NAICS 339113 Quarterly Industry Report
Surgical Appliance and Supplies Manufacturing
Comprehensive industry research for valuation professionals, business owners, buyers, and lenders
NAICS Code: 339113Sector: 33Updated: Q1 2026
About This Report
Fair Market Value publishes this NAICS 339113 industry report using data from the U.S. Census Bureau[8] Economic Census, Bureau of Labor Statistics[7] employment surveys, and SBA size standard tables[9] for surgical appliance and supplies production. Our research team monitors Medicare reimbursement trends, FDA regulatory changes, and hospital purchasing patterns through federal data and industry organizations like AdvaMed. Quarterly updates capture shifts in procedure volumes, material costs, and competitive dynamics affecting NAICS 339113 manufacturers.
Industry Snapshot
Key metrics for the surgical appliance and supplies manufacturing industry.
Industry Definition & Overview
Surgical Appliance and Supplies Manufacturing (NAICS 339113) encompasses establishments primarily engaged in manufacturing surgical appliances and supplies. Product categories include orthopedic devices, prosthetic limbs and joints, surgical dressings and wound care products, crutches and mobility aids, surgical sutures, personal industrial safety devices (except protective eyewear), hospital beds, and operating room tables.
This classification bridges two distinct market segments. One segment produces high-value implantable and external orthopedic devices such as artificial joints, spinal fixation systems, bone plates, and orthotic braces. The other segment manufactures consumable supplies including surgical gowns, drapes, bandages, wound dressings, and disposable safety equipment. Both segments operate under FDA regulatory oversight[5] with device classification, premarket review, and manufacturing quality requirements that shape product development timelines and compliance costs.
The U.S. Census Bureau[6] classifies this code within Industry Group 3391 (Medical Equipment and Supplies Manufacturing). Hospital purchasing drives the bulk of demand, channeled through group purchasing organizations that negotiate supply contracts covering entire health system networks. The Bureau of Labor Statistics[7] reports substantial employment across the medical equipment manufacturing subsector. Aging demographics and rising joint replacement volumes create sustained demand for orthopedic products, while infection prevention protocols drive steady consumption of single-use disposable surgical supplies across both inpatient and outpatient care settings.
What's Included in This Industry
- Manufacturing orthopedic devices including artificial joints, bone plates, and spinal implants
- Production of prosthetic limbs, hands, and mechanical joint replacement components
- Manufacturing surgical dressings, bandages, and wound care products
- Production of surgical sutures, staples, and wound closure materials
- Manufacturing orthotic braces, supports, and corrective devices
- Production of crutches, walkers, and mobility assistance devices
- Manufacturing hospital beds, stretchers, and patient transport equipment
- Production of operating room tables and surgical positioning systems
- Manufacturing personal industrial safety devices except protective eyewear
- Production of surgical gowns, drapes, and disposable barrier products
NAICS Classification Hierarchy
| Level | Description | Code |
|---|---|---|
| Subsector | Miscellaneous Manufacturing | 339 |
| Industry Group | Medical Equipment and Supplies Manufacturing | 3391 |
| NAICS Industry | Medical Equipment and Supplies Manufacturing | 33911 |
| National Industry | Surgical Appliance and Supplies Manufacturing | 339113 |
Related NAICS Codes
| Code | Description | Relationship |
|---|---|---|
| 339112 | Surgical and Medical Instrument Manufacturing | Surgical and medical instrument manufacturing produces the surgical tools and apparatus used alongside appliances and supplies in operating room procedures |
| 339114 | Dental Equipment and Supplies Manufacturing | Dental equipment and supplies manufacturing covers dental-specific devices and materials distinct from general surgical appliances and wound care products |
| 339115 | Ophthalmic Goods Manufacturing | Ophthalmic goods manufacturing produces corrective lenses and eyewear, while surgical appliance production covers a broader range of medical devices |
| 334510 | Electromedical and Electrotherapeutic Apparatus Manufacturing | Electromedical apparatus manufacturing produces electronic diagnostic and therapeutic devices that complement mechanical surgical appliances in clinical use |
| 325414 | Biological Product (except Diagnostic) Manufacturing | Biological product manufacturing produces tissue grafts and biological materials used in conjunction with orthopedic implants and surgical wound products |
| 339116 | Dental Laboratories | Dental laboratories fabricate custom prosthetic dental appliances, distinct from the general surgical prosthetics and orthopedic devices in this classification |
Geographic Concentration
Top states by share of national establishments.
| # | State | % Est. | Total Est. |
|---|---|---|---|
| 1 | California | 12.5% | 229 |
| 2 | Texas | 7.5% | 138 |
| 3 | Florida | 5.8% | 106 |
| 4 | Pennsylvania | 5.3% | 96 |
| 5 | New York | 5.2% | 95 |
| 6 | Minnesota | 4.1% | 75 |
| 7 | Ohio | 4.0% | 74 |
| 8 | New Jersey | 3.3% | 61 |
| 9 | Illinois | 3.3% | 61 |
| 10 | Indiana | 3.2% | 58 |
% Of Establishments
0%
13%
Source: County Business Patterns, U.S. Census Bureau[3]
SBA Lending Summary
248
Total SBA Loans
$226.4M
Total Loan Volume
$913K
Average Loan Size
10 yrs
Average Loan Term
10.54%
Average Interest Rate
2,704
Jobs Supported
Source: SBA 7(a) Program Data, U.S. Small Business Administration — FY 2025[4]
Key Insight: The SBA size standard[9] for NAICS 339113 is 800 employees. Market sector spans a wide range of company sizes, from large orthopedic implant manufacturers with global sales forces to small firms producing specialty wound care products or custom orthotic devices. Qualifying businesses access federal procurement set-asides, particularly through VA medical center[10] supply programs. SBA 7(a) loans[11] fund working capital and regulatory compliance costs. The 504 program[12] supports manufacturing facility expansion and specialized production equipment.
Top SBA Lenders
| # | Lender | Loans | Volume | Avg Loan |
|---|---|---|---|---|
| 1 | Newtek Bank, National Association | 72 | $84.0M | $1.2M |
| 2 | City National Bank of Florida | 8 | $40.0M | $5.0M |
| 3 | First Internet Bank of Indiana | 8 | $33.2M | $4.1M |
| 4 | Amerant Bank, National Association | 8 | $30.7M | $3.8M |
| 5 | Manufacturers and Traders Trust Company | 24 | $8.1M | $338K |
Frequently Asked Questions
Common questions about this industry.
What types of businesses fall under NAICS 339113?
NAICS 339113 covers manufacturers producing surgical appliances and supplies, from large orthopedic implant companies building artificial joints and spinal fixation hardware to smaller firms making wound dressings, surgical sutures, or custom orthotic braces. Hospital bed and operating table manufacturers also fall within this code. Industrial safety device producers (except eyewear) qualify as well. The Census Bureau[6] distinguishes this code from surgical instrument manufacturing (339112).
How is NAICS 339113 structured within the classification system?
NAICS 339113 belongs to Sector 33 (Manufacturing), Subsector 339 (Miscellaneous Manufacturing), Industry Group 3391 (Medical Equipment and Supplies Manufacturing). It sits alongside 339112 (surgical instruments), 339114 (dental equipment), 339115 (ophthalmic goods), and 339116[13] (dental laboratories). The key distinction from 339112 separates supplies and appliances from instruments and apparatus.
What is the SBA size standard for surgical appliance manufacturing?
The SBA size standard[9] for NAICS 339113 is 800 employees. Firms below this threshold qualify as small businesses for federal contracting preferences, VA procurement set-asides, and SBA lending programs. Many manufacturers in this sector operate with under 100 employees, particularly those focused on specialty wound care, custom orthotics, or niche safety device categories.
What NAICS codes are closely related to 339113?
Directly related codes include 339112 (surgical instruments), 339114 (dental equipment), and 334510[14] (electromedical apparatus). Ophthalmic goods (339115) and dental laboratories (339116) serve adjacent medical markets. Biological product manufacturing (325414) produces tissue grafts used with orthopedic implants. Protective eyewear is excluded from this code and falls under ophthalmic goods.
What industries are closely connected to surgical appliance manufacturing?
Hospitals (NAICS 622110) drive the largest share of demand. Home health services (621610) distribute durable medical equipment to patients. Medical equipment wholesalers (423450) manage distribution channels. The Bureau of Labor Statistics[7] tracks employment across the medical equipment manufacturing subsector. Medicare and private insurance reimbursement policies directly shape demand for orthopedic implants and durable medical equipment.
What specific activities are included in NAICS 339113?
Included activities cover manufacturing artificial joints, bone plates, spinal implants, prosthetic limbs, orthotic braces, surgical dressings, bandages, wound care products, sutures, surgical staples, crutches, walkers, hospital beds, operating tables, surgical gowns, drapes, and personal safety devices (except eyewear). Per the Census Bureau[6], the code excludes surgical instruments (339112), dental equipment (339114), and electromedical apparatus (334510).
Can surgical appliance manufacturers qualify for SBA loans?
Yes. Firms under 800 employees can access SBA lending programs[15]. The 7(a) program finances working capital, FDA compliance activities, and production equipment. Most 504 program[12] supports cleanroom facility investments and specialized manufacturing equipment like injection molding systems and automated packaging lines. SBIR grants also fund early-stage medical device development.
Where is surgical appliance manufacturing concentrated geographically?
Indiana anchors one of the largest orthopedic device manufacturing clusters in the world, centered around the Warsaw area in Kosciusko County. California, Massachusetts, and Minnesota host additional medtech production concentrations driven by research hospital proximity and venture capital access. New Jersey and Pennsylvania also support notable manufacturing clusters. Memphis, Tennessee, has a strong orthopedic manufacturing presence as well. Proximity to FDA expertise, clinical trial sites, and surgeon training centers influences facility location decisions.
Sources & References
Government datasets and editorial sources used in this report.
- [1]U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages bls.gov
- [2]U.S. Census Bureau, Economic Census census.gov
- [3]U.S. Census Bureau, County Business Patterns census.gov
- [4]U.S. Small Business Administration, SBA 7(a) Loan Program Data data.sba.gov
- [5]FDA regulatory oversight fda.gov
- [6]U.S. Census Bureau census.gov
- [7]Bureau of Labor Statistics bls.gov
- [8]U.S. Census Bureau data.census.gov
- [9]SBA size standard tables sba.gov
- [10]VA medical center va.gov
- [11]SBA 7(a) loans sba.gov
- [12]504 program sba.gov
- [13]339116 census.gov
- [14]334510 census.gov
- [15]SBA lending programs sba.gov
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