– Auburn Hills, Michigan – Brandywine, Pennsylvania – Cayey, Puerto Rico – Chicago, Illinois – Clinton, Massachusetts – Dequing, China – Elmira, New York – Knittlingen, Germany – Maple Grove, Minnesota – Mebane, North Carolina – Mezzovico, Switzerland – Monument, Colorado – Penang, Malaysia – Raron, Switzerland – San Jose, California – Shanghai, China – Shenzhen, China – Singapore – Tijuana Baja, Mexico Most of our manufacturing facilities are certified to the ISO Management System standard, or ISO 13485 Medical Devices (Healthcare sites as applicable), and many are also certified to ISO 14001:2015 environmental standards.