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While best of the world’s top 10 medtech companies are accepted to avert their about rankings in the advancing years, aggressive or aggressive M&A deals could accord companies lower on the account the action to move up and acquire billions in added sales in new bazaar segments.

Take Becton Dickinson, for example. Its $24 billion accretion of C.R. Bard backward aftermost year is accepted to ballista it up three spots by 2024—placing it aural the top bristles better companies by sales, as projected by bazaar assay close EvaluateMedtech in its look-ahead report. That represents a above turnaround from the aged acquirement aisle the aggregation saw from 2016 to 2017, which had alone 3.6% bottomward to $11 billion.

But over the abutting several years, BD is predicted to abound by 8.3% annually, eventually topping $19.2 billion in common sales—enough to booty fifth abode abaft medtech accessories Medtronic, Johnson & Johnson, Abbott Laboratories and Siemens Healthineers, respectively, which are all accepted to advance their positions with little ball admitting acerbic bazaar shares. And although BD may leapfrog Philips, Stryker and Roche, those three are not far abaft with artistic deals of their own.

This year saw Roche complete its takeover of attention affection amateur Foundation Medicine, as rumors floated of Stryker authoritative a potentially blockbuster action for its top-10 battling Boston Scientific. Philips, meanwhile, took stronger accomplish to alteration itself to acceptable an chip healthcare solutions provider, with the analytic imaging bazaar seeing apathetic growth.

Boston Scientific was the alone added advanced mover in the top 10 and is predicted to beat General Electric’s healthcare business with its able appetence for M&A deals—most afresh with its $4.2 billion buyout of BTG, appear afterwards Evaluate completed its report, which has the abeyant to transform Boston Scientific’s oncology authorization from absorption on commitment and affection to accouterment abounding interventions.

Taken together, the top 10 companies are set to represent aloof over a third of all sales in a all-around medtech bazaar that is accepted to ability about $595 billion in sales in 2024—again, little change compared to Evaluate’s assay of 2017.

But who, alfresco of the players, could apperceive which discussions today could end up basic the new pillars of the mural in the advancing years? — Conor Hale, FierceMedTech editor

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