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 15
2.1 What is This Report About?
15
3 Definitions of Markets Covered in the Report 16
3.1 Orthopedic
Devices 16
3.2 Orthobiologics 16
3.2.1 Bone Allografts 16
3.2.2
Bone Graft Substitutes 16
3.2.3 Bone Growth and Spinal Stimulation 16
3.2.4 Viscosupplementation 16
3.2.5 DBM 16
3.3 Joint Reconstruction
17
3.3.1 Ankle Replacement 17
3.3.2 Digits Replacement 17
3.3.3
Elbow Replacement 17
3.3.4 Hip Replacement 17
3.3.5 Knee Replacement
18
3.3.6 Shoulder Replacement 18
3.3.7 Wrist Replacement 19
3.4
Spinal Surgery 19
3.4.1 Spinal Fusion 19
3.4.2 Spinal Non-Fusion
19
3.5 Trauma Fixation 20
3.5.1 Internal Fixators 20
3.5.2
External Fixators 20
3.6 Arthroscopy 21
3.6.1 Arthroscope 21
3.7
Orthopedic Accessories 21
3.7.1 Bone Cement 21
3.7.2 Cast Application
and Removal Systems 21
3.8 Orthopedic Braces and Supports 21
3.8.1
Ankle Braces and Supports 21
3.8.2 Knee Braces and Supports 21
3.8.3
Wrist and other Braces and Supports 21
4 Healthcare Sector Review 22
4.1 Healthcare Expenditure 22
4.2 Healthcare Infrastructure 24
4.3
Healthcare Policy 28
5 Regulation System 29
5.1 Medical Equipment
Approval Process 29
5.1.1 Market Authorization Holder (MAH) 29
5.1.2
Classification and Pre-Market Approval of Medical Devices 30
5.1.3 Third
Party Certification for Controlled Medical Devices 31
5.1.4 PMDA Approval
for Highly Controlled Medical Devices 32
5.1.5 Registration Time 33
5.1.6 Registration Fee 33
5.1.7 Post Marketing Surveillance 34
5.1.8
Labeling and Packaging 34
6 Pricing and Reimbursement 35
6.1 Market
Pricing 35
6.2 Reimbursement Policies 35
6.3 Reimbursement Classes
36
6.3.1 Class A 36
6.3.2 Class B 37
6.3.3 Class C 37
6.3.4
Class F 37
6.4 Request for Reimbursement 37
6.5 Reduction in
Reimbursement for Medical Devices and Drugs 37
7 Distribution Structure
38
8 Orthopedic Devices In Japan 39
8.1 Orthopedic Devices Cross
Country Comparison, Revenue ($ mn), 2000-2015 39
8.2 Orthopedic Devices,
Japan, Overall Revenue ($ mn), 2000-2015 40
8.3 Orthopedic Devices, Japan,
Category Volume (Units), 2000-2015 46
8.4 Orthopedic Devices, Japan,
Company Share (2007-2008) 48
9 Arthroscopy In Japan 49
9.1 Arthroscopy
Overall Revenue (2000-2015) 49
9.2 Arthroscopy Overall Volume (2000-2015)
51
9.3 Arthroscopy Average Price (2000-2015) 53
9.4 Arthroscopy
Distribution Share (2007-2008) 53
9.5 Arthroscopy, Japan, Company Share
(2007-2008) 54
10 Joint Reconstruction In Japan 55
10.1 Joint
Reconstruction Overall Revenue (2000-2015) 55
10.1.1 Hip Replacement
Revenue (2000-2015) 57
10.1.2 Knee Replacement Revenue (2000-2015) 59
10.1.3 Shoulder Replacement Revenue (2000-2015) 61
10.2 Joint
Reconstruction Overall Volume (2000-2015) 63
10.2.1 Hip Replacement Volume
(2000-2015) 65
10.2.2 Knee Replacement Volume (2000-2015) 67
10.2.3
Shoulder Replacement Volume (2000-2015) 69
10.3 Joint Reconstruction
Average Price (2000-2015) 71
10.4 Joint Reconstruction Distribution Share
(2007-2008) 73
10.5 Joint Reconstruction, Japan, Company Share (2007-2008)
74
11 Orthobiologics In Japan 75
11.1 Orthobiologics Overall Revenue
(2000-2015) 75
11.1.1 Bone Graft Substitutes Revenue (2000-2015) 77
11.2 Orthobiologics Overall Volume (2000-2015) 79
11.2.1 Bone Graft
Substitutes Volume (2000-2015) 81
11.3 Orthobiologics Average Price
(2000-2015) 83
11.4 Orthobiologics Distribution Share (2007-2008) 84
11.5 Orthobiologics, Japan, Company Share (2007-2008) 85
12 Orthopedic
Accessories In Japan 86
12.1 Orthopedic Accessories Overall Revenue
(2000-2015) 86
12.2 Orthopedic Accessories Overall Volume (2000-2015)
88
12.3 Orthopedic Accessories Average Price (2000-2015) 90
12.4
Orthopedic Accessories Distribution Share (2007-2008) 91
12.5 Orthopedic
Accessories, Japan, Company Share (2007-2008) 92
13 Orthopedic Braces and
Supports In Japan 93
13.1 Orthopedic Braces and Supports Overall Revenue
(2000-2015) 93
13.2 Orthopedic Braces and Supports Overall Volume
(2000-2015) 95
13.3 Orthopedic Braces and Supports Average Price
(2000-2015) 97
13.4 Orthopedic Braces and Supports Distribution Share
(2007-2008) 98
13.5 Orthopedic Braces and Supports, Japan, Company Share
(2007-2008) 99
14 Spinal Surgery In Japan 100
14.1 Spinal Surgery
Overall Revenue (2000-2015) 100
14.1.1 Spinal Fusion Revenue (2000-2015)
102
14.2 Spinal Surgery Overall Volume (2000-2015) 104
14.2.1 Spinal
Fusion Volume (2000-2015) 106
14.3 Spinal Surgery Average Price
(2000-2015) 108
14.4 Spinal Surgery Distribution Share (2007-2008) 109
14.5 Spinal Surgery, Japan, Company Share (2007-2008) 110
15 Trauma
Fixation In Japan 111
15.1 Trauma Fixation Overall Revenue (2000-2015)
111
15.1.1 Internal Fixators Revenue (2000-2015) 113
15.2 Trauma
Fixation Overall Volume (2000-2015) 115
15.2.1 Internal Fixators Volume
(2000-2015) 117
15.3 Trauma Fixation Average Price (2000-2015) 119
15.4 Trauma Fixation Distribution Share (2007-2008) 120
15.5 Trauma
Fixation, Japan, Company Share (2007-2008) 121
16 Overview of Key
Companies in Japan Orthopedic Devices Market 122
16.1 DePuy, Inc. 122
16.1.1 Company Overview 122
16.1.2 DePuy, Inc. Pipeline Products 122
16.2 Zimmer Holdings, Inc. 125
16.2.1 Company Overview 125
16.2.2
Value Chain Analysis 126
16.2.3 Zimmer Holdings, Inc. Pipeline Products
128
16.3 Stryker Corporation 130
16.3.1 Company Overview 130
16.3.2 Value Chain Analysis 130
16.3.3 Stryker Corporation Pipeline
Products 132
16.4 Biomet, Inc. 134
16.4.1 Company Overview 134
16.4.2 Value Chain Analysis 134
16.4.3 Biomet, Inc. Pipeline Products
136
16.5 Smith & Nephew Plc 139
16.5.1 Company Overview 139
16.5.2
Value Chain Analysis 139
16.5.3 Smith & Nephew Plc Pipeline Products
142
16.6 Synthes GmbH 144
16.6.1 Company Overview 144
16.6.2 Value
Chain Analysis 144
16.6.3 Synthes, Inc. Pipeline Products 146
16.7
Medtronic, Inc. 147
16.7.1 Company Overview 147
16.7.2 Value Chain
Analysis 147
16.7.3 Medtronic, Inc. Pipeline Products 150
16.8
Arthrocare Corporation 158
16.8.1 Company Overview 158
16.8.2 Value
Chain Analysis 159
16.8.3 Arthrocare Corporation Pipeline Products 161
16.9 DJO Incorporated 163
16.9.1 Company Overview 163
16.9.2 Value
Chain Analysis 163
16.10 Japan Medical Dynamic Marketing, INC. 166
16.10.1 Company Overview 166
16.11 ALCARE Co., Ltd. 166
16.11.1
Company Overview 166
16.12 Japan Medical Materials Corporation Company
Profile 167
16.12.1 Company Overview 167
16.12.2 Japan Medical
Materials Corporation Pipeline Products 167
17 Appendix 169
17.1
Global Markets Direct Research Methodology 169
17.2 Coverage 170
17.3
Secondary Research 170
17.4 Primary Research 171
17.5 Models 171
17.6 Forecasts 172
17.7 Expert Panel Validation 172
17.8 Currency
Conversion 173
17.9 Contact Us 174
17.10 Disclaimer 174
1.1 List of Tables
Table 1: Healthcare Expenditure in Japan, 2000 -
2005 23
Table 2: Number of Healthcare Institutions in Japan, 1995 - 2004
25
Table 3: Number of Hospital Beds in Japan, 1995 - 2004 26
Table 4:
Number of Medical Personnel in Japan, 1995 - 2004 26
Table 5: Number of
Doctors by Specialty in Japan, 2003-2007 27
Table 6: Number of Medical
Care Institutions and Beds in Japan, 2000 - 2004 28
Table 7: Registration
Processing Time for Medical Devices in Japan, 2007 33
Table 8: Product
Registration Fee for Medical Devices in Japan, 2007 33
Table 9:
Orthopedic Devices Cross Country Comparison, Revenue ($ mn), 2000-2015 39
Table 10: Orthopedic Devices, Japan, Overall Revenue ($ mn), 2000-2015
40
Table 11: Orthopedic Devices, Japan, Cross-Category Analysis, 2000-2015
41
Table 12: Orthopedic Devices, Japan, Overall Revenue ($ mn),
Historic, 2000-2008 43
Table 13: Orthopedic Devices, Japan, Overall
Revenue ($ mn), Forecast, 2008-2015 45
Table 14: Orthopedic Devices,
Japan, Category Volume (Units), 2000-2015 46
Table 15: Orthopedic
Devices, Japan, Category Volume (Units), Historic, 2000-2008 46
Table 16:
Orthopedic Devices, Japan, Category Volume (Units), Forecast, 2008-2015
47
Table 17: Orthopedic Devices, Japan, Company Share by Revenue ($
mn), 2007-2008 48
Table 18: Arthroscopy, Japan, Revenue ($ mn),
Historic, 2000-2008 49
Table 19: Arthroscopy, Japan, Revenue ($ mn),
Forecast, 2008-2015 50
Table 20: Arthroscopy, Japan, Volume (Units),
Historic, 2000-2008 51
Table 21: Arthroscopy, Japan, Volume (Units),
Forecast, 2008-2015 52
Table 22: Arthroscopy, Japan, Average Price
($), Historic, 2000-2008 53
Table 23: Arthroscopy, Japan, Average
Price ($), Forecast, 2008-2015 53
Table 24: Arthroscopy, Japan,
Distribution Share by Revenue ($mn), 2007-2008 53
Table 25:
Arthroscopy, Japan, Company Share by Revenue ($ mn), 2007-2008 54
Table
26: Joint Reconstruction, Japan, Revenue ($ mn) by Segment, Historic,
2000-2008 55
Table 27: Joint Reconstruction, Japan, Revenue ($ mn) by
Segment, Forecast, 2008-2015 56
Table 28: Hip Replacement, Japan,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 57
Table 29: Hip
Replacement, Japan, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 58
Table 30: Knee Replacement, Japan, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 59
Table 31: Knee Replacement, Japan, Revenue ($
mn) by Sub-Segment, Forecast, 2008-2015 60
Table 32: Shoulder
Replacement, Japan, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 61
Table 33: Shoulder Replacement, Japan, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 62
Table 34: Joint Reconstruction, Japan, Volume
(Units) by Segment, Historic, 2000-2008 63
Table 35: Joint
Reconstruction, Japan, Volume (Units) by Segment, Forecast, 2008-2015 64
Table 36: Hip Replacement, Japan, Volume (Units) by Sub-Segment,
Historic, 2000-2008 65
Table 37: Hip Replacement, Japan, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 66
Table 38: Knee
Replacement, Japan, Volume (Units) by Sub-Segment, Historic, 2000-2008 67
Table 39: Knee Replacement, Japan, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 68
Table 40: Shoulder Replacement, Japan, Volume
(Units) by Sub-Segment, Historic, 2000-2008 69
Table 41: Shoulder
Replacement, Japan, Volume (Units) by Sub-Segment, Forecast, 2008-2015 70
Table 42: Joint Reconstruction, Japan, Average Price ($), Historic,
2000-2008 71
Table 43: Joint Reconstruction, Japan, Average Price
($), Forecast, 2008-2015 72
Table 44: Joint Reconstruction, Japan,
Distribution Share by Revenue ($mn), 2007-2008 73
Table 45: Joint
Reconstruction, Japan, Company Share by Revenue ($ mn), 2007-2008 74
Table
46: Orthobiologics, Japan, Revenue ($ mn) by Segment, Historic, 2000-2008
75
Table 47: Orthobiologics, Japan, Revenue ($ mn) by Segment,
Forecast, 2008-2015 76
Table 48: Bone Graft Substitutes, Japan,
Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 77
Table 49: Bone
Graft Substitutes, Japan, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015
78
Table 50: Orthobiologics, Japan, Volume (Units) by Segment,
Historic, 2000-2008 79
Table 51: Orthobiologics, Japan, Volume
(Units) by Segment, Forecast, 2008-2015 80
Table 52: Bone Graft
Substitutes, Japan, Volume (Units) by Sub-Segment, Historic, 2000-2008 81
Table 53: Bone Graft Substitutes, Japan, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 82
Table 54: Orthobiologics, Japan, Average Price
($), Historic, 2000-2008 83
Table 55: Orthobiologics, Japan, Average
Price ($), Forecast, 2008-2015 83
Table 56: Orthobiologics, Japan,
Distribution Share by Revenue ($mn), 2007-2008 84
Table 57:
Orthobiologics, Japan, Company Share by Revenue ($ mn), 2007-2008 85
Table
58: Orthopedic Accessories, Japan, Revenue ($ mn) by Segment, Historic,
2000-2008 86
Table 59: Orthopedic Accessories, Japan, Revenue ($ mn)
by Segment, Forecast, 2008-2015 87
Table 60: Orthopedic Accessories,
Japan, Volume (Units) by Segment, Historic, 2000-2008 88
Table 61:
Orthopedic Accessories, Japan, Volume (Units) by Segment, Forecast, 2008-2015
89
Table 62: Orthopedic Accessories, Japan, Average Price ($),
Historic, 2000-2008 90
Table 63: Orthopedic Accessories, Japan,
Average Price ($), Forecast, 2008-2015 90
Table 64: Orthopedic
Accessories, Japan, Distribution Share by Revenue ($mn), 2007-2008 91
Table 65: Orthopedic Accessories, Japan, Company Share by Revenue ($ mn),
2007-2008 92
Table 66: Orthopedic Braces and Supports, Japan, Revenue
($ mn) by Segment, Historic, 2000-2008 93
Table 67: Orthopedic Braces
and Supports, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 94
Table 68: Orthopedic Braces and Supports, Japan, Volume (Units) by
Segment, Historic, 2000-2008 95
Table 69: Orthopedic Braces and
Supports, Japan, Volume (Units) by Segment, Forecast, 2008-2015 96
Table
70: Orthopedic Braces and Supports, Japan, Average Price ($), Historic,
2000-2008 97
Table 71: Orthopedic Braces and Supports, Japan, Average
Price ($), Forecast, 2008-2015 97
Table 72: Orthopedic Braces and
Supports, Japan, Distribution Share by Revenue ($mn), 2007-2008 98
Table
73: Orthopedic Braces and Supports, Japan, Company Share by Revenue ($
mn), 2007-2008 99
Table 74: Spinal Surgery, Japan, Revenue ($ mn) by
Segment, Historic, 2000-2008 100
Table 75: Spinal Surgery, Japan,
Revenue ($ mn) by Segment, Forecast, 2008-2015 101
Table 76: Spinal
Fusion, Japan, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 102
Table 77: Spinal Fusion, Japan, Revenue ($ mn) by Sub-Segment, Forecast,
2008-2015 103
Table 78: Spinal Surgery, Japan, Volume (Units) by
Segment, Historic, 2000-2008 104
Table 79: Spinal Surgery, Japan,
Volume (Units) by Segment, Forecast, 2008-2015 105
Table 80: Spinal
Fusion, Japan, Volume (Units) by Sub-Segment, Historic, 2000-2008 106
Table 81: Spinal Fusion, Japan, Volume (Units) by Sub-Segment, Forecast,
2008-2015 107
Table 82: Spinal Surgery, Japan, Average Price ($),
Historic, 2000-2008 108
Table 83: Spinal Surgery, Japan, Average
Price ($), Forecast, 2008-2015 108
Table 84: Spinal Surgery, Japan,
Distribution Share by Revenue ($mn), 2007-2008 109
Table 85: Spinal
Surgery, Japan, Company Share by Revenue ($ mn), 2007-2008 110
Table 86:
Trauma Fixation, Japan, Revenue ($ mn) by Segment, Historic, 2000-2008
111
Table 87: Trauma Fixation, Japan, Revenue ($ mn) by Segment,
Forecast, 2008-2015 112
Table 88: Internal Fixators, Japan, Revenue
($ mn) by Sub-Segment, Historic, 2000-2008 113
Table 89: Internal
Fixators, Japan, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 114
Table 90: Trauma Fixation, Japan, Volume (Units) by Segment, Historic,
2000-2008 115
Table 91: Trauma Fixation, Japan, Volume (Units) by
Segment, Forecast, 2008-2015 116
Table 92: Internal Fixators, Japan,
Volume (Units) by Sub-Segment, Historic, 2000-2008 117
Table 93:
Internal Fixators, Japan, Volume (Units) by Sub-Segment, Forecast, 2008-2015
118
Table 94: Trauma Fixation, Japan, Average Price ($), Historic,
2000-2008 119
Table 95: Trauma Fixation, Japan, Average Price ($),
Forecast, 2008-2015 119
Table 96: Trauma Fixation, Japan,
Distribution Share by Revenue ($mn), 2007-2008 120
Table 97: Trauma
Fixation, Japan, Company Share by Revenue ($ mn), 2007-2008 121
Table 98:
DePuy, Inc. Pipeline Products by Equipment Type 122
Table 99:
DePuy, Inc. Pipeline Products by Development Stage 123
Table 100:
DePuy, Inc. Pipeline Products by Therapy Area 123
Table 101: DePuy,
Inc. Pipeline Products by Clinical Trials 124
Table 102: DePuy, Inc.
Pipeline Products by News Summaries 124
Table 103: Zimmer Holdings,
Inc. Pipeline Products by Equipment Type 128
Table 104: Zimmer
Holdings, Inc. Pipeline Products by Development Stage 128
Table 105:
Zimmer Holdings, Inc. Pipeline Products by Therapy Area 129
Table 106:
Zimmer Holdings, Inc. Pipeline Products by Clinical Trials 129
Table 107:
Stryker Corporation Pipeline Products by Equipment Type 132
Table
108: Stryker Corporation Pipeline Products by Development Stage 132
Table 109: Stryker Corporation Pipeline Products by Therapy Area 133
Table 110: Stryker Corporation Pipeline Products by Clinical Trials
133
Table 111: Biomet, Inc. Pipeline Products by Equipment Type
136
Table 112: Biomet, Inc. Pipeline Products by Development Stage
137
Table 113: Biomet, Inc. Pipeline Products by Therapy Area 137
Table 114: Biomet, Inc. Pipeline Products by Clinical Trials 138
Table 115: Smith & Nephew Plc Pipeline Products by Equipment Type 142
Table 116: Smith & Nephew Plc Pipeline Products by Development Stage
142
Table 117: Smith & Nephew Plc Pipeline Products by Therapy Area
143
Table 118: Synthes, Inc. Pipeline Products by Equipment Type
146
Table 119: Synthes, Inc. PipeAline Products by Development Stage
146
Table 120: Synthes, Inc. Pipeline Products by Therapy Area
146
Table 121: Synthes, Inc. Pipeline Products by Clinical Trials
146
Table 122: Medtronic, Inc. Pipeline Products by Equipment Type
150
Table 123: Medtronic, Inc. Pipeline Products by Development Stage
152
Table 124: Medtronic, Inc. Pipeline Products by Therapy Area
154
Table 125: Medtronic, Inc. Pipeline Products by Clinical Trials
156
Table 126: Medtronic, Inc. Pipeline Products by News Summaries
157
Table 127: Arthrocare Corporation Pipeline Products by Equipment
Type 161
Table 128: Arthrocare Corporation Pipeline Products by
Development Stage 161
Table 129: Arthrocare Corporation Pipeline
Products by Therapy Area 162
Table 130: Arthrocare Corporation
Pipeline Products by News Summary 162
Table 131: Japan Medical
Materials Corporation Pipeline Products by Equipment Type 167
Table 132:
Japan Medical Materials Corporation Pipeline Products by Development Stage
167
Table 133: Japan Medical Materials Corporation Pipeline Products
by Therapy Area 168
Table 134: Japan Medical Materials Corporation
Pipeline Products by Clinical Trials 168
Table 135: USD to Local
Currency, Average Exchange Rate 2008 173
1.2 List of
Figures
Figure 1: Healthcare Expenditure in Japan, 2000 - 2005 23
Figure 2: Government and Private Healthcare Expenditure in Japan, 2005 24
Figure 3: Medical Device Classification in Japan, 2007 30
Figure 4:
Approval Process for Controlled Medical Devices in Japan, 2007 31
Figure
5: Approval Process for Highly Controlled Medical Devices in Japan, 2007
32
Figure 6: Health Insurance Reimbursement Process in Japan, 2007 36
Figure 7: Distribution Structure for Medical Equipment in Japan, 2007 38
Figure 8: Orthopedic Devices Cross Country Comparison, Revenue ($ mn),
2000-2015 39
Figure 9: Orthopedic Devices, Japan, Overall Revenue ($
mn), 2000-2015 40
Figure 10: Orthopedic Devices, Japan, Cross-Category
Analysis, 2000-2015 41
Figure 11: Orthopedic Devices, Japan, Overall
Revenue ($ mn), Historic, 2000-2008 42
Figure 12: Orthopedic Devices,
Japan, Overall Revenue ($ mn), Forecast, 2008-2015 44
Figure 13:
Orthopedic Devices, Japan, Company Share (%), 2008 48
Figure 14:
Arthroscopy, Japan, Revenue ($ mn), Historic, 2000-2008 49
Figure 15:
Arthroscopy, Japan, Revenue ($ mn), Forecast, 2008-2015 50
Figure 16:
Arthroscopy, Japan, Volume (Units), Historic, 2000-2008 51
Figure 17:
Arthroscopy, Japan, Volume (Units), Forecast, 2008-2015 52
Figure 18:
Arthroscopy, Japan, Company Share (%), 2008 54
Figure 19: Hip
Replacement, Japan, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 57
Figure 20: Hip Replacement, Japan, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 58
Figure 21: Knee Replacement, Japan, Revenue ($
mn) by Sub-Segment, Historic, 2000-2008 59
Figure 22: Knee
Replacement, Japan, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 60
Figure 23: Shoulder Replacement, Japan, Revenue ($ mn) by Sub-Segment,
Historic, 2000-2008 61
Figure 24: Shoulder Replacement, Japan,
Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 62
Figure 25: Hip
Replacement, Japan, Volume (Units) by Sub-Segment, Historic, 2000-2008 65
Figure 26: Hip Replacement, Japan, Volume (Units) by Sub-Segment,
Forecast, 2008-2015 66
Figure 27: Knee Replacement, Japan, Volume
(Units) by Sub-Segment, Historic, 2000-2008 67
Figure 28: Knee
Replacement, Japan, Volume (Units) by Sub-Segment, Forecast, 2008-2015 68
Figure 29: Shoulder Replacement, Japan, Volume (Units) by Sub-Segment,
Historic, 2000-2008 69
Figure 30: Shoulder Replacement, Japan, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 70
Figure 31: Joint
Reconstruction, Japan, Company Share (%), 2008 74
Figure 32:
Orthobiologics, Japan, Revenue ($ mn) by Segment, Historic, 2000-2008 75
Figure 33: Orthobiologics, Japan, Revenue ($ mn) by Segment, Forecast,
2008-2015 76
Figure 34: Bone Graft Substitutes, Japan, Revenue ($ mn)
by Sub-Segment, Historic, 2000-2008 77
Figure 35: Bone Graft
Substitutes, Japan, Revenue ($ mn) by Sub-Segment, Forecast, 2008-2015 78
Figure 36: Orthobiologics, Japan, Volume (Units) by Segment, Historic,
2000-2008 79
Figure 37: Orthobiologics, Japan, Volume (Units) by
Segment, Forecast, 2008-2015 80
Figure 38: Bone Graft Substitutes,
Japan, Volume (Units) by Sub-Segment, Historic, 2000-2008 81
Figure 39:
Bone Graft Substitutes, Japan, Volume (Units) by Sub-Segment, Forecast,
2008-2015 82
Figure 40: Orthobiologics, Japan, Company Share (%),
2008 85
Figure 41: Orthopedic Accessories, Japan, Revenue ($ mn) by
Segment, Historic, 2000-2008 86
Figure 42: Orthopedic Accessories,
Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 87
Figure 43:
Orthopedic Accessories, Japan, Volume (Units) by Segment, Historic, 2000-2008
88
Figure 44: Orthopedic Accessories, Japan, Volume (Units) by
Segment, Forecast, 2008-2015 89
Figure 45: Orthopedic Accessories,
Japan, Company Share (%), 2008 92
Figure 46: Orthopedic Braces and
Supports, Japan, Revenue ($ mn) by Segment, Historic, 2000-2008 93
Figure
47: Orthopedic Braces and Supports, Japan, Revenue ($ mn) by Segment,
Forecast, 2008-2015 94
Figure 48: Orthopedic Braces and Supports,
Japan, Volume (Units) by Segment, Historic, 2000-2008 95
Figure 49:
Orthopedic Braces and Supports, Japan, Volume (Units) by Segment, Forecast,
2008-2015 96
Figure 50: Orthopedic Braces and Supports, Japan,
Company Share (%), 2008 99
Figure 51: Spinal Surgery, Japan, Revenue
($ mn) by Segment, Historic, 2000-2008 100
Figure 52: Spinal Surgery,
Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 101
Figure 53:
Spinal Fusion, Japan, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008
102
Figure 54: Spinal Fusion, Japan, Revenue ($ mn) by Sub-Segment,
Forecast, 2008-2015 103
Figure 55: Spinal Surgery, Japan, Volume
(Units) by Segment, Historic, 2000-2008 104
Figure 56: Spinal
Surgery, Japan, Volume (Units) by Segment, Forecast, 2008-2015 105
Figure
57: Spinal Fusion, Japan, Volume (Units) by Sub-Segment, Historic,
2000-2008 106
Figure 58: Spinal Fusion, Japan, Volume (Units) by
Sub-Segment, Forecast, 2008-2015 107
Figure 59: Spinal Surgery,
Japan, Company Share (%), 2008 110
Figure 60: Trauma Fixation, Japan,
Revenue ($ mn) by Segment, Historic, 2000-2008 111
Figure 61: Trauma
Fixation, Japan, Revenue ($ mn) by Segment, Forecast, 2008-2015 112
Figure
62: Internal Fixators, Japan, Revenue ($ mn) by Sub-Segment, Historic,
2000-2008 113
Figure 63: Internal Fixators, Japan, Revenue ($ mn) by
Sub-Segment, Forecast, 2008-2015 114
Figure 64: Trauma Fixation,
Japan, Volume (Units) by Segment, Historic, 2000-2008 115
Figure 65:
Trauma Fixation, Japan, Volume (Units) by Segment, Forecast, 2008-2015 116
Figure 66: Internal Fixators, Japan, Volume (Units) by Sub-Segment,
Historic, 2000-2008 117
Figure 67: Internal Fixators, Japan, Volume
(Units) by Sub-Segment, Forecast, 2008-2015 118
Figure 68: Trauma
Fixation, Japan, Company Share (%), 2008 121
Figure 69: Zimmer
Holdings, Inc. Value Chain Analysis 126
Figure 70: Stryker
Corporation Value Chain Analysis 130
Figure 71: Biomet, Inc. Value
Chain Analysis 134
Figure 72: Smith & Nephew Plc Value Chain Analysis
139
Figure 73: Synthes, Inc. Value Chain Analysis 144
Figure 74:
Medtronic, Inc. Value Chain Analysis 147
Figure 75: Arthrocare
Corporation Value Chain Analysis 159
Figure 76: DJO Incorporated,
Value Chain Analysis 163
Figure 77: Global Markets Direct Methodology
169
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