Global Market Size, Forecast, and Trend Highlights Over 2025-2037
Antimicrobial Suture Market size was valued at USD 1.3 billion in 2024 and is expected to exceed USD 3.3 billion by the end of 2037, expanding at over 6.9% CAGR during the forecast period i.e., between 2025-2037. In 2025, the industry size of antimicrobial suture is evaluated at USD 1.6 billion.
The demand for the market is rapidly increasing, owing to surgical interventions for orthopedic, cardiovascular, and general surgeries, along with a rise in the patient pool. As stated in the 2023 World Health Organization (WHO) report, more than 315 million surgeries have been performed yearly across different nations, with surgical site infections (SSIs) taking place in an estimated 12% of cases in low- and middle-income economies. This has readily underscored the requirement for infection-based resistance, especially in regions with a surge in surgical volumes but restricted sterilization facilities. Besides, the U.S. FDA’s Drug Master Files (DMF) system effectively tracks API suppliers, with India and China catering to 47.5% of international suture material exports.
Moreover, the consumer price index has bolstered by almost 4.4% year-over-year (YoY) basis for medical-grade sutures, which is highly attributed to antimicrobial coating patents as well as a rise in polymer expenses. Likewise, the consumer price index has increased to 3.9% YoY for surgical supplies, due to the aspect of hospital procurement costs. Besides, funding for conducting research, development, and deployment has been escalated, with the allocation of USD 125 million in 2024 by the National Institutes of Health (NIH). The purpose of this fund was to cater to anti-infective biomaterials, including the implementation of ground-breaking sutures. Therefore, all these factors are deliberately uplifting the market internationally.

Antimicrobial Suture: Growth Drivers and Challenges
Growth Drivers
- Administrative spending trends: The component of public healthcare spending is positively impacting the market globally. For instance, in 2023, Medicare in the U.S. enhanced its spending capability and reached the USD 485 million mark. This, in turn, effectively reflects in explicit policy coverage and a rise in surgical volumes for the aging population, which readily favors infection-reduced technologies. Besides, the out-of-pocket expenses at the patient level account for USD 50 per procedure, particularly in the U.S., which creates minimal adoption risks in comparison to other innovative wound closure techniques, thus suitable for market growth.
- Regulation-based push for infection control: The wide presence of administrative agencies internationally is implementing stringent standards to overcome surgical infection, which is readily driving the market. In this regard, the FDA has recommended triclosan-coated sutures for almost all abdominal surgeries, depending on clinical trials that display a 37% SSI reduction. Besides, the 2024 Medical Device Regulation (MDR) in the EU has updated mandates to ensure antimicrobial efficacy evaluation, thereby constituting a positive outlook on the market across different nations.
Historical Patient Growth Analysis: Foundation for Future Antimicrobial Suture Market Expansion
The worldwide market is gradually reshaping, owing to a decade of stable surgical volume expansion, evolving reimbursement policies, and an increase in infection prevention awareness. In this regard, the patient pool, between 2014 and 2024, effectively required antimicrobial sutures, particularly across the Asia-Pacific region, Europe, and the U.S., highly facilitated government-mandated infection control protocols, trauma cases, and elective surgeries. Besides, developing countries such as China and India are witnessing rapid expansion, owing to a surge in disposable income and enhanced surgical facilities, thus denoting a prolific opportunity for market development.
Historical Patient Growth (2014–2024) in Key Markets
Country |
2014 Patients (Million) |
2024 Patients (Million) |
CAGR (%) |
U.S. |
8.3 |
12.9 |
4.8% |
Germany |
3.2 |
5.1 |
5.4% |
France |
2.5 |
4.2 |
4.9% |
Spain |
1.8 |
2.8 |
4.5% |
Australia |
1.3 |
2.3 |
6.1% |
Japan |
5.4 |
7.4 |
3.3% |
India |
4.6 |
11.6 |
9.8% |
China |
9.9 |
22.8 |
8.9% |
Feasible Expansion Models Shaping the Antimicrobial Suture Market
The future of the market relies on region-based expansion models that effectively align with surgical demand, cost structures, and localized healthcare policies. Besides, the revenue growth in developed countries has been fueled by premium-priced advancements and value-based procurement, while developing economies depend on public-private partnerships and cost-optimized manufacturing. For example, in India, the Ayushman Bharat scheme has bolstered rural approachability, which has augmented revenue by 14.5% between 2022 and 2024. Meanwhile, the compliance-specific reforms in Germany have uplifted 87% of hospitals to implement antimicrobial sutures, thus suitable for market growth.
Revenue Feasibility Models (2024–2030)
Market |
Expansion Model |
Revenue Growth (CAGR) |
Key Driver |
U.S. |
Value-based contracts |
6.7% |
Medicare SSI penalties (CMS, 2024) |
India |
Local manufacturing JVs |
11.4% |
Ayushman Bharat procurement (NHP) |
Germany |
Hospital bulk procurement |
5.9% |
EU MDR mandates (BfArM) |
China |
Tier-2/3 hospital expansion |
9.6% |
NHFPC subsidy policies (2024) |
Japan |
Robotic surgery adoption |
5.1% |
MHLW reimbursement updates (2024) |
Challenges
- Complications and delays in regulatory approvals: The international administrative landscape for the market is increasingly time-consuming and complicated. For instance, in Europe, there has been a transition in regulatory reforms, which has been disruptive, and further requires manufacturers and producers to reclassify products under strict requirements. Besides, Boston Scientific has reported an expenditure of €3.4 million per product based on the 2023 MDR compliance. Therefore, such delays result in an increase in opportunity expenses and postponement that lead to USD 20 to USD 25 million in lost revenue.
- Vulnerabilities in supply chain systems: The antimicrobial suture market is experiencing crucial dependencies on customized raw materials with vigorous geographic sourcing. For instance, China readily dominates the production procedure of surgical-grade polydioxanone and polypropylene, supplying almost 62.5% of the worldwide demand. However, this vulnerability has become deceptive during the Yangtze River port closures in 2023, which have caused a shortage for 7 months and a surge in overall pricing strategy by 47%, thus denoting a hindrance in the overall market expansion.
Antimicrobial Suture Market: Key Insights
Base Year |
2024 |
Forecast Year |
2025-2037 |
CAGR |
6.9% |
Base Year Market Size (2024) |
USD 1.3 billion |
Forecast Year Market Size (2037) |
USD 3.3 billion |
Regional Scope |
|
Antimicrobial Suture Segmentation
Absorbability (Non-Absorbable Sutures, Absorbable Sutures)
The non-absorbable sutures segment is anticipated to grab the largest share of 62.8% in the antimicrobial suture market by the end of 2037. The segment’s dominance is effectively fueled by its pivotal role in conducting surgical and high-end wound closure procedures, both of which require long-term tissue support. These particular sutures are usually made from silk, nylon, or polypropylene, which is preferred for plastic, orthopedic, and cardiovascular surgeries, wherein the integrity is maintained for an extended duration. Besides, the 2024 CDC report demonstrated Surgical Care Improvement Project (SCIP) guidelines, immensely suitable for non-absorbable variants, including vascular anastomoses and hernia repair.
End User (Hospitals, Ambulatory Surgical Centers (ASCs), Specialty Clinics)
The hospitals segment is expected to grab a considerable market share of 58.5% by the end of the forecast period. The segment’s growth originates from its role as centers for conducting complicated medical procedures, especially for trauma, cardiovascular, and orthopedic surgeries, wherein infection risks are effectively elevated. Regarding this, the Joint Commission's accreditation standards currently manage antimicrobial suture utilization in high-risk surgeries, with an estimated 90% of hospitals in the U.S. catering to compliance structure as part of SSI reduction strategies, thus suitable for market growth.
Our in-depth analysis of the global market includes the following segments:
Absorbability |
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End User |
|
Product Type |
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Coating Type |
|
Application |
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Customize this ReportAntimicrobial Suture Industry - Regional Synopsis
North America Market Analysis
North America in the antimicrobial suture market is projected to account for the highest share of 47.9% by the end of 2037. This growth in the region is highly fueled by innovative surgical adoption, along with the presence of strict CMS infection control mandates. Besides, the U.S. caters to almost 90.5% of the regional demand, with Medicare spending approximately USD 810 million every year on automated sutures for SSI reduction. Meanwhile, the aspect of FDA’s 510(k) clearance for triclosan or silver coatings has also increased by 85.5%, owing to ASC implementation. Canada has also shown a 6.5% growth, attributed to provincial funding, thus driving the market in the region.
The antimicrobial suture market in the U.S. is significantly growing, mainly due to CMS value-specific purchasing. In addition, Medicare and Medicaid services are evidently available in the country, which are extremely suitable for undertaking surgeries. Besides, as per an article published by the NIH Government in 2023, the organization has effectively allocated USD 130 million for next-generation antimicrobial sutures, which have targeted MRSA-based resistant infections. Meanwhile, there has been an expansion in Medicaid, covering more than 36 million beneficiaries, thereby suitable for market upliftment in the country.
The antimicrobial suture market in Canada is also gaining increased traction, based on provincial medical and health strategies. This includes Ontario making an investment of 18.5% in antimicrobial sutures since 2021. In addition, the 2024 guidelines by Health Canada have readily prioritized antimicrobial sutures for clean-contaminated surgeries, which has diminished SSIs by almost 27%. Besides, the CIHI data has reported a yearly growth of 13.5% for orthopedic surgeries, which is deliberately bolstering the market demand in the country. However, the PMPRB report has denoted price negotiations, thus suitable for market expansion.
Europe Market Statistics
Europe in the antimicrobial suture market is projected to be the fastest-growing region with a share of 29.5% by the end of the forecast timeline. The market’s growth in the region is effectively attributed to the presence of surgical infection prevention mandates, a rise in aging demographics, and EU MDR compliance reforms. Besides, the regional Health Data Space has made an allocation of €2.9 billion for undertaking innovations in antimicrobial surgeries, which has effectively escalated advancement in clean-contaminated surgeries. Therefore, all these drivers are genuinely responsible for uplifting the market in the region.
The antimicrobial suture market in Germany is anticipated to hold an estimated 33% of the overall regional market share by the end of 2037. This expectation is deliberately driven by the existence of value-based procurement and compliance models. For instance, as per the 2024 BMG report, the Federal Ministry of Health has mandated antimicrobial sutures in 92% of high-risk surgeries, which is further supported by €520 million from the innovative fund initiative. Besides, the implementation of robotic surgery has increased by 15.8% yearly, which has resulted in boosting the market in the country.
The antimicrobial suture market in France is gaining increased exposure, holding 25% of the overall region’s market share. This is effectively fueled by the presence of HAS guidelines that require antimicrobial sutures in almost 66% of colorectal surgeries. Besides, an allocation of €350 million by the Ségur de la Santé reform has been successful in combating surgical infection, and is expected to target a 32% of SSI reduction by the end of 2030. Additionally, an estimated 40.5% of outpatient surgeries, along with silver-suture subsidies, are also driving the market adoption in the country.

Companies Dominating the Antimicrobial Suture Landscape
- Company Overview
- Business Strategy
- Key Product Offerings
- Financial Performance
- Key Performance Indicators
- Risk Analysis
- Recent Development
- Regional Presence
- SWOT Analysis
The antimicrobial suture market is highly consolidated, owing to the existence of organizations, including B. Braun, Medtronic, and Ethicon, all of which collectively account for approximately 55% of the overall global market share. These companies have implemented notable strategies, such as technology-specific mergers and acquisitions, regulatory partnerships and collaborations, localization across developing economies, and research and development activities for extended-release coatings. For instance, in 2024, the U.S. FDA has readily approved Ethicon’s Vicryl Plus 2.0, thus constituting an optimistic outlook of the market internationally.
Here is a list of key players operating in the global market:
Company Name (Country) |
Industry Focus |
Market Share (2024) |
Ethicon (U.S.) |
Johnson & Johnson subsidiary; leads in triclosan-coated sutures (Vicryl Plus) |
24% |
Medtronic (Ireland) |
Global leader in silver-ion sutures (Monocryl Plus) for cardiovascular surgeries |
19.8% |
B. Braun (Germany) |
Specializes in non-absorbable antimicrobial sutures for ASCs |
15% |
Smith & Nephew (UK) |
Focuses on advanced coatings for orthopedic and trauma surgeries |
10.2% |
Boston Scientific (U.S.) |
Innovates in absorbable sutures with extended-release antimicrobial properties |
8.5% |
Peters Surgical (France) |
EU-focused manufacturer of MDR-compliant sutures |
xx% |
Dolphin Sutures (India) |
Cost-effective sutures for emerging markets; supplies Ayushman Bharat |
xx% |
Sutures India (India) |
Largest exporter of sterile sutures to Africa and Southeast Asia |
xx% |
Teleflex (U.S.) |
Niche player in antimicrobial sutures for minimally invasive surgeries |
xx% |
Demetech (U.S.) |
Focuses on FDA-approved sutures for robotic surgeries |
xx% |
Corza Medical (U.S.) |
Acquired Surgilogic to expand antimicrobial suture portfolio |
xx% |
SMI (Belgium) |
Supplies silver-coated sutures to EU hospitals |
xx% |
Surgical Specialties (U.S.) |
Provides sutures for outpatient settings |
xx% |
Futura Surgicare (India) |
Specializes in chitosan-based sutures for tropical climates |
xx% |
Aurolab (India) |
Aravind Eye Care’s affiliate; produces low-cost ophthalmic sutures |
xx% |
Below are the areas covered for each company in the market:
In the News
- In 2024, Johnson & Johnson unveiled the Vicryl Plus 2.0 in the U.S., which has been accepted by the U.S. FDA on the basis of clinical studies, and has extended a 22-day antimicrobial protection.
- In July 2024, Medtronic plc declared the €155 million funding in the Galway facility, intending to triple the production process of Monocryl Plus antimicrobial sutures and respond to administrative shortages.
Author Credits: Radhika Pawar
- Report ID: 7722
- Published Date: Jun 06, 2025
- Report Format: PDF, PPT