Express Healthcare

Sysmex coagulation market in India

Srinivas Naidu,Senior Product Manager-Coagulation Marketing, Sysmex India Pvt Ltd talks about the growing importance of coagulation testing

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India’s diagnostic landscape is undergoing one of the fastest transformations in the world, and coagulation testing sits at the center of this evolution. Rising clinical awareness, expanded hospital infrastructure, a growing insured population, and a shift toward quality-driven laboratory practices are reshaping how coagulation diagnostics are delivered. Amid this transition, Sysmex—already a respected name in hematology—has positioned itself as an increasingly influential player in India’s coagulation market. The company’s portfolio of automated systems, supported by strong service capabilities and a growing reagent ecosystem, is aligning well with India’s long-term diagnostic needs.

Growing importance of coagulation testing

Coagulation diagnostics in India has moved from being a niche area to becoming a routine and essential component of patient management. Conditions such as cardiovascular disease, thrombotic disorders, liver disease, trauma, and perioperative challenges require rapid and reliable coagulation analysis. The increasing use of anticoagulant therapies—both warfarin and newer direct oral anticoagulants—has also pushed PT/INR and aPTT testing volumes dramatically higher across hospitals and independent labs.

With these changing clinical patterns, the demand is shifting away from manual, techniciandependent methods toward faster, more automated systems with standardized outputs. This is where Sysmex’s global expertise provides a strategic advantage.

Sysmex’s positioning and technology direction

Sysmex has steadily expanded its coagulation portfolio worldwide, and its strategy in India mirrors its global philosophy: automation, quality standardisation, and scalable solutions.

The company’s automated coagulation analyzers are designed to cover routine assays while also supporting advanced testing panels. For India, this is particularly relevant because many hospitals and reference labs are consolidating workflows. Instead of relying on multiple semi-automated systems, labs now prefer consolidated analyzers capable of delivering high throughput, consistent accuracy, and predictable reagent performance.

Sysmex’s systems emphasise ease of use, minimal manual intervention, and strong quality control. In a diverse market like India—where laboratory staffing levels, training, and workloads vary widely—these features are not just differentiators; they are enablers of consistent clinical care.

Why automation matters in India

Laboratory automation in India is accelerating, not only in large metro-based hospitals but also across growing Tier-2 and Tier-3 cities. The push for accreditation, digitisation, and standardised laboratory medicine has made automation almost a requirement for competitive healthcare providers.

For coagulation testing, automation brings several advantages:

◆ Standardised results across multiple sites 

◆ Lower dependence on operator skill 

◆ Improved turnaround time, essential for emergency and perioperative care

◆ Better reagent stability and traceability 

◆ Reduced pre-analytical and manual errors 

Sysmex’s design philosophy aligns closely with these needs.Its systems integrate automated sample integrity checks, intelligent reagent management, and connectivity with lab information systems. In India—where labs often manage heavy sample loads—such features translate directly into smoother operations and more reliable patient outcomes.

The expanding midvolume market

One of the most promising growth segments for Sysmex is the rapidly expanding mid-volume lab market. Many mediumsized hospitals and local diagnostic chains are upgrading from manual or semi-automated coagulation analyzers. They seek compact yet fully automated systems that balance cost efficiency with reliability.

Sysmex’s solutions for this segment are particularly well suited. These instruments offer a combination of affordability, ease of maintenance, and the ability to scale testing volumes as laboratories grow. With India’s secondary healthcare sector expanding quickly, this market will likely remain a sustained growth engine.

For India, the future is likely a hybrid ecosystem: robust central laboratory analyzers complemented by decentralised, rapid-response coagulation devices. Sysmex is well positioned to operate across both layers as long as it continues adapting its portfolio to local needs such as cost sensitivity, portability, and service accessibility.

Service, reliability and the importance of support

A key requirement for success in the Indian diagnostics market— often more important than technology itself—is after-sales service. India’s geographic diversity and uneven distribution of skilled engineers make service responsiveness a competitive differentiator.

Sysmex already enjoys a strong reputation in India for hematology support. Extending this same service quality to coagulation customers is one of its most powerful competitive tools. Laboratories increasingly expect preventive maintenance, guaranteed reagents, remote support, and minimal downtime. Sysmex’s structured service model and regional presence allow it to meet these expectations effectively.

Emerging opportunities in India

As the market matures, several structural opportunities are emerging: 

  1. Rise of national laboratory networks 

India’s diagnostic chains are consolidating, creating nationwide networks needing uniform testing platforms. Sysmex can benefit by aligning its solutions with these networks’ expansion strategies. 

  1. Growth of corporate hospitals

 Large hospital chains are investing in high-end diagnostics and automation. These institutions value reliability and scalability—areas where Sysmex’s automated systems excel. 

  1. Standardisation through accreditation 

More laboratories are pursuing NABL accreditation, which increases demand for analyzers with robust QC and documentation features. 

  1. Expansion into smaller cities

Tier-2 and Tier-3 cities are becoming healthcare investment hotspots. These regions need mid-range automated coagulation systems that offer performance without high complexity.

  1. Increasing clinical awareness 

As clinicians adopt more evidence-based practices, coagulation tests are becoming integral to treatment pathways in surgery, trauma care, neurology, cardiology, and oncology. This rising awareness directly boosts test volumes.

Challenges of Indian coagulation market 

Despite the strong opportunity landscape, India presents challenges: 

◆ Need for continuous reagent availability across remote locations 

◆Pressure for faster installation and service turnaround times

Looking ahead: The next five years 

India’s coagulation testing market is set for sustained expansion. Automation will continue spreading to mid-sized labs, quality requirements will grow stricter, and clinicians will increasingly expect quick, reliable results. As hospitals and diagnostic chains consolidate their technologies, the ability to deliver standardised performance across networks will become a competitive necessity. 

Sysmex, with its global expertise and strong Indian presence, is well positioned to lead this evolution. The company’s focus on reliability, automation, and scalable solutions aligns precisely with India’s diagnostic needs for the next decade. As long as it remains agile—adapting its product mix, pricing strategies, and service infrastructure to the realities of the Indian market—Sysmex is poised to emerge as one of the most influential coagulation technology providers in the country

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