Pediatrics in New Hampshire

Vapotherm manufactures high-velocity therapy (HVT) respiratory support systems for spontaneously breathing patients across neonatal, pediatric, and adult care settings. The company's proprietary mask-free approach delivers heated, humidified high-flow nasal therapy as an alternative to noninvasive positive pressure ventilation (NiPPV) and continuous positive airway pressure (nCPAP), addressing patient compliance challenges due to mask intolerance from anxiety, injury, or other factors. Primary product lines include the HVT 2.0 System (pediatrics to adults) and Precision Flow Hi-VNI (neonates). Clinical evidence supports efficacy in preventing intubation for spontaneously breathing patients, including premature infants in NICUs, pediatric populations, and adults with moderate to severe acute exacerbations in emergency and critical care settings. Vapotherm devices are restricted to physician order under US federal law and are available in more than 40 countries. The company serves over 2,400 hospitals globally and has delivered therapy to more than 4.1 million patients. Devices are designed for ease of use with simplified controls and real-time display of flow rate, temperature, and FiO2 concentration. Clinical documentation references randomized controlled trials demonstrating non-inferiority to standard NiPPV in preventing intubation across patient populations.

Laborie is a global medical technology company specializing in innovative diagnostic and therapeutic solutions for pelvic health, gastrointestinal disorders, urology, urogynecology, obstetrics, gynecology, and neonatal health. Founded in 1967 and headquartered in Portsmouth, New Hampshire, Laborie serves customers in 110 countries with manufacturing facilities in Canada, the United States, Switzerland, and the Netherlands. The company employs over 800 associates worldwide and has evolved from pioneering urodynamic systems to become a fully integrated medical device manufacturer and distributor with emphasis on recurring consumables sales. Laborie's comprehensive portfolio addresses market trends including aging populations and increased diagnosis of pelvic and gastrointestinal conditions, offering advanced urodynamic systems, GI diagnostic tools, therapeutic solutions, and maternal/child health products aimed at improving patient outcomes across the care continuum.

Rhinomed is a global medical device company specializing in wearable nasal technology for respiration, sleep, diagnosis of upper respiratory disease, and nasal drug delivery. The company manufactures diagnostic swabs (Rhinoswab and Rhinoswab Junior) designed for safe, comfortable, and reliable respiratory sample collection for COVID-19, influenza, RSV, and other upper respiratory pathogens. Rhinoswab Junior is specifically engineered for pediatric patients and has been validated in clinical studies demonstrating superior accuracy, comfort, and ease-of-use compared to traditional nasopharyngeal swabs. Beyond diagnostics, Rhinomed develops wearable devices for clinical applications including nasal stenting, breathing assistance for athletes (Turbine—designed to increase airflow up to 38%), and sleep enhancement (Mute—designed to dilate nasal passages to reduce snoring and mouth breathing). The company serves diagnostic laboratories, hospitals, sports medicine, sleep clinics, and government health agencies. Products are deployed globally with significant adoption in Australia and Europe. Rhinomed has secured major purchase orders from government health agencies (e.g., Victorian Department of Health) and distribution partnerships. The company maintains a pipeline of innovation focused on unmet clinical needs in nasal and respiratory health, including nasal drug delivery platforms and clinical stenting applications. Manufacturing and quality standards align with regulatory requirements for medical devices in key markets.

Sleepnet Corporation is a U.S.-based medical device manufacturer specializing in high-quality respiratory masks for sleep apnea treatment and non-invasive ventilation therapy. Established in 1990 and headquartered in Hampton, New Hampshire, the company manufactures all products domestically and serves a global customer base across 50+ countries. Sleepnet offers a comprehensive portfolio including CPAP masks for obstructive sleep apnea, NIV masks for non-invasive ventilation, pediatric respiratory interfaces, and N99 respirators. The company's proprietary AIR°gel® technology features medical-grade silicone gel cushioning that conforms to individual facial contours for secure, comfortable sealing with minimal air leakage. Custom Fit Technology enables users to mold masks for personalized fit and accommodation of facial asymmetry. Primary customers include patients requiring respiratory support, healthcare providers (hospitals and home care facilities), and global distributors. Recognized as 2023 SBA New Hampshire Exporter of the Year with over 50% international revenue, Sleepnet emphasizes Made-in-USA manufacturing, quality assurance, dependability, and rapid fulfillment across hospital and home care channels.

Rehabilitation Equipment Associates, Inc is a mobility and home medical equipment provider specializing in complex rehabilitation equipment for pediatric and adult patients. The company offers rental and sales of mobility equipment and home medical supplies from established manufacturers, with certified Assistive Technology Practitioners (ATPs) on staff to ensure proper fitting and training. Core service offerings include pediatric and adult complex rehab equipment provision, home medical and mobility equipment rentals, and home modification services focused on accessibility and safety. The company operates a physical showroom and storefront at their Manchester, NH location, allowing customers to inspect equipment before rental or purchase. REQ serves patients with short-term rental needs as well as those requiring permanent home accessibility solutions.