As the Q1 earnings season comes to a close, it’s time to take stock of this quarter’s best and worst performers in the medical devices & supplies - specialty industry, including Bausch + Lomb (NYSE: BLCO) and its peers.

The medical devices industry operates a business model that balances steady demand with significant investments in innovation and regulatory compliance. The industry benefits from recurring revenue streams tied to consumables, maintenance services, and incremental upgrades to the latest technologies, although specialty devices are more niche. The capital-intensive nature of product development, coupled with lengthy regulatory pathways and the need for clinical validation, can weigh on profitability and timelines. In addition, there are constant pricing pressures from healthcare systems and insurers maximizing cost efficiency. Over the next several years, one tailwind is demographic–aging populations means rising chronic disease rates that drive greater demand for medical interventions and monitoring solutions. Advances in digital health, such as remote patient monitoring and smart devices, are also expected to unlock new demand by shortening upgrade cycles. On the other hand, the industry faces headwinds from pricing and reimbursement pressures as healthcare providers increasingly adopt value-based care models. Additionally, the integration of cybersecurity for connected devices adds further risk and complexity for device manufacturers.

The 7 medical devices & supplies - specialty stocks we track reported a strong Q1. As a group, revenues beat analysts’ consensus estimates by 5.2%.

In light of this news, share prices of the companies have held steady. On average, they are relatively unchanged since the latest earnings results.

Bausch + Lomb (NYSE: BLCO)

With a nearly 170-year history dedicated to vision care and eye health innovation, Bausch + Lomb (NYSE: BLCO) develops and manufactures a comprehensive range of eye health products including contact lenses, pharmaceuticals, surgical devices, and consumer eye care solutions.

Bausch + Lomb reported revenues of $1.24 billion, up 9.4% year on year. This print exceeded analysts’ expectations by 2.2%. Overall, it was a very strong quarter for the company with a beat of analysts’ EPS and revenue estimates.

Interestingly, the stock is up 3% since reporting and currently trades at $16.20.

Is now the time to buy Bausch + Lomb? Access our full analysis of the earnings results here, it’s free.

Best Q1: STAAR Surgical (NASDAQ: STAA)

With over 2.5 million implants performed worldwide, STAAR Surgical (NASDAQ: STAA) designs and manufactures implantable lenses that correct vision problems without removing the eye's natural lens.

STAAR Surgical reported revenues of $93.52 million, up 120% year on year, outperforming analysts’ expectations by 20.8%. The business had an incredible quarter with a beat of analysts’ EPS and revenue estimates.

STAAR Surgical achieved the biggest analyst estimates beat and fastest revenue growth among its peers. The market seems happy with the results as the stock is up 10.8% since reporting. It currently trades at $32.58.

Is now the time to buy STAAR Surgical? Access our full analysis of the earnings results here, it’s free.

Weakest Q1: Inspire Medical Systems (NYSE: INSP)

Offering an alternative for the millions who struggle with traditional CPAP machines, Inspire Medical Systems (NYSE: INSP) develops and sells an implantable neurostimulation device that treats obstructive sleep apnea by stimulating nerves to keep airways open during sleep.

Inspire Medical Systems reported revenues of $204.6 million, up 1.6% year on year, exceeding analysts’ expectations by 1.9%. Still, it was a slower quarter as it posted full-year revenue guidance missing analysts’ expectations and a significant miss of analysts’ full-year EPS guidance estimates.

Inspire Medical Systems delivered the highest full-year guidance raise but had the weakest performance against analyst estimates in the group. As expected, the stock is down 22.9% since the results and currently trades at $42.30.

Read our full analysis of Inspire Medical Systems’s results here.

Integer Holdings (NYSE: ITGR)

With its name reflecting the mathematical term for "whole" or "complete," Integer Holdings (NYSE: ITGR) is a medical device outsource manufacturer that produces components and systems for cardiac, vascular, neurological, and other medical applications.

Integer Holdings reported revenues of $439.6 million, flat year on year. This print topped analysts’ expectations by 2.8%. More broadly, it was a slower quarter as it produced a significant miss of analysts’ full-year EPS guidance estimates and full-year revenue guidance missing analysts’ expectations.

Integer Holdings had the slowest revenue growth among its peers. The stock is up 8.1% since reporting and currently trades at $90.46.

Read our full, actionable report on Integer Holdings here, it’s free.

Enovis (NYSE: ENOV)

With a focus on helping patients regain or maintain their natural motion, Enovis (NYSE: ENOV) develops and manufactures medical devices for orthopedic care, from injury prevention and pain management to joint replacement and rehabilitation.

Enovis reported revenues of $589.2 million, up 5.4% year on year. This number beat analysts’ expectations by 3.1%. Taking a step back, it was a satisfactory quarter as it also recorded an impressive beat of analysts’ revenue estimates but full-year revenue guidance meeting analysts’ expectations.

Enovis had the weakest full-year guidance update among its peers. The stock is up 3.7% since reporting and currently trades at $25.76.

Read our full, actionable report on Enovis here, it’s free.

Market Update

Late in 2025 into early 2026, there was hand wringing around artificial intelligence. For software companies, the fear was that AI would erode pricing power and compress margins as new tools made it easier to replicate what once required expensive enterprise platforms. Crypto investors had their own version of the same anxiety: if AI agents could trade, allocate capital, and manage wallets autonomously, what exactly was the long-term value of today’s crypto infrastructure?

These concerns triggered a noticeable rotation away from these sectors and into safer havens. But markets rarely dwell on one narrative for long. Spring 2026 came, and the focus shifted abruptly from technological disruption to geopolitical risk. The US’ conflict with Iran became the dominant driver of market psychology, and when geopolitics takes center stage, the script changes quickly. Investors stop debating growth rates and start worrying about oil supply, inflation, and global stability.

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