Investment Rating - The industry investment rating is "Positive" [6] Core Viewpoints - The report emphasizes the acceleration of domestic substitution due to centralized procurement, highlighting the importance of volume, price, and localization rates [11][15] - The IVD (In Vitro Diagnostics) market is experiencing rapid growth, with a market size of approximately 604 billion yuan in 2018, reflecting a year-on-year growth of 18.43% [30] - The report identifies significant opportunities in segments with low penetration rates and high growth potential, such as orthopedics, chemical luminescence, peripheral vascular intervention, electrophysiology, and TAVR [15] Summary by Sections Centralized Procurement - Centralized procurement has not affected manufacturers' ex-factory prices but has compressed intermediary channel profits, ensuring profit margins for production companies [11] - Various sub-sectors have low localization rates, allowing for competitive pricing to accelerate import substitution [11] IVD Market - The IVD market is segmented into biochemical diagnostics, immunodiagnostics, molecular diagnostics, microbiological diagnostics, and blood diagnostics, with the three main areas holding 46% of the global market share [30][31] - The market is characterized by a shift towards closed systems, which enhance accuracy and ease of use compared to open systems [33][34] Medical Devices and Equipment - The medical device sector is cyclical, with procurement activity peaking in December 2024, driven by demand recovery and policy implementation [24] - The report tracks hospital procurement data, indicating a seasonal pattern with the first half of the year typically being a low season for procurement [24] Medical Consumables - High-value consumables are seeing increased localization due to ongoing R&D investments and centralized procurement policies, while low-value consumables have a lower barrier to entry and higher domestic production rates [37][49] Electrophysiology and Gastroenterology - Electrophysiology devices and consumables are closely linked, with procedures conducted in catheterization labs [41] - Gastroenterology consumables are categorized based on their clinical applications, with a focus on devices used in endoscopic procedures [45][48]