A test strip is a piece of paper about the size of a stick of gum, and the number of allergies it can check is simply the number of thin lines you can print on it.
Printing one more line costs almost nothing.
That is one half of why this business works; the other half is that the strip only fits its own machine.
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The Nespresso Model, Applied to Hospital Labs: Sell the Reader Once, Sell the Strips Forever