证券研究报告 医疗设备招投标数据跟踪 设备招投标景气度持续，高端化+反内卷趋 势利好头部企业 医药生物行业 强于大市（维持） 证券分析师 叶 寅 投资咨询资格编号：S1060514100001 倪亦道 投资咨询资格编号：S1060518070001 裴晓鹏 投资咨询资格编号：S1060523090002 2025年12月12日 请务必阅读正文后免责条款 设备招投标景气度持续，产品高端化趋势显著。 2025年以来设备更新政策红利持续释放，市场需求持续增长，设备招投标保持高景气状态。根据众成数科统计，从月度趋势来看，各月招投标规模保持高位，进入 下半年以后，随着24年需求积压释放导致的基数上移，增速有所减缓，其中25年7月/8月/9月/10月/11月采购规模分别为134亿元/146亿元/164亿元/164亿元/209亿 元，同比分别+24%/+31%/+2%/+14%/+0%，9月开始增速有所放缓、主要由于24年9月设备更新项目开始集中释放、基数变高，但整体招采规模仍处于高位水平。 根据众成数科统计，11月份国内医疗设备市场继续保持强劲活力，省级采购数据显示，海南、河南、贵州等多省份项目集中释放，总中标金额突破7 ...

Core Viewpoint - The medical device industry has not yet reached a turning point, and the "BD moment" is still awaited. Despite the declining stock prices, the chairman of Mindray Medical, Li Xiting, has initiated a share buyback to bolster confidence in the company [1][3]. Group 1: Company Actions - Mindray Medical's chairman, Li Xiting, purchased 152,300 shares for nearly 30 million yuan, with plans to invest an additional 200 million yuan in the next six months [1]. - This marks the first share buyback by Li Xiting since Mindray Medical's listing in A-shares in 2018 [1]. Group 2: Financial Performance - As of the latest closing, Mindray Medical's stock price has fallen below 200 yuan, with a total market value of 240.9 billion yuan, reflecting a decline of over 20% this year and a market value loss exceeding 300 billion yuan from its peak [3]. - For 2024, Mindray Medical is projected to achieve revenues of 36.73 billion yuan and a net profit of 11.67 billion yuan, with growth rates of 5.14% and 0.74%, respectively, indicating a significant slowdown compared to previous years [3][7]. - In the first three quarters of this year, Mindray Medical experienced negative growth, with revenue and net profit declines of 12.38% and 28.83%, respectively [3]. Group 3: Industry Context - The medical device industry has historically been supported by government policies, but the introduction of centralized procurement in 2021 has ended a long-standing period of industry benefits, leading to increased price competition [7][8]. - Mindray Medical's core business includes the production of life information and support devices, in vitro diagnostics, and medical imaging equipment [6]. Group 4: Market Challenges - The gross margins for Mindray Medical's three main business segments have declined, with in vitro diagnostics dropping from 64.98% to 59.5%, life information and support from 66.12% to 60.56%, and medical imaging from 69.59% to 65.07% [9]. - The overall gross margin for Mindray Medical decreased from 64.87% to 61.95%, and the net profit margin fell from 36.3% to 30.25% [9]. Group 5: Strategic Moves - To counter domestic market pressures, Mindray Medical is focusing on international expansion, having established production bases in 14 countries, with 11 already operational [11]. - The company has initiated plans for a listing on the Hong Kong Stock Exchange to raise funds for its international strategy and global business expansion [12].

Investment Rating - The report maintains a "Positive" investment rating for the medical device industry [3]. Core Insights - The medical device industry is expected to return to positive growth in 2025 after two consecutive years of decline, driven by increased demand for hospital equipment due to equipment renewal policies [9]. - The procurement amount for medical devices in October 2025 showed a year-on-year increase of 13.84% and a month-on-month increase of 0.28%, indicating a continuous recovery trend [16]. - The domestic production rate of medical devices has increased significantly from 19% in 2019 to 48% in October 2025, with varying rates across different categories [20]. Summary by Sections Equipment Procurement - The medical device procurement market is expected to reach between 187.6 billion to 241.1 billion yuan in 2025, with a strong recovery anticipated in the second half of the year [13]. - The procurement scale for October 2025 was 16.254 billion yuan, with a cumulative total of 144.665 billion yuan from January to October, reflecting a 39.63% year-on-year increase [16]. - The ultrasound procurement in October 2025 was 1.556 billion yuan, showing a 54.04% year-on-year increase, while CT procurement reached 1.996 billion yuan, up 44.06% year-on-year [25][26]. Collective Procurement - The collective procurement market in county-level areas has remained low, with a market share of 6-9% based on procurement sales from 2019 to 2024 [42]. - The overall domestic production rate in the collective procurement market reached 80% as of August 2025, indicating a significant increase driven by procurement policies [46]. - The price reduction in the county-level collective procurement market has shown a moderate trend, with the largest drop observed in monitoring devices at 57% [50].

Core Viewpoint - Mindray Medical is pursuing an H-share listing in Hong Kong to enhance its global strategy and capitalize on international market opportunities, aligning with China's "14th Five-Year Plan" for high-level openness and innovation in medical devices [1][2][3] Group 1: Listing Strategy - The primary goal of the Hong Kong listing is to establish an international capital platform to support the company's globalization strategy, rather than merely raising funds [2] - Mindray aims for international market revenue to account for 70% of total income, with domestic revenue at 30%, indicating a shift towards a more balanced international revenue structure [2][3] - The company has a strong financial position, with cash reserves of 17.13 billion yuan as of September 2025, and has maintained a high dividend payout ratio since its A-share listing in 2018 [1] Group 2: Global Market Position - Mindray Medical is currently among the top 30 global medical device companies and aims to break into the top 20, with a long-term goal of reaching the top 10, necessitating annual revenues of at least 10 billion USD [3][4] - The global medical device market is approximately 4 to 5 times the size of the Chinese market, presenting significant growth opportunities [3][4] Group 3: Innovation and R&D - The company emphasizes innovation as its core driver, with over 5,000 R&D engineers and annual R&D spending exceeding 10% of revenue [5][6] - Mindray has developed a digital healthcare ecosystem integrating equipment, IT, and AI, aimed at extending quality medical resources to underserved areas [5][6] - The company is committed to addressing key healthcare challenges in China, such as accessibility and affordability, through technological advancements [6] Group 4: Future Outlook - Mindray plans to leverage its Hong Kong listing as a new starting point to deepen its domestic market presence while accelerating its global expansion [6] - The company aims to achieve a 70% international revenue share and establish itself as a leading player in the high-end manufacturing sector globally [6]

Group 1 - The forum held on November 18 in Wuxi attracted over 700 guests, including executives from more than 30 Fortune 500 companies, focusing on key industries like new energy and biomedicine [1] - A total of 21 high-level R&D projects were signed at the event, alongside the launch of two major industry platforms: the Jiangsu Province Biomedicine Full Industry Chain Open Innovation Alliance and the Jiangsu Province New Energy Industry Chain Hub Platform [1][6] - Jiangsu's actual foreign investment reached $103.74 billion from 2021 to 2024, with a national share of 16.4% in 2024, increasing to 18.1% in the first three quarters of this year [2] Group 2 - The Jiangsu Free Trade Zone's biomedicine open innovation development plan was approved, making it the first province in China to pilot in this field, featuring 18 policy measures and 77 specific tasks [3] - The plan aims to create a "highway" for the entire process of drug development, manufacturing, circulation, and use, with significant cost savings and faster customs clearance [3] - The presence of over 40% of Apple's core suppliers in China, with half located in Jiangsu, highlights the region's mature industrial chain [4] Group 3 - Pfizer announced the launch of the "Pfizer-Jiangsu Full Industry Chain Innovation Empowerment Plan" to deepen its involvement in Jiangsu's biomedicine sector [5] - LG Group has invested nearly $10 billion in Jiangsu, viewing it as a key base for new energy battery production, with plans for further investment in new technologies [5] - The establishment of two major industry platforms aims to enhance collaborative efficiency and international competitiveness in key sectors like power batteries and renewable energy [6] Group 4 - Eli Lilly plans to deepen local cooperation in major disease areas, having invested a total of $15 billion in its Suzhou pharmaceutical production base over the past 30 years [7]

Core Insights - The forum held on November 18 in Wuxi focused on international cooperation in supply chains, attracting over 700 attendees, including executives from more than 30 Fortune 500 companies [1] - Key discussions revolved around the collaborative development of supply chains in critical industries such as renewable energy and biomedicine, leading to the signing of 21 high-level R&D projects [1][6] - Jiangsu province has achieved significant foreign investment, with actual foreign capital usage reaching $103.74 billion from 2021 to 2024, accounting for 16.4% of the national total in 2024 [2] Industry Developments - The establishment of the "Jiangsu Province Biomedicine Full Industry Chain Open Innovation Alliance" and the "Jiangsu Province New Energy Industry Chain Hub Platform" aims to enhance global resource connectivity and build a new industrial ecosystem [1][6] - The "Jiangsu Free Trade Zone Biomedicine Full Industry Chain Open Innovation Development Plan" has been approved, making Jiangsu the first province in China to pilot in the biomedicine sector, featuring 18 policy measures to streamline the R&D process [3] Company Engagements - GE Healthcare's Wuxi base has become the largest ultrasound equipment center globally, supporting over 460 upstream and downstream suppliers, showcasing the strength of the industrial cluster [2] - Pfizer announced the launch of the "Pfizer-Jiangsu Full Industry Chain Innovation Empowerment Plan" to deepen its involvement in Jiangsu's biomedicine sector, emphasizing local production and global market integration [5][7] - Apple’s core suppliers, over 80% of whom have factories in China, with half located in Jiangsu, highlight the region's mature industrial chain and advancements in smart manufacturing and green transformation [4]

Core Insights - The article emphasizes that the ultrasound industry is undergoing significant transformation driven by technological breakthroughs, regulatory enhancements, and global competitive dynamics, with a focus on making advanced technology accessible and affordable [1] Industry Overview - Ultrasound technology, as one of the four major imaging technologies in modern medicine, holds a core position in clinical applications due to its advantages such as no radiation, real-time scanning, ease of operation, high safety, rapid detection, and cost-effectiveness [1] - As of 2019, ultrasound accounted for approximately 74.44% of the total medical imaging equipment in China, indicating a substantial market presence [1] Market Dynamics - The global ultrasound equipment market was valued at $7.9 billion in 2021, with an expected compound annual growth rate (CAGR) of 4.5% from 2022 to 2030 [2] - In China, the ultrasound equipment market was approximately 9.02 billion yuan in 2020, projected to reach 21.62 billion yuan by 2030, reflecting a CAGR of 8.1% [2] - Major international players like GE and Philips dominate the market, holding about 50% market share as of 2019, while domestic companies like Mindray and KaiLi Medical have rapidly ascended to the global top 10 [2][3] Competitive Landscape - Domestic leading companies are overcoming high-end barriers through independent research and external acquisitions, exemplified by Mindray's acquisition of ZONARE and subsequent product launches [3] - Mindray achieved a market share of 12.17% in the high-end stationary ultrasound market and 37.72% in the high-end portable ultrasound market in 2023, making it the only domestic brand in the top 10 [3] Technological Advancements - The introduction of AI technology is seen as a key differentiator for companies like 联影 (United Imaging), which plans to launch a full line of ultrasound products to meet diverse clinical needs [3][6] - AI is expected to enhance diagnostic efficiency in tertiary hospitals and address talent shortages in grassroots hospitals by standardizing ultrasound operations and quality control [6] Growth Opportunities - The demand for ultrasound equipment is expected to grow due to policies promoting new hospital constructions and expansions, as well as large-scale medical equipment updates [4][5] - The global medical AI market is projected to grow from approximately $28 billion in 2025 to over $120 billion by 2030, with China expected to expand at a CAGR exceeding 40% [6]

Core Viewpoint - The company, Mindray Medical, has submitted its application for a Hong Kong IPO, aiming to enhance its global presence and innovation capabilities through the raised funds [1][4]. Group 1: IPO and Fund Utilization - The IPO will combine public offerings in Hong Kong with international placements, with the specific scale to be determined based on market conditions [1]. - The funds raised will primarily be used for increasing global R&D investment, exploring potential global mergers and acquisitions, and enhancing the global sales network and supply chain capabilities [1][4]. Group 2: Business Development and Market Position - Mindray Medical is a leading global medical device company, covering multiple product lines and holding a significant market share in various segments [2]. - The company is projected to achieve a revenue of 36.7 billion yuan in 2024, with a compound annual growth rate (CAGR) of over 18% from 2017 to 2024 [2]. Group 3: R&D and M&A Strategy - As of June 30, 2025, the company plans to invest approximately 12.8 billion yuan in R&D, with over 5,200 specialized R&D personnel and a significant number of patents filed [3]. - Mindray has actively pursued acquisitions since its A-share listing, including notable purchases of companies in Finland, Germany, and China to enhance its product offerings and supply chain [3]. Group 4: Globalization and Market Opportunities - The global medical device market is expected to grow from $456.6 billion in 2020 to $623 billion in 2024, with a CAGR of 8.1% [5]. - Mindray has established a comprehensive global network, with localized production in 11 countries and a significant international workforce, enhancing its operational resilience and market responsiveness [6]. Group 5: Competitive Position and Future Outlook - Mindray's international revenue reached 16.4 billion yuan in 2024, with over 50% of its revenue coming from international markets as of Q3 2025 [6]. - The company has improved its global ranking in the medical device industry, moving from 36th in 2020 to 23rd in 2023, indicating a positive trajectory in market competitiveness [7].

Core Viewpoint - Siemens AG announced a direct spinoff of approximately 30% of its shares in Siemens Healthineers AG to existing shareholders, reducing its ownership from about 67% to 37%, marking a significant step towards the independent operation of the healthcare technology giant after its IPO eight years ago [1] Company Overview - Siemens Healthineers AG is a leading global medical technology company, covering various sectors including medical imaging, in vitro diagnostics, radiation therapy, and interventional treatment [3] - The company was established from Siemens Group's internal medical technology department, with a history dating back to the late 19th century when it manufactured Germany's first X-ray machine [3] Historical Development and Financial Performance - Siemens Healthineers was independently listed in 2018, marking a key step in the group's internal "technology and industry separation" strategy. The company has since maintained rapid growth, including a significant acquisition of Varian for €13.9 billion in 2020 [5] - As of Q1 2025, Siemens Healthineers reported revenues of approximately €5.5 billion, a year-on-year increase of 5.7%. However, total debt stood at approximately €13.9 billion, with €9.4 billion sourced from internal loans [8] Implications of the Spinoff - The spinoff is expected to enhance Siemens Healthineers' capital efficiency and allow for independent financing, with the free float of shares increasing from about 30% to over 60%, aligning with international investors' liquidity requirements [15] - Strategically, the independence will enable the company to respond more swiftly to market changes, particularly in local markets like China, where it is accelerating domestic production and AI-driven innovations [16] - The global medical technology landscape is shifting towards specialization, with the separation of major industrial players indicating a move away from group resources to a focus on specialized technology and clinical integration [17] Conclusion - The spinoff represents not just a strategic adjustment for Siemens Group but also a pivotal moment in the development of the medical technology industry, signaling a transition towards capitalization, specialization, and global competition [19]

Core Viewpoint - Mindray Medical (300760), a leading domestic medical device company, has submitted its application for a Hong Kong IPO, aiming for a dual listing in both A-share and H-share markets, with joint sponsors being Huatai International and JPMorgan [1] Group 1: IPO and Fundraising - The IPO will combine public offerings in Hong Kong with international placements, with the specific issuance scale to be determined based on market conditions [1] - The funds raised will primarily be used to enhance global R&D investment, innovate products and digital solutions, explore potential global mergers and collaborations, and improve global sales networks and supply chain capabilities [1] Group 2: Business Performance and Market Position - Mindray Medical is the only Chinese company among the top 30 global medical device firms, with a comprehensive product line that includes monitoring devices, anesthesia systems, ventilators, defibrillators, blood cell analyzers, and ultrasound equipment, all ranking in the top three globally [1] - The company is projected to achieve a revenue of 36.7 billion yuan in 2024, with a compound annual growth rate (CAGR) of over 18% from 2017 to 2024, and a net profit CAGR exceeding 24% [2] Group 3: Competitive Advantages - In the in-vitro diagnostics sector, Mindray is the largest provider in China and the second largest globally for blood cell diagnostics, as well as the largest domestic provider of chemical luminescence immunoassays [3] - The company holds significant market shares in various categories, including being the largest provider of monitoring devices in China and the second largest globally [3] Group 4: R&D and Innovation - Mindray has invested approximately 12.8 billion yuan in R&D, employing 5,200 specialized R&D personnel across 12 global centers, and has filed over 12,240 patents [4] - The company emphasizes its commitment to independent innovation, continuously increasing R&D investment to meet international standards [4] Group 5: Strategic Directions - Mindray is transitioning towards a sustainable growth model centered on recurring revenue from consumables and digital services, while maintaining its leadership in equipment sales [5] - The company plans to enhance its presence in minimally invasive surgery and intervention fields, aiming to shift from one-time equipment sales to a sustainable, repeat-purchase revenue model [5] Group 6: Future Growth and Market Expansion - By the first half of 2025, recurring revenue from consumables is expected to account for about 40% of total revenue, with significant growth potential in the domestic market [6] - The IPO is seen as a strategic move to bolster investments in digitalization, recurring revenue, and internationalization, which are critical for future growth [6]