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Top 100 Medical Equipment Manufacturers in the USA (2026)

Medtronic, J&J MedTech and Medline lead 100 US-based medical device makers ranked by revenue, with HQ, products, tickers and state counts.

Nurse adjusting a patient monitor and hospital medical equipment
Photo: Pexels

Medtronic is the largest medical equipment manufacturer based in the USA, with $36.4 billion in revenue in its fiscal year that ended in April 2026, according to Medical Design & Outsourcing’s 2026 Medtech Big 100. Johnson & Johnson’s MedTech business ($33.8 billion), Medline ($28.4 billion), Stryker ($25.1 billion) and Abbott’s medical devices segment ($21.4 billion) round out the top five. Together, the ten biggest US companies on our list booked about $230 billion, roughly two-thirds of everything the 97 public companies below report.

This ranking covers 100 US-headquartered makers of medical devices and equipment, from billion-dollar heart valve and surgical robot companies to small Florida and Minnesota firms selling MRI-safe infusion pumps or airway clearance vests. Revenue comes from MDO’s October 2026 edition of the Big 100 (mostly calendar 2025 results) and, for US companies below or outside MDO’s cut, from trailing 12-month revenue listed by Stock Analysis. Every row says which period applies. Three private or foreign-owned companies with credible revenue figures sit in a separate group at the end.

Medtronic, J&J MedTech and Medline Top a California-Heavy List

  • Medtronic ($36.4 billion), J&J MedTech ($33.8 billion) and Medline ($28.4 billion) are the three largest US-based medical equipment manufacturers by latest annual revenue.
  • California is home to 31 of the 100 companies, as many as Massachusetts (10), Minnesota (7), New Jersey (7) and Florida (7) combined.
  • Illinois has only four companies on the list, yet they add up to about $81.7 billion in revenue, the most of any state, thanks to Medline, Abbott, GE HealthCare and Baxter.
  • Ownership is shifting fast: Medline listed on Nasdaq in December 2025, MiniMed in March 2026, Hologic went private in April 2026, and Danaher closed its Masimo purchase in June 2026.
  • Cardiovascular devices are the most crowded category (14 companies counting Zoll and Cook Medical), while diabetes technology has seven makers ranging from Dexcom to Beta Bionics.

Top 100 Medical Equipment Manufacturers in the USA Ranked by Revenue

Ranks 1 to 97 are publicly reported companies sorted by their latest revenue figure. Rows marked FY use the fiscal-year revenue published in MDO’s 2026 Big 100; where a company reports segments, MDO counts only the medtech segment (Abbott, BD, Cardinal Health, Solventum and Plexus). Rows marked TTM use trailing 12-month revenue from Stock Analysis’s medical devices and medical instruments and supplies industry pages, checked on October 31, 2026. Revenue is in US dollars.

RankCompanyHQMain product areasLatest annual revenue (period)Ticker
1MedtronicMinneapolis, MN*Cardiac rhythm devices, structural heart, neuromodulation, Hugo surgical robot, spine$36.36B (FY2026, ended Apr 2026)MDT
2J&J MedTech (Johnson & Johnson)New Brunswick, NJDePuy Synthes orthopedics, electrophysiology, Impella heart pumps, Shockwave IVL, surgery$33.79B (FY2025)JNJ
3MedlineNorthfield, ILGloves, gowns, procedure kits, wound care, med-surg supplies and distribution$28.43B (FY2025)MDLN
4StrykerPortage, MIHip and knee implants, Mako robot, neurovascular, hospital beds, surgical tools$25.12B (FY2025)SYK
5Abbott (medical devices segment)Abbott Park, ILFreeStyle Libre CGMs, electrophysiology, heart valves, MitraClip, neuromodulation$21.39B (FY2025)ABT
6GE HealthCareChicago, ILCT, MRI, ultrasound, X-ray, patient monitoring, imaging agents$20.62B (FY2025)GEHC
7Boston ScientificMarlborough, MAFarapulse ablation, Watchman, stents, urology, endoscopy, neuromodulation$20.07B (FY2025)BSX
8BD (medical and interventional segments)Franklin Lakes, NJSyringes, IV catheters, Alaris infusion pumps, surgical and interventional devices$18.54B (FY2025, ended Sep 2025)BDX
9Henry ScheinMelville, NYDental and medical supplies, dental equipment, practice software$13.18B (FY2025)HSIC
10Cardinal Health (medical products and distribution)Dublin, OHCardinal Health brand gloves, wound care and surgical products, med-surg distribution$12.64B (FY2025, ended Jun 2025)CAH
11BaxterDeerfield, ILIV solutions, infusion pumps, Hillrom beds and monitoring, surgical sealants$11.24B (FY2025)BAX
12Intuitive SurgicalSunnyvale, CAda Vinci surgical robots, Ion bronchoscopy robot$10.06B (FY2025)ISRG
13Zimmer BiometWarsaw, INKnee and hip implants, ROSA robot, sports medicine, trauma$8.23B (FY2025)ZBH
14Edwards LifesciencesIrvine, CASapien TAVR valves, mitral and tricuspid repair, surgical valves$6.07B (FY2025)EW
15SterisMentor, OH*Sterilizers, surgical tables and lights, endoscopy accessories, sterilization services$5.94B (FY2026, ended Mar 2026)STE
16ResMedSan Diego, CACPAP and bilevel devices, masks, home ventilators, sleep software$5.15B (FY2025, ended Jun 2025)RMD
17Solventum (MedSurg segment)Maplewood, MNV.A.C. negative pressure wound therapy, IV site care, drapes, sterilization assurance$4.82B (FY2025)SOLV
18DexcomSan Diego, CAG7 and Stelo continuous glucose monitors$4.66B (FY2025)DXCM
19HologicMarlborough, MA3D mammography, breast biopsy, Panther molecular diagnostics, GYN surgical$4.10B (FY2025, ended Sep 2025)Private (Blackstone/TPG since Apr 2026)
20CooperCompaniesSan Ramon, CACooperVision contact lenses, CooperSurgical fertility and women’s health$4.09B (FY2025, ended Oct 2025)COO
21Align TechnologyTempe, AZInvisalign clear aligners, iTero intraoral scanners$4.04B (FY2025)ALGN
22Dentsply SironaCharlotte, NCDental implants, CAD/CAM, dental imaging, consumables$3.68B (FY2025)XRAY
23MiniMedNorthridge, CAMiniMed 780G insulin pumps, Simplera CGM sensors$3.10B (FY2026, ended Apr 2026)MMED
24Globus MedicalAudubon, PASpine implants, ExcelsiusGPS robot, trauma, spinal cord stimulation$2.94B (FY2025)GMED
25EnvistaBrea, CANobel Biocare implants, Spark aligners, dental imaging$2.72B (FY2025)NVST
26InsuletActon, MAOmnipod 5 tubeless insulin pumps$2.71B (FY2025)PODD
27EnovisWilmington, DEJoint replacement implants, DonJoy bracing, rehab devices$2.25B (FY2025)ENOV
28ICU MedicalSan Clemente, CAInfusion pumps, IV sets, vascular access, critical care$2.23B (FY2025)ICUI
29TeleflexWayne, PAVascular access, interventional cardiology, surgical instruments$1.99B (FY2025)TFX
30Integer HoldingsPlano, TXContract manufacturing of cardiac, neuro and vascular components$1.85B (FY2025)ITGR
31Integra LifeSciencesPrinceton, NJNeurosurgery devices, tissue regeneration, surgical instruments$1.64B (FY2025)IART
32Plexus (healthcare and life sciences segment)Neenah, WIContract design and manufacturing of medical electronics$1.63B (FY2025, ended Sep 2025)PLXS
33MasimoIrvine, CAPulse oximetry, patient monitoring, hospital automation$1.53B (FY2025)Acquired by Danaher (Jun 2026)
34Merit Medical SystemsSouth Jordan, UTCatheters, guidewires, embolics, biopsy and drainage devices$1.52B (FY2025)MMSI
35PenumbraAlameda, CAThrombectomy catheters, neurovascular embolization$1.40B (FY2025)PEN
36ConmedLargo, FLSports medicine, AirSeal insufflation, electrosurgery$1.37B (FY2025)CNMD
37HaemoneticsBoston, MAPlasma collection systems, hemostasis testing, vascular closure$1.33B (FY2026, ended Mar 2026)HAE
38EmbectaParsippany, NJInsulin syringes and pen needles$1.08B (FY2025, ended Sep 2025)EMBC
39Tandem Diabetes CareSan Diego, CAt:slim X2 and Mobi insulin pumps$1.01B (FY2025)TNDM
40Inspire Medical SystemsGolden Valley, MNImplantable nerve stimulator for obstructive sleep apnea$912.0M (FY2025)INSP
41Varex ImagingSalt Lake City, UTX-ray tubes and flat-panel detectors for imaging OEMs$865.0M (TTM as of Oct 2026)VREX
42Orthofix MedicalLewisville, TXSpine implants, bone growth stimulators, limb reconstruction$822.3M (FY2025)OFIX
43Alphatec (ATEC Spine)Carlsbad, CASpine implants, EOS imaging, surgical navigation$764.2M (FY2025)ATEC
44iRhythm TechnologiesSan Francisco, CAZio wearable heart monitors$747.1M (FY2025)IRTC
45Avanos MedicalAlpharetta, GAEnteral feeding tubes, radiofrequency pain management$701.2M (FY2025)AVNS
46UFP TechnologiesNewburyport, MAContract manufacturing of single-use foam, film and molded components$631.6M (TTM as of Oct 2026)UFPT
47TransMedicsAndover, MAOrgan Care System for donor organ transport$605.5M (FY2025)TMDX
48BioventusDurham, NCDurolane knee injections, bone graft substitutes, ultrasonic surgery$581.9M (TTM as of Oct 2026)BVS
49AtriCureMason, OHAtriClip appendage exclusion, surgical ablation$534.5M (FY2025)ATRC
50GlaukosAliso Viejo, CAiStent glaucoma stents, iDose TR implant, corneal cross-linking$507.4M (FY2025)GKOS
51AccurayMadison, WICyberKnife and TomoTherapy radiation therapy systems$458.5M (FY2025, ended Jun 2025)ARAY
52ArtivionKennesaw, GAAortic stent grafts, On-X heart valves, surgical sealants$441.3M (FY2025)AORT
53InogenGoleta, CAPortable oxygen concentrators$354.3M (TTM as of Oct 2026)INGN
54Tactile Systems TechnologyMinneapolis, MNFlexitouch lymphedema pumps, AffloVest airway clearance$350.3M (TTM as of Oct 2026)TCMD
55STAAR SurgicalLake Forest, CAEVO implantable Collamer lenses$339.6M (TTM as of Oct 2026)STAA
56PROCEPT BioRoboticsSan Jose, CAAquablation robotic system for enlarged prostate$337.3M (TTM as of Oct 2026)PRCT
57AngioDynamicsLatham, NYAngioVac, Auryon atherectomy, NanoKnife ablation$325.4M (TTM as of Oct 2026)ANGO
58AxogenAlachua, FLAvance nerve grafts and nerve repair products$266.9M (TTM as of Oct 2026)AXGN
59LeMaitre VascularBurlington, MAPeripheral vascular grafts, patches and valvulotomes$262.4M (TTM as of Oct 2026)LMAT
60OrthoPediatricsWarsaw, INPediatric orthopedic implants, scoliosis systems$236.3M (FY2025)KIDS
61CerusConcord, CAIntercept pathogen-reduction system for blood components$221.6M (TTM as of Oct 2026)CERS
62Treace Medical ConceptsPonte Vedra, FLLapiplasty bunion correction system$205.3M (TTM as of Oct 2026)TMCI
63Si-BoneSanta Clara, CAiFuse sacroiliac joint fusion implants$200.9M (FY2025)SIBN
64NeuroneticsMalvern, PANeuroStar TMS therapy for depression$155.1M (TTM as of Oct 2026)STIM
65RxSightAliso Viejo, CALight Adjustable Lens and light delivery device$127.6M (TTM as of Oct 2026)RXST
66Beta BionicsIrvine, CAiLet bionic pancreas insulin pump$127.3M (TTM as of Oct 2026)BBNX
67Butterfly NetworkBurlington, MAHandheld ultrasound-on-chip probes$123.3M (TTM as of Oct 2026)BFLY
68Outset MedicalSan Jose, CATablo hemodialysis system$117.8M (TTM as of Oct 2026)OM
69OwletLehi, UTDream Sock infant monitor and BabySat$114.4M (TTM as of Oct 2026)OWLT
70Sanara MedTechFort Worth, TXCellerateRX collagen and wound care products$109.8M (TTM as of Oct 2026)SMTI
71Xtant MedicalBelgrade, MTSpine implants and orthobiologics$109.5M (TTM as of Oct 2026)XTNT
72NeuroPaceMountain View, CARNS responsive neurostimulation for epilepsy$107.0M (TTM as of Oct 2026)NPCE
73Kestra Medical TechnologiesKirkland, WAASSURE wearable cardioverter defibrillator$106.7M (TTM as of Oct 2026)KMTS
74CeriBellSunnyvale, CAPoint-of-care EEG for seizure detection$102.0M (TTM as of Oct 2026)CBLL
75IRADIMEDWinter Springs, FLMRI-compatible IV pumps and patient monitors$89.3M (TTM as of Oct 2026)IRMD
76PulmonxRedwood City, CAZephyr endobronchial valves for emphysema$88.8M (TTM as of Oct 2026)LUNG
77Sight SciencesMenlo Park, CAOMNI glaucoma surgical system, TearCare$83.4M (TTM as of Oct 2026)SGHT
78TELA BioMalvern, PAOviTex tissue matrix for hernia repair$79.9M (TTM as of Oct 2026)TELA
79Pro-DexIrvine, CAContract maker of powered surgical drivers$79.6M (TTM as of Oct 2026)PDEX
80AVITA MedicalValencia, CARECELL skin cell system for burns and wounds$75.6M (TTM as of Oct 2026)RCEL
81ElectromedNew Prague, MNSmartVest airway clearance vests$73.8M (TTM as of Oct 2026)ELMD
82CVRxMinneapolis, MNBarostim neuromodulation for heart failure$61.2M (TTM as of Oct 2026)CVRX
83LENSAROrlando, FLALLY femtosecond laser cataract system$60.3M (TTM as of Oct 2026)LNSR
84Apyx MedicalClearwater, FLRenuvion helium plasma surgical devices$58.4M (TTM as of Oct 2026)APYX
85IRIDEXMountain View, CAOphthalmic lasers for glaucoma and retina$51.6M (TTM as of Oct 2026)IRIX
86SenseonicsGermantown, MDEversense implantable CGM$48.5M (TTM as of Oct 2026)SENS
87ClearPoint NeuroSolana Beach, CAMRI-guided neurosurgery navigation$45.5M (TTM as of Oct 2026)CLPT
88KORU Medical SystemsMahwah, NJFreedom60 subcutaneous infusion pumps$45.1M (TTM as of Oct 2026)KRMD
89SANUWAVE HealthEden Prairie, MNUltraMIST and dermaPACE wound healing devices$44.0M (TTM as of Oct 2026)SNWV
90CytoSorbentsPrinceton, NJCytoSorb blood purification cartridges$37.2M (TTM as of Oct 2026)CTSO
91electroCoreRockaway, NJgammaCore non-invasive vagus nerve stimulator$37.0M (TTM as of Oct 2026)ECOR
92Utah Medical ProductsMidvale, UTObstetric, gynecology and neonatal devices$34.9M (TTM as of Oct 2026)UTMD
93Retractable TechnologiesLittle Elm, TXRetractable-needle safety syringes$33.9M (TTM as of Oct 2026)RVP
94Precision OpticsGardner, MAMicro-optics and endoscopes for device OEMs$31.5M (TTM as of Oct 2026)POCI
95StereotaxisSt. Louis, MORobotic magnetic navigation for cardiac ablation$30.1M (TTM as of Oct 2026)STXS
96Sensus HealthcareBoca Raton, FLSuperficial radiation therapy for skin cancer$17.5M (TTM as of Oct 2026)SRTS
97HyperfineGuilford, CTSwoop portable MRI$16.5M (TTM as of Oct 2026)HYPR

*Medtronic and Steris run their businesses from Minneapolis and Mentor, Ohio, but are legally domiciled in Ireland. We include them because their operating headquarters, leadership and largest workforces are in the US.

Private and Subsidiary Manufacturers With Published Revenue

These three companies do not file standalone revenue with the SEC. Each shared a figure with MDO for the 2026 Big 100, which is why they appear here, ranked after the public group. Zoll is based in Massachusetts but has been owned by Japan’s Asahi Kasei since 2012; Cook Medical and Applied Medical are privately held.

RankCompanyHQMain product areasLatest annual revenue (period)Ownership
98Zoll Medical (Asahi Kasei subsidiary)Chelmsford, MADefibrillators, LifeVest wearable defibrillator, resuscitation$2.70B (Latest FY reported to MDO)Subsidiary of Asahi Kasei
99Cook MedicalBloomington, INInterventional catheters, stents, endoscopy, urology devices$2.40B (Latest FY reported to MDO)Private
100Applied MedicalRancho Santa Margarita, CALaparoscopic trocars, Voyant electrosurgery, surgical access$954.0M (Latest FY reported to MDO)Private

The 10 Largest US Medical Device Companies, Profiled

The top ten mixes three very different business models: diversified device makers (Medtronic, J&J MedTech, Abbott), focused specialists (Stryker, GE HealthCare, Boston Scientific, BD) and supply houses that both manufacture and distribute (Medline, Henry Schein, Cardinal Health). That mix matters if you are comparing them as employers, suppliers or customers.

1. Medtronic: The Broadest Device Portfolio in the Industry

Medtronic sells pacemakers, implantable defibrillators, the Micra leadless pacemaker, TAVR valves, spinal cord stimulators, spine hardware and the Hugo robotic-assisted surgery system, among thousands of other products. MDO puts its latest fiscal-year revenue at $36.4 billion, up 8%, and its R&D budget at $2.9 billion, the highest of any company in the 2026 Big 100. In March 2026 it carved out its diabetes unit: MiniMed began trading on Nasdaq on March 6, raising about $560 million, with Medtronic keeping roughly 90%. It also closed its $585 million CathWorks purchase on April 20, 2026 and agreed on May 20 to buy nerve stimulation company SPR Therapeutics for $650 million.

2. J&J MedTech: Orthopedics Is About to Leave

Johnson & Johnson’s device arm reported $33.8 billion for 2025. Its products span DePuy Synthes hip, knee and trauma implants, Biosense Webster electrophysiology catheters, Abiomed’s Impella heart pumps, Shockwave intravascular lithotripsy, Ethicon surgical staplers and Acuvue contact lenses. J&J said in October 2025 it would separate DePuy Synthes, and MD+DI reported in February 2026 that it was also weighing a sale that Bloomberg valued above $20 billion. DePuy Synthes brought in nearly $9.3 billion in 2025, so the MedTech total will shrink sharply once the unit leaves.

3. Medline: The Biggest IPO of 2025

Medline makes and distributes about 335,000 medical-surgical items, from exam gloves and gowns to procedure kits, and produces about a third of its own-brand products in 33 factories. The Northfield, Illinois, company priced its upsized IPO at $29 a share on December 16, 2025, raising $6.3 billion on Nasdaq under the ticker MDLN. MDO lists its revenue at $28.4 billion, which puts a family-built supplier ahead of Stryker and Abbott’s device business.

4. Stryker: Orthopedic Robots and Hospital Gear

Stryker, based in Portage, Michigan, earned $25.1 billion in 2025. The Mako robot for knee and hip replacement anchors its orthopedics franchise, and it also sells neurovascular devices, stretchers, hospital beds and power tools for surgeons. In May 2026 it completed the purchase of Amplitude Vascular Systems for $435 million upfront plus up to $400 million in milestones, adding an intravascular lithotripsy system for blocked arteries.

5. Abbott: CGMs and Heart Devices Drive the Device Segment

MDO counts only Abbott’s medical devices segment ($21.4 billion), which jumped two places to No. 6 globally. Its FreeStyle Libre continuous glucose monitors, MitraClip and TriClip heart valve repair systems, electrophysiology catheters and neuromodulation implants sit in that segment. Abbott’s diagnostics, nutrition and branded drug businesses are excluded. The company completed its acquisition of Exact Sciences on March 23, 2026, a cancer screening deal reported at about $21 billion.

6. GE HealthCare: The Largest US Imaging Manufacturer

Spun off from General Electric in January 2023, Chicago-based GE HealthCare makes CT and MRI scanners, ultrasound systems, X-ray and mammography units, patient monitors and the contrast agents used in scans. Revenue was $20.6 billion in 2025. It closed its $2.3 billion purchase of imaging software maker Intelerad on March 18, 2026, a bet that hospitals will move image storage and reading tools to the cloud.

7. Boston Scientific: Heart Rhythm Devices at Scale

Boston Scientific grew revenue 20% to $20.1 billion in 2025, one of the fastest rates in MDO’s ranking. Its best-known products are the Farapulse pulsed field ablation system for atrial fibrillation and the Watchman left atrial appendage implant. The Marlborough, Massachusetts, company agreed on January 15, 2026 to buy Penumbra for $14.5 billion and in May paid $1.5 billion for about a third of TAVR developer MiRus.

8. BD: A Leaner Company After the Waters Deal

BD makes the syringes, IV catheters and Alaris infusion pumps found in most US hospitals. MDO ranks only its medical and interventional segments, which totaled $18.5 billion in the fiscal year ended September 2025. On February 9, 2026, BD completed the combination of its Biosciences and Diagnostic Solutions businesses with Waters Corp., leaving the Franklin Lakes, New Jersey, company focused on medical devices.

9. Henry Schein: Dental Equipment and Supplies

Henry Schein, based in Melville, New York, reported $13.2 billion. Most of that is distribution to dental and physician offices, though the company also sells its own-brand supplies and dental equipment and practice software, which is why MDO includes it. Frederick M. Lowery became chief executive on March 2, 2026, succeeding longtime leader Stanley Bergman.

10. Cardinal Health: Medical Products Inside a Drug Distributor

Cardinal Health’s total revenue tops $250 billion, but nearly all of it comes from pharmaceutical distribution. MDO ranks only the Global Medical Products and Distribution segment, which makes and distributes Cardinal Health brand gloves, surgical drapes, wound care and patient-handling products. That segment brought in $12.6 billion in the fiscal year ended June 2025, and $12.7 billion in fiscal 2026, according to results released August 11, 2026.

US Medical Equipment Manufacturers by Product Category

We assigned each company to its main revenue category. Diversified giants are counted once, under their own category, even though Medtronic alone competes in several of the others. Combined revenue mixes fiscal-year and TTM figures exactly as listed in the main table.

CategoryCompaniesCombined revenueExamples
Cardiovascular14$38.63BBoston Scientific, Edwards Lifesciences, Zoll Medical, Cook Medical, Teleflex, Merit Medical Systems
Orthopedics and spine11$41.45BStryker, Zimmer Biomet, Globus Medical, Enovis, Orthofix Medical, Alphatec
Diagnostics and imaging7$26.21BGE HealthCare, Hologic, Varex Imaging, Accuray, Butterfly Network, Sensus Healthcare
Surgical robotics (primary business)3$10.43BIntuitive Surgical, PROCEPT BioRobotics, Stereotaxis
Diabetes devices7$12.74BDexcom, MiniMed, Insulet, Embecta, Tandem Diabetes Care, Beta Bionics
DME, home and respiratory equipment6$6.08BResMed, Inogen, Tactile Systems Technology, Owlet, Electromed, KORU Medical Systems
Med-surg supplies and distribution5$72.83BMedline, BD, Henry Schein, Cardinal Health, Retractable Technologies
Hospital equipment and infusion4$19.50BBaxter, Steris, ICU Medical, IRADIMED
Ophthalmic7$5.26BCooperCompanies, Glaukos, STAAR Surgical, RxSight, Sight Sciences, LENSAR
Dental3$10.43BAlign Technology, Dentsply Sirona, Envista
Neurotechnology7$2.99BIntegra LifeSciences, Inspire Medical Systems, Neuronetics, NeuroPace, CeriBell, ClearPoint Neuro
Contract manufacturing5$4.23BInteger Holdings, Plexus, UFP Technologies, Pro-Dex, Precision Optics
Wound care4$5.05BSolventum, Sanara MedTech, AVITA Medical, SANUWAVE Health
General surgery and surgical tools5$2.73BConmed, Applied Medical, Axogen, TELA Bio, Apyx Medical
Diversified device makers3$91.54BMedtronic, J&J MedTech, Abbott
Blood, organ, renal and other specialties9$4.67BMasimo, Haemonetics, Avanos Medical, TransMedics, Cerus, Outset Medical

Surgical robotics looks small when only pure-play makers are counted. In practice it is one of the most contested areas on the list: Medtronic (Hugo), Stryker (Mako), Zimmer Biomet (ROSA), Globus (ExcelsiusGPS) and J&J all sell or are developing robotic systems that compete with Intuitive’s da Vinci. Diabetes is a similar story, with Abbott’s FreeStyle Libre counted under Abbott’s diversified total rather than in the diabetes row.

Home medical equipment is where most of the list’s smaller companies live. Inogen’s portable oxygen concentrators, Tactile’s lymphedema pumps and Electromed’s SmartVest are sold to patients through home care channels, often under Medicare’s durable medical equipment benefit. Readers thinking about selling into that market can find starting points in our guide to medical supply business ideas.

Which States Have the Most Medical Device Manufacturers

California leads by a wide margin, with Southern California’s Orange County and San Diego clusters and the Bay Area together accounting for 31 of the 100 companies. Massachusetts, home to Boston Scientific, Insulet and a cluster of Burlington and Marlborough firms, is second with ten.

StateCompaniesCombined revenueLargest company in the state
California31$47.46BIntuitive Surgical
Massachusetts10$32.57BBoston Scientific
New Jersey7$55.17BJ&J MedTech
Minnesota7$42.62BMedtronic
Florida7$2.07BConmed
Illinois4$81.69BMedline
Pennsylvania4$5.17BGlobus Medical
Texas4$2.82BInteger Holdings
Utah4$2.53BMerit Medical Systems
Ohio3$19.11BCardinal Health
Indiana3$10.87BZimmer Biomet
New York2$13.51BHenry Schein
North Carolina2$4.26BDentsply Sirona
Wisconsin2$2.09BPlexus
Georgia2$1.14BAvanos Medical
Michigan1$25.12BStryker
Arizona1$4.04BAlign Technology
Delaware1$2.25BEnovis
Montana1$109.5MXtant Medical
Washington1$106.7MKestra Medical Technologies
Maryland1$48.5MSenseonics
Missouri1$30.1MStereotaxis
Connecticut1$16.5MHyperfine

Revenue tells a different story from company counts. Illinois has just four entries but leads on combined revenue, and New Jersey’s seven companies outrank California’s 31 because J&J MedTech and BD are both based there. Minnesota’s Medical Alley around Minneapolis punches above its count with Medtronic, Solventum’s MedSurg business and Inspire. Indiana’s Warsaw is home to two companies on the list, Zimmer Biomet and OrthoPediatrics.

For job seekers, those clusters matter more than headquarters addresses. Medical device manufacturing sits within the broader healthcare sector that federal projections expect to keep adding jobs, as covered in our look at the fastest growing industries in the US. If benefits are part of your search, our list of companies with paid parental leave is a useful cross-check.

Deals Reshaping the Medical Equipment Industry in 2026

A ranking built on 2025 numbers is already partly out of date because of the volume of deals. These are the changes most likely to move companies on next year’s list:

  • Hologic went private: Blackstone and TPG completed their buyout in April 2026 at $76 a share in cash plus a contingent value right worth up to $3, and former Baxter chief Joe Almeida became CEO. Hologic keeps its rank here because its fiscal 2025 revenue was publicly reported.
  • Masimo joined Danaher: The $9.9 billion deal closed June 10, 2026. MDO notes Masimo may not appear in its 2027 ranking.
  • Penumbra is heading to Boston Scientific: The $14.5 billion purchase was still pending at the time of writing, with completion expected in 2026.
  • Avanos and Integer are going private: Avanos accepted a $1.27 billion offer from American Industrial Partners in April 2026, and Integer plans to sell to KKR for $5.7 billion, possibly closing by the end of 2026.
  • Teleflex shrank: Its revenue fell 35% in MDO’s ranking after it sold its acute care, interventional urology and OEM businesses for $2 billion, which dropped it from No. 41 to No. 55 globally.
  • Owens & Minor dropped off: The Mechanicsville, Virginia, company was No. 13 on MDO’s prior list but did not share results for 2026, so it is not ranked here.

How This Medical Equipment Manufacturer Ranking Was Built

  • Starting list: We took every US-headquartered company from MDO’s 2026 Medtech Big 100, published October 13, 2026. MDO ranks OEMs and the medtech segments of diversified companies by revenue, mostly calendar 2025 results, with some fiscal years ending as late as April 2026.
  • Filling ranks below MDO’s cut: MDO’s 100th company, Si-Bone, reported $200.9 million, and only 54 US companies made the global list. For the rest, we used US-headquartered device and equipment makers from Stock Analysis’s medical devices and instruments and supplies industry lists, using trailing 12-month revenue. A handful of these, such as Varex Imaging and UFP Technologies, are large enough to rank between MDO entries.
  • Headquarters rule: A company qualifies if its operating headquarters is in the US. Foreign-headquartered companies with big US operations, such as Siemens Healthineers, Philips, Alcon, Smith+Nephew, LivaNova and Novocure, are excluded.
  • What is left out: In line with MDO’s scope, pure laboratory diagnostics and life science tools companies (Danaher, Thermo Fisher, Bio-Rad, QuidelOrtho), drug-packaging makers such as West Pharmaceutical Services, and equipment rental or home care service providers such as AdaptHealth are not ranked. Private companies appear only when a credible revenue figure has been published.
  • Segments: For Abbott, BD, Cardinal Health, Solventum and Plexus, only the medical device or medical products segment counts, following MDO.

Medical Equipment Manufacturers in the USA: Common Questions

What Is the Largest Medical Device Company in the United States?

By revenue, Medtronic, with $36.4 billion in the fiscal year ended April 2026. It runs the business from Minneapolis but is legally domiciled in Ireland. Counting only companies incorporated in the US, Johnson & Johnson’s MedTech segment ($33.8 billion for 2025) is the largest.

Which State Has the Most Medical Equipment Manufacturers?

California, with 31 of the 100 companies on this list, including Intuitive Surgical, Edwards Lifesciences, ResMed and Dexcom. Massachusetts is second with 10, followed by Minnesota, New Jersey and Florida with seven each.

Is Medline a Manufacturer or a Distributor?

Both. Medline distributes around 335,000 products and makes about a third of its own-brand items in 33 factories, according to Renaissance Capital’s IPO summary. MDO ranks it third worldwide among medical device businesses.

Who Makes the Most Surgical Robots in the US?

Intuitive Surgical of Sunnyvale, California, maker of the da Vinci system, is the largest company whose main business is surgical robots, with $10.1 billion in 2025 revenue. Medtronic, Stryker, Zimmer Biomet and Globus Medical also sell robotic systems.

Which US Companies Make Home Medical Equipment?

On this list, ResMed (CPAP machines), Inogen (portable oxygen concentrators), Tactile Systems (lymphedema pumps), Electromed (airway clearance vests), KORU (home infusion pumps) and Owlet (infant monitors). Medline and Cardinal Health also make home-care supplies.

Medtech Big 100 Rankings and Stock Analysis Revenue Lists

More company rankings and industry coverage: Business News.

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Founder, Editor and Business Reporter, Bizolaunch

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