ENGLISH 21 and precise interventions, which hence improve the prospects for patient recovery worldwide. Companies in and around Tuttlingen supply their products to over 180 countries and epitomize “Made in Germany” in the best sense of the word: Quality, innovation and reliability. The ACIG – with its permanent exhibition of surgical instruments and devices – is an important association of medium-sized companies from the medical technology sector based in Tuttlingen and headed by Mr. Bernd Müller. Since its inception in 1989, the ACIG has promoted collaboration, networking, and the competitiveness of its members. As a central point of contact for quality, innovation and industry interests, it makes a significant contribution to strengthening Tuttlingen as a hub of medical technology. The ACIG is therefore an important driving force for securing the future of the entire region. Tuttlingen is therefore not just a byword for technology, but also for an established culture of surgical excellence – a living example of how mastery of one’s trade, entrepreneurial spirit and medical responsibility can work hand in hand. 1. Overview of medical technology in Germany Germany remains at the forefront of the world‘s leading centers for medical technology. According to current surveys, there are around 15,000 medical technology manufacturers with more than 20 employees – amounting to a total workforce of over 200,000 generating approximately €41.4 billion (2024) in revenue in the region. If microenterprises are included, the total revenue exceeds €55 billion. A large proportion of this revenue – around 68 % – comes from international business. Small to medium-sized enterprises form the backbone of the sector: Roughly 93% of companies have fewer than 250 employees. Research and development are of pivotal importance, with companies investing approximately 9% of their revenue in R&D. Of particular note is the fact that medical technology drives innovation along with the economy itself. It operates at the nexus between health, technology, regulation and global competition. 2. Surgical instruments and Tuttlingen as a key location The subsector of surgical instruments occupies a particularly prominent position within medical technology. It includes basic instruments such as clamps, scissors, forceps, and scalpels as well as special instruments (microsurgical, minimally invasive, etc.), endoscopy accessories, implants, and sterilizable surgical kits. Germany is home to several traditional centers of this manufacturing segment, but Tuttlingen and the region are of outstanding significance. Over decades, the city and its surroundings have established a dense network
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