Professional Documents
Culture Documents
Inside the
OEM: Baxter
Cybersecurity:
Networked Medical
Devices
Using Cobots for
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Biomedical Testing
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www.medicaldesignbriefs.com September 2022
Inside the
OEM: Baxter
Cybersecurity:
Networked Medical
Devices
Using Cobots for
Biomedical Testing
SHOW PREVIEW:
BIOMEDevice Boston
From our testing lab... to the operating room.
Eurofins.com/Medical-Device
Chemical/Physical Analysis (E&L) Microbiology/Sterility Testing Cyber Security Australia Finland Italy Switzerland
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September 2022
n COLUMN n APPLICATIONS
4 From the Editor 38 Why Cleanroom Assembly of Plastic Medical and Electronic
Devices Requires Ultrasonic Welding
n FEATURES
n DEPARTMENTS
6 Inside the OEM: Baxter
12 Cobots Offer Advantages for Biomedical Testing 25 R&D Roundup
Applications 40 New Products & Services
16 BIOMEDevice Boston Show Preview 42 Advertisers Index
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4 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
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I T ’ S W H AT ’ S O N T H E I N S I D E T H AT C O U N T S
®
E L E C T R O N I C S C O R P.
Inside the
OEM:
Baxter
H
ow does a 100-year-old med- Baxter. That acquisition was extremely
tech company evolve yet still important to Baxter. We closed in De-
retain its focus on the compa- cember [2021], and it is pushing the
ny’s original mission? Baxter company forward, creating innovation
has gone through many dif- opportunities to expand the markets that
ferent phases and transformations. Now it were in. That created the new Baxter.”
is looking forward to its next phase. He said the new Baxter welcomed
“If we think about the phases of trans- 10,000–12,000 employees from Hillrom to
formation of Baxter — how did we get make the company 60,000 people strong.
here — it is worthwhile looking back- But, he said, “our mission is so strong. It is
wards to think about how we transformed one of the things that I did not change at
Baxter to the Baxter of today,” said José Baxter. I spent a lot of time reflecting on
(Joe) E. Almeida, chairman, president, what the mission of the company should
and chief executive officer, at the compa- be. The mission of the company was well
ny’s shareholder conference in May. established for many decades, and that
When Almeida joined the company in mission is to save and sustain lives.”
2016, Baxter examined the strength of José (Joe) E. Almeida, Chairman, President and With the pivoting of the company into
the financial operations of the company. Chief Executive Officer, Baxter more connected care and understanding
“We went after free cash flow, we went af- where the markets were going, though,
ter expenses, we went after cost reduc- To do that, Baxter created an ecosystem Baxter had to restate its vision, he said.
tions. We started to put the foundation in and put in place medical affairs, clinical “Our vision now says that we’re going to
the most important thing: patient safety trials, and regulatory affairs teams focused ‘transform healthcare with a customer
and quality. That became our number on developing new products. focus in improving patient outcomes and
one tenant in the company,” he said. “The company was very focused on enhancing workflow efficiency.’ That’s
pharmaceutical [products], but prior to very important because we must create
The New Baxter 2016, very few products were launched the future by not only connecting devices
To strengthen its financial position, Bax- on the market,” said Almeida. “Today, we but also by creating intelligence behind
ter invested in operations and innovation. have a cadence of new products.” them, enabling cost-effective care. And
That phase of the transformation set the Almeida said the next step was to de- cost-effective care is two very specific vec-
company up for the second phase in 2018– termine how to get there. “And that was tors: The first one is the ability to provide
2021, which was to execute on innovation. when we decided to bring Hillrom into effective clinical outcomes; the second is
6 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
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Inside the OEM: Baxter
Social Responsibility
While social responsibility has become
increasingly important in the medtech
market, Almeida says that Baxter has
been committed to social responsibility
for many years. The company has pro-
grams to support and protect the planet,
its patients, and its people and communi-
ties. “Our commitment is to carbon foot-
print neutrality, clean water, to being not
only environmentally conscious but envi-
ronmentally protective of what we do,
Plastic Material Changes
and to making sure that the communities Require Latest Plastic Welding
that we work in are protected.”
Also important, he said, is empowering Technologies
patients to understand the best therapies
available and improving the company’s Market pressures are driving medical device
capabilities and quality core products, designers away from PVC and PC, yet replacements
noting that Baxter is “championing our like PE and PP do not respond well to traditional
people and creating an environment plastic joining methods. Reliable assembly requires
where people want to come to work.”
advanced BransonTM ultrasonic and laser welding
The Future for Baxter systems from Emerson. They produce ultra-clean,
“We are going to grow through inno- aesthetically superior welds for today’s preferred
vation. We are increasing our spending NBUFSJBMTXIJMFBMTPEFMJWFSJOHEFTJHO¼FYJCJMJUZ
in innovation. We want to have the best QSPDFTTFG»DJFODZ
FOFSHZTBWJOHBOETVTUBJOBCJMJUZ
place to work. We want employees to advantages.
feel that this company socially responsi-
ble, that this is an inclusive company Learn more at: Emerson.com/Branson
that values diversity and equality, that
[employees say] ‘Baxter has all the in- $PNFBOETQFBLXJUIBOFYQFSUBU
gredients to make this a place that I K-Show, Hall 11 Booth F55, 19-26th Oct 2022.
want to go to work.’ If we do those things
right, if we fulfill our mission with ethics
and compliance, we will deliver on the
results — and the results are conse-
quences. The results are a consequence
of a good company with 60,000 great
The Emerson logo is a trademark and a service mark of Emerson Electric Co. © 2022 Emerson Electric Co.
employees that wake up every day with
one mission: save and sustain lives.”
This article was written by Sherrie
Trigg, Editor and Director of Content
for MDB. Contact: sherrie.trigg@
saemediagroup.com.
Medical Design Briefs, September 2022 11
Cobots Offer
Advantages
for Biomedical
Testing
Applications
A
collaborative robot, or cobot, is an automation tool that can be adapted for use in
mechanical testing laboratories. Cobots are robotic arms designed to work alongside
humans and are adaptable to a variety of applications. They are intended to bridge
the gap between manual system operation and full industrial automation, offering
the benefits of automation without the additional complexity of a fully robotic test-
ing system. Cobots are particularly suited for use in the biomedical industry, where full-scale
automation is often not possible but where lab efficiency, safety, and data integrity are critical.
Cobots and robots can perform very similar tasks: Both are designed to remove a system
operator from a task or operation by automating part or all of the testing process.
Because of the overlap in functions, both options can be appropriate for a given
application; however, there are some key differences that make one solu-
tion preferable over the other in certain circumstances.
Robot systems are best suited for repeating the same task at
a high speed for 24/7 operation. These systems are not
Name/Shutterstock.com
KEYNOTE SPEAKERS
Erika Cheung He promotes the “secure development lifecycle,” the
Erika Cheung is the Executive Di- industry-leading approach that ultimately eases the burden on
rector of Ethics in Entrepreneurship, developers and ensures high-quality products that work as in-
a nonprofit organization with the mis- tended to save and improve lives.
sion to embed ethical questioning, cul- He joined Velentium in 2017 because he had previously
ture, and systems in start-up ecosystems collaborated with the company as a contractor and had seen
worldwide. firsthand that its values are exemplified by its founders. “In a
Cheung began her career working world where most companies are only motivated by financial
as a medical researcher in the bio- interest, Velentium routinely has moral discussions about the
technology industry and is most famously known for being a best approach for its clients, its staff, and the world. Every em-
key whistle-blower reporting the medical-diagnostic company ployee engages each project with the mindset that the equip-
Theranos to health regulators. ment we’re designing might one day be used to save our own
Cheung went on to help launch a technology accelerator loved ones.”
in Hong Kong supporting early-stage technology investments This motivation is not a mere thought exercise. When his first
across the Asia-Pacific (APAC) region. She continues to advise grandchild was born prematurely, before the baby’s lungs could
and support the development of biotechnology and healthcare fully close, Christopher visited him in the NICU. There, he no-
initiatives across the APAC region. ticed that a handful of the machines allowing his grandson to
breathe were among the devices he himself had helped design.
Christopher Gates
Christopher Gates is director of Dean Kamen
product security for Velentium, a pro- Dean Kamen is an inventor, an en-
fessional engineering specializing in trepreneur, and a tireless advocate for
the end-to-end design, development, science and technology. His roles as
and manufacturing of therapeutic and inventor and advocate are intertwined
diagnostic active medical devices. — his own passion for technology and
Gates has over 30 years of experi- its practical uses has driven his person-
ence developing and securing med- al determination to spread the word
ical devices and works with numerous industry-leading about technology’s virtues and by so doing to change the cul-
device manufacturers. He frequently collaborates with reg- ture of the United States.
ulatory and standard bodies including the NTIA, MITRE, As an inventor, he holds more than 1000 U.S. and foreign
Bluetooth SIG, IEEE, the U.S. Department of Commerce, patents, many of them for innovative medical devices that have
and the FDA to present, define, and codify tools, tech- expanded the frontiers of health care worldwide. While still
niques, and processes that enable the creation of secure a college undergraduate, he invented the first wearable infu-
medical devices. sion pump, which rapidly gained acceptance from such diverse
18 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
medical specialties as oncology, neonatology, and endocrinolo- lows patients to be dialyzed in the privacy and comfort of their
gy. In 1976, he founded his first medical device company, Auto home. It quickly became the worldwide market leader. Kamen
Syringe, Inc., to manufacture and market the pumps. Then, also led the development of technology to improve slide prepa-
working with leading diabetes researchers, Dean pioneered ration for the CYTYC (now Hologic Inc.) ThinPrep® Pap Test.
the design and adoption of the first portable insulin pump. It Kamen-led DEKA teams have also developed critical compo-
was quickly demonstrated that using a pump could much more nents of the UVARTM XTSTM System, an extracorporeal pho-
effectively control patients’ blood glucose levels. At age 30, he tophereisis device marketed by Therakos, a unit of Johnson
sold AutoSyringe to Baxter Healthcare Corporation. & Johnson, for treatment of T-Cell lymphoma. An advanced
Following the sale of AutoSyringe, Inc., he founded DEKA prosthetic arm in development for DARPA should advance the
Research & Development Corporation to develop internally quality of life for returning injured soldiers. Other notable de-
generated inventions as well as to provide research and de- velopments include the Hydroflex™ surgical irrigation pump
velopment for major corporate clients. Kamen led DEKA’s for C.R. Bard, the Crown™ stent, an improvement to the orig-
development of the HomeChoice™ peritoneal dialysis system inal Palmaz-Schatz stent, for Johnson & Johnson, the iBOTTM
for Baxter International Inc. The HomeChoice™ system al- mobility device, and the Segway® Human Transporter.
Medbio
5346 36th St., SE
Grand Rapids, MI 49506
Phone: 616-245-0214
Fax: 616-245-0244
E-mail: Info@medbiollc.com
www.medbiollc.com
Located in Michigan, Medbio is an ISO 13485:2016-certified The Medbio management team averages over 25 years of
contract manufacturer offering innovative manufacturing solu- experience in the medical device industry. We have experience
tions for the medical device and biotech industries. We special- with most medical-grade thermoplastics and implantable-grade
ize in precision injection molding, assembly, packaging, proto- resins. We currently mold products for the major OEMs in
typing, and design support. Building strategic partnerships and Orthopedics, Cardiovascular, Ophthalmology, Neurological
conducting business with integrity allows Medbio and our cus- Surgery, General Surgery, Wound Care, Biotech (Diagnostics &
tomers to achieve growth, success, and profitability. cell growth), and Dental. From components to full assemblies,
Medbio will tailor our manufacturing services to meet your
needs, taking your medical device from design to completion.
We have the knowledge, passion, and experience to solve your
most difficult manufacturing challenges.
Medical
Target Markets
Target Markets
maxon
125 Dever Dr. Products/Services Offered
Taunton, MA 02780
Phone: 508-677-0520 Offering solutions that fit your customized needs
E-mail: info.us@maxongroup.com maxon’s line of
www.maxongroup.us products include
DC brushed and
brushless motors,
About Our Company gearheads, encod-
ers and controllers
maxon develops and builds high-precision electric drive systems — these products
that are among the best in the world. Specialists in combining electric are easily com-
motors, gears, and DC motor controls into high-precision, intelligent bined into com-
drive systems that can be custom-made to fit the specific needs of plete mechatronic
customer applications. maxon helps provide innovative solutions at drive systems. As a global leader in the design, manufacturing,
competitive prices for numerous applications in various markets. and engineering services of high precision drive systems, maxon
works closely with you to develop innovative product solutions
that precisely meet the unique operating parameters of your indi-
vidual system in your industry. But, did you know that we also
offer contract manufacturing services? Consider partnering
with us on your next project. We have the experience and
industry-specific solutions that will get your product to market
faster.
Products/Services Offered
Full-service con-
tract manufacturer
MICRO of medical devices
140 Belmont Drive and subassemblies
Somerset, NJ 08873 — including injec-
Phone: 732-302-0800 tion/insert mold-
E-mail: sales@micro-co.com ing, MIMs, and fab-
www.micro-co.com ricated tube as-
semblies. We offer
About Our Company product develop-
ment and design
Established in 1945, MICRO is a contract manufacturer that assistance — from prototyping and validation to full-scale
draws on 75 years of manufacturing expertise to deliver the production.
highest quality products to customers in the medical device Our modern facility is cGMP-QSR compliant and ISO-9001,
marketplace. A truly global company, with three locations, we ISO-13485, and ISO-14001 certified. Staffed by highly trained
manufacture and distribute our products to customers around individuals, we maintain an ISO Class 8 environmentally con-
the world. trolled cleanroom for surgical instrument assembly.
We also produce a wide variety of scissors, stapling and
biopsy devices, as well as laparoscopic and arthroscopic min-
imally invasive surgical instruments. MICRO is the world’s
Target Markets
largest manufacturer of titanium and stainless steel ligation
clips — class-critical implant devices shipped directly to
• General Surgery
inventory.
• Orthopedics
• Cardiology
• Urology
• Women’s Health BIOMEDevice Boston Booth 215
• Diabetes Management
Products/Services Offered
Technical Services:
• Skillful proprietary processing
Microspec Corporation • In-house tool design and fabrication
327 Jaffrey Road • Exceptional customer service
Peterborough, NH 03458 • Product validation services
Phone: 603-924-4300 • Raw material and product testing
Fax: 603-924-4310 • Annealing services
E-mail: info@microspecorporation.com
www.microspecorporation.com Most Thermoplastic Elastomers Extruded:
• Polyurethanes • Fluoropolymers: FEP, EFEP,
• Nylons and PFA
About Our Company • High Heat Polymers: PEEK, • Bioabsorbable resins
Polysulfone and PEI • Custom formulations
For 30 years, medical
device companies the Extrusion Capabilities:
world over have turned • New Concepts • Over-Extrusions
to Microspec for medical • Single-lumen Extrusions • Fully-Encapsulated Stripes
tubing that challenges • Multi-lumen Tubing • Coated Wire
the limits of extrusion • Bump Tubing • Profile Extrusions
technology. From con- • Co- and Tri-Extrusions • Balloon Tubing
cept to commercializa- • Multi-Durometer Extrusions • Ribbon Extrusions
tion, Microspec has built a global reputation for extruding some • Multi-layered Extrusions
of the smallest, most complex, and tightest toleranced medical • Micro-Extrusions
parts in the industry.
Microspec’s mission is to supply innovative extrusion technol-
ogy to the technologically advancing and changing medical de- BIOMEDevice Boston Booth 515
vice market and to deliver high quality parts on time.
Products/Services Offered
Target Markets
Target Markets
Smalley
555 Oakwood Rd. Products/Services Offered
Lake Zurich, IL 60047
Phone: 847-719-5900 Founded over
E-mail: info@smalley.com 100 years ago,
www.smalley.com Smalley has evolved
to become the
world leader in the
About Our Company manufacturing and
development of
Smalley stocks over 10,000 Retaining Rings,
standard parts across 30 con- Spirolox Retaining
figurations and 400 sizes, Rings, Constant
ready for delivery. If a stan- Section Rings, and
dard part doesn’t meet your Wave S p r i n g s .
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with our innovative team of the way in introducing state-of-the-art products and continues
over 30 industry-specialized to lead the way in innovations for the future.
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an economical custom part in
the material of your choice, BIOMEDevice Boston Booth 1045
all without new tooling.
Upcoming...
tems are primarily used for simple package Viale Giacomo Matteotti, 26, 20095 Cusano Milanino (MI) Italy +39 02 66401337 info@qosinaeurope.com
n Intuitive HMI
Moreover, the human-machine inter-
face (HMI) must be designed to be intu-
itive and easy-to-learn for new employees
while also being very efficient and easy-
to-use during production every day. The
latest HMI systems employ large high-
resolution displays that support multi-
touch gestures, taking advantage of the
skills new employees now universally
bring with their years of smartphone ex-
perience. Like smartphones apps, these
new interfaces should require little train-
ing and no paper documentation.
Medical packaging must protect the products from damage during shipping and handling, securely holding
each item in place and separating multiple items packaged together from damaging each other. (Credit:
GN Thermoforming) n Looking Forward
The whole concept of a form/cut/stack
Precise control and repeatability are duction line, a single operator can cover thermoforming machine is to integrate
also critical to the calibration and produc- multiple lines. This requires that the ma- and automate multiple functions in a sin-
tion consistency required by the strict stan- chines autonomously perform the form- gle system. Medical packaging manufac-
dards and government regulations for ing, cutting, and stacking processes with turers have been at the forefront of the
medical packaging, such as ISO 11607:2019 little or no hands-on engagement by the trend toward automation, initially driven
and Title 21 CFR Part 11. Automation may operator. For high-volume production, by the need for high quality, repeatability,
also include vision systems and other in- robotics are increasingly employed to au- and traceability. Automation also in-
spection technology that provide automat- tomatically perform downstream packag- creased scalability and throughput. The
ic, continuous real-time quality control. In ing and palletizing functions. But the au- third driver of automation is the need to
general, the more automation, the greater tonomous operation of these functions is address labor shortages and high turnover
the opportunity to collect data for process only one element of automation. by making processes more productive and
improvement and for traceability. The procedures for changing tooling be- less labor-intensive and easier to learn.
tween SKUs and for replacing roll stock also This article was written by Brian Gold-
n Ease of Operation need to minimize human error and effort. en, Sales Director Americas, GN Ther-
Automation addresses workforce issues The right tooling needs to be installed in moforming Equipment, Chester, NS,
in several ways. Obviously, automated sys- exactly the right way, for every production Canada. For more information, visit
tems are less labor-intensive. Instead of run, and roll stock can weigh 1500 lbs. www.bmg-solutions.com/gn. Contact: 902-
requiring one or more operators per pro- Thermoforming equipment should be de- 275-3571.
F
take a sample of blood from the patient,
put it into the chip to enrich the tumor
cells from the blood sample — there’s
SIC K O
GS?
very few of them, maybe about 10 or so
RIN
— and then we open those cells to look
at the genetic composition to help de-
cide: does the patient have a disease,
how to treat the disease, is the patient
responding to therapy?” COIL SP
Of the 50 P41 centers, CBM2 is the only
one based in an NIH IDeA (Institutional
Development Awards) state — a designa-
tion for states that historically have re-
ceived lower amounts of NIH funding.
“Most of these biotechnology resource
centers, as with all big projects, are on ei-
ther coast,” Soper says. “We’re the only bio-
technology resource center that’s funded
in an IDeA state, so that’s a big hooray for We were too.
Kansas and KU — all major NIH centers
have high visibility, so we have a very im- That’s why we invented
portant mission because we’re the only
center of these 50 that has these technolo- the wave spring.
gies, and we’re filling an important niche
within the NIH community.” • Optimize Application Space & Weight
Much of the work of CBM2 takes place • Industry-Specialized Design Support
in collaboration with partners that include • Large Selection from Stock
KU Medical Center (Andrew Godwin, • Easy to Customize
CBM2 co-director), University of North
Carolina-Chapel Hill (Dr. David Kaufman,
CBM2 co-director), Louisiana State Uni-
versity (professors Sunggook Park and Mi-
chael C. Murphy) and the Wake Forest
School of Medicine (professor Adam Hall).
For instance, at KU Medical Center,
Godwin — who also serves as deputy di-
rector of The University of Kansas Can-
Crest-to-Crest® Wave Springs
cer Center and director of Kansas Insti-
9LVLWX
XVD %,20('%
DW% %RRWK
tute for Precision Medicine COBRE
— and Soper are working to develop a
handheld instrument to spot viruses giv-
ing rise to COVID-19 and to detect ovar-
ian cancer early in women with a high
family risk. This kind of cancer detection
uses a few blood drops placed on a plas- Request Free Samples at 847-719-5900 or smalley.com
tic chip created by the center to look for
Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 35
like San Diego-based BioFluidica, culating tumor cells are secured
which markets instruments for the from a blood sample using a plastic
isolation and analysis of liquid biopsy microchip pioneered by the CBM2
markers. Some of these products al- and marketed by BioFluidica.
ready are in use at the KU Cancer Other important research initia-
Center to improve outcomes of can- tives include a project with Dr. Ali-
cer patients in Kansas as well as those son Baird of SUNY Downstate Medi-
across the U.S. cal Center in New York City on a test
“I want to congratulate Drs. Soper using small vesicles as markers for a
and Godwin for the renewal of the point-of-care test for diagnosing
CBM2 P41 grant,” says Dr. Roy Jen- ischemic stroke. The test can be
sen, director of the KU Cancer Cen- The Center of BioModular Multi-Scale Systems for Precision completed in about 30 minutes to
ter. “This funding provides critical Medicine takes small plastic chips made of the same mate- help decide how best to treat pa-
infrastructure support to our re- rial as a compact disc or DVD, then transforms them into tients with stroke. In another effort,
marvels of engineering and chemistry that quickly can detect
search efforts focused on develop- hard-to-diagnose human diseases using saliva, urine, or CBM2 is developing a new nanotech-
ing new and improved detection blood from a patient. (Credit: CBM2) nology platform for sequencing RNA
systems for biomarkers in cancer and DNA to detect changes to the
and other diseases. This renewal For example, CBM2 is working with RNA genome of viruses that give rise
will go a long way toward further en- KUMC’s Dr. Anup Kasi on clinical trials to variants, such as those associated with
hancing our correlative science capa- at the KU Cancer Center to evaluate COVID-19.
bilities and places us at the cutting new therapeutics for pancreatic cancer, For more information, visit https://
edge of molecular diagnostics and pre- which accounts for 7 percent of cancer today.ku.edu. Contact: Brendan M.
cision medicine research.” deaths across the United States. The cir- Lynch, blynch@ku.edu.
CM
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Da/Pro Rubber Inc.......................26....................................... daprorubber.com
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September 2022, Volume 12, Number 9.
Webinars
Product Development Lifecycle Management:
Optimizing Quality, Cost, and Speed to Market
Thursday, October 6, 2022 at 11:00 am U.S. EDT
As medical device original equipment manufacturers look to bring innovative devices to market, the
balance of cost, quality and speed is critical. It is more important than ever to find a partner that will help optimize design for manufacturability,
delivering a fast development process that is ready for full scale-up and commercialization while never sacrificing quality.
Webinars on Demand!
Getting to Market Faster: How to Select Pumps for
Clinical Diagnostics and Medical Devices
Pumps play an integral role in medical devices, but there are so many different pumps, what
should designers prioritize when selecting the best pump for their device? In this 45-minute Webinar, experts share their knowledge and
experience of the most important considerations for choosing pumps for medical applications and accelerating time to market.
Speakers:
Susanna Hellgren Rodd Turnquist Niklas Öberg
Manager Director, Alitea, National Sales Manager U.S., OEM Engineering Manager,
Watson-Marlow Fluid OEM Division, Watson-Marlow Fluid
Technology Group Watson-Marlow Fluid Technology Group
Technology Group