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1988 in millions 1988 Medical/surgical 1988 see table Administration research report cardiology Company Items level Country Company Items Current US sales Department of Commerce dialysis Domestic consumption Domestic production Exports Germany Siemens A.G. Health care expenditures Hearing aids High Germany Siemens high-technology Imports International Trade Administration ISTAT Italian Italy Remco Italia Items level outlook Japan Aloka Japan Nihon Kohden Japan Shimadzu Japan Toshiba Medical L.d.t. equipment L.d.t. Japan level outlook Country Low Medium Germany Low Medium Netherlands Major competition Items Mechanotherapy and respiratory Medium Germany Siemens Medium High Germany Medium Medium Medium Netherlands Philips millions of U.S. monitoring national health Netherlands Philips N.V. Number Orthopedic outlook Country Company patients private health private hospitals Projected 1982 respiratory appliances 90.18 sales Major competition specific U.S.-made medical standards developed Switzerland System Aloka L.d.t. Tomioka Trade Administration research trade regulations U.S. Department U.S. dollars U.S. firms Ultrasonic High High United X-ray apparatus 90.20