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
the Markets Covered in the Report 14
3.1 Endoscopy Devices 14
3.2
Capsule Endoscope System 14
3.2.1 Capsule Endoscopy Workstation 14
3.2.2 Capsule Endoscope 14
3.3 Endoscopic Instruments 14
3.4
Endoscopic Reprocessors 14
3.5 Flexible Endoscope 14
3.5.1
Fibroroscopes 15
3.5.2 Videoscopes 15
3.6 Endoscopy Fluid Management
System 15
3.7 Rigid Endoscope 15
3.7.1 Hysteroscopes 16
3.7.2
Laparoscopes 16
3.8 Endoscopy Visualization Systems 16
4 Healthcare
Sector Review 17
4.1 Healthcare Sector 17
4.2 Healthcare Expenditure
17
4.3 Healthcare Infrastructure 21
4.3.1 Healthcare Personnel Data
21
4.3.2 Healthcare Facilities Data 23
4.4 Healthcare Policy 28
5
Regulation System 29
5.1 Regulation System 29
5.2 Medical Equipment
Approval Process 29
5.2.1 Classification of Medical Devices 29
5.3
Conformity Assessment Process 38
5.3.1 Class I devices 38
5.3.2 Class
IIa devices 39
5.3.3 Class IIb devices 40
5.3.4 Class III devices
41
5.4 Post Market Surveillance 42
6 Pricing and Reimbursement 43
6.1 SHI 43
6.1.1 Private Health Insurance 43
6.1.2 Diagnosis Related
Groups (DRG) 43
7 Distribution Structure 44
8 Endoscopy Devices In
Germany 45
8.1 Endoscopy Devices Cross Country Comparison, Revenue ($ mn),
2000-2015 45
8.2 Endoscopy Devices, Germany, Overall Revenue ($ mn),
2000-2015 46
8.3 Endoscopy Devices, Germany, Category Volume (Units),
2000-2015 52
8.4 Endoscopy Devices, Germany, Company Share (2006-2007)
55
9 Capsule Endoscope System In Germany 56
9.1 Capsule Endoscope
System Overall Revenue (2000-2015) 56
9.2 Capsule Endoscope System Overall
Volume (2000-2015) 58
9.3 Capsule Endoscope System Average Price
(2000-2015) 59
9.4 Capsule Endoscope System Distribution Share (2007-2008)
60
9.5 Capsule Endoscope System, Germany, Company Share (2006-2007) 61
10 Endoscopic Instruments In Germany 62
10.1 Endoscopic Instruments
Overall Revenue (2000-2015) 62
10.2 Endoscopic Instruments Distribution
Share (2007-2008) 64
11 Endoscopic Reprocessors In Germany 65
11.1
Endoscopic Reprocessors Overall Revenue (2000-2015) 65
11.2 Endoscopic
Reprocessors Overall Volume (2000-2015) 67
11.3 Endoscopic Reprocessors
Average Price (2000-2015) 69
11.4 Endoscopic Reprocessors Distribution
Share (2007-2008) 70
11.5 Endoscopic Reprocessors, Germany, Company Share
(2006-2007) 71
12 Endoscopy Fluid Management Systems In Germany 72
12.1 Endoscopy Fluid Management Systems Overall Revenue (2000-2015) 72
12.2 Endoscopy Fluid Management Systems Overall Volume (2000-2015) 74
12.3
Endoscopy Fluid Management Systems Average Price (2000-2015) 76
12.4
Endoscopy Fluid Management Systems Distribution Share (2007-2008) 77
13
Endoscopy Visualization Systems In Germany 78
13.1 Endoscopy Visualization
Systems Overall Revenue (2000-2015) 78
13.2 Endoscopy Visualization
Systems Overall Volume (2000-2015) 80
13.3 Endoscopy Visualization Systems
Average Price (2000-2015) 82
14 Flexible Endoscope In Germany 83
14.1
Flexible Endoscope Overall Revenue (2000-2015) 83
14.1.1 Fibroscope
Revenue (2000-2015) 85
14.2 Flexible Endoscope Overall Volume (2000-2015)
87
14.2.1 Fibroscope Volume (2000-2015) 89
14.3 Flexible Endoscope
Average Price (2000-2015) 91
14.4 Flexible Endoscope Distribution Share
(2007-2008) 92
14.5 Flexible Endoscope, Germany, Company Share (2006-2007)
93
15 Rigid Endoscope In Germany 94
15.1 Rigid Endoscope Overall
Revenue (2000-2015) 94
15.2 Rigid Endoscope Overall Volume (2000-2015)
96
15.3 Rigid Endoscope Average Price (2000-2015) 98
15.4 Rigid
Endoscope Distribution Share (2007-2008) 99
15.5 Rigid Endoscope, Germany,
Company Share (2006-2007) 100
16 Overview of Key Companies in Canada
Endoscopy Devices Market 101
16.1 OLYMPUS CORPORATION 101
16.1.1
Company Overview 101
16.1.2 Value Chain Analysis 101
16.1.3 Olympus
Medical Systems Corp. Pipeline Products 103
16.2 PENTAX of America, Inc.
104
16.2.1 Company Overview 104
16.3 Fujinon Corporation 104
16.3.1 Company Overview 104
16.4 Richard Wolf Medical Instruments
Corporation 104
16.4.1 Company Overview 104
16.5 ARL STORZ GmbH & Co.
KG 105
16.5.1 Company Overview 105
16.6 Minntech Corporation 105
16.6.1 Company Overview 105
16.7 Advanced Sterilization Products 105
16.7.1 Company Overview 105
16.8 Custom Ultrasonics Incorporated 105
16.8.1 Company Overview 105
16.9 Given Imaging Ltd. 106
16.9.1 Company
Overview 106
16.9.2 Given Imaging Ltd. Pipeline Products 106
16.10
Stryker Corporation 107
16.10.1 Company Overview 107
16.10.2 Value
Chain Analysis 108
16.11 Bäramed Instrumente GmbH 109
16.11.1 Company
Overview 109
16.12 GIMMI GmbH 110
16.12.1 Company Overview 110
16.13 invendo medical GmbH 110
16.13.1 Company Overview 110
16.13.2
invendo medical GmbH Pipeline Products 110
16.14 MGB Endoskopische Geräte
GmbH Berlin 111
16.14.1 Company Overview 111
16.15 RUDOLF MEDICAL GmbH
+ Co. KG 111
16.15.1 Company Overview 111
17 Financial Deals Landscape
112
17.1 Partnerships 112
17.1.1 Olympus Winter & Ibe Enters Into An
Agreement With Advanced Surgical Concepts 112
18 Appendix 113
18.1
Global Markets Direct Research Methodology 113
18.2 Coverage 114
18.3
Secondary Research 114
18.4 Primary Research 115
18.5 Models 115
18.6 Forecasts 116
18.7 Expert Panel Validation 116
18.8 Currency
Conversion 117
18.9 Contact Us 118
18.10 Disclaimer 118
1.1
List of Tables
Table 1: Healthcare Personnel by Region in Germany, 2004
21
Table 2: Doctors by Specialty in Germany, 2000-2004 22
Table 3:
Hospitals by Region in Germany, 2004 23
Table 4: Hospital Beds by Region
in Germany, 2004 24
Table 5: Rehabilitation Centers by Region in Germany,
2004 25
Table 6: Rehabilitation Center Beds by Region in Germany, 2004
26
Table 7: Discharges by Diagnosis in Germany, 2004 27
Table 8:
Endoscopy Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 45
Table 9: Endoscopy Devices, Germany, Overall Revenue ($ mn), 2000-2015
46
Table 10: Endoscopy Devices, Germany, Cross-Category Analysis,
2000-2015 47
Table 11: Endoscopy Devices, Germany, Overall Revenue ($
mn), Historic, 2000-2008 49
Table 12: Endoscopy Devices, Germany,
Overall Revenue ($ mn), Forecast, 2008-2015 51
Table 13: Endoscopy
Devices, Germany, Category Volume (Units), 2000-2015 52
Table 14:
Endoscopy Devices, Germany, Category Volume (Units), Historic, 2000-2008
53
Table 15: Endoscopy Devices, Germany, Category Volume (Units),
Forecast, 2008-2015 54
Table 16: Endoscopy Devices, Germany, Company
Share by Revenue ($ mn), 2006-2007 55
Table 17: Capsule Endoscope
System, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 56
Table
18: Capsule Endoscope System, Germany, Revenue ($ mn) by Segment,
Forecast, 2008-2015 57
Table 19: Capsule Endoscope System, Germany,
Volume (Units) by Segment, Historic, 2000-2008 58
Table 20: Capsule
Endoscope System, Germany, Volume (Units) by Segment, Forecast, 2008-2015
58
Table 21: Capsule Endoscope System, Germany, Average Price ($),
Historic, 2000-2008 59
Table 22: Capsule Endoscope System, Germany,
Average Price ($), Forecast, 2008-2015 59
Table 23: Capsule Endoscope
System, Germany, Distribution Share by Revenue ($mn), 2007-2008 60
Table
24: Capsule Endoscope System, Germany, Company Share by Revenue ($ mn),
2006-2007 61
Table 25: Endoscopic Instruments, Germany, Revenue ($
mn), Historic, 2000-2008 62
Table 26: Endoscopic Instruments,
Germany, Revenue ($ mn), Forecast, 2008-2015 63
Table 27: Endoscopic
Instruments, Germany, Distribution Share by Revenue ($mn), 2007-2008 64
Table 28: Endoscopic Reprocessors, Germany, Revenue ($ mn), Historic,
2000-2008 65
Table 29: Endoscopic Reprocessors, Germany, Revenue ($
mn), Forecast, 2008-2015 66
Table 30: Endoscopic Reprocessors,
Germany, Volume (Units), Historic, 2000-2008 67
Table 31: Endoscopic
Reprocessors, Germany, Volume (Units), Forecast, 2008-2015 68
Table 32:
Endoscopic Reprocessors, Germany, Average Price ($), Historic, 2000-2008
69
Table 33: Endoscopic Reprocessors, Germany, Average Price ($),
Forecast, 2008-2015 69
Table 34: Endoscopic Reprocessors, Germany,
Distribution Share by Revenue ($mn), 2007-2008 70
Table 35:
Endoscopic Reprocessors, Germany, Company Share by Revenue ($ mn), 2006-2007
71
Table 36: Endoscopy Fluid Management Systems, Germany, Revenue ($
mn), Historic, 2000-2008 72
Table 37: Endoscopy Fluid Management
Systems, Germany, Revenue ($ mn), Forecast, 2008-2015 73
Table 38:
Endoscopy Fluid Management Systems, Germany, Volume (Units), Historic,
2000-2008 74
Table 39: Endoscopy Fluid Management Systems, Germany,
Volume (Units), Forecast, 2008-2015 75
Table 40: Endoscopy Fluid
Management Systems, Germany, Average Price ($), Historic, 2000-2008 76
Table 41: Endoscopy Fluid Management Systems, Germany, Average Price ($),
Forecast, 2008-2015 76
Table 42: Endoscopy Fluid Management Systems,
Germany, Distribution Share by Revenue ($mn), 2007-2008 77
Table 43:
Endoscopy Visualization Systems, Germany, Revenue ($ mn), Historic, 2000-2008
78
Table 44: Endoscopy Visualization Systems, Germany, Revenue ($
mn), Forecast, 2008-2015 79
Table 45: Endoscopy Visualization
Systems, Germany, Volume (Units), Historic, 2000-2008 80
Table 46:
Endoscopy Visualization Systems, Germany, Volume (Units), Forecast, 2008-2015
81
Table 47: Endoscopy Visualization Systems, Germany, Average Price
($), Historic, 2000-2008 82
Table 48: Endoscopy Visualization
Systems, Germany, Average Price ($), Forecast, 2008-2015 82
Table 49:
Flexible Endoscope, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008
83
Table 50: Flexible Endoscope, Germany, Revenue ($ mn) by Segment,
Forecast, 2008-2015 84
Table 51: Fibroscope, Germany, Revenue ($ mn)
by Sub-Segment, Historic, 2000-2008 85
Table 52: Fibroscope, Germany,
Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 86
Table 53:
Flexible Endoscope, Germany, Volume (Units) by Segment, Historic, 2000-2008
87
Table 54: Flexible Endoscope, Germany, Volume (Units) by Segment,
Forecast, 2008-2015 88
Table 55: Fibroscope, Germany, Volume (Units)
by Sub-Segment, Historic, 2000-2008 89
Table 56: Fibroscope, Germany,
Volume (Units) by Sub-Segment, Forecast, 2008-2015 90
Table 57:
Flexible Endoscope, Germany, Average Price ($), Historic, 2000-2008 91
Table 58: Flexible Endoscope, Germany, Average Price ($), Forecast,
2008-2015 91
Table 59: Flexible Endoscope, Germany, Distribution
Share by Revenue ($mn), 2007-2008 92
Table 60: Flexible Endoscope,
Germany, Company Share by Revenue ($ mn), 2006-2007 93
Table 61:
Rigid Endoscope, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008
94
Table 62: Rigid Endoscope, Germany, Revenue ($ mn) by Segment,
Forecast, 2008-2015 95
Table 63: Rigid Endoscope, Germany, Volume
(Units) by Segment, Historic, 2000-2008 96
Table 64: Rigid Endoscope,
Germany, Volume (Units) by Segment, Forecast, 2008-2015 97
Table 65:
Rigid Endoscope, Germany, Average Price ($), Historic, 2000-2008 98
Table
66: Rigid Endoscope, Germany, Average Price ($), Forecast, 2008-2015
98
Table 67: Rigid Endoscope, Germany, Distribution Share by Revenue
($mn), 2007-2008 99
Table 68: Rigid Endoscope, Germany, Company Share
by Revenue ($ mn), 2006-2007 100
Table 69: Olympus Medical Systems
Corp. Pipeline Products by Equipment Type 103
Table 70: Olympus
Medical Systems Corp. Pipeline Products by Development Stage 103
Table 71:
Olympus Medical Systems Corp. Pipeline Products by Therapy Area 103
Table 72: Olympus Medical Systems Corp. Pipeline Products by Clinical
Trials 103
Table 73: Olympus Medical Systems Corp. Pipeline Products
by News Summary 103
Table 74: Given Imaging Ltd. Pipeline Products by
Equipment Type 106
Table 75: Given Imaging Ltd. Pipeline Products by
Development Stage 106
Table 76: Given Imaging Ltd. Pipeline Products
by Therapy Area 106
Table 77: Given Imaging Ltd. Pipeline Products by
Clinical Trials 107
Table 78: Given Imaging Ltd. Pipeline Products by
News Summary 107
Table 79: invendo medical GmbH Pipeline Products by
Equipment Type 110
Table 80: invendo medical GmbH Pipeline Products
by Development Stage 110
Table 81: invendo medical GmbH Pipeline
Products by Therapy Area 110
Table 82: invendo medical GmbH Pipeline
Products by Clinical Trials 111
Table 83: invendo medical GmbH
Pipeline Products by News Summary 111
Table 84: Olympus Winter & Ibe
Enters Into An Agreement With Advanced Surgical Concepts 112
Table 85:
USD to Local Currency, Average Exchange Rate 2008 117
1.2 List of
Figures
Figure 1: Healthcare Structure in Germany, 2000 - 2006 18
Figure 2: Healthcare Expenditure Sources in Germany, 2003 19
Figure 3:
Healthcare Financing Framework in Germany 20
Figure 4: Flowchart for
Classification of Non-invasive Devices in Germany, 2007 30
Figure 5:
Flowchart for Classification of Invasive Devices in Germany, 2007 31
Figure 6: Flowchart for Classification of Invasive Devices in Germany, 2007
32
Figure 7: Classification of Invasive Devices in Germany, 2007 33
Figure 8: Classification of Invasive Devices in Germany, 2007 34
Figure 9:
Flowchart for Classification of Active Devices in Germany, 2007 35
Figure
10: Flowchart for Classification of Active Devices in Germany, 2007 36
Figure 11: Flowchart for Classification of Devices except Non-invasive,
Invasive and Active Devices in Germany, 2007 37
Figure 12: Conformity
Assessment of Class-I Medical Devices in Germany, 2007 38
Figure 13:
Conformity Assessment of Class-IIa Medical Devices in Germany, 2007 39
Figure 14: Conformity Assessment of Class-IIb Medical Devices in Germany, 2007
40
Figure 15: Conformity Assessment of Class-III Medical Devices in
Germany, 2007 41
Figure 16: Endoscopy Devices Cross Country
Comparison, Revenue ($ mn), 2000-2015 45
Figure 17: Endoscopy
Devices, Germany, Overall Revenue ($ mn), 2000-2015 46
Figure 18:
Endoscopy Devices, Germany, Cross-Category Analysis, 2000-2015 47
Figure
19: Endoscopy Devices, Germany, Overall Revenue ($ mn), Historic,
2000-2008 48
Figure 20: Endoscopy Devices, Germany, Overall Revenue
($ mn), Forecast, 2008-2015 50
Figure 21: Endoscopy Devices, Germany,
Category Volume (Units), 2000-2015 52
Figure 22: Endoscopy Devices,
Germany, Category Volume (Units), Historic, 2000-2008 53
Figure 23:
Endoscopy Devices, Germany, Category Volume (Units), Forecast, 2008-2015
54
Figure 24: Endoscopy Devices, Germany, Company Share (%), 2007
55
Figure 25: Capsule Endoscope System, Germany, Revenue ($ mn) by
Segment, Historic, 2000-2008 56
Figure 26: Capsule Endoscope System,
Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 57
Figure 27:
Capsule Endoscope System, Germany, Company Share (%), 2007 61
Figure 28:
Endoscopic Instruments, Germany, Revenue ($ mn), Historic, 2000-2008 62
Figure 29: Endoscopic Instruments, Germany, Revenue ($ mn), Forecast,
2008-2015 63
Figure 30: Endoscopic Reprocessors, Germany, Revenue ($
mn), Historic, 2000-2008 65
Figure 31: Endoscopic Reprocessors,
Germany, Revenue ($ mn), Forecast, 2008-2015 66
Figure 32: Endoscopic
Reprocessors, Germany, Volume (Units), Historic, 2000-2008 67
Figure 33:
Endoscopic Reprocessors, Germany, Volume (Units), Forecast, 2008-2015
68
Figure 34: Endoscopic Reprocessors, Germany, Company Share (%),
2007 71
Figure 35: Endoscopy Fluid Management Systems, Germany,
Revenue ($ mn), Historic, 2000-2008 72
Figure 36: Endoscopy Fluid
Management Systems, Germany, Revenue ($ mn), Forecast, 2008-2015 73
Figure
37: Endoscopy Fluid Management Systems, Germany, Volume (Units),
Historic, 2000-2008 74
Figure 38: Endoscopy Fluid Management Systems,
Germany, Volume (Units), Forecast, 2008-2015 75
Figure 39: Endoscopy
Visualization Systems, Germany, Revenue ($ mn), Historic, 2000-2008 78
Figure 40: Endoscopy Visualization Systems, Germany, Revenue ($ mn),
Forecast, 2008-2015 79
Figure 41: Endoscopy Visualization Systems,
Germany, Volume (Units), Historic, 2000-2008 80
Figure 42: Endoscopy
Visualization Systems, Germany, Volume (Units), Forecast, 2008-2015 81
Figure 43: Flexible Endoscope, Germany, Revenue ($ mn) by Segment,
Historic, 2000-2008 83
Figure 44: Flexible Endoscope, Germany,
Revenue ($ mn) by Segment, Forecast, 2008-2015 84
Figure 45:
Fibroscope, Germany, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 85
Figure 46: Fibroscope, Germany, Revenue ($ mn) by Sub-Segment, Forecast,
2008-2015 86
Figure 47: Flexible Endoscope, Germany, Volume (Units)
by Segment, Historic, 2000-2008 87
Figure 48: Flexible Endoscope,
Germany, Volume (Units) by Segment, Forecast, 2008-2015 88
Figure 49:
Fibroscope, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 89
Figure 50: Fibroscope, Germany, Volume (Units) by Sub-Segment, Forecast,
2008-2015 90
Figure 51: Flexible Endoscope, Germany, Company Share
(%), 2007 93
Figure 52: Rigid Endoscope, Germany, Revenue ($ mn) by
Segment, Historic, 2000-2008 94
Figure 53: Rigid Endoscope, Germany,
Revenue ($ mn) by Segment, Forecast, 2008-2015 95
Figure 54: Rigid
Endoscope, Germany, Volume (Units) by Segment, Historic, 2000-2008 96
Figure 55: Rigid Endoscope, Germany, Volume (Units) by Segment, Forecast,
2008-2015 97
Figure 56: Rigid Endoscope, Germany, Company Share (%),
2007 100
Figure 57: Olympus Medical Systems Corp. Value Chain
Analysis 101
Figure 58: Stryker Corporation Value Chain Analysis
108
Figure 59: Global Markets Direct Methodology 113
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