Anal Irrigation System Market by Product Type (Balloon Catheter Systems, Cone Systems, Electric Anal Irrigation Systems), Patient Demographics (Adults, Elderly Patients, Pediatric Patients), End User - Global Forecast 2025-2032
Description
The Anal Irrigation System Market was valued at USD 1.59 billion in 2024 and is projected to grow to USD 1.80 billion in 2025, with a CAGR of 13.49%, reaching USD 4.38 billion by 2032.
A concise introduction to how device innovation, clinical guidelines, and care delivery models are reshaping use cases and adoption pathways for anal irrigation systems
Anal irrigation systems have matured from niche clinical tools into versatile interventions spanning inpatient and domiciliary care. Advances in device design, user ergonomics, and training protocols have broadened use beyond specialty gastroenterology clinics to general rehabilitation, long-term care, and home settings. Clinical guidelines increasingly emphasize individualized bowel management plans, positioning irrigation systems as an integral component of multidisciplinary approaches to neurogenic bowel, chronic constipation, and post-surgical care. Consequently, clinicians and care managers are prioritizing devices that balance efficacy, safety, and usability.
Concurrently, technology improvements have reduced the practical barriers to at-home administration. Simpler interfaces, improved tubing systems, and better materials have lowered the learning curve for caregivers and self-administration among motivated patients. This evolution is complemented by emerging service models that combine device provision with structured education, telehealth follow-up, and caregiver training programs. The result is a shift in procurement considerations, with stakeholders valuing integrated care pathways and post-sales support as highly as device specifications.
How converging clinical priorities, ergonomic device advancements, and evolving service models are driving a systemic transformation in anal irrigation adoption and care pathways
The landscape for anal irrigation systems is undergoing transformative shifts driven by converging clinical, technological, and care-delivery trends. Clinically, greater recognition of bowel management as a quality-of-life priority for patients with neurological conditions, spinal cord injury, and complex pediatric needs is prompting earlier and more systematic adoption of irrigation protocols. This clinical momentum is reinforcing demand for devices that deliver predictable outcomes while minimizing adverse events and caregiver burden.
Technologically, a wave of incremental innovations-ranging from more reliable pump mechanics to ergonomically designed catheters and smart monitoring features-has increased device acceptability across a broader patient population. The integration of caregiver-centered design and simplified maintenance protocols has also expanded viable use in home care settings. At the same time, regulatory expectations for evidence of safety and real-world performance are rising, prompting manufacturers to invest in post-market surveillance and user training resources. Finally, service models that combine devices with telehealth coaching and structured training are transforming adoption by reducing the clinical oversight required for safe at-home use, thereby unlocking new adoption pathways in long-term care and outpatient settings.
How the United States tariff adjustments enacted in 2025 prompted supply-chain resilience measures, sourcing shifts, and procurement scrutiny across the anal irrigation device ecosystem
Tariff changes in the United States in 2025 introduced new considerations for global supply chains that support medical device manufacturers and distributors. These policy modifications influenced sourcing strategies, prompting many stakeholders to reassess manufacturing footprints, vendor relationships, and logistics routing to manage landed-cost stability while maintaining compliance with procurement rules. For manufacturers whose components or finished devices cross borders multiple times during assembly and distribution, tariff increments catalyzed near-term initiatives to localize production or to redesign packaging and supply chain flows to mitigate cost volatility.
Beyond cost effects, heightened tariff awareness has reinforced the importance of resilient supply-chain design. Firms accelerated supplier diversification, expanded safety stock strategies for critical components, and revisited contract clauses governing price adjustments and force majeure. Health systems and large buyers responded by intensifying supplier due diligence, with procurement teams emphasizing contract flexibility, lead-time transparency, and contingency plans. The net effect has been a renewed focus on supplier collaboration and operational transparency, as device makers and purchasers seek to align incentives and ensure uninterrupted access to essential bowel management technologies despite trade policy uncertainty.
In-depth segmentation insights demonstrating how product architectures, patient cohorts, and end-user environments shape device design priorities, training needs, and procurement strategies
Segmentation analysis reveals differentiated demand drivers and design imperatives across product types, patient demographics, and end-user settings. Based on Product Type, market is studied across Balloon Catheter Systems, Cone Systems, Electric Anal Irrigation Systems, Gravity-Based Systems, Portable / Travel Irrigation Kits, and Pulsatile Systems; each category presents distinct trade-offs between portability, ease of use, clinical effectiveness, and cost to produce. Balloon catheter and cone systems are often favored in institutional settings for their procedural familiarity and simplicity, while electric systems and pulsatile devices appeal where programmable control and reduced manual effort are priorities. Portable and travel kits respond to the rising expectation for continuity of care beyond fixed facilities.
Based on Patient Demographics, market is studied across Adults, Elderly Patients, and Pediatric Patients; these cohorts differ in physiological needs, caregiver support structures, and tolerance for device complexity. Elderly patients typically require simple, low-effort solutions with clear safety features, whereas pediatric applications demand smaller form factors, family-centered education, and flexible scheduling. Adults with neurogenic conditions may prioritize discreet, reliable devices that support independence. Based on End User, market is studied across Home Care Settings, Hospitals, Long-Term Care Facilities, Outpatient Clinics, Pediatric Special Needs Facilities, and Rehabilitation Centers; each setting imposes unique requirements for device robustness, training intensity, infection control protocols, and service-level agreements. Hospitals and rehabilitation centers emphasize procedural standardization and clinician training, while home care and long-term care prioritize portability, caregiver training, and remote support capabilities.
Regional dynamics and adoption conditions across the Americas, Europe Middle East & Africa, and Asia-Pacific that determine regulatory, procurement, and deployment priorities for anal irrigation
Regional dynamics influence regulatory pathways, reimbursement frameworks, and adoption velocity for anal irrigation systems across the globe. In the Americas, which includes a combination of large public and private health systems, clinical practice patterns are shaped by payer incentives, institutional procurement cycles, and an emphasis on outpatient and home-based solutions that reduce hospitalization. This environment favors devices that integrate with care management programs and deliver demonstrable improvements in patient autonomy and caregiver burden.
Europe, Middle East & Africa present a heterogeneous landscape where varying regulatory regimes and reimbursement models create both challenges and pockets of opportunity. In several European markets, strong emphasis on clinical evidence and health technology assessment drives demand for demonstrably effective and cost-efficient interventions. Middle Eastern and African markets show emerging demand concentrated in urban tertiary centers and specialized rehabilitation programs, with growth tied to investments in long-term care infrastructure and clinician training.
Asia-Pacific is characterized by rapid modernization of health services, growing awareness of chronic care management, and a mix of highly developed and emerging care settings. Markets in this region are responsive to cost-sensitive design and scalable service models that can be deployed across dense urban populations and dispersed rural catchments. Local manufacturing capabilities, distribution partnerships, and culturally adapted training programs are key enablers of adoption in this region.
Competitive landscape dynamics showing how device makers use clinical validation, service partnerships, and product differentiation to secure adoption in clinical and home-care settings
The competitive landscape is shaped by manufacturers that balance clinical credibility, device usability, and post-market support. Market leaders emphasize investments in clinical studies, clinician education programs, and partnerships with rehabilitation and long-term care providers to embed their devices within care pathways. Mid-size and emerging companies differentiate through specialized designs-such as compact portable kits or pediatric-focused solutions-and agile distribution arrangements that target niche segments and underserved geographies.
Strategic alliances between device manufacturers, healthcare providers, and service organizations are becoming more common as stakeholders seek to reduce friction around training, onboarding, and telehealth-enabled follow-up. Companies that succeed combine strong clinical validation with scalable customer support and supply-chain reliability. Additionally, several firms are prioritizing modular product architectures and consumable management to lower total cost of ownership and simplify procurement for institutional buyers. Intellectual property portfolios and regulatory track records remain important competitive levers for maintaining market access and enabling cross-border expansion.
Actionable strategic priorities for manufacturers and care providers to align device design, training, supply-chain resilience, and evidence generation with buyer needs
Industry leaders should prioritize an integrated approach that aligns product development with demonstrable user outcomes, robust training programs, and resilient supply chains. First, invest in human-centered design to reduce the cognitive and physical effort required for both patients and caregivers; this increases adherence and reduces training burden. Complement device refinement with structured education modules and telehealth-supported follow-up to ensure safe transitions from clinic to home.
Second, diversify manufacturing and sourcing strategies to mitigate policy-driven cost volatility while maintaining quality standards. Localized assembly or dual-sourcing agreements for critical components can reduce exposure to trade disruptions. Third, strengthen clinical partnerships to generate real-world evidence that addresses payer and institutional decision criteria; evidence that emphasizes reductions in caregiver time, improvements in patient dignity, and reductions in avoidable clinical encounters will resonate with purchasers. Lastly, develop flexible commercial models that combine device sales with subscription-based consumables and service tiers, enabling buyers to align costs with outcomes and scale adoption across care networks.
Transparent methodology combining primary stakeholder interviews, clinical literature synthesis, regulatory review, and supply-chain analysis to produce actionable insights and recommendations
This research synthesizes a multi-source methodology that combines primary stakeholder engagement with rigorous secondary synthesis to ensure balanced, actionable insights. Primary inputs included structured interviews with clinicians, procurement leads, caregivers, and device manufacturers to capture frontline experiences, device preferences, and operational constraints. These qualitative inputs were triangulated with regulatory documentation, clinical guidelines, and device labelling to verify compliance considerations and safety practices.
Secondary research encompassed peer-reviewed clinical literature, professional society guidance, and public regulatory records to contextualize clinical effectiveness and risk profiles. Supply-chain analysis incorporated trade data, industry reports on component sourcing, and observable shifts in logistics practices following recent tariff changes. The methodology prioritized transparency and reproducibility by documenting interview frames, inclusion criteria for secondary materials, and the process used to reconcile divergent stakeholder perspectives. Where appropriate, sensitivity checks were applied to ensure recommendations remained robust under varying operational assumptions.
Concluding synthesis on how device usability, training, and supply-chain resilience jointly determine successful adoption and patient-centered outcomes in anal irrigation
Anal irrigation systems are positioned at the intersection of device innovation, evolving clinical practice, and changing care-delivery models that emphasize patient autonomy and home-based management. The accumulated evidence highlights that successful adoption depends on more than technical performance; it requires attention to caregiver training, supply-chain continuity, and integration with clinical pathways. Manufacturers who couple human-centered design with dependable post-sales support will be best placed to meet the varied needs of hospitals, long-term care facilities, outpatient clinics, and home caregivers.
Policy and procurement stakeholders should recognize the role of evidence generation and training in unlocking broader utilization while remaining attentive to the operational impacts of trade policy shifts and supply-chain fragility. By prioritizing resilience, transparent supplier relationships, and demonstrable user outcomes, stakeholders can enhance access to effective bowel management solutions and improve quality of life outcomes for patients and caregivers alike.
Please Note: PDF & Excel + Online Access - 1 Year
A concise introduction to how device innovation, clinical guidelines, and care delivery models are reshaping use cases and adoption pathways for anal irrigation systems
Anal irrigation systems have matured from niche clinical tools into versatile interventions spanning inpatient and domiciliary care. Advances in device design, user ergonomics, and training protocols have broadened use beyond specialty gastroenterology clinics to general rehabilitation, long-term care, and home settings. Clinical guidelines increasingly emphasize individualized bowel management plans, positioning irrigation systems as an integral component of multidisciplinary approaches to neurogenic bowel, chronic constipation, and post-surgical care. Consequently, clinicians and care managers are prioritizing devices that balance efficacy, safety, and usability.
Concurrently, technology improvements have reduced the practical barriers to at-home administration. Simpler interfaces, improved tubing systems, and better materials have lowered the learning curve for caregivers and self-administration among motivated patients. This evolution is complemented by emerging service models that combine device provision with structured education, telehealth follow-up, and caregiver training programs. The result is a shift in procurement considerations, with stakeholders valuing integrated care pathways and post-sales support as highly as device specifications.
How converging clinical priorities, ergonomic device advancements, and evolving service models are driving a systemic transformation in anal irrigation adoption and care pathways
The landscape for anal irrigation systems is undergoing transformative shifts driven by converging clinical, technological, and care-delivery trends. Clinically, greater recognition of bowel management as a quality-of-life priority for patients with neurological conditions, spinal cord injury, and complex pediatric needs is prompting earlier and more systematic adoption of irrigation protocols. This clinical momentum is reinforcing demand for devices that deliver predictable outcomes while minimizing adverse events and caregiver burden.
Technologically, a wave of incremental innovations-ranging from more reliable pump mechanics to ergonomically designed catheters and smart monitoring features-has increased device acceptability across a broader patient population. The integration of caregiver-centered design and simplified maintenance protocols has also expanded viable use in home care settings. At the same time, regulatory expectations for evidence of safety and real-world performance are rising, prompting manufacturers to invest in post-market surveillance and user training resources. Finally, service models that combine devices with telehealth coaching and structured training are transforming adoption by reducing the clinical oversight required for safe at-home use, thereby unlocking new adoption pathways in long-term care and outpatient settings.
How the United States tariff adjustments enacted in 2025 prompted supply-chain resilience measures, sourcing shifts, and procurement scrutiny across the anal irrigation device ecosystem
Tariff changes in the United States in 2025 introduced new considerations for global supply chains that support medical device manufacturers and distributors. These policy modifications influenced sourcing strategies, prompting many stakeholders to reassess manufacturing footprints, vendor relationships, and logistics routing to manage landed-cost stability while maintaining compliance with procurement rules. For manufacturers whose components or finished devices cross borders multiple times during assembly and distribution, tariff increments catalyzed near-term initiatives to localize production or to redesign packaging and supply chain flows to mitigate cost volatility.
Beyond cost effects, heightened tariff awareness has reinforced the importance of resilient supply-chain design. Firms accelerated supplier diversification, expanded safety stock strategies for critical components, and revisited contract clauses governing price adjustments and force majeure. Health systems and large buyers responded by intensifying supplier due diligence, with procurement teams emphasizing contract flexibility, lead-time transparency, and contingency plans. The net effect has been a renewed focus on supplier collaboration and operational transparency, as device makers and purchasers seek to align incentives and ensure uninterrupted access to essential bowel management technologies despite trade policy uncertainty.
In-depth segmentation insights demonstrating how product architectures, patient cohorts, and end-user environments shape device design priorities, training needs, and procurement strategies
Segmentation analysis reveals differentiated demand drivers and design imperatives across product types, patient demographics, and end-user settings. Based on Product Type, market is studied across Balloon Catheter Systems, Cone Systems, Electric Anal Irrigation Systems, Gravity-Based Systems, Portable / Travel Irrigation Kits, and Pulsatile Systems; each category presents distinct trade-offs between portability, ease of use, clinical effectiveness, and cost to produce. Balloon catheter and cone systems are often favored in institutional settings for their procedural familiarity and simplicity, while electric systems and pulsatile devices appeal where programmable control and reduced manual effort are priorities. Portable and travel kits respond to the rising expectation for continuity of care beyond fixed facilities.
Based on Patient Demographics, market is studied across Adults, Elderly Patients, and Pediatric Patients; these cohorts differ in physiological needs, caregiver support structures, and tolerance for device complexity. Elderly patients typically require simple, low-effort solutions with clear safety features, whereas pediatric applications demand smaller form factors, family-centered education, and flexible scheduling. Adults with neurogenic conditions may prioritize discreet, reliable devices that support independence. Based on End User, market is studied across Home Care Settings, Hospitals, Long-Term Care Facilities, Outpatient Clinics, Pediatric Special Needs Facilities, and Rehabilitation Centers; each setting imposes unique requirements for device robustness, training intensity, infection control protocols, and service-level agreements. Hospitals and rehabilitation centers emphasize procedural standardization and clinician training, while home care and long-term care prioritize portability, caregiver training, and remote support capabilities.
Regional dynamics and adoption conditions across the Americas, Europe Middle East & Africa, and Asia-Pacific that determine regulatory, procurement, and deployment priorities for anal irrigation
Regional dynamics influence regulatory pathways, reimbursement frameworks, and adoption velocity for anal irrigation systems across the globe. In the Americas, which includes a combination of large public and private health systems, clinical practice patterns are shaped by payer incentives, institutional procurement cycles, and an emphasis on outpatient and home-based solutions that reduce hospitalization. This environment favors devices that integrate with care management programs and deliver demonstrable improvements in patient autonomy and caregiver burden.
Europe, Middle East & Africa present a heterogeneous landscape where varying regulatory regimes and reimbursement models create both challenges and pockets of opportunity. In several European markets, strong emphasis on clinical evidence and health technology assessment drives demand for demonstrably effective and cost-efficient interventions. Middle Eastern and African markets show emerging demand concentrated in urban tertiary centers and specialized rehabilitation programs, with growth tied to investments in long-term care infrastructure and clinician training.
Asia-Pacific is characterized by rapid modernization of health services, growing awareness of chronic care management, and a mix of highly developed and emerging care settings. Markets in this region are responsive to cost-sensitive design and scalable service models that can be deployed across dense urban populations and dispersed rural catchments. Local manufacturing capabilities, distribution partnerships, and culturally adapted training programs are key enablers of adoption in this region.
Competitive landscape dynamics showing how device makers use clinical validation, service partnerships, and product differentiation to secure adoption in clinical and home-care settings
The competitive landscape is shaped by manufacturers that balance clinical credibility, device usability, and post-market support. Market leaders emphasize investments in clinical studies, clinician education programs, and partnerships with rehabilitation and long-term care providers to embed their devices within care pathways. Mid-size and emerging companies differentiate through specialized designs-such as compact portable kits or pediatric-focused solutions-and agile distribution arrangements that target niche segments and underserved geographies.
Strategic alliances between device manufacturers, healthcare providers, and service organizations are becoming more common as stakeholders seek to reduce friction around training, onboarding, and telehealth-enabled follow-up. Companies that succeed combine strong clinical validation with scalable customer support and supply-chain reliability. Additionally, several firms are prioritizing modular product architectures and consumable management to lower total cost of ownership and simplify procurement for institutional buyers. Intellectual property portfolios and regulatory track records remain important competitive levers for maintaining market access and enabling cross-border expansion.
Actionable strategic priorities for manufacturers and care providers to align device design, training, supply-chain resilience, and evidence generation with buyer needs
Industry leaders should prioritize an integrated approach that aligns product development with demonstrable user outcomes, robust training programs, and resilient supply chains. First, invest in human-centered design to reduce the cognitive and physical effort required for both patients and caregivers; this increases adherence and reduces training burden. Complement device refinement with structured education modules and telehealth-supported follow-up to ensure safe transitions from clinic to home.
Second, diversify manufacturing and sourcing strategies to mitigate policy-driven cost volatility while maintaining quality standards. Localized assembly or dual-sourcing agreements for critical components can reduce exposure to trade disruptions. Third, strengthen clinical partnerships to generate real-world evidence that addresses payer and institutional decision criteria; evidence that emphasizes reductions in caregiver time, improvements in patient dignity, and reductions in avoidable clinical encounters will resonate with purchasers. Lastly, develop flexible commercial models that combine device sales with subscription-based consumables and service tiers, enabling buyers to align costs with outcomes and scale adoption across care networks.
Transparent methodology combining primary stakeholder interviews, clinical literature synthesis, regulatory review, and supply-chain analysis to produce actionable insights and recommendations
This research synthesizes a multi-source methodology that combines primary stakeholder engagement with rigorous secondary synthesis to ensure balanced, actionable insights. Primary inputs included structured interviews with clinicians, procurement leads, caregivers, and device manufacturers to capture frontline experiences, device preferences, and operational constraints. These qualitative inputs were triangulated with regulatory documentation, clinical guidelines, and device labelling to verify compliance considerations and safety practices.
Secondary research encompassed peer-reviewed clinical literature, professional society guidance, and public regulatory records to contextualize clinical effectiveness and risk profiles. Supply-chain analysis incorporated trade data, industry reports on component sourcing, and observable shifts in logistics practices following recent tariff changes. The methodology prioritized transparency and reproducibility by documenting interview frames, inclusion criteria for secondary materials, and the process used to reconcile divergent stakeholder perspectives. Where appropriate, sensitivity checks were applied to ensure recommendations remained robust under varying operational assumptions.
Concluding synthesis on how device usability, training, and supply-chain resilience jointly determine successful adoption and patient-centered outcomes in anal irrigation
Anal irrigation systems are positioned at the intersection of device innovation, evolving clinical practice, and changing care-delivery models that emphasize patient autonomy and home-based management. The accumulated evidence highlights that successful adoption depends on more than technical performance; it requires attention to caregiver training, supply-chain continuity, and integration with clinical pathways. Manufacturers who couple human-centered design with dependable post-sales support will be best placed to meet the varied needs of hospitals, long-term care facilities, outpatient clinics, and home caregivers.
Policy and procurement stakeholders should recognize the role of evidence generation and training in unlocking broader utilization while remaining attentive to the operational impacts of trade policy shifts and supply-chain fragility. By prioritizing resilience, transparent supplier relationships, and demonstrable user outcomes, stakeholders can enhance access to effective bowel management solutions and improve quality of life outcomes for patients and caregivers alike.
Please Note: PDF & Excel + Online Access - 1 Year
Table of Contents
191 Pages
- 1. Preface
- 1.1. Objectives of the Study
- 1.2. Market Segmentation & Coverage
- 1.3. Years Considered for the Study
- 1.4. Currency
- 1.5. Language
- 1.6. Stakeholders
- 2. Research Methodology
- 3. Executive Summary
- 4. Market Overview
- 5. Market Insights
- 5.1. Increasing adoption of patient-centric anal irrigation devices with intuitive controls enhancing treatment adherence
- 5.2. Rising integration of smart sensor technology in anal irrigation systems for automated bowel function monitoring
- 5.3. Growing development of portable and discreet anal irrigation kits tailored for at-home and travel convenience
- 5.4. Emergence of eco-friendly disposable irrigation catheters made from biodegradable materials for improved sustainability
- 5.5. Expansion of insurance reimbursement and government support for anal irrigation therapies in neurogenic bowel care
- 5.6. Collaboration between device manufacturers and telehealth providers to enable virtual training and remote support
- 6. Cumulative Impact of United States Tariffs 2025
- 7. Cumulative Impact of Artificial Intelligence 2025
- 8. Anal Irrigation System Market, by Product Type
- 8.1. Balloon Catheter Systems
- 8.2. Cone Systems
- 8.3. Electric Anal Irrigation Systems
- 8.4. Gravity-Based Systems
- 8.5. Portable / Travel Irrigation Kits
- 8.6. Pulsatile Systems
- 9. Anal Irrigation System Market, by Patient Demographics
- 9.1. Adults
- 9.2. Elderly Patients
- 9.3. Pediatric Patients
- 10. Anal Irrigation System Market, by End User
- 10.1. Home Care Settings
- 10.2. Hospitals
- 10.3. Long-Term Care Facilities
- 10.4. Outpatient Clinics
- 10.5. Pediatric Special Needs Facilities
- 10.6. Rehabilitation Centers
- 11. Anal Irrigation System Market, by Region
- 11.1. Americas
- 11.1.1. North America
- 11.1.2. Latin America
- 11.2. Europe, Middle East & Africa
- 11.2.1. Europe
- 11.2.2. Middle East
- 11.2.3. Africa
- 11.3. Asia-Pacific
- 12. Anal Irrigation System Market, by Group
- 12.1. ASEAN
- 12.2. GCC
- 12.3. European Union
- 12.4. BRICS
- 12.5. G7
- 12.6. NATO
- 13. Anal Irrigation System Market, by Country
- 13.1. United States
- 13.2. Canada
- 13.3. Mexico
- 13.4. Brazil
- 13.5. United Kingdom
- 13.6. Germany
- 13.7. France
- 13.8. Russia
- 13.9. Italy
- 13.10. Spain
- 13.11. China
- 13.12. India
- 13.13. Japan
- 13.14. Australia
- 13.15. South Korea
- 14. Competitive Landscape
- 14.1. Market Share Analysis, 2024
- 14.2. FPNV Positioning Matrix, 2024
- 14.3. Competitive Analysis
- 14.3.1. Coloplast A/S
- 14.3.2. Wellspect HealthCare AB
- 14.3.3. ConvaTec Group plc
- 14.3.4. HR HealthCare, Inc.
- 14.3.5. B. Braun Melsungen AG
- 14.3.6. Hollister Incorporated
- 14.3.7. Medtronic plc
- 14.3.8. Laborie Medical Technologies, Inc.
- 14.3.9. Baxter International Inc.
- 14.3.10. Medline Industries, LP
- 14.3.11. UroMed Kurt Drews KG
- 14.3.12. ProSys International Ltd.
- 14.3.13. HTKD Medical
- 14.3.14. ABC Medical, Inc.
- 14.3.15. MacGregor Healthcare Ltd.
- 14.3.16. Avanos Medical Inc.
- 14.3.17. CleanColon Italy Srl
- 14.3.18. Shenzhen CleanColon Tech Co., Ltd.
- 14.3.19. Medegen Medical Products Inc.
- 14.3.20. DTA Medical GmbH
- 14.3.21. I.E. Medical LLC
- 14.3.22. Prime Pacific Health Innovations Corp.
- 14.3.23. Plasti‑Med LLC
- 14.3.24. Albert Waeschle Ltd.
- 14.3.25. Runfold Plastics Ltd.
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