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Knight Aerospace Completes CDR for Dutch C-390 Aeromedical System

April 9, 2026

2 min read

Key Takeaways

Knight Aerospace completed Critical Design Review for C-390 aeromedical system.
System uses roll-on/roll-off configuration for medical missions.
Supports intensive care transport, life support, and patient isolation.
First deliveries of C-390 to Royal Netherlands Air Force expected in 2026.

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Strategic Implications

This milestone may indicate growing demand for modular, adaptable medical evacuation systems in military aviation. The partnership between Knight Aerospace and Embraer suggests a strengthening of their collaboration, which could benefit other C-390 operators and may set a precedent for future aeromedical system procurements.

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What Happened

Texas-Based Company Advances Modular Medical Solution For Royal Netherlands Air Force

Knight Aerospace has completed a Critical Design Review for the aeromedical evacuation system being developed for the Royal Netherlands Air Force’s C-390 Millennium fleet. The modular system, designed in partnership with Embraer, supports a range of in-flight medical care scenarios and uses a roll-on/roll-off configuration compatible with the C-390’s cargo handling system. The contract for the system was signed in June 2025, with the Netherlands serving as the launch customer. The program is now advancing toward production and deployment, with first deliveries of the C-390 to the Royal Netherlands Air Force expected in 2026. This development was first reported by AeroTime.

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