(Totally personal opinion) I don't agree with the other companies making them unless they have pedigree in the area. I would prefer that resource is put under the existing vendors so that the established hidden skills are maintained that make it successful. The ideas is simple but medical devices have a sort of tolerance that needs to be understood. I don't want to end up as the beta-test site of a company learning and ramping at the same time. I am happy to screw a bit of Ash to it and sharpie Morgan across the front on the other hand.