Endoscopic Vessel Harvesting Systems Market
By Product Type;
EVH Systems, Endoscopes and Accessories & DisposablesBy Vessel Type;
Saphenous Vein, Radial Artery and OthersBy Usability;
Disposable and Re-usableBy Application;
Coronary Artery Disease (CAD) and Peripheral Artery Disease (PAD)By End User;
Hospitals, Ambulatory Surgical Centers and Cardiac Specialty ClinicsBy Harvesting Technique;
Closed-tunnel CO₂ Insufflation and No-touch & CO₂-freeBy Geography;
North America, Europe, Asia Pacific, Middle East & Africa and Latin America - Report Timeline (2021 - 2031)Endoscopic Vessel Harvesting Systems Market Overview
Endoscopic Vessel Harvesting Systems Market (USD Million)
Endoscopic Vessel Harvesting Systems Market was valued at USD 3,756.56 million in the year 2024. The size of this market is expected to increase to USD 4,910.19 million by the year 2031, while growing at a Compounded Annual Growth Rate (CAGR) of 3.9%.
Endoscopic Vessel Harvesting Systems Market
*Market size in USD million
CAGR 3.9 %
| Study Period | 2025 - 2031 |
|---|---|
| Base Year | 2024 |
| CAGR (%) | 3.9 % |
| Market Size (2024) | USD 3,756.56 Million |
| Market Size (2031) | USD 4,910.19 Million |
| Market Concentration | High |
| Report Pages | 340 |
Major Players
- Getinge AB
- Terumo Corporation
- LivaNova PLC
- Medical Instruments Spa
- KARL STORZ SE & Co KG
Market Concentration
Consolidated - Market dominated by 1 - 5 major players
Endoscopic Vessel Harvesting Systems Market
Fragmented - Highly competitive market without dominant players
Endoscopic Vessel Harvesting (EVH) Systems Market is witnessing strong growth, driven by the rising adoption of minimally invasive cardiac procedures. More than 70% of cardiac surgeries now incorporate EVH systems due to their ability to minimize infection risks and enhance patient recovery rates. These systems are increasingly preferred for their role in reducing surgical trauma, which directly translates to shorter hospital stays and lower overall treatment costs.
Technological Innovations Driving Market Expansion
Significant technological advancements are fueling the widespread use of EVH systems. Innovations such as ultra-thin, high-definition endoscopes and advanced visualization tools have increased procedural accuracy and efficiency. Approximately 60% of cardiac care centers have integrated these systems, reflecting their critical role in modern cardiothoracic surgery. This ongoing innovation is ensuring faster adoption and broader clinical application.
Improved Patient Outcomes with Enhanced Recovery
EVH systems have become the standard for many cardiac procedures due to their ability to reduce post-operative complications and accelerate recovery times. Nearly 80% of coronary artery bypass graft (CABG) procedures now utilize EVH systems, benefiting from reduced post-surgical pain and fewer wound infections. These clinical advantages make EVH systems a preferred choice among surgeons and patients alike.
Growth Trajectory with Expanding Adoption
As minimally invasive surgical techniques gain broader acceptance, the EVH systems market is poised for continued growth. With over 75% of cardiovascular surgeons now preferring these systems for their superior clinical outcomes, the market is expected to expand rapidly. This momentum is supported by ongoing advancements and the rising demand for better patient outcomes, positioning EVH systems as a critical component of modern cardiac care.
Endoscopic Vessel Harvesting Systems Market Key Takeaways
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The rising global burden of cardiovascular disease is driving greater adoption of endoscopic vessel harvesting systems as part of less-invasive bypass procedures, reinforcing demand for vessels harvested with minimal trauma.
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A growing preference for minimally invasive surgical techniques is shifting procurement away from open-harvesting methods toward endoscopic systems, thanks to reduced wound-complication rates, shorter hospital stays and improved cosmetic outcomes.
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The North American region holds a dominant position accounting for roughly over ~40% of market share with Asia-Pacific emerging fastest thanks to increasing surgical capability and healthcare investment in emerging economies.
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Disposable and accessory components are gaining traction as hospitals prioritise infection-control and procedural standardisation, opening new growth paths beyond the core system hardware.
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Key constraints include the high upfront cost of system acquisition, the need for surgeon training and certification, and competition from alternative surgical techniques that may reduce harvest-device usage.
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Manufacturers are placing emphasis on technological advancement
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Strategic opportunity lies in targeting emerging markets
Endoscopic Vessel Harvesting Systems Market Recent Developments
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In November 2023, growing adoption of minimally invasive vessel harvesting techniques in coronary surgeries increased demand for advanced Endoscopic Vessel Harvesting (EVH) systems offering better visualization and vessel integration capabilities.
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In May 2024, the market saw rising use of disposable EVH instruments and greater investments across Asia-Pacific, driven by the surge in cardiovascular diseases and an expanding geriatric population requiring coronary interventions.
Endoscopic Vessel Harvesting Systems Market Segment Analysis
In this report, the Endoscopic Vessel Harvesting Systems Market has been segmented by Product Type, Vessel Type, Usability, Application, End User, Harvesting Technique and Geography. The analysis highlights the rapid transition toward minimally invasive cardiac surgeries, driven by advancements in endoscopic visualization and CO₂-assisted harvesting techniques. Continuous innovation in device ergonomics, optical precision and workflow integration has enhanced surgical efficiency and improved patient recovery outcomes globally.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Product Type
The Product Type segmentation includes EVH Systems, Endoscopes and Accessories & Disposables. Expanding adoption of EVH platforms across cardiac surgery centers and growing replacement cycles for endoscopic components are major contributors to market growth. Advanced integration between imaging modules and harvesting tools has improved procedural accuracy by nearly 25%.
EVH SystemsEVH systems form the backbone of minimally invasive vessel harvesting, allowing reduced incision size and lower infection rates. With automated cutting and sealing mechanisms, these systems have demonstrated 30% shorter operation times and improved postoperative recovery metrics.
EndoscopesEndoscopes play a critical role in providing high-definition visualization and facilitating precision harvesting. Upgrades in imaging sensors and angled optics have improved surgeon visibility by 20% and minimized tissue trauma during dissection.
Accessories & DisposablesAccessories & disposables, including trocars, cannulas and insufflation devices, ensure procedural efficiency and sterility. The shift toward single-use components has increased adoption by 15%, enhancing safety in infection-prone settings.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Vessel Type
The Vessel Type segment includes Saphenous Vein, Radial Artery and Others. The growing preference for autologous grafts in bypass surgeries and advancements in atraumatic harvesting tools are driving consistent utilization across vessel types. Improved procedural reproducibility and patient outcomes continue to strengthen the demand landscape.
Saphenous VeinSaphenous vein harvesting remains the dominant application, used in nearly 70% of coronary artery bypass graft (CABG) procedures. The use of endoscopic EVH techniques has resulted in 25% reductions in wound complications and faster mobilization.
Radial ArteryRadial artery harvesting is gaining adoption in complex cardiac reconstructions. Enhanced endoscopic precision has improved arterial integrity by 20% and reduced post-surgical pain and scarring compared to open methods.
OthersOther vessels, such as ulnar and gastroepiploic arteries, are being explored for multi-graft procedures. Specialized endoscopic kits now enable safe dissection and reduced procedural time by nearly 15%.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Usability
The Usability segmentation covers Disposable and Re-usable devices. Growing awareness of infection control and the need for sterility assurance are shifting the preference toward disposable models, while reusable systems remain popular for cost-optimized surgical suites with structured sterilization protocols.
DisposableDisposable harvesting systems ensure consistent performance and eliminate cross-contamination risks. Their adoption has grown by 20% due to increasing infection control standards and cost predictability in cardiac surgery.
Re-usableRe-usable devices continue to hold significant market presence, supported by robust material quality and improved reprocessing efficiency. Recent technological upgrades have extended device life by more than 25% without compromising safety.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Application
The Application segmentation comprises Coronary Artery Disease (CAD) and Peripheral Artery Disease (PAD). Rising incidence of cardiovascular disorders and growing preference for endoscopic revascularization are fueling widespread adoption of EVH systems. Advanced visualization tools and ergonomic designs are improving both surgical precision and postoperative outcomes.
Coronary Artery Disease (CAD)Coronary Artery Disease (CAD) represents the major application area, accounting for nearly 80% of global usage. Endoscopic harvesting in CABG procedures enhances graft quality, lowers wound infection by 30% and reduces hospital stays substantially.
Peripheral Artery Disease (PAD)Peripheral Artery Disease (PAD) procedures utilize EVH systems to improve vessel exposure and grafting outcomes. Adoption in this segment has grown by over 15% as healthcare facilities increasingly adopt minimally invasive vascular repair techniques.
Endoscopic Vessel Harvesting Systems Market, Segmentation by End User
The End User segmentation includes Hospitals, Ambulatory Surgical Centers and Cardiac Specialty Clinics. The market is characterized by expanding installation of endoscopic harvesting workstations and growing emphasis on procedure standardization across multi-disciplinary cardiac units.
HospitalsHospitals dominate the market, accounting for over 60% of total installations. Continuous investments in hybrid cardiac operating rooms and surgeon training programs are driving higher adoption rates in this segment.
Ambulatory Surgical CentersAmbulatory Surgical Centers (ASCs) are steadily adopting EVH systems due to their cost-effectiveness and efficiency in day-care bypass procedures. Streamlined setup and short recovery time have increased utilization by 20% annually.
Cardiac Specialty ClinicsCardiac Specialty Clinics are expanding their procedural offerings with dedicated vascular harvesting suites. This segment shows 18% year-over-year growth supported by rising demand for outpatient revascularization solutions.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Harvesting Technique
The Harvesting Technique segmentation includes Closed-tunnel CO₂ Insufflation and No-touch & CO₂-free. Growing awareness of tissue preservation and minimized endothelial damage is shaping surgeon preference for advanced techniques, supported by ongoing clinical validation and device innovation.
Closed-tunnel CO₂ InsufflationClosed-tunnel CO₂ insufflation technique maintains a controlled working channel with superior visibility, improving tissue preservation by 20% and reducing procedural time by 15%.
No-touch & CO₂-freeNo-touch and CO₂-free harvesting approaches are gaining attention for optimizing vein integrity and reducing postoperative inflammation. Surgeons report 25% improved graft patency and better long-term outcomes using these methods.
Endoscopic Vessel Harvesting Systems Market, Segmentation by Geography
The Geography segmentation includes North America, Europe, Asia Pacific, Middle East & Africa and Latin America. Market expansion is influenced by rising CABG procedure volumes, technological modernization and increased healthcare investments across emerging economies. Regional training initiatives and device standardization efforts are improving procedural consistency and adoption.
Regions and Countries Analyzed in this Report
North America leads the market, accounting for nearly 35% of global installations. High cardiac surgery volumes, robust reimbursement structures and continuous training initiatives have strengthened adoption across the U.S. and Canada.
EuropeEurope maintains a strong position driven by established cardiac networks and emphasis on minimally invasive grafting. Increasing adoption of CO₂-free harvesting and advanced imaging technologies contributes to 20% growth across major hospitals.
Asia PacificAsia Pacific shows the fastest growth exceeding 25% annually, supported by increasing prevalence of coronary artery disease, improving healthcare infrastructure and growing local manufacturing capabilities in China and India.
Middle East & AfricaMiddle East & Africa are progressing steadily with new cardiac specialty centers adopting endoscopic bypass procedures and participating in international surgeon training initiatives to improve procedural quality.
Latin AmericaLatin America exhibits consistent expansion through public-private collaborations and rising investment in cardiovascular care. Growing awareness of minimally invasive harvesting systems is driving clinical adoption in Brazil and Mexico.
Endoscopic Vessel Harvesting Systems Market Forces
This report provides an in depth analysis of various factors that impact the dynamics of Endoscopic Vessel Harvesting Systems Market. These factors include; Market Drivers, Restraints and Opportunities Analysis.
Comprehensive Market Impact Matrix
This matrix outlines how core market forces Drivers, Restraints and Opportunities affect key business dimensions including Growth, Competition, Customer Behavior, Regulation and Innovation.
| Market Forces ↓ / Impact Areas → | Market Growth Rate | Competitive Landscape | Customer Behavior | Regulatory Influence | Innovation Potential |
|---|---|---|---|---|---|
| Drivers | High impact (e.g., tech adoption, rising demand) | Encourages new entrants and fosters expansion | Increases usage and enhances demand elasticity | Often aligns with progressive policy trends | Fuels R&D initiatives and product development |
| Restraints | Slows growth (e.g., high costs, supply chain issues) | Raises entry barriers and may drive market consolidation | Deters consumption due to friction or low awareness | Introduces compliance hurdles and regulatory risks | Limits innovation appetite and risk tolerance |
| Opportunities | Unlocks new segments or untapped geographies | Creates white space for innovation and M&A | Opens new use cases and shifts consumer preferences | Policy shifts may offer strategic advantages | Sparks disruptive innovation and strategic alliances |
Drivers, Restraints and Opportunity Analysis
Drivers
- Rising Demand For Coronary Artery Bypass Grafting
- Increased Focus On Reducing Surgical Complications
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Growing Preference For Minimally Invasive Graft Harvesting - The endoscopic vessel harvesting (EVH) systems market is expanding due to the growing preference for minimally invasive graft harvesting techniques. Compared to traditional open procedures, EVH methods offer reduced postoperative pain, fewer infections, and shorter recovery times. These benefits align with patient and healthcare provider demands for more efficient and less traumatic surgical solutions.
EVH systems allow surgeons to harvest veins through small incisions, leading to improved cosmetic outcomes and fewer wound-related complications. This is especially advantageous in patients with comorbidities such as diabetes or obesity. The reduced length of hospital stay and quicker patient recovery further reinforce the value of these systems in clinical practice.
Technological advancements have also contributed to the adoption of EVH tools by enhancing surgeon control, precision, and visual clarity. These improvements have increased confidence in their use, even in complex surgical cases. Hospitals are gradually standardizing EVH systems in coronary artery bypass graft (CABG) procedures to improve long-term outcomes. As the trend toward minimally invasive surgeries continues, the demand for endoscopic vessel harvesting systems is expected to increase. Their role in improving surgical efficiency and patient satisfaction makes them essential tools in modern cardiovascular care.
Restraints
- High Cost Of Vessel Harvesting Equipment
- Steep Learning Curve For New Surgeons
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Risk Of Vessel Damage During Procedures - One major challenge in the EVH systems market is the risk of vessel damage during procedures. Despite the benefits of minimally invasive techniques, harvesting veins with endoscopic tools requires high precision and technical skill. Improper handling can lead to complications such as vessel trauma or reduced graft patency. Surgeons with limited experience may struggle with the complexities of navigating anatomical variations or dense tissues, increasing the likelihood of procedural errors. This learning curve can deter hospitals from adopting EVH systems widely, especially in facilities with limited training support or lower surgical volumes.
Some clinicians still question the long-term viability of endoscopically harvested veins in high-risk cardiac surgeries. The fear of technical failure or reduced durability can drive preferences for conventional open harvesting techniques, even in modern surgical settings. To overcome this barrier, the market must prioritize investments in training, intuitive device design, and standardized procedural protocols. These efforts will be key to reducing complication rates and building clinical trust in EVH technology.
Opportunities
- Expansion In Cardiac Specialty And Hybrid Centers
- Development Of User-Friendly Disposable EVH Tools
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Adoption In Emerging Cardiovascular Treatment Markets - An important growth opportunity for the EVH systems market lies in their adoption within emerging cardiovascular treatment markets. As healthcare infrastructure develops in regions such as Asia-Pacific, Latin America, and the Middle East, there is increasing demand for less invasive, patient-friendly surgical solutions. Rising cardiovascular disease rates in these regions are prompting government and private investments in modern cardiac surgery tools. EVH systems, with their ability to minimize surgical trauma and accelerate recovery, are becoming valuable additions to hospital surgical portfolios in both public and private healthcare institutions.
Efforts such as cross-border training programs and remote mentoring are helping to bridge the skills gap, enabling more surgeons to adopt and master EVH technologies. These initiatives are laying a foundation for sustainable long-term use of endoscopic harvesting methods across diverse healthcare environments. As access to cardiac care improves, EVH systems are well-positioned to become standard tools in surgical centers globally. Their relevance in improving outcomes and expanding procedural access makes them a key driver of market expansion.
Endoscopic Vessel Harvesting Systems Market Competitive Landscape Analysis
Endoscopic Vessel Harvesting Systems Market reflects an evolving competitive landscape where leading companies maintain strong positions through consistent technological progress and clinical adoption. Market penetration has surpassed 65%, with dominant players focusing on precision tools and minimally invasive solutions. Competition intensifies as firms emphasize cost-effective systems, strategic distribution, and improved patient outcomes to reinforce long-term market presence.
Market Structure and Concentration
The market remains moderately concentrated, with top manufacturers controlling nearly 70% of total share. Consolidation through merger and partnerships has reshaped the structure, enabling resource pooling and stronger hospital outreach. While established brands dominate, emerging players are capturing niche demand, intensifying competitive behavior across diverse regional healthcare environments.
Brand and Channel Strategies
Key companies adopt focused strategies that blend brand differentiation with hospital-based sales channels. Direct distribution is prioritized, while partnerships with regional suppliers strengthen market reach. Digital engagement and surgeon training programs also support brand loyalty. Around 55% of leading vendors invest in targeted channel development, ensuring continued growth across both developed and emerging economies.
Innovation Drivers and Technological Advancements
Ongoing innovation drives product evolution, with advances in visualization, ergonomics, and precision instruments. Nearly 60% of product portfolios now integrate advanced imaging and reduced incision technology, strengthening adoption rates. Companies emphasize R&D investments and collaboration with healthcare institutions, ensuring continuous upgrades that align with evolving surgical standards and patient recovery expectations.
Regional Momentum and Expansion
Regional markets show varied momentum, with North America accounting for over 40% of market share, driven by advanced healthcare infrastructure and favorable reimbursement. Europe maintains steady demand, while Asia-Pacific reflects rapid expansion fueled by growing surgical volumes. Leading players are reinforcing presence through local manufacturing, partnerships, and tailored clinical support across high-potential economies.
Future Outlook
The competitive scenario indicates continued growth as adoption of minimally invasive procedures accelerates. With more than 70% of hospitals expected to adopt these systems in the coming years, strategic collaboration, technological refinements, and clinical training will remain central. The future outlook emphasizes sustainability of leadership through integration, service expansion, and ongoing performance optimization across markets.
Key players in Endoscopic Vessel Harvesting Systems Market include:
- Getinge AB
- Terumo Corporation
- LivaNova
- Saphena Medical
- KARL STORZ
- Med Europe
- Cardio Medical
- Olympus Corporation
- Sorin Group
- Medical Instruments
- MAQUET Holding
- Smith and Nephew
- Stryker Corporation
- Zimmer Biomet Holdings
- Johnson and Johnson
In this report, the profile of each market player provides following information:
- Market Share Analysis
- Company Overview and Product Portfolio
- Key Developments
- Financial Overview
- Strategies
- Company SWOT Analysis
- Introduction
- Research Objectives and Assumptions
- Research Methodology
- Abbreviations
- Market Definition & Study Scope
- Executive Summary
- Market Snapshot, By Product Type
- Market Snapshot, By Vessel Type
- Market Snapshot, By Usability
- Market Snapshot, By Application
- Market Snapshot, By End User
- Market Snapshot, By Harvesting Technique
- Market Snapshot, By Region
- Endoscopic Vessel Harvesting Systems Market Forces
- Drivers, Restraints and Opportunities
- Drivers
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Rising Demand For Coronary Artery Bypass Grafting
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Increased Focus On Reducing Surgical Complications
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Growing Preference For Minimally Invasive Graft Harvesting
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- Restraints
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High Cost Of Vessel Harvesting Equipment
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Steep Learning Curve For New Surgeons
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Risk Of Vessel Damage During Procedures
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- Opportunities
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Expansion In Cardiac Specialty And Hybrid Centers
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Development Of User-Friendly Disposable EVH Tools
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Adoption In Emerging Cardiovascular Treatment Markets
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- Drivers
- PEST Analysis
- Political Analysis
- Economic Analysis
- Social Analysis
- Technological Analysis
- Porter's Analysis
- Bargaining Power of Suppliers
- Bargaining Power of Buyers
- Threat of Substitutes
- Threat of New Entrants
- Competitive Rivalry
- Drivers, Restraints and Opportunities
- Market Segmentation
- Endoscopic Vessel Harvesting Systems Market, By Product Type, 2021 - 2031 (USD Million)
- EVH Systems
- Endoscopes
- Accessories & Disposables
- Endoscopic Vessel Harvesting Systems Market, By Vessel Type, 2021 - 2031 (USD Million)
- Saphenous Vein
- Radial Artery
- Others
- Endoscopic Vessel Harvesting Systems Market, By Usability, 2021 - 2031 (USD Million)
- Disposable
- Re-usable
- Endoscopic Vessel Harvesting Systems Market, By Application, 2021 - 2031 (USD Million)
- Coronary Artery Disease (CAD)
- Peripheral Artery Disease (PAD)
- Endoscopic Vessel Harvesting Systems Market, By End User, 2021 - 2031 (USD Million)
- Hospitals
- Ambulatory Surgical Centers
- Cardiac Specialty Clinics
- Endoscopic Vessel Harvesting Systems Market, By Harvesting Technique, 2021 - 2031 (USD Million)
- Closed-tunnel CO₂ Insufflation
- No-touch & CO₂-free
- Endoscopic Vessel Harvesting Systems Market, By Geography, 2021 - 2031 (USD Million)
- North America
- United States
- Canada
- Europe
- Germany
- United Kingdom
- France
- Italy
- Spain
- Nordic
- Benelux
- Rest of Europe
- Asia Pacific
- Japan
- China
- India
- Australia & New Zealand
- South Korea
- ASEAN (Association of South East Asian Countries)
- Rest of Asia Pacific
- Middle East & Africa
- GCC
- Israel
- South Africa
- Rest of Middle East & Africa
- Latin America
- Brazil
- Mexico
- Argentina
- Rest of Latin America
- North America
- Endoscopic Vessel Harvesting Systems Market, By Product Type, 2021 - 2031 (USD Million)
- Competitive Landscape
- Company Profiles
- Getinge AB
- Terumo Corporation
- LivaNova
- Saphena Medical
- KARL STORZ
- Med Europe
- Cardio Medical
- Olympus Corporation
- Sorin Group
- Medical Instruments
- MAQUET Holding
- Smith and Nephew
- Stryker Corporation
- Zimmer Biomet Holdings
- Johnson and Johnson
- Company Profiles
- Analyst Views
- Future Outlook of the Market

