Certified to International and European Medical Quality Standards since 1997. A&E Medical Corporation is a wholly owned retail trade name of Alto Development Corporation, based in the USA, Alto Development Corporation is also a United States FDA registered medical device manufacturer. Alto Development Corporation began operation in 1968 primarily manufacturing products for high voltage electricity distribution grids, before developing their first medical device in 1973. Since then Alto has manufactured a wide variety of electrosurgical instruments, cardiac pacing leads, stainless steel sutures, sternal wires and surgical punches amongst many other products. The companies manufacturing capability combined with established domestic USA and International distribution networks has made A&E Medical a market leader in many areas.