Material Insights · Understanding the Material World

Medical devices: Chokepoints and risks

Syringes, implants, scanners, monitors and diagnostic tests for hospitals and clinics

Chokepoints and risks

  • India imports about 70% of devices by value, including most imaging and electromedical equipment3.
  • Ethylene oxide sterilisation handles roughly half of US sterile devices at a limited set of plants under tightening emission rules4.
  • Helium for MRI comes from a few countries and price spikes or shortages hit imaging operators.
  • Regulatory capacity limits: too few EU notified bodies forced the MDR transition to be pushed to 2027-2028, and slow approvals push small firms out5.
  • Price caps and single-payer package rates compress margins for implants and consumables.