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📡 2026-07-27 — Where Medtech's Energy Is Going

Market-wide analysis: hot categories, cooling categories, new-entrant clusters, incumbent defensive moves, and distress signals. Independent of any specific product set.
Weekly All Medtech Momentum: last 365d vs 1825d baseline Incumbent moves: last 90d New entrants: last 365d
Free edition · Published by Elephant Hawk — elephanthawk.com/tools
Hottest category (1y/5y ratio)
3.75×
— — see below
Codes attracting new entrants
15
top: 39 first-timers in QIH
Top-50 incumbent moves
66
51 reinforce · 15 expand · 34 active firms
Distress signals
0
acquisition candidates

🔥 Hot Categories — FDA Codes Accelerating

Top FDA product codes by velocity ratio (last 365d clearance rate ÷ last 1825d baseline rate). A ratio of 2.0× means the code is filing at twice its long-run pace right now. These are the codes the industry's R&D and capital are concentrating in.

RankCodeDeviceSpecialtyClass VelocityRecent (1y)Baseline (5y)Recent sponsors
1 3.75× 9 12 9
2 QSM System, Surgical, Computer Controlled Instrument, Remanufactured Gastroenterology, Urology II 3.13× 5 8 2
3 LYC Bone Grafting Material, Synthetic Dental II 3.13× 5 8 4
4 LOL Hepatitis A Test (Antibody And Igm Antibody) Microbiology II 3.0× 3 5 2
5 SCA Multi-Analyte Respiratory Virus Antigen Detection Test Microbiology II 2.92× 7 12 5
6 KRH Ring, Annuloplasty Cardiovascular II 2.78× 5 9 3
7 GAM Suture, Absorbable, Synthetic, Polyglycolic Acid General, Plastic Surgery II 2.73× 6 11 4
8 DXT Injector And Syringe, Angiographic Cardiovascular II 2.69× 7 13 6
9 GXN Plate, Cranioplasty, Preformed, Non-Alterable Neurology II 2.5× 6 12 6
10 OLI Fat Reducing Low Level Laser General, Plastic Surgery II 2.5× 5 10 4
11 SAN Automated Antimicrobial Susceptibility Test System For Positive Blood Culture Samples Microbiology II 2.5× 4 8 4
12 DHB System, Test, Radioallergosorbent (Rast) Immunological Immunology II 2.5× 4 8 1
13 MNS Ventilator, Continuous, Non-Life-Supporting Anesthesiology II 2.5× 3 6 3
14 MVL Cord, Retraction Unknown 2.5× 3 6 3
15 DSB Plethysmograph, Impedance Cardiovascular II 2.5× 3 6 3

🚀 New-Entrant Clusters — Codes Attracting First-Time Filers

FDA product codes ranked by the number of sponsors who filed their FIRST 510(k) in that code during the last 365 days. High first-timer counts = new capital + new R&D entering the category. This is the leading edge of where the focus is going (lags the underlying R&D investment by ~12-24 months).

RankCodeDeviceSpecialty First-time filersSample firms
1 QIH Automated Radiological Image Processing Software Radiology 39 Agada Medical, Ltd.Ai4medimaging Medical Solutions S.A.Airs Medical, Inc.Angiowave Imaging, Inc.Anumana, Inc.
2 LLZ System, Image Processing, Radiological Radiology 34 AS Software, LLCAgfa Healthcare N.V.Apryse Software CorpArchy Dental, Inc.Artiness S.R.L
3 GEX Powered Laser Surgical Instrument General, Plastic Surgery 29 Baoding Te'Anzhou Electronic Technology Co., Ltd.Beijing HuaCheng Taike Technology Co., Ltd.Beijing Superlaser Technology Co., Ltd.Bellamia Technologies, Inc.Boston Aesthetics, Inc.
4 ITI Wheelchair, Powered Physical Medicine 23 Beijing OrionStar Technology Co., Ltd.Hebei Dansong Medical Technology Co., Ltd.Jiangsu Intco Medical Products Co., Ltd.Jiangsu Yveelt Medical Equipment Co., Ltd.Nanjing CareMoving Rehabilitation Equipment Co.,Ltd
5 OHS Light Based Over The Counter Wrinkle Reduction General, Plastic Surgery 22 Atop Lighting Co., Ltd.Dongguan Yanxi Technology Co., Ltd.Dongguan Yijiaming Technology Co., Ltd.Guangdong Ace-Tec Co., Ltd.Heat IN A Click, LLC
6 GEI Electrosurgical, Cutting & Coagulation & Accessories General, Plastic Surgery 20 Acotec Scientific Co., Ltd.Ascblue CorporationAsterasys Co., Ltd.Atraverse Medical, Inc.Aventix Medical, Inc.
7 GCJ Laparoscope, General & Plastic Surgery Gastroenterology, Urology 18 Ab Medica SasFloShield, Inc.Freyja Healthcare, LLCHangzhou Hawk Optical Electronic Instruments Co., Ltd.Hangzhou Viction Medical Technology Co.,Ltd
8 INI Vehicle, Motorized 3-Wheeled Physical Medicine 14 Dongguan Smarfody Mobility Technology Co., Ltd.Jiangsu Bangbang Intelligent Technology Co., Ltd.Jiangsu Intco Medical Products Co., Ltd.Lerado Zhongshan Peaceful Cove Business Trading Co., Ltd.Nanjing Kangni Smart Technology Co., Ltd.
9 LRK Device, Anti-Snoring Dental 14 Aiomega, LLCAirway Technologies D/B/A Airway ManagementDcstar, Inc.Dongguan Yiyao Science & Technology Development Co., Ltd.Endeavor Commerce, LLC
10 ODP Intervertebral Fusion Device With Bone Graft, Cervical Orthopedic 14 C.A. Medical, LLCDegen MedicalEffortmed, LLCHC Biologics, LLCIntelivation Technologies
11 DYB Introducer, Catheter Cardiovascular 13 Cardiocycle Medical(Suzhou) Co., Ltd.Cultiv8 1, LLCEcho Medical, LLCHartman Medical Group, LLCHealth Line International Corporation
12 DXN System, Measurement, Blood-Pressure, Non-Invasive Cardiovascular 12 80 Beats Medical GmbHBeijing Hanvon Health Technology Co., Ltd.Biozen, LLCCardio Ring Technologies, Inc. Taiwan BranchDongguan E-Test Technology Co., Ltd.
13 NKB Thoracolumbosacral Pedicle Screw System Orthopedic 12 Allumin8, Inc.Beijing Fule Science & Technology Development Co., Ltd.Box Spine, LLCChanpin Medtak Co., Ltd.Double Medical Technology, Inc.
14 NUC Lubricant, Personal Obstetrics/Gynecology 12 Ansella TherapeuticsGlobal Protection Corp.Golden Isles Medical, Inc.Guangzhou Haoyimai Trading Co., Ltd.Hudi Pharma Srl
15 OLO Orthopedic Stereotaxic Instrument Neurology 11 Balmoral Medical, LLCEvolution SpineFoundation Surgical Group, Inc.K2m, Inc.Orthofix US, LLC

🛡️ What the Top 50 US Medtech Incumbents Are Doing

Recent filings by the top-50 sponsors (by lifetime US 510(k) volume) in the last 90 days. REINFORCE = filed in a code they already own (label expansion, supplement, follow-on = moat-protection move). EXPAND = filed in a code where they had NO prior presence (strategic territory move). Ratio of reinforce vs. expand tells you whether the incumbents are playing defense or going on offense.

Defensive balance: 51 reinforce moves vs 15 expand moves · 77% reinforce · 23% expand · 34 of 50 incumbents active in window
DateFirmMoveCode ClassSpecialtyDevice
2026-07-10 Boston Scientific Corporation reinforce ESW II General, Plastic Surgery WallFlex Esophageal Stent System;Agile Esophageal Over-the-Wire (OTW)
2026-07-10 Varian Medical Systems expand QKB II Radiology AI Contouring (VA10A)
2026-07-10 Masimo Corporation reinforce OLW II Neurology SedLine Sedation Monitor
2026-07-10 Howmedica Osteonics Corp., Dba Stryker Orthopaedics reinforce LPH II Orthopedic Omnifit® 20° Series I Insert;Omnifit® Crossfire® 10° Series II Insert;
2026-07-09 Smith & Nephew, Inc. reinforce MBI II Orthopedic Q-FIX KNOTLESS All-Suture Anchor, 2.8mm, with one black knotless and o
2026-07-08 Varian Medical Systems, Inc. reinforce MUJ II Radiology Virtual Cone (1.0)
2026-07-08 bioMerieux, Inc. expand SAN II Microbiology VITEK REVEAL GN AST Assay and VITEK REVEAL AST System
2026-07-08 Roche Molecular Systems, Inc. reinforce QEP II Microbiology cobas CT/NG for use on the cobas 5800/6800/8800 systems; cobas TV/MG f
2026-07-06 Smith & Nephew, Inc. expand SIQ II Orthopedic TESSA Spatial Surgery System; INTELLIO Tablet (72205455)
2026-07-01 Covidien, LLC reinforce GAG II General Hospital Tri-Staple™ 2.0 Black Circular Reload 21mm Extra Thick (SIGCIR21XT); T
2026-07-01 SeaSpine Orthopedics Corporation reinforce MAX II Orthopedic Admiral ACP System; Explorer TO System; Laminoplasty System; Manta Ray
2026-06-29 Stryker GmbH reinforce HSB II Orthopedic Pangea Femur Reconstruction System
2026-06-29 Philips Ultrasound, LLC reinforce IYN II Radiology Alturion Series Diagnostic Ultrasound System
2026-06-26 Arthrex, Inc. reinforce MBI II Orthopedic Arthrex FiberButton
2026-06-26 Edwards Lifesciences expand PZX II General, Plastic Surgery ECLIPTIS Left Atrial Appendage Exclusion System (ECS135); ECLIPTIS Lef
2026-06-25 Siemens Medical Solutions USA, Inc. reinforce QIH II Radiology syngo.CT Coronary Cockpit
2026-06-25 Arthrex, Inc. reinforce HWC II Orthopedic Arthrex Sterile VAL and VAL KreuLock™ Compression Screw System
2026-06-25 Alphatec Spine, Inc. expand SIN II Orthopedic IntraOp Alignment System; CONTOUR3D Bending System
2026-06-24 STERIS Corporation reinforce FLE II General Hospital AMSCO 700 Steam Sterilizer
2026-06-24 Medtronic, Inc. reinforce KRD II Cardiovascular Concerto Versa™ Detachable Coil
2026-06-24 Ge Medical Systems, LLC reinforce JAK II Radiology Enhanced Boundary for PCCT
2026-06-22 Medline Industries, LP expand DXQ II Cardiovascular Medline Reusable Blood Pressure Cuff
2026-06-18 Siemens Medical Solutions USA, Inc. reinforce MUE II Radiology MAMMOMAT B.brilliant (11372950)
2026-06-17 Boston Scientific Corporation reinforce ODG II Gastroenterology, Urology RIVOS™ EUS Access Device (M00553900)
2026-06-17 Abbott Medical reinforce DQY II Cardiovascular Amplatzer TorqVue Exchange System

❄️ Cooling Categories — FDA Codes Decelerating

FDA product codes where clearance velocity is FAR below long-run baseline. Two interpretations: (a) the category is dying / commoditized → vacated white space someone could re-enter cheaply, OR (b) the use case is being replaced by a different technology (e.g., glucose meters declining as CGM eats their share). Either way, useful intelligence.

RankCodeDeviceSpecialty VelocityRecent (1y)Baseline (5y)
1 JDR Staple, Fixation, Bone Orthopedic 0.0× 0 21
2 LYY Latex Patient Examination Glove General Hospital 0.0× 0 25
3 FYC Gown, Isolation, Surgical General, Plastic Surgery 0.0× 0 20
4 FLL Continuous Measurement Thermometer General Hospital 0.13× 2 78
5 NBW System, Test, Blood Glucose, Over The Counter Clinical Chemistry 0.16× 1 32
6 KNT Tubes, Gastrointestinal (And Accessories) Gastroenterology, Urology 0.18× 1 28
7 LZA Polymer Patient Examination Glove General Hospital 0.19× 14 364
8 LCX Kit, Test, Pregnancy, Hcg, Over The Counter Clinical Chemistry 0.2× 1 25
9 FXX Mask, Surgical General, Plastic Surgery 0.2× 9 226
10 MQB Solid State X-Ray Imager (Flat Panel/Digital Imager) Radiology 0.22× 3 68
11 MCW Catheter, Peripheral, Atherectomy Cardiovascular 0.23× 1 22
12 LFL Instrument, Ultrasonic Surgical Unknown 0.23× 1 22
13 JOJ Indicator, Physical/Chemical Sterilization Process General Hospital 0.31× 2 32
14 KGO Surgeon'S Gloves General, Plastic Surgery 0.32× 2 31
15 FMK Single Use Only Blood Lancet With An Integral Sharps Injury Prevention Feature General, Plastic Surgery 0.37× 4 54

⚠️ New Distress Signals (Market-Wide)

Firms across all US medtech that recently tripped the distress signal: small US-cleared portfolio (≤8 clearances), Class I recall in window, dormant ≥730 days. Potential M&A targets via Hilco / Ocean Tomo / Heritage Global outreach.

No new distress signals in window. The standing watch order with Hilco / Ocean Tomo continues to monitor.

🔭 All Medtech Lane Spotlight

Filtered view of the same window, restricted to None FDA codes in the All Medtech code list. Shown because you ran the brief with --lane all. The market-analysis sections above are still the primary view; this is supplementary.

No events in All Medtech lane during the window.

📡 External Signals — This Week

Leading-edge items from live external feeds; the warehouse sections above are the lagging FDA record (clearances reflect ~12-18 months of prior R&D + regulatory work).

Press Releases leads by ~12 months

AI Synthesis Layer leads by weekly

Coming next:

Clinical Trials (ClinicalTrials.gov)
New trial starts and registry updates — a strong leading indicator for where R&D money is being spent.
Trade Show Calendar + Target Attendee List
MD&M, RSNA, AAOS, AAOMS, ADA, ASCO, HIMSS, CES Health. Next-30-days view of firms exhibiting and what they're launching — real-time signal of where the booth budget is going.
Industry Trade Press + SEC EDGAR M&A
MedTech Dive, MassDevice, MedCity News, MD+DI editorial + SEC 8-K M&A filings. Concurrent and retrospective context.