Table of Contents
1 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 Wound Care
Management 14
3.2 Advanced Wound Management 14
3.2.1 Alginates 14
3.2.2 Collagens 14
3.2.3 Foams 14
3.2.4 Hydrocolloids 14
3.2.5
Hydrofibres 14
3.2.6 Hydrogels 14
3.2.7 Semi-Permeable Films 14
3.3 Negative Pressure Wound Therapy (NPWT) 14
3.3.1 Negative Pressure
Wound Therapy Disposables 15
3.3.2 Negative Pressure Wound Therapy
Equipment 15
3.4 Compression Therapy 15
3.4.1 Compression Bandages
15
3.4.2 Dynamic Compression Therapy 15
3.5 Ostomy Drainage Bags
15
3.5.1 Colostomy 15
3.5.2 Ileostomy 16
3.5.3 Urostomy 16
3.6
Pressure Relief Devices 16
3.6.1 Mattress Overlays 16
3.6.2 Mattresses
16
3.6.3 Speciality Beds 16
3.7 Traditional Wound Management 16
3.8 Wound Closure Devices 16
3.8.1 Hemostats 16
3.8.2 Ligating Clips
16
3.8.3 Mechanical Stapling Devices 17
3.8.4 Tissue Sealants 17
3.8.5 Wound Closure Strips 17
4 Healthcare Sector Review 18
4.1
Healthcare Expenditure 18
4.2 Healthcare Infrastructure 21
4.3
Healthcare Policy 22
4.4 United Kingdom Healthcare Trade Statistics 24
5 Regulation System 25
5.1 Medical Equipment Approval Process 25
5.1.1
Classification of Medical Devices 25
5.1.2 Conformity Assessment Process
33
5.2 Medical Device approval fee 37
5.3 Post Market Surveillance
(PMS) 38
6 Pricing and Reimbursement 40
6.1 Market Pricing 40
6.2
Government Policies for Reimbursement 40
7 Distribution Structure 42
8
Wound Care Management In United Kingdom 43
8.1 Wound Care Management,
Cross Country Comparison, Revenue ($ mn), 2000-2015 43
8.2 Wound Care
Management, United Kingdom, Overall Revenue ($ mn), 2000-2015 45
8.3 Wound
Care Management, United Kingdom, Category Volume (Units), 2000-2015 51
8.4
Wound Care Management, United Kingdom, Company Share (2007-2008) 56
9
Advanced Wound Management In United Kingdom 57
9.1 Advanced Wound
Management Overall Revenue (2000-2015) 57
9.2 Advanced Wound Management
Overall Volume (2000-2015) 61
9.3 Advanced Wound Management Average Price
(2000-2015) 65
9.4 Advanced Wound Management Distribution Share
(2007-2008) 66
9.5 Advanced Wound Management, United Kingdom, Company
Share (2007-2008) 67
10 Compression Therapy In United Kingdom 69
10.1
Compression Therapy Overall Revenue (2000-2015) 69
10.1.1 Dynamic
Compression Therapy Revenue (2000-2015) 71
10.2 Compression Therapy
Overall Volume (2000-2015) 73
10.2.1 Dynamic Compression Therapy Volume
(2000-2015) 74
10.3 Compression Therapy Average Price (2000-2015) 76
10.4 Compression Therapy Distribution Share (2007-2008) 77
10.5
Compression Therapy, United Kingdom, Company Share (2007-2008) 78
11
Negative Pressure Wound Therapy (NPWT) In United Kingdom 79
11.1 Negative
Pressure Wound Therapy (NPWT) Overall Revenue (2000-2015) 79
11.2 Negative
Pressure Wound Therapy (NPWT) Overall Volume (2000-2015) 81
11.3 Negative
Pressure Wound Therapy (NPWT) Average Price (2000-2015) 82
11.4 Negative
Pressure Wound Therapy (NPWT) Distribution Share (2007-2008) 83
11.5
Negative Pressure Wound Therapy (NPWT), United Kingdom, Company Share
(2007-2008) 84
12 Ostomy Drainage Bags In United Kingdom 85
12.1
Ostomy Drainage Bags Overall Revenue (2000-2015) 85
12.2 Ostomy Drainage
Bags Overall Volume (2000-2015) 87
12.3 Ostomy Drainage Bags Average Price
(2000-2015) 89
12.4 Ostomy Drainage Bags Distribution Share (2007-2008)
90
12.5 Ostomy Drainage Bags, United Kingdom, Company Share (2007-2008)
91
13 Pressure Relief Devices In United Kingdom 92
13.1 Pressure
Relief Devices Overall Revenue (2000-2015) 92
13.2 Pressure Relief Devices
Overall Volume (2000-2015) 94
13.3 Pressure Relief Devices Average Price
(2000-2015) 95
13.4 Pressure Relief Devices Distribution Share (2007-2008)
96
13.5 Pressure Relief Devices, United Kingdom, Company Share (2007-2008)
97
14 Traditional Wound Management In United Kingdom 98
14.1
Traditional Wound Management Overall Revenue (2000-2015) 98
14.2
Traditional Wound Management Overall Volume (2000-2015) 100
14.3
Traditional Wound Management Average Price (2000-2015) 102
14.4
Traditional Wound Management Distribution Share (2007-2008) 103
14.5
Traditional Wound Management, United Kingdom, Company Share (2007-2008)
104
15 Wound Closure Devices In United Kingdom 105
15.1 Wound Closure
Devices Overall Revenue (2000-2015) 105
15.2 Wound Closure Devices Overall
Volume (2000-2015) 109
15.3 Wound Closure Devices Average Price
(2000-2015) 111
15.4 Wound Closure Devices Distribution Share (2007-2008)
112
15.5 Wound Closure Devices, United Kingdom, Company Share (2007-2008)
113
16 Overview of Key Companies in United Kingdom Wound Care Management
Market 115
16.1 Coloplast A/S 115
16.1.1 Company Overview 115
16.2
Smith & Nephew Plc 116
16.2.1 Company Overview 116
16.2.2 Smith &
Nephew Plc Pipeline Products 116
16.3 Molnlycke Health Care AB 119
16.3.1 Company Overview 119
16.4 Kinetic Concepts, Inc. 119
16.4.1
Company Overview 119
16.4.2 Kinetic Concepts, Inc. Pipeline Products
120
16.5 ConvaTec 122
16.5.1 Company Overview 122
16.6 Ethicon,
Inc. 122
16.6.1 Company Overview 122
16.7 Baxter International Inc.
123
16.7.1 Company Overview 123
16.8 3M Health Care 123
16.8.1
Company Overview 123
16.9 B. Braun Melsungen AG 124
16.9.1 Company
Overview 124
16.10 HARTMANN GROUP 124
16.10.1 Company Overview 124
16.11 BSN medical GmbH 125
16.11.1 Company Overview 125
16.12
Hollister Incorporated 125
16.12.1 Company Overview 125
16.13 Invacare
Corporation 126
16.13.1 Company Overview 126
16.14 Hill-Rom Holdings,
Inc. 127
16.14.1 Company Overview 127
16.15 Nycomed International
Management GmbH 127
16.15.1 Company Overview 127
16.16 Advanced
Medical Solutions Group plc 128
16.16.1 Company Overview 128
16.16.2
Advanced Medical Solutions Group plc Pipeline Products 128
16.17 Talley
Group Limited 130
16.17.1 Company Overview 130
16.18 Vernon-Carus
Limited 130
16.18.1 Company Overview 130
17 Recent Developments
131
17.1 Strategy and Business Planning 131
17.1.1 Aug 04, 2009:
Systagenix Opens New Head Office at Gatwick 131
17.2 Legal and Regulatory
131
17.2.1 Jul 14, 2009: UK Court Of Appeal Rules in Smith & Nephew' s
Favour 131
17.2.2 Jul 14, 2009: KCI Plans to Appeal UK Court Ruling
Revoking NPWT Patent 131
17.2.3 May 01, 2009: Smith & Nephew Encouraged By
UK NPWT Patent Court Decision 132
17.2.4 May 01, 2009: KCI Says That Court
Of England & Wales Upholds Injunction against Smith & Nephew 132
17.2.5
Jan 13, 2009: KCI Wins Temporary Injunction Order against Smith & Nephew
132
17.3 Government and Public Interest 133
17.3.1 Jul 15, 2009:
Recent Developments In Wound Management: One Day Conference In London 133
18 Appendix 134
18.1 Global Markets Direct Research Methodology 134
18.2 Secondary Research 135
18.3 Primary Research 135
18.4 Models
136
18.5 Forecasts 136
18.6 Expert Panel Validation 136
18.7
Currency Conversion 137
18.8 Contact Us 138
18.9 Disclaimer 138
1.1 List of Tables
Table 1: Total Healthcare Expenditure, United
Kingdom, 2000 – 2007 19
Table 2: Number of Doctor by Specialty in
UK, 2003 - 2007 22
Table 3: United Kingdom Healthcare Trade Statistics,
2001-2006 24
Table 4: Medical Device Approval Fee in UK, 2006 38
Table
5: Wound Care Management, Cross Country Comparison, Revenue ($ mn),
2000-2015 44
Table 6: Wound Care Management, United Kingdom, Overall
Revenue ($ mn), 2000-2015 45
Table 7: Wound Care Management, United
Kingdom, Cross-Category Analysis, 2000-2015 46
Table 8: Wound Care
Management, United Kingdom, Overall Revenue ($ mn), Historic, 2000-2008 48
Table 9: Wound Care Management, United Kingdom, Overall Revenue ($ mn),
Forecast, 2008-2015 50
Table 10: Wound Care Management, United
Kingdom, Category Volume (Units), 2000-2015 51
Table 11: Wound Care
Management, United Kingdom, Category Volume (Units), Historic, 2000-2008
53
Table 12: Wound Care Management, United Kingdom, Category Volume
(Units), Forecast, 2008-2015 55
Table 13: Wound Care Management,
United Kingdom, Company Share by Revenue ($ mn), 2007-2008 56
Table 14:
Advanced Wound Management, United Kingdom, Revenue ($ mn) by Segment,
Historic, 2000-2008 58
Table 15: Advanced Wound Management, United
Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 60
Table 16:
Advanced Wound Management, United Kingdom, Volume (Units) by Segment,
Historic, 2000-2008 62
Table 17: Advanced Wound Management, United
Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 64
Table 18:
Advanced Wound Management, United Kingdom, Average Price ($), Historic,
2000-2008 65
Table 19: Advanced Wound Management, United Kingdom,
Average Price ($), Forecast, 2008-2015 65
Table 20: Advanced Wound
Management, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008
66
Table 21: Advanced Wound Management, United Kingdom, Company Share
by Revenue ($ mn), 2007-2008 68
Table 22: Compression Therapy, United
Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 69
Table 23:
Compression Therapy, United Kingdom, Revenue ($ mn) by Segment, Forecast,
2008-2015 70
Table 24: Dynamic Compression Therapy, United Kingdom,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 71
Table 25:
Dynamic Compression Therapy, United Kingdom, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 72
Table 26: Compression Therapy, United Kingdom,
Volume (Units) by Segment, Historic, 2000-2008 73
Table 27:
Compression Therapy, United Kingdom, Volume (Units) by Segment, Forecast,
2008-2015 73
Table 28: Dynamic Compression Therapy, United Kingdom,
Volume (Units) by Sub-Segment, Historic, 2000-2008 74
Table 29:
Dynamic Compression Therapy, United Kingdom, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 75
Table 30: Compression Therapy, United Kingdom,
Average Price ($), Historic, 2000-2008 76
Table 31: Compression
Therapy, United Kingdom, Average Price ($), Forecast, 2008-2015 76
Table
32: Compression Therapy, United Kingdom, Distribution Share by Revenue
($mn), 2007-2008 77
Table 33: Compression Therapy, United Kingdom,
Company Share by Revenue ($ mn), 2007-2008 78
Table 34: Negative
Pressure Wound Therapy (NPWT), United Kingdom, Revenue ($ mn) by Segment,
Historic, 2000-2008 79
Table 35: Negative Pressure Wound Therapy
(NPWT), United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 80
Table 36: Negative Pressure Wound Therapy (NPWT), United Kingdom, Volume
(Units) by Segment, Historic, 2000-2008 81
Table 37: Negative
Pressure Wound Therapy (NPWT), United Kingdom, Volume (Units) by Segment,
Forecast, 2008-2015 81
Table 38: Negative Pressure Wound Therapy
(NPWT), United Kingdom, Average Price ($), Historic, 2000-2008 82
Table
39: Negative Pressure Wound Therapy (NPWT), United Kingdom, Average Price
($), Forecast, 2008-2015 82
Table 40: Negative Pressure Wound Therapy
(NPWT), United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 83
Table 41: Negative Pressure Wound Therapy (NPWT), United Kingdom, Company
Share by Revenue ($ mn), 2007-2008 84
Table 42: Ostomy Drainage Bags,
United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 85
Table
43: Ostomy Drainage Bags, United Kingdom, Revenue ($ mn) by Segment,
Forecast, 2008-2015 86
Table 44: Ostomy Drainage Bags, United
Kingdom, Volume (Units) by Segment, Historic, 2000-2008 87
Table 45:
Ostomy Drainage Bags, United Kingdom, Volume (Units) by Segment, Forecast,
2008-2015 88
Table 46: Ostomy Drainage Bags, United Kingdom, Average
Price ($), Historic, 2000-2008 89
Table 47: Ostomy Drainage Bags,
United Kingdom, Average Price ($), Forecast, 2008-2015 89
Table 48:
Ostomy Drainage Bags, United Kingdom, Distribution Share by Revenue ($mn),
2007-2008 90
Table 49: Ostomy Drainage Bags, United Kingdom, Company
Share by Revenue ($ mn), 2007-2008 91
Table 50: Pressure Relief
Devices, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 92
Table 51: Pressure Relief Devices, United Kingdom, Revenue ($ mn) by
Segment, Forecast, 2008-2015 93
Table 52: Pressure Relief Devices,
United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 94
Table
53: Pressure Relief Devices, United Kingdom, Volume (Units) by Segment,
Forecast, 2008-2015 94
Table 54: Pressure Relief Devices, United
Kingdom, Average Price ($), Historic, 2000-2008 95
Table 55: Pressure
Relief Devices, United Kingdom, Average Price ($), Forecast, 2008-2015 95
Table 56: Pressure Relief Devices, United Kingdom, Distribution Share by
Revenue ($mn), 2007-2008 96
Table 57: Pressure Relief Devices, United
Kingdom, Company Share by Revenue ($ mn), 2007-2008 97
Table 58:
Traditional Wound Management, United Kingdom, Revenue ($ mn), Historic,
2000-2008 98
Table 59: Traditional Wound Management, United Kingdom,
Revenue ($ mn), Forecast, 2008-2015 99
Table 60: Traditional Wound
Management, United Kingdom, Volume (Units), Historic, 2000-2008 100
Table
61: Traditional Wound Management, United Kingdom, Volume (Units),
Forecast, 2008-2015 101
Table 62: Traditional Wound Management,
United Kingdom, Average Price ($), Historic, 2000-2008 102
Table 63:
Traditional Wound Management, United Kingdom, Average Price ($), Forecast,
2008-2015 102
Table 64: Traditional Wound Management, United Kingdom,
Distribution Share by Revenue ($mn), 2007-2008 103
Table 65:
Traditional Wound Management, United Kingdom, Company Share by Revenue ($ mn),
2007-2008 104
Table 66: Wound Closure Devices, United Kingdom,
Revenue ($ mn) by Segment, Historic, 2000-2008 106
Table 67: Wound
Closure Devices, United Kingdom, Revenue ($ mn) by Segment, Forecast,
2008-2015 108
Table 68: Wound Closure Devices, United Kingdom, Volume
(Units) by Segment, Historic, 2000-2008 109
Table 69: Wound Closure
Devices, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015
110
Table 70: Wound Closure Devices, United Kingdom, Average Price
($), Historic, 2000-2008 111
Table 71: Wound Closure Devices, United
Kingdom, Average Price ($), Forecast, 2008-2015 111
Table 72: Wound
Closure Devices, United Kingdom, Distribution Share by Revenue ($mn),
2007-2008 112
Table 73: Wound Closure Devices, United Kingdom,
Company Share by Revenue ($ mn), 2007-2008 114
Table 74: Smith &
Nephew Plc Pipeline Products by Equipment Type 116
Table 75: Smith &
Nephew Plc Pipeline Products By Development Stage 117
Table 76: Smith
& Nephew Plc Pipeline Products By Therapy Area 118
Table 77: Smith &
Nephew Plc Pipeline Products By News Summary 118
Table 78: Kinetic
Concepts, Inc. Pipeline Products by Equipment Type 120
Table 79:
Kinetic Concepts, Inc. Pipeline Products By Development Stage 120
Table
80: Kinetic Concepts, Inc. Pipeline Products By Therapy Area 120
Table 81: Kinetic Concepts, Inc. Pipeline Products By Clinical Trials
121
Table 82: Kinetic Concepts, Inc. Pipeline Products By News
Summary 121
Table 83: Advanced Medical Solutions Group plc Pipeline
Products by Equipment Type 128
Table 84: Advanced Medical Solutions
Group plc Pipeline Products By Development Stage 129
Table 85:
Advanced Medical Solutions Group plc Pipeline Products By Therapy Area 129
Table 86: USD to Local Currency, Average Exchange Rate 2008 137
1.2
List of Figures
Figure 1: Total Healthcare Expenditure in United Kingdom,
2000-2007 19
Figure 2: Government and Private Healthcare Expenditure in
United Kingdom, 2007 20
Figure 3: Flowchart for Classification of
Non-invasive Devices in UK, 2007 26
Figure 4: Flowchart for Classification
of Invasive Devices in UK, 2007 27
Figure 5: Flowchart for Classification
of Invasive Devices in UK, 2007 28
Figure 6: Flowchart for Classification
of Invasive Devices in UK, 2007 29
Figure 7: Flowchart for Classification
of Invasive Devices in UK, 2007 30
Figure 8: Flowchart for Classification
of Active Devices in UK, 2007 31
Figure 9: Flowchart for Classification of
Active Devices in UK, 2007 32
Figure 10: Flowchart for Classification of
Devices except Non-invasive, Invasive and Active Devices in UK, 2007 33
Figure 11: Conformity Assessment of Class-I Medical Devices in UK, 2007 34
Figure 12: Conformity Assessment of Class-IIa Medical Devices in UK, 2007
35
Figure 13: Conformity Assessment of Class-IIb Medical Devices in UK,
2007 36
Figure 14: Conformity Assessment of Class-III Medical Devices in
UK, 2007 37
Figure 15: Wound Care Management, Cross Country
Comparison, Revenue ($ mn), 2000-2015 43
Figure 16: Wound Care
Management, United Kingdom, Overall Revenue ($ mn), 2000-2015 45
Figure
17: Wound Care Management, United Kingdom, Cross-Category Analysis,
2000-2015 46
Figure 18: Wound Care Management, United Kingdom,
Overall Revenue ($ mn), Historic, 2000-2008 47
Figure 19: Wound Care
Management, United Kingdom, Overall Revenue ($ mn), Forecast, 2008-2015 49
Figure 20: Wound Care Management, United Kingdom, Category Volume
(Units), 2000-2015 51
Figure 21: Wound Care Management, United
Kingdom, Category Volume (Units), Historic, 2000-2008 52
Figure 22:
Wound Care Management, United Kingdom, Category Volume (Units), Forecast,
2008-2015 54
Figure 23: Wound Care Management, United Kingdom,
Company Share (%), 2008 56
Figure 24: Advanced Wound Management,
United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 57
Figure
25: Advanced Wound Management, United Kingdom, Revenue ($ mn) by Segment,
Forecast, 2008-2015 59
Figure 26: Advanced Wound Management, United
Kingdom, Volume (Units) by Segment, Historic, 2000-2008 61
Figure 27:
Advanced Wound Management, United Kingdom, Volume (Units) by Segment,
Forecast, 2008-2015 63
Figure 28: Advanced Wound Management, United
Kingdom, Company Share (%), 2008 67
Figure 29: Compression Therapy,
United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 69
Figure
30: Compression Therapy, United Kingdom, Revenue ($ mn) by Segment,
Forecast, 2008-2015 70
Figure 31: Dynamic Compression Therapy, United
Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 71
Figure 32:
Dynamic Compression Therapy, United Kingdom, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 72
Figure 33: Dynamic Compression
Therapy, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008
74
Figure 34: Dynamic Compression Therapy, United Kingdom, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 75
Figure 35: Compression
Therapy, United Kingdom, Company Share (%), 2008 78
Figure 36:
Negative Pressure Wound Therapy (NPWT), United Kingdom, Revenue ($ mn) by
Segment, Historic, 2000-2008 79
Figure 37: Negative Pressure Wound
Therapy (NPWT), United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015
80
Figure 38: Negative Pressure Wound Therapy (NPWT), United Kingdom,
Company Share (%), 2008 84
Figure 39: Ostomy Drainage Bags, United
Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 85
Figure 40:
Ostomy Drainage Bags, United Kingdom, Revenue ($ mn) by Segment, Forecast,
2008-2015 86
Figure 41: Ostomy Drainage Bags, United Kingdom, Volume
(Units) by Segment, Historic, 2000-2008 87
Figure 42: Ostomy Drainage
Bags, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 88
Figure 43: Ostomy Drainage Bags, United Kingdom, Company Share (%), 2008
91
Figure 44: Pressure Relief Devices, United Kingdom, Revenue ($ mn)
by Segment, Historic, 2000-2008 92
Figure 45: Pressure Relief
Devices, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 93
Figure 46: Pressure Relief Devices, United Kingdom, Company Share (%),
2008 97
Figure 47: Traditional Wound Management, United Kingdom,
Revenue ($ mn), Historic, 2000-2008 98
Figure 48: Traditional Wound
Management, United Kingdom, Revenue ($ mn), Forecast, 2008-2015 99
Figure
49: Traditional Wound Management, United Kingdom, Volume (Units),
Historic, 2000-2008 100
Figure 50: Traditional Wound Management,
United Kingdom, Volume (Units), Forecast, 2008-2015 101
Figure 51:
Traditional Wound Management, United Kingdom, Company Share (%), 2008 104
Figure 52: Wound Closure Devices, United Kingdom, Revenue ($ mn) by
Segment, Historic, 2000-2008 105
Figure 53: Wound Closure Devices,
United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 107
Figure
54: Wound Closure Devices, United Kingdom, Volume (Units) by Segment,
Historic, 2000-2008 109
Figure 55: Wound Closure Devices, United
Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 110
Figure 56:
Wound Closure Devices, United Kingdom, Company Share (%), 2008 113
Figure
57: Global Markets Direct Methodology 134
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