Table of Contents
1 Table of Contents 2
1.1 List of Tables 7
1.2 List of Figures 9
2
Introduction 11
2.1 What Is This Report About? 11
3 Definitions of the
Markets Covered in the Report 12
3.1 Ophthalmic Devices 12
3.2
Cataract Surgery 12
3.2.1 Phacoemulsification Equipment 12
3.2.2 Intra
Ocular Lens 12
3.3 Vision Care 12
3.3.1 Ophthalmoscopes 12
3.3.2
Contact lenses 12
3.3.3 Lens care 13
3.3.4 Ophthalmic lens 13
3.3.5 Rigid Gas Permeable Contact Lenses 13
3.4 Refractive Surgery 13
4 Healthcare Sector Review 14
4.1 Healthcare Sector 14
4.2 Healthcare
Expenditure 14
4.3 Healthcare Infrastructure 18
4.3.1 Healthcare
Personnel Data 18
4.3.2 Healthcare Facilities Data 20
4.4 Healthcare
Policy 25
5 Regulation System 26
5.1 Regulation System 26
5.2
Medical Equipment Approval Process 26
5.2.1 Classification of Medical
Devices 26
5.3 Conformity Assessment Process 35
5.3.1 Class I devices
35
5.3.2 Class IIa devices 36
5.3.3 Class IIb devices 37
5.3.4
Class III devices 38
5.4 Post Market Surveillance 39
6 Pricing and
Reimbursement 40
6.1 SHI 40
6.1.1 Private Health Insurance 40
6.1.2 Diagnosis Related Groups (DRG) 40
7 Distribution Structure 41
8
Ophthalmic Devices In Germany 42
8.1 Ophthalmic Devices Cross Country
Comparison, Revenue ($ mn), 2000-2015 42
8.2 Ophthalmic Devices, Germany,
Overall Revenue ($ mn), 2000-2015 43
8.3 Ophthalmic Devices, Germany,
Overall Volume (Units), 2000-2015 47
8.4 Ophthalmic Devices, Germany,
Company Share (2006-2007) 48
9 Cataract Surgery In Germany 49
9.1
Cataract Surgery Overall Revenue (2000-2015) 49
9.2 Cataract Surgery
Overall Volume (2000-2015) 51
9.3 Cataract Surgery Average Price
(2000-2015) 52
9.4 Cataract Surgery Distribution Share (2007-2008) 52
9.5 Cataract Surgery, Germany, Company Share (2006-2007) 53
10 Refractive
Surgery In Germany 54
10.1 Refractive Surgery Overall Revenue (2000-2015)
54
10.2 Refractive Surgery Overall Volume (2000-2015) 56
10.3
Refractive Surgery Average Price (2000-2015) 58
10.4 Refractive Surgery
Distribution Share (2007-2008) 58
10.5 Refractive Surgery, Germany,
Company Share (2006-2007) 59
11 Vision Care In Germany 60
11.1 Vision
Care Overall Revenue (2000-2015) 60
11.2 Vision Care Overall Volume
(2000-2015) 63
11.3 Vision Care Average Price (2000-2015) 65
11.4
Vision Care Distribution Share (2007-2008) 66
11.5 Vision Care, Germany,
Company Share (2006-2007) 67
12 Overview of Key Companies in Germany
Ophthalmic Devices Market 68
12.1 Johnson & Johnson Vision Care, Inc.
Company Profile 68
12.1.1 Company Overview 68
12.2 Essilor
International Company Profile 69
12.2.1 Company Overview 69
12.2.2
Value Chain Analysis 69
12.3 CIBA Vision Corporation Company Profile
71
12.3.1 Company Overview 71
12.3.2 CIBA Vision Corporation Pipeline
Products 71
12.4 Bausch & Lomb Incorporated Company Profile 73
12.4.1
Company Overview 73
12.4.2 Value Chain Analysis 73
12.4.3 Bausch &
Lomb Incorporated Pipeline Products 76
12.5 Carl Zeiss AG Company Profile
78
12.5.1 Company Overview 78
12.5.2 Value Chain Analysis 78
12.6
Alcon, Inc. Company Profile 81
12.6.1 Company Overview 81
12.6.2 Value
Chain Analysis 81
12.6.3 Alcon, Inc. Pipeline Products 84
12.7 Hoya
Corporation Company Profile 86
12.7.1 Company Overview 86
12.7.2 Value
Chain Analysis 86
12.8 CooperVision, Inc. Company Profile 89
12.8.1
Company Overview 89
12.8.2 CooperVision, Inc. Pipeline Products 89
12.9 20/10 PERFECT VISION AG Company Profile 91
12.9.1 Company Overview
91
12.10 Acri.Tec AG Company Profile 91
12.10.1 Company Overview
91
12.11 allgaier instrumente GmbH Company Profile 91
12.11.1 Company
Overview 91
12.12 Asclepion Laser Technologies GmbH Company Profile 92
12.12.1 Company Overview 92
12.12.2 Asclepion Laser Technologies GmbH
Pipeline Products 92
12.13 Bäramed Instrumente GmbH Company Profile 93
12.13.1 Company Overview 93
12.14 Gebauer Medizintechnik GmbH Company
Profile 94
12.14.1 Company Overview 94
12.15 GEUDER AG Company Profile
94
12.15.1 Company Overview 94
12.16 IMI Intelligent Medical Implants
GmbH Company Profile 95
12.16.1 Company Overview 95
12.16.2 IMI
Intelligent Medical Implants GmbH Pipeline Products 95
12.17 Retina
Implant AG Company Profile 97
12.17.1 Retina Implant AG Pipeline Products
97
12.18 Wavelight AG Company Profile 98
12.18.1 Company Overview
98
12.18.2 Value Chain Analysis 99
13 Financial Deals Landscape
102
13.1 Acquisition 102
13.1.1 Essilor International Acquires Nika
GmbH 102
13.1.2 Alcon Acquires WaveLight 103
13.1.3 Carl Zeiss
Acquires Acri.Tec 104
13.1.4 Carl Zeiss Meditec Acquires 5% Shareholding
In Wavelight 105
13.2 Partnerships 106
13.2.1 Bausch & Lomb to Form a
Joint Venture with 20/10 Perfect Vision 106
13.2.2 Advanced Medical Optics
Signs an Agreement with Carl Zeiss Meditec 107
13.2.3 Bausch & Lomb Enters
Into a Licensing Agreement with Schering 108
13.2.4 CooperVision Surgical
and Gebauer Medizintechnik enter into a Distribution Agreement 109
14
Recent Developments 110
14.1 Product News 110
14.1.1 Sep 12, 2008:
Alcon Expands Refractive Surgery Options with the Introduction of the AcrySof
Phakic Intraocular Lens outside the US 110
14.1.2 Jul 17, 2008: Carl Zeiss
Meditec Reaches 1,000 Cirrus HD-OCT Placements 110
15 Appendix 111
15.1 Global Markets Direct Research Methodology 111
15.2 Coverage 112
15.3 Secondary Research 112
15.4 Primary Research 113
15.5 Models
113
15.6 Forecasts 114
15.7 Expert Panels 114
15.8 Currency
Conversion 115
15.9 Contact Us 116
15.10 Disclaimer 116
1.1
List of Tables
Table 1: Healthcare Personnel by Region in Germany, 2004
18
Table 2: Doctors by Specialty in Germany, 2000-2004 19
Table 3:
Hospitals by Region in Germany, 2004 20
Table 4: Hospital Beds by Region
in Germany, 2004 21
Table 5: Rehabilitation Centers by Region in Germany,
2004 22
Table 6: Rehabilitation Center Beds by Region in Germany, 2004
23
Table 7: Discharges by Diagnosis in Germany, 2004 24
Table 8:
Ophthalmic Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 42
Table 9: Ophthalmic Devices, Germany, Overall Revenue ($ mn), 2000-2015
43
Table 10: Ophthalmic Devices, Germany, Portfolio Analysis, 2000-2015
44
Table 11: Ophthalmic Devices, Germany, Overall Revenue ($ mn),
Historic, 2000-2008 45
Table 12: Ophthalmic Devices, Germany, Overall
Revenue ($ mn), Forecast, 2008-2015 46
Table 13: Ophthalmic Devices,
Germany, Overall Volume (Units), 2000-2015 47
Table 14: Ophthalmic
Devices, Germany, Overall Volume (Units), Historic, 2000-2008 47
Table 15:
Ophthalmic Devices, Germany, Overall Volume (Units), Forecast, 2008-2015
47
Table 16: Ophthalmic Devices, Germany, Company Share by Revenue ($
mn), 2006-2007 48
Table 17: Cataract Surgery, Germany, Revenue ($ mn)
by Segment, Historic, 2000-2008 49
Table 18: Cataract Surgery,
Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 50
Table 19:
Cataract Surgery, Germany, Volume (Units) by Segment, Historic, 2000-2008
51
Table 20: Cataract Surgery, Germany, Volume (Units) by Segment,
Forecast, 2008-2015 51
Table 21: Cataract Surgery, Germany, Average
Price ($), Historic, 2000-2008 52
Table 22: Cataract Surgery,
Germany, Average Price ($), Forecast, 2008-2015 52
Table 23: Cataract
Surgery, Germany, Distribution Share by Revenue ($mn), 2007-2008 52
Table
24: Cataract Surgery, Germany, Company Share by Revenue ($ mn), 2006-2007
53
Table 25: Refractive Surgery, Germany, Revenue ($ mn), Historic,
2000-2008 54
Table 26: Refractive Surgery, Germany, Revenue ($ mn),
Forecast, 2008-2015 55
Table 27: Refractive Surgery, Germany, Volume
(Units), Historic, 2000-2008 56
Table 28: Refractive Surgery,
Germany, Volume (Units), Forecast, 2008-2015 57
Table 29: Refractive
Surgery, Germany, Average Price ($), Historic, 2000-2008 58
Table 30:
Refractive Surgery, Germany, Average Price ($), Forecast, 2008-2015 58
Table 31: Refractive Surgery, Germany, Distribution Share by Revenue
($mn), 2007-2008 58
Table 32: Refractive Surgery, Germany, Company
Share by Revenue ($ mn), 2006-2007 59
Table 33: Vision Care, Germany,
Revenue ($ mn) by Segment, Historic, 2000-2008 61
Table 34: Vision
Care, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 62
Table 35:
Vision Care, Germany, Volume (Units) by Segment, Historic, 2000-2008
63
Table 36: Vision Care, Germany, Volume (Units) by Segment,
Forecast, 2008-2015 64
Table 37: Vision Care, Germany, Average Price
($), Historic, 2000-2008 65
Table 38: Vision Care, Germany, Average
Price ($), Forecast, 2008-2015 65
Table 39: Vision Care, Germany,
Distribution Share by Revenue ($mn), 2007-2008 66
Table 40: Vision
Care, Germany, Company Share by Revenue ($ mn), 2006-2007 67
Table 41:
CIBA Vision Corporation Pipeline Products by Equipment Type 71
Table 42:
CIBA Vision Corporation Pipeline Products by Development Stage 71
Table 43: CIBA Vision Corporation Pipeline Products by Therapy Area
71
Table 44: CIBA Vision Corporation Pipeline Products by Clinical
Trials 72
Table 45: Bausch & Lomb Incorporated Pipeline Products by
Equipment Type 76
Table 46: Bausch & Lomb Incorporated Pipeline
Products by Development Stage 76
Table 47: Bausch & Lomb Incorporated
Pipeline Products by Therapy Area 76
Table 48: Bausch & Lomb
Incorporated Pipeline Products by Clinical Trials 77
Table 49: Bausch
& Lomb Incorporated Pipeline Products by News Summaries 77
Table 50:
Alcon, Inc. Pipeline Products by Equipment Type 84
Table 51: Alcon,
Inc. Pipeline Products by Development Stage 84
Table 52: Alcon, Inc.
Pipeline Products by Therapy Area 85
Table 53: Alcon, Inc. Pipeline
Products by Clinical Trials 85
Table 54: Alcon, Inc. Pipeline
Products by News Summaries 85
Table 55: CooperVision, Inc. Pipeline
Products by Equipment Type 89
Table 56: CooperVision, Inc. Pipeline
Products by Development Stage 89
Table 57: CooperVision, Inc.
Pipeline Products by Therapy Area 90
Table 58: Asclepion Laser
Technologies GmbH Pipeline Products by Equipment Type 92
Table 59:
Asclepion Laser Technologies GmbH Pipeline Products By Development Stage
92
Table 60: Asclepion Laser Technologies GmbH Pipeline Products By
Therapy Area 93
Table 61: Asclepion Laser Technologies GmbH Pipeline
Products By Clinical Trials 93
Table 62: IMI Intelligent Medical
Implants GmbH Pipeline Products by Equipment Type 95
Table 63: IMI
Intelligent Medical Implants GmbH Pipeline Products By Development Stage
95
Table 64: IMI Intelligent Medical Implants GmbH Pipeline Products
By Therapy Area 95
Table 65: IMI Intelligent Medical Implants GmbH
Pipeline Products By Clinical Trials 96
Table 66: Retina Implant AG
Pipeline Products by Equipment Type 97
Table 67: Retina Implant AG
Pipeline Products By Development Stage 97
Table 68: Retina Implant AG
Pipeline Products By Therapy Area 97
Table 69: Retina Implant AG
Pipeline Products By Clinical Trials 97
Table 70: Essilor
International Acquires Nika GmbH 102
Table 71: Alcon Acquires
WaveLight 103
Table 72: Carl Zeiss Acquires Acri.Tec 104
Table
73: Carl Zeiss Meditec Acquires 5% Shareholding In Wavelight 105
Table 74: Bausch & Lomb To Form A Joint Venture With 20/10 Perfect Vision
106
Table 75: Advanced Medical Optics Signs An Agreement With Carl
Zeiss Meditec 107
Table 76: Bausch & Lomb Enters Into A Licensing
Agreement With Schering 108
Table 77: CooperVision Surgical And
Gebauer Medizintechnik Enter Into A Distribution Agreement 109
Table 78:
Currency Conversion from USD to Local Currency at 2008 Constant Rate 115
1.2 List of Figures
Figure 1: Healthcare Structure in Germany, 2000 -
2006 15
Figure 2: Healthcare Expenditure Sources in Germany, 2003 16
Figure 3: Healthcare Financing Framework in Germany, 2007 17
Figure 4:
Flowchart for Classification of Non-invasive Devices in Germany, 2007 27
Figure 5: Flowchart for Classification of Invasive Devices in Germany, 2007
28
Figure 6: Flowchart for Classification of Invasive Devices in Germany,
2007 29
Figure 7: Classification of Invasive Devices in Germany, 2007
30
Figure 8: Classification of Invasive Devices in Germany, 2007 31
Figure 9: Flowchart for Classification of Active Devices in Germany, 2007
32
Figure 10: Flowchart for Classification of Active Devices in Germany,
2007 33
Figure 11: Flowchart for Classification of Devices except
Non-invasive, Invasive and Active Devices in Germany, 2007 34
Figure 12:
Conformity Assessment of Class-I Medical Devices in Germany, 2007 35
Figure 13: Conformity Assessment of Class-IIa Medical Devices in Germany, 2007
36
Figure 14: Conformity Assessment of Class-IIb Medical Devices in
Germany, 2007 37
Figure 15: Conformity Assessment of Class-III Medical
Devices in Germany, 2007 38
Figure 16: Ophthalmic Devices Cross
Country Comparison, Revenue ($ mn), 2000-2015 42
Figure 17:
Ophthalmic Devices, Germany, Overall Revenue ($ mn), 2000-2015 43
Figure
18: Ophthalmic Devices, Germany, Portfolio Analysis, 2000-2015 44
Figure 19: Ophthalmic Devices, Germany, Overall Revenue ($ mn), Historic,
2000-2008 45
Figure 20: Ophthalmic Devices, Germany, Overall Revenue
($ mn), Forecast, 2008-2015 46
Figure 21: Ophthalmic Devices,
Germany, Company Share (%), 2007 48
Figure 22: Cataract Surgery,
Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 49
Figure 23:
Cataract Surgery, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015
50
Figure 24: Cataract Surgery, Germany, Company Share (%), 2007
53
Figure 25: Refractive Surgery, Germany, Revenue ($ mn), Historic,
2000-2008 54
Figure 26: Refractive Surgery, Germany, Revenue ($ mn)
by, Forecast, 2008-2015 55
Figure 27: Refractive Surgery, Germany,
Volume (Units), Historic, 2000-2008 56
Figure 28: Refractive Surgery,
Germany, Volume (Units), Forecast, 2008-2015 57
Figure 29: Refractive
Surgery, Germany, Company Share (%), 2007 59
Figure 30: Vision Care,
Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 60
Figure 31:
Vision Care, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 62
Figure 32: Vision Care, Germany, Volume (Units) by Segment, Historic,
2000-2008 63
Figure 33: Vision Care, Germany, Volume (Units) by
Segment, Forecast, 2008-2015 64
Figure 34: Vision Care, Germany,
Company Share (%), 2007 67
Figure 35: Essilor International Value
Chain Analysis 69
Figure 36: Bausch & Lomb Incorporated Value Chain
Analysis 73
Figure 37: Carl Zeiss AG Value Chain Analysis 78
Figure 38: Alcon, Inc. Value Chain Analysis 81
Figure 39: HOYA
Corporation Value Chain Analysis 86
Figure 40: Wavelight AG Value
Chain Analysis 99
Figure 41: Global Markets Direct Methodology 111
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