In the Continuous Renal Replacement Therapy ecosystem, control points are influenced by regulators, who set standards for safety and efficacy, and by healthcare providers, who drive adoption based on clinical outcomes and cost-effectiveness. Dependency risks arise from input constraints, such as component shortages, and from regulatory approvals, which can delay product launches. Switching costs and partnerships between participants can also impact the ecosystem, as can interoperability requirements for integrating CRRT systems with existing infrastructure. Furthermore, the ecosystem may differ by region due to varying regulatory frameworks, healthcare systems, and market conditions, highlighting the need for a nuanced value chain analysis to understand these complexities.