Updated 23 October 2026

Surgical and endoscopy device distributors in Japan: 86 licensed establishments

Japan has 86 licensed establishments in the Index and no independent distributor yet.

The Bastion Hale Distributor Index lists 86 establishments in Japan whose registry records include surgery and endoscopy: 0 independent distributors (a channel role such as importer, distributor, wholesaler or authorised representative, and no manufacturing of their own), 1 manufacturers' own import or sales entities, 0 regulatory representatives, and 85 manufacturers or exporters, out of 568 medical device establishments in Japan overall. The records come from US FDA (openFDA), MHRA UK and Health Canada, last seen on 23 October 2026.

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86establishments
0independent distributors
1makers' own sales entities
85manufacturers only

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Include manufacturers, their own sales entities and regulatory representatives (86)

Manufacturers, companies that are a manufacturer's own import or sales arm, and regulatory representatives (authorised representatives, sponsors or registration holders with no import or distribution role). They are registered here but are not independent distributors.

  1. 1
    0 lines1 registrationsize 34.8
  2. 2
    OLYMPUS MEDICAL SYSTEMS CORP.HACHIOJI-SHI Tokyo, Hachioji-shi
    0 lines229 registrationssize 74.0
  3. 3
    CANON INC.Kawasaki Kanagawa
    0 lines129 registrationssize 73.7
  4. 4
    FUJIFILM CORPORATIONASHIGARAKAMI-GUN Kanagawa
    0 lines87 registrationssize 64.7
  5. 5
    NAKANISHI INC.Kanuma Tochigi
    0 lines70 registrationssize 65.9
  6. 6
    0 lines51 registrationssize 54.1
  7. 7
    0 lines31 registrationssize 53.5
  8. 8
    NIPRO CORPORATIONSettsu Osaka
    0 lines30 registrationssize 55.5
  9. 9
    0 lines20 registrationssize 56.5
  10. 10
    ARKRAY Factory, Inc.Koka-shi Shiga
    0 lines18 registrationssize 47.3
  11. 11
    TOGO MEDIKIT CO., LTD.HYUGA CITY Miyazaki
    0 lines14 registrationssize 43.8
  12. 12
    0 lines12 registrationssize 44.2
  13. 13
    TSK LABORATORY, JAPANTOCHIGI-SHI, Tochigi-Ken
    0 lines9 registrationssize 40.7
  14. 14
    MIZUHO CORPORATIONBUNKYO-KU Tokyo
    0 lines7 registrationssize 46.4
  15. 15
    0 lines6 registrationssize 41.0
  16. 16
    J. MORITA MFG. CORP.FUSHIMI-KU Kyoto
    0 lines3 registrationssize 37.7
  17. 17
    INAMI & CO., LTD.Bunkyo Tokyo
    0 lines3 registrationssize 37.3
  18. 18
    Unisis CorporationKoshigaya-shi Saitama
    0 lines3 registrationssize 35.7
  19. 19
    0 lines3 registrationssize 32.5
  20. 20
    GUNZE LIMITEDAyabe Kyoto
    0 lines3 registrationssize 27.8

General and plastic surgery covers instruments, electrosurgery, endoscopes, sutures and staplers. Most registries place surgical instruments in their largest category, so this segment usually has the most establishments and the widest spread of company sizes. Many of them are small instrument makers and importers rather than full-line distributors.

By role

RoleEstablishmentsShareWhat it means
Distributor11%Holds a distribution licence or is listed as distributor (Health Canada MDEL, SFDA, Oman MOH).
Registration holder1517%Holds device licences or registrations in its own name (Health Canada MDALL licence holder).
Manufacturer8093%Registered as a manufacturer with an address in this market, including foreign registrations.
Exporter2023%Registered with the US FDA as an exporter of devices made for export.

An establishment can hold several roles, so the shares add to more than 100%.

Who holds the registration in Japan

In Japan the marketing approval or certification is held by a Marketing Authorisation Holder (MAH) based in Japan, or by a Designated MAH acting for a foreign manufacturer. The foreign manufacturer registers separately with PMDA. An independent D-MAH keeps the approval out of the distributor's hands.

This is the general rule, not legal advice. The registration clause in the first distributor contract decides who controls the market later. The Next 10 Markets report covers who holds the registration in each of your ten markets.

Questions about surgery and endoscopy distributors in Japan

How many surgery and endoscopy distributors are there in Japan?

The Index counts 86 establishments in Japan with surgery and endoscopy in their registry record, of which 0 are independent distributors (a channel role and no manufacturing of their own). The number comes from US FDA (openFDA), MHRA UK and Health Canada and was last refreshed on 23 October 2026.

Who can hold a surgery and endoscopy device registration in Japan?

In Japan the marketing approval or certification is held by a Marketing Authorisation Holder (MAH) based in Japan, or by a Designated MAH acting for a foreign manufacturer. The foreign manufacturer registers separately with PMDA. An independent D-MAH keeps the approval out of the distributor's hands.

How do I find a surgery and endoscopy distributor in Japan?

Open the top establishments on this page and check their roles, principals and registration counts. Then search the Index for your device and Japan to see the top three names. For a ranked shortlist for your device, see the Next 10 Markets report.

What does the Distributor Index count as a surgery and endoscopy distributor in Japan?

A company that appears in a public regulatory registry with an address in Japan and whose linked device listings fall in the surgery and endoscopy segment, in any of the roles importer, distributor, wholesaler, authorised representative, registration holder, manufacturer or exporter. Each company is counted once.

Other segments in Japan

Surgery and endoscopy in other Asia Pacific markets

Sources

Index build 23 October 2026. Each establishment is counted once per country after resolving names across sources. Company records only, as the registries publish them.

Registry data. Bastion Hale does not vouch for any establishment.