Table of Contents
1 Table Of Contents
1 Table Of Contents 2
1.1 List of Tables 9
1.2
List of Figures 13
2 Introduction 16
2.1 What Is This Report About?
16
3 Definitions of Markets Covered in the Report 17
3.1 Orthopedic
Devices 17
3.2 Orthobiologics 17
3.2.1 Bone Allografts 17
3.2.2
Bone Graft Substitutes 17
3.2.3 Bone Growth and Spinal Stimulation 17
3.2.4 Viscosupplementation 17
3.3 Joint Reconstruction 18
3.3.1 Ankle
Replacement 18
3.3.2 Digits Replacement 18
3.3.3 Elbow Replacement
18
3.3.4 Hip Replacement 18
3.3.5 Knee Replacement 19
3.3.6
Shoulder Replacement 19
3.3.7 Wrist Replacement 20
3.4 Spinal Surgery
20
3.4.1 Spinal Fusion 20
3.4.2 Spinal Non-Fusion 20
3.5 Trauma
Fixation 21
3.5.1 Internal Fixators 21
3.5.2 External Fixators 21
3.6 Arthroscopy 22
3.6.1 Arthroscope 22
3.7 Orthopedic Accessories
22
3.7.1 Bone Cement 22
3.7.2 Cast Application and Removal Systems
22
3.8 Orthopedic Braces and Supports 22
3.8.1 Ankle Braces and
Supports 22
3.8.2 Knee Braces and Supports 22
3.8.3 Wrist and other
Braces and Supports 22
4 Healthcare Sector Review 23
4.1 Healthcare
Sector Review 23
4.2 Healthcare Expenditure 23
4.3 Healthcare
Infrastructure 26
4.4 Healthcare Policy 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 39
5.2 Classificazione
Nazionale Dispositivi (CND) - New Medical Device Classification 43
5.3
Post Market Surveillance 43
6 Pricing and Reimbursement 44
6.1 Market
Pricing 44
6.2 Government Policies for Reimbursement 44
7 Distribution
Structure 45
8 Orthopedic Devices In Italy 46
8.1 Orthopedic Devices,
Cross Country Comparison, Revenue ($ mn), 2000-2015 46
8.2 Orthopedic
Devices, Italy, Overall Revenue ($ mn), 2000-2015 47
8.3 Orthopedic
Devices, Italy, Category Volume (Units), 2000-2015 53
8.4 Orthopedic
Devices, Italy, Company Share (2007-2008) 58
9 Arthroscopy In Italy 59
9.1 Arthroscopy Overall Revenue (2000-2015) 59
9.2 Arthroscopy Overall
Volume (2000-2015) 61
9.3 Arthroscopy Average Price (2000-2015) 63
9.4
Arthroscopy Distribution Share (2007-2008) 63
9.5 Arthroscopy, Italy,
Company Share (2007-2008) 64
10 Joint Reconstruction In Italy 65
10.1
Joint Reconstruction Overall Revenue (2000-2015) 65
10.1.1 Hip Replacement
Revenue (2000-2015) 69
10.1.2 Knee Replacement Revenue (2000-2015) 71
10.1.3 Shoulder Replacement Revenue (2000-2015) 73
10.2 Joint
Reconstruction Overall Volume (2000-2015) 75
10.2.1 Hip Replacement Volume
(2000-2015) 77
10.2.2 Knee Replacement Volume (2000-2015) 79
10.2.3
Shoulder Replacement Volume (2000-2015) 81
10.3 Joint Reconstruction
Average Price (2000-2015) 83
10.4 Joint Reconstruction Distribution Share
(2007-2008) 85
10.5 Joint Reconstruction, Italy, Company Share (2007-2008)
86
11 Orthobiologics In Italy 87
11.1 Orthobiologics Overall Revenue
(2000-2015) 87
11.1.1 Bone Graft Substitutes Revenue (2000-2015) 91
11.2 Orthobiologics Overall Volume (2000-2015) 93
11.2.1 Bone Graft
Substitutes Volume (2000-2015) 95
11.3 Orthobiologics Average Price
(2000-2015) 97
11.4 Orthobiologics Distribution Share (2007-2008) 98
11.5 Orthobiologics, Italy, Company Share (2007-2008) 99
12 Orthopedic
Accessories In Italy 100
12.1 Orthopedic Accessories Overall Revenue
(2000-2015) 100
12.2 Orthopedic Accessories Overall Volume (2000-2015)
102
12.3 Orthopedic Accessories Average Price (2000-2015) 104
12.4
Orthopedic Accessories Distribution Share (2007-2008) 104
12.5 Orthopedic
Accessories, Italy, Company Share (2007-2008) 105
13 Orthopedic Braces and
Supports In Italy 106
13.1 Orthopedic Braces and Supports Overall Revenue
(2000-2015) 106
13.2 Orthopedic Braces and Supports Overall Volume
(2000-2015) 108
13.3 Orthopedic Braces and Supports Average Price
(2000-2015) 110
13.4 Orthopedic Braces and Supports Distribution Share
(2007-2008) 110
13.5 Orthopedic Braces and Supports, Italy, Company Share
(2007-2008) 111
14 Spinal Surgery In Italy 112
14.1 Spinal Surgery
Overall Revenue (2000-2015) 112
14.1.1 Spinal Fusion Revenue (2000-2015)
114
14.1.2 Spinal Non-Fusion Revenue (2000-2015) 116
14.2 Spinal
Surgery Overall Volume (2000-2015) 118
14.2.1 Spinal Fusion Volume
(2000-2015) 120
14.2.2 Spinal Non-Fusion Volume (2000-2015) 122
14.3
Spinal Surgery Average Price (2000-2015) 124
14.4 Spinal Surgery
Distribution Share (2007-2008) 125
14.5 Spinal Surgery, Italy, Company
Share (2007-2008) 126
15 Trauma Fixation In Italy 127
15.1 Trauma
Fixation Overall Revenue (2000-2015) 127
15.1.1 Internal Fixators Revenue
(2000-2015) 129
15.2 Trauma Fixation Overall Volume (2000-2015) 131
15.2.1 Internal Fixators Volume (2000-2015) 133
15.3 Trauma Fixation
Average Price (2000-2015) 135
15.4 Trauma Fixation Distribution Share
(2007-2008) 136
15.5 Trauma Fixation, Italy, Company Share (2007-2008)
137
16 Overview of Key Companies in Italy Orthopedic Devices Market
138
16.1 Zimmer Holdings, Inc. 138
16.1.1 Company Overview 138
16.1.2 Zimmer Holdings, Inc. Pipeline Products 138
16.2 Thuasne Cr, S.R.O.
140
16.2.1 Company Overview 140
16.3 Synthes GmbH 141
16.3.1
Company Overview 141
16.3.2 Value Chain Analysis 141
16.3.3 Synthes,
Inc. Pipeline Products 143
16.4 Stryker Corporation 144
16.4.1 Company
Overview 144
16.4.2 Value Chain Analysis 144
16.4.3 Stryker
Corporation Pipeline Products 146
16.5 Smith & Nephew Plc 148
16.5.1
Company Overview 148
16.5.2 Value Chain Analysis 148
16.5.3 Smith &
Nephew Plc Pipeline Products 151
16.6 Ossur hf. 153
16.6.1 Company
Overview 153
16.6.2 Value Chain Analysis 153
16.6.3 Ossur hf. Pipeline
Products 155
16.7 Orthofix International N.V. 156
16.7.1 Company
Overview 156
16.7.2 Value Chain Analysis 157
16.7.3 Orthofix
International N.V. Pipeline Products 159
16.8 OLYMPUS CORPORATION 161
16.8.1 Company Overview 161
16.8.2 Value Chain Analysis 161
16.9
Medtronic, Inc. 163
16.9.1 Company Overview 163
16.9.2 Value Chain
Analysis 164
16.9.3 Medtronic, Inc. Pipeline Products 166
16.10 DJO
Finance LLC 175
16.10.1 Company Overview 175
16.10.2 Value Chain
Analysis 175
16.11 DePuy, Inc. 178
16.11.1 Company Overview 178
16.11.2 DePuy, Inc. Pipeline Products 178
16.12 CONMED Corporation 181
16.12.1 Company Overview 181
16.12.2 Value Chain Analysis 182
16.13
Biomet, Inc. 184
16.13.1 Company Overview 184
16.13.2 Value Chain
Analysis 184
16.13.3 Biomet, Inc. Pipeline Products 186
16.14
Bauerfeind AG 188
16.14.1 Company Overview 188
16.15 BASKO HEALTHCARE
188
16.15.1 Company Overview 188
16.16 Arthrocare Corporation 189
16.16.1 Company Overview 189
16.16.2 Value Chain Analysis 190
16.16.3
Arthrocare Corporation Pipeline Products 192
16.17 Arthrex, Inc. 193
16.17.1 Company Overview 193
16.18 Gruppo Bioimpianti s.r.l. 193
16.18.1 Company Overview 193
16.19 Hit Medica srl 193
16.19.1 Company
Overview 193
17 Appendix 194
17.1 Global Markets Direct Research
Methodology 194
17.2 Coverage 195
17.3 Secondary Research 195
17.4
Primary Research 196
17.5 Models 196
17.6 Forecasts 197
17.7
Expert Panel Validation 197
17.8 Currency Conversion 198
17.9 Contact
Us 199
17.10 Disclaimer 199
1.1 List of Tables
Table 1: Number of Doctors by Specialty in Italy, 2003-2007 27
Table 2:
Number of Hospital Wards by Specialty in Italy, 2003-2007 28
Table 3:
Orthopedic Devices, Cross Country Comparison, Revenue ($ mn), 2000-2015 46
Table 4: Orthopedic Devices, Italy, Overall Revenue ($ mn), 2000-2015
47
Table 5: Orthopedic Devices, Italy, Overall Revenue ($ mn),
2000-2015 48
Table 6: Orthopedic Devices, Italy, Overall Revenue ($
mn), Historic, 2000-2008 50
Table 7: Orthopedic Devices, Italy,
Overall Revenue ($ mn), Forecast, 2008-2015 52
Table 8: Orthopedic
Devices, Italy, Category Volume (Units), 2000-2015 53
Table 9:
Orthopedic Devices, Italy, Category Volume (Units), Historic, 2000-2008 55
Table 10: Orthopedic Devices, Italy, Category Volume (Units), Forecast,
2008-2015 57
Table 11: Orthopedic Devices, Italy, Company Share by
Revenue ($ mn), 2007-2008 58
Table 12: Arthroscopy, Italy, Revenue ($
mn) by Segment, Historic, 2000-2008 59
Table 13: Arthroscopy, Italy,
Revenue ($ mn) by Segment, Forecast, 2008-2015 60
Table 14:
Arthroscopy, Italy, Volume (Units) by Segment, Historic, 2000-2008 61
Table 15: Arthroscopy, Italy, Volume (Units) by Segment, Forecast,
2008-2015 62
Table 16: Arthroscopy, Italy, Average Price ($),
Historic, 2000-2008 63
Table 17: Arthroscopy, Italy, Average Price
($), Forecast,, 2008-2015 63
Table 18: Arthroscopy, Italy,
Distribution Share by Revenue ($mn), 2007-2008 63
Table 19:
Arthroscopy, Italy, Company Share by Revenue ($ mn), 2007-2008 64
Table
20: Joint Reconstruction, Italy, Revenue ($ mn) by Segment, Historic,
2000-2008 66
Table 21: Joint Reconstruction, Italy, Revenue ($ mn) by
Segment, Forecast, 2008-2015 68
Table 22: Hip Replacement, Italy,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 69
Table 23: Hip
Replacement, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 70
Table 24: Knee Replacement, Italy, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 71
Table 25: Knee Replacement, Italy, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 72
Table 26: Shoulder
Replacement, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 73
Table 27: Shoulder Replacement, Italy, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 74
Table 28: Joint Reconstruction, Italy, Volume
(Units) by Segment, Historic, 2000-2008 75
Table 29: Joint
Reconstruction, Italy, Volume (Units) by Segment, Forecast, 2008-2015 76
Table 30: Hip Replacement, Italy, Volume (Units) by Sub-Segment,
Historic, 2000-2008 77
Table 31: Hip Replacement, Italy, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 78
Table 32: Knee
Replacement, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 79
Table 33: Knee Replacement, Italy, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 80
Table 34: Shoulder Replacement, Italy, Volume
(Units) by Sub-Segment, Historic, 2000-2008 81
Table 35: Shoulder
Replacement, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 82
Table 36: Joint Reconstruction, Italy, Average Price ($), Historic,
2000-2008 83
Table 37: Joint Reconstruction, Italy, Average Price
($), Forecast,, 2008-2015 84
Table 38: Joint Reconstruction, Italy,
Distribution Share by Revenue ($mn), 2007-2008 85
Table 39: Joint
Reconstruction, Italy, Company Share by Revenue ($ mn), 2007-2008 86
Table
40: Orthobiologics, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008
88
Table 41: Orthobiologics, Italy, Revenue ($ mn) by Segment,
Forecast, 2008-2015 90
Table 42: Bone Graft Substitutes, Italy,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 91
Table 43: Bone
Graft Substitutes, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015
92
Table 44: Orthobiologics, Italy, Volume (Units) by Segment,
Historic, 2000-2008 93
Table 45: Orthobiologics, Italy, Volume
(Units) by Segment, Forecast, 2008-2015 94
Table 46: Bone Graft
Substitutes, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 95
Table 47: Bone Graft Substitutes, Italy, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 96
Table 48: Orthobiologics, Italy, Average Price
($), Historic, 2000-2008 97
Table 49: Orthobiologics, Italy, Average
Price ($), Forecast,, 2008-2015 97
Table 50: Orthobiologics, Italy,
Distribution Share by Revenue ($mn), 2007-2008 98
Table 51:
Orthobiologics, Italy, Company Share by Revenue ($ mn), 2007-2008 99
Table
52: Orthopedic Accessories, Italy, Revenue ($ mn) by Segment, Historic,
2000-2008 100
Table 53: Orthopedic Accessories, Italy, Revenue ($ mn)
by Segment, Forecast, 2008-2015 101
Table 54: Orthopedic Accessories,
Italy, Volume (Units) by Segment, Historic, 2000-2008 102
Table 55:
Orthopedic Accessories, Italy, Volume (Units) by Segment, Forecast, 2008-2015
103
Table 56: Orthopedic Accessories, Italy, Average Price ($),
Historic, 2000-2008 104
Table 57: Orthopedic Accessories, Italy,
Average Price ($), Forecast,, 2008-2015 104
Table 58: Orthopedic
Accessories, Italy, Distribution Share by Revenue ($mn), 2007-2008 104
Table 59: Orthopedic Accessories, Italy, Company Share by Revenue ($ mn),
2007-2008 105
Table 60: Orthopedic Braces and Supports, Italy,
Revenue ($ mn) by Segment, Historic, 2000-2008 106
Table 61:
Orthopedic Braces and Supports, Italy, Revenue ($ mn) by Segment, Forecast,
2008-2015 107
Table 62: Orthopedic Braces and Supports, Italy, Volume
(Units) by Segment, Historic, 2000-2008 108
Table 63: Orthopedic
Braces and Supports, Italy, Volume (Units) by Segment, Forecast, 2008-2015
109
Table 64: Orthopedic Braces and Supports, Italy, Average Price
($), Historic, 2000-2008 110
Table 65: Orthopedic Braces and
Supports, Italy, Average Price ($), Forecast,, 2008-2015 110
Table 66:
Orthopedic Braces and Supports, Italy, Distribution Share by Revenue ($mn),
2007-2008 110
Table 67: Orthopedic Braces and Supports, Italy,
Company Share by Revenue ($ mn), 2007-2008 111
Table 68: Spinal
Surgery, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 112
Table
69: Spinal Surgery, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015
113
Table 70: Spinal Fusion, Italy, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 114
Table 71: Spinal Fusion, Italy, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 115
Table 72: Spinal
Non-Fusion, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 116
Table 73: Spinal Non-Fusion, Italy, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 117
Table 74: Spinal Surgery, Italy, Volume
(Units) by Segment, Historic, 2000-2008 118
Table 75: Spinal Surgery,
Italy, Volume (Units) by Segment, Forecast, 2008-2015 119
Table 76:
Spinal Fusion, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008
120
Table 77: Spinal Fusion, Italy, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 121
Table 78: Spinal Non-Fusion, Italy, Volume
(Units) by Sub-Segment, Historic, 2000-2008 122
Table 79: Spinal
Non-Fusion, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 123
Table 80: Spinal Surgery, Italy, Average Price ($), Historic, 2000-2008
124
Table 81: Spinal Surgery, Italy, Average Price ($), Forecast,,
2008-2015 124
Table 82: Spinal Surgery, Italy, Distribution Share by
Revenue ($mn), 2007-2008 125
Table 83: Spinal Surgery, Italy, Company
Share by Revenue ($ mn), 2007-2008 126
Table 84: Trauma Fixation,
Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 127
Table 85:
Trauma Fixation, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 128
Table 86: Internal Fixators, Italy, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 129
Table 87: Internal Fixators, Italy, Revenue
($ mn) by Sub-Segment, Forecast, 2008-2015 130
Table 88: Trauma
Fixation, Italy, Volume (Units) by Segment, Historic, 2000-2008 131
Table
89: Trauma Fixation, Italy, Volume (Units) by Segment, Forecast,
2008-2015 132
Table 90: Internal Fixators, Italy, Volume (Units) by
Sub-Segment, Historic, 2000-2008 133
Table 91: Internal Fixators,
Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 134
Table 92:
Trauma Fixation, Italy, Average Price ($), Historic, 2000-2008 135
Table
93: Trauma Fixation, Italy, Average Price ($), Forecast,, 2008-2015
135
Table 94: Trauma Fixation, Italy, Distribution Share by Revenue
($mn), 2007-2008 136
Table 95: Trauma Fixation, Italy, Company Share
by Revenue ($ mn), 2007-2008 137
Table 96: Zimmer Holdings, Inc.
Pipeline Products by Equipment Type 138
Table 97: Zimmer Holdings,
Inc. Pipeline Products By Development Stage 139
Table 98: Zimmer
Holdings, Inc. Pipeline Products By Therapy Area 139
Table 99: Zimmer
Holdings, Inc. Pipeline Products By Clinical Trials 139
Table 100:
Synthes, Inc. Pipeline Products by Equipment Type 143
Table 101:
Synthes, Inc. Pipeline Products By Development Stage 143
Table 102:
Synthes, Inc. Pipeline Products By Therapy Area 143
Table 103:
Synthes, Inc. Pipeline Products By Clinical Trials 143
Table 104:
Stryker Corporation Pipeline Products by Equipment Type 146
Table 105:
Stryker Corporation Pipeline Products By Development Stage 146
Table 106:
Stryker Corporation Pipeline Products By Therapy Area 146
Table 107:
Stryker Corporation Pipeline Products By Clinical Trials 147
Table
108: Smith & Nephew Plc Pipeline Products by Equipment Type 151
Table
109: Smith & Nephew Plc Pipeline Products By Development Stage 151
Table 110: Smith & Nephew Plc Pipeline Products By Therapy Area 152
Table 111: Smith & Nephew Plc Pipeline Products By News Summary 152
Table 112: Ossur hf. Pipeline Products by Equipment Type 155
Table
113: Ossur hf. Pipeline Products By Development Stage 155
Table 114:
Ossur hf. Pipeline Products By Therapy Area 155
Table 115:
Orthofix International N.V. Pipeline Products by Equipment Type 159
Table
116: Orthofix International N.V. Pipeline Products By Development Stage
159
Table 117: Orthofix International N.V. Pipeline Products By
Therapy Area 160
Table 118: Orthofix International N.V. Pipeline
Products By Clinical Trials 160
Table 119: Orthofix International
N.V. Pipeline Products By News Summary 160
Table 120: Medtronic, Inc.
Pipeline Products by Equipment Type 166
Table 121: Medtronic, Inc.
Pipeline Products By Development Stage 168
Table 122: Medtronic, Inc.
Pipeline Products By Therapy Area 170
Table 123: Medtronic, Inc.
Pipeline Products By Clinical Trials 172
Table 124: Medtronic, Inc.
Pipeline Products By News Summary 173
Table 125: DePuy, Inc. Pipeline
Products by Equipment Type 178
Table 126: DePuy, Inc. Pipeline
Products By Development Stage 179
Table 127: DePuy, Inc. Pipeline
Products By Therapy Area 179
Table 128: DePuy, Inc. Pipeline Products
By Clinical Trials 180
Table 129: DePuy, Inc. Pipeline Products By
News Summary 180
Table 130: Biomet, Inc. Pipeline Products by
Equipment Type 186
Table 131: Biomet, Inc. Pipeline Products By
Development Stage 187
Table 132: Biomet, Inc. Pipeline Products By
Therapy Area 187
Table 133: Biomet, Inc. Pipeline Products By
Clinical Trials 188
Table 134: Arthrocare Corporation Pipeline
Products by Equipment Type 192
Table 135: Arthrocare Corporation
Pipeline Products By Development Stage 192
Table 136: Arthrocare
Corporation Pipeline Products By Therapy Area 192
Table 137:
Arthrocare Corporation Pipeline Products By News Summary 192
Table 138:
USD to Local Currency, Average Exchange Rate 2008 198
1.2
List of Figures
Figure 1: Total Healthcare Expenditure in Italy, 2000 -
2006 24
Figure 2: Healthcare Financing Framework in Italy, 2007 25
Figure 3: Flowchart for Classification of Non-invasive Devices in Italy, 2007
31
Figure 4: Flowchart for Classification of Invasive Devices in Italy,
2007 32
Figure 5: Flowchart for Classification of Invasive Devices in
Italy, 2007 33
Figure 6: Flowchart for Classification of Invasive Devices
in Italy, 2007 34
Figure 7: Flowchart for Classification of Invasive
Devices in Italy, 2007 35
Figure 8: Flowchart for Classification of Active
Devices in Italy, 2007 36
Figure 9: Flowchart for Classification of Active
Devices in Italy, 2007 37
Figure 10: Flowchart for Classification of
Devices except Non-invasive, Invasive and Active Devices in Italy, 2007 38
Figure 11: Conformity Assessment of Class-I Medical Devices in Italy, 2007
39
Figure 12: Conformity Assessment of Class-IIa Medical Devices in Italy,
2007 40
Figure 13: Conformity Assessment of Class-IIb Medical Devices in
Italy, 2007 41
Figure 14: Conformity Assessment of Class-III Medical
Devices in Italy, 2007 42
Figure 15: Orthopedic Devices, Cross
Country Comparison, Revenue ($ mn), 2000-2015 46
Figure 16:
Orthopedic Devices, Italy, Overall Revenue ($ mn), 2000-2015 47
Figure 17:
Orthopedic Devices, Italy, Cross-Category Analysis, 2000-2015 48
Figure 18: Orthopedic Devices, Italy, Overall Revenue ($ mn), Historic,
2000-2008 49
Figure 19: Orthopedic Devices, Italy, Overall Revenue ($
mn), Forecast, 2008-2015 51
Figure 20: Orthopedic Devices, Italy,
Category Volume (Units), 2000-2015 53
Figure 21: Orthopedic Devices,
Italy, Category Volume (Units), Historic, 2000-2008 54
Figure 22:
Orthopedic Devices, Italy, Category Volume (Units), Forecast, 2008-2015 56
Figure 23: Orthopedic Devices, Italy, Company Share (%), 2008 58
Figure 24: Arthroscopy, Italy, Revenue ($ mn) by Segment, Historic,
2000-2008 59
Figure 25: Arthroscopy, Italy, Revenue ($ mn) by
Segment, Forecast, 2008-2015 60
Figure 26: Arthroscopy, Italy, Volume
(Units) by Segment, Historic, 2000-2008 61
Figure 27: Arthroscopy,
Italy, Volume (Units) by Segment, Forecast, 2008-2015 62
Figure 28:
Arthroscopy, Italy, Company Share (%), 2008 64
Figure 29: Joint
Reconstruction, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008 65
Figure 30: Joint Reconstruction, Italy, Revenue ($ mn) by Segment,
Forecast, 2008-2015 67
Figure 31: Hip Replacement, Italy, Revenue ($
mn) by Sub-Segment, Historic, 2000-2008 69
Figure 32: Hip
Replacement, Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 70
Figure 33: Knee Replacement, Italy, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 71
Figure 34: Knee Replacement, Italy, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 72
Figure 35: Shoulder
Replacement, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 73
Figure 36: Shoulder Replacement, Italy, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 74
Figure 37: Hip Replacement, Italy, Volume
(Units) by Sub-Segment, Historic, 2000-2008 77
Figure 38: Hip
Replacement, Italy, Volume (Units) by Sub-Segment, Forecast, 2008-2015 78
Figure 39: Knee Replacement, Italy, Volume (Units) by Sub-Segment,
Historic, 2000-2008 79
Figure 40: Knee Replacement, Italy, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 80
Figure 41: Shoulder
Replacement, Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 81
Figure 42: Shoulder Replacement, Italy, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 82
Figure 43: Joint Reconstruction, Italy,
Company Share (%), 2008 86
Figure 44: Orthobiologics, Italy, Revenue
($ mn) by Segment, Historic, 2000-2008 87
Figure 45: Orthobiologics,
Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 89
Figure 46:
Bone Graft Substitutes, Italy, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 91
Figure 47: Bone Graft Substitutes, Italy, Revenue ($ mn)
by Sub-Segment, Forecast, 2008-2015 92
Figure 48: Orthobiologics,
Italy, Volume (Units) by Segment, Historic, 2000-2008 93
Figure 49:
Orthobiologics, Italy, Volume (Units) by Segment, Forecast, 2008-2015 94
Figure 50: Bone Graft Substitutes, Italy, Volume (Units) by Sub-Segment,
Historic, 2000-2008 95
Figure 51: Bone Graft Substitutes, Italy,
Volume (Units) by Sub-Segment, Forecast, 2008-2015 96
Figure 52:
Orthobiologics, Italy, Company Share (%), 2008 99
Figure 53:
Orthopedic Accessories, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008
100
Figure 54: Orthopedic Accessories, Italy, Revenue ($ mn) by
Segment, Forecast, 2008-2015 101
Figure 55: Orthopedic Accessories,
Italy, Volume (Units) by Segment, Historic, 2000-2008 102
Figure 56:
Orthopedic Accessories, Italy, Volume (Units) by Segment, Forecast, 2008-2015
103
Figure 57: Orthopedic Accessories, Italy, Company Share (%), 2008
105
Figure 58: Orthopedic Braces and Supports, Italy, Revenue ($ mn)
by Segment, Historic, 2000-2008 106
Figure 59: Orthopedic Braces and
Supports, Italy, Revenue ($ mn) by Segment, Forecast, 2008-2015 107
Figure
60: Orthopedic Braces and Supports, Italy, Volume (Units) by Segment,
Historic, 2000-2008 108
Figure 61: Orthopedic Braces and Supports,
Italy, Volume (Units) by Segment, Forecast, 2008-2015 109
Figure 62:
Orthopedic Braces and Supports, Italy, Company Share (%), 2008 111
Figure
63: Spinal Surgery, Italy, Revenue ($ mn) by Segment, Historic, 2000-2008
112
Figure 64: Spinal Surgery, Italy, Revenue ($ mn) by Segment,
Forecast, 2008-2015 113
Figure 65: Spinal Fusion, Italy, Revenue ($
mn) by Sub-Segment, Historic, 2000-2008 114
Figure 66: Spinal Fusion,
Italy, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 115
Figure 67:
Spinal Non-Fusion, Italy, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 116
Figure 68: Spinal Non-Fusion, Italy, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 117
Figure 69: Spinal Surgery,
Italy, Volume (Units) by Segment, Historic, 2000-2008 118
Figure 70:
Spinal Surgery, Italy, Volume (Units) by Segment, Forecast, 2008-2015 119
Figure 71: Spinal Fusion, Italy, Volume (Units) by Sub-Segment, Historic,
2000-2008 120
Figure 72: Spinal Fusion, Italy, Volume (Units) by
Sub-Segment, Forecast, 2008-2015 121
Figure 73: Spinal Non-Fusion,
Italy, Volume (Units) by Sub-Segment, Historic, 2000-2008 122
Figure 74:
Spinal Non-Fusion, Italy, Volume (Units) by Sub-Segment, Forecast,
2008-2015 123
Figure 75: Spinal Surgery, Italy, Company Share (%),
2008 126
Figure 76: Trauma Fixation, Italy, Revenue ($ mn) by
Segment, Historic, 2000-2008 127
Figure 77: Trauma Fixation, Italy,
Revenue ($ mn) by Segment, Forecast, 2008-2015 128
Figure 78:
Internal Fixators, Italy, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008
129
Figure 79: Internal Fixators, Italy, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 130
Figure 80: Trauma Fixation,
Italy, Volume (Units) by Segment, Historic, 2000-2008 131
Figure 81:
Trauma Fixation, Italy, Volume (Units) by Segment, Forecast, 2008-2015 132
Figure 82: Internal Fixators, Italy, Volume (Units) by Sub-Segment,
Historic, 2000-2008 133
Figure 83: Internal Fixators, Italy, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 134
Figure 84: Trauma
Fixation, Italy, Company Share (%), 2008 137
Figure 85: Synthes, Inc.
Value Chain Analysis 141
Figure 86: Stryker Corporation Value Chain
Analysis 144
Figure 87: Smith & Nephew Plc Value Chain Analysis
148
Figure 88: Ossur hf. Value Chain Analysis 153
Figure 89:
Orthofix International N.V. Value Chain Analysis 157
Figure 90:
Olympus Medical Systems Corp. Value Chain Analysis 161
Figure 91:
Medtronic, Inc. Value Chain Analysis 164
Figure 92: DJO Incorporated
Value Chain Analysis 175
Figure 93: CONMED Corporation Value Chain
Analysis 182
Figure 94: Biomet, Inc. Value Chain Analysis 184
Figure 95: Arthrocare Corporation Value Chain Analysis 190
Figure 96:
Global Markets Direct Methodology 194
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