030 USD Mn)
9.5.1. China
9.5.1.1. China Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.5.1.2. China Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.5.1.3. China Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
9.5.2. Japan
9.5.2.1. Japan Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.5.2.2. Japan Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.5.2.3. Japan Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
9.5.3. India
9.5.3.1. India Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.5.3.2. India Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.5.3.3. India Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
9.5.4. South Korea
9.5.4.1. South Korea Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.5.4.2. South Korea Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.5.4.3. South Korea Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
9.5.5. Rest of Asia Pacific
9.5.5.1. Rest of Asia Pacific Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
9.5.5.2. Rest of Asia Pacific Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
9.5.5.3. Rest of Asia Pacific Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)

 

10. Latin America (LATAM) Neuromuscular Transmission Monitor Market Analysis and Forecast, 2020 - 2030 (USD Mn)


10.1. Overview
10.2. Latin America Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
10.3. Latin America Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
10.4. Latin America Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
10.5. Latin America Neuromuscular Transmission Monitor Market by Country, (2020-2030 USD Mn)
10.5.1. Brazil
10.5.1.1. Brazil Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
10.5.1.2. Brazil Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
10.5.1.3. Brazil Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
10.5.2. Argentina
10.5.2.1. Argentina Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
10.5.2.2. Argentina Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
10.5.2.3. Argentina Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
10.5.3. Rest of Latin America
10.5.3.1. Rest of Latin America Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
10.5.3.2. Rest of Latin America Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
10.5.3.3. Rest of Latin America Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)

 

11. Middle East and Africa Neuromuscular Transmission Monitor Market Analysis and Forecast, 2020 - 2030 (USD Mn)


11.1. Overview
11.2. MEA Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
11.3. MEA Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
11.4. MEA Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
11.5. Middle East and Africa Neuromuscular Transmission Monitor Market, by Country, (2020-2030 USD Mn)
11.5.1. GCC
11.5.1.1. GCC Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
11.5.1.2. GCC Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
11.5.1.3. GCC Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
11.5.2. South Africa
11.5.2.1. South Africa Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
11.5.2.2. South Africa Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
11.5.2.3. South Africa Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)
11.5.3. Rest of MEA
11.5.3.1. Rest of MEA Neuromuscular Transmission Monitor Market by Product Type, (2020-2030 USD Mn)
11.5.3.2. Rest of MEA Neuromuscular Transmission Monitor Market by Technology, (2020-2030 USD Mn)
11.5.3.3. Rest of MEA Neuromuscular Transmission Monitor Market by End-User, (2020-2030 USD Mn)

 

12. Competitive Landscape


12.1. Company Market Share Analysis, 2022
12.2. Competitive Dashboard
12.3. Competitive Benchmarking
12.4. Geographic Presence Heatmap Analysis
12.5. Company Evolution Matrix
12.5.1. Star
12.5.2. Pervasive
12.5.3. Emerging Leader
12.5.4. Participant
12.6. Strategic Analysis Heatmap Analysis
12.7. Key Developments and Growth Strategies
12.7.1. Mergers and Acquisitions
12.7.2. New Product Launch
12.7.3. Joint Ventures
12.7.4. Others

 

13. Company Profiles


13.1. Medtronic plc
13.1.1. Business Description
13.1.2. Financial Health and Budget Allocation
13.1.3. Product Positions/Portfolio
13.1.4. Recent Development
13.1.5. SWOT Analysis
13.2. GE Healthcare
13.3. Nihon Kohden Corporation
13.4. Drägerwerk AG & Co. KGaA
13.5. RGB Medical Devices
13.6. Smiths Medical
13.7. Mindray Medical International Limited
13.8. TOITU CO., LTD
13.9. InMed Equipments Pvt. Ltd.
13.10. RMS Medical Devices
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