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Market Research Report

United Kingdom Orthopedic Devices Investment Opportunities, Analysis and Forecasts to 2015

Published by Global Markets Direct Contact us : +1-860-674-8796
Published 2009/05 Content info Pages: 211
Product code LABD92620
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Description TOC

Table of Contents

1 Table Of Contents
1 Table Of Contents 2
1.1 List of Tables 10
1.2 List of Figures 15
2 Introduction 18
2.1 What Is This Report About? 18
3 Definitions of Markets Covered in the Report 19
3.1 Orthopedic Devices 19
3.2 Orthobiologics 19
3.2.1 Bone Allografts 19
3.2.2 Bone Graft Substitutes 19
3.2.3 Bone Growth and Spinal Stimulation 19
3.2.4 Viscosupplementation 19
3.3 Joint Reconstruction 20
3.3.1 Ankle Replacement 20
3.3.2 Digits Replacement 20
3.3.3 Elbow Replacement 20
3.3.4 Hip Replacement 20
3.3.5 Knee Replacement 21
3.3.6 Shoulder Replacement 21
3.3.7 Wrist Replacement 22
3.4 Spinal Surgery 22
3.4.1 Spinal Fusion 22
3.4.2 Spinal Non-Fusion 22
3.5 Trauma Fixation 23
3.5.1 Internal Fixators 23
3.5.2 External Fixators 23
3.6 Arthroscopy 24
3.6.1 Arthroscope 24
3.7 Orthopedic Accessories 24
3.7.1 Bone Cement 24
3.7.2 Cast Application and Removal Systems 24
3.8 Orthopedic Braces and Supports 24
3.8.1 Ankle Braces and Supports 24
3.8.2 Knee Braces and Supports 24
3.8.3 Wrist and other Braces and Supports 24
4 Healthcare Sector Review 25
4.1 Healthcare Expenditure 25
4.2 Healthcare Infrastructure 26
4.3 Healthcare Policy 28
4.4 United Kingdom Healthcare Trade Statistics 29
5 Regulation System 30
5.1 Medical Equipment Approval Process 30
5.1.1 Classification of Medical Devices 30
5.1.2 Conformity Assessment Process 38
5.2 Medical Device approval fee 42
5.3 Post Market Surveillance (PMS) 43
6 Pricing and Reimbursement 44
6.1 Market Pricing 44
6.2 Government Policies for Reimbursement 44
7 Distribution Structure 46
8 Orthopedic Devices In United Kingdom 47
8.1 Orthopedic Devices, Cross Country Comparison, Revenue ($ mn), 2000-2015 47
8.2 Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), 2000-2015 48
8.3 Orthopedic Devices, United Kingdom, Category Volume (Units), 2000-2015 54
8.4 Orthopedic Devices, United Kingdom, Company Share (2007-2008) 59
9 Arthroscopy In United Kingdom 60
9.1 Arthroscopy Overall Revenue (2000-2015) 60
9.2 Arthroscopy Overall Volume (2000-2015) 62
9.3 Arthroscopy Average Price (2000-2015) 64
9.4 Arthroscopy Distribution Share (2007-2008) 64
9.5 Arthroscopy, United Kingdom, Company Share (2007-2008) 65
10 Joint Reconstruction In United Kingdom 66
10.1 Joint Reconstruction Overall Revenue (2000-2015) 66
10.1.1 Hip Replacement Revenue (2000-2015) 70
10.1.2 Knee Replacement Revenue (2000-2015) 72
10.1.3 Shoulder Replacement Revenue (2000-2015) 74
10.2 Joint Reconstruction Overall Volume (2000-2015) 76
10.2.1 Hip Replacement Volume (2000-2015) 78
10.2.2 Knee Replacement Volume (2000-2015) 80
10.2.3 Shoulder Replacement Volume (2000-2015) 82
10.3 Joint Reconstruction Average Price (2000-2015) 84
10.4 Joint Reconstruction Distribution Share (2007-2008) 86
10.5 Joint Reconstruction, United Kingdom, Company Share (2007-2008) 87
11 Orthobiologics In United Kingdom 88
11.1 Orthobiologics Overall Revenue (2000-2015) 88
11.2 Orthobiologics Overall Volume (2000-2015) 90
11.3 Orthobiologics Average Price (2000-2015) 92
11.4 Orthobiologics Distribution Share (2007-2008) 93
11.5 Orthobiologics, United Kingdom, Company Share (2007-2008) 94
12 Orthopedic Accessories In United Kingdom 95
12.1 Orthopedic Accessories Overall Revenue (2000-2015) 95
12.2 Orthopedic Accessories Overall Volume (2000-2015) 97
12.3 Orthopedic Accessories Average Price (2000-2015) 99
12.4 Orthopedic Accessories Distribution Share (2007-2008) 100
12.5 Orthopedic Accessories, United Kingdom, Company Share (2007-2008) 101
13 Orthopedic Braces and Supports In United Kingdom 102
13.1 Orthopedic Braces and Supports Overall Revenue (2000-2015) 102
13.2 Orthopedic Braces and Supports Overall Volume (2000-2015) 104
13.3 Orthopedic Braces and Supports Average Price (2000-2015) 106
13.4 Orthopedic Braces and Supports Distribution Share (2007-2008) 107
13.5 Orthopedic Braces and Supports, United Kingdom, Company Share (2007-2008) 108
14 Spinal Surgery In United Kingdom 109
14.1 Spinal Surgery Overall Revenue (2000-2015) 109
14.1.1 Spinal Fusion Revenue (2000-2015) 111
14.1.2 Spinal Non-Fusion Revenue (2000-2015)¥ 113
14.2 Spinal Surgery Overall Volume (2000-2015) 115
14.2.1 Spinal Fusion Volume (2000-2015) 117
14.2.2 Spinal Non-Fusion Volume (2000-2015) 119
14.3 Spinal Surgery Average Price (2000-2015) 121
14.4 Spinal Surgery Distribution Share (2007-2008) 122
14.5 Spinal Surgery, United Kingdom, Company Share (2007-2008) 123
15 Trauma Fixation In United Kingdom 124
15.1 Trauma Fixation Overall Revenue (2000-2015) 124
15.1.1 Internal Fixators Revenue (2000-2015) 126
15.2 Trauma Fixation Overall Volume (2000-2015) 128
15.2.1 Internal Fixators Volume (2000-2015) 130
15.3 Trauma Fixation Average Price (2000-2015) 132
15.4 Trauma Fixation Distribution Share (2007-2008) 133
15.5 Trauma Fixation, United Kingdom, Company Share (2007-2008) 134
16 Overview of Key Companies in United Kingdom Orthopedic Devices Market 135
16.1 Zimmer Holdings, Inc. 135
16.1.1 Company Overview 135
16.1.2 Zimmer Holdings, Inc. Pipeline Products 135
16.2 Thuasne Cr, S.R.O. 137
16.2.1 Company Overview 137
16.3 Synthes GmbH 138
16.3.1 Company Overview 138
16.3.2 Value Chain Analysis 138
16.3.3 Synthes, Inc. Pipeline Products 140
16.4 Stryker Corporation 141
16.4.1 Company Overview 141
16.4.2 Value Chain Analysis 141
16.4.3 Stryker Corporation Pipeline Products 143
16.5 Smith & Nephew Plc 145
16.5.1 Company Overview 145
16.5.2 Value Chain Analysis 145
16.5.3 Smith & Nephew Plc Pipeline Products 148
16.6 Ossur hf. 150
16.6.1 Company Overview 150
16.6.2 Value Chain Analysis 150
16.6.3 Ossur hf. Pipeline Products 152
16.7 Orthofix International N.V. 153
16.7.1 Company Overview 153
16.7.2 Value Chain Analysis 154
16.7.3 Orthofix International N.V. Pipeline Products 156
16.8 OLYMPUS CORPORATION 158
16.8.1 Company Overview 158
16.8.2 Value Chain Analysis 158
16.8.3 Olympus Medical Systems Corp. Pipeline Products 160
16.9 Medtronic, Inc. 161
16.9.1 Company Overview 161
16.9.2 Value Chain Analysis 162
16.9.3 Medtronic, Inc. Pipeline Products 164
16.10 DJO Finance LLC 173
16.10.1 Company Overview 173
16.10.2 Value Chain Analysis 173
16.11 DePuy, Inc. 176
16.11.1 Company Overview 176
16.11.2 DePuy, Inc. Pipeline Products 176
16.12 CONMED Corporation 179
16.12.1 Company Overview 179
16.12.2 Value Chain Analysis 180
16.13 Biomet, Inc. 182
16.13.1 Company Overview 182
16.13.2 Value Chain Analysis 182
16.13.3 Biomet, Inc. Pipeline Products 184
16.14 Bauerfeind AG 187
16.14.1 Company Overview 187
16.15 BASKO HEALTHCARE 187
16.15.1 Company Overview 187
16.16 Arthrocare Corporation 188
16.16.1 Company Overview 188
16.16.2 Value Chain Analysis 189
16.16.3 Arthrocare Corporation Pipeline Products 191
16.17 Arthrex, Inc. 192
16.17.1 Company Overview 192
16.18 ApaTech Limited 192
16.18.1 Company Overview 192
16.19 Corin Group PLC 193
16.19.1 Company Overview 193
16.19.2 Corin Group PLC Pipeline Products 193
16.20 Joint Replacement Instrumentation Limited 194
16.20.1 Company Overview 194
16.21 OrthoMimetics 195
16.21.1 Company Overview 195
16.21.2 OrthoMimetics Pipeline Products 195
16.22 Finsbury Orthopaedics Limited 197
16.22.1 Company Overview 197
16.22.2 Finsbury Orthopaedics Limited Pipeline Products 197
16.23 Ranier Technology Limited 198
16.23.1 Company Overview 198
16.23.2 Ranier Technology Limited Pipeline Products 198
16.24 B1 Medical Ltd 199
16.24.1 Company Overview 199
16.24.2 B1 Medical Ltd Pipeline Products 199
16.25 Implants International Limited 200
16.25.1 Company Overview 200
16.25.2 Implants International Limited Pipeline Products 200
16.26 Comis Orthopaedics Ltd 201
16.26.1 Company Overview 201
16.27 Stanmore Implants Worldwide Limited 202
16.27.1 Company Overview 202
16.27.2 Stanmore Implants Worldwide Limited Pipeline Products 202
16.28 Surgicraft Ltd 203
16.28.1 Company Overview 203
16.28.2 Surgicraft Ltd Pipeline Products 203
17 Recent Developments 204
17.1 Government and Public Interest 204
17.1.1 Mar 11, 2009: Guidance For Hospitals To Reduce Risks For Patients Undergoing Hip Replacement For Fractures Of The Hip Joint 204
17.2 Clinical Trials 205
17.2.1 Apr 27, 2009: Facet Solutions Expands ACADIA Facet Replacement Pivotal Study Sites In The US 205
17.2.2 Mar 06, 2009: Orthomimetics Announces First Patient Enrollment For The Treatment Of Regenerative Repair Of Articular Cartilage And Bone 205
18 Appendix 206
18.1 Global Markets Direct Research Methodology 206
18.2 Coverage 207
18.3 Secondary Research 207
18.4 Primary Research 208
18.5 Models 208
18.6 Forecasts 209
18.7 Expert Panel Validation 209
18.8 Currency Conversion 210
18.9 Contact Us 211
18.10 Disclaimer 211



1.1 List of Tables
Table 1: Number of Doctor by Specialty in UK, 2003 - 2007 27
Table 2: United Kingdom Healthcare Trade Statistics, 2001-2006 29
Table 3: Medical Device Approval Fee in UK, 2006 43
Table 4: Orthopedic Devices, Cross Country Comparison, Revenue ($ mn), 2000-2015 47
Table 5: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), 2000-2015 48
Table 6: Orthopedic Devices, United Kingdom, Cross-Category Analysis, 2000-2015 49
Table 7: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), Historic, 2000-2008 51
Table 8: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), Forecast, 2008-2015 53
Table 9: Orthopedic Devices, United Kingdom, Category Volume (Units), 2000-2015 54
Table 10: Orthopedic Devices, United Kingdom, Category Volume (Units), Historic, 2000-2008 56
Table 11: Orthopedic Devices, United Kingdom, Category Volume (Units), Forecast, 2008-2015 58
Table 12: Orthopedic Devices, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 59
Table 13: Arthroscopy, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 60
Table 14: Arthroscopy, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 61
Table 15: Arthroscopy, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 62
Table 16: Arthroscopy, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 63
Table 17: Arthroscopy, United Kingdom, Average Price ($), Historic, 2000-2008 64
Table 18: Arthroscopy, United Kingdom, Average Price ($), Forecast,, 2008-2015 64
Table 19: Arthroscopy, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 64
Table 20: Arthroscopy, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 65
Table 21: Joint Reconstruction, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 67
Table 22: Joint Reconstruction, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 69
Table 23: Hip Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 70
Table 24: Hip Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 71
Table 25: Knee Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 72
Table 26: Knee Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 73
Table 27: Shoulder Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 74
Table 28: Shoulder Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 75
Table 29: Joint Reconstruction, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 76
Table 30: Joint Reconstruction, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 77
Table 31: Hip Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 78
Table 32: Hip Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 79
Table 33: Knee Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 80
Table 34: Knee Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 81
Table 35: Shoulder Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 82
Table 36: Shoulder Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 83
Table 37: Joint Reconstruction, United Kingdom, Average Price ($), Historic, 2000-2008 84
Table 38: Joint Reconstruction, United Kingdom, Average Price ($), Forecast,, 2008-2015 85
Table 39: Joint Reconstruction, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 86
Table 40: Joint Reconstruction, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 87
Table 41: Orthobiologics, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 88
Table 42: Orthobiologics, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 89
Table 43: Orthobiologics, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 90
Table 44: Orthobiologics, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 91
Table 45: Orthobiologics, United Kingdom, Average Price ($), Historic, 2000-2008 92
Table 46: Orthobiologics, United Kingdom, Average Price ($), Forecast,, 2008-2015 92
Table 47: Orthobiologics, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 93
Table 48: Orthobiologics, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 94
Table 49: Orthopedic Accessories, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 95
Table 50: Orthopedic Accessories, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 96
Table 51: Orthopedic Accessories, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 97
Table 52: Orthopedic Accessories, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 98
Table 53: Orthopedic Accessories, United Kingdom, Average Price ($), Historic, 2000-2008 99
Table 54: Orthopedic Accessories, United Kingdom, Average Price ($), Forecast,, 2008-2015 99
Table 55: Orthopedic Accessories, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 100
Table 56: Orthopedic Accessories, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 101
Table 57: Orthopedic Braces and Supports, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 102
Table 58: Orthopedic Braces and Supports, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 103
Table 59: Orthopedic Braces and Supports, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 104
Table 60: Orthopedic Braces and Supports, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 105
Table 61: Orthopedic Braces and Supports, United Kingdom, Average Price ($), Historic, 2000-2008 106
Table 62: Orthopedic Braces and Supports, United Kingdom, Average Price ($), Forecast,, 2008-2015 106
Table 63: Orthopedic Braces and Supports, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 107
Table 64: Orthopedic Braces and Supports, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 108
Table 65: Spinal Surgery, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 109
Table 66: Spinal Surgery, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 110
Table 67: Spinal Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 111
Table 68: Spinal Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 112
Table 69: Spinal Non-Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 113
Table 70: Spinal Non-Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 114
Table 71: Spinal Surgery, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 115
Table 72: Spinal Surgery, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 116
Table 73: Spinal Fusion, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 117
Table 74: Spinal Fusion, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 118
Table 75: Spinal Non-Fusion, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 119
Table 76: Spinal Non-Fusion, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 120
Table 77: Spinal Surgery, United Kingdom, Average Price ($), Historic, 2000-2008 121
Table 78: Spinal Surgery, United Kingdom, Average Price ($), Forecast,, 2008-2015 121
Table 79: Spinal Surgery, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 122
Table 80: Spinal Surgery, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 123
Table 81: Trauma Fixation, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 124
Table 82: Trauma Fixation, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 125
Table 83: Internal Fixators, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 126
Table 84: Internal Fixators, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 127
Table 85: Trauma Fixation, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 128
Table 86: Trauma Fixation, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 129
Table 87: Internal Fixators, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 130
Table 88: Internal Fixators, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 131
Table 89: Trauma Fixation, United Kingdom, Average Price ($), Historic, 2000-2008 132
Table 90: Trauma Fixation, United Kingdom, Average Price ($), Forecast,, 2008-2015 132
Table 91: Trauma Fixation, United Kingdom, Distribution Share by Revenue ($mn), 2007-2008 133
Table 92: Trauma Fixation, United Kingdom, Company Share by Revenue ($ mn), 2007-2008 134
Table 93: Zimmer Holdings, Inc. Pipeline Products by Equipment Type 135
Table 94: Zimmer Holdings, Inc. Pipeline Products By Development Stage 136
Table 95: Zimmer Holdings, Inc. Pipeline Products By Therapy Area 136
Table 96: Zimmer Holdings, Inc. Pipeline Products By Clinical Trials 136
Table 97: Synthes, Inc. Pipeline Products by Equipment Type 140
Table 98: Synthes, Inc. Pipeline Products By Development Stage 140
Table 99: Synthes, Inc. Pipeline Products By Therapy Area 140
Table 100: Synthes, Inc. Pipeline Products By Clinical Trials 140
Table 101: Stryker Corporation Pipeline Products by Equipment Type 143
Table 102: Stryker Corporation Pipeline Products By Development Stage 143
Table 103: Stryker Corporation Pipeline Products By Therapy Area 143
Table 104: Stryker Corporation Pipeline Products By Clinical Trials 144
Table 105: Smith & Nephew Plc Pipeline Products by Equipment Type 148
Table 106: Smith & Nephew Plc Pipeline Products By Development Stage 148
Table 107: Smith & Nephew Plc Pipeline Products By Therapy Area 149
Table 108: Smith & Nephew Plc Pipeline Products By News Summary 149
Table 109: Ossur hf. Pipeline Products by Equipment Type 152
Table 110: Ossur hf. Pipeline Products By Development Stage 152
Table 111: Ossur hf. Pipeline Products By Therapy Area 152
Table 112: Orthofix International N.V. Pipeline Products by Equipment Type 156
Table 113: Orthofix International N.V. Pipeline Products By Development Stage 156
Table 114: Orthofix International N.V. Pipeline Products By Therapy Area 157
Table 115: Orthofix International N.V. Pipeline Products By Clinical Trials 157
Table 116: Orthofix International N.V. Pipeline Products By News Summary 157
Table 117: Olympus Medical Systems Corp. Pipeline Products by Equipment Type 160
Table 118: Olympus Medical Systems Corp. Pipeline Products By Development Stage 160
Table 119: Olympus Medical Systems Corp. Pipeline Products By Therapy Area 160
Table 120: Olympus Medical Systems Corp. Pipeline Products By Clinical Trials 160
Table 121: Olympus Medical Systems Corp. Pipeline Products By News Summary 160
Table 122: Medtronic, Inc. Pipeline Products by Equipment Type 164
Table 123: Medtronic, Inc. Pipeline Products By Development Stage 166
Table 124: Medtronic, Inc. Pipeline Products By Therapy Area 168
Table 125: Medtronic, Inc. Pipeline Products By Clinical Trials 170
Table 126: Medtronic, Inc. Pipeline Products By News Summary 171
Table 127: DePuy, Inc. Pipeline Products by Equipment Type 176
Table 128: DePuy, Inc. Pipeline Products By Development Stage 177
Table 129: DePuy, Inc. Pipeline Products By Therapy Area 177
Table 130: DePuy, Inc. Pipeline Products By Clinical Trials 178
Table 131: DePuy, Inc. Pipeline Products By News Summary 178
Table 132: Biomet, Inc. Pipeline Products by Equipment Type 184
Table 133: Biomet, Inc. Pipeline Products By Development Stage 185
Table 134: Biomet, Inc. Pipeline Products By Therapy Area 185
Table 135: Biomet, Inc. Pipeline Products By Clinical Trials 186
Table 136: Arthrocare Corporation Pipeline Products by Equipment Type 191
Table 137: Arthrocare Corporation Pipeline Products By Development Stage 191
Table 138: Arthrocare Corporation Pipeline Products By Therapy Area 191
Table 139: Arthrocare Corporation Pipeline Products By News Summary 191
Table 140: Corin Group PLC Pipeline Products by Equipment Type 193
Table 141: Corin Group PLC Pipeline Products By Development Stage 193
Table 142: Corin Group PLC Pipeline Products By Therapy Area 194
Table 143: OrthoMimetics Pipeline Products by Equipment Type 195
Table 144: OrthoMimetics Pipeline Products By Development Stage 195
Table 145: OrthoMimetics Pipeline Products By Therapy Area 195
Table 146: OrthoMimetics Pipeline Products By Clinical Trials 196
Table 147: OrthoMimetics Pipeline Products By News Summary 196
Table 148: Finsbury Orthopaedics Limited Pipeline Products by Equipment Type 197
Table 149: Finsbury Orthopaedics Limited Pipeline Products By Development Stage 197
Table 150: Finsbury Orthopaedics Limited Pipeline Products By Therapy Area 197
Table 151: Ranier Technology Limited Pipeline Products by Equipment Type 198
Table 152: Ranier Technology Limited Pipeline Products By Development Stage 198
Table 153: Ranier Technology Limited Pipeline Products By Therapy Area 198
Table 154: Ranier Technology Limited Pipeline Products By News Summary 198
Table 155: B1 Medical Ltd Pipeline Products by Equipment Type 199
Table 156: B1 Medical Ltd Pipeline Products By Development Stage 199
Table 157: B1 Medical Ltd Pipeline Products By Therapy Area 199
Table 158: Implants International Limited Pipeline Products by Equipment Type 200
Table 159: Implants International Limited Pipeline Products By Development Stage 200
Table 160: Implants International Limited Pipeline Products By Therapy Area 201
Table 161: Stanmore Implants Worldwide Limited Pipeline Products by Equipment Type 202
Table 162: Stanmore Implants Worldwide Limited Pipeline Products By Development Stage 202
Table 163: Stanmore Implants Worldwide Limited Pipeline Products By Therapy Area 202
Table 164: Surgicraft Ltd Pipeline Products by Equipment Type 203
Table 165: Surgicraft Ltd Pipeline Products By Development Stage 203
Table 166: Surgicraft Ltd Pipeline Products By Therapy Area 203
Table 167: Surgicraft Ltd Pipeline Products By Clinical Trials 203
Table 168: USD to Local Currency, Average Exchange Rate 2008 210



1.2 List of Figures
Figure 1: Total Healthcare Expenditure in UK, 2000 - 2006 26
Figure 2: Flowchart for Classification of Non-invasive Devices in UK, 2007 31
Figure 3: Flowchart for Classification of Invasive Devices in UK, 2007 32
Figure 4: Flowchart for Classification of Invasive Devices in UK, 2007 33
Figure 5: Flowchart for Classification of Invasive Devices in UK, 2007 34
Figure 6: Flowchart for Classification of Invasive Devices in UK, 2007 35
Figure 7: Flowchart for Classification of Active Devices in UK, 2007 36
Figure 8: Flowchart for Classification of Active Devices in UK, 2007 37
Figure 9: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in UK, 2007 38
Figure 10: Conformity Assessment of Class-I Medical Devices in UK, 2007 39
Figure 11: Conformity Assessment of Class-IIa Medical Devices in UK, 2007 40
Figure 12: Conformity Assessment of Class-IIb Medical Devices in UK, 2007 41
Figure 13: Conformity Assessment of Class-III Medical Devices in UK, 2007 42
Figure 14: Orthopedic Devices, Cross Country Comparison, Revenue ($ mn), 2000-2015 47
Figure 15: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), 2000-2015 48
Figure 16: Orthopedic Devices, United Kingdom, Cross-Category Analysis, 2000-2015 49
Figure 17: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), Historic, 2000-2008 50
Figure 18: Orthopedic Devices, United Kingdom, Overall Revenue ($ mn), Forecast, 2008-2015 52
Figure 19: Orthopedic Devices, United Kingdom, Category Volume (Units), 2000-2015 54
Figure 20: Orthopedic Devices, United Kingdom, Category Volume (Units), Historic, 2000-2008 55
Figure 21: Orthopedic Devices, United Kingdom, Category Volume (Units), Forecast, 2008-2015 57
Figure 22: Orthopedic Devices, United Kingdom, Company Share (%), 2008 59
Figure 23: Arthroscopy, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 60
Figure 24: Arthroscopy, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 61
Figure 25: Arthroscopy, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 62
Figure 26: Arthroscopy, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 63
Figure 27: Arthroscopy, United Kingdom, Company Share (%), 2008 65
Figure 28: Joint Reconstruction, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 66
Figure 29: Joint Reconstruction, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 68
Figure 30: Hip Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 70
Figure 31: Hip Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 71
Figure 32: Knee Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 72
Figure 33: Knee Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 73
Figure 34: Shoulder Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 74
Figure 35: Shoulder Replacement, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 75
Figure 36: Hip Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 78
Figure 37: Hip Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 79
Figure 38: Knee Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 80
Figure 39: Knee Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 81
Figure 40: Shoulder Replacement, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 82
Figure 41: Shoulder Replacement, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 83
Figure 42: Joint Reconstruction, United Kingdom, Company Share (%), 2008 87
Figure 43: Orthobiologics, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 88
Figure 44: Orthobiologics, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 89
Figure 45: Orthobiologics, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 90
Figure 46: Orthobiologics, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 91
Figure 47: Orthobiologics, United Kingdom, Company Share (%), 2008 94
Figure 48: Orthopedic Accessories, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 95
Figure 49: Orthopedic Accessories, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 96
Figure 50: Orthopedic Accessories, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 97
Figure 51: Orthopedic Accessories, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 98
Figure 52: Orthopedic Accessories, United Kingdom, Company Share (%), 2008 101
Figure 53: Orthopedic Braces and Supports, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 102
Figure 54: Orthopedic Braces and Supports, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 103
Figure 55: Orthopedic Braces and Supports, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 104
Figure 56: Orthopedic Braces and Supports, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 105
Figure 57: Orthopedic Braces and Supports, United Kingdom, Company Share (%), 2008 108
Figure 58: Spinal Surgery, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 109
Figure 59: Spinal Surgery, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 110
Figure 60: Spinal Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 111
Figure 61: Spinal Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 112
Figure 62: Spinal Non-Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 113
Figure 63: Spinal Non-Fusion, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 114
Figure 64: Spinal Surgery, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 115
Figure 65: Spinal Surgery, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 116
Figure 66: Spinal Fusion, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 117
Figure 67: Spinal Fusion, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 118
Figure 68: Spinal Non-Fusion, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 119
Figure 69: Spinal Non-Fusion, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 120
Figure 70: Spinal Surgery, United Kingdom, Company Share (%), 2008 123
Figure 71: Trauma Fixation, United Kingdom, Revenue ($ mn) by Segment, Historic, 2000-2008 124
Figure 72: Trauma Fixation, United Kingdom, Revenue ($ mn) by Segment, Forecast, 2008-2015 125
Figure 73: Internal Fixators, United Kingdom, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 126
Figure 74: Internal Fixators, United Kingdom, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 127
Figure 75: Trauma Fixation, United Kingdom, Volume (Units) by Segment, Historic, 2000-2008 128
Figure 76: Trauma Fixation, United Kingdom, Volume (Units) by Segment, Forecast, 2008-2015 129
Figure 77: Internal Fixators, United Kingdom, Volume (Units) by Sub-Segment, Historic, 2000-2008 130
Figure 78: Internal Fixators, United Kingdom, Volume (Units) by Sub-Segment, Forecast, 2008-2015 131
Figure 79: Trauma Fixation, United Kingdom, Company Share (%), 2008 134
Figure 80: Synthes, Inc. Value Chain Analysis 138
Figure 81: Stryker Corporation Value Chain Analysis 141
Figure 82: Smith & Nephew Plc Value Chain Analysis 145
Figure 83: Ossur hf. Value Chain Analysis 150
Figure 84: Orthofix International N.V. Value Chain Analysis 154
Figure 85: Olympus Medical Systems Corp. Value Chain Analysis 158
Figure 86: Medtronic, Inc. Value Chain Analysis 162
Figure 87: DJO Incorporated Value Chain Analysis 173
Figure 88: CONMED Corporation Value Chain Analysis 180
Figure 89: Biomet, Inc. Value Chain Analysis 182
Figure 90: Arthrocare Corporation Value Chain Analysis 189
Figure 91: Global Markets Direct Methodology 206


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