For endoscopes, the marketplace has been in America for a minimum of 3 huge OEMs, namely Olympus America Inc. , Pentax Accuracy Instrument Corp and Fujinon Inc. controlled for many years regarded OEMs to be the only authorized individual, the repair work and refurbishment do their endoscopes, with exclusive components, adhesives, lubricating substances, technological information and repair manuals. OEMs have to adhere to the FDA Quality System Rules (QSR). The repair service and reconstruction process is regular FDA audits and need to comply with Medical Tool Coverage (MDR) requirements. In current years there has been recent 3rd party Repair firm called independent service companies (ISO). Some of these OEMs, particularly Pentax and Fujinon use their certified solution partners with ISO accessibility to exclusive parts, adhesives, training and fixing manuals. In contrast, establish to make them compatible to the initial devices independent ISO related extra components and components through reverse engineering. Negotiated financial plans with the fixing service center can to be changed fee-for -service, cost-per- procedure and capitated solution contracts, while the ISOs competitors on price and convenience, with some stipulation of on-site endoscope substitute the repair.