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 the 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
3.2.5 DBM 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 Expenditure 23
4.2 Healthcare Infrastructure
26
4.3 Healthcare Policy 28
4.3.1 Health Insurance Act 29
4.3.2
Healthcare Allowance Act 29
4.3.3 The Exceptional Medical Expenses Act
29
5 Regulation System 30
5.1 Medical Equipment Approval Process
30
5.1.1 Classification of Medical Devices 31
5.1.2 Conformity
Assessment Process 40
5.2 Post Market Surveillance (PMS) 43
6 Pricing
and Reimbursement 44
6.1 Pricing and Reimbursement in Netherlands 44
7
Distribution Structure 45
7.1 Distribution Structure in Netherlands 45
8 Orthopedic Devices In Netherlands 46
8.1 Orthopedic Devices, Cross
Country Comparison, Revenue ($ mn), 2000-2015 46
8.2 Orthopedic Devices,
Netherlands, Overall Revenue ($ mn), 2000-2015 47
8.3 Orthopedic Devices,
Netherlands, Category Volume (Units) by Segment, 2000-2015 53
8.4
Orthopedic Devices, Netherlands, Company Share (2007-2008) 58
9
Arthroscopy In Netherlands 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, Netherlands, Company Share (2007-2008)
64
10 Joint Reconstruction In Netherlands 65
10.1 Joint Reconstruction
Overall Revenue (2000-2015) 65
10.1.1 Hip Replacement Overall Revenue
(2000-2015) 67
10.1.2 Knee Replacement Overall Revenue (2000-2015) 69
10.1.3 Shoulder Replacement Overall Revenue (2000-2015) 71
10.2 Joint
Reconstruction Overall Volume (2000-2015) 73
10.2.1 Hip Replacement
Overall Volume (2000-2015) 75
10.2.2 Knee Replacement Overall Volume
(2000-2015) 77
10.2.3 Shoulder Replacement Overall Volume (2000-2015)
79
10.3 Joint Reconstruction Average Price (2000-2015) 81
10.4 Joint
Reconstruction Distribution Share (2007-2008) 83
10.5 Joint
Reconstruction, Netherlands, Company Share (2007-2008) 84
11
Orthobiologics In Netherlands 85
11.1 Orthobiologics Overall Revenue
(2000-2015) 85
11.1.1 Bone Graft Substitutes Overall Revenue (2000-2015)
89
11.2 Orthobiologics Overall Volume (2000-2015) 91
11.2.1 Bone Graft
Substitutes Overall Volume (2000-2015) 93
11.3 Orthobiologics Average
Price (2000-2015) 95
11.4 Orthobiologics Distribution Share (2007-2008)
96
11.5 Orthobiologics, Netherlands, Company Share (2007-2008) 97
12
Orthopedic Accessories In Netherlands 98
12.1 Orthopedic Accessories
Overall Revenue (2000-2015) 98
12.2 Orthopedic Accessories Overall Volume
(2000-2015) 100
12.3 Orthopedic Accessories Average Price (2000-2015)
102
12.4 Orthopedic Accessories Distribution Share (2007-2008) 103
12.5 Orthopedic Accessories, Netherlands, Company Share (2007-2008) 104
13
Orthopedic Braces and Supports In Netherlands 105
13.1 Orthopedic Braces
and Supports Overall Revenue (2000-2015) 105
13.2 Orthopedic Braces and
Supports Overall Volume (2000-2015) 107
13.3 Orthopedic Braces and
Supports Average Price (2000-2015) 109
13.4 Orthopedic Braces and Supports
Distribution Share (2007-2008) 110
13.5 Orthopedic Braces and Supports,
Netherlands, Company Share (2007-2008) 111
14 Spinal Surgery In
Netherlands 112
14.1 Spinal Surgery Overall Revenue (2000-2015) 112
14.1.1 Spinal Fusion Overall Revenue (2000-2015) 114
14.1.2 Spinal
Non-Fusion Overall Revenue (2000-2015) 116
14.2 Spinal Surgery Overall
Volume (2000-2015) 118
14.2.1 Spinal Fusion Overall Volume (2000-2015)
120
14.2.2 Spinal Non-Fusion Overall 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, Netherlands,
Company Share (2007-2008) 126
15 Trauma Fixation In Netherlands 127
15.1 Trauma Fixation Overall Revenue (2000-2015) 127
15.1.1 Internal
Fixators Overall Revenue (2000-2015) 129
15.2 Trauma Fixation Overall
Volume (2000-2015) 131
15.2.1 Internal Fixators Overall 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,
Netherlands, Company Share (2007-2008) 137
16 Overview of Key Companies in
Netherlands Orthopedic Devices Market 138
16.1 DePuy, Inc. 138
16.1.1
Company Overview 138
16.1.2 DePuy, Inc. Pipeline Products 138
16.2
Zimmer Holdings, Inc. 141
16.2.1 Company Overview 141
16.2.2 Value
Chain Analysis 142
16.2.3 Zimmer Holdings, Inc. Pipeline Products 144
16.3 Stryker Corporation 146
16.3.1 Company Overview 146
16.3.2 Value
Chain Analysis 146
16.3.3 Stryker Corporation Pipeline Products 148
16.4 Medtronic, Inc. 150
16.4.1 Company Overview 150
16.4.2 Value
Chain Analysis 150
16.4.3 Medtronic, Inc. Pipeline Products 153
16.5
Biomet, Inc. 161
16.5.1 Company Overview 161
16.5.2 Value Chain
Analysis 161
16.5.3 Biomet, Inc. Pipeline Products 163
16.6 Synthes
GmbH 166
16.6.1 Company Overview 166
16.6.2 Value Chain Analysis
166
16.6.3 Synthes, Inc. Pipeline Products 168
16.7 Smith & Nephew Plc
169
16.7.1 Company Overview 169
16.7.2 Value Chain Analysis 169
16.7.3 Smith & Nephew Plc Pipeline Products 171
16.8 Arthrocare
Corporation 173
16.8.1 Company Overview 173
16.8.2 Value Chain
Analysis 174
16.8.3 Arthrocare Corporation Pipeline Products 176
16.9
OLYMPUS CORPORATION 178
16.9.1 Company Overview 178
16.9.2 Value Chain
Analysis 178
16.9.3 Olympus Medical Systems Corp. Pipeline Products
180
16.10 DJO Incorporated 182
16.10.1 Company Overview 182
16.10.2 Value Chain Analysis 182
16.11 Orthofix International N.V. 185
16.11.1 Company Overview 185
16.11.2 Value Chain Analysis 185
16.11.3
Orthofix International N.V. Pipeline Products 187
16.12 CONMED Corporation
189
16.12.1 Company Overview 189
16.12.2 Value Chain Analysis 189
16.13 IsoTis S.A. 191
16.13.1 Company Overview 191
16.14 Bauerfeind AG
191
16.14.1 Company Overview 191
16.15 Arthrex, Inc. 191
16.15.1
Company Overview 191
16.16 Fame Holding bv 192
16.16.1 Company
Overview 192
16.17 Diortho B.V. 192
16.17.1 Company Overview 192
16.18 aap bio implants Netherlands B.V. 192
16.18.1 Company Overview
192
16.18.2 aap bio implants Netherlands B.V. Pipeline Products 192
17
Financial Deals Landscape 194
17.1 Acquisition 194
17.1.1 NuVasive to
Invest In Progentix Orthobiology 194
18 Appendix 195
18.1 Global
Markets Direct Research Methodology 195
18.2 Coverage 196
18.3
Secondary Research 196
18.4 Primary Research 197
18.5 Models 197
18.6 Forecasts 198
18.7 Expert Panel Validation 198
18.8 Currency
Conversion 199
18.9 Contact Us 200
18.10 Disclaimer 200
1.1 List of Tables
Table 1: Doctors by Specialty in Netherlands,
2000-2006 27
Table 2: Hospital Wards by Type in Netherlands, 2000-2006
28
Table 3: Orthopedic Devices Cross Country Comparison, Revenue ($
mn), 2000-2015 46
Table 4: Orthopedic Devices, Netherlands, Overall
Revenue ($ mn), 2000-2015 47
Table 5: Orthopedic Devices, Netherlands,
Cross-Category Analysis, 2000-2015 48
Table 6: Orthopedic Devices,
Netherlands, Overall Revenue ($ mn), Historic, 2000-2008 50
Table 7:
Orthopedic Devices, Netherlands, Overall Revenue ($ mn), Forecast, 2008-2015
52
Table 8: Orthopedic Devices, Netherlands, Category Volume (Units)
by Segment, 2000-2015 53
Table 9: Orthopedic Devices, Netherlands,
Category Volume (Units) by Segment, Historic, 2000-2008 55
Table 10:
Orthopedic Devices, Netherlands, Category Volume (Units) by Segment, Forecast,
2008-2015 57
Table 11: Orthopedic Devices, Netherlands, Company Share
by Revenue ($ mn), 2007-2008 58
Table 12: Arthroscopy, Netherlands,
Revenue ($ mn), Historic, 2000-2008 59
Table 13: Arthroscopy,
Netherlands, Revenue ($ mn), Forecast, 2008-2015 60
Table 14:
Arthroscopy, Netherlands, Volume (Units) by Segment, Historic, 2000-2008
61
Table 15: Arthroscopy, Netherlands, Volume (Units) by Segment,
Forecast, 2008-2015 62
Table 16: Arthroscopy, Netherlands, Average
Price ($), Historic, 2000-2008 63
Table 17: Arthroscopy, Netherlands,
Average Price ($), Forecast, 2008-2015 63
Table 18: Arthroscopy,
Netherlands, Distribution Share by Revenue ($mn), 2007-2008 63
Table 19:
Arthroscopy, Netherlands, Company Share by Revenue ($ mn), 2007-2008 64
Table 20: Joint Reconstruction, Netherlands, Revenue ($ mn) by Segment,
Historic, 2000-2008 65
Table 21: Joint Reconstruction, Netherlands,
Revenue ($ mn) by Segment, Forecast, 2008-2015 66
Table 22: Hip
Replacement, Netherlands, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008
67
Table 23: Hip Replacement, Netherlands, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 68
Table 24: Knee Replacement,
Netherlands, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 69
Table
25: Knee Replacement, Netherlands, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 70
Table 26: Shoulder Replacement, Netherlands,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 71
Table 27:
Shoulder Replacement, Netherlands, Revenue ($ mn) by Sub-Segment, Forecast,
2008-2015 72
Table 28: Joint Reconstruction, Netherlands, Volume
(Units) by Segment, Historic, 2000-2008 73
Table 29: Joint
Reconstruction, Netherlands, Volume (Units) by Segment, Forecast, 2008-2015
74
Table 30: Hip Replacement, Netherlands, Volume (Units) by
Sub-Segment, Historic, 2000-2008 75
Table 31: Hip Replacement,
Netherlands, Volume (Units) by Sub-Segment, Forecast, 2008-2015 76
Table
32: Knee Replacement, Netherlands, Volume (Units) by Sub-Segment,
Historic, 2000-2008 77
Table 33: Knee Replacement, Netherlands,
Volume (Units) by Sub-Segment, Forecast, 2008-2015 78
Table 34:
Shoulder Replacement, Netherlands, Volume (Units) by Sub-Segment, Historic,
2000-2008 79
Table 35: Shoulder Replacement, Netherlands, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 80
Table 36: Joint
Reconstruction, Netherlands, Average Price ($), Historic, 2000-2008 81
Table 37: Joint Reconstruction, Netherlands, Average Price ($), Forecast,
2008-2015 82
Table 38: Joint Reconstruction, Netherlands,
Distribution Share by Revenue ($mn), 2007-2008 83
Table 39: Joint
Reconstruction, Netherlands, Company Share by Revenue ($ mn), 2007-2008 84
Table 40: Orthobiologics, Netherlands, Revenue ($ mn) by Segment,
Historic, 2000-2008 86
Table 41: Orthobiologics, Netherlands, Revenue
($ mn) by Segment, Forecast, 2008-2015 88
Table 42: Bone Graft
Substitutes, Netherlands, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008
89
Table 43: Bone Graft Substitutes, Netherlands, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 90
Table 44: Orthobiologics,
Netherlands, Volume (Units) by Segment, Historic, 2000-2008 91
Table 45:
Orthobiologics, Netherlands, Volume (Units) by Segment, Forecast, 2008-2015
92
Table 46: Bone Graft Substitutes, Netherlands, Volume (Units) by
Sub-Segment, Historic, 2000-2008 93
Table 47: Bone Graft Substitutes,
Netherlands, Volume (Units) by Sub-Segment, Forecast, 2008-2015 94
Table
48: Orthobiologics, Netherlands, Average Price ($), Historic, 2000-2008
95
Table 49: Orthobiologics, Netherlands, Average Price ($),
Forecast, 2008-2015 95
Table 50: Orthobiologics, Netherlands,
Distribution Share by Revenue ($mn), 2007-2008 96
Table 51:
Orthobiologics, Netherlands, Company Share by Revenue ($ mn), 2007-2008 97
Table 52: Orthopedic Accessories, Netherlands, Revenue ($ mn) by Segment,
Historic, 2000-2008 98
Table 53: Orthopedic Accessories, Netherlands,
Revenue ($ mn) by Segment, Forecast, 2008-2015 99
Table 54:
Orthopedic Accessories, Netherlands, Volume (Units) by Segment, Historic,
2000-2008 100
Table 55: Orthopedic Accessories, Netherlands, Volume
(Units) by Segment, Forecast, 2008-2015 101
Table 56: Orthopedic
Accessories, Netherlands, Average Price ($), Historic, 2000-2008 102
Table
57: Orthopedic Accessories, Netherlands, Average Price ($), Forecast,
2008-2015 102
Table 58: Orthopedic Accessories, Netherlands,
Distribution Share by Revenue ($mn), 2007-2008 103
Table 59:
Orthopedic Accessories, Netherlands, Company Share by Revenue ($ mn),
2007-2008 104
Table 60: Orthopedic Braces and Supports, Netherlands,
Revenue ($ mn) by Segment, Historic, 2000-2008 105
Table 61:
Orthopedic Braces and Supports, Netherlands, Revenue ($ mn) by Segment,
Forecast, 2008-2015 106
Table 62: Orthopedic Braces and Supports,
Netherlands, Volume (Units) by Segment, Historic, 2000-2008 107
Table 63:
Orthopedic Braces and Supports, Netherlands, Volume (Units) by Segment,
Forecast, 2008-2015 108
Table 64: Orthopedic Braces and Supports,
Netherlands, Average Price ($), Historic, 2000-2008 109
Table 65:
Orthopedic Braces and Supports, Netherlands, Average Price ($), Forecast,
2008-2015 109
Table 66: Orthopedic Braces and Supports, Netherlands,
Distribution Share by Revenue ($mn), 2007-2008 110
Table 67:
Orthopedic Braces and Supports, Netherlands, Company Share by Revenue ($ mn),
2007-2008 111
Table 68: Spinal Surgery, Netherlands, Revenue ($ mn)
by Segment, Historic, 2000-2008 112
Table 69: Spinal Surgery,
Netherlands, Revenue ($ mn) by Segment, Forecast, 2008-2015 113
Table 70:
Spinal Fusion, Netherlands, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 114
Table 71: Spinal Fusion, Netherlands, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 115
Table 72: Spinal Non-Fusion,
Netherlands, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 116
Table
73: Spinal Non-Fusion, Netherlands, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 117
Table 74: Spinal Surgery, Netherlands, Volume
(Units) by Segment, Historic, 2000-2008 118
Table 75: Spinal Surgery,
Netherlands, Volume (Units) by Segment, Forecast, 2008-2015 119
Table 76:
Spinal Fusion, Netherlands, Volume (Units) by Sub-Segment, Historic,
2000-2008 120
Table 77: Spinal Fusion, Netherlands, Volume (Units) by
Sub-Segment, Forecast, 2008-2015 121
Table 78: Spinal Non-Fusion,
Netherlands, Volume (Units) by Sub-Segment, Historic, 2000-2008 122
Table
79: Spinal Non-Fusion, Netherlands, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 123
Table 80: Spinal Surgery, Netherlands,
Average Price ($), Historic, 2000-2008 124
Table 81: Spinal Surgery,
Netherlands, Average Price ($), Forecast, 2008-2015 124
Table 82:
Spinal Surgery, Netherlands, Distribution Share by Revenue ($mn), 2007-2008
125
Table 83: Spinal Surgery, Netherlands, Company Share by Revenue
($ mn), 2007-2008 126
Table 84: Trauma Fixation, Netherlands, Revenue
($ mn) by Segment, Historic, 2000-2008 127
Table 85: Trauma Fixation,
Netherlands, Revenue ($ mn) by Segment, Forecast, 2008-2015 128
Table 86:
Internal Fixators, Netherlands, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 129
Table 87: Internal Fixators, Netherlands, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 130
Table 88: Trauma
Fixation, Netherlands, Volume (Units) by Segment, Historic, 2000-2008 131
Table 89: Trauma Fixation, Netherlands, Volume (Units) by Segment,
Forecast, 2008-2015 132
Table 90: Internal Fixators, Netherlands,
Volume (Units) by Sub-Segment, Historic, 2000-2008 133
Table 91:
Internal Fixators, Netherlands, Volume (Units) by Sub-Segment, Forecast,
2008-2015 134
Table 92: Trauma Fixation, Netherlands, Average Price
($), Historic, 2000-2008 135
Table 93: Trauma Fixation, Netherlands,
Average Price ($), Forecast, 2008-2015 135
Table 94: Trauma Fixation,
Netherlands, Distribution Share by Revenue ($mn), 2007-2008 136
Table 95:
Trauma Fixation, Netherlands, Company Share by Revenue ($ mn), 2007-2008
137
Table 96: DePuy, Inc. Pipeline Products by Equipment Type 138
Table 97: DePuy, Inc. Pipeline Products by Development Stage 139
Table 98: DePuy, Inc. Pipeline Products by Therapy Area 139
Table 99:
DePuy, Inc. Pipeline Products by Clinical Trials 140
Table 100:
DePuy, Inc. Pipeline Products by News Summaries 140
Table 101: Zimmer
Holdings, Inc. Pipeline Products by Equipment Type 144
Table 102:
Zimmer Holdings, Inc. Pipeline Products by Development Stage 144
Table
103: Zimmer Holdings, Inc. Pipeline Products by Therapy Area 144
Table 104: Zimmer Holdings, Inc. Pipeline Products by Clinical Trials
145
Table 105: Stryker Corporation Pipeline Products by Equipment
Type 148
Table 106: Stryker Corporation Pipeline Products by
Development Stage 148
Table 107: Stryker Corporation Pipeline
Products by Therapy Area 149
Table 108: Stryker Corporation Pipeline
Products by Clinical Trials 149
Table 109: Medtronic, Inc. Pipeline
Products by Equipment Type 153
Table 110: Medtronic, Inc. Pipeline
Products by Development Stage 155
Table 111: Medtronic, Inc. Pipeline
Products by Therapy Area 157
Table 112: Medtronic, Inc. Pipeline
Products by Clinical Trials 159
Table 113: Medtronic, Inc. Pipeline
Products by News Summaries 160
Table 114: Biomet, Inc. Pipeline
Products by Equipment Type 163
Table 115: Biomet, Inc. Pipeline
Products by Development Stage 164
Table 116: Biomet, Inc. Pipeline
Products by Therapy Area 164
Table 117: Biomet, Inc. Pipeline
Products by Clinical Trials 165
Table 118: Synthes, Inc. Pipeline
Products by Equipment Type 168
Table 119: Synthes, Inc. PipeAline
Products by Development Stage 168
Table 120: Synthes, Inc. Pipeline
Products by Therapy Area 168
Table 121: Synthes, Inc. Pipeline
Products by Clinical Trials 168
Table 122: Smith & Nephew Plc
Pipeline Products by Equipment Type 171
Table 123: Smith & Nephew Plc
Pipeline Products by Development Stage 172
Table 124: Smith & Nephew
Plc Pipeline Products by Therapy Area 172
Table 125: Arthrocare
Corporation Pipeline Products by Equipment Type 176
Table 126:
Arthrocare Corporation Pipeline Products by Development Stage 176
Table
127: Arthrocare Corporation Pipeline Products by Therapy Area 177
Table 128: Arthrocare Corporation Pipeline Products by News Summary
177
Table 129: Olympus Medical Systems Corp. Pipeline Products by
Equipment Type 180
Table 130: Olympus Medical Systems Corp. Pipeline
Products by Development Stage 180
Table 131: Olympus Medical Systems
Corp. Pipeline Products by Therapy Area 180
Table 132: Olympus
Medical Systems Corp. Pipeline Products by Clinical Trials 180
Table 133:
Olympus Medical Systems Corp. Pipeline Products by News Summary 181
Table 134: Orthofix International N.V. Pipeline Products by Equipment
Type 187
Table 135: Orthofix International N.V. Pipeline Products by
Development Stage 187
Table 136: Orthofix International N.V. Pipeline
Products by Therapy Area 187
Table 137: Orthofix International N.V.
Pipeline Products by Clinical Trials 188
Table 138: Orthofix
International N.V. Pipeline Products by News Summaries 188
Table 139:
aap bio implants Netherlands B.V. Pipeline Products by Equipment Type 192
Table 140: aap bio implants Netherlands B.V. Pipeline Products By
Development Stage 193
Table 141: aap bio implants Netherlands B.V.
Pipeline Products By Therapy Area 193
Table 142: NuVasive To Invest
In Progentix Orthobiology 194
Table 143: USD to Local Currency, Average
Exchange Rate 2008 199
1.2 List of Figures
Figure 1:
Total Healthcare Expenditure in Netherlands, 2000 - 2006 24
Figure 2:
Healthcare Financing Framework in Netherlands, 2005 25
Figure 3: Flowchart
for Classification of Non-invasive Devices in Netherlands, 2007 32
Figure
4: Flowchart for Classification of Invasive Devices in Netherlands, 2007
33
Figure 5: Flowchart for Classification of Invasive Devices in
Netherlands, 2007 34
Figure 6: Flowchart for Classification of Invasive
Devices in Netherlands, 2007 35
Figure 7: Flowchart for Classification of
Invasive Devices in Netherlands, 2007 36
Figure 8: Flowchart for
Classification of Active Devices in Netherlands, 2007 37
Figure 9:
Flowchart for Classification of Active Devices in Netherlands, 2007 38
Figure 10: Flowchart for Classification of Devices except Non-invasive,
Invasive and Active Devices in Netherlands, 2007 39
Figure 11: Conformity
Assessment of Class-I Medical Devices in Netherlands, 2007 40
Figure 12:
Conformity Assessment of Class-IIa Medical Devices in Netherlands, 2007 41
Figure 13: Conformity Assessment of Class-IIb Medical Devices in Netherlands,
2007 42
Figure 14: Conformity Assessment of Class-III Medical Devices in
Netherlands, 2007 43
Figure 15: Orthopedic Devices Cross Country
Comparison, Revenue ($ mn), 2000-2015 46
Figure 16: Orthopedic
Devices, Netherlands, Overall Revenue ($ mn), 2000-2015 47
Figure 17:
Orthopedic Devices, Netherlands, Cross-Category Analysis, 2000-2015 48
Figure 18: Orthopedic Devices, Netherlands, Overall Revenue ($ mn),
Historic, 2000-2008 49
Figure 19: Orthopedic Devices, Netherlands,
Overall Revenue ($ mn), Forecast, 2008-2015 51
Figure 20: Orthopedic
Devices, Netherlands, Category Volume (Units) by Segment, 2000-2015 53
Figure 21: Orthopedic Devices, Netherlands, Category Volume (Units) by
Segment, Historic, 2000-2008 54
Figure 22: Orthopedic Devices,
Netherlands, Category Volume (Units) by Segment, Forecast, 2008-2015 56
Figure 23: Orthopedic Devices, Netherlands, Company Share (%),2008 58
Figure 24: Arthroscopy, Netherlands, Revenue ($ mn), Historic, 2000-2008
59
Figure 25: Arthroscopy, Netherlands, Revenue ($ mn), Forecast,
2008-2015 60
Figure 26: Arthroscopy, Netherlands, Volume (Units),
Historic, 2000-2008 61
Figure 27: Arthroscopy, Netherlands, Volume
(Units), Forecast, 2008-2015 62
Figure 28: Arthroscopy, Netherlands,
Company Share (%), 2008 64
Figure 29: Hip Replacement, Netherlands,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 67
Figure 30: Hip
Replacement, Netherlands, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015
68
Figure 31: Knee Replacement, Netherlands, Revenue ($ mn) by
Sub-Segment, Historic, 2000-2008 69
Figure 32: Knee Replacement,
Netherlands, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 70
Figure
33: Shoulder Replacement, Netherlands, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 71
Figure 34: Shoulder Replacement, Netherlands,
Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 72
Figure 35: Hip
Replacement, Netherlands, Volume (Units) by Sub-Segment, Historic, 2000-2008
75
Figure 36: Hip Replacement, Netherlands, Volume (Units) by
Sub-Segment, Forecast, 2008-2015 76
Figure 37: Knee Replacement,
Netherlands, Volume (Units) by Sub-Segment, Historic, 2000-2008 77
Figure
38: Knee Replacement, Netherlands, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 78
Figure 39: Shoulder Replacement, Netherlands,
Volume (Units) by Sub-Segment, Historic, 2000-2008 79
Figure 40:
Shoulder Replacement, Netherlands, Volume (Units) by Sub-Segment, Forecast,
2008-2015 80
Figure 41: Joint Reconstruction, Netherlands, Company
Share (%), 2008 84
Figure 42: Orthobiologics, Netherlands, Revenue ($
mn) by Segment, Historic, 2000-2008 85
Figure 43: Orthobiologics,
Netherlands, Revenue ($ mn) by Segment, Forecast, 2008-2015 87
Figure 44:
Bone Graft Substitutes, Netherlands, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 89
Figure 45: Bone Graft Substitutes,
Netherlands, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 90
Figure
46: Orthobiologics, Netherlands, Volume (Units) by Segment, Historic,
2000-2008 91
Figure 47: Orthobiologics, Netherlands, Volume (Units)
by Segment, Forecast, 2008-2015 92
Figure 48: Bone Graft Substitutes,
Netherlands, Volume (Units) by Sub-Segment, Historic, 2000-2008 93
Figure
49: Bone Graft Substitutes, Netherlands, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 94
Figure 50: Orthobiologics, Netherlands,
Company Share (%), 2008 97
Figure 51: Orthopedic Accessories,
Netherlands, Revenue ($ mn) by Segment, Historic, 2000-2008 98
Figure 52:
Orthopedic Accessories, Netherlands, Revenue ($ mn) by Segment, Forecast,
2008-2015 99
Figure 53: Orthopedic Accessories, Netherlands, Volume
(Units) by Segment, Historic, 2000-2008 100
Figure 54: Orthopedic
Accessories, Netherlands, Volume (Units) by Segment, Forecast, 2008-2015
101
Figure 55: Orthopedic Accessories, Netherlands, Company Share
(%), 2008 104
Figure 56: Orthopedic Braces and Supports, Netherlands,
Revenue ($ mn) by Segment, Historic, 2000-2008 105
Figure 57:
Orthopedic Braces and Supports, Netherlands, Revenue ($ mn) by Segment,
Forecast, 2008-2015 106
Figure 58: Orthopedic Braces and Supports,
Netherlands, Volume (Units) by Segment, Historic, 2000-2008 107
Figure 59:
Orthopedic Braces and Supports, Netherlands, Volume (Units) by Segment,
Forecast, 2008-2015 108
Figure 60: Orthopedic Braces and Supports,
Netherlands, Company Share (%), 2008 111
Figure 61: Spinal Surgery,
Netherlands, Revenue ($ mn) by Segment, Historic, 2000-2008 112
Figure 62:
Spinal Surgery, Netherlands, Revenue ($ mn) by Segment, Forecast,
2008-2015 113
Figure 63: Spinal Fusion, Netherlands, Revenue ($ mn)
by Sub-Segment, Historic, 2000-2008 114
Figure 64: Spinal Fusion,
Netherlands, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 115
Figure
65: Spinal Non-Fusion, Netherlands, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 116
Figure 66: Spinal Non-Fusion, Netherlands,
Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 117
Figure 67:
Spinal Surgery, Netherlands, Volume (Units) by Segment, Historic, 2000-2008
118
Figure 68: Spinal Surgery, Netherlands, Volume (Units) by
Segment, Forecast, 2008-2015 119
Figure 69: Spinal Fusion,
Netherlands, Volume (Units) by Sub-Segment, Historic, 2000-2008 120
Figure
70: Spinal Fusion, Netherlands, Volume (Units) by Sub-Segment, Forecast,
2008-2015 121
Figure 71: Spinal Non-Fusion, Netherlands, Volume
(Units) by Sub-Segment, Historic, 2000-2008 122
Figure 72: Spinal
Non-Fusion, Netherlands, Volume (Units) by Sub-Segment, Forecast, 2008-2015
123
Figure 73: Spinal Surgery, Netherlands, Company Share (%), 2008
126
Figure 74: Trauma Fixation, Netherlands, Revenue ($ mn) by
Segment, Historic, 2000-2008 127
Figure 75: Trauma Fixation,
Netherlands, Revenue ($ mn) by Segment, Forecast, 2008-2015 128
Figure 76:
Internal Fixators, Netherlands, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 129
Figure 77: Internal Fixators, Netherlands, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 130
Figure 78: Trauma
Fixation, Netherlands, Volume (Units) by Segment, Historic, 2000-2008 131
Figure 79: Trauma Fixation, Netherlands, Volume (Units) by Segment,
Forecast, 2008-2015 132
Figure 80: Internal Fixators, Netherlands,
Volume (Units) by Sub-Segment, Historic, 2000-2008 133
Figure 81:
Internal Fixators, Netherlands, Volume (Units) by Sub-Segment, Forecast,
2008-2015 134
Figure 82: Trauma Fixation, Netherlands, Company Share
(%), 2008 137
Figure 83: Zimmer Holdings, Inc. Value Chain Analysis
142
Figure 84: Stryker Corporation Value Chain Analysis 146
Figure 85: Medtronic, Inc. Value Chain Analysis 150
Figure 86:
Biomet, Inc. Value Chain Analysis 161
Figure 87: Synthes, Inc. Value
Chain Analysis 166
Figure 88: Smith & Nephew Plc Value Chain Analysis
169
Figure 89: Arthrocare Corporation Value Chain Analysis 174
Figure 90: Olympus Medical Systems Corp. Value Chain Analysis 178
Figure 91: DJO Incorporated, Value Chain Analysis 182
Figure 92:
Orthofix International N.V., Value Chain Analysis 185
Figure 93:
CONMED Corporation, Value Chain Analysis 189
Figure 94: Global
Markets Direct Methodology 195
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