European Spine Implants Market

Table of Contents

• Important notice
• Aim of the survey: Quantifying spine implants market in volume, value and market shares in Europe in 2008
• Geographic Areas: GERMANY, FRANCE, ITALY, SPAIN, UK+IRELAND, BELGIUM, SWITZERLAND & OTHER WESTERN EUROPEAN COUNTRIES
• Terminology & Definitions
• Spine Segmentation used:
  • Fusion:
    • Cervical Plate, Cervical Cage, Plate-cage, Occipital fixation system
    • Universal System
    • PLIF, ALIF & TLIF Cages
  • Non Fusion :
    • Cervical Disc
    • Lumbar Disc
    • Extradiscal Dynamic Stabilization System
    • Interspinous Dynamic Device
  • VCF :
    • Kyphoplasty
    • Vertebroplasty

METHODOLOGY

• Qualitative & Quantitative approach:
• Almost all the spine companies & distributors in Europe contacted
• Few tens interviews conducted with competitors and challengers in all over European countries
• Data Crosschecking
• Own market data and market modelization system
• National Organizations and Healthcare Associations
• Methodology for pricing in 2008

EXECUTIVE SUMMARY

• Worldwide Spine & Orthopaedic markets in 2008 in France, Germany, UK, Italy, Spain, Belgium,
• Switzerland & Total Europe Markets
• Worldwide Implant markets in 2008
• Worldwide Orthopaedic market in 2008 in value
• Worldwide Implants market in 2008 in value (M$)
• Implant market in Europe in 2008 in volume (units)
• Knee, Hip & Spine Implant markets Europe Big 5 and Challengers market shares
• Spine Market shares in Europe in 2008 for top competitors
• Spine implants market in Europe in 2006: (M€)
• Spine implants market growth in Europe in 2007/2008
• Main results (1/3) Spine market in Europe in 2008
• Main results (2/3) Spine market in Europe in 2008
• Main results (3/3) Spine market in Europe in 2008
• Fusion Market 2008-2010 in W. Europe
• Non Fusion Market 2008-2010 in W. Europe
• Kyphoplasty Market 2008-2010 in W. Europe
• Vertebroplasty Market 2008-2010 in W. Europe
• Total Spine Market in W. Europe: 2008-2010
• Spine implants market growth in Europe in 2008/2010
• Spine market in Europe
• Drivers & Limiters
• Regulations

ORTHOPAEDIC & SPINE IMPLANTS MARKET DRIVERS & LIMITERS

• Implants market growth factors
• Volume growth
• Increasing thanks to demographics
• More pathologies are treated, younger patients
• Price
• Mostly dependant on reimbursement regulation
• Competition
• Mix Product
• High value added product growth
• Demographics Population increase
• Demographics Population is getting older
• European Regulation Agenda
• Medical devices regulation
• European directive 93/42
• CE Label
• Revision of European Directive 93/42
• Regulations of medical devices
• Regulation Authorities: European Commission (Europe), National ex: (AFSSAPS France), FDA (USA)

SPINE IMPLANT MARKET IN GERMANY

• Population, age structure, hospitals bed / people
• Health system
• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Germany: in 2008 in M €
• Kyphoplasty and Vertebroplasty revenues in Germany
• Spine company market shares in Germany in 2008
• Fusion Market 2008-2010 in Germany
• Non Fusion Market 2008-2010 in Germany
• Kyphoplasty Market 2008-2010 in Germany
• Total Spine Market in Germany: 2008-2010

SPINE IMPLANT MARKET IN FRANCE

• Population, age structure, hospitals bed / people
• Health system
• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in France: in M € in 2008
• Spine company market shares in France in 2008
• Fusion Market 2008-2010 in France
• Non Fusion Market 2008-2010 in France
• Kyphoplasty Market 2008-2010 in France
• Vertebroplasty Market 2008-2010 in France
• Total Spine Market in France: 2008-2010

SPINE IMPLANT MARKET IN U.K.

• Population, age structure, hospitals bed / people
• Health system
• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in UK: in M € in 2008
• Spine company market shares in UK in 2008
• Fusion Market 2008-2010 in UK
• Non Fusion Market 2008-2010 in UK
• Kyphoplasty Market 2008-2010 in UK
• Vertebroplasty Market 2008-2010 in UK
• Total Spine Market in UK: 2008-2010

SPINE IMPLANT MARKET IN ITALY

• Population, age structure, hospitals bed / people
• Health system
• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Italy: in M € in 2008
• Spine company market shares in Italy in 2008
• Fusion Market 2008-2010 in Italy
• Non Fusion Market 2008-2010 in Italy
• Kyphoplasty Market 2008-2010 in Italy
• Vertebroplasty Market 2008-2010 in Italy
• Total Spine Market in Italy: 2008-2010

SPINE IMPLANT MARKET IN SPAIN

• Population, age structure, hospitals bed / people
• Health system
• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Spain: in M € in 2008
• Spine company market shares in Spain in 2008
• Fusion Market 2008-2010 in Spain
• Non Fusion Market 2008-2010 in Spain
• Kyphoplasty Market 2008-2010 in Spain
• Vertebroplasty Market 2008-2010 in Spain
• Total Spine Market in Spain: 2008-2010

SPINE IMPLANT MARKET IN BELGIUM

• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Belgium: in M € in 2008
• Spine company market shares in Belgium in 2008
• Fusion Market 2008-2010 in Belgium
• Non Fusion Market 2008-2010 in Belgium
• Kyphoplasty Market 2008-2010 in Belgium
• Vertebroplasty Market 2008-2010 in Belgium
• Total Spine Market in Belgium: 2008-2010

SPINE IMPLANT MARKET IN SWITZERLAND

• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Switzerland: in M € in 2008
• Spine company market shares in Switzerland in 2008
• Fusion Market 2008-2010 in Switzerland
• Non Fusion Market 2008-2010 in Switzerland
• Kyphoplasty Market 2008-2010 in Switzerland
• Vertebroplasty Market 2008-2010 in Switzerland
• Total Spine Market in Switzerland: 2008-2010

SPINE IMPLANT MARKET IN EUROPE

• Fusion: Cervical & Lumbar Number of procedures in 2008
• Fusion: Cervical & Lumbar ASP per procedures (€) in 2008
• Fusion: Cervical & Lumbar Market in value (M€) in 2008
• Non Fusion: Cervical & Lumbar discs Number of procedures in 2008
• Non Fusion: Cervical & Lumbar discs ASP per procedures (€) in 2008
• Non fusion: Cervical & Lumbar discs Market in value (M€) in 2008
• Non fusion: Lumbar dynamic stabilization Number of procedures in 2008
• Non fusion: Lumbar dynamic stabilization ASP per procedures (€) in 2008
• Non fusion: Lumbar dynamic stabilization Market in value (M€) in 2008
• Total Spine Market in Europe: in M € in 2008
• Spine company market shares in Europe in 2008 for FUSION
• Spine company market shares in Europe in 2008 for NON FUSION
• Spine company market shares in Europe in 2008
• Spine implants market growth in Europe in 2007/2008
• Fusion Market 2008-2010 in W. Europe
• Non Fusion Market 2008-2010 in W. Europe
• Kyphoplasty Market 2008-2010 in W. Europe
• Vertebroplasty Market 2008-2010 in W. Europe
• Total Spine Market in W. Europe: 2008-2010
• Spine implants market growth in Europe in 2008/2010