Updated 23 October 2026
Patient monitoring and neurology device distributors in Brazil: 479 licensed establishments
The Bastion Hale Distributor Index lists 479 establishments in Brazil whose registry records include patient monitoring and neurology: 177 independent distributors (a channel role such as importer, distributor, wholesaler or authorised representative, and no manufacturing of their own), 280 manufacturers' own import or sales entities, 7 regulatory representatives, and 15 manufacturers or exporters, out of 4,256 medical device establishments in Brazil overall. The records come from ANVISA Brazil, US FDA (openFDA), MHRA UK and Health Canada, last seen on 23 October 2026.
Entry decision: patient monitoring and neurology (MONI) in Brazil
For a typical maker, from public data and the free Market Finder. Your own clearance, device class and current markets change the answer.
CE marked, shipping from the EU
Go next Rank 33 of 112 markets for this maker.
Held back: ANVISA notification still needs a Brazil Registration Holder, and class III and IV devices need full registration; about 57% collected at the border, about 20% real after credits.
High confidence: official registry with device categories and 177 independent distributors confirmed in MONI; registration route from the regulator's published rules.
FDA cleared, shipping from the US
Go next Rank 6 of 112 markets for this maker.
Held back: ANVISA notification still needs a Brazil Registration Holder, and class III and IV devices need full registration; about 57% collected at the border, about 20% real after credits.
High confidence: official registry with device categories and 177 independent distributors confirmed in MONI; registration route from the regulator's published rules.
Registration route
With CE marking: Brazil notifies class I and II devices instead of registering them. High confidence.
With FDA clearance: Brazil notifies class I and II devices instead of registering them. High confidence.
A local holder or authorised representative must hold or file the registration. Who holds the registration
ANVISA optimised route for class III and IV relies on FDA, Health Canada, TGA and Japan decisions; the EU is not on the device list. Brazil Registration Holder, BGMP and INMETRO still apply.
Timeline and fees are not shown: no official source we cite gives them for this market yet. Confirm with a regulatory specialist before you plan a launch date. Sources: ANVISA Instrucao Normativa 290/2024, optimised device registration based on an equivalent..., ANVISA RDC 751/2022 (English), Articles 6 and 7, ANVISA RDC 830/2023 on IVDs (English), Articles 6 and 7.
Sales channel
Distributor-led: Foreign makers sell through distributors here. A Brazil Registration Holder and a local importer or distributor are mandatory; distributor networks by state.
US Commercial Service country guide, published 21 August 2025.
Independent distributors in the Index: 177 for patient monitoring and neurology, 1,407 in Brazil overall.
Makers registered here: 280 makers' own import or sales entities and 15 manufacturers.
Landed cost
Landed cost from the EU: about 57% collected at the border, about 20% real after credits (medium confidence, confirm with a customs broker). Duty about 12%, import VAT or GST about 18%.
Landed cost from the US: about 57% collected at the border, about 20% real after credits (medium confidence, confirm with a customs broker). Duty about 12%, import VAT or GST about 18%.
Tariff basket: patient monitoring and neurology. Cash is collected at clearance. Real cost is what stays after a registered distributor recovers VAT and charges. Sources: World Bank WITS TRAINS tariff API, reporter 076, MFN applied, HS6, ITA Country Commercial Guide: Brazil Import Tariffs (last published 2025-08-21).
Market size
Health spending: USD 213bn in 2023, USD 1,010 per person (World Bank).
Patient monitoring and neurology (TAM): about USD 450m to 1.3bn a year (estimate, low confidence).
For one product line sold through distributors: SAM about USD 37m to 170m, SOM about USD 110k to 690k a year (estimate). The free Market Finder sizes your own product range.
Broad scope, as in MedTech Europe figures: devices, diagnostics and consumables at manufacturer prices. Narrower published figures are lower.
How we estimate. At manufacturer prices.
Next step
The finder ranks every market for your own device, clearance and current markets. The CSV lists 4,250 establishments, the 1,405 independent distributors first. Company records only. 6 rows are not in the CSV and stay on their profile pages, for example names of a person or records whose only source is the Health Canada licence list.
Top 20 independent patient monitoring and neurology distributors
Independent distributors only, ranked by the lines each distributor carries for other manufacturers, then registrations held, then size.
- 1CIRURGICA FERNANDES - COMERCIO DE MATERIAIS CIRURGICOS E HOSPITALARES - SOCIEDADE LIMITADASantana De Parnaíba, SP159 lines654 registrationssize 86.9
- 2PASSROD IMPORTAÇÃO E EXPORTAÇÃO DE PRODUTOS PARA SAÚDE LTDA - MERibeirão Preto, SP141 lines855 registrationssize 89.8
- 3JOÃOMED COMÉRCIO DE MATERIAIS CIRÚRGICOS S/ACuritiba, PR69 lines186 registrationssize 79.8
- 466 lines402 registrationssize 86.5
- 5MONTSERRAT COMERCIAL IMPORTADORA E EXPORTADORA LTDASão Bernardo Do Campo, SP65 lines161 registrationssize 79.5
- 664 lines633 registrationssize 86.6
- 751 lines136 registrationssize 76.7
- 842 lines152 registrationssize 77.4
- 9MEDMAX COMÉRCIO DE EQUIPAMENTOS MÉDICOS E SIMILARES LTDA- MESanta Rita Do Sapucaí, MG39 lines191 registrationssize 81.0
- 10LINE LIFE CARDIOVASCULAR COM DE PROD MED E HOSP LTDASão Paulo, SP39 lines173 registrationssize 80.0
- 11INCOTERM SOLUÇÕES EM MEDIÇÃO LTDAPorto Alegre, RS35 lines78 registrationssize 72.7
- 12GUSMED DO BRASIL COMERCIO E LOCAÇÃO DE PRODUTOS MEDICOS LTDA - EPPRio De Janeiro, RJ33 lines139 registrationssize 77.0
- 13H STRATTNER E CIA LTDARio De Janeiro, RJ32 lines171 registrationssize 80.3
- 14CONTROLLER COMÉRCIO E SERVIÇOS LTDABiguaçu, SC32 lines77 registrationssize 70.3
- 15SÓLIDA HOSPITALAR - DISTRIBUIDORA DE MATERIAL HOSPITALAR LTDARio De Janeiro, RJ31 lines123 registrationssize 74.9
- 16CMS PRODUTOS HOSPITALARES LTDAAparecida De Goiânia, GO31 lines121 registrationssize 77.8
- 1728 lines160 registrationssize 76.7
- 18SUPERMEDY IMPORTAÇÃO E EXPORTAÇÃO LTDA - EPPSão Paulo, SP27 lines92 registrationssize 71.8
- 19CEDRS - GESTAO EMPRESARIAL LTDASão Bernardo Do Campo, SP26 lines280 registrationssize 80.0
- 20STRA NEGOCIOS EM SAUDE E BEM ESTAR LTDABalneário Camboriú, SC26 lines77 registrationssize 71.8
Include manufacturers, their own sales entities and regulatory representatives (302)
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.
- 178 lines219 registrationssize 83.4
- 2AUTO SUTURE DO BRASIL LTDA.São Paulo, SP77 lines965 registrationssize 89.8
- 368 lines299 registrationssize 84.6
- 4GRUPO MULTILASER S.A.São Paulo, SP63 lines137 registrationssize 76.8
- 548 lines293 registrationssize 85.5
- 6CML- Centro Médico Logístico LtdaSão Paulo, SP46 lines165 registrationssize 80.4
- 740 lines83 registrationssize 72.9
- 8LABORATORIOS B. BRAUN S/ASão Gonçalo, RJ38 lines522 registrationssize 88.9
- 9ACCUMED PRODUTOS MÉDICO HOSPITALARES LTDADuque De Caxias, RJ36 lines83 registrationssize 73.2
- 1030 lines71 registrationssize 70.2
- 11BOSTON SCIENTIFIC DO BRASIL LTDASão Paulo, SP26 lines418 registrationssize 87.4
- 12STRYKER DO BRASIL LTDASão Paulo, SP23 lines633 registrationssize 89.5
- 13SIEMENS HEALTHCARE DIAGNÓSTICOS LTDASão Paulo, SP20 lines1,282 registrationssize 90.8
- 1420 lines151 registrationssize 75.0
- 15BAXTER HOSPITALAR LTDASão Paulo, SP20 lines120 registrationssize 76.8
- 16MR MEDICAL COMÉRCIO DE EQUIPAMENTOS HOSPITALARES LTDAPorto Alegre, RS20 lines117 registrationssize 73.2
- 17ROCHE DIAGNÓSTICA BRASIL LTDASão Paulo, SP19 lines994 registrationssize 89.1
- 18CARDINAL HEALTH DO BRASIL LTDA.São Paulo, SP18 lines111 registrationssize 74.9
- 19MOBIL SAÚDE COMERCIAL LTDASão Caetano Do Sul, SP18 lines43 registrationssize 62.5
- 2017 lines474 registrationssize 84.9
Is your company in this list? Claim it free. No one can pay to be listed or ranked.
Patient monitoring, neurology and physical medicine covers monitors, pulse oximetry, EEG and EMG, rehabilitation and wearable devices. Registries group a wide range of risk classes here, so the counts include both hospital capital equipment houses and consumer-grade device importers. Software and connectivity now feature in many registrations.
By role
| Role | Establishments | Share | What it means |
|---|---|---|---|
| Importer | 419 | 87% | Named as importer in a registry: EUDAMED importer, FDA initial importer, or a Gulf import licence. |
| Distributor | 436 | 91% | Holds a distribution licence or is listed as distributor (Health Canada MDEL, SFDA, Oman MOH). |
| Registration holder | 472 | 99% | Holds device licences or registrations in its own name (Health Canada MDALL licence holder). |
| Manufacturer | 240 | 50% | Registered as a manufacturer with an address in this market, including foreign registrations. |
| Exporter | 228 | 48% | 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 Brazil
In Brazil the ANVISA registration is held by a Brazilian Registration Holder (BRH). If the distributor is the BRH, it owns the registration; an independent holder lets you appoint and replace distributors under it.
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 patient monitoring and neurology distributors in Brazil
How many patient monitoring and neurology distributors are there in Brazil?
The Index counts 479 establishments in Brazil with patient monitoring and neurology in their registry record, of which 177 are independent distributors (a channel role and no manufacturing of their own). The number comes from ANVISA Brazil, US FDA (openFDA), MHRA UK and Health Canada and was last refreshed on 23 October 2026.
Who can hold a patient monitoring and neurology device registration in Brazil?
In Brazil the ANVISA registration is held by a Brazilian Registration Holder (BRH). If the distributor is the BRH, it owns the registration; an independent holder lets you appoint and replace distributors under it.
How do I find a patient monitoring and neurology distributor in Brazil?
Open the top establishments on this page and check their roles, principals and registration counts. Then search the Index for your device and Brazil to see the names, free, no sign-up. For a ranked shortlist for your device, see the Next 10 Markets report.
What does the Distributor Index count as a patient monitoring and neurology distributor in Brazil?
A company that appears in a public regulatory registry with an address in Brazil and whose linked device listings fall in the patient monitoring and neurology segment, in any of the roles importer, distributor, wholesaler, authorised representative, registration holder, manufacturer or exporter. Each company is counted once.
How are CE-marked and FDA-cleared patient monitoring and neurology devices registered in Brazil?
With CE marking: Brazil notifies class I and II devices instead of registering them. With FDA clearance: Brazil notifies class I and II devices instead of registering them. A local holder or authorised representative must hold or file the registration. ANVISA optimised route for class III and IV relies on FDA, Health Canada, TGA and Japan decisions; the EU is not on the device list. Brazil Registration Holder, BGMP and INMETRO still apply. Confirm with a regulatory specialist before you plan a launch date.
How big is the patient monitoring and neurology market in Brazil?
Health spending in Brazil was USD 213bn in 2023 (World Bank). Bastion Hale estimates the patient monitoring and neurology market at about USD 450m to 1.3bn a year at manufacturer prices. This is a model estimate with low confidence: health spending times the device share of health spending times the segment's share of world medical technology spending. The methodology page shows every input and source.
Other segments in Brazil
Patient monitoring and neurology in other Latin America and the Caribbean markets
Sources
- Brazil ANVISA medical device registrations, open data portal: 472 establishments, last seen 23 October 2026. Brazilian government open data.
- US FDA Establishment Registration and Device Listing, openFDA bulk download: 25 establishments, last seen 23 October 2026. US government work, public domain.
- UK MHRA Public Access Registration Database (PARD): 3 establishments, last seen 23 October 2026. Public register.
- Health Canada MDALL active licence listing and MDEL establishment licence listing: 1 establishments, last seen 23 October 2026. Contains information licensed under the Open Government Licence, Canada.
- Company website (the establishment's own public site): 11 establishments, last seen 23 October 2026. Enrichment, not a registry: segments and principals read from the company's own website.
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.