I have to agree with you on this part a lot of smaller companies do hire separate companies to be able to manufacture their device since for them it cost efficient, if they try to do it for themselves that mean they need to spend a lot more money and since is a small company their profit would probably will not be enough if the small company trying to manufacture different types of medical device. In addition, I’m not too sure what you mean that not all the CMOs are on of top quality.