US demand for implantable medical devices will increase 8.3 percent annually through 2014. Gains will be driven by the development of next generation devices based on new technologies and improved materials. Spinal implants, cardiac stents and orthobiologics will be among the fastest growing product categories.

This study analyzes the $33 billion US implantable medical device industry. It presents historical demand data for the years 1999, 2004 and 2009, and forecasts for 2014 and 2019 by procedure, material (e.g., microelectronics, specialty metals, polymers, elastomers) and type (e.g., orthopedic, cardiac, neurological, ophthalmic, breast, drug, urological, cochlear, dermal).

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 36 industry competitors, including Medtronic, Johnson & Johnson and Boston Scientific.

				    TABLE OF CONTENTS

     SECTION									    PAGE

		Introduction							     xii

	I.	Executive Summary						       1

	II.	Market Environment						       4
		General								       4
		Economic Outlook						       5
		Demographic Patterns						       8
		Health Care Trends						      11
		   Health Insurance						      12
		   Chronic Conditions						      14
		      Cardiovascular Conditions					      15
		      Orthopedic Conditions					      17
		      Other Chronic Conditions					      18
		   Acute Conditions						      20
		   National Health Expenditures					      22
		   Medical Providers						      25
		      Acute Care Hospitals					      26
		      Physicians						      27
		      Outpatient Facilities					      27
		      Skilled Nursing Homes					      28
		   Patient Activity						      28
		      Hospital Activity						      29
		      Surgical Procedures					      30
		      Outpatient Consultations					      30
		   Medical Product Markets					      32
		      Pharmaceuticals & Biologicals				      33
		      Surgical Appliances & Supplies				      34
		      Surgical & Medical Instruments				      35
		      Electromedical Equipment					      35
		      Other Medical Products					      36

	III.	Product Overview						      37
		General								      37
		Implant Procedures						      40
		   Orthopedic Procedures					      42
		   Heart-Related Procedures					      43
		   Other Implant Procedures					      44
		Implant Materials & Components					      45
		   Microelectronic Components					      48
		   Specialty Metals						      49
		   Polymers							      51
		   Elastomers							      54
		   Other Materials						      55
		      Pharmaceuticals & Biologicals				      55
		      Ceramics							      56
		      Collagen							      57
		      All Other Materials					      58
		Regulatory Considerations					      59
		Historical Market						      62
		Pricing Trends							      64
		US Trade							      66
		International Markets						      67

	IV.	Orthopedic Implants						      71
		General								      71
		Market Outlook							      72
		Product Overview						      73
		Reconstructive Joint Replacements				      76
		   Knee Replacements						      79
		      Types of Knee Replacements				      81
			Fixed Bearing Implants				              81
			Rotating Platform Implants				      82
			Unicondylar Implants					      83
		      Cemented & Cementless Knee Replacements			      83
		      Producers							      84
		   Hip Replacement Implants					      85
		      Metal-on-Plastic Hip Replacements				      88
		      Metal-on-Metal Hip Replacements				      89
		      Ceramic-on-Ceramic Hip Replacements			      90
		      Producers							      91
		   Other Reconstructive Joint Replacements			      91
		      Shoulder Implants						      92
			Types of Shoulder Implants				      93
			Producers						      95
		      Elbow Implants						      95
		      Ankle Implants						      96
		      All Other Reconstructive Joint Replacements		      97
		Spinal Implants							      98
		   Thoracolumbar Implants					     101
		   Intervertebral Spacers					     104
		      Non-Bone Implants						     104
		      Machined Allografts					     107
		   Motion Preservation Devices					     108
		   Cervical Implants						     110
		   Implantable Spinal Stimulators				     112
		Orthobiologics							     114
		   Hyaluronic Acid						     116
		   Bone Substitutes						     118
		   Bone Growth Factors						     120
		   Bone Cement							     122
		   Tissue Implants						     124
		Trauma Implants							     126
		   Internal Fixation Devices					     127
		   Craniomaxillofacial Implants					     129
		   Implantable Trauma Stimulators				     131

	V.	Cardiac Implants						     134
		General								     134
		Market Outlook							     135
		Product Overview						     136
		Pacing Devices							     138
		   Implantable Cardioverter Defibrillators (ICDs)		     141
		      Technology & Applications					     143
		      Producers & Products					     145
		   Cardiac Resynchronization Therapy Devices (CRT-Ds)		     147
		      Technology & Applications					     149
		      Producers & Products					     150
		   Implantable Cardiac Pacemakers (ICPs)			     152
		      Technology & Applications					     153
		      Producers & Products					     155
		   Pacing Accessories						     157
		      Pacing Leads						     158
			Technology						     159
			Producers & Products	                                     160
		      Pacing Batteries						     161
		Cardiac Stents & Related Implants				     162
		   Coronary Stents						     165
		      Drug-Eluting Stents					     167
		      Bare-Metal Stents						     170
		   Peripheral Stents						     172
		      Endovascular Stent-Grafts					     174
		      Renal & Related Stents					     177
		      Femoral & Related Stents					     178
		      Carotid Stents						     180
		   Stent-Related Implants					     183
		      Synthetic Grafts						     184
			Vascular Grafts	                                             184
			Peripheral Grafts	                                     185
		      Vena Cava Filters						     187
		Structural Cardiac Implants					     190
		   Heart Valves & Accessories					     192
		      Tissue Heart Valves					     194
 			Types of Tissue Heart Valves	                             194
			Producers & Products	                                     195
		      Mechanical Heart Valves					     197
			Types	                                                     198
			Producers						     198
		      Heart Valve Repair Devices				     199
			Procedures & Products	                                     200
			Producers	                                             200
		   Ventricular-Assist Devices					     202
		      Technology						     203
		      Producers & Products					     204
		   Implantable Heart Monitors					     205
		      Insertable Loop Recorders (ILRs)				     206
		      Implantable Hemodynamic Monitors (IHMs)			     208

	VI.	Other Implantable Medical Devices				     209
		General								     209
		Market Outlook							     209
		Product Overview						     210
		Neurological Stimulators					     212
		   Technology							     213
		   Producers & Products						     214
		      Medtronic							     214
		      St. Jude Medical						     216
		      Cyberonics						     217
		Ophthalmic Implants						     218
		   Intraocular Lenses (IOLs)					     219
		   Glaucoma & Other Ophthalmic Implants				     221
		      Glaucoma & Related Implants				     221
		      Retinal Implants						     222
		Breast Implants							     223
		   Types of Breast Implants					     225
		   Producers							     226
		Drug Implants							     228
		   Drug Inserts							     229
		   Brachytherapy Products					     230
		   Implantable Drug Pumps					     232
		Urological Implants						     233
		   Biliary Stents						     234
		   Penile Implants						     235
		   Other Urological Implants					     237
		Cochlear Implants						     239
		Dermal Implants							     242
		All Other Implantable Medical Devices				     245
		   Gastric Bands						     246
		   Airway & Esophageal Stents					     247
		   Miscellaneous Devices					     247

	VII.	Industry Structure						     248
		General								     248
		Market Share							     250
		Competitive Strategies						     252
		   Medtronic							     252
		   Johnson & Johnson						     253
		   Boston Scientific						     253
		   Stryker							     254
		   St. Jude Medical						     255
		   Zimmer Holdings						     255
		   Synthes							     256
		   Abbott Laboratories						     256
		   Biomet							     257
		   Smith & Nephew						     257
		   Other Companies						     257
		Mergers & Acquisitions						     258
		Licensing & Related Agreements					     262
		Research & Development						     268
		Marketing & Distribution					     269
		Manufacturing							     270
		Company Profiles						     271
		   Abbott Laboratories						     272
		   Abbott Spine, see Zimmer Holdings 
		   ABIOMED Incorporated						     276
		   Advanced Medical Optics, see Abbott Laboratories
		   Aesculap Implant Systems, see Braun (B.) Melsungen 
		   Allergan Incorporated					     278
		   Altiva, see Exactech 
		   American Medical Systems Holdings Incorporated		     283
		   Angiotech Pharmaceuticals Incorporated			     287
		   Arbor Surgical Technologies Incorporated			     289
		   Bard (CR) Incorporated					     291
		   Bausch & Lomb Incorporated					     296
		   Biomet Incorporated						     299
		   Biophan Technologies Incorporated				     307
		   Blackstone Medical, see Orthofix International 
		   Boston Scientific Corporation				     309
		   Braun (B.) Melsungen AG					     316
		   Cochlear Limited						     319
		   Conor Medsystems, see Johnson & Johnson
		   Cook Group Incorporated					     321
		   Cordis, see Johnson & Johnson
		   CoreValve, see Medtronic 
		   Davol, see Bard (CR)
		   DePuy, see Johnson & Johnson
		   DJO Incorporated						     325
		   Edwards Lifesciences Corporation				     327
		   EndoArt, see Allergan 
		   Endologix Incorporated					     330
		   Ethicon Endo-Surgery, see Johnson & Johnson
		   Ethicon Incorporated, see Johnson & Johnson
		   Exactech Incorporated					     331
		   Genzyme Corporation						     336
		   Gore (WL) & Associates Incorporated				     338
		   INBONE Technologies, see Wright Medical Group 
		   Johnson & Johnson						     341
		   Kyphon, see Medtronic 
		   Medtronic Incorporated					     350
		   Mentor, see Johnson & Johnson
		   Orthofix International NV					     363
		   Orthovita Incorporated					     367
		   Osteotech Incorporated					     369
		   Pioneer Surgical Technology Incorporated			     372
		   Regeneration Technologies, see RTI Biologics 
		   RTI Biologics Incorporated					     375
		   Serica Technologies, see Allergan 
		   Smith & Nephew plc						     379
		   Sorin SpA							     384
		   St. Jude Medical Incorporated				     388
		   Stryker Corporation						     395
		   Synthes Incorporated						     403
		   Terumo Corporation						     409
		   Thoratec Corporation						     411
		   Tutogen Medical, see RTI Biologics 
		   Visiogen, see Abbott Laboratories
		   Vitatron, see Medtronic 
		   Wright Medical Group Incorporated				     412
		   Zimmer Holdings Incorporated					     419
		Other Companies Mentioned in Study				     425


				      LIST OF TABLES

    TABLE NUMBER								    PAGE


		SECTION I -- Executive Summary
		Summary Table	                                                       3

		SECTION II -- Market Environment
	1	Macroeconomic Indicators					       8
	2	Population by Age Group						      11
	3	Health Insurance Coverage of the US Population, 1999-2009	      14
	4	Chronic Conditions by Type					      15
	5	Cardiovascular Conditions by Type				      17
	6	Orthopedic Conditions by Type					      18
	7	Acute Conditions by Type					      21
	8	National Health Expenditures by Type & Source			      24
	9	Medical Providers by Type					      26
	10	Patient Activity by Type					      29
	11	Medical Product Demand by Type					      33

		SECTION III -- Product Overview
	1	Implantable Medical Devices Demand by Product Group		      39
	2	Medical Implant Procedures by Type				      41
	3	Implantable Medical Devices Materials & Components
		   Demand by Type						      47
	4	Implantable Medical Devices - Historical Market, 1999-2009	      64
	5	US Trade in Implantable Medical Devices				      67
	6	World Implantable Medical Devices Demand by Region		      70

		SECTION IV -- Orthopedic Implants
	1	Orthopedic Implants Demand by Product Group			      75
	2	Reconstructive Joint Replacements Demand by Type		      78
	3	Reconstructive Knee Replacements Demand by Type			      80
	4	Reconstructive Hip Replacements Demand by Type			      88
	5	Other Reconstructive Joint Replacements Demand
		   by Product Group						      92
	6	Spinal Implants Demand by Product Group				     100
	7	Thoracolumbar Implants Demand by Application			     103
	8	Intervertebral Spacers Demand by Type				     104
	9	Motion Preservation Devices Demand				     110
	10	Cervical Implants Demand by Application				     112
	11	Implantable Spinal Stimulators Demand				     114
	12	Orthobiologics Demand by Product Group				     115
	13	Hyaluronic Acid Demand						     118
	14	Bone Substitutes Demand						     120
	15	Bone Growth Factors Demand					     122
	16	Bone Cement Demand						     124
	17	Tissue Implants Demand						     125
	18	Trauma Implant Devices Demand by Product Group			     127
	19	Internal Fixation Devices Demand by Application			     129
	20	Craniomaxillofacial Implants Demand				     131
	21	Implantable Trauma Stimulators Demand				     133

		SECTION V -- Cardiac Implants
	1	Cardiac Implants Demand by Product Group			     137
	2	Pacing Devices Demand by Product Group				     140
	3	Implantable Cardioverter Defibrillators (ICDs)
		   Demand by Type						     143
	4	Chronic Resynchronization Therapy Devices (CRT-Ds)
		   Demand							     149
	5	Implantable Cardiac Pacemakers (ICPs) Demand by Type		     153
	6	Pacing Accessories Demand by Product Group			     158
	7	Cardiac Stents & Related Implants Demand
		   by Product Group						     164
	8	Coronary Stents Demand by Type					     167
	9	Drug-Eluting Coronary Stents Demand				     170
	10	Bare-Metal Coronary Stents Demand				     172
	11	Peripheral Stents Demand by Product Group			     174
	12	Endovascular Stent-Grafts Demand				     176
	13	Renal & Related Stents Demand					     178
	14	Femoral & Related Stents Demand					     180
	15	Carotid Stents Demand						     182
	16	Stent-Related Implants Demand by Product Group			     183
	17	Synthetic Grafts Demand						     184
	18	Vena Cava Filters Demand					     190
	19	Structural Cardiac Implants Demand by Product Group		     192
	20	Heart Valves & Related Accessories Demand by Type		     194
	21	Ventricular-Assist Devices (VADs) Demand			     202
	22	Implantable Heart Monitors Demand				     206

		SECTION VI -- Other Implantable Medical
		   Devices
	1	Other Implantable Medical Devices Demand
		   by Product Group						     211
	2	Implantable Neurological Stimulators Demand			     213
	3	Ophthalmic Implants Demand by Product Group			     219
	4	Breast Implants Demand by Type					     224
	5	Drug Implants Demand by Type					     229
	6	Urological Implants Demand by Product Group			     234
	7	Cochlear Implants Demand					     242
	8	Dermal Fillers Demand by Type					     245
	9	All Other Implantable Medical Devices Demand by Type		     246

		SECTION VII -- Industry Structure
	1	US Implantable Medical Devices Sales by Company, 2009		     249
	2	Selected Acquisitions & Divestitures				     260
	3	Selected Cooperative Agreements					     263


				      LIST OF CHARTS

    CHART NUMBER								    PAGE

		SECTION III -- Product Overview
	1	Implantable Medical Devices Demand by Product
		   Group, 2009							      40
	2	Implantable Medical Devices - Materials & Components
		   Demand, 2009							      48

		SECTION IV -- Orthopedic Implants
	1	Orthopedic Implants Demand by Product Group, 2009		      76
	2	Reconstructive Joint Replacements Demand by Type, 2009		      79
	3	Spinal Implants Demand by Product Group, 2009			     101
	4	Orthobiologics Demand by Product Group, 2009			     116

		SECTION V -- Cardiac Implants
	1	Cardiac Implants Demand by Product Group, 2009			     138
	2	Pacing Devices Demand by Product Group, 2009			     141
	3	Cardiac Stents & Related Implants Demand by Product
		   Group, 2009							     165

		SECTION VI -- Other Implantable Medical
		   Devices
	1	Other Implantable Medical Devices Demand by Product
		   Group, 2009							     212

		SECTION VII -- Industry Structure
	1	Implantable Medical Devices - Market Share
		   by Company, 2009						     252