Table of Contents
1 Table of Contents 2
1.1 List of Tables 8
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
3 Definitions of
Markets Covered in the Report 14
3.1 Orthopedic Devices 14
3.2
Orthobiologics 14
3.2.1 Bone Allografts 14
3.2.2 Bone Graft
Substitutes 14
3.2.3 Bone Growth Stimulators 14
3.2.4 DBM 14
3.2.5
Viscosupplementation 15
3.3 Joint Reconstruction 15
3.3.1 Ankle
Replacement 15
3.3.2 Digits Replacement 15
3.3.3 Elbow Replacement
15
3.3.4 Hip Replacement 15
3.3.5 Knee Replacement 16
3.3.6
Shoulder Replacement 16
3.3.7 Wrist Replacement 17
3.4 Spinal Surgery
17
3.4.1 Spinal Fusion 17
3.4.2 Spinal Non-Fusion 18
3.5 Trauma
Fixation 18
3.5.1 Internal Fixators 18
3.5.2 External Fixators 19
3.6 Arthroscopy 19
3.6.1 Arthroscope 19
3.7 Orthopedic Accessories
19
3.7.1 Bone Cement 19
3.7.2 Cast Application and Removal Systems
19
3.8 Orthopedic Braces and Supports 19
3.8.1 Ankle Braces and
Supports 20
3.8.2 Knee Braces and Supports 20
3.8.3 Wrist and other
Braces and Supports 20
4 Healthcare Sector Review 21
4.1 Healthcare
Expenditure 21
4.2 Healthcare Infrastructure 22
4.3 Healthcare Policy
22
5 Regulation System 23
5.1 Medical Device Registration Protocol
23
5.1.1 Registration Documentation 23
5.1.2 Registration Procedure
24
5.1.3 Medical Device Registration Fee 25
6 Pricing and
Reimbursement 26
7 Distribution Structure 27
8 Orthopedic Devices In
Brazil 28
8.1 Orthopedic Devices, Brazil, Overall Revenue ($ mn),
2000-2015 28
8.2 Orthopedic Devices, Cross Category Analysis 2000-2015.
32
8.3 Orthopedic Devices, Brazil, Category Volume (Units), 2000-2015
33
8.4 Brazil Orthopedic Devices Market Dynamics 35
8.4.1 Market
Drivers 35
8.4.2 Market Restraints 35
8.5 Orthopedic Devices, Brazil,
Company Share (2006-2007) 36
9 Arthroscopy In Brazil 37
9.1
Arthroscopy Overall Revenue (2000-2015) 37
9.2 Arthroscopy Overall Volume
(2000-2015) 39
9.3 Arthroscopy Average Price (2000-2015) 41
9.4
Arthroscopy Distribution Share (2007-2008) 41
9.5 Arthroscopy, Brazil,
Company Share (2006-2007) 42
10 Joint Reconstruction In Brazil 43
10.1
Joint Reconstruction Overall Revenue (2000-2015) 43
10.2 Joint
Reconstruction Overall Volume (2000-2015) 45
10.3 Joint Reconstruction
Average Price (2000-2015) 47
10.4 Joint Reconstruction Distribution Share
(2007-2008) 49
10.5 Joint Reconstruction, Brazil, Company Share
(2006-2007) 50
11 Orthobiologics In Brazil 51
11.1 Orthobiologics
Overall Revenue (2000-2015) 51
11.2 Orthobiologics Overall Volume
(2000-2015) 55
11.3 Orthobiologics Average Price (2000-2015) 57
11.4
Orthobiologics Distribution Share (2007-2008) 58
11.5 Orthobiologics,
Brazil, Company Share (2006-2007) 59
12 Orthopedic Accessories In Brazil
60
12.1 Orthopedic Accessories Overall Revenue (2000-2015) 60
12.2
Orthopedic Accessories Overall Volume (2000-2015) 62
12.3 Orthopedic
Accessories Average Price (2000-2015) 64
12.4 Orthopedic Accessories
Distribution Share (2007-2008) 64
12.5 Orthopedic Accessories, Brazil,
Company Share (2006-2007) 65
13 Orthopedic Braces and Supports In Brazil
66
13.1 Orthopedic Braces and Supports Overall Revenue (2000-2015) 66
13.2 Orthopedic Braces and Supports Overall Volume (2000-2015) 69
13.3
Orthopedic Braces and Supports Average Price (2000-2015) 72
13.4
Orthopedic Braces and Supports Distribution Share (2007-2008) 73
13.5
Orthopedic Braces and Supports, Brazil, Company Share (2006-2007) 74
14
Spinal Surgery In Brazil 75
14.1 Spinal Surgery Overall Revenue
(2000-2015) 75
14.2 Spinal Surgery Overall Volume (2000-2015) 78
14.3
Spinal Surgery Average Price (2000-2015) 80
14.4 Spinal Surgery
Distribution Share (2007-2008) 81
14.5 Spinal Surgery, Brazil, Company
Share (2006-2007) 82
15 Trauma Fixation In Brazil 83
15.1 Trauma
Fixation Overall Revenue (2000-2015) 83
15.2 Trauma Fixation Overall
Volume (2000-2015) 86
15.3 Trauma Fixation Average Price (2000-2015)
87
15.4 Trauma Fixation Distribution Share (2007-2008) 88
15.5 Trauma
Fixation, Brazil, Company Share (2006-2007) 89
16 Overview of Key
Companies in Brazil Orthopedic Devices Market 90
16.1 DePuy, Inc. Company
Profile 90
16.1.1 Company Overview 90
16.1.2 DePuy, Inc. Pipeline
Products 90
16.2 Zimmer Holdings, Inc. Company Profile 93
16.2.1
Company Overview 93
16.2.2 Value Chain Analysis 94
16.2.3 Zimmer
Holdings, Inc. Pipeline Products 96
16.3 Stryker Corporation Company
Profile 98
16.3.1 Company Overview 98
16.3.2 Value Chain Analysis
98
16.3.3 Stryker Corporation Pipeline Products 100
16.4 Synthes GmbH
Company Profile 102
16.4.1 Company Overview 102
16.4.2 Value Chain
Analysis 102
16.4.3 Synthes GmbH Pipeline Products 104
16.5 Medtronic,
Inc. Company Profile 106
16.5.1 Company Overview 106
16.5.2 Value
Chain Analysis 107
16.5.3 Medtronic, Inc. Pipeline Products 109
16.6
Biomet, Inc. Company Profile 118
16.6.1 Company Overview 118
16.6.2
Value Chain Analysis 119
16.6.3 Biomet, Inc. Pipeline Products 122
16.7 Baumer S.A. Company Profile 125
16.7.1 Company Overview 125
16.8
GMReis Company Profile 126
16.8.1 Company Overview 126
16.8.2 GMReis
Pipeline Products 126
16.9 Impol Instrumental e Implantes Ltda Company
Profile 127
16.9.1 Company Overview 127
17 Appendix 128
17.1
GlobalData Research Methodology 128
17.2 Coverage 129
17.3 Secondary
Research 130
17.4 Primary Research 130
17.5 Models 131
17.6
Forecasts 131
17.7 Expert Panel Validation 131
17.8 Currency
Conversion 133
17.9 Contact Us 134
17.10 Disclaimer 134
1.1
List of Tables
Table 1: Medical Device Registration Fee in Brazil, 2002
25
Table 2: Orthopedic Devices, Brazil, Overall Revenue ($ mn),
Historic, 2000-2008 29
Table 3: Orthopedic Devices, Brazil, Overall
Revenue ($ mn), Forecast, 2008-2015 31
Table 4: Orthopedic Devices,
Brazil, Cross Category Analysis, 2000-2015 32
Table 5: Orthopedic
Devices, Brazil, Category Volume (Units), Historic, 2000-2008 33
Table 6:
Orthopedic Devices, Brazil, Category Volume (Units), Forecast, 2008-2015
34
Table 7: Orthopedic Devices, Brazil, Company Share by Revenue ($
mn), 2006-2007 36
Table 8: Arthroscopy, Brazil, Revenue ($ mn),
Historic, 2000-2008 37
Table 9: Arthroscopy, Brazil, Revenue ($ mn),
Forecast, 2008-2015 38
Table 10: Arthroscopy, Brazil, Volume (Units),
Historic, 2000-2008 39
Table 11: Arthroscopy, Brazil, Volume (Units),
Forecast, 2008-2015 40
Table 12: Arthroscopy, Brazil, Average Price
($), Historic, 2000-2008 41
Table 13: Arthroscopy, Brazil, Average
Price ($), Forecast, 2008-2015 41
Table 14: Arthroscopy, Brazil,
Distribution Share by Revenue ($mn), 2007-2008 41
Table 15:
Arthroscopy, Brazil, Company Share by Revenue ($ mn), 2006-2007 42
Table
16: Joint Reconstruction, Brazil, Revenue ($ mn) by Segment, Historic,
2000-2008 43
Table 17: Joint Reconstruction, Brazil, Revenue ($ mn)
by Segment, Forecast, 2008-2015 44
Table 18: Joint Reconstruction,
Brazil, Volume (Units) by Segment, Historic, 2000-2008 45
Table 19:
Joint Reconstruction, Brazil, Volume (Units) by Segment, Forecast, 2008-2015
46
Table 20: Joint Reconstruction, Brazil, Average Price ($),
Historic, 2000-2008 47
Table 21: Joint Reconstruction, Brazil,
Average Price ($), Forecast, 2008-2015 48
Table 22: Joint
Reconstruction, Brazil, Distribution Share by Revenue ($mn), 2007-2008 49
Table 23: Joint Reconstruction, Brazil, Company Share by Revenue ($ mn),
2006-2007 50
Table 24: Orthobiologics, Brazil, Revenue ($ mn) by
Segment, Historic, 2000-2008 52
Table 25: Orthobiologics, Brazil,
Revenue ($ mn) by Segment, Forecast, 2008-2015 53
Table 26:
Orthobiologics, Brazil, Volume (Units) by Segment, Historic, 2000-2008 55
Table 27: Orthobiologics, Brazil, Volume (Units) by Segment, Forecast,
2008-2015 56
Table 28: Orthobiologics, Brazil, Average Price ($),
Historic, 2000-2008 57
Table 29: Orthobiologics, Brazil, Average
Price ($), Forecast, 2008-2015 57
Table 30: Orthobiologics, Brazil,
Distribution Share by Revenue ($mn), 2007-2008 58
Table 31:
Orthobiologics, Brazil, Company Share by Revenue ($ mn), 2006-2007 59
Table 32: Orthopedic Accessories, Brazil, Revenue ($ mn), Historic,
2000-2008 60
Table 33: Orthopedic Accessories, Brazil, Revenue ($
mn), Forecast, 2008-2015 61
Table 34: Orthopedic Accessories, Brazil,
Volume (Units), Historic, 2000-2008 62
Table 35: Orthopedic
Accessories, Brazil, Volume (Units) by Segment, Forecast, 2008-2015 63
Table 36: Orthopedic Accessories, Brazil, Average Price ($), Historic,
2000-2008 64
Table 37: Orthopedic Accessories, Brazil, Average Price
($), Forecast, 2008-2015 64
Table 38: Orthopedic Accessories, Brazil,
Distribution Share by Revenue ($mn), 2007-2008 64
Table 39:
Orthopedic Accessories, Brazil, Company Share by Revenue ($ mn), 2006-2007
65
Table 40: Orthopedic Braces and Supports, Brazil, Revenue ($ mn)
by Segment, Historic, 2000-2008 66
Table 41: Orthopedic Braces and
Supports, Brazil, Revenue ($ mn) by Segment, Forecast, 2008-2015 68
Table
42: Orthopedic Braces and Supports, Brazil, Volume (Units) by Segment,
Historic, 2000-2008 69
Table 43: Orthopedic Braces and Supports,
Brazil, Volume (Units) by Segment, Forecast, 2008-2015 70
Table 44:
Orthopedic Braces and Supports, Brazil, Average Price ($), Historic, 2000-2008
72
Table 45: Orthopedic Braces and Supports, Brazil, Average Price
($), Forecast, 2008-2015 72
Table 46: Orthopedic Braces and Supports,
Brazil, Distribution Share by Revenue ($mn), 2007-2008 73
Table 47:
Orthopedic Braces and Supports, Brazil, Company Share by Revenue ($ mn),
2006-2007 74
Table 48: Spinal Surgery, Brazil, Revenue ($ mn) by
Segment, Historic, 2000-2008 75
Table 49: Spinal Surgery, Brazil,
Revenue ($ mn) by Segment, Forecast, 2008-2015 76
Table 50: Spinal
Surgery, Brazil, Volume (Units) by Segment, Historic, 2000-2008 78
Table
51: Spinal Surgery, Brazil, Volume (Units) by Segment, Forecast,
2008-2015 79
Table 52: Spinal Surgery, Brazil, Average Price ($),
Historic, 2000-2008 80
Table 53: Spinal Surgery, Brazil, Average
Price ($), Forecast, 2008-2015 80
Table 54: Spinal Surgery, Brazil,
Distribution Share by Revenue ($mn), 2007-2008 81
Table 55: Spinal
Surgery, Brazil, Company Share by Revenue ($ mn), 2006-2007 82
Table 56:
Trauma Fixation, Brazil, Revenue ($ mn) by Segment, Historic, 2000-2008
83
Table 57: Trauma Fixation, Brazil, Revenue ($ mn) by Segment,
Forecast, 2008-2015 85
Table 58: Trauma Fixation, Brazil, Volume
(Units) by Segment, Historic, 2000-2008 86
Table 59: Trauma Fixation,
Brazil, Volume (Units) by Segment, Forecast, 2008-2015 86
Table 60:
Trauma Fixation, Brazil, Average Price ($), Historic, 2000-2008 87
Table
61: Trauma Fixation, Brazil, Average Price ($), Forecast, 2008-2015
87
Table 62: Trauma Fixation, Brazil, Distribution Share by Revenue
($mn), 2007-2008 88
Table 63: Trauma Fixation, Brazil, Company Share
by Revenue ($ mn), 2006-2007 89
Table 64: DePuy, Inc. Pipeline
Products by Equipment Type 90
Table 65: DePuy, Inc. Pipeline Products
by Development Stage 91
Table 66: DePuy, Inc. Pipeline Products by
Therapy Area 91
Table 67: DePuy, Inc. Pipeline Products by Clinical
Trials 92
Table 68: DePuy, Inc. Pipeline Products by News Summary
92
Table 69: Zimmer Holdings, Inc. Pipeline Products by Equipment
Type 96
Table 70: Zimmer Holdings, Inc. Pipeline Products by
Development Stage 97
Table 71: Zimmer Holdings, Inc. Pipeline
Products by Therapy Area 97
Table 72: Zimmer Holdings, Inc. Pipeline
Products by Clinical Trials 97
Table 73: Stryker Corporation Pipeline
Products by Equipment Type 100
Table 74: Stryker Corporation Pipeline
Products by Development Stage 101
Table 75: Stryker Corporation
Pipeline Products by Therapy Area 101
Table 76: Stryker Corporation
Pipeline Products by Clinical Trials 101
Table 77: Synthes GmbH
Pipeline Products by Equipment Type 104
Table 78: Synthes GmbH
Pipeline Products by Development Stage 104
Table 79: Synthes GmbH
Pipeline Products by Therapy Area 105
Table 80: Synthes GmbH Pipeline
Products by Clinical Trials 105
Table 81: Medtronic, Inc. Pipeline
Products by Equipment Type 109
Table 82: Medtronic, Inc. Pipeline
Products by Development Stage 111
Table 83: Medtronic, Inc. Pipeline
Products by Therapy Area 113
Table 84: Medtronic, Inc. Pipeline
Products by Clinical Trials 115
Table 85: Medtronic, Inc. Pipeline
Products by News Summary 116
Table 86: Biomet, Inc. Pipeline Products
by Equipment Type 122
Table 87: Biomet, Inc. Pipeline Products by
Development Stage 122
Table 88: Biomet, Inc. Pipeline Products by
Therapy Area 123
Table 89: Biomet, Inc. Pipeline Products by Clinical
Trials 124
Table 90: GMReis Pipeline Products by Equipment Type
126
Table 91: GMReis Pipeline Products by Development Stage 126
Table 92: GMReis Pipeline Products by Therapy Area 126
Table 93:
USD to Local Currency, Average Exchange Rate 2008 133
1.2 List of
Figures
Figure 1: Health Expenditure by Source in Brazil, 1996 22
Figure 2: Orthopedic Devices, Brazil, Overall Revenue ($ mn), Historic,
2000-2008 28
Figure 3: Orthopedic Devices, Brazil, Overall Revenue ($
mn), Forecast, 2008-2015 30
Figure 4: Orthopedic Devices, Brazil,
Cross Category Analysis, 2000-2015 32
Figure 5: Orthopedic Devices,
Brazil, Company Share (%), 2007 36
Figure 6: Arthroscopy, Brazil,
Revenue ($ mn), Historic, 2000-2008 37
Figure 7: Arthroscopy, Brazil,
Revenue ($ mn), Forecast, 2008-2015 38
Figure 8: Arthroscopy, Brazil,
Volume (Units), Historic, 2000-2008 39
Figure 9: Arthroscopy, Brazil,
Volume (Units), Forecast, 2008-2015 40
Figure 10: Arthroscopy,
Brazil, Company Share (%), 2007 42
Figure 11: Joint Reconstruction,
Brazil, Company Share (%), 2007 50
Figure 12: Orthobiologics, Brazil,
Revenue ($ mn) by Segment, Historic, 2000-2008 51
Figure 13:
Orthobiologics, Brazil, Revenue ($ mn) by Segment, Forecast, 2008-2015 53
Figure 14: Orthobiologics, Brazil, Volume (Units) by Segment, Historic,
2000-2008 55
Figure 15: Orthobiologics, Brazil, Volume (Units) by
Segment, Forecast, 2008-2015 56
Figure 16: Orthobiologics, Brazil,
Company Share (%), 2007 59
Figure 17: Orthopedic Accessories, Brazil,
Revenue ($ mn), Historic, 2000-2008 60
Figure 18: Orthopedic
Accessories, Brazil, Revenue ($ mn), Forecast, 2008-2015 61
Figure 19:
Orthopedic Accessories, Brazil, Volume (Units), Historic, 2000-2008 62
Figure 20: Orthopedic Accessories, Brazil, Volume (Units) by Segment,
Forecast, 2008-2015 63
Figure 21: Orthopedic Accessories, Brazil,
Company Share (%), 2007 65
Figure 22: Orthopedic Braces and Supports,
Brazil, Revenue ($ mn) by Segment, Historic, 2000-2008 66
Figure 23:
Orthopedic Braces and Supports, Brazil, Revenue ($ mn) by Segment, Forecast,
2008-2015 67
Figure 24: Orthopedic Braces and Supports, Brazil,
Volume (Units) by Segment, Historic, 2000-2008 69
Figure 25:
Orthopedic Braces and Supports, Brazil, Volume (Units) by Segment, Forecast,
2008-2015 70
Figure 26: Orthopedic Braces and Supports, Brazil,
Company Share (%), 2007 74
Figure 27: Spinal Surgery, Brazil, Revenue
($ mn) by Segment, Historic, 2000-2008 75
Figure 28: Spinal Surgery,
Brazil, Revenue ($ mn) by Segment, Forecast, 2008-2015 76
Figure 29:
Spinal Surgery, Brazil, Volume (Units) by Segment, Historic, 2000-2008 78
Figure 30: Spinal Surgery, Brazil, Volume (Units) by Segment, Forecast,
2008-2015 79
Figure 31: Spinal Surgery, Brazil, Company Share (%),
2007 82
Figure 32: Trauma Fixation, Brazil, Revenue ($ mn) by
Segment, Historic, 2000-2008 83
Figure 33: Trauma Fixation, Brazil,
Revenue ($ mn) by Segment, Forecast, 2008-2015 85
Figure 34: Trauma
Fixation, Brazil, Company Share (%), 2007 89
Figure 35: Zimmer
Holdings, Inc. Value Chain Analysis 94
Figure 36: Stryker Corporation
Value Chain Analysis 98
Figure 37: Synthes GmbH Value Chain Analysis
102
Figure 38: Medtronic, Inc. Value Chain Analysis 107
Figure
39: Biomet, Inc. Value Chain Analysis 119
Figure 40: GlobalData
Methodology 129
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