The report "US Closed System Transfer Devices Market by Closing Mechanism (Color-to-Color Systems), Type (Needleless Systems), Component (Female Components, Male Luer), Technology (Air Cleaning/Filtration Devices), End User (Hospitals Clinics) - Forecast to 2031" is projected to reach USD 0.86 billion by 2031 from USD 0.67 billion in 2026 at a CAGR of 5.0% during the forecast period.
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Mandatory adherence to USP <800> is a key driver of the U.S. CSTD market, supported by the growing number of injectable oncology and specialty therapies and increasing awareness of occupational exposure risks among healthcare professionals. However, market growth is constrained by the high initial and ongoing costs of consumables, workflow disruptions during implementation, and limited adoption in smaller facilities due to budget limitations. At the same time, the market presents notable opportunities, including the expansion of CSTD use beyond oncology into biologics and gene therapies, rapid growth in ambulatory and home infusion settings, usability-focused design innovations, and the potential for stricter enforcement of safety regulations.
The membrane-to-membrane systems segment will hold the largest share by type in the US closed system transfer devices market.
The membrane-to-membrane CSTD systems hold the largest share in the US market, owing to their ability to provide a very tight, dry-to-dry connection that effectively resists the leakage of hazardous drugs and the escape of vapors. Their strong clinical validation, harmonious compatibility with standard vials and infusion systems, and straightforward alignment with USP <800> and NIOSH recommendations facilitate their easy acceptance in hospitals. Early market entry, a large installed base, and clinician familiarity have also cemented a preference for membrane-to-membrane designs in oncology and specialty pharmacy settings.
Diaphragm-based devices segment held the highest revenue share of the US closed system transfer devices market in 2024
The CSTD devices with diaphragms dominate the US market because they provide highly reliable containment of hazardous drugs through mechanical seals on fluid pathways and pressure equalization. Proven efficacy in preventing vapor and aerosol escape translates into strong compliance with USP <800> and NIOSH guidelines. Signs of established clinical use, extreme confidence among pharmacists and nurses, and widespread use in large hospital systems all serve to strengthen the dominance of diaphragm-based technologies over competing designs.
Key Market Players:
The key players in the US closed system transfer devices market include BD (US), ICU Medical, Inc. (US), EQUASHIELD (US), Corning Incorporated (US), Simplivia Healthcare Ltd. (Israel), JMS (Japan), Baxter (US), Terumo Corporation (Japan), Cardinal Health (US), B. Braun Melsungen AG (Germany), West Pharmaceuticals Services, Inc. (US), CODAN Medizinische Geräte GmbH (Germany), Yukon Medical (US), and INSUNG MEDICAL Co., Ltd. (South Korea).
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