US demand for implantable medical devices is forecast to increase 7.7 percent annually to $52 billion in 2015. Orthopedic implants will remain the largest segment and be one of the fastest growing. Pacing devices will lead gains among cardiovascular implants. Other implants expected to do well include neurostimulators and drug implants.
This study analyzes the $36 billion US implantable medical device industry. It presents historical demand data for the years 2000, 2005 and 2010, and forecasts for 2015 and 2020 by implant procedure, material and type (e.g., joint, spinal, orthobiologics, trauma, dental, pacing devices, stents, valves, ophthalmic, gynecological, drug, cosmetic).
The study also considers market environment factors, details industry structure, evaluates company market share and profiles 24 industry players, including Medtronic, Johnson & Johnson and Boston Scientific.
TABLE OF CONTENTS SECTION PAGE INTRODUCTION xi I. EXECUTIVE SUMMARY 1 II. MARKET ENVIRONMENT 4 General 4 Macroeconomic Outlook 5 Demographic Patterns 9 Health Care Trends 11 Health Insurance 12 Medical Conditions 15 Acute Conditions 15 Chronic Conditions 16 Cardiovascular Conditions 18 Orthopedic Conditions 20 Other Chronic Conditions 20 National Health Expenditures 22 Medical Providers 24 Hospitals 25 Skilled Nursing Homes 26 Outpatient Facilities 26 Physicians 27 Patient Activity 27 Hospital Activity 28 Surgical Procedures 29 Outpatient Consultations 29 Implant Procedures 31 Orthopedic Procedures 33 Cardiovascular Procedures 34 Other Implant Procedures 36 Regulatory Considerations 36 Historical Market Trends 39 Pricing Trends 41 US Trade 43 International Markets 44 Product Overview 46 III. ORTHOPEDIC IMPLANTS 50 General 50 Reconstructive Joint Replacements 54 Knee Replacements 58 Types of Knee Replacements 59 Cemented & Cementless Knee Replacements 62 Producers 63 Hip Replacement Implants 64 Types of Hip Replacements 67 Producers 70 Other Reconstructive Joint Replacements 71 Shoulder Implants 72 Elbow Implants 75 Ankle Implants 76 All Other Reconstructive Joint Replacements 77 Spinal Implants 78 Thoracolumbar Implants 81 Intervertebral Spacers 83 Non-Bone Implants 84 Machined Allografts 86 Motion Preservation Devices 87 Cervical Implants 88 Implantable Spinal Stimulators 90 Orthobiologics 92 Hyaluronic Acid 94 Bone Substitutes 96 Bone Growth Factors 98 Bone Cement 100 Tissue Implants 102 Trauma Implants 104 Internal Fixation Devices 105 Craniomaxillofacial Implants 107 Implantable Trauma Stimulators 109 Dental & Other Implants 111 IV. CARDIOVASCULAR IMPLANTS 115 General 115 Pacing Devices 119 Cardiac Resynchronization Therapy Devices (CRTs) 121 Implantable Cardioverter Defibrillators (ICDs) 124 Implantable Cardiac Pacemakers (ICPs) 128 Pacing Accessories 134 Pacing Leads 135 Pacing Batteries 137 Cardiac Stents & Related Implants 138 Coronary Stents 141 Drug-Eluting Stents 143 Bare-Metal Coronary Stents 147 Peripheral Stents 148 Endovascular Stent-Grafts 151 Renal & Related Stents 153 Femoral & Related Stents 154 Carotid Stents 156 Stent-Related Implants 159 Synthetic Grafts 160 Vascular Grafts 161 Peripheral Grafts 162 Vena Cava Filters 163 Structural Cardiac Implants 166 Heart Valves & Accessories 168 Tissue Heart Valves 169 Mechanical Heart Valves 173 Heart Valve Repair Devices 176 Ventricular-Assist Devices 178 Implantable Heart Monitors 180 Insertable Loop Recorders (ILRs) 181 Implantable Hemodynamic Monitors (IHMs) 183 V. OTHER MEDICAL IMPLANTS 185 General 185 Neurological Stimulators 187 Ophthalmic Implants 194 Intraocular Lenses 195 Glaucoma & Other Lenses 197 Gynecological Devices 199 Soft Tissue Repair 200 Intrauterine Devices 202 Drug Implants 205 Hormonal Implants 206 Brachytherapy Products 207 Implantable Drug Pumps 210 Otolaryngeal Implants 211 Cochlear Implants 213 Airway & Esophageal Stents 215 Other Otolaryngeal Implants 217 Cosmetic Implants 218 Breast Implants 220 Other Cosmetic Implants 224 Gastroenterological Implants 226 Gastric Bands 227 Biliary Stents 229 Other Gastroenterological Implants 230 Urological Implants 231 Penile & Testicular Implants 232 Other Urological Devices 233 Other Implantable Medical Devices 235 VI. INDUSTRY STRUCTURE 237 General 237 Market Share 240 Competitive Strategies 241 Mergers & Acquisitions 247 Licensing & Related Agreements 251 Research & Development 257 Marketing & Distribution 259 Manufacturing 260 Company Profiles 261 Abbott Laboratories 262 Alcon, see Novartis Allergan Incorporated 267 American Medical Systems Holdings, see Endo Pharmaceuticals Holdings Bard (CR) Incorporated 271 Bausch & Lomb Incorporated 276 Biomet Incorporated 279 Boston Scientific Corporation 288 Codman & Shurtleff, see Johnson & Johnson Conor Medsystems, see Johnson & Johnson Cordis, see Johnson & Johnson Davol, see Bard DePuy, see Johnson & Johnson Edwards Lifesciences Corporation 295 Endo Pharmaceuticals Holdings Incorporated 298 Ethicon, see Johnson & Johnson General Electric Company 302 Gore (WL) & Associates Incorporated 303 Intelect Medical, see Boston Scientific Johnson & Johnson 306 Medtronic Incorporated 317 Mentor Worldwide, see Johnson & Johnson Merck & Company Incorporated 330 Novartis AG 331 Oncura, see General Electric Orthofix International NV 333 Orthovita, see Stryker Osteotech, see Medtronic Porex Surgical, see Stryker Sadra Medical, see Boston Scientific Smith & Nephew plc 337 Sorin SpA 342 St. Jude Medical Incorporated 346 Stryker Corporation 352 Synthes Incorporated 363 Thoratec Corporation 370 Tornier NV 372 Wright Medical Group Incorporated 376 Zimmer Holdings Incorporated 383 Other Companies Mentioned in Study 390 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 14 4 Acute Conditions by Type 16 5 Chronic Conditions by Type 18 6 Cardiovascular Conditions by Type 19 7 Orthopedic Conditions by Type 20 8 National Health Expenditures by Type 24 9 Medical Providers by Type 25 10 Patient Activity by Type & Volume 28 11 Medical Implant Procedures by Type 32 12 Implantable Medical Devices -- Historical Market, 2000-2010 41 13 US Trade in Implantable Medical Devices 44 14 Implantable Medical Device Demand by Product Group 49 SECTION III -- ORTHOPEDIC IMPLANTS 1 Orthopedic Implants Demand by Product Group 53 2 Reconstructive Joint Replacements Demand by Type 57 3 Reconstructive Knee Replacements Demand by Type 59 4 Reconstructive Hip Replacements Demand by Type 67 5 Other Reconstructive Joint Replacements Demand by Product Group 72 6 Spinal Implants Demand by Product Group 80 7 Thoracolumbular Implants Demand by Application 83 8 Intervertebral Spacers Demand by Type 84 9 Motion Preservation Device Demand 88 10 Cervical Implants Demand by Application 90 11 Implantable Spinal Stimulators Demand 92 12 Orthobiologics Demand by Product Group 93 13 Hyaluronic Acid Demand 96 14 Bone Substitutes Demand 98 15 Bone Growth Factors Demand 100 16 Bone Cement Demand 102 17 Tissue Implants Demand 104 18 Trauma Implant Device Demand by Product Group 105 19 Internal Fixation Device Demand by Application 107 20 Craniomaxillofacial Implants Demand 109 21 Implantable Trauma Stimulators Demand 111 22 Dental & Other Implants Demand 114 SECTION IV -- CARDIOVASCULAR IMPLANTS 1 Cardiovascular Implants Demand by Product Group 118 2 Pacing Devices by Product Group 120 3 Cardiac Resynchronization Therapy Devices (CRT) Demand 124 4 Implantable Cardioverter Defibrillators (ICD) Demand by Type 128 5 Implantable Cardiac Pacemakers (ICP) Demand by Type 133 6 Pacing Accessories Demand by Product Group 134 7 Cardiac Stents & Related Implants Demand by Product Group 140 8 Coronary Stents Demand by Type 143 9 Drug-Eluting Stent Demand 146 10 Bare-Metal Coronary Stents Demand 148 11 Peripheral Stents Demand by Product Group 150 12 Endovascular Stent Grafts Demand 152 13 Renal & Related Stents Demand 154 14 Femoral & Related Stents Demand 156 15 Carotid Stents Demand 159 16 Stent-Related Implants Demand by Product Group 160 17 Synthetic Grafts Demand 161 18 Vena Cava Filters Demand 166 19 Structural Cardiac Implants Demand by Product Group 168 20 Heart Valves & Related Accessories Demand by Type 169 21 Ventricular-Assist Devices (VAD) Demand 180 22 Implantable Heart Monitors Demand 181 SECTION V -- OTHER MEDICAL IMPLANTS 1 Other Implantable Medical Device Demand by Product Group 187 2 Implantable Neurological Stimulators Demand 194 3 Ophthalmic Implants Demand by Product Group 195 4 Gynecological Implants Demand by Product Group 200 5 Drug Implants Demand by Product Group 206 6 Otolaryngeal Implants Demand by Product Group 212 7 Cosmetic Implants Demand by Type 219 8 Gastroenterological Implants Demand by Product Group 227 9 Urological Implants Demand by Type 232 10 All Other Implantable Medical Devices 236 SECTION VI -- INDUSTRY STRUCTURE 1 US Implantable Medical Devices Sales by Company, 2010 238 2 Selected Acquisitions & Divestitures 250 3 Selected Cooperative Agreements 253 LIST OF CHARTS CHART NUMBER PAGE SECTION VII -- EXECUTIVE SUMMARY SECTION VIII -- MARKET ENVIRONMENT 1 Implantable Medical Device Demand by Product Group, 2010 49 SECTION IX -- ORTHOPEDIC IMPLANTS 1 Orthopedic Implants Demand by Product Group, 2010 54 2 Reconstructive Joint Replacements Demand by Type, 2010 58 3 Spinal Implants Demand by Product Group, 2010 81 4 Orthobiologics Demand by Product Group, 2010 94 SECTION X -- CARDIOVASCULAR IMPLANTS 1 Cardiovascular Implants Demand by Product Group, 2010 119 2 Pacing Device Demand by Product Group, 2010 121 3 Cardiac Stents & Related Implants Demand by Product Group, 2010 141 SECTION XI -- OTHER MEDICAL IMPLANTS SECTION XII -- INDUSTRY STRUCTURE 1 US Implantable Medical Devices -- Market Share by Company, 2010 241
