Bariatric (Obesity) Surgical Devices

Table of Contents

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

• Study Reliability and Reporting Limitations
• Disclaimers
• Data Interpretation & Reporting Level
• Quantitative Techniques & Analytics
• Product Definitions and Scope of Study

II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW

• Obesity Assumes Epidemic Proportions
• Growing Problem of Obesity in Asia Particularly China
• Obesity - Quick Statistics
• Table 1: Global Overweight Prevalence (2006): Overweight Population (%) of Select Countries (BMI > 25) (includes corresponding Graph/Chart)
• Table 2: Obese and Overweight & Obese Population in the World (2009): Percentage Share Breakdown by Region for US, European Union, and Rest of World (includes corresponding Graph/Chart)
• Table 3: Abdominal Obesity Prevalence (%) by Region and Sex (includes corresponding Graph/Chart)
• Surgery Provides Hope for Morbidly Obese Patients
• Growing Obesity Prevalence Drives Development of Weight Loss Therapies

2. MARKET DYNAMICS

• Relevance of Bariatric Surgery in Pediatrics
• Sleeve Gastrectomy - Challenging the Growth of Banding Procedures
• Compliance Trends with Physician Advise in Post-Surgery Scenario
• Recommendation Compliance After Surgery - Weight Loss in Compliant and Non-Compliant Patients
• Risk of Bariatric Surgery on Pregnancy
• Stomaphyx Surgery - Addressing Post-Surgical Complications
• VBLOC - An Alternative to Bariatric Surgery
• Endobarrier - An Experimental Device Offers Alternative to Surgery
• Competition Intensifies in the Bariatric Surgery Market

3. AN INTRODUCTION TO OBESITY

• Obesity - A Conceptual Definition
• Childhood Obesity
• Causes of Obesity
• Dietary Habits
• Sedentary Lifestyle
• Genetic Factors
• Medical and Psychiatric Illnesses
• Socioeconomic Factors
• Diagnosis of Obesity
• Body Mass Index (BMI)
• Classification of Obesity as per BMI
• Classification for Class III Obesity
• Deriving Body Fat Percentage from BMI
• Central Obesity
• Central Obesity in Men and Women - Criteria for Identification Using Absolute Waist Circumference and Waist-Hip Ratio Methods
• Impact of Obesity on Health
• Mortality
• Morbidity
• Major Obesity-Related Diseases
• Obesity Treatment
• Diet Therapy
• Lifestyle Modification
• Pharmacotherapy
• Medical Devices
• Bariatric Surgery
• Clinical Protocols for Obesity Treatment

4. BARIATRIC SURGERY - AN INSIGHT

• Defining Bariatrics
• Bariatric Surgery
• Patient Eligibility for Bariatric Surgery
• Role of Technologies in the Growth of Bariatric Surgery
• Endoluminal and Transgastric Surgeries
• Laparoscopy
• Endoscopy in Bariatric Surgery
• Advantages of Bariatric Surgery
• Disadvantages of Bariatric Surgery

5. SURGICAL OPTIONS FOR OBESITY

• Surgical Treatment for Obesity
• Classification of Bariatric Surgery Procedures
• Restrictive Procedures
• Vertical Banded Gastroplasty
• Laparoscopic Adjustable Gastric Banding
• World Estimates and Forecasts
• Table 4: World Recent Past, Current & Future Analysis for Bariatric Surgery: Annual Number of Gastric Banding Procedures for Years 2005 through 2015 (in Thousands) (includes corresponding Graph/Chart)
• Eligibility Criteria for Gastric Banding Patients
• Advantages of Gastric Banding
• Adverse Effects of Banding
• Malabsorptive Procedures
• Biliopancreatic Diversion Procedure
• Biliopancreatic Diversion with Duodenal Switch
• Benefits & Drawbacks of the Procedure
• Combination Procedures
• Gastric Bypass Surgery
• Table 5: Effectiveness of Gastric Bypass Surgery (includes corresponding Graph/Chart)
• Surgical Techniques for Gastric Bypass
• Variations of Gastric Bypass
• Loop Gastric Bypass
• Mini Gastric Bypass
• Table 6: Key Performance Characteristics of Laparoscopic Mini Gastric Bypass Surgery
• Long-Limb Gastric Bypass
• Gastric Bypass, Roux En-Y (Proximal)
• Gastric Bypass, Roux en-Y (Distal)
• Open Vs Laparoscopic Gastric Bypass Surgery
• Complications of Gastric Bypass Procedure
• Anastamotic Leakage
• Anastamotic Stricture
• Dumping Syndrome
• Major Complications of Laparoscopic Gastric Bypass
• Sleeve Gastrectomy
• Analysis of Various Bariatric Procedures
• Table 7: A Comparative Analysis of Various Bariatric Surgery Procedures
• Table 8: Efficacy Rates of Bariatric Procedures (At 2 Year of Surgery)
• Gastric Banding Vs Gastric Bypass
• Table 9: Comparison of Gastric Band & Gastric Bypass Surgeries

6. BARIATRIC SURGERY DEVICES

• Adjustable Gastric Bands
• Background
• Available Gastric Bands
• Adjustable Gastric Bands Marketed in the US and Europe
• Allergan & Ethicon Vie for Global Gastric Band Market Share
• Table 10: Leading Players in the Global Gastric Bands Market (2007): Percentage Share Breakdown of Value Sales for Allergan, Johnson & Johnson/Ethicon, and Others (includes corresponding Graph/Chart)
• Lap-Band Vs Realize Band
• Intragastric Balloons
• Implantable Gastric Stimulator (IGS)
• Surgical Clamps/Gastric Surgery Clamps
• Clip Applier
• Endo Stitch
• Pneumoperitoneum Needle
• Surgical Staple
• Trocars

7. RESEARCH/STUDY FINDINGS

• Bariatric Surgery Reduces Complications Associated with NAFLD
• Research Finds Lower Maternal Risks Among Surgery- Treated Obesity Patients
• Metabolic Syndrome Affects In-Hospital Outcomes After Bariatric Surgery
• Researchers Assess Pulmonary Aspiration Risk in Bariatric Surgery Patients
• Post-Operative Outcomes of Bariatric Surgeries
• Gastric Bypass Surgery Improves Immune Response of Patients
• Bariatric Surgery Reduces Cancer Risk
• Study Shows Need for Re-Surgery in Banding Surgery Patients
• Gastric Banding Surgery Improves Resistance to Insulin

8. PRODUCT INNOVATIONS/INTRODUCTIONS

• Covidien Introduces Versaport(tm) Plus Bladeless Trocar Line
• West Penn Bariatric Surgery Center Commences use of REALIZE Gastric Band
• Ethicon Receives FDA Approval to Market REALIZE(tm)
• Swan Medical Devices Introduces Intraluminal Gastroplasty Device

9. RECENT INDUSTRY ACTIVITY

• Allergan Acquires EndoArt
• Allergan and Covidien to Co-promote Lap-Band
• Taiwan Approves Intragastric Balloon Treatment
• Cellular Technical Services Takes Over SafeStitch
• USGI Medical to Use EOS
• Synovis Acquires 4Closure(tm) Surgical Fascia Closure System
• Allergan Acquires Inamed
• Medtronic Acquires Transneuronix
• EnteroMedics and Mayo Enter into R&D Agreement

10. FOCUS ON SELECT PLAYERS

• Allergan, Inc. (US)
• Cousin Biotech (France)
• Covidien Ltd. (Bermuda)
• Ethicon Endo-Surgery, Inc. (US)
• Helioscopie SA (France)
• Medical Innovation Development Company (France)
• PARE Surgical, Inc. (US)
• Satiety, Inc. (US)
• Silimed Ltda (Brazil)
• Surgical IOC (France)

III. MARKET

1. THE UNITED STATES

• A. Market Analysis
• Outlook
• Obesity - A Major Concern for Healthcare Industry
• Factors Contributing to Rising Incidence of Obesity
• A Quick Glance at Obesity Statistics
• Table 11: Obesity-Affected Population in the US (2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart)
• Table 12: Proportion (%) of Obesity in the US Overweight Population by Age Group (includes corresponding Graph/Chart)
• Table 13: US Obesity Rate (2007): Prevalence Rate by Leading States
• Bariatric Surgery - Ultimate Option for Obesity Treatment
• Bariatric Surgery - Fast Facts
• Focus on Physical Well-Being Boosts Bariatric Surgery Market
• Growth Drivers
• Market Restraints
• Rapid Growth in Bariatric Surgery Devices Market
• Surgery Market for Adolescent Obesity- Slow & Steady Growth
• Gastric Banding - A Market Set for Rapid Growth
• Laparoscopic Adjustable Gastric Banding Gains Popularity
• LGB Vs LGBP - Cost Comparison
• Robot-Assisted Gastric Bypass Surgery Rises in Popularity
• Reimbursement Scenario
• Insurance Coverage
• CMS Offers Coverage for Bariatric Surgery
• Lack of Sufficient Coverage - A Major Obstacle
• Competition Intensifies in the US Gastric Banding Market
• Table 14: Leading Players in the US Adjustable Gastric Banding Market (2006 & 2008): Percentage Share Breakdown of Revenues for Allergan and Johnson & Johnson
• Product Launches
• Strategic Corporate Developments
• Key Players
• Allergan, Inc.
• Ethicon Endo-Surgery, Inc.
• PARE Surgical, Inc.
• Satiety, Inc.
• B. Market Analytics
• Table 15: US Recent Past, Current & Future Analysis for Bariatric Surgery: Annual Number of Gastric Bypass and Gastric Banding Procedures for Years 2005 through 2015 (in Thousands) (includes corresponding Graph/Chart)
• Table 16: US 10-Year Perspective for Bariatric Surgical Procedures by Segment - Percentage Breakdown of Gastric Bypass and Gastric Banding Procedures for Years 2006, 2009 & 2015
• Table 17: US Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Gastric Bypass and Gastric Banding Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 18: US 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Gastric Bypass and Gastric Banding Markets for Years 2006, 2009 & 2015

2. EUROPE

• A. Market Analysis
• Outlook
• Obese Population in Europe
• Table 19: Obese and Overweight & Obese Population in the European Union (2009): Percentage Share Breakdown by Age Group
• Table 20: Obesity Prevalence (2007) in Select European Union Countries: Obesity Rates by Gender (includes corresponding Graph/Chart)
• Table 21: Europe Obesity Prevalence (2007) by Gender and Age Category (in 000s) (includes corresponding Graph/Chart)
• Bariatric Surgery in Europe
• Growing Awareness Levels to Boost Surgery Devices Market
• Factors Driving the European Bariatric Surgery Devices Market
• Factors Restraining Growth in the European Bariatric Surgery Devices Market
• Pricing Scenario
• Gastric Bypass Surgery Gains Strength
• Reimbursement Scenario in Europe
• Reimbursement Policies in Select European Countries
• Competitive Landscape
• Table 22: Leading Players in the European Bariatric Surgical Devices Market (2007): Percentage Share Breakdown of Revenues for Ethicon Endo Surgery, Allergan/Inamed, Covidien, and Others (includes corresponding Graph/Chart)
• B. Market Analytics
• Table 23: European Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Geographic Region - France, Germany, Italy, UK, Spain, and Rest of Europe Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 24: European 10-Year Perspective for Bariatric Surgical Devices by Geographic Region - Percentage Breakdown of Annual Revenues for France, Germany, Italy, UK, Spain, and Rest of Europe Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 25: European Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 26: European 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2a. FRANCE

• A. Market Analysis
• Outlook
• Obesity - A Major Health Concern
• Key Players
• Cousin Biotech
• Helioscopie SA
• Medical Innovation Development Company
• Surgical IOC
• B. Market Analytics
• Table 27: French Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenuesin US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 28: French 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2b. GERMANY

• A. Market Analysis
• Outlook
• Overview
• Bariatric Solutions GmbH - A Key Player
• B. Market Analytics
• Table 29: German Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 30: German 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2c. ITALY

• Market Analysis
• Table 31: Italian Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 32: Italian 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2d. UNITED KINGDOM

• A. Market Analysis
• Outlook
• Overview
• B. Market Analytics
• Table 33: UK Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 34: UK 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2e. SPAIN

• Market Analysis
• Table 35: Spanish Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 36: Spanish 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2f. REST OF EUROPE

• A. Market Analysis
• Overview
• Gastric Banding Market Gains Strength
• Belgium
• The Netherlands
• Juvenile Obesity - A Major Cause of Concern
• Finland
• Sweden
• Strategic Corporate Developments
• New2DM S.A (Luxembourg) - A Major Player
• B. Market Analytics
• Table 37: Rest of Europe Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 38: Rest of Europe 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE