Table of Contents
1 Table of Contents 2
1.1 List of Tables 8
1.2 List of Figures 11
2 Introduction 14
2.1 What Is This Report About? 14
2.2 Definitions
14
2.2.1 Wound Care Management 14
3 Healthcare Sector Review 16
3.1 Healthcare Expenditure 16
3.2 Healthcare Infrastructure 19
3.3
Healthcare Policy 21
4 Wound Care Management in Italy. 23
4.1 Wound
Care Management Overall Revenues (2000-2012) 23
4.2 Wound Care Management
Overall Volume (2000-2012) 29
4.3 Wound Care Management Overall Company
Shares (2005-2006) 32
5 Wound Closure Devices in Italy 33
5.1 Wound
Closure Devices Overall Revenues (2000-2012) 33
5.1.1 Skin Closure Devices
Overall Revenues (2000-2012) 37
5.1.2 Hemostats Overall Revenues
(2000-2012) 39
5.1.3 Tissue Sealants Overall Revenues (2000-2012) 41
5.2 Wound Closure Devices Overall Volume (2000-2012) 43
5.2.1 Skin Closure
Devices Overall Volume (2000-2012) 45
5.2.2 Hemostats Overall Volume
(2000-2012) 47
5.2.3 Tissue Sealants Overall Volume (2000-2012) 49
5.3
Wound Closure Devices Average Price (2000-2012) 51
5.3.1 Hemostats Average
Price (2000-2012) 51
5.3.2 Tissue Sealants Average Price (2000-2012)
53
5.3.3 Skin Closure Devices Average Price (2000-2012) 55
5.4 Wound
Closure Devices Distribution Share (2005-2006) 57
5.5 Wound Closure
Devices Company Share (2005-2006) 58
6 Ostomy in Italy 59
6.1 Ostomy
Overall Revenue (2000-2012) 59
6.2 Ostomy Overall Volume (2000-2012)
61
6.3 Ostomy Average Price (2000-2012) 63
6.4 Ostomy Distribution
Share (2005-2006) 65
6.5 Ostomy Company Share (2005-2006) 66
7 Advance
Wound Management in Italy 67
7.1 Advanced Wound Management Overall Revenue
(2000-2012) 67
7.2 Advanced Wound Management Overall Volume (2000-2012)
69
7.3 Advanced Wound Management Average Price (2000-2012) 71
7.4
Advanced Wound Management Distribution Share (2005-2006) 73
7.5 Advanced
Wound Management Company Share (2005-2006) 74
8 Traditional Wound
Management in Italy 75
8.1 Traditional Wound Management Overall Revenue
(2000-2012) 75
8.2 Traditional Wound Management Overall Volume (2000-2012)
77
8.3 Traditional Wound Management Average Price (2000-2012) 79
8.4
Traditional Wound Management Distribution Share (2005-2006) 81
8.5
Traditional Wound Management Company Share (2005-2006) 82
9 Compression
Therapy in Italy 83
9.1 Compression Therapy Overall Revenue (2000-2012)
83
9.2 Compression Therapy Overall Volume (2000-2012) 85
9.3
Compression Therapy Average Price (2000-2012) 87
9.4 Compression Therapy
Distribution Share (2000-2012) 89
9.5 Compression Therapy Company Share
(2005-2006) 90
10 HARTMANN GROUP Company Profile 91
10.1 Company
Overview 91
10.2 Business Overview 91
10.2.1 Incontinence Management
91
10.2.2 Operating Theater Management 91
10.2.3 Other GROUP
Activities 92
10.2.4 Wound Management 92
10.2.5 Products 92
10.2.6
History 93
10.3 Value Chain Analysis 95
10.3.1 Manufacturing 95
10.3.2 Product Development 95
10.3.3 Sales and Marketing 96
10.4 SWOT
Analysis 96
10.4.1 HARTMANN GROUP Strengths 96
10.4.2 HARTMANN GROUP
Weaknesses 97
10.4.3 HARTMANN GROUP Opportunities 97
10.4.4 HARTMANN
GROUP Threats 98
10.5 Financial and Operational Review 99
10.6
Locations And Subsidiaries 100
10.7 Other Locations & Subsidiaries 101
11 Coloplast A/S Company Profile 102
11.1 Company Overview 102
11.2
Business Overview 102
11.2.1 Medical Care 102
11.2.2 Major Products
and Services 103
11.2.3 History 103
11.3 Value Chain Analysis 105
11.3.1 Manufacturing 105
11.3.2 Product Development 106
11.3.3 Sales
and Marketing 107
11.4 SWOT Analysis 107
11.4.1 Coloplast A/S
Strengths 108
11.4.2 Coloplast A/S Weaknesses 108
11.4.3 Coloplast A/S
Opportunities 109
11.4.4 Coloplast A/S Threats 109
11.5 Financial and
Operational Review 111
11.5.1 Financial Statements 111
11.5.2
Financial Ratios 112
11.5.3 Share Holding Structure 113
11.6 Locations
And Subsidiaries 113
12 Baxter International, Inc. Company Profile
115
12.1 Company Overview 115
12.2 Business Overview 115
12.2.1
BioScience 115
12.2.2 Medication Delivery 115
12.2.3 Renal 116
12.2.4 Products 116
12.2.5 History 117
12.3 Value Chain Analysis
119
12.3.1 Manufacturing 119
12.3.2 Product Development 119
12.3.3
Sales and Marketing 120
12.4 SWOT Analysis 121
12.4.1 Baxter
International Inc. Strengths 121
12.4.2 Baxter International Inc.
Weaknesses 122
12.4.3 Baxter International Inc. Opportunities 122
12.4.4 Baxter International Inc. Threats 123
12.5 Financial and
Operational Review 124
12.6 Locations And Subsidiaries 125
12.7 Other
Locations & Subsidiaries 126
12.8 Baxter International Inc. Pipeline
Products 127
12.8.1 Next-Generation Home Hemodialysis Machine 127
13
ConvaTec Company Profile 129
13.1 Company Overview 129
13.2 Business
Overview 129
13.2.1 Major Products and Services 129
13.2.2 History
130
13.3 Locations And Subsidiaries 131
14 Ethicon, Inc. Company
Profile 132
14.1 Company Overview 132
14.2 Business Overview 132
14.2.1 Products 133
14.3 Locations And Subsidiaries 133
15 Regulation
System 135
15.1 Medical Equipment Approval Process 135
15.1.1
Classification of Medical Devices 135
15.1.2 Conformity Assessment Process
144
15.2 Classificazione Nazionale Dispositivi (CND) - New Medical Device
Classification 147
15.3 Post Market Surveillance 148
16 Pricing and
Reimbursement 149
16.1 Market Pricing 149
16.2 Government Policies for
Reimbursement 149
17 Distribution Structure 150
18 Appendix 151
18.1 Global Markets Direct Research Methodology 151
18.2 Coverage 152
18.3 Secondary Research 152
18.4 Primary Research 153
18.5 Models
153
18.6 Forecasts 154
18.7 Expert Panels 154
18.8 Currency
Conversion 155
18.9 Contact Us 156
18.10 Disclaimer 156
1.1
List of Tables
Table 1: Number of Doctors by Specialty in Italy, 2003-2007
20
Table 2: Number of Hospital Wards by Specialty in Italy, 2003-2007
21
Table 3: Wound Care Management, Italy, Overall Revenues ($ mn),
2000-2012 23
Table 4: Wound Care Management, Italy, Overall Revenues ($
mn), Historic, 2000-2007 24
Table 5: Wound Care Management, Italy, Overall
Revenues ($ mn), Forecast, 2007-2012 25
Table 6: Wound Care Management,
Italy, Category Revenues ($ mn), 2000-2012 26
Table 7: Wound Care
Management, Italy, Category Revenues ($ mn), Historic, 2000-2007 27
Table
8: Wound Care Management, Italy, Category Revenues ($ mn), Forecast, 2007-2012
28
Table 9: Wound Care Management, Italy, Category Volume (Units),
2000-2012 29
Table 10: Wound Care Management, Italy, Category Volume
(Units), Historic, 2000-2007 30
Table 11: Wound Care Management, Italy,
Category Volume (Units), Forecast, 2007-2012 31
Table 12: Wound Care
Management in Italy, Overall, Company Share by Revenue ($ mn), 2005-2006
32
Table 13: Wound Closure Devices, Italy, Overall Revenues ($ mn),
Historic, 2000-2007 33
Table 14: Wound Closure Devices, Italy, Overall
Revenues ($ mn), Forecast, 2007-2012 34
Table 15: Wound Closure Devices,
Italy, Revenue by Segment ($ mn), Historic, 2000-2007 35
Table 16: Wound
Closure Devices, Italy, Revenue by Segment ($ mn), Forecast, 2007-2012 36
Table 17: Skin Closure Devices, Italy, Overall Revenues ($ mn), Historic,
2000-2007 37
Table 18: Skin Closure Devices, Italy, Overall Revenues ($
mn), Forecast, 2007-2012 38
Table 19: Hemostats, Italy, Overall Revenues
($ mn), Historic, 2000-2007 39
Table 20: Hemostats, Italy, Overall
Revenues ($ mn), Forecast, 2007-2012 40
Table 21: Tissue Sealants, Italy,
Overall Revenues ($ mn), Historic, 2000-2007 41
Table 22: Tissue Sealants,
Italy, Overall Revenues ($ mn), Forecast, 2007-2012 42
Table 23: Wound
Closure Devices, Italy, Overall Volume (Units), Historic, 2000-2007 43
Table 24: Wound Closure Devices, Italy, Overall Volume (Units), Forecast,
2007-2012 44
Table 25: Skin Closure Devices, Italy, Overall Volume
(Units), Historic, 2000-2007 45
Table 26: Skin Closure Devices, Italy,
Overall Volume (Units), Forecast, 2007-2012 46
Table 27: Hemostats, Italy,
Overall Volume (Units), Historic, 2000-2007 47
Table 28: Hemostats, Italy,
Overall Volume (Units), Forecast, 2007-2012 48
Table 29: Tissue Sealants,
Italy, Overall Volume (Units), Historic, 2000-2007 49
Table 30: Tissue
Sealants, Italy, Overall Volume (Units), Forecast, 2007-2012 50
Table 31:
Hemostats, Italy, Average Price ($), Historic, 2000-2007 51
Table 32:
Hemostats, Italy, Average Price ($), Forecast, 2007-2012 52
Table 33:
Tissue Sealants, Italy, Average Price ($), Historic, 2000-2007 53
Table
34: Tissue Sealants, Italy, Average Price ($), Forecast, 2007-2012 54
Table 35: Skin Closure Devices, Italy, Average Price ($), Historic, 2000-2007
55
Table 36: Skin Closure Devices, Italy, Average Price ($), Forecast,
2007-2012 56
Table 37: Wound Closure Devices, Italy, Distribution Share by
Revenue ($ mn), 2005-2006 57
Table 38: Wound Closure Devices, Italy,
Company Share by Revenue ($ mn), 2005-2006 58
Table 39: Ostomy, Italy,
Overall Revenues ($ mn), Historic, 2000-2007 59
Table 40: Ostomy, Italy,
Overall Revenues ($ mn), Forecast, 2007-2012 60
Table 41: Ostomy, Italy,
Overall Volume (Units), Historic, 2000-2007 61
Table 42: Ostomy, Italy,
Overall Volume (Units), Forecast, 2007-2012 62
Table 43: Ostomy, Italy,
Average Price ($), Historic, 2000-2007 63
Table 44: Ostomy, Italy, Average
Price ($), Forecast, 2007-2012 64
Table 45: Ostomy, Italy, Distribution
Share by Revenue ($ mn), 2005-2006 65
Table 46: Ostomy, Italy, Company
Share by Revenue ($ mn), 2005-2006 66
Table 47: Advanced Wound Management,
Italy, Overall Revenues ($ mn), Historic, 2000-2007 67
Table 48: Advanced
Wound Management, Italy, Overall Revenues ($ mn), Forecast, 2007-2012 68
Table 49: Advanced Wound Management, Italy, Overall Volume (Units), Historic,
2000-2007 69
Table 50: Advanced Wound Management, Italy, Overall Volume
(Units), Forecast, 2007-2012 70
Table 51: Advanced Wound Management,
Italy, Average Price ($), Historic, 2000-2007 71
Table 52: Advanced Wound
Management, Italy, Average Price ($), Forecast, 2007-2012 72
Table 53:
Advanced Wound Management, Italy, Distribution Share by Revenue ($ mn),
2005-2006 73
Table 54: Advanced Wound Management, Italy, Company Share by
Revenue ($ mn), 2005-2006 74
Table 55: Traditional Wound Management,
Italy, Overall Revenues ($ mn), Historic, 2000-2007 75
Table 56:
Traditional Wound Management, Italy, Overall Revenues ($ mn), Forecast,
2007-2012 76
Table 57: Traditional Wound Management, Italy, Overall Volume
(Units), Historic, 2000-2007 77
Table 58: Traditional Wound Management,
Italy, Overall Volume (Units), Forecast, 2007-2012 78
Table 59:
Traditional Wound Management, Italy, Average Price ($), Historic, 2000-2007
79
Table 60: Traditional Wound Management, Italy, Average Price ($),
Forecast, 2007-2012 80
Table 61: Traditional Wound Management, Italy,
Distribution Share by Revenue ($ mn), 2005-2006 81
Table 62: Traditional
Wound Management, Italy, Company Share by Revenue ($ mn), 2005-2006 82
Table 63: Compression Therapy, Italy, Overall Revenues ($ mn), Historic,
2000-2007 83
Table 64: Compression Therapy, Italy, Overall Revenues ($
mn), Forecast, 2007-2012 84
Table 65: Compression Therapy, Italy, Overall
Volume (Units), Historic, 2000-2007 85
Table 66: Compression Therapy,
Italy, Overall Volume (Units), Forecast, 2007-2012 86
Table 67:
Compression Therapy, Italy, Average Price ($), Historic, 2000-2007 87
Table 68: Compression Therapy, Italy, Average Price ($), Forecast, 2007-2012
88
Table 69: Compression Therapy, Italy, Distribution Share by Revenue ($
mn), 2005-2006 89
Table 70: Compression Therapy, Italy, Company Share by
Revenue ($ mn), 2005-2006 90
Table 71: HARTMANN GROUP, SWOT Analysis,
2006 96
Table 72: HARTMANN GROUP, Financial Statements, Euro
Thousand, 2002-2006 99
Table 73: HARTMANN GROUP, Financial Ratios,
Euro Thousand, 2002-2006 100
Table 74: HARTMANN GROUP, Subsidiaries
101
Table 75: Coloplast A/S, SWOT Analysis, 2007 107
Table 76:
Coloplast A/S, Financial Statements, DKK Million, 2003-2007 111
Table
77: Coloplast A/S, Financial Ratios, DKK Million, 2003-2007 112
Table
78: Coloplast A/S, Share Holding Structure 113
Table 79:
Coloplast A/S, Other Locations 113
Table 80: Coloplast A/S,
Subsidiaries 114
Table 81: Baxter International Inc., SWOT Analysis,
2006 121
Table 82: Baxter International Inc., Financial Statements,
USD Million, 2002-2006 124
Table 83: Baxter International Inc.,
Financial Ratios, USD Million, 2002-2006 125
Table 84: Baxter
International Inc., Other Locations 126
Table 85: Baxter
International Inc., Subsidiaries 127
Table 86: ConvaTec, Other
Locations 131
Table 87: Ethicon, Inc., Other Locations 134
Table
88: Ethicon, Inc., Subsidiaries 134
Table 89: Currency Conversion
from USD to Local Currency at 2007 Constant Rate 155
1.2 List of
Figures
Figure 1: Total Healthcare Expenditure in Italy, 2000 - 2006
17
Figure 2: Healthcare Financing Framework in Italy, 2007 18
Figure
3: Wound Care Management, Italy, Overall Revenues ($ mn), 2000-2012 23
Figure 4: Wound Care Management, Italy, Overall Revenues ($ mn), Historic,
2000-2007 24
Figure 5: Wound Care Management, Italy, Overall Revenues ($
mn), Forecast, 2007-2012 25
Figure 6: Wound Care Management, Italy,
Category Revenues ($ mn), 2000-2012 26
Figure 7: Wound Care Management,
Italy, Category Revenues ($ mn), Historic, 2000-2007 27
Figure 8: Wound
Care Management, Italy, Category Revenues ($ mn), Forecast, 2007-2012 28
Figure 9: Wound Care Management, Italy, Category Volume (Units), 2000-2012
29
Figure 10: Wound Care Management, Italy, Category Volume (Units),
Historic, 2000-2007 30
Figure 11: Wound Care Management, Italy, Category
Volume (Units), Forecast, 2007-2012 31
Figure 12: Wound Care Management in
Italy, Overall, Company Share (%), 2006 32
Figure 13: Wound Closure
Devices, Italy, Overall Revenues ($ mn), Historic, 2000-2007 33
Figure 14:
Wound Closure Devices, Italy, Overall Revenues ($ mn), Forecast, 2007-2012
34
Figure 15: Wound Closure Devices, Italy, Revenue by Segment ($ mn),
Historic, 2000-2007 35
Figure 16: Wound Closure Devices, Italy, Revenue by
Segment ($ mn), Forecast, 2007-2012 36
Figure 17: Skin Closure Devices,
Italy, Overall Revenues ($ mn), Historic, 2000-2007 37
Figure 18: Skin
Closure Devices, Italy, Overall Revenues ($ mn), Forecast, 2007-2012 38
Figure 19: Hemostats, Italy, Overall Revenues ($ mn), Historic, 2000-2007
39
Figure 20: Hemostats, Italy, Overall Revenues ($ mn), Forecast,
2007-2012 40
Figure 21: Tissue Sealants, Italy, Overall Revenues ($ mn),
Historic, 2000-2007 41
Figure 22: Tissue Sealants, Italy, Overall Revenues
($ mn), Forecast, 2007-2012 42
Figure 23: Wound Closure Devices, Italy,
Overall Volume (Units), Historic, 2000-2007 43
Figure 24: Wound Closure
Devices, Italy, Overall Volume (Units), Forecast, 2007-2012 44
Figure 25:
Skin Closure Devices, Italy, Overall Volume (Units), Historic, 2000-2007
45
Figure 26: Skin Closure Devices, Italy, Overall Volume (Units),
Forecast, 2007-2012 46
Figure 27: Hemostats, Italy, Overall Volume
(Units), Historic, 2000-2007 47
Figure 28: Hemostats, Italy, Overall
Volume (Units), Forecast, 2007-2012 48
Figure 29: Tissue Sealants, Italy,
Overall Volume (Units), Historic, 2000-2007 49
Figure 30: Tissue Sealants,
Italy, Overall Volume (Units), Forecast, 2007-2012 50
Figure 31:
Hemostats, Italy, Average Price ($), Historic, 2000-2007 51
Figure 32:
Hemostats, Italy, Average Price ($), Forecast, 2007-2012 52
Figure 33:
Tissue Sealants, Italy, Average Price ($), Historic, 2000-2007 53
Figure
34: Tissue Sealants, Italy, Average Price ($), Forecast, 2007-2012 54
Figure 35: Skin Closure Devices, Italy, Average Price ($), Historic, 2000-2007
55
Figure 36: Skin Closure Devices, Italy, Average Price ($), Forecast,
2007-2012 56
Figure 37: Wound Closure Devices, Italy, Distribution Share
(%), 2006 57
Figure 38: Wound Closure Devices, Italy, Company Share (%),
2006 58
Figure 39: Ostomy, Italy, Overall Revenues ($ mn), Historic,
2000-2007 59
Figure 40: Ostomy, Italy, Overall Revenues ($ mn), Forecast,
2007-2012 60
Figure 41: Ostomy, Italy, Overall Volume (Units), Historic,
2000-2007 61
Figure 42: Ostomy, Italy, Overall Volume (Units), Forecast,
2007-2012 62
Figure 43: Ostomy, Italy, Average Price ($), Historic,
2000-2007 63
Figure 44: Ostomy, Italy, Average Price ($), Forecast,
2007-2012 64
Figure 45: Ostomy, Italy, Company Share (%), 2006 66
Figure 46: Advanced Wound Management, Italy, Overall Revenues ($ mn),
Historic, 2000-2007 67
Figure 47: Advanced Wound Management, Italy,
Overall Revenues ($ mn), Forecast, 2007-2012 68
Figure 48: Advanced Wound
Management, Italy, Overall Volume (Units), Historic, 2000-2007 69
Figure
49: Advanced Wound Management, Italy, Overall Volume (Units), Forecast,
2007-2012 70
Figure 50: Advanced Wound Management, Italy, Average Price
($), Historic, 2000-2007 71
Figure 51: Advanced Wound Management, Italy,
Average Price ($), Forecast, 2007-2012 72
Figure 52: Advanced Wound
Management, Italy, Distribution Share (%), 2006 73
Figure 53: Advanced
Wound Management, Italy, Company Share (%), 2006 74
Figure 54: Traditional
Wound Management, Italy, Overall Revenues ($ mn), Historic, 2000-2007 75
Figure 55: Traditional Wound Management, Italy, Overall Revenues ($ mn),
Forecast, 2007-2012 76
Figure 56: Traditional Wound Management, Italy,
Overall Volume (Units), Historic, 2000-2007 77
Figure 57: Traditional
Wound Management, Italy, Overall Volume (Units), Forecast, 2007-2012 78
Figure 58: Traditional Wound Management, Italy, Average Price ($), Historic,
2000-2007 79
Figure 59: Traditional Wound Management, Italy, Average Price
($), Forecast, 2007-2012 80
Figure 60: Traditional Wound Management,
Italy, Distribution Share (%), 2006 81
Figure 61: Traditional Wound
Management, Italy, Company Share (%), 2006 82
Figure 62: Compression
Therapy, Italy, Overall Revenues ($ mn), Historic, 2000-2007 83
Figure 63:
Compression Therapy, Italy, Overall Revenues ($ mn), Forecast, 2007-2012
84
Figure 64: Compression Therapy, Italy, Overall Volume (Units),
Historic, 2000-2007 85
Figure 65: Compression Therapy, Italy, Overall
Volume (Units), Forecast, 2007-2012 86
Figure 66: Compression Therapy,
Italy, Average Price ($), Historic, 2000-2007 87
Figure 67: Compression
Therapy, Italy, Average Price ($), Forecast, 2007-2012 88
Figure 68:
Compression Therapy, Italy, Distribution Share by Revenue ($ mn), 2006 89
Figure 69: Compression Therapy, Italy, Company Share (%), 2006 90
Figure
70: HARTMANN GROUP, Value Chain Analysis 95
Figure 71: Coloplast
A/S, Value Chain Analysis 105
Figure 72: Baxter International Inc.,
Value Chain Analysis 119
Figure 73: Flowchart for Classification of
Non-invasive Devices in Italy, 2007 136
Figure 74: Flowchart for
Classification of Invasive Devices in Italy, 2007 137
Figure 75: Flowchart
for Classification of Invasive Devices in Italy, 2007 138
Figure 76:
Flowchart for Classification of Invasive Devices in Italy, 2007 139
Figure
77: Flowchart for Classification of Invasive Devices in Italy, 2007 140
Figure 78: Flowchart for Classification of Active Devices in Italy, 2007
141
Figure 79: Flowchart for Classification of Active Devices in Italy,
2007 142
Figure 80: Flowchart for Classification of Devices except
Non-invasive, Invasive and Active Devices in Italy, 2007 143
Figure 81:
Conformity Assessment of Class-I Medical Devices in Italy, 2007 144
Figure
82: Conformity Assessment of Class-IIa Medical Devices in Italy, 2007 145
Figure 83: Conformity Assessment of Class-IIb Medical Devices in Italy, 2007
146
Figure 84: Conformity Assessment of Class-III Medical Devices in
Italy, 2007 147
Figure 85: Global Markets Direct Methodology 151
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