Table of Contents
1 Table of Contents 2
1.1 List of Tables 10
1.2 List of Figures 15
2 Introduction 18
2.1 What Is This Report About? 18
3 Definitions of
Markets Covered in the Report 19
3.1 Orthopedic Devices 19
3.2
Arthroscopy 19
3.3 Joint Reconstruction 19
3.4 Orthobiologics 21
3.5 Orthopedic Accessories 22
3.6 Orthopedic Braces and Supports 22
3.7 Spinal Surgery 23
3.8 Trauma Fixation 24
4 Healthcare Sector
Review 25
4.1 Healthcare Expenditure 25
4.2 Healthcare Infrastructure
30
4.3 United States Healthcare Trade Statistics 37
5 Regulation
System 38
5.1 Regulation System 38
5.2 Medical Equipment Approval
Process 38
6 Pricing and Reimbursement 45
6.1 Government Policies
45
6.2 Private Insurance 46
6.3 Diagnosis Related Groups (DRG) 47
7 Distribution Structure 48
7.1 Distribution Structure 48
8 United
States Medical Equipment Cross Market Comparison 49
9 Orthopedic Devices
In United States 51
9.1 Orthopedic Devices Cross Country Comparison
(2000-2012) 51
9.2 Orthopedic Devices, United States, Overall Revenues,
2000-2012 52
9.3 Orthopedic Devices, United States, Category Volume,
2000-2012 56
9.4 Orthopedic Devices, United States, Company Share
(2006-2007) 58
10 Arthroscopy In United States 59
10.1 Arthroscopy
Overall Revenue (2000-2012) 59
10.2 Arthroscopy Overall Volume (2000-2012)
61
10.3 Arthroscopy Average Price (2000-2012) 63
10.4 Arthroscopy
Distribution Share (2006-2007) 63
10.5 Arthroscopy, United States, Company
Share (2006-2007) 64
11 Joint Reconstruction In United States 65
11.1
Joint Reconstruction Overall Revenue (2000-2012) 65
11.2 Joint
Reconstruction Overall Volume (2000-2012) 73
11.3 Joint Reconstruction
Average Price (2000-2012) 81
11.4 Joint Reconstruction Distribution Share
(2006-2007) 83
11.5 Joint Reconstruction, United States, Company Share
(2006-2007) 84
12 Orthobiologics In United States 85
12.1
Orthobiologics Overall Revenue (2000-2012) 85
12.2 Orthobiologics Overall
Volume (2000-2012) 89
12.3 Orthobiologics Average Price (2000-2012) 93
12.4 Orthobiologics Distribution Share (2006-2007) 94
12.5 Orthobiologics,
United States, Company Share (2006-2007) 95
13 Orthopedic Accessories In
United States 96
13.1 Orthopedic Accessories Overall Revenue (2000-2012)
96
13.2 Orthopedic Accessories Overall Volume (2000-2012) 98
13.3
Orthopedic Accessories Average Price (2000-2012) 100
13.4 Orthopedic
Accessories Distribution Share (2006-2007) 101
13.5 Orthopedic
Accessories, United States, Company Share (2006-2007) 102
14 Orthopedic
Braces and Supports In United States 103
14.1 Orthopedic Braces and
Supports Overall Revenue (2000-2012) 103
14.2 Orthopedic Braces and
Supports Overall Volume (2000-2012) 105
14.3 Orthopedic Braces and
Supports Average Price (2000-2012) 107
14.4 Orthopedic Braces and Supports
Distribution Share (2006-2007) 107
14.5 Orthopedic Braces and Supports,
United States, Company Share (2006-2007) 108
15 Spinal Surgery In United
States 109
15.1 Spinal Surgery Overall Revenue (2000-2012) 109
15.2
Spinal Surgery Overall Volume (2000-2012) 115
15.3 Spinal Surgery Average
Price (2000-2012) 121
15.4 Spinal Surgery Distribution Share (2006-2007)
122
15.5 Spinal Surgery, United States, Company Share (2006-2007) 123
16 Trauma Fixation In United States 124
16.1 Trauma Fixation Overall
Revenue (2000-2012) 124
16.2 Trauma Fixation Overall Volume (2000-2012)
128
16.3 Trauma Fixation Average Price (2000-2012) 131
16.4 Trauma
Fixation Distribution Share (2006-2007) 132
16.5 Trauma Fixation, United
States, Company Share (2006-2007) 133
17 DePuy, Inc. Company Profile
134
17.1 Company Overview 134
17.2 DePuy, Inc. Pipeline Products
134
18 Stryker Corporation Company Profile 136
18.1 Company Overview
136
18.2 Value Chain Analysis 136
18.3 Stryker Corporation Pipeline
Products 138
19 Zimmer Holdings, Inc. Company Profile 140
19.1 Company
Overview 140
19.2 Value Chain Analysis 140
19.3 Zimmer Holdings, Inc.
Pipeline Products 142
20 Synthes GmbH Company Profile 144
20.1 Company
Overview 144
20.2 Value Chain Analysis 144
20.3 Synthes, Inc. Pipeline
Products 146
21 Medtronic, Inc. Company Profile 147
21.1 Company
Overview 147
21.2 Value Chain Analysis 147
21.3 Medtronic, Inc.
Pipeline Products 149
22 Smith & Nephew Plc Company Profile 157
22.1
Company Overview 157
22.2 Value Chain Analysis 157
22.3 Smith & Nephew
Plc Pipeline Products 160
23 3D Medical Concepts Company Profile 163
23.1 Company Overview 163
24 A-T Surgical Mfg. Co., Inc. Company Profile
164
24.1 Company Overview 164
25 Action Orthotics And Prosthetics
Company Profile 165
25.1 Company Overview 165
26 Advanced
Bio-Surfaces, Inc. Company Profile 166
26.1 Company Overview 166
27
Advanced Biomaterial Systems, Inc. Company Profile 167
27.1 Company
Overview 167
28 Advanced Orthopaedic Solutions, Inc. Company Profile
168
28.1 Company Overview 168
29 ALLARD USA, INC. Company Profile
169
29.1 Company Overview 169
30 Arthrocare Corporation Company
Profile 170
30.1 Company Overview 170
30.2 Value Chain Analysis
170
30.3 Arthrocare Corporation Pipeline Products 173
31 Ascension
Orthopedics, Inc. Company Profile 174
31.1 Company Overview 174
32
Berkeley Advanced Biomaterials, Inc. Company Profile 175
32.1 Company
Overview 175
32.2 Berkeley Advanced Biomaterials, Inc. Pipeline Products
175
33 Biomet, Inc. Company Profile 176
33.1 Company Overview 176
33.2 Value Chain Analysis 176
33.3 Biomet, Inc. Pipeline Products 179
34 C.R. Bard, Inc. Company Profile 182
34.1 Company Overview 182
34.2
Value Chain Analysis 182
34.3 C.R. Bard, Inc. Pipeline Products 184
35
Endotec, Inc. Company Profile 187
35.1 Company Overview 187
35.2
Endotec, Inc. Pipeline Products 187
36 ETEX Corporation Company Profile
188
36.1 Company Overview 188
37 Exactech, Inc. Company Profile
189
37.1 Company Overview 189
37.2 Exactech, Inc. Pipeline Products
189
38 FLA Orthopedics, Inc. Company Profile 190
38.1 Company Overview
190
39 Hand Innovations, LLC Company Profile 191
39.1 Company Overview
191
40 Hanger Orthopedic Group, Inc. Company Profile 192
40.1 Company
Overview 192
40.2 Value Chain Analysis 192
40.3 Hanger Orthopedic
Group, Inc. Pipeline Products 194
41 Harvest Technologies Corporation
Company Profile 196
41.1 Company Overview 196
42 INBONE Technologies,
Inc. Company Profile 197
42.1 Company Overview 197
43 Wright Medical
Group, Inc. Company Profile 198
43.1 Company Overview 198
44 Financial
Deals Landscape 199
44.1 Merger 199
44.2 Acquisition 200
44.3
Venture Financing 208
44.4 IPO 213
45 Recent Developments 215
45.1
Government and Public Interest 215
46 Appendix 217
46.1 Global Markets
Direct Research Methodology 217
46.2 Coverage 218
46.3 Secondary
Research 218
46.4 Primary Research 219
46.5 Models 219
46.6
Forecasts 220
46.7 Expert Panels 220
46.8 Currency Conversion 221
46.9 Contact Us 222
46.10 Disclaimer 222
1.1 List of Tables
Table 1: United States Healthcare Expenditure, 2003-2010 31
Table 2:
United States Healthcare Expenditure by Age (per person), 2000-2003 32
Table 3: United States Healthcare Expenditure by Sex (per person), 2000-2003
32
Table 4: United States Healthcare Expenditure by Race (per person),
2000-2003 32
Table 5: United States Personal Healthcare Expenditure by
Type, 2000-2004 33
Table 6: United States Personal Healthcare Expenditure
by Source, 2000-2004 34
Table 7: Total Number of Doctors in the United
States, 2003-2010 37
Table 8: Number of Doctors by Specialty in the United
States, 2003-2010 38
Table 9: Doctors by Region (Number per 10,000
Civilian Population), 2002-2004 39
Table 10: Doctors by Region (Number per
10,000 Civilian Population), 2002-2004 (Cont.) 40
Table 11: Total
Hospitals in the United States, 2000-2004 40
Table 12: Community Hospitals
by Number of Beds in the United States, 2000-2004 41
Table 13: Number of
Hospital Beds in the United States, 2000-2004 41
Table 14: Number of
Hospital Beds by Range in the United States, 2000-2004 41
Table 15: United
States Healthcare Trade Statistics, 2001-2006 42
Table 16: Medical
Equipment Registration Fee in United States, 2007 49
Table 17: Medical
Device Approval Time in United States, 2004 49
Table 18: United States,
Medical Equipment Market Comparison 55
Table 19: Orthopedic Devices
Cross Country Comparison (2000-2012) 56
Table 20: Orthopedic Devices,
United States, Overall Revenues ($ mn), 2000-2012 57
Table 21: Orthopedic
Devices Market, United States, Portfolio Analysis 58
Table 22:
Orthopedic Devices, United States, Overall Revenues ($ mn), Historic,
2000-2007 59
Table 23: Orthopedic Devices, United States, Overall
Revenues ($ mn), Forecast, 2007-2012 60
Table 24: Orthopedic Devices,
United States, Category Volume (Units), 2000-2012 61
Table 25:
Orthopedic Devices, United States, Category Volume (Units), Historic,
2000-2007 61
Table 26: Orthopedic Devices, United States, Category
Volume (Units), Forecast, 2007-2012 62
Table 27: Orthopedic Devices,
United States, Company Share by Revenue ($ mn), 2006-2007 63
Table 28:
Arthroscopy, United States, Revenue ($ mn) by Segment, Historic, 2000-2007
64
Table 29: Arthroscopy, United States, Revenue ($ mn) by Segment,
Forecast, 2007-2012 65
Table 30: Arthroscopy, United States, Overall
Volume (Units), Historic, 2000-2007 66
Table 31: Arthroscopy, United
States, Overall Volume (Units), Forecast, 2007-2012 67
Table 32:
Arthroscopy, United States, Average Price ($), Historic, 2000-2007 68
Table 33: Arthroscopy, United States, Average Price ($), Forecast,
2007-2012 68
Table 34: Arthroscopy, United States, Distribution Share
by Revenue ($ mn), 2006-2007 68
Table 35: Arthroscopy, United States,
Company Share by Revenue ($ mn), 2006-2007 69
Table 36: Joint
Reconstruction, United States, Revenue ($ mn) by Segment, Historic, 2000-2007
70
Table 37: Joint Reconstruction, United States, Revenue ($ mn) by
Segment, Forecast, 2007-2012 71
Table 38: Hip Replacement, United
States, Revenues ($ mn) by Sub-Segment, Historic, 2000-2007 72
Table 39:
Hip Replacement, United States, Revenues ($ mn) by Sub-Segment, Forecast,
2007-2012 73
Table 40: Knee Replacement, United States, Revenues ($
mn) by Sub-Segment, Historic, 2000-2007 74
Table 41: Knee
Replacement, United States, Revenues ($ mn) by Sub-Segment, Forecast,
2007-2012 75
Table 42: Shoulder Replacement, United States, Revenues
($ mn) by Sub-Segment, Historic, 2000-2007 76
Table 43: Shoulder
Replacement, United States, Revenues ($ mn) by Sub-Segment, Forecast,
2007-2012 77
Table 44: Joint Reconstruction, United States, Overall
Volume (Units), Historic, 2000-2007 78
Table 45: Joint
Reconstruction, United States, Overall Volume (Units), Forecast, 2007-2012
79
Table 46: Hip Replacement, United States, Volume (Units) by
Sub-Segment, Historic, 2000-2007 80
Table 47: Hip Replacement, United
States, Volume (Units) by Sub-Segment, Forecast, 2007-2012 81
Table 48:
Knee Replacement, United States, Volume (Units) by Sub-Segment, Historic,
2000-2007 82
Table 49: Knee Replacement, United States, Volume
(Units) by Sub-Segment, Forecast, 2007-2012 83
Table 50: Shoulder
Replacement, United States, Volume (Units) by Sub-Segment, Historic, 2000-2007
84
Table 51: Shoulder Replacement, United States, Volume (Units) by
Sub-Segment, Forecast, 2007-2012 85
Table 52: Joint Reconstruction,
United States, Average Price ($), Historic, 2000-2007 86
Table 53:
Joint Reconstruction, United States, Average Price ($), Forecast, 2007-2012
87
Table 54: Joint Reconstruction, United States, Distribution Share
by Revenue ($ mn), 2006-2007 88
Table 55: Joint Reconstruction,
United States, Company Share by Revenue ($ mn), 2006-2007 89
Table 56:
Orthobiologics, United States, Revenue ($ mn) by Segment, Historic, 2000-2007
90
Table 57: Orthobiologics, United States, Revenue ($ mn) by
Segment, Forecast, 2007-2012 91
Table 58: Bone Graft Substitutes,
United States, Revenues ($ mn) by Sub-Segment, Historic, 2000-2007 92
Table 59: Bone Graft Substitutes, United States, Revenues ($ mn) by
Sub-Segment, Forecast, 2007-2012 93
Table 60: Orthobiologics, United
States, Overall Volume (Units), Historic, 2000-2007 94
Table 61:
Orthobiologics, United States, Overall Volume (Units), Forecast, 2007-2012
95
Table 62: Bone Graft Substitutes, United States, Volume (Units) by
Sub-Segment, Historic, 2000-2007 96
Table 63: Bone Graft Substitutes,
United States, Volume (Units) by Sub-Segment, Forecast, 2007-2012 97
Table
64: Orthobiologics, United States, Average Price ($), Historic, 2000-2007
98
Table 65: Orthobiologics, United States, Average Price ($),
Forecast, 2007-2012 98
Table 66: Orthobiologics, United States,
Distribution Share by Revenue ($ mn), 2006-2007 99
Table 67:
Orthobiologics, United States, Company Share by Revenue ($ mn), 2006-2007
100
Table 68: Orthopedic Accessories, United States, Revenue ($ mn)
by Segment, Historic, 2000-2007 101
Table 69: Orthopedic Accessories,
United States, Revenue ($ mn) by Segment, Forecast, 2007-2012 102
Table
70: Orthopedic Accessories, United States, Overall Volume (Units),
Historic, 2000-2007 103
Table 71: Orthopedic Accessories, United
States, Overall Volume (Units), Forecast, 2007-2012 104
Table 72:
Orthopedic Accessories, United States, Average Price ($), Historic, 2000-2007
105
Table 73: Orthopedic Accessories, United States, Average Price
($), Forecast, 2007-2012 105
Table 74: Orthopedic Accessories, United
States, Distribution Share by Revenue ($ mn), 2006-2007 106
Table 75:
Orthopedic Accessories, United States, Company Share by Revenue ($ mn),
2006-2007 107
Table 76: Orthopedic Braces and Supports, United
States, Revenue ($ mn) by Segment, Historic, 2000-2007 108
Table 77:
Orthopedic Braces and Supports, United States, Revenue ($ mn) by Segment,
Forecast, 2007-2012 109
Table 78: Orthopedic Braces and Supports,
United States, Overall Volume (Units), Historic, 2000-2007 110
Table 79:
Orthopedic Braces and Supports, United States, Overall Volume (Units),
Forecast, 2007-2012 111
Table 80: Orthopedic Braces and Supports,
United States, Average Price ($), Historic, 2000-2007 112
Table 81:
Orthopedic Braces and Supports, United States, Average Price ($), Forecast,
2007-2012 112
Table 82: Orthopedic Braces and Supports, United
States, Distribution Share by Revenue ($ mn), 2006-2007 112
Table 83:
Orthopedic Braces and Supports, United States, Company Share by Revenue ($
mn), 2006-2007 113
Table 84: Spinal Surgery, United States, Revenue
($ mn) by Segment, Historic, 2000-2007 114
Table 85: Spinal Surgery,
United States, Revenue ($ mn) by Segment, Forecast, 2007-2012 115
Table
86: Spinal Fusion, United States, Revenues ($ mn) by Sub-Segment,
Historic, 2000-2007 116
Table 87: Spinal Fusion, United States,
Revenues ($ mn) by Sub-Segment, Forecast, 2007-2012 117
Table 88:
Spinal Non-Fusion, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 118
Table 89: Spinal Non-Fusion, United States, Revenues ($
mn) by Sub-Segment, Forecast, 2007-2012 119
Table 90: Spinal Surgery,
United States, Overall Volume (Units), Historic, 2000-2007 120
Table 91:
Spinal Surgery, United States, Overall Volume (Units), Forecast, 2007-2012
121
Table 92: Spinal Fusion, United States, Volume (Units) by
Sub-Segment, Historic, 2000-2007 122
Table 93: Spinal Fusion, United
States, Volume (Units) by Sub-Segment, Forecast, 2007-2012 123
Table 94:
Spinal Non-Fusion, United States, Volume (Units) by Sub-Segment, Historic,
2000-2007 124
Table 95: Spinal Non-Fusion, United States, Volume
(Units) by Sub-Segment, Forecast, 2007-2012 125
Table 96: Spinal
Surgery, United States, Average Price ($), Historic, 2000-2007 126
Table
97: Spinal Surgery, United States, Average Price ($), Forecast, 2007-2012
126
Table 98: Spinal Surgery, United States, Distribution Share by
Revenue ($ mn), 2006-2007 127
Table 99: Spinal Surgery, United
States, Company Share by Revenue ($ mn), 2006-2007 128
Table 100:
Trauma Fixation, United States, Revenue ($ mn) by Segment, Historic, 2000-2007
129
Table 101: Trauma Fixation, United States, Revenue ($ mn) by
Segment, Forecast, 2007-2012 130
Table 102: Internal Fixators, United
States, Revenues ($ mn) by Sub-Segment, Historic, 2000-2007 131
Table 103:
Internal Fixators, United States, Revenues ($ mn) by Sub-Segment,
Forecast, 2007-2012 132
Table 104: Trauma Fixation, United States,
Overall Volume (Units), Historic, 2000-2007 133
Table 105: Trauma
Fixation, United States, Overall Volume (Units), Forecast, 2007-2012 133
Table 106: Internal Fixators, United States, Volume (Units) by
Sub-Segment, Historic, 2000-2007 134
Table 107: Internal Fixators,
United States, Volume (Units) by Sub-Segment, Forecast, 2007-2012 135
Table 108: Trauma Fixation, United States, Average Price ($), Historic,
2000-2007 136
Table 109: Trauma Fixation, United States, Average
Price ($), Forecast, 2007-2012 136
Table 110: Trauma Fixation, United
States, Distribution Share by Revenue ($ mn), 2006-2007 137
Table 111:
Trauma Fixation, United States, Company Share by Revenue ($ mn), 2006-2007
138
Table 112: DePuy, Inc. Pipeline Products by Equipment Type
139
Table 113: DePuy, Inc. Pipeline Products By Development Stage
139
Table 114: DePuy, Inc. Pipeline Products By Therapy Area 140
Table 115: DePuy, Inc. Pipeline Products By Clinical Trials 140
Table
116: DePuy, Inc. Pipeline Products By News Summaries 140
Table 117:
Stryker Corporation Pipeline Products by Equipment Type 143
Table 118:
Stryker Corporation Pipeline Products By Development Stage 143
Table
119: Stryker Corporation Pipeline Products By Therapy Area 144
Table
120: Stryker Corporation Pipeline Products By Clinical Trials 144
Table 121: Stryker Corporation Pipeline Products By News Summaries
144
Table 122: Zimmer Holdings, Inc. Pipeline Products by Equipment
Type 147
Table 123: Zimmer Holdings, Inc. Pipeline Products By
Development Stage 147
Table 124: Zimmer Holdings, Inc. Pipeline
Products By Therapy Area 148
Table 125: Zimmer Holdings, Inc.
Pipeline Products By Clinical Trials 148
Table 126: Zimmer Holdings,
Inc. Pipeline Products By News Summaries 148
Table 127: Synthes, Inc.
Pipeline Products by Equipment Type 151
Table 128: Synthes, Inc.
Pipeline Products By Development Stage 151
Table 129: Synthes, Inc.
Pipeline Products By Therapy Area 151
Table 130: Synthes, Inc.
Pipeline Products By Clinical Trials 151
Table 131: Medtronic, Inc.
Pipeline Products by Equipment Type 154
Table 132: Medtronic, Inc.
Pipeline Products By Development Stage 156
Table 133: Medtronic, Inc.
Pipeline Products By Therapy Area 158
Table 134: Medtronic, Inc.
Pipeline Products By Clinical Trials 160
Table 135: Medtronic, Inc.
Pipeline Products By News Summaries 161
Table 136: Smith & Nephew Plc
Pipeline Products by Equipment Type 165
Table 137: Smith & Nephew Plc
Pipeline Products By Development Stage 166
Table 138: Smith & Nephew
Plc Pipeline Products By Therapy Area 167
Table 139: Arthrocare
Corporation Pipeline Products by Equipment Type 178
Table 140:
Arthrocare Corporation Pipeline Products By Development Stage 178
Table
141: Arthrocare Corporation Pipeline Products By Therapy Area 178
Table 142: Arthrocare Corporation Pipeline Products By News Summaries
178
Table 143: Berkeley Advanced Biomaterials, Inc. Pipeline Products
by Equipment Type 180
Table 144: Berkeley Advanced Biomaterials, Inc.
Pipeline Products By Development Stage 180
Table 145: Berkeley
Advanced Biomaterials, Inc. Pipeline Products By Therapy Area 180
Table
146: Biomet, Inc. Pipeline Products by Equipment Type 184
Table 147:
Biomet, Inc. Pipeline Products By Development Stage 185
Table 148:
Biomet, Inc. Pipeline Products By Therapy Area 186
Table 149:
Biomet, Inc. Pipeline Products By Clinical Trials 186
Table 150: C.R.
Bard, Inc. Pipeline Products by Equipment Type 189
Table 151: C.R.
Bard, Inc. Pipeline Products By Development Stage 190
Table 152: C.R.
Bard, Inc. Pipeline Products By Therapy Area 190
Table 153: C.R.
Bard, Inc. Pipeline Products By Clinical Trials 191
Table 154: C.R.
Bard, Inc. Pipeline Products By News Summaries 191
Table 155:
Endotec, Inc. Pipeline Products by Equipment Type 192
Table 156:
Endotec, Inc. Pipeline Products By Development Stage 192
Table 157:
Endotec, Inc. Pipeline Products By Therapy Area 192
Table 158:
Exactech, Inc. Pipeline Products by Equipment Type 194
Table 159:
Exactech, Inc. Pipeline Products By Development Stage 194
Table 160:
Exactech, Inc. Pipeline Products By Therapy Area 194
Table 161:
Exactech, Inc. Pipeline Products By News Summaries 194
Table 162:
Hanger Orthopedic Group, Inc. Pipeline Products by Equipment Type 199
Table 163: Hanger Orthopedic Group, Inc. Pipeline Products By Development
Stage 199
Table 164: Hanger Orthopedic Group, Inc. Pipeline Products
By Therapy Area 200
Table 165: Hanger Orthopedic Group, Inc. Pipeline
Products By Clinical Trials 200
Table 166: Hanger Orthopedic Group,
Inc. Pipeline Products By News Summaries 200
Table 167: Currency
Conversion from USD to Local Currency at 2007 Constant Rate 226
1.2
List of Figures
Figure 1: United States, Healthcare Expenditure by Source,
2003 31
Figure 2: United States, Healthcare Infrastructure, Top Level
View, 2007 36
Figure 3: Healthcare Expenses Segmentation by End User, 2003
37
Figure 4: Medical Equipment Approval Process in the United States, 2007
44
Figure 5: PMA Approval Process in the United States, 2007 46
Figure 6: The 510(k) Approval Process for Medical Devices in the United
States, 2007 47
Figure 7: Reimbursement Structure in the United States,
2007 52
Figure 8: Distribution Structure of Medical Equipment in the
United States, 2006 53
Figure 9: United States, Medical Equipment Market
Comparison,2007 54
Figure 10: Orthopedic Devices Cross Country
Comparison (2000-2012) 56
Figure 11: Orthopedic Devices, United
States, Overall Revenues ($ mn), 2000-2012 57
Figure 12: Orthopedic
Devices Market, United States, Portfolio Analysis 58
Figure 13:
Orthopedic Devices, United States, Overall Revenues ($ mn), Historic,
2000-2007 59
Figure 14: Orthopedic Devices, United States, Overall
Revenues ($ mn), Forecast, 2007-2012 60
Figure 15: Orthopedic
Devices, United States, Company Share (%), 2007 63
Figure 16:
Arthroscopy, United States, Revenue ($ mn) by Segment, Historic, 2000-2007
64
Figure 17: Arthroscopy, United States, Revenue ($ mn) by Segment,
Forecast, 2007-2012 65
Figure 18: Arthroscopy, United States, Overall
Volume (Units), Historic, 2000-2007 66
Figure 19: Arthroscopy, United
States, Overall Volume (Units), Forecast, 2007-2012 67
Figure 20:
Arthroscopy, United States, Company Share (%), 2007 69
Figure 21: Hip
Replacement, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 72
Figure 22: Hip Replacement, United States, Revenues ($
mn) by Sub-Segment, Forecast, 2007-2012 73
Figure 23: Knee
Replacement, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 74
Figure 24: Knee Replacement, United States, Revenues ($
mn) by Sub-Segment, Forecast, 2007-2012 75
Figure 25: Shoulder
Replacement, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 76
Figure 26: Shoulder Replacement, United States, Revenues
($ mn) by Sub-Segment, Forecast, 2007-2012 77
Figure 27: Hip
Replacement, United States, Volume (Units) by Sub-Segment, Historic, 2000-2007
80
Figure 28: Hip Replacement, United States, Volume (Units) by
Sub-Segment, Forecast, 2007-2012 81
Figure 29: Knee Replacement,
United States, Volume (Units) by Sub-Segment, Historic, 2000-2007 82
Figure 30: Knee Replacement, United States, Volume (Units) by
Sub-Segment, Forecast, 2007-2012 83
Figure 31: Shoulder Replacement,
United States, Volume (Units) by Sub-Segment, Historic, 2000-2007 84
Figure 32: Shoulder Replacement, United States, Volume (Units) by
Sub-Segment, Forecast, 2007-2012 85
Figure 33: Joint Reconstruction,
United States, Company Share (%), 2007 89
Figure 34: Orthobiologics,
United States, Revenue ($ mn) by Segment, Historic, 2000-2007 90
Figure
35: Orthobiologics, United States, Revenue ($ mn) by Segment, Forecast,
2007-2012 91
Figure 36: Bone Graft Substitutes, United States,
Revenues ($ mn) by Sub-Segment, Historic, 2000-2007 92
Figure 37:
Bone Graft Substitutes, United States, Revenues ($ mn) by Sub-Segment,
Forecast, 2007-2012 93
Figure 38: Orthobiologics, United States,
Overall Volume (Units), Historic, 2000-2007 94
Figure 39:
Orthobiologics, United States, Overall Volume (Units), Forecast, 2007-2012
95
Figure 40: Bone Graft Substitutes, United States, Volume (Units)
by Sub-Segment, Historic, 2000-2007 96
Figure 41: Bone Graft
Substitutes, United States, Volume (Units) by Sub-Segment, Forecast, 2007-2012
97
Figure 42: Orthobiologics, United States, Company Share (%), 2007
100
Figure 43: Orthopedic Accessories, United States, Revenue ($ mn)
by Segment, Historic, 2000-2007 101
Figure 44: Orthopedic
Accessories, United States, Revenue ($ mn) by Segment, Forecast, 2007-2012
102
Figure 45: Orthopedic Accessories, United States, Overall Volume
(Units), Historic, 2000-2007 103
Figure 46: Orthopedic Accessories,
United States, Overall Volume (Units), Forecast, 2007-2012 104
Figure 47:
Orthopedic Accessories, United States, Company Share (%), 2007 107
Figure 48: Orthopedic Braces and Supports, United States, Revenue ($ mn)
by Segment, Historic, 2000-2007 108
Figure 49: Orthopedic Braces and
Supports, United States, Revenue ($ mn) by Segment, Forecast, 2007-2012
109
Figure 50: Orthopedic Braces and Supports, United States, Overall
Volume (Units), Historic, 2000-2007 110
Figure 51: Orthopedic Braces
and Supports, United States, Overall Volume (Units), Forecast, 2007-2012
111
Figure 52: Orthopedic Braces and Supports, United States, Company
Share (%), 2007 113
Figure 53: Spinal Surgery, United States, Revenue
($ mn) by Segment, Historic, 2000-2007 114
Figure 54: Spinal Surgery,
United States, Revenue ($ mn) by Segment, Forecast, 2007-2012 115
Figure
55: Spinal Fusion, United States, Revenues ($ mn) by Sub-Segment,
Historic, 2000-2007 116
Figure 56: Spinal Fusion, United States,
Revenues ($ mn) by Sub-Segment, Forecast, 2007-2012 117
Figure 57:
Spinal Non-Fusion, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 118
Figure 58: Spinal Non-Fusion, United States, Revenues
($ mn) by Sub-Segment, Forecast, 2007-2012 119
Figure 59: Spinal
Surgery, United States, Overall Volume (Units), Historic, 2000-2007 120
Figure 60: Spinal Surgery, United States, Overall Volume (Units),
Forecast, 2007-2012 121
Figure 61: Spinal Fusion, United States,
Volume (Units) by Sub-Segment, Historic, 2000-2007 122
Figure 62:
Spinal Fusion, United States, Volume (Units) by Sub-Segment, Forecast,
2007-2012 123
Figure 63: Spinal Non-Fusion, United States, Volume
(Units) by Sub-Segment, Historic, 2000-2007 124
Figure 64: Spinal
Non-Fusion, United States, Volume (Units) by Sub-Segment, Forecast, 2007-2012
125
Figure 65: Spinal Surgery, United States, Company Share (%), 2007
128
Figure 66: Trauma Fixation, United States, Revenue ($ mn) by
Segment, Historic, 2000-2007 129
Figure 67: Trauma Fixation, United
States, Revenue ($ mn) by Segment, Forecast, 2007-2012 130
Figure 68:
Internal Fixators, United States, Revenues ($ mn) by Sub-Segment, Historic,
2000-2007 131
Figure 69: Internal Fixators, United States, Revenues
($ mn) by Sub-Segment, Forecast, 2007-2012 132
Figure 70: Internal
Fixators, United States, Volume (Units) by Sub-Segment, Historic, 2000-2007
134
Figure 71: Internal Fixators, United States, Volume (Units) by
Sub-Segment, Forecast, 2007-2012 135
Figure 72: Trauma Fixation,
United States, Company Share (%), 2007 138
Figure 73: Stryker
Corporation Value Chain Analysis 141
Figure 74: Zimmer Holdings, Inc.
Value Chain Analysis 145
Figure 75: Synthes, Inc. Value Chain
Analysis 149
Figure 76: Medtronic, Inc. Value Chain Analysis 152
Figure 77: Smith & Nephew Plc Value Chain Analysis 162
Figure 78:
Arthrocare Corporation Value Chain Analysis 175
Figure 79: Biomet,
Inc. Value Chain Analysis 181
Figure 80: C.R. Bard, Inc., Value Chain
Analysis 187
Figure 81: Hanger Orthopedic Group, Inc., Value Chain
Analysis 197
Figure 82: Global Markets Direct Methodology 222
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