The Neonatal Video Laryngoscope ecosystem spans upstream component supply, midstream device assembly and integration, and downstream distribution to clinical end‑users. Upstream, raw‑material and optical component suppliers provide lenses, LEDs, and sterilizable polymers that form the core of the visual system. Midstream actors—OEM manufacturers, technology providers, and system integrators—combine these inputs, embed imaging software, and certify devices to regulatory standards. Downstream, distributors and channel partners handle regional logistics, regulatory filings, and sales outreach, while hospitals and neonatal intensive care units adopt the devices for airway management. Value is created through the conversion of specialized components into clinically approved systems and captured by manufacturers and channel partners via product sales and service contracts. This value chain analysis clarifies the flow of technology, capital, and clinical expertise across the Neonatal Video Laryngoscope ecosystem.