Enquirer Consulting Group

Reachable Buyer Map

Prepared for Juan Shedrick · Solvemed · September 2026
Here is the map Bethany promised. Solvemed's site describes the PuRe Pupillometer as a smartphone-based FDA medical device for pupil size and reactivity testing, designed for neuro, medical, cardiac and surgical ICUs, trauma centers, stroke units and emergency rooms, and for the nurses, physicians and researchers who work in them. So this page maps the US organizations where those settings sit: which groups they fall into, who inside each one holds the decision, and roughly how many exist. It maps the market around Solvemed, not Solvemed itself, and there is nothing to buy at the end of it.
Where the buying decision actually sits
Seven rows, ordered from the hospitals with the heaviest critical care load out to the edges of the market. Counts are banded on purpose and count facilities or organizations, not people. The teaching row overlaps the two hospital size rows, and the research row overlaps the teaching row.
Large acute care hospitals with an emergency department
Hospitals with 300 beds or more. This is where dedicated neuro, surgical and cardiac ICUs are most likely to sit, along with the busiest emergency departments, so pupil checks happen many times a shift across several units.
Who holds it: the clinical champion is usually the neuro ICU or critical care nurse manager, a clinical nurse specialist, or the medical director of neurocritical care. The chief nursing officer and the critical care service line leader decide whether it spreads beyond one unit.
Who approves it: the value analysis committee and supply chain. Where the EMR integration is switched on, clinical informatics and IT security join the review.
About 640
general acute care hospitals with emergency services and 300 or more beds on their most recent cost report.
Teaching hospitals
Acute care hospitals with an emergency department that train residents. Most of the large hospitals above are in this group. Residents and fellows rotate through the ICUs and emergency department, and new clinical tools tend to be tested, studied and written up here first.
Who holds it: the same unit leaders as above, plus the physician faculty who run critical care and neurology programs. A department chair or program director can open the door for a pilot on one unit.
About 1,240
acute care hospitals with emergency services that report resident training time. About 535 of them also sit in the large hospital row.
Community acute care hospitals
Hospitals under 300 beds with an emergency department. Most run a general ICU rather than a dedicated neuro unit, and the emergency department sees head injury and suspected stroke before any transfer decision.
Who holds it: the ICU or emergency department nurse manager and the chief nursing officer, who often decides directly at this size. Supply chain signs off, and in a hospital that belongs to a system, the system's value analysis team may make the call for every site at once.
About 2,150
general acute care hospitals with emergency services and fewer than 300 beds. Roughly 960 have fewer than 100 beds.
Critical access hospitals
Small rural hospitals with a federal critical access designation, nearly all running an emergency department. A neurological check here often decides whether a patient is transferred to a larger center.
Who holds it: the chief nursing officer or director of nursing, frequently alongside the CEO in a hospital this size. Many are affiliated with a larger system or network that shapes purchasing.
About 1,340
critical access hospitals that report emergency services.
Veterans Affairs and military hospitals
Federal acute care hospitals with an emergency department. They buy through federal procurement channels and hold their own IT security requirements, so the path in differs from a private hospital even when the clinical need is the same.
Who holds it: the chief of critical care or emergency medicine and the nurse executive as clinical sponsors, with the facility's logistics and contracting office running the purchase.
About 140
Veterans Affairs and Department of Defense acute care hospitals that report emergency services.
Clinical research groups using pupillometry
Your site makes the PuRe score formulae openly available to the clinical research community. These are the US universities, hospitals and research foundations that have led or hosted a registered study using pupillometry in brain injury, stroke, critical illness, delirium or anesthesia and postoperative care.
Who holds it: the principal investigator, usually a neurointensivist, anesthesiologist or emergency physician, with the research office involved once devices or data leave the unit.
About 25
US organizations named as lead sponsor or study site on a registered clinical study of this kind, each counted once, industry sponsors excluded. A floor: unregistered work does not appear.
Trauma centers and certified stroke programs
Your site names both as settings it is designed for. They are the sharpest version of the large hospital row, but trauma verification and stroke certification are not recorded in the federal registries this page uses. Rather than show a number built on a guess, this row carries none.
Who holds it: the trauma program manager or trauma medical director, and the stroke program coordinator or stroke medical director. Both report quality measures and look closely at how neurological checks are documented.
No public count
not carried by the registries this page uses, so this segment is built by name rather than counted.

Where the openings are

1
Every hospital has two doors, and your site already speaks to both. The clinical champion in the ICU or emergency department cares about a reliable reading at the bedside. The value analysis committee and supply chain care about what the purchase costs to own, and IT cares about what connects to the EMR. Solvemed's own page covers ambient light, disposables and EMR integration, which are the questions each of those seats asks. Reaching only the unit leaves the approval path to hear about it second hand.
2
The large hospital row is small enough to work in full, by name. About 640 hospitals, most of them teaching hospitals, each with a named critical care nurse leader, a neurocritical care or trauma lead and a value analysis contact. A list that size can be worked completely rather than sampled, and each first message can reference the units that hospital actually runs.
3
The smaller hospitals are a different conversation, not a smaller one. About 3,500 community and critical access hospitals see head injury and stroke in the emergency department, often with the transfer decision riding on the neurological check. A tool that runs on a phone with no added hardware changes the size of that decision for a hospital this small, and those buyers are usually reached through the chief nursing officer or the system they belong to, not one unit at a time.
Built from public federal hospital registries and the public clinical trial registry, current to September 2026, with hospital bed and resident counts from the most recent full-year federal cost reports. Counts are banded deliberately and count facilities, not health systems. A segment with no credible public number says so rather than showing one.
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