Table of Contents
1 Table of Contents 2
1.1 List of Tables 9
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
3 Definitions of
Markets Covered in This Report 14
3.1 Hospital Supplies 14
3.2
Disposable Hospital Supplies 14
3.2.1 Gloves 14
3.2.2 Gowns and Drapes
14
3.2.3 Procedure Kits and Trays 14
3.3 Mobility Aids and
Transportation Equipment 14
3.3.1 Stretchers 14
3.3.2 Wheelchairs
14
3.4 Patient Examination Devices 14
3.4.1 Stethoscope 15
3.4.2
Thermometer 15
3.5 Sterilization and Disinfectant Equipment 15
3.5.1
Chemical Sterilization 15
3.5.2 Physical Sterilization 15
3.5.3
Radiation Sterilization 15
3.6 Syringes and Needles 15
3.6.1 General
Syringes 15
3.6.2 Specialized Syringes 15
4 Healthcare Sector Review
17
4.1 Healthcare Expenditure 17
4.2 Healthcare Infrastructure 19
4.3 Healthcare Policy 23
5 Regulation System 24
5.1 Medical Equipment
Approval Process 24
5.1.1 Market Authorization Holder (MAH) 24
5.1.2
Classification and Pre-Market Approval of Medical Devices 25
5.1.3 Third
Party Certification for Controlled Medical Devices 26
5.1.4 PMDA Approval
for Highly Controlled Medical Devices 27
5.1.5 Registration Time 28
5.1.6 Registration Fee 28
5.1.7 Post Marketing Surveillance 29
5.1.8
Labeling and Packaging 29
6 Pricing and Reimbursement 30
6.1 Market
Pricing 30
6.2 Reimbursement Policies 30
6.3 Reimbursement Classes
31
6.3.1 Class A 31
6.3.2 Class B 32
6.3.3 Class C 32
6.3.4
Class F 32
6.4 Request for Reimbursement 32
6.5 Reduction in
Reimbursement for Medical Devices and Drugs 32
7 Distribution Structure
33
8 Hospital Supplies In Japan 34
8.1 Hospital Supplies Cross Country
Comparison, Revenue ($ mn), 2000-2015 34
8.2 Hospital Supplies, Japan,
Overall Revenue ($ mn), 2000-2015 35
8.3 Hospital Supplies, Japan,
Category Volume (Units), 2000-2015 39
8.4 Hospital Supplies, Japan,
Company Share (2006-2007) 41
9 Disposable Hospital Supplies In Japan
42
9.1 Disposable Hospital Supplies Overall Revenue (2000-2015) 42
9.2
Disposable Hospital Supplies Overall Volume (2000-2015) 44
9.3 Disposable
Hospital Supplies Average Price (2000-2015) 45
9.4 Disposable Hospital
Supplies Distribution Share (2007-2008) 45
9.5 Disposable Hospital
Supplies, Japan, Company Share (2006-2007) 46
10 Mobility Aids and
Transportation Equipment In Japan 47
10.1 Mobility Aids and Transportation
Equipment Overall Revenue (2000-2015) 47
10.2 Mobility Aids and
Transportation Equipment Overall Volume (2000-2015) 49
10.3 Mobility Aids
and Transportation Equipment Average Price (2000-2015) 51
10.4 Mobility
Aids and Transportation Equipment Distribution Share (2007-2008) 51
10.5
Mobility Aids and Transportation Equipment, Japan, Company Share (2006-2007)
52
11 Patient Examination Devices In Japan 53
11.1 Patient Examination
Devices Overall Revenue (2000-2015) 53
11.2 Patient Examination Devices
Overall Volume (2000-2015) 55
11.3 Patient Examination Devices Average
Price (2000-2015) 57
11.4 Patient Examination Devices Distribution Share
(2007-2008) 57
11.5 Patient Examination Devices, Japan, Company Share
(2006-2007) 58
12 Sterilization and Disinfectant Equipment In Japan 59
12.1 Sterilization and Disinfectant Equipment Overall Revenue (2000-2015)
59
12.2 Sterilization and Disinfectant Equipment Overall Volume
(2000-2015) 61
12.3 Sterilization and Disinfectant Equipment Average Price
(2000-2015) 62
12.4 Sterilization and Disinfectant Equipment Distribution
Share (2007-2008) 63
12.5 Sterilization and Disinfectant Equipment, Japan,
Company Share (2006-2007) 64
13 Syringes and Needles In Japan 65
13.1
Syringes and Needles Overall Revenue (2000-2015) 65
13.2 Syringes and
Needles Overall Volume (2000-2015) 67
13.3 Syringes and Needles Average
Price (2000-2015) 69
13.4 Syringes and Needles Distribution Share
(2007-2008) 69
13.5 Syringes and Needles, Japan, Company Share (2006-2007)
70
14 Overview of Key Companies in Japan Hospital Supplies Market 71
14.1 Becton, Dickinson and Company 71
14.1.1 Company Overview 71
14.1.2 Value Chain Analysis 72
14.1.2.1 Manufacturing 72
14.1.2.2
Product Development 72
14.1.2.3 Sales and Marketing 73
14.2 Cardinal
Health, Inc. 74
14.2.1 Company Overview 74
14.2.2 Value Chain Analysis
74
14.2.2.1 Manufacturing 75
14.2.2.2 Product Development 75
14.2.2.3 Sales and Marketing 76
14.3 Getinge AB 77
14.3.1 Company
Overview 77
14.3.2 Value Chain Analysis 77
14.3.2.1 Manufacturing
78
14.3.2.2 Product Development 78
14.3.2.3 Sales and Marketing 78
14.4 Kimberly-Clark Corporation 79
14.4.1 Company Overview 79
14.4.2
Value Chain Analysis 79
14.4.2.1 Manufacturing 80
14.4.2.2 Product
Development 80
14.4.2.3 Sales and Marketing 80
14.5 B. Braun Melsungen
AG 82
14.5.1 Company Overview 82
14.5.2 Value Chain Analysis 82
14.5.2.1 Manufacturing 83
14.5.2.2 Product Development 83
14.5.2.3
Sales and Marketing 84
14.6 Terumo Corporation 86
14.6.1 Company
Overview 86
14.6.2 Value Chain Analysis 86
14.6.2.1 Manufacturing
87
14.6.2.2 Product Development 87
14.6.2.3 Sales and Marketing 88
14.7 Covidien Ltd. 89
14.7.1 Company Overview 89
14.7.2 Value Chain
Analysis 90
14.7.2.1 Manufacturing 90
14.7.2.2 Product Development
90
14.7.2.3 Sales and Marketing 91
14.8 3M Health Care 92
14.8.1
Company Overview 92
14.9 Stryker Corporation 93
14.9.1 Company
Overview 93
14.9.2 Value Chain Analysis 93
14.9.2.1 Manufacturing
94
14.9.2.2 Product Development 94
14.9.2.3 Sales and Marketing 95
14.10 STERIS Corporation 96
14.10.1 Company Overview 96
14.10.2 Value
Chain Analysis 96
14.10.2.1 Manufacturing 97
14.10.2.2 Product
Development 97
14.10.2.3 Sales and Marketing 97
14.11 Invacare
Corporation 99
14.11.1 Company Overview 99
14.11.2 Value Chain
Analysis 99
14.11.2.1 Manufacturing 100
14.11.2.2 Product Development
100
14.11.2.3 Sales and Marketing 101
14.12 Advanced Sterilization
Products 102
14.12.1 Company Overview 102
14.13 Hill-Rom Holdings,
Inc. 102
14.13.1 Company Overview 102
14.14 ArjoHuntleigh 102
14.14.1 Company Overview 102
14.15 Sunrise Medical 103
14.15.1 Company
Overview 103
14.16 NIPRO CORPORATION 103
14.16.1 Company Overview
103
14.17 FEATHER Safety Razor Co., Ltd. 104
14.17.1 Company Overview
104
14.18 KENZMEDIKO Co.,Ltd. 104
14.18.1 Company Overview 104
14.19 Tosho, Inc. 104
14.19.1 Company Overview 104
14.20 Daiken
Medical Co., Ltd. 105
14.20.1 Company Overview 105
15 Recent
Developments 106
15.1 Strategy and Business Planning 106
15.1.1 Apr
24, 2009: Vitrolife Starts New Company In Japan 106
15.2 Product News
106
15.2.1 Nov 07, 2008: Honda Unveils Experimental Walking Assist Device
With Bodyweight Support System 106
16 Appendix 108
16.1 Global Markets
Direct Research Methodology 108
16.2 Coverage 109
16.3 Secondary
Research 109
16.4 Primary Research 110
16.5 Models 110
16.6
Forecasts 111
16.7 Expert Panel Validation 111
16.8 Currency
Conversion 112
16.9 Contact Us 113
16.10 Disclaimer 113
1.1
List of Tables
Table 1: Healthcare Expenditure in Japan, 2000 - 2005
18
Table 2: Number of Healthcare Institutions in Japan, 1995 - 2004 20
Table 3: Number of Hospital Beds in Japan, 1995 - 2004 21
Table 4: Number
of Medical Personnel in Japan, 1995 - 2004 21
Table 5: Number of Doctors
by Specialty in Japan, 2003-2007 22
Table 6: Number of Medical Care
Institutions and Beds in Japan, 2000 - 2004 23
Table 7: Registration
Processing Time for Medical Devices in Japan, 2007 28
Table 8: Product
Registration Fee for Medical Devices in Japan, 2007 28
Table 9:
Hospital Supplies Cross Country Comparison, Revenue ($ mn), 2000-2015 34
Table 10: Hospital Supplies, Japan, Overall Revenue ($ mn), 2000-2015
35
Table 11: Hospital Supplies, Japan, Cross-Category Analysis, 2000-2015
36
Table 12: Hospital Supplies, Japan, Overall Revenue ($ mn),
Historic, 2000-2008 37
Table 13: Hospital Supplies, Japan, Overall
Revenue ($ mn), Forecast, 2008-2015 38
Table 14: Hospital Supplies,
Japan, Category Volume (Units), 2000-2015 39
Table 15: Hospital
Supplies, Japan, Category Volume (Units), Historic, 2000-2008 39
Table 16:
Hospital Supplies, Japan, Category Volume (Units), Forecast, 2008-2015
40
Table 17: Hospital Supplies, Japan, Company Share by Revenue ($
mn), 2006-2007 41
Table 18: Disposable Hospital Supplies, Japan,
Revenue ($ mn) by Segment, Historic, 2000-2008 42
Table 19:
Disposable Hospital Supplies, Japan, Revenue ($ mn) by Segment, Forecast,
2008-2015 43
Table 20: Disposable Hospital Supplies, Japan, Volume
(Units), Historic, 2000-2008 44
Table 21: Disposable Hospital
Supplies, Japan, Volume (Units), Forecast, 2008-2015 44
Table 22:
Disposable Hospital Supplies, Japan, Average Price ($), Historic, 2000-2008
45
Table 23: Disposable Hospital Supplies, Japan, Average Price ($),
Forecast, 2008-2015 45
Table 24: Disposable Hospital Supplies, Japan,
Distribution Share by Revenue ($mn), 2007-2008 45
Table 25:
Disposable Hospital Supplies, Japan, Company Share by Revenue ($ mn),
2006-2007 46
Table 26: Mobility Aids and Transportation Equipment,
Japan, Revenue ($ mn) by Segment, Historic, 2000-2008 47
Table 27:
Mobility Aids and Transportation Equipment, Japan, Revenue ($ mn) by Segment,
Forecast, 2008-2015 48
Table 28: Mobility Aids and Transportation
Equipment, Japan, Volume (Units), Historic, 2000-2008 49
Table 29:
Mobility Aids and Transportation Equipment, Japan, Volume (Units), Forecast,
2008-2015 50
Table 30: Mobility Aids and Transportation Equipment,
Japan, Average Price ($), Historic, 2000-2008 51
Table 31: Mobility
Aids and Transportation Equipment, Japan, Average Price ($), Forecast,
2008-2015 51
Table 32: Mobility Aids and Transportation Equipment,
Japan, Distribution Share by Revenue ($mn), 2007-2008 51
Table 33:
Mobility Aids and Transportation Equipment, Japan, Company Share by Revenue ($
mn), 2006-2007 52
Table 34: Patient Examination Devices, Japan,
Revenue ($ mn) by Segment, Historic, 2000-2008 53
Table 35: Patient
Examination Devices, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015
54
Table 36: Patient Examination Devices, Japan, Volume (Units),
Historic, 2000-2008 55
Table 37: Patient Examination Devices, Japan,
Volume (Units), Forecast, 2008-2015 56
Table 38: Patient Examination
Devices, Japan, Average Price ($), Historic, 2000-2008 57
Table 39:
Patient Examination Devices, Japan, Average Price ($), Forecast, 2008-2015
57
Table 40: Patient Examination Devices, Japan, Distribution Share
by Revenue ($mn), 2007-2008 57
Table 41: Patient Examination Devices,
Japan, Company Share by Revenue ($ mn), 2006-2007 58
Table 42:
Sterilization and Disinfectant Equipment, Japan, Revenue ($ mn) by Segment,
Historic, 2000-2008 59
Table 43: Sterilization and Disinfectant
Equipment, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 60
Table
44: Sterilization and Disinfectant Equipment, Japan, Volume (Units),
Historic, 2000-2008 61
Table 45: Sterilization and Disinfectant
Equipment, Japan, Volume (Units), Forecast, 2008-2015 61
Table 46:
Sterilization and Disinfectant Equipment, Japan, Average Price ($), Historic,
2000-2008 62
Table 47: Sterilization and Disinfectant Equipment,
Japan, Average Price ($), Forecast, 2008-2015 62
Table 48:
Sterilization and Disinfectant Equipment, Japan, Distribution Share by Revenue
($mn), 2007-2008 63
Table 49: Sterilization and Disinfectant
Equipment, Japan, Company Share by Revenue ($ mn), 2006-2007 64
Table 50:
Syringes and Needles, Japan, Revenue ($ mn) by Segment, Historic,
2000-2008 65
Table 51: Syringes and Needles, Japan, Revenue ($ mn) by
Segment, Forecast, 2008-2015 66
Table 52: Syringes and Needles,
Japan, Volume (Units), Historic, 2000-2008 67
Table 53: Syringes and
Needles, Japan, Volume (Units), Forecast, 2008-2015 68
Table 54:
Syringes and Needles, Japan, Average Price ($), Historic, 2000-2008 69
Table 55: Syringes and Needles, Japan, Average Price ($), Forecast,
2008-2015 69
Table 56: Syringes and Needles, Japan, Distribution
Share by Revenue ($mn), 2007-2008 69
Table 57: Syringes and Needles,
Japan, Company Share by Revenue ($ mn), 2006-2007 70
Table 58: USD to
Local Currency, Average Exchange Rate 2008 112
1.2 List of
Figures
Figure 1: Healthcare Expenditure in Japan, 2000 - 2005 18
Figure 2: Government and Private Healthcare Expenditure in Japan, 2005 19
Figure 3: Medical Device Classification in Japan, 2007 25
Figure 4:
Approval Process for Controlled Medical Devices in Japan, 2007 26
Figure
5: Approval Process for Highly Controlled Medical Devices in Japan, 2007
27
Figure 6: Health Insurance Reimbursement Process in Japan, 2007 31
Figure 7: Distribution Structure for Medical Equipment in Japan, 2007 33
Figure 8: Hospital Supplies Cross Country Comparison, Revenue ($ mn),
2000-2015 34
Figure 9: Hospital Supplies, Japan, Overall Revenue ($
mn), 2000-2015 35
Figure 10: Hospital Supplies, Japan, Cross-Category
Analysis, 2000-2015 36
Figure 11: Hospital Supplies, Japan, Overall
Revenue ($ mn), Historic, 2000-2008 37
Figure 12: Hospital Supplies,
Japan, Overall Revenue ($ mn), Forecast, 2008-2015 38
Figure 13:
Hospital Supplies, Japan, Company Share (%), 2007 41
Figure 14:
Disposable Hospital Supplies, Japan, Revenue ($ mn) by Segment, Historic,
2000-2008 42
Figure 15: Disposable Hospital Supplies, Japan, Revenue
($ mn) by Segment, Forecast, 2008-2015 43
Figure 16: Disposable
Hospital Supplies, Japan, Company Share (%), 2007 46
Figure 17:
Mobility Aids and Transportation Equipment, Japan, Revenue ($ mn) by Segment,
Historic, 2000-2008 47
Figure 18: Mobility Aids and Transportation
Equipment, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 48
Figure
19: Mobility Aids and Transportation Equipment, Japan, Volume (Units),
Historic, 2000-2008 49
Figure 20: Mobility Aids and Transportation
Equipment, Japan, Volume (Units), Forecast, 2008-2015 50
Figure 21:
Mobility Aids and Transportation Equipment, Japan, Company Share (%), 2007
52
Figure 22: Patient Examination Devices, Japan, Revenue ($ mn) by
Segment, Historic, 2000-2008 53
Figure 23: Patient Examination
Devices, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 54
Figure
24: Patient Examination Devices, Japan, Volume (Units), Historic,
2000-2008 55
Figure 25: Patient Examination Devices, Japan, Volume
(Units), Forecast, 2008-2015 56
Figure 26: Patient Examination
Devices, Japan, Company Share (%), 2007 58
Figure 27: Sterilization
and Disinfectant Equipment, Japan, Revenue ($ mn) by Segment, Historic,
2000-2008 59
Figure 28: Sterilization and Disinfectant Equipment,
Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 60
Figure 29:
Sterilization and Disinfectant Equipment, Japan, Company Share (%), 2007
64
Figure 30: Syringes and Needles, Japan, Revenue ($ mn) by Segment,
Historic, 2000-2008 65
Figure 31: Syringes and Needles, Japan,
Revenue ($ mn) by Segment, Forecast, 2008-2015 66
Figure 32: Syringes
and Needles, Japan, Volume (Units), Historic, 2000-2008 67
Figure 33:
Syringes and Needles, Japan, Volume (Units), Forecast, 2008-2015 68
Figure
34: Syringes and Needles, Japan, Company Share (%), 2007 70
Figure
35: Becton, Dickinson and Company Value Chain Analysis 72
Figure 36:
Cardinal Health, Inc. Value Chain Analysis 74
Figure 37: Getinge
AB Value Chain Analysis 77
Figure 38: Kimberly-Clark Corporation
Value Chain Analysis 79
Figure 39: B. Braun Melsungen AG Value Chain
Analysis 82
Figure 40: Terumo Corporation Value Chain Analysis 86
Figure 41: Covidien Ltd./Tyco Healthcare Value Chain Analysis 90
Figure 42: Stryker Corporation Value Chain Analysis 93
Figure 43:
STERIS Corporation Value Chain Analysis 96
Figure 44: Invacare
Corporation Value Chain Analysis 99
Figure 45: Global Markets Direct
Methodology 108
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