Are there engineers out there who can manufacture relatively simple arthroscopic surgery devices that are used on a single use or limited re-use basis?

A single use radiofrequency probe can cost €150 euro. These devices are used to ablate degenerative articular cartilage in joints. They may be used for only 30 seconds during an arthroscopic operation on the knee and then thrown out. The device itself appears to be a simple product that conducts electricity across its electrodes. I would expect if there was a similar device to be used in the home for any reason you would expect to pay between €5 and €15 for it. It might even be 50 cents such is the simplicity of it.

It is similar with arthroscopic shavers and burrs. They are used to remove cartilage, meniscal tissue and bone from joints. These can cost from €60 to €150 for a relatively simple metal and plastic device which you would expect to pay a few euros for if it was not used in an operation.

There are safety issues and standards to be achieved but nothing as onerous as with a drug.
These devices are not left in the body so they do not have the safety issues that implants have.
It is not that the quality of the product has to be extra, extra special or that the testing can be particularly difficult. I know that sterilising these products has to be of the very highest standard but this is well established in all areas of medical equipment. I can’t see how a medical device can justify such a mark up.

So where are the start-ups that will take this on? Is there a whole business waiting to be developed in providing high quality, reasonably priced arthroscopic medical devices. Most of these devices have little or no electronics and no micro circuitry. Can they be so difficult to manufacture?