Original title: AI Innovation and Firm Performance in the Medical Device Industry
Fazliddin Shermatov, Stephane Robin, Aldo Geuna · September 2026
It is hard to tell if artificial intelligence helps companies make money because finding who actually builds AI into real products is difficult. Medical technology is different. Companies must get official clearance from health authorities before selling AI medical tools, creating a clear public paper trail. Researchers tracked this process by linking records of approved devices, patents, research papers, and company finances. They mapped out how working with outside partners leads to new AI tools, and how those tools affect company success. They found that teaming up with outside research partners helps companies launch AI devices, especially small firms with limited internal research teams. Partnerships with other businesses and medical clinics helped the most, while university ties helped the least. Bringing an AI device to market raised worker productivity, building up with each new release. However, boosts to profit margins were weaker and less consistent, likely because competition reduces pricing power.
Imagine you run a small bakery and want to create a new bread, but you lack the resources to experiment on your own. So you collaborate with other bakers to share ideas. In this paper, medical device firms that collaborate with outside researchers are more likely to introduce AI devices, especially small firms. But even successful new breads get copied, so profits don't increase much.
For medical device firms, this study shows that external research collaborations are crucial for bringing AI devices to market, especially for smaller companies that lack internal R&D capacity. It also reveals that while AI devices boost worker productivity, they may not increase profit margins due to competitive pressures. This helps firms and investors understand where AI investments truly pay off.
The profit margin results are not robust across all statistical specifications, suggesting that competitive pressures may erode pricing power.
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AI Innovation and Firm Performance in the Medical Device Industry — Fazliddin Shermatov, Stephane Robin, Aldo Geuna
Abstract licence: CC0
Explanation generated by Synthesis from the abstract — it is not the original paper. This is a preprint, so it hasn't necessarily been peer reviewed.