Investment Rating - The report maintains a "Buy" rating on Mindray and United Imaging, indicating confidence in their growth potential and market positions [96][99]. Core Insights - The procurement value of main medical devices in China showed a strong year-over-year growth of 91% in May 2025, despite a month-over-month decline of 13% [1]. - The report highlights a significant price pressure on ultrasound devices due to regional Value-Based Procurement (VBP), with average bid prices decreasing by approximately 20% compared to the 2024 average [10][12]. - Mindray's revenue is expected to be impacted by around 3% due to VBP pricing pressure, but the company is still projected to maintain robust growth in its end markets [30]. Summary by Sections Procurement Activity - Hospital procurement activity in China has clearly recovered, with a 33% increase in May 2025 compared to May 2023 [1]. - The report anticipates continued high year-over-year growth in procurement activity for June 2025 [1]. Device-Specific Insights - Ultrasound devices experienced a significant average bid price cut of 61% in Henan province, leading to a 20% decrease in average selling price (ASP) in May compared to the 2024 average [10][12]. - Other medical devices, such as CT scanners, are not currently facing similar price pressures as ultrasound devices [10][16]. Company Performance - Mindray reported a year-over-year growth of 52% in patient monitors and 103% in ultrasound devices for May 2025 [30][43]. - United Imaging is optimistic about the trade-in program in 2025, expecting smoother processes compared to 2024, although revenue recognition cycles have lengthened [29][99]. Market Trends - The report notes that both domestic and multinational companies achieved notable year-over-year growth in procurement, indicating a balanced competitive landscape [78]. - The trend of domestic substitution in the medical device market is not particularly evident in May, as both local and multinational companies performed well [78].