Table of Contents
1 Table of Contents 2 1.1 List of Tables 8 1.2 List of Figures 9 2
Introduction 11 2.1 What is this Report About? 11 2.2 Global Markets
Direct Report Coverage 11 2.3 Definitions 12 2.3.1 Cardiovascular
Devices 12 2.3.2 Orthopedic Devices 12 2.3.3 Diagnostic Imaging 12
2.3.4 Ophthalmic Devices 12 2.3.5 In-vitro Diagnostics 12 2.3.6
Patient Monitoring Devices 12 2.3.7 Dental Devices 13 2.3.8 Endoscopy
Devices 13 2.3.9 Hospital Supplies 13 2.3.10 Nephrology and Urology
Devices 13 2.3.11 Diabetes Care Devices 13 2.3.12 Wound Care
Management 13 2.3.13 Neurology Devices 14 2.3.14 Surgical Equipment
14 2.3.15 Anesthesia and Respiratory Devices 14 2.3.16 ENT Devices
14 2.3.17 Drug Delivery Devices 14 2.3.18 Healthcare IT 14 3 Top
10 Medical Equipment Market Trends 15 3.1 Executive Summary 16 4
Industry Consolidations Would Re-Shape The Medical Equipment Competitive
Landscape 18 4.1 Overview 18 4.2 Medical Equipment Consolidation
Landscape in 2007 19 4.3 Mergers 22 4.3.1 Impact Analysis 23 4.4
Acquisitions 26 4.4.1 Impact Analysis 27 4.5 Partnerships 29 4.5.1
Impact Analysis 30 4.6 Future Outlook 32 4.6.1 Johnson & Johnson to
strengthen its cardiovascular devices portfolio 33 5 Direct To Consumer
Advertising: A New Marketing Weapon Or A Sign Of Desperation? 39 5.1
Overview 39 5.2 Direct to Consumer Advertising: A Trend Analysis 41
5.3 Strategic Rationale behind Medtronic' s DTC Advertising Campaign 42 5.4
Strategic Rationale behind Johnson & Johnson' s DTC Advertising Campaign 42
5.5 Future Outlook 44 5.5.1 Life-saving Medical Devices 44 5.5.2
Life-style Medical Devices 45 6 Device Recalls & Safety Alerts: Market
Impact Outlook And The Post-Marketing Strategies That The Manufacturers Could
Opt 47 6.1 Overview 47 6.2 Implantable cardioverter-defibrillators
48 6.2.1 Trend Analysis 48 6.2.2 Impact Analysis and Future Outlook
49 6.3 Drug Eluting Stents 50 6.3.1 Trend Analysis 50 6.3.2 Impact
Analysis and Future Outlook 50 6.4 Hip Resurfacing Implants 53 6.4.1
Trend Analysis 53 6.4.2 Impact Analysis and Future Outlook 53 6.5 US
FDA' s likely position 55 6.6 What could the manufacturer' s do 55 7
Companies To Watch Out For 57 7.1 Overview 57 7.2 Leading Players
58 7.2.1 Johnson & Johnson 58 7.2.2 GE Healthcare 60 7.2.3 Siemens
Medical Solutions 62 7.2.4 Boston Scientific 64 7.2.5 F. Hoffmann-La
Roche Ltd 66 7.2.6 Abbott Laboratories 66 7.3 Emerging Players 67
7.3.1 Biosensors International Group Ltd. 67 7.3.2 Integra Life Sciences
68 7.3.3 Inverness Medical Innovations, Inc. 69 7.3.4 Teleflex Medical
70 7.3.5 Wright Medical Technology, Inc. 70 8 Products To Watch Out
For 72 8.1 Overview 72 8.2 Marketed Devices 73 8.2.1 ProDisc™-C
Total Disc Replacement 73 8.2.2 Exponent® Self-Expanding Carotid Stent
with Over-the-Wire (OTW) or Rapid-Exchange (RX) Delivery Systems 75 8.2.3
GeneSearch™ BLN Test Kit 76 8.2.4 PRESTIGE® Cervical Disc System 76
8.2.5 Cormet™ Hip Resurfacing System 77 8.2.6 INRange Remote Medication
Management System 77 8.2.7 STS-7 Continuous Glucose Monitoring System
78 8.2.8 CORDIS ENTERPRISE™ Vascular Reconstruction Device and Delivery
System 78 8.2.9 PROBEAT WITH DISCRETE SPOT SCANNING SYSTEM 79 8.2.10
Endeavor® Zotarolimus-Eluting Coronary Stent System 80 8.3 Devices under
clinical investigation 80 8.3.1 XIENCE™ V Everolimus Eluting Coronary
Stent System 80 9 Home And Self Care To Gain Prominence 81 9.1
Overview 81 9.2 Trend Analysis 82 9.2.1 Major medical equipment
markets moving towards Home and Self Care 82 9.2.2 Factors driving the
movement from Hospital Care to Home and Self Care 90 9.3 Future Outlook
94 9.3.1 Future Trends & Drivers 94 9.3.2 Emerging Leaders in Home &
Self Care 94 10 Drug And Device Combinations Would Continue To Attract
Adoption 96 10.1 Overview 96 10.2 Regulatory Scenario 96 10.3
Upcoming Market Sectors 97 10.3.1 Drug Delivery Devices 97 10.3.2 Bone
Cement with antibiotics 98 10.3.3 Bone Graft Substitutes 100 10.3.4
Biological wound treatment products 101 10.3.5 Photodynamic therapy
102 10.4 Impact Analysis 103 11 Minimally Invasive Surgery Set To
Experience Increased Acceptence 104 11.1 Studies in the news 105 11.2
Leading Companies 106 11.2.1 Karl Storz 107 11.2.2 Olympus 107
11.2.3 Smith & Nephew 107 11.2.4 Stryker 108 11.2.5 Gyrus 108
11.2.6 Pentax 108 11.2.7 Fujinon 109 11.2.8 Ethicon 109 11.3
Innovations in Minimally Invasive Devices 109 11.3.1 NuBoom 109 11.3.2
SpineWand® from Arthrocare 109 11.3.3 Capsule Endoscope 109 11.4
Future Outlook and Implications 110 12 VC Financing To Be More Robust
111 12.1 Overview 111 12.2 VC Firms likely to remain active in the
near future 112 12.2.1 Alta Partners 112 12.2.2 Delphi Ventures
112 12.2.3 Foundation Medical Partners 113 12.2.4 Advanced Technology
Ventures 113 12.2.5 InterWest Partners 114 12.2.6 New Enterprise
Associates 115 12.3 Markets that could attract major VC Financings 115
12.3.1 Cardiovascular Devices 115 12.3.2 Orthopedic Devices 117 12.3.3
Diagnostic Imaging 118 12.3.4 In-vitro Diagnostics 119 13 Predicting
the Regulatory Landscape 121 13.1 USA 121 13.1.1 Regulatory Landscape
in 2007 121 13.1.2 Future Outlook 121 13.2 European Union 124
13.2.1 CE Mark Directives Amendment 124 13.2.2 Medical Device Vigilance
Guidelines 125 13.3 Japan 127 13.3.1 Global Clinical Trials 127
13.4 Emerging Economies 128 13.4.1 Latin American Medical Equipment
Regulations 128 13.4.2 Indian Medical Equipment Regulations 129 13.4.3
Chinese Medical Equipment Regulations 129 14 Appendix 132 14.1
Methodology 132 14.2 Coverage 133 14.3 Secondary Research 133 14.4
Primary Research 134 14.5 Models 134 14.6 Forecasts 135 14.7
Expert Panels 135 14.8 Sources 135 14.9 Abbreviations 136 14.10
Notes 137 14.11 Contact Us 137 14.12 Disclaimer 137
1.1 List of Tables Table 1: Company Share by Revenue in the US Drug
Eluting Stent Market ($b), 2004-2007 32 Table 2: Overall Revenues in the
Global Cardiac Rhythm Management Market ($b), 2000-2011 33 Table 3: Major
DTC Advertising Campaigns 41 Table 4: Overall Revenues in the US
Defibrillators Market ($b), 2000 -- 2007 49 Table 5: Overall Revenues in
the US Coronary Stents Market ($b), 2000 -- 2006 52 Table 6: Overall
Revenues in the US Hip Resurfacing Implants Market ($m), 2006 -- 2012 54
Table 7: Overall Revenues in the Global Hip and Knee Implants Market ($b),
2002 -- 2008 60 Table 8: Overall Revenues in the Global Orthobiologics
Market ($b), 2000 -- 2011 69 Table 9: Overall Revenues in the US Spinal
Surgery Implants Market ($b), 2000 -- 2011 74 Table 10: Overall Revenues
in the US Peripheral Vascular Stent Market ($m), 2000 -- 2011 76 Table 11:
Overall Revenues in the US Interventional Neurology Devices Market ($m), 2000
-- 2011 79 Table 12: Overall Revenues in the Global Home and Self Care
Medical Device Market ($m), 2000 -- 2011 82 Table 13: Overall Revenues in
the Global Drug Delivery Devices Market ($b), 2000 -- 2011 98 Table 14:
Overall Revenues in the Global Bone Cement Market ($m), 2000 -- 2011 98
Table 15: Overall Revenues in the Global Bone Graft Substitutes Market ($b),
2000 -- 2011 101 Table 16: Overall Revenues in the Global Advanced Wound
Management Market ($b), 2000 -- 2011 102 Table 17: Overall Revenues in the
Global Endoscopy Devices Market ($b), 2000 - 2011 105 Table 18: Overall
Revenues in the Global Cardiovascular Devices Market ($b), 2000 -- 2011
116 Table 19: Overall Revenues in the Global Orthopedic Devices Market
($b), 2000 -- 2011 117 Table 20: Overall Revenues in the Global Diagnostic
Imaging Market ($b), 2000 -- 2011 119 Table 21: Overall Revenues in the
Global In-vitro Diagnostics Market ($b), 2000 -- 2011 119
1.2 List of Figures Figure 1: Market Growth Potential Framework 19
Figure 2: Financial Deals by Medical Equipment Market, 2007 20 Figure 3:
Financial Deals by type, 2007 21 Figure 4: Deal Type and Impact 22
Figure 5: Mergers by medical equipment market, 2007 23 Figure 6: Hologic
and Cytyc Corporation: Merger Impact 24 Figure 7: ev3 and Foxhollow
Technologies: Merger Impact 25 Figure 8: Acquisitions by medical equipment
market, 2007 26 Figure 9: Siemens' acquisition of Dade Behring and Bayer
Diagnostics: Acquisition Impact 27 Figure 10: Olympus' acquisition of
Gyrus Group: Acquisition Impact 28 Figure 11: Partnerships by medical
equipment market, 2007 29 Figure 12: Partnerships by type, 2007 30
Figure 13: Drug Eluting Stent Market and Competitive Landscape in the US, 2004
-- 2007 31 Figure 14: Overall Revenues in the Global Cardiac Rhythm
Management Market ($b), 2000-2011 34 Figure 15: Market Capitalization,
Johnson & Johnson 35 Figure 16: Market Capitalization, Boston Scientific
36 Figure 17: Market Capitalization, Medtronic, Inc. 37 Figure 18:
Market Capitalization, St Jude Medical 38 Figure 19: Media Penetration by
type, US 40 Figure 20: DTC Marketing Spend: Purpose and Drivers 44
Figure 21: Device Recalls initiated by the US FDA, 2002 -- 2007 47 Figure
22: Overall Revenues in the US Defibrillators Market ($b), 2000 -- 2007 49
Figure 23: Overall Revenues in the US Coronary Stents Market ($b), 2000 --
2006 52 Figure 24: Overall Revenues in the US Hip Resurfacing Implants
Market ($m), 2006 -- 2012 54 Figure 25: Company Scorecard & Impact
Outlook, 2008 57 Figure 26: Overall Revenues in the Global Hip and Knee
Implants Market ($b), 2002 -- 2008 59 Figure 27: Diagnostic Devices
Competitive Landscape, Pre -- Acquisition of Abbott (Diagnostics) 61
Figure 28: Diagnostic Devices Competitive Landscape, Post -- Acquisition of
Abbott (Diagnostics)* 62 Figure 29: IVD Competitive Landscape,
Pre-Acquisition of Dade Behring 63 Figure 30: IVD Competitive Landscape,
After the Acquisition of Dade Behring 64 Figure 31: Boston Scientific,
Product Pipeline and Expected Launches in 2008 65 Figure 32: Overall
Revenues in the Global Orthobiologics Market ($b), 2000 -- 2011 68 Figure
33: Medical Device Approvals, 2002-2007 72 Figure 34: Overall Revenues in
the US Spinal Surgery Implants Market ($b), 2000 -- 2011 74 Figure 35:
Overall Revenues in the US Peripheral Vascular Stent Market ($m), 2000 -- 2011
75 Figure 36: Overall Revenues in the US Interventional Neurology Devices
Market ($m), 2000 -- 2011 79 Figure 37: Home and Self Care Device
Portfolio Analysis 81 Figure 38: Overall Revenues in the Global Diabetes
Care Devices Market ($b), 2000 -- 2011 83 Figure 39: Overall Revenues in
the Global Home and Self Care Drug Delivery Devices Market ($b), 2000 -- 2011
84 Figure 40: Overall Revenues in the Global Self Testing (IVD) Market
($b), 2000 -- 2011 85 Figure 41: Overall Revenues in the Global Home and
Self Care Anesthesia and Respiratory Devices Market ($b), 2000 -- 2011 86
Figure 42: Overall Revenues in the Global Peritoneal Dialysis Solutions Market
($b), 2000 -- 2011 87 Figure 43: Overall Revenues in the Global
Incontinence Devices Market ($b), 2000 -- 2011 88 Figure 44: Overall
Revenues in the Global Hearing Aid Devices Market, Global ($b), 2000 -- 2011
89 Figure 45: Factors driving the movement from Hospital Care to Home and
Self Care 90 Figure 46: Aging Population (65+) Growth, Emerging Economies
vs. Developed Economies 91 Figure 47: GDP Per Capita, Emerging Economies
vs. Developed Economies, 2007 92 Figure 48: Aging Population Per Doctor
and Hospital Ward, Selected Economies* 93 Figure 49: Overall Revenues in
the Global Drug Delivery Devices Market ($b), 2000 -- 2011 97 Figure 50:
Overall Revenues in the Global Bone Cement Market ($m), 2000 -- 2011 99
Figure 51: Overall Revenues in the Global Bone Graft Substitutes Market ($b),
2000 -- 2011 100 Figure 52: Overall Revenues in the Global Advanced Wound
Management Market ($b), 2000 -- 2011 102 Figure 53: Overall Revenues in
the Global Endoscopy Devices Market ($b), 2000 - 2011 104 Figure 54:
Endoscopy Devices Market Split, 2007 105 Figure 55: Minimally Invasive
Devices Market, Company Share (%), 2006 106 Figure 56: VC Financings by
Market, 2007 111 Figure 57: Overall Revenues in the Global Cardiovascular
Devices Market ($b), 2000 -- 2011 116 Figure 58: Overall Revenues in the
Global Orthopedic Devices Market ($b), 2000 -- 2011 117 Figure 59: Overall
Revenues in the Global Diagnostic Imaging Market ($b), 2000 -- 2011 118
Figure 60: Overall Revenues in the Global In-vitro Diagnostics Market ($b),
2000 -- 2011 120 Figure 61: New Vigilance Guideline Terminologies, 2007
126 Figure 62: Reporting Timelines in the New Vigilance Guideline, 2007
127 Figure 63: Global Markets Direct Methodology 132
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