Accellent (dba Lake Region Medical) provides the nuts and bolts for the medical device industry. The company offers outsourced design, engineering, and manufacturing of custom components, subassemblies, and completed devices, primarily for medical device firms. Its customers include such industry leaders as Medtronic, Abbott Labs, Stryker, and Johnson & Johnson. Lake Region Medical specializes in equipment used for cardiac rhythm management, interventional cardiology, neurology, and orthopedics, as well as urology and minimally invasive procedures (especially in the field of endoscopy). It also offers its customers complete supply chain management. The company owns or leases about 25 locations in North America and Europe.