Table of Contents
1 Table of Contents
1 Table of Contents 2
1.1 List of Tables 9
1.2
List of Figures 12
2 Introduction 14
2.1 What Is This Report About?
14
3 Definitions of Markets Covered in the Report 15
3.1 Wound Care
Management 15
3.2 Advanced Wound Management 15
3.2.1 Alginates 15
3.2.2 Collagens 15
3.2.3 Foams 15
3.2.4 Hydrocolloids 15
3.2.5
Hydrofibres 15
3.2.6 Hydrogels 15
3.2.7 Semi-Permeable Films 15
3.3 Negative Pressure Wound Therapy (NPWT) 15
3.3.1 Negative Pressure
Wound Therapy Disposables 16
3.3.2 Negative Pressure Wound Therapy
Equipment 16
3.4 Compression Therapy 16
3.4.1 Compression Bandages
16
3.4.2 Dynamic Compression Therapy 16
3.5 Ostomy Drainage Bags
16
3.5.1 Colostomy 16
3.5.2 Ileostomy 17
3.5.3 Urostomy 17
3.6
Pressure Relief Devices 17
3.6.1 Mattress Overlays 17
3.6.2 Mattresses
17
3.6.3 Speciality Beds 17
3.7 Traditional Wound Management 17
3.8 Wound Closure Devices 17
3.8.1 Hemostats 17
3.8.2 Ligating Clips
17
3.8.3 Mechanical Stapling Devices 18
3.8.4 Tissue Sealants 18
3.8.5 Wound Closure Strips 18
4 Healthcare Sector Review 19
4.1
Healthcare Expenditure 19
4.2 Healthcare Infrastructure 21
4.3
Healthcare Policy 26
4.4 Canada Healthcare Trade Statistics 27
5
Regulation System 28
5.1 Medical Equipment Approval Process 28
5.1.1
Classification 28
5.1.2 Conformity Assessment 29
5.1.3 License Fee
31
5.1.4 License Application Processing Duration 31
5.2 Labeling and
Packaging 31
5.3 Post-Market Surveillance 32
6 Pricing and
Reimbursement 33
7 Distribution Structure 35
7.1 Distribution
Structure 35
8 Wound Care Management In Canada 36
8.1 Wound Care
Management, Cross Country Comparison, Revenue ($ mn), 2000-2015 36
8.2
Wound Care Management, Canada, Overall Revenue ($ mn), 2000-2015 38
8.3
Wound Care Management, Canada, Category Volume (Units), 2000-2015 44
8.4
Wound Care Management, Canada, Company Share (2007-2008) 49
9 Advanced
Wound Management In Canada 50
9.1 Advanced Wound Management Overall
Revenue (2000-2015) 50
9.2 Advanced Wound Management Overall Volume
(2000-2015) 54
9.3 Advanced Wound Management Average Price (2000-2015)
58
9.4 Advanced Wound Management Distribution Share (2007-2008) 59
9.5
Advanced Wound Management, Canada, Company Share (2007-2008) 60
10
Compression Therapy In Canada 62
10.1 Compression Therapy Overall Revenue
(2000-2015) 62
10.1.1 Dynamic Compression Therapy Revenue (2000-2015)
64
10.2 Compression Therapy Overall Volume (2000-2015) 66
10.2.1
Dynamic Compression Therapy Volume (2000-2015) 67
10.3 Compression Therapy
Average Price (2000-2015) 69
10.4 Compression Therapy Distribution Share
(2007-2008) 70
10.5 Compression Therapy, Canada, Company Share (2007-2008)
71
11 Negative Pressure Wound Therapy (NPWT) In Canada 72
11.1
Negative Pressure Wound Therapy (NPWT) Overall Revenue (2000-2015) 72
11.2
Negative Pressure Wound Therapy (NPWT) Overall Volume (2000-2015) 74
11.3
Negative Pressure Wound Therapy (NPWT) Average Price (2000-2015) 76
11.4
Negative Pressure Wound Therapy (NPWT) Distribution Share (2007-2008) 77
11.5 Negative Pressure Wound Therapy (NPWT), Canada, Company Share (2007-2008)
78
12 Ostomy Drainage Bags In Canada 79
12.1 Ostomy Drainage Bags
Overall Revenue (2000-2015) 79
12.2 Ostomy Drainage Bags Overall Volume
(2000-2015) 81
12.3 Ostomy Drainage Bags Average Price (2000-2015) 83
12.4 Ostomy Drainage Bags Distribution Share (2007-2008) 84
12.5 Ostomy
Drainage Bags, Canada, Company Share (2007-2008) 85
13 Pressure Relief
Devices In Canada 86
13.1 Pressure Relief Devices Overall Revenue
(2000-2015) 86
13.2 Pressure Relief Devices Overall Volume (2000-2015)
88
13.3 Pressure Relief Devices Average Price (2000-2015) 90
13.4
Pressure Relief Devices Distribution Share (2007-2008) 91
13.5 Pressure
Relief Devices, Canada, Company Share (2007-2008) 92
14 Traditional Wound
Management In Canada 93
14.1 Traditional Wound Management Overall Revenue
(2000-2015) 93
14.2 Traditional Wound Management Overall Volume
(2000-2015) 95
14.3 Traditional Wound Management Average Price (2000-2015)
97
14.4 Traditional Wound Management Distribution Share (2007-2008) 98
14.5 Traditional Wound Management, Canada, Company Share (2007-2008) 99
15
Wound Closure Devices In Canada 100
15.1 Wound Closure Devices Overall
Revenue (2000-2015) 100
15.2 Wound Closure Devices Overall Volume
(2000-2015) 104
15.3 Wound Closure Devices Average Price (2000-2015)
106
15.4 Wound Closure Devices Distribution Share (2007-2008) 107
15.5
Wound Closure Devices, Canada, Company Share (2007-2008) 108
16 Overview
of Key Companies in Canada Wound Care Management Market 109
16.1 Kinetic
Concepts, Inc. 109
16.1.1 Company Overview 109
16.1.2 Kinetic
Concepts, Inc. Pipeline Products 109
16.2 Smith & Nephew Plc 111
16.2.1 Company Overview 111
16.2.2 Smith & Nephew Plc Pipeline Products
111
16.3 Ethicon, Inc. 114
16.3.1 Company Overview 114
16.4
Covidien plc 114
16.4.1 Company Overview 114
16.4.2 Covidien Ltd./Tyco
Healthcare Pipeline Products 115
16.5 Baxter International Inc. 117
16.5.1 Company Overview 117
16.6 3M Health Care 117
16.6.1 Company
Overview 117
16.7 B. Braun Melsungen AG 118
16.7.1 Company Overview
118
16.8 Molnlycke Health Care AB 119
16.8.1 Company Overview 119
16.9 Coloplast A/S 119
16.9.1 Company Overview 119
16.10 HARTMANN
GROUP 120
16.10.1 Company Overview 120
16.11 BSN medical GmbH 120
16.11.1 Company Overview 120
16.12 Hollister Incorporated 121
16.12.1
Company Overview 121
16.13 Invacare Corporation 122
16.13.1 Company
Overview 122
16.14 Johnson & Johnson 122
16.14.1 Company Overview
122
16.15 Hill-Rom Holdings, Inc. 123
16.15.1 Company Overview 123
16.16 Nycomed International Management GmbH 123
16.16.1 Company Overview
123
16.17 Advanced Medical Solutions Group plc 124
16.17.1 Company
Overview 124
16.17.2 Advanced Medical Solutions Group plc Pipeline
Products 124
16.18 Haemacure Corporation 126
16.18.1 Company Overview
126
16.18.2 Haemacure Corporation Pipeline Products 126
16.19 QMD
Medical 128
16.19.1 Company Overview 128
16.20 Canica Design Inc.
128
16.20.1 Company Overview 128
16.21 BioSyntech, Inc. 129
16.21.1 Company Overview 129
16.21.2 BioSyntech, Inc. Pipeline Products
129
17 Financial Deals Landscape 131
17.1 Partnerships 131
17.1.1
Angiotech Enters Into an Agreement with Haemacure 131
18 Recent
Developments 132
18.1 Strategy and Business Planning 132
18.1.1 May
04, 2009: Covalon Plans To Reduce Its Expenses 132
18.1.2 Apr 24, 2009:
Covalon Technologies, Amsino International Announce Strategic Alliance 132
19 Appendix 133
19.1 Global Markets Direct Research Methodology 133
19.2 Secondary Research 134
19.3 Primary Research 134
19.4 Models
135
19.5 Forecasts 135
19.6 Expert Panel Validation 135
19.7
Currency Conversion 136
19.8 Contact Us 137
19.9 Disclaimer 137
1.1 List of Tables
Table 1: Healthcare Expenditure, Canada, 2000-2007
20
Table 2: Number of Physicians by Province in Canada, 2001 and 2005
22
Table 3: Number of Physicians by Province in Canada, 2001 and 2007
23
Table 4: Hospital Wards by Specialty in Canada, 2003-2007 24
Table
5: Doctors by Specialty in Canada, 2003-2007 25
Table 6: Canada Healthcare
Trade Statistics, 2001-2006 27
Table 7: Medical Equipment Classification
in Canada, 2007 28
Table 8: Medical Equipment Licensing Fee in Canada,
2007 31
Table 9: Medical Equipment License Processing Duration in Canada,
2007 31
Table 10: Private Reimbursement Providers, Canada 34
Table 11:
Wound Care Management, Cross Country Comparison, Revenue ($ mn),
2000-2015 37
Table 12: Wound Care Management, Canada, Overall Revenue
($ mn), 2000-2015 38
Table 13: Wound Care Management, Canada,
Cross-Category Analysis, 2000-2015 39
Table 14: Wound Care
Management, Canada, Overall Revenue ($ mn), Historic, 2000-2008 41
Table
15: Wound Care Management, Canada, Overall Revenue ($ mn), Forecast,
2008-2015 43
Table 16: Wound Care Management, Canada, Category Volume
(Units), 2000-2015 44
Table 17: Wound Care Management, Canada,
Category Volume (Units), Historic, 2000-2008 46
Table 18: Wound Care
Management, Canada, Category Volume (Units), Forecast, 2008-2015 48
Table
19: Wound Care Management, Canada, Company Share by Revenue ($ mn),
2007-2008 49
Table 20: Advanced Wound Management, Canada, Revenue ($
mn) by Segment, Historic, 2000-2008 51
Table 21: Advanced Wound
Management, Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015 53
Table 22: Advanced Wound Management, Canada, Volume (Units) by Segment,
Historic, 2000-2008 55
Table 23: Advanced Wound Management, Canada,
Volume (Units) by Segment, Forecast, 2008-2015 57
Table 24: Advanced
Wound Management, Canada, Average Price ($), Historic, 2000-2008 58
Table
25: Advanced Wound Management, Canada, Average Price ($), Forecast,
2008-2015 58
Table 26: Advanced Wound Management, Canada,
Distribution Share by Revenue ($mn), 2007-2008 59
Table 27: Advanced
Wound Management, Canada, Company Share by Revenue ($ mn), 2007-2008 61
Table 28: Compression Therapy, Canada, Revenue ($ mn) by Segment,
Historic, 2000-2008 62
Table 29: Compression Therapy, Canada, Revenue
($ mn) by Segment, Forecast, 2008-2015 63
Table 30: Dynamic
Compression Therapy, Canada, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 64
Table 31: Dynamic Compression Therapy, Canada, Revenue
($ mn) by Sub-Segment, Forecast, 2008-2015 65
Table 32: Compression
Therapy, Canada, Volume (Units) by Segment, Historic, 2000-2008 66
Table
33: Compression Therapy, Canada, Volume (Units) by Segment, Forecast,
2008-2015 66
Table 34: Dynamic Compression Therapy, Canada, Volume
(Units) by Sub-Segment, Historic, 2000-2008 67
Table 35: Dynamic
Compression Therapy, Canada, Volume (Units) by Sub-Segment, Forecast,
2008-2015 68
Table 36: Compression Therapy, Canada, Average Price
($), Historic, 2000-2008 69
Table 37: Compression Therapy, Canada,
Average Price ($), Forecast, 2008-2015 69
Table 38: Compression
Therapy, Canada, Distribution Share by Revenue ($mn), 2007-2008 70
Table
39: Compression Therapy, Canada, Company Share by Revenue ($ mn),
2007-2008 71
Table 40: Negative Pressure Wound Therapy (NPWT),
Canada, Revenue ($ mn) by Segment, Historic, 2000-2008 72
Table 41:
Negative Pressure Wound Therapy (NPWT), Canada, Revenue ($ mn) by Segment,
Forecast, 2008-2015 73
Table 42: Negative Pressure Wound Therapy
(NPWT), Canada, Volume (Units) by Segment, Historic, 2000-2008 74
Table
43: Negative Pressure Wound Therapy (NPWT), Canada, Volume (Units) by
Segment, Forecast, 2008-2015 75
Table 44: Negative Pressure Wound
Therapy (NPWT), Canada, Average Price ($), Historic, 2000-2008 76
Table
45: Negative Pressure Wound Therapy (NPWT), Canada, Average Price ($),
Forecast, 2008-2015 76
Table 46: Negative Pressure Wound Therapy
(NPWT), Canada, Distribution Share by Revenue ($mn), 2007-2008 77
Table
47: Negative Pressure Wound Therapy (NPWT), Canada, Company Share by
Revenue ($ mn), 2007-2008 78
Table 48: Ostomy Drainage Bags, Canada,
Revenue ($ mn) by Segment, Historic, 2000-2008 79
Table 49: Ostomy
Drainage Bags, Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015 80
Table 50: Ostomy Drainage Bags, Canada, Volume (Units) by Segment,
Historic, 2000-2008 81
Table 51: Ostomy Drainage Bags, Canada, Volume
(Units) by Segment, Forecast, 2008-2015 82
Table 52: Ostomy Drainage
Bags, Canada, Average Price ($), Historic, 2000-2008 83
Table 53:
Ostomy Drainage Bags, Canada, Average Price ($), Forecast, 2008-2015 83
Table 54: Ostomy Drainage Bags, Canada, Distribution Share by Revenue
($mn), 2007-2008 84
Table 55: Ostomy Drainage Bags, Canada, Company
Share by Revenue ($ mn), 2007-2008 85
Table 56: Pressure Relief
Devices, Canada, Revenue ($ mn) by Segment, Historic, 2000-2008 86
Table
57: Pressure Relief Devices, Canada, Revenue ($ mn) by Segment, Forecast,
2008-2015 87
Table 58: Pressure Relief Devices, Canada, Volume
(Units) by Segment, Historic, 2000-2008 88
Table 59: Pressure Relief
Devices, Canada, Volume (Units) by Segment, Forecast, 2008-2015 89
Table
60: Pressure Relief Devices, Canada, Average Price ($), Historic,
2000-2008 90
Table 61: Pressure Relief Devices, Canada, Average Price
($), Forecast, 2008-2015 90
Table 62: Pressure Relief Devices,
Canada, Distribution Share by Revenue ($mn), 2007-2008 91
Table 63:
Pressure Relief Devices, Canada, Company Share by Revenue ($ mn), 2007-2008
92
Table 64: Traditional Wound Management, Canada, Revenue ($ mn),
Historic, 2000-2008 93
Table 65: Traditional Wound Management,
Canada, Revenue ($ mn), Forecast, 2008-2015 94
Table 66: Traditional
Wound Management, Canada, Volume (Units), Historic, 2000-2008 95
Table 67:
Traditional Wound Management, Canada, Volume (Units), Forecast, 2008-2015
96
Table 68: Traditional Wound Management, Canada, Average Price ($),
Historic, 2000-2008 97
Table 69: Traditional Wound Management,
Canada, Average Price ($), Forecast, 2008-2015 97
Table 70:
Traditional Wound Management, Canada, Distribution Share by Revenue ($mn),
2007-2008 98
Table 71: Traditional Wound Management, Canada, Company
Share by Revenue ($ mn), 2007-2008 99
Table 72: Wound Closure
Devices, Canada, Revenue ($ mn) by Segment, Historic, 2000-2008 101
Table
73: Wound Closure Devices, Canada, Revenue ($ mn) by Segment, Forecast,
2008-2015 103
Table 74: Wound Closure Devices, Canada, Volume (Units)
by Segment, Historic, 2000-2008 104
Table 75: Wound Closure Devices,
Canada, Volume (Units) by Segment, Forecast, 2008-2015 105
Table 76:
Wound Closure Devices, Canada, Average Price ($), Historic, 2000-2008 106
Table 77: Wound Closure Devices, Canada, Average Price ($), Forecast,
2008-2015 106
Table 78: Wound Closure Devices, Canada, Distribution
Share by Revenue ($mn), 2007-2008 107
Table 79: Wound Closure
Devices, Canada, Company Share by Revenue ($ mn), 2007-2008 108
Table 80:
Kinetic Concepts, Inc. Pipeline Products by Equipment Type 109
Table
81: Kinetic Concepts, Inc. Pipeline Products By Development Stage 110
Table 82: Kinetic Concepts, Inc. Pipeline Products By Therapy Area
110
Table 83: Kinetic Concepts, Inc. Pipeline Products By Clinical
Trials 110
Table 84: Kinetic Concepts, Inc. Pipeline Products By News
Summary 110
Table 85: Smith & Nephew Plc Pipeline Products by
Equipment Type 111
Table 86: Smith & Nephew Plc Pipeline Products By
Development Stage 112
Table 87: Smith & Nephew Plc Pipeline Products
By Therapy Area 113
Table 88: Smith & Nephew Plc Pipeline Products By
News Summary 113
Table 89: Covidien Ltd./Tyco Healthcare Pipeline
Products by Equipment Type 115
Table 90: Covidien Ltd./Tyco
Healthcare Pipeline Products By Development Stage 115
Table 91:
Covidien Ltd./Tyco Healthcare Pipeline Products By Therapy Area 115
Table
92: Covidien Ltd./Tyco Healthcare Pipeline Products By Clinical Trials
116
Table 93: Covidien Ltd./Tyco Healthcare Pipeline Products By News
Summary 116
Table 94: Advanced Medical Solutions Group plc Pipeline
Products by Equipment Type 124
Table 95: Advanced Medical Solutions
Group plc Pipeline Products By Development Stage 125
Table 96:
Advanced Medical Solutions Group plc Pipeline Products By Therapy Area 125
Table 97: Haemacure Corporation Pipeline Products by Equipment Type
126
Table 98: Haemacure Corporation Pipeline Products By Development
Stage 126
Table 99: Haemacure Corporation Pipeline Products By
Therapy Area 127
Table 100: Haemacure Corporation Pipeline Products
By News Summary 127
Table 101: BioSyntech, Inc. Pipeline Products by
Equipment Type 129
Table 102: BioSyntech, Inc. Pipeline Products By
Development Stage 129
Table 103: BioSyntech, Inc. Pipeline Products
By Therapy Area 130
Table 104: BioSyntech, Inc. Pipeline Products By
Clinical Trials 130
Table 105: BioSyntech, Inc. Pipeline Products By
News Summary 130
Table 106: Angiotech Enters Into An Agreement With
Haemacure 131
Table 107: USD to Local Currency, Average Exchange Rate
2008 136
1.2 List of Figures
Figure 1: Healthcare Expenditure,
Canada, 2000 - 2007 20
Figure 2: Healthcare Financing in Canada, 2004
21
Figure 3: Wound Care Management, Cross Country Comparison, Revenue
($ mn), 2000-2015 36
Figure 4: Wound Care Management, Canada, Overall
Revenue ($ mn), 2000-2015 38
Figure 5: Wound Care Management, Canada,
Cross-Category Analysis, 2000-2015 39
Figure 6: Wound Care
Management, Canada, Overall Revenue ($ mn), Historic, 2000-2008 40
Figure
7: Wound Care Management, Canada, Overall Revenue ($ mn), Forecast,
2008-2015 42
Figure 8: Wound Care Management, Canada, Category Volume
(Units), 2000-2015 44
Figure 9: Wound Care Management, Canada,
Category Volume (Units), Historic, 2000-2008 45
Figure 10: Wound Care
Management, Canada, Category Volume (Units), Forecast, 2008-2015 47
Figure
11: Wound Care Management, Canada, Company Share (%), 2008 49
Figure
12: Advanced Wound Management, Canada, Revenue ($ mn) by Segment,
Historic, 2000-2008 50
Figure 13: Advanced Wound Management, Canada,
Revenue ($ mn) by Segment, Forecast, 2008-2015 52
Figure 14: Advanced
Wound Management, Canada, Volume (Units) by Segment, Historic, 2000-2008
54
Figure 15: Advanced Wound Management, Canada, Volume (Units) by
Segment, Forecast, 2008-2015 56
Figure 16: Advanced Wound Management,
Canada, Company Share (%), 2008 60
Figure 17: Compression Therapy,
Canada, Revenue ($ mn) by Segment, Historic, 2000-2008 62
Figure 18:
Compression Therapy, Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015
63
Figure 19: Dynamic Compression Therapy, Canada, Revenue ($ mn) by
Sub-Segment, Historic, 2000-2008 64
Figure 20: Dynamic Compression
Therapy, Canada, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 65
Figure 21: Dynamic Compression Therapy, Canada, Volume (Units) by
Sub-Segment, Historic, 2000-2008 67
Figure 22: Dynamic Compression
Therapy, Canada, Volume (Units) by Sub-Segment, Forecast, 2008-2015 68
Figure 23: Compression Therapy, Canada, Company Share (%), 2008 71
Figure 24: Negative Pressure Wound Therapy (NPWT), Canada, Revenue ($ mn)
by Segment, Historic, 2000-2008 72
Figure 25: Negative Pressure Wound
Therapy (NPWT), Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015 73
Figure 26: Negative Pressure Wound Therapy (NPWT), Canada, Volume (Units)
by Segment, Historic, 2000-2008 74
Figure 27: Negative Pressure Wound
Therapy (NPWT), Canada, Volume (Units) by Segment, Forecast, 2008-2015 75
Figure 28: Negative Pressure Wound Therapy (NPWT), Canada, Company Share
(%), 2008 78
Figure 29: Ostomy Drainage Bags, Canada, Revenue ($ mn)
by Segment, Historic, 2000-2008 79
Figure 30: Ostomy Drainage Bags,
Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015 80
Figure 31:
Ostomy Drainage Bags, Canada, Volume (Units) by Segment, Historic, 2000-2008
81
Figure 32: Ostomy Drainage Bags, Canada, Volume (Units) by
Segment, Forecast, 2008-2015 82
Figure 33: Ostomy Drainage Bags,
Canada, Company Share (%), 2008 85
Figure 34: Pressure Relief
Devices, Canada, Revenue ($ mn) by Segment, Historic, 2000-2008 86
Figure
35: Pressure Relief Devices, Canada, Revenue ($ mn) by Segment, Forecast,
2008-2015 87
Figure 36: Pressure Relief Devices, Canada, Volume
(Units) by Segment, Historic, 2000-2008 88
Figure 37: Pressure Relief
Devices, Canada, Volume (Units) by Segment, Forecast, 2008-2015 89
Figure
38: Pressure Relief Devices, Canada, Company Share (%), 2008 92
Figure 39: Traditional Wound Management, Canada, Revenue ($ mn),
Historic, 2000-2008 93
Figure 40: Traditional Wound Management,
Canada, Revenue ($ mn), Forecast, 2008-2015 94
Figure 41: Traditional
Wound Management, Canada, Volume (Units), Historic, 2000-2008 95
Figure
42: Traditional Wound Management, Canada, Volume (Units), Forecast,
2008-2015 96
Figure 43: Traditional Wound Management, Canada, Company
Share (%), 2008 99
Figure 44: Wound Closure Devices, Canada, Revenue
($ mn) by Segment, Historic, 2000-2008 100
Figure 45: Wound Closure
Devices, Canada, Revenue ($ mn) by Segment, Forecast, 2008-2015 102
Figure
46: Wound Closure Devices, Canada, Volume (Units) by Segment, Historic,
2000-2008 104
Figure 47: Wound Closure Devices, Canada, Volume
(Units) by Segment, Forecast, 2008-2015 105
Figure 48: Wound Closure
Devices, Canada, Company Share (%), 2008 108
Figure 49: Global
Markets Direct Methodology 133
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