NAICS 3391Industry group · 4-digitnational market1 market record

Medical equipment and supplies manufacturing

This industry group comprises establishments primarily engaged in manufacturing medical equipment and supplies. Establishments primarily engaged in grinding eyeglasses and hard contact lenses to prescription, on a factory basis, are included. — Statistics Canada, NAICS 2022A

Establishments · CanadaA: 1,410
Under 10 employeesA: 69%
Establishments · USA: 9,009
Employment · USA: 304,707
Payroll · USA: $24.6B

Size and shape

How many businesses there are and how small they are. Fragmentation is the first thing an entrant — or anyone selling software into this industry — needs to know, and it is one of the few things that is actually measured.

Canadian establishments by number of employeesA

1–466447%

5–931522%

10–1919614%

20–4913910%

50–99534%

100–199282%

200–499141%

500+10%

Of 1,410 Canadian establishments with employees, 69% have fewer than ten — mostly small operators.

Where they areA

Ontario57241%

Quebec29821%

British Columbia25418%

Alberta16512%

Largest four provinces by establishment count. Establishments with employees only — sole operators with no payroll are not in this table, so in trades and personal services the true number of businesses is higher.

How many new establishments are still tradingA

Manufacturing, US · opened 2020

86.2%

1 year

70.8%

3 years

58.4%

5 years

45.3%

10 years

opened 2015

Measured, not forecast: the share of US establishments opening in one year that were still active later. It counts good operators and bad ones together, which is exactly why it is the honest answer to “what are the odds”. It is for the whole sector rather than this market, and the ten-year figure comes from an older cohort because no younger one has reached ten years.

How businesses here compete

The structural profile of subsector 339, which every industry beneath it inherits. This is analyst judgment from how the subsector is organised — not research into this industry, and not a measurement.

national competitionmedium capitalUNVERIFIEDinherited from 339 Miscellaneous manufacturing

A residual holding unlike businesses — medical devices, dental labs, signs, jewellery, sporting goods. Each needs reading on its own.

Who sets the price: Varies by niche — dental labs take the dentist's price, medical devices a regulated one.
The software it runs on: Niche-specific: dental lab management, quality systems for devices.

Market screens and studies

Market-entry records filed along this branch of the hierarchy. A record at or beneath this code is about this industry; one above it is about something wider that contains it.

Operating businessScreened

Dental Laboratory OperationOne thing must be true

binding constraint: incumbent vulnerability

Two forces have taken the middle of this trade at once: chairside milling moved single-unit crowns into the dentist's own office, and digital scanning made it trivial to send the rest of the case to a large offshore lab overnight. What survives is complex removable and implant work at the top and price competition at the bottom. The dental practices this lab would serve are themselves consolidating — see the practice-acquisition record at 621210 — and consolidated groups negotiate lab pricing centrally. The offshore lab in that sentence is now a listed company, and it publishes. Modern Dental Group produces in Mainland China, Thailand and Vietnam and sells into Europe, North America and Australia: HK$3,736.5M of 2025 revenue at a 55.8% gross margin, HK$696.4M of it earned in North America, on about 1,039,000 digital-solution cases, up 32.7% in the year [A]. That margin is what a low-cost production base buys, and it is the margin a domestic lab is asked to price against on the same crown. The firms taking the other end of the case are no smaller — Dentsply Sirona turned $3,680.0M in 2025, Envista $2,719.5M and Align $4,035.0M [A] — and each of them is selling the dentist a reason to keep the work in the operatory. What is left is complex removable and implant work that neither travels well nor mills chairside: a real trade, but a much smaller one than the 1,410 Canadian establishments in this code would suggest.

NAICS 33917 vendors named13 sourced figuresOpen →

Software serving this industry

The vertical software markets filed along the same branch — who sells to these businesses and who they would have to displace — and then the generic categories every business buys whatever it does.

No vertical software market has been recorded along this branch. What the subsector typically runs on: Niche-specific: dental lab management, quality systems for devices.

Catalogued categories — named, not analysed

Discrete manufacturing ERP SaaS 31-33

And what every business buys · 25 generic categories

Sold to every industry rather than this one, so they are filed against the software industry's own code. The same few vendors recur across most of them.

Companies in this industry · 5

Every company this research names that is filed here or beneath — the operators, and the vendors that sell to them — largest disclosed revenue first. The rank is within the company’s own six-digit industry.

Company	Filed under	Revenue	Rank
AlignNASDAQ:ALGN	Medical equipment and supplies manufacturing3391	$4.0B	1/5
Dentsply SironaNASDAQ:XRAY	Medical equipment and supplies manufacturing3391	$3.7B	2/5
enVistaPrivate	Medical equipment and supplies manufacturing3391	$2.7B	3/5
Glidewell Dental and the large North American production labsPrivate	Medical equipment and supplies manufacturing3391	—	4/5
Modern Dental GroupHKG:3600	Medical equipment and supplies manufacturing3391	—	5/5

Who works here

The occupations employed in Manufacturing, most concentrated in it first. The share is measured against the whole sector, not this industry — the published cross-tabulation stops there.

Concentrated in this sectorA

Aircraft assemblers and aircraft assembly inspectors One industry 91.3%

Supervisors, assembly and fabrication One industry 88.3%

Machine operators and related workers in pulp and paper production and wood processing and manufacturing One industry 86.1%

Managers in manufacturing and utilities One industry 84.4%

Machine operators and related workers in chemical, plastic and rubber processing One industry 82.7%

Mechanical, electrical and electronics assemblers and inspectors One industry 82.3%

Machine operators and related workers in food, beverage and associated products processing One industry 79.1%

Machine operators and related workers in mineral and metal products processing and manufacturing One industry 77.7%

Furniture, wood, plastic and other products assemblers, finishers and inspectors One industry 73.9%

Machine operators and related workers in textile, fabric, fur and leather products processing and manufacturing One industry 70.8%

These jobs are mostly done here. An operator in this industry is competing for them against others in the same industry, not against the whole economy.

And the jobs every business has

Other technical trades Across the economy 20%

Technical occupations in electronics and electrical engineering Across the economy 16.3%

Shoe repairers, shoemakers and upholsterers Across the economy 15.2%

Administrative and financial supervisors Across the economy 11.6%

Technical inspectors and regulatory officers Across the economy 10.7%

Administrative services managers Across the economy 9.6%

Legislative and senior managers Across the economy 9.2%

Building maintenance installers, servicers and repairers Across the economy 8.3%

Financial, insurance and related administrative support workers Across the economy 7.7%

Technical occupations in computer and information systems Across the economy 4.8%

Found across at least fourteen of the twenty sectors. In a small establishment several of these are usually one person, or an outside provider.

All 162 occupations →

Inside this industry

1 row sits directly beneath 3391, and 2 in all once every level is counted. Each has a base report of its own.

Code	Industry	Establishments · CA	What is known
33911	Medical equipment and supplies manufacturing	1,410	screened at 3391

Alongside it, under 339 Miscellaneous manufacturing

Code	Industry	Establishments · CA	What is known
3399	Other miscellaneous manufacturing	3,765	Dental Laboratory & Sign Manufacturing