Overview
Introduction
Scope
Report Highlights
Reasons to Purchase
Drivers and trends
Analysis of surgeon opinion over total disc replacement, and nucleus disc replacement, which are being touted as the future of spinal surgery by
many, with the potential to become a billion dollar segment of the market.
- How steps do companies need to take to maximize surgeon uptake?
- Is there any way to ease the road to US market approval?
- How large will this market really be?
MARKET OVERVIEW
Provides the background of the spinal surgery market, and the place for total disc replacement and nucleus disc replacement within this market. Key
marketed products and products in development are evaluated, along with a competitive overview.
Analysis of products in various stages of development
Which companies have the portfolios with the highest patient potential?
Which smaller companies with products in the development represent possible acquisition targets for companies that have not entered the market yet?
OPINION LEADER ANALYSIS
Provides analysis and key quotes from nine interviews of opinion leading spinal surgeons and contacts with knowledge of the FDA.
- Surgeon opinion of the "ideal candidate"
- Expected penetration of spinal surgery market
- Can FDA approval be more efficient?
- What product changes will lead to increased use?
- Surgeons discuss potential marketing strategies
OPINION LEADER INTERVIEWS
Provides transcripts of eight surgeon interviews, with insight on surgeon opinion of total disc and nucleus disc replacement, pricing and marketing
strategies, and potential product improvements.
- What are the most difficult aspects of the total disc replacement procedure?
- Should companies actually limit the penetration of the product within the next few years?
- What is the early opinion of nucleus disc replacement?
ACTION POINTS
Four key action points for orthopaedic companies
- Action point 1 – Supplement prospective studies with as much retrospective data as possible
- Action point 2 – In markets where a premium pricing strategy is not possible, do not sacrifice the high profit margins gained from other
spinal implants
- Action point 3 – Do not risk poor results through overly aggressive marketing in the next few years
- Action point 4 – Consider a PDP for gaining FDA approval of artificial discs in the US market
APPENDIX
List of contributing experts
DATASETS
- Table 1: Surgeon opinion: predicted impact of total disc replacement on common related spinal surgeries, 2005
- Table 2: Surgeon opinion: predicted impact of total disc replacement on common related spinal surgeries, 2013
- Table 3: Selected total disc and nucleus disc replacement products, 2003
- Table 4: Surgeon opinion: predicted impact of total disc replacement on common related spinal surgeries, 2005
- Table 5: Surgeon opinion: predicted impact of total disc replacement on common related spinal surgeries, 2013
- Table 6: Artificial disc potential impact on common spinal surgeries, Dr Federico Girardi, 2003
- Table 7: Artificial disc potential impact on common spinal surgeries, Prof. Dr Dieter Grob, 2003
- Table 8: Artificial disc potential impact on common spinal surgeries, Dr Robert Gunzburg, 2003
- Table 9: Artificial disc potential impact on common spinal surgeries, Dr Marcus Jager, 2003
- Table 10: Artificial disc potential impact on common spinal surgeries, French spinal surgeon, 2003
- Table 11: Artificial disc potential impact on common spinal surgeries, Prof. Jean-Paul Steib, 2003
- Table 12: Artificial disc potential impact on common spinal surgeries, European spinal surgeon, 2003
- Table 13: Artificial disc potential impact on common spinal surgeries, Prof. Douglas Wardlaw, 2003
- Figure 1: Total disc replacement procedures based on surgeon opinion, US and Europe, 2005e–2013
- Figure 2: Leading spinal implant manufacturer potential total disc replacement vs. 2002 spinal implant sales
- Figure 3: Predicted impact of total disc replacement on common related spinal surgeries, 2005
- Figure 4: Predicted impact of total disc replacement on common related spinal surgeries, 2013
- Figure 5: Total disc replacement procedures based on surgeon opinion, US and Europe, 2005e–2013
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