U.S. Endoscope Reprocessing Market Size & Share Analysis - Trends, Drivers, Competitive Landscape, and Forecasts (2025 - 2032)
This Report Provides In-Depth Analysis of the U.S. Endoscope Reprocessing Market Report Prepared by P&S Intelligence, Segmented by Product (High-Level Disinfectants & Test Strips, Detergents & Wipes, Automated Endoscope Reprocessors, Endoscope Drying, Storage, & Transport Systems, Endoscope Tracking Solutions), Neuroendoscopes (Flexible, Rigid), End User (Hospitals, Ambulatory Surgical Centers and Clinics), and Geographical Outlook for the Period of 2019 to 2032
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U.S. Endoscope Reprocessing Market Overview
The U.S. endoscope reprocessing market size was USD 2.6 billion in 2024, and it will grow by 9.5% during 2025–2032, reaching USD 5.3 billion by 2032.
The market is driven by the rising of endoscopic procedures due to an aging population and increasing chronic disease incidence. According to the American Cancer Society's 2023–2025 report, approximately 153,020 individuals were diagnosed with colorectal cancer in the country in 2023. Of these, about 19,550 cases occurred in individuals under the age of 50. The increasing volume of diagnostic and therapeutic endoscopic procedures increases the necessity of safe instrument reprocessing systems.
Healthcare facilities are under regulatory pressure for the institutions to meet the standards established by the FDA and CDC. Medical instruments, especially endoscopes, must undergo efficient reprocessing according to established healthcare regulations to keep up safety levels and stop infections from appearing in healthcare settings.
In August 2024, PENTAX Medical, a division of HOYA Group, achieved the FDA clearance for the DEC Duodenoscope (ED34-i10T2s) to work with the STERRAD 100NX Sterilizer from Advanced Sterilization Products (ASP), a division of Fortive.
U.S. Endoscope Reprocessing Market Dynamics
Adoption of Automated Reprocessing Technologies Is Key Trend
The automated endoscope reprocessors (AERs) provide consistent and reliable cleaning and disinfection results.
Automated systems reduce the need for manual labor and allow staff to focus on other critical tasks, improving overall productivity.
Advances in automation, sensors, and artificial intelligence (AI) have made automated reprocessing systems more intelligent and user-friendly.
In July 2024, the EndoTech Endo-Jig System was launched, offering an automated controlled process for endoscope cleaning and processing.
It is designed to enhance international standards with a more effective and efficient reprocessing method.
Although Automated reprocessing technologies require a higher initial investment, they can save money over time by reducing expenses on manual reprocessing and lowering the risk of infection-related complications, which can be costly to treat.
Automation allows medical staff to process multiple instrument sets simultaneously and cut down endoscope processing time sustainability.
Increasing Demand for Minimally Invasive Procedures Is Major Growth Driver
Minimally invasive procedures offer quicker recovery and fewer complications, increasing patient and physician preference.
This shift drives the higher demand for endoscope reprocessing to manage the increased equipment usage.
The Department of Health and Human Services, through its Health Resources and Services Administration, has allocated approximately USD 65 million to support health centers in hurricane-prone areas.
The funding aims to ensure continuous access to primary care services during emergencies and help with infrastructure improvements and renovations.
Endoscopies are cost-efficient and require less anesthesia, fewer postoperative complications, and shorter hospital stays, all of which contribute to a more-efficient use of healthcare resources.
The aging population is more likely to require minimally invasive surgeries for conditions such as colon cancer, gastrointestinal disorders, and other age-related diseases.
Moreover, patients are becoming more aware about the benefits of minimally invasive procedures, such as shorter recovery times and lower risks of complications.
Hospitals and surgical centers are focused on improving operational efficiency, and minimally invasive procedures play a big part in this.
In January 2024, EndoSound Inc. announced the receipt of the FDA’s 510(k) clearance for its EVS, a novel endoscopic ultrasound technology designed to enhance patient care by providing safer and more-accessible medical options.
U.S. Endoscope Reprocessing Market Segmentation Analysis
Product Analysis
The automated endoscope reprocessors category held the larger market share, of 30%, in 2024. This is because AERs are essential for the cleaning and reprocessing process, which is a standard procedure in healthcare facilities. Using automated endoscope reprocessors helps improve patient safety and make the workflow more efficient.
The endoscope tracking solutions category will grow at the highest CAGR, of 9.8%, during the forecast period. This is because of the wide use of tracking solutions to monitor endoscopes from the cleaning process through disinfection until storage and procedural use. The implementation of endoscope tracking systems enables hospitals and clinics to create precise inventory records, track equipment maintenance requirements, and reduce the possibility of equipment mishandling and cross-contamination.
The flexible category held the larger market share, of 70%, in 2024. This is because flexible endoscopes are used for diagnosing and treating various conditions, including gastrointestinal issues, bronchial problems, and ear, nose, and throat conditions.
The rigid category will grow at the higher CAGR, of 9.7%, during the forecast period. This is because of the increasing demand for minimally invasive surgical instruments in orthopedics, urology, and gynecology. These instruments enable the exact identification of targets, for doctors to monitor and treat patients with minimally invasive surgical procedures. The improvement in rigid endoscopes with advanced imaging systems and better maneuverability is driving their use in specialized surgeries.
The types analyzed in this report are:
Flexible (Larger Category)
Upper Gastrointestinal Endoscopes
Colonoscopes
Bronchoscopes
Sigmoidoscopes
Laryngoscopes
Duodenoscopes
Nasopharyngoscopes
Rhinoscopes
Rigid (Faster-Growing Category)
Laparoscopes
Ureteroscopes
Gynecology Endoscopes
Arthroscopes
Cystoscopes
Neuroendoscopes
End User Analysis
The hospitals and clinics category held the larger market share, of 55%, in 2024. This is because hospitals serve as the leading facilities for performing complicated medical procedures, including diagnostic and therapeutic endoscopies. Healthcare facilities perform many endoscopic procedures, such as colonoscopies, gastrointestinal exams, and bronchoscopies, which creates the need for efficient endoscope reprocessing. Furthermore, advanced reprocessing systems are widely deployed in hospitals as they tend to large numbers of patients.
The ambulatory surgical centers and clinics category will grow at the higher CAGR, of 10%, during the forecast period. The rising demand for outpatient care and minimally invasive treatments drives outpatient clinics and ASCs to enhance the performance of endoscopes. They are focusing on providing low-cost, high-quality procedures that do not require patients to be admitted to the hospital. Moreover, they invest in cost-effective automated reprocessing systems to improve operational efficiency and increase their ability to handle more patients.
The end users analyzed in this report are:
Hospitals and Clinics (Larger Category)
Ambulatory Surgical Centers and Clinics (Faster-Growing Category)
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U.S. Endoscope Reprocessing Market Regional Outlook
The Western region of the U.S. held the largest market share, of 35%, in 2024. This is because Western U.S. is home to several major metropolitan areas and healthcare facilities, with California, Washington, and Arizona standing out as key medical centers. The large number of hospitals, outpatient clinics, and specialized surgical centers (ASCs) here offer a variety of endoscopic procedures. This wide network of healthcare providers increases the overall need for endoscope reprocessing systems to maintain cleanliness, safety, and infection control.
The Southern region of the U.S. will grow at the highest CAGR, of 10.2%, during the forecast period. This is because the Southern region has experienced robust population growth, particularly in Texas, Florida, and Georgia. This population increase includes a growing aging population, leading to a rise in healthcare needs, including diagnostic and therapeutic endoscopic procedures. Moreover, the region is quickly adopting newer medical technologies, including advanced automated reprocessing systems, to improve operational efficiency, reduce human error, and enhance patient safety.
The regions analyzed in this report are:
Northeast
Midwest
West (Largest Category)
South (Fastest-Growing Category)
U.S. Endoscope Reprocessing Market Competitive Landscape
The market is fragmented in nature because it includes various products that perform different tasks in the reprocessing process. Hospitals and medical facilities use different technologies, such as automated endoscope reprocessors and manual cleaning solutions, which creates many options and competition in the market. Moreover, many companies, both big and small, offer different solutions, from traditional manual systems to advanced automated ones. This competition, and the variety of products available, leads to fragmentation, as no single solution is dominant in the market.
Key U.S. Endoscope Reprocessing Companies:
Advanced Sterilization Products
ARC Group of Companies Inc.
CONMED Corporation
Getinge AB
Borer Chemie AG
Metrex Research LLC
Belimed AG
STERIS Corporation
Ecolab Inc.
Olympus Corporation
Advantice Health
Cantel Medical.
U.S. Endoscope Reprocessing Market News
In June 2024, CONMED Corporation introduced CleanGuide disposable esophageal dilators, which remove workflow complications from dilator reprocessing requirements in endoscopy units.
In June 2023, Olympus Corporation released the Olympus ETD, which cleans and disinfects endoscopes. It comes in two versions: ETD Premium and ETD Basic.
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