Medical Device Cleaning - Market Insights, Competitive Landscape, and Market Forecast - 2034

Medical Device Cleaning Market Summary

Overview:

• The global medical device cleaning market was valued at USD 2.85 billion in 2025 and is projected to reach USD 5.13 billion by 2034.
• The market is expected to expand at a CAGR of 6.75% during the forecast period 2026-2034, supported by the rising number of surgical procedures, the increasing burden of healthcare-associated infections, and higher hospital admissions leading to large-scale utilization of medical devices across the globe.
• By detergent type, the enzymatic segment dominated the medical device cleaning market with a 62% share in 2025.
• By process, the automatic cleaning segment dominated the medical device cleaning market with a 34% share in 2025.
• By application, the surgical instruments segment dominated the medical device cleaning market with a 48% share in 2025.
• North America accounted for the largest share of the medical device cleaning market at 38% in 2025, while Asia-Pacific is anticipated to register the fastest growth through 2034.

Medical device cleaning refers to the process of removing blood, tissue, microorganisms, and other contaminants from medical instruments and devices before sterilization or reuse. Proper cleaning is essential to prevent infection, ensure patient safety, and maintain the functionality and longevity of medical equipment, and it is the critical first step in infection control and in compliance with healthcare regulations, since no sterilization process can reliably act upon an instrument whose surfaces remain obscured by organic soil. The market is organized upon the chemistry applied, the process by which it is applied, and the device to which it is applied. By detergent type, it divides between enzymatic formulations, which employ proteases, lipases, and amylases to break down the proteinaceous and lipid soils characteristic of surgical bioburden, and non-enzymatic formulations, which rely upon alkaline, neutral, or surfactant chemistry. By process, it spans the cleaning stage, comprising pre-cleaning at the point of use, manual cleaning by brushing and immersion, and automatic cleaning through ultrasonic cleaners, automated washer-disinfectors, and robotic systems, followed by the disinfection stage, comprising high-level, intermediate-level, and low-level disinfection according to the Spaulding classification of the device. By application, it spans endoscopes, whose narrow channels and heat sensitivity make them the most demanding reprocessing challenge, surgical instruments, and other devices including ultrasound probes and dental instruments. The contemporary market is defined by the movement toward automation, traceability, and single-use alternatives.

Medical Device Cleaning Market Key Growth Drivers

• A rising number of surgical procedures worldwide, with World Bank Group data indicating that Germany performed some 19,124 surgical procedures per 100,000 population in 2022 and Finland some 15,870 per 100,000 in the same year.
• A very high burden of healthcare-associated infections, with the World Health Organization reporting that 7 of every 100 patients in high-income countries and 15 of every 100 in low- and middle-income countries acquire at least one such infection in acute care hospitals.
• A substantial regional infection burden, with the World Health Organization reporting 8.9 million healthcare-associated infections occurring each year in acute and long-term care facilities across the European Union and European Economic Area.
• High procedural volumes in the United States, with the American Heart Association reporting some 500,000 open-heart surgeries performed annually and the American Academy of Orthopaedic Surgeons reporting over 1 million total joint replacements in 2022.
• Growing elective and aesthetic procedure volumes, with ISAPS reporting over 6.1 million cosmetic surgeries performed in the United States in 2023.
• Increased hospital admissions driven by chronic conditions and aging populations, leading to large-scale utilization of medical devices requiring reprocessing.
• The growing role of automation in medical device cleaning and the integration of robot-assisted technology, which improve consistency, traceability, and regulatory compliance.

Key Companies in Medical Device Cleaning Market

The leading participants in the medical device cleaning market include the following:

• STERIS plc
• Getinge AB
• Ecolab Inc.
• Advanced Sterilization Products (Fortive Corporation)
• Ruhof Corporation
• Metrex Research LLC (Envista Holdings)
• GAMA Healthcare Ltd.
• PAUL HARTMANN AG
• Alconox Inc.
• Case Medical Inc.

Factors Contributing to the Growth of the Medical Device Cleaning Market

Market Drivers

Rising Number of Surgical Procedures

The foundational driver of the medical device cleaning market is the rising global volume of surgical procedures, which determines directly how many instrument sets must be reprocessed and therefore how much cleaning chemistry and equipment capacity is consumed. According to recent data from the World Bank Group, Germany performed some 19,124 surgical procedures per 100,000 population in 2022 and Finland some 15,870 per 100,000 in the same year, while Hong Kong, China recorded 1,735 per 100,000 in 2023, a disparity that illustrates both the scale of activity in mature systems and the magnitude of the expansion available as access broadens elsewhere. As more surgeries are performed, particularly complex and minimally invasive procedures, the demand for a wide range of surgical instruments and devices rises, and these devices require meticulous cleaning, disinfection, and sterilization to ensure patient safety and prevent healthcare-associated infections. The relationship is mechanical rather than discretionary, since every reusable instrument that enters a sterile field must be reprocessed before it can be used again, and minimally invasive instrumentation intensifies the requirement because narrow lumens, hinges, and articulating mechanisms retain soil that open instruments do not. Improperly cleaned devices lead to infection, complication, and longer hospital stays, which makes cleaning protocols mandatory rather than optional. With advancements in surgical technique and the continued use of reusable instruments, the need for effective cleaning solutions grows in step with procedural volume.

Rising Burden of Healthcare-Associated Infections

The rising burden of healthcare-associated infections is a powerful driver of the medical device cleaning market, because contaminated devices are a recognized transmission route and because infection prevention has become a regulatory and financial priority for health systems. According to World Health Organization data, healthcare-associated infections affect hundreds of millions of patients annually, with 7 of every 100 patients in high-income countries and 15 of every 100 in low- and middle-income countries acquiring at least one such infection during acute care hospitalization, and in the European Union and European Economic Area, 8.9 million such infections occur each year across acute and long-term care facilities. These infections occur in patients during their stay in a healthcare facility and are often caused by the use of contaminated medical devices, which makes effective cleaning and sterilization crucial. The rising incidence has heightened awareness among healthcare providers of the need for stringent infection control practices, and hospitals and clinics are consequently investing in advanced cleaning solutions and technologies to ensure that devices are thoroughly disinfected and sterilized before reuse. The financial dimension reinforces the clinical one, since payers in several jurisdictions withhold reimbursement for the treatment of certain hospital-acquired conditions, converting infection prevention from a quality aspiration into a direct economic imperative. Because the burden is large, well-documented, and directly linked to reprocessing quality, it drives sustained investment across the entire cleaning portfolio.

Market Restraints

Despite a broad and regulation-supported demand base, the medical device cleaning market faces material constraints. The most significant is persistent concern regarding the safety of reprocessed instruments, which has undermined confidence in reuse itself and has driven a structural shift toward single-use alternatives that displaces cleaning demand entirely. Documented transmission of multidrug-resistant organisms through inadequately reprocessed duodenoscopes demonstrated that validated protocols can fail in practice, and the regulatory response has encouraged migration toward disposable components and fully single-use designs in endoscopy, bronchoscopy, ureteroscopy, and cystoscopy; each such conversion permanently removes a reprocessing workload from the market, and this substitution represents the most serious long-term structural threat to the category.

The second constraint is the genuine difficulty associated with cleaning and disinfecting complex medical devices, since narrow lumens, hinges, elevator mechanisms, and insulated shafts retain soil that cannot be visually inspected and may not be reliably removed even by validated cycles, and the resulting uncertainty complicates both clinical confidence and the demonstration of efficacy required for new products.

Additional constraints include chronic staffing shortages and high turnover in sterile processing departments, which limit the capacity of facilities to execute demanding protocols regardless of the chemistry available and which have been implicated in reprocessing failures; the capital cost of automated washer-disinfectors and endoscope reprocessors, which constrains adoption in smaller facilities and in cost-sensitive markets where manual cleaning consequently persists; the commoditized and heavily contested nature of basic detergent chemistry, which exerts continuous pricing pressure; the regulatory burden of registering disinfectant products, which vary in classification and requirement across jurisdictions; and growing environmental and occupational scrutiny of the aldehyde and oxidizing chemistries used in high-level disinfection, alongside water and energy consumption in automated reprocessing. Together these factors ensure that growth, while supported by regulation and procedural volume, proceeds against genuine substitution and margin pressure. Source: U.S. Food and Drug Administration; professional standards bodies; company disclosures.

Medical Device Cleaning Market Segment Analysis

The global medical device cleaning market is segmented by detergent type (enzymatic and non-enzymatic), by process (cleaning, comprising pre-cleaning, manual cleaning, and automatic cleaning, and disinfection, comprising high-level, intermediate-level, and low-level disinfection), by application (endoscopes, surgical instruments, and others), and by geography (North America, Europe, Asia-Pacific, and the Rest of the World).

By Detergent Type

Dominant Subsegment: Enzymatic.

Dominant: Enzymatic ~ 62%

The enzymatic segment accounted for a 62% share of the medical device cleaning market in 2025. Enzymatic detergents dominate the detergent-type structure because the soil they are formulated to remove is precisely the soil that medical device reprocessing encounters. Surgical bioburden consists principally of blood, tissue, fat, and mucus, all of which are proteinaceous and lipid in composition, and enzymatic formulations employ proteases, lipases, amylases, and in multi-enzyme products a combination of these to catalytically break these macromolecules into smaller fragments that rinse away readily, achieving in minutes at moderate temperature what mechanical action alone would not accomplish. This matters critically for devices with narrow lumens and hinged mechanisms where brushing cannot reach, since chemical action must substitute for mechanical action, and it matters equally for heat-sensitive instruments that cannot tolerate the elevated temperatures at which alkaline chemistry works best. Enzymatic products are specified in the validated reprocessing instructions issued by device manufacturers for the great majority of complex reusable instruments and are mandated within endoscope reprocessing protocols, which secures their position irrespective of price. Their neutral pH additionally protects the delicate materials, adhesives, and optical components that alkaline chemistry can degrade over repeated cycles. Non-enzymatic detergents constitute the second category, employing alkaline, neutral, or surfactant chemistry, and they retain an important role in automated washer-disinfector cycles where high temperature and strong mechanical action are available and where their lower cost and longer shelf stability are advantageous. Enzymatic detergents are expected to retain their leading share throughout the forecast period.

By Process

Dominant Subsegment: Automatic Cleaning.

Dominant: Automatic Cleaning ~ 34%

The automatic cleaning segment accounted for a 34% share of the medical device cleaning market in 2025. Automatic cleaning dominates the process structure because it enhances efficiency, consistency, and effectiveness in a way that manual techniques cannot match, and because healthcare facilities striving to minimize healthcare-associated infection risk have made automation a priority. These systems, which include ultrasonic cleaners, automated washer-disinfectors, and robotic cleaning, streamline the process by reducing human error and variability, leading to more reliable outcomes, and they ensure thorough cleaning of complex devices whose intricate designs are difficult to clean manually while saving time and labor in busy settings where sterile processing staffing is chronically constrained. Decisively, these systems can be programmed to adhere to specific protocols and cycles, ensuring compliance with regulatory standards, and advances in technology have produced intelligent systems that monitor and log cleaning processes to provide the traceability and accountability that accreditation increasingly demands, a capability manual cleaning cannot furnish at all. Regulatory clearances continue to expand the category, exemplified by the clearance of an automated ultrasound probe cleaner disinfector that became the first device in North America providing both cleaning and high-level disinfection of endocavity and surface probes. Pre-cleaning at the point of use and manual cleaning remain indispensable preceding stages, particularly for lumened devices requiring brushing, and the disinfection stage divides into high-level disinfection for semi-critical devices such as endoscopes, intermediate-level, and low-level disinfection according to the Spaulding classification. Automatic cleaning is expected to retain its leading share and to grow fastest throughout the forecast period.

Medical Device Cleaning Market Region Analysis

Dominant Region: North America

North America accounted for a 38% share of the global medical device cleaning market in 2025. The region is expected to account for the highest proportion of the global market, and this can be ascribed to the increasing number of surgical procedures, an increased patient population suffering from multiple diseases, increased hospital-acquired infections, a growing geriatric population, the availability of high-technology healthcare facilities, government support, a highly potent market in terms of product development and launches, and the local presence of the key market participants. The scale of procedural activity underpins regional demand, with the American Heart Association reporting some 500,000 open-heart surgeries performed annually in the United States and the American Academy of Orthopaedic Surgeons reporting over 1 million total joint replacements in 2022, while ISAPS reported over 6.1 million cosmetic surgeries performed in the United States in 2023. This heightened focus on infection control, combined with the rising number of surgeries across hospitals and clinics, drives demand for cleaning products including detergents, disinfectants, sterilization equipment, and advanced cleaning technologies across the region. The regulatory environment reinforces adoption, since accreditation surveys examine reprocessing practices directly and payers withhold reimbursement for certain hospital-acquired conditions. Product development activity further accelerates growth, exemplified by the introduction of an advanced cleaning system tailored for healthcare environments designed to enhance the efficiency and reliability of device sterilization processes. The region is expected to retain its leading position throughout the forecast period.

Fastest Growing Region: Asia-Pacific

Asia-Pacific is projected to register the fastest compound annual growth rate in the medical device cleaning market through 2034. The region is emerging as the principal growth engine of the market, propelled by rapidly rising surgical volumes, a very high burden of healthcare-associated infection, and the modernization of sterile processing infrastructure across densely populated nations including China, India, and Japan. The World Health Organization reports that 15 of every 100 acute care patients in low- and middle-income countries acquire at least one healthcare-associated infection, compared with 7 in high-income countries, which identifies both the scale of the regional problem and the magnitude of the improvement opportunity, and it has prompted governments and hospital networks to prioritize infection prevention investment. Healthcare infrastructure expansion is adding operating theatres and central sterile services departments at pace, and the transition from ad hoc manual reprocessing toward standardized protocols, validated chemistry, and automated washer-disinfectors generates demand for both capital equipment and the recurring consumables that follow it. The growth of private hospital networks competing on international accreditation standards, and of medical tourism in several markets where accreditation is a commercial prerequisite, accelerates the adoption of formal reprocessing practice. Rising procedural volumes across surgery and endoscopy, an aging population in Japan, China, and South Korea, and increasing government healthcare expenditure reinforce the trend, while regional manufacturers offering cost-appropriate detergents and disinfectants broaden access. Regional growth is expected to exceed the global average across every segment.

Regional Commentary

North America

North America leads on value and adoption, holding a 38% share in 2025. The region combines very high procedural volumes, with some 500,000 annual open-heart surgeries and over 1 million total joint replacements reported in the United States, with high-technology healthcare facilities, government support, strong product development and launch activity, and the local presence of the leading participants. Accreditation surveys examine reprocessing practice directly, and payers withhold reimbursement for certain hospital-acquired conditions, which converts infection prevention into an economic imperative. Near-term dynamics are shaped by automation and traceability in sterile processing, tightened endoscope reprocessing guidance, the shift toward single-use alternatives in endoscopy, and staffing shortages in sterile processing departments.

Europe

Europe is a large and standards-driven market, supported by high surgical rates, with World Bank Group data indicating some 19,124 procedures per 100,000 population in Germany and 15,870 in Finland in 2022, and by a substantial infection burden, with the World Health Organization reporting 8.9 million healthcare-associated infections annually across acute and long-term care facilities in the European Union and European Economic Area. The region hosts several of the leading chemistry and equipment manufacturers, and European standards for washer-disinfector performance and endoscope reprocessing are among the most prescriptive globally, driving validated equipment and documented cycles. The European Union Medical Device Regulation and biocidal product requirements raise the registration burden for disinfectant chemistries, favoring manufacturers with regulatory scale, while public procurement exerts continuous pricing pressure.

Asia-Pacific

Asia-Pacific is the fastest-growing region, propelled by rapidly rising surgical volumes, a very high infection burden with the World Health Organization reporting 15 of every 100 acute care patients affected in low- and middle-income countries, and the modernization of sterile processing infrastructure across China, India, and Japan. The transition from manual reprocessing toward standardized protocols, validated chemistry, and automated washer-disinfectors generates demand for both capital equipment and recurring consumables. Private hospital networks competing on international accreditation, medical tourism, aging populations in Japan, China, and South Korea, and rising government healthcare expenditure reinforce the trend, while regional manufacturers offering cost-appropriate chemistry broaden access. Growth exceeds the global average across every segment.

Rest of World

The Rest of the World comprises the Middle East, Africa, and South America. Access is highly stratified. The Gulf Cooperation Council states have invested heavily in internationally accredited hospitals with contemporary central sterile services capability, and the larger South American markets, particularly Brazil, support established hospital networks with formal reprocessing practice, together representing steady growth. Much of Africa faces severe constraints in water quality, reliable power, sterile processing infrastructure, and trained personnel, which limit the feasibility of automated reprocessing and leave a very high infection burden inadequately addressed. Regional growth will be driven by hospital construction, infection prevention initiatives supported by international health agencies, accreditation programs, and the availability of cost-appropriate chemistry from regional and Asian manufacturers.

Medical Device Cleaning Market Competitive Landscape

The global medical device cleaning market is classified as Fragmented. The market is structured upon three overlapping groups: the infection prevention majors that supply both cleaning chemistry and the washer-disinfector and endoscope reprocessor equipment upon which it is used, the specialty chemical formulators that focus exclusively upon enzymatic and instrument-grade detergents, and the diversified hygiene, materials, and enzyme companies whose healthcare divisions serve the same customers. Competition centers upon validated efficacy against manufacturer reprocessing instructions, material compatibility, the breadth of the chemistry and equipment portfolio, regulatory registration across jurisdictions, and increasingly upon traceability and documentation capability. The competitive landscape is evaluated across the following dimensions:

• Market concentration: Fragmented, since basic detergent chemistry presents modest technical and capital barriers and many regional formulators compete locally, though the automated washer-disinfector and endoscope reprocessor equipment segment is considerably more concentrated among a small group of infection prevention majors.
• Leading players: STERIS and Getinge lead through integrated chemistry and equipment portfolios spanning washer-disinfectors, endoscope reprocessors, and consumables; Ecolab and Advanced Sterilization Products hold strong positions in healthcare cleaning and disinfection chemistry, and Ruhof, Metrex Research, Alconox, Case Medical, GAMA Healthcare, and PAUL HARTMANN contest specialty detergent, wipe, and disinfectant segments.
• Geographic reach: The leading participants maintain global commercial and technical service organizations, which matter because installed washer-disinfectors require validation, servicing, and cycle qualification, while specialty formulators reach broader geographies through distribution and regional manufacturers serve domestic markets on cost.
• Product portfolio strength: Competitive advantage rests upon supplying the complete reprocessing pathway, spanning point-of-use pre-cleaning products, enzymatic and non-enzymatic detergents, high-level disinfectants, cleaning verification tests, and the automated equipment itself, since sterile processing departments prefer a single validated system and supplier accountability across the cycle.
• Pipeline strength: Development is concentrated in automated and robot-assisted cleaning, intelligent systems that monitor and log cycles for traceability, cleaning verification and residual soil detection, improved multi-enzyme chemistry, and disinfectant formulations balancing efficacy against material compatibility and occupational exposure.
• Strategic partnerships: Collaboration spans manufacturing and distribution agreements extending disinfectant brands into new geographies, exemplified by the partnership under which a United States manufacturer produced and distributed a United Kingdom-developed disinfecting foam for medical surfaces including ultrasound transducers, alongside alliances between chemistry and equipment suppliers to validate combined systems.
• M&A activity: Consolidation has reshaped the field through the reorganization of large diversified groups, including the separation of healthcare businesses into focused independent companies and the combination of enzyme suppliers, alongside continued acquisition of specialty infection prevention brands by the majors.
• Innovation focus: Innovation is shifting toward automation and robot-assisted cleaning, digital traceability of each instrument through the reprocessing cycle, objective cleaning verification replacing visual inspection, sustainable chemistry with reduced water and energy consumption, and formulations addressing the material compatibility demands of increasingly complex instrumentation.
• Regulatory standing: Registration of disinfectant products under the applicable chemical and biocidal frameworks, clearance of automated reprocessing equipment, and demonstrated conformity with recognized reprocessing standards are decisive competitive credentials, and the jurisdictional variation in these requirements favors participants with regulatory scale.

Medical Device Cleaning Market Recent Developmental Activities

In May 2024, Diversey, a Solenis company, a global leader in healthcare and infection prevention solutions, launched the new Oxivir Three 64 Next-Generation AHP Concentrate Disinfectant Cleaner, an accelerated hydrogen peroxide formulation for healthcare surface cleaning and disinfection. Strategic significance: an accelerated hydrogen peroxide concentrate addressed the growing demand for disinfectant chemistry that balances rapid efficacy against material compatibility and reduced occupational and environmental exposure, positioning the product against the aldehyde and quaternary chemistries facing tightening scrutiny.

In June 2023, Parker Laboratories Inc. announced United States Food and Drug Administration approval for Tristel ULT as a high-level disinfectant for ultrasound applications, extending its infection prevention range into probe reprocessing. Strategic significance: clearance of a dedicated high-level disinfectant for ultrasound probes addressed the reprocessing of semi-critical devices whose cleaning has historically been inconsistent, and it deepened a commercial relationship that had already brought United Kingdom-developed chemistry into the United States market.

Medical Device Cleaning Market Segmentation

Medical Device Cleaning Market Assessment by Detergent Type

• Enzymatic
• Non-Enzymatic

Medical Device Cleaning Market Assessment by Process

• Cleaning
• Pre-Cleaning
• Manual Cleaning
• Automatic Cleaning
• Disinfection
• High-Level Disinfection
• Intermediate-Level Disinfection
• Low-Level Disinfection

Medical Device Cleaning Market Assessment by Application

• Endoscopes
• Surgical Instruments
• Others

Medical Device Cleaning Market Assessment by Geography

• North America
• United States Medical Device Cleaning Market Size in USD million (2023-2034)
• Canada Medical Device Cleaning Market Size in USD million (2023-2034)
• Mexico Medical Device Cleaning Market Size in USD million (2023-2034)
• Europe
• France Medical Device Cleaning Market Size in USD million (2023-2034)
• Germany Medical Device Cleaning Market Size in USD million (2023-2034)
• United Kingdom Medical Device Cleaning Market Size in USD million (2023-2034)
• Italy Medical Device Cleaning Market Size in USD million (2023-2034)
• Spain Medical Device Cleaning Market Size in USD million (2023-2034)
• Rest of Europe Medical Device Cleaning Market Size in USD million (2023-2034)
• Asia-Pacific
• China Medical Device Cleaning Market Size in USD million (2023-2034)
• Japan Medical Device Cleaning Market Size in USD million (2023-2034)
• India Medical Device Cleaning Market Size in USD million (2023-2034)
• Australia Medical Device Cleaning Market Size in USD million (2023-2034)
• South Korea Medical Device Cleaning Market Size in USD million (2023-2034)
• Rest of Asia-Pacific Medical Device Cleaning Market Size in USD million (2023-2034)
• Rest of the World
• Middle East Medical Device Cleaning Market Size in USD million (2023-2034)
• Africa Medical Device Cleaning Market Size in USD million (2023-2034)
• South America Medical Device Cleaning Market Size in USD million (2023-2034)

Frequently Asked Questions:

Q1. At what rate is the medical device cleaning market expected to grow?

The global medical device cleaning market is projected to grow at a compound annual growth rate of 6.75% during the forecast period from 2026 to 2034.

Q2. What is the current and projected size of the medical device cleaning market?

The global medical device cleaning market was valued at USD 2.85 billion in 2025 and is projected to reach USD 5.13 billion by 2034.

Q3. Which region dominates the medical device cleaning market?

North America dominated the medical device cleaning market with a 38% share in 2025, driven by the increasing number of surgical procedures, an increased patient population with multiple diseases, a rising burden of hospital-acquired infections, a growing geriatric population, high-technology healthcare facilities, government support, strong product development and launch activity, and the local presence of the key participants, with the American Heart Association reporting some 500,000 annual open-heart surgeries and the American Academy of Orthopaedic Surgeons over 1 million total joint replacements in 2022. Asia-Pacific is projected to record the fastest compound annual growth rate through 2034, driven by rising surgical volumes, a high infection burden, and the modernization of sterile processing infrastructure across China, India, and Japan.

Q4. What are the key factors driving growth in the medical device cleaning market?

The principal drivers are the rising number of surgical procedures, with World Bank Group data indicating some 19,124 procedures per 100,000 population in Germany in 2022; the rising burden of healthcare-associated infections, with the World Health Organization reporting 7 of every 100 patients in high-income countries and 15 of every 100 in low and middle income countries affected, and 8.9 million such infections annually in the European Union and European Economic Area; increased hospital admissions and device utilization; tightening regulatory guidance on reprocessing; the rising complexity of reusable devices, particularly endoscopes; and the growing role of automation and robot-assisted technology.

Q5. Who are the major players in the medical device cleaning market?

The market is fragmented and led by STERIS plc and Getinge AB through integrated chemistry and equipment portfolios, with Ecolab Inc. and Advanced Sterilization Products holding strong positions in healthcare cleaning and disinfection chemistry. Specialty and regional participants include Ruhof Corporation, Metrex Research LLC, GAMA Healthcare Ltd., PAUL HARTMANN AG, Alconox Inc., and Case Medical Inc. Additional participants include Solventum, Novonesis, Sotera Health, Sklar Surgical Instruments, MicroCare, Oro Clean Chemie, Vesismin Health, The Surgmed Group, Ultra Clean Systems, International Products Corporation, Diversey, Tristel, Parker Laboratories, and CS Medical.