Study #: 2398

Published: 09/2008

Pages: 226

Full Study Price: US$ 4,500

Per Page Price: US$ 30.00

Cardiac Implants to 2012 - Market Research, Market Share, Market Size, Sales, Demand Forecast, Market Leaders, Company Profiles, Industry Trends

US demand for cardiac implants will grow 8.8 percent annually through 2012, rebounding from a slowdown caused by product recalls and safety controversies. Pacing devices will remain the top-selling group, with gains led by CRT devices. Stents and accessories will be the fastest growing segment, driven by improved designs with reduced risk of complications.

This study analyzes the $10.7 billion US cardiac implant industry. It presents historical demand data for the years 1997, 2002 and 2007, and forecasts for 2012 and 2017 by implant type (e.g., ICDs, CRT devices, ICPs, pacing leads, coronary stents, peripheral stents, synthetic grafts, heart valves, ventricular-assist devices, implantable heart monitors); cardiovascular condition and implant procedure.

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 20 industry players, including Medtronic, Boston Scientific and St. Jude Medical.

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TABLE OF CONTENTS


SECTION                                                                        PAGE


                INTRODUCTION                                                   viii

          I.    EXECUTIVE SUMMARY                                                 1

         II.    MARKET ENVIRONMENT                                                4
                General                                                           4
                Macroeconomic Trends                                              5
                Demographic Patterns                                             10
                Health Insurance Trends                                          11
                Medical Conditions                                               15
                    Acute Conditions                                             15
                    Chronic Conditions                                           17
                National Health Expenditures                                     19
                Medical Providers                                                23
                    Acute Care Hospitals                                         24
                    Outpatient Clinics                                           25
                    Skilled Nursing Homes                                        26
                    Physicians                                                   26
                    Home Health Care Organizations                               27
                Patient Activity                                                 28
                    Acute Care Hospital Admissions                               30
                    Surgical Procedures                                          30
                    Outpatient Episodes                                          30
                    Home Health Care Visits                                      32
                Medical Product Markets                                          32
                
        III.    CARDIAC IMPLANT OVERVIEW                                         35
                General                                                          35
                Cardiovascular Conditions                                        36
                    Coronary Heart Disease                                       39
                    Heart Rhythm Disorders                                       40
                    Peripheral Arterial Disease (PAD)                            41
                    Valvular Heart Disease                                       42
                    Stroke                                                       42
                    Congestive Heart Failure (CHF)                               43
                    Congenital Heart Defects                                     43
                Cardiac Implant Procedures                                       44
                Cardiac Implant Market Trends                                    47
                Regulatory Factors                                               49
                Demand Patterns                                                  52
                    Product Groups                                               52
                    Indications                                                  55
                US Trade                                                         57
                International Markets                                            59
                
         IV.    PACING DEVICES                                                   63
                General                                                          63
                Demand Patterns & Projections                                    64
                Producers & Market Share                                         67
                Implantable Cardioverter Defibrillators (ICDs)                   69
                    Technology                                                   70
                      Components & Design                                        71
                      Functions                                                  72
                      Clinical Data                                              73
                    Producers & Products                                         73
                      Medtronic                                                  74
                      Boston Scientific                                          75
                      St. Jude Medical                                           76
                Cardiac Resynchronization Therapy (CRT) Devices                  77
                    Technology                                                   78
                    Producers & Products                                         80
                Implantable Cardiac Pacemakers (ICPs)                            82
                    Technology                                                   83
                    Producers & Products                                         86
                      Medtronic                                                  86
                      St. Jude Medical                                           87
                      Boston Scientific                                          88
                Pacing Leads                                                     89
                    Technology                                                   90
                    Producers & Products                                         91
                      Pacemaker Leads                                            91
                      ICD Leads                                                  93
                      CRT Leads                                                  95
                Pacing Device Batteries                                          97

          V.    CARDIAC STENTS & RELATED IMPLANTS                                99
                General                                                          99
                Demand Patterns & Projections                                   100
                Producers & Market Share                                        103
                Coronary Stents                                                 105
                    Drug-Eluting Stents                                         107
                    Bare-Metal Stents                                           110
                Peripheral Stents                                               112
                    Endovascular Stent-Grafts                                   115
                      Medtronic                                                 117
                      ANCURE                                                    118
                      Other Endovascular Stent-Grafts                           118
                    Renal & Related Stents                                      120
                    Femoral & Related Stents                                    122
                    Carotid Stents                                              124
                Stent-Related Implants                                          127
                    Synthetic Grafts                                            128
                      Vascular Grafts                                           128
                      Peripheral Grafts                                         129
                    Vena Cava Filters                                           132
                    
         VI.    STRUCTURAL CARDIAC IMPLANTS                                     136
                General                                                         136
                Demand Patterns & Projections                                   137
                Producers & Market Share                                        138
                Heart Valves & Accessories                                      140
                    Product Overview                                            141
                    Tissue Heart Valves                                         143
                      Types of Tissue Heart Valves                              143
                      Producers & Products                                      145
                    Mechanical Heart Valves                                     146
                      Design                                                    146
                      Producers & Products                                      147
                    Heart Valve Repair Products                                 149
                Ventricular-Assist Devices                                      151
                      Technology                                                152
                      Producers & Products                                      153
                Implantable Heart Monitors                                      154
                    Insertable Loop Recorders (ILRs)                            155
                    Implantable Hemodynamic Monitors                            158
                    
        VII.    INDUSTRY STRUCTURE                                              160
                General                                                         160
                Market Share                                                    163
                Competitive Strategies                                          164
                Mergers & Acquisitions                                          168
                Licensing & Related Agreements                                  171
                Research & Development                                          173
                Marketing & Distribution                                        175
                Manufacturing Activities                                        176
                Company Profiles                                                178
                    Abbott Laboratories                                         179
                    Abiomed Incorporated                                        181
                    Angiotech Pharmaceuticals Incorporated                      183
                    Arbor Surgical Technologies Incorporated                    185
                    Bard (CR) Incorporated                                      186
                    Biophan Technologies Incorporated                           188
                    Boston Scientific Corporation                               189
                    Braun (B.) Melsungen AG                                     195
                    CarboMedics Incorporated, see Sorin SpA                        
                    Conor Medsystems LLC, see Johnson & Johnson                    
                    Cook Group Incorporated                                     196
                    Cordis Corporation, see Johnson & Johnson                      
                    Core Valve Incorporated                                     198
                    Edwards Lifesciences Corporation                            199
                    Endologix Incorporated                                      201
                    Gore (WL) & Associates Incorporated                         202
                    Johnson & Johnson                                           203
                    Medtronic Incorporated                                      206
                    Myotech LLC, see Biophan Technologies Incorporated             
                    Sorin SpA                                                   214
                    St. Jude Medical Incorporated                               219
                    Terumo Corporation                                          222
                    Thoratec Corporation                                        224
                    Ventracor Limited                                           225

                                 LIST OF TABLES
                                        
TABLE NUMBER                                                                   PAGE

                
                SECTION I -- EXECUTIVE SUMMARY
                Summary Table                                                     3

                SECTION II -- MARKET ENVIRONMENT
           1    Macroeconomic Indicators                                          9
           2    Population by Age Group                                          11
           3    Health Insurance Coverage of the US Population                   14
           4    Acute Conditions by Type                                         17
           5    Chronic Conditions by Type                                       19
           6    National Health Expenditures by Type & Source                    22
           7    Medical Providers by Type                                        24
           8    Patient Activity by Type                                         29
           9    Medical Product Demand                                           34

                SECTION III -- CARDIAC IMPLANT OVERVIEW
           1    Cardiac Implant Market Indicators                                36
           2    Cardiovascular Conditions by Type                                38
           3    Cardiac Implant Procedures by Type                               46
           4    Cardiac Implant Market, 1997-2007                                48
           5    Cardiac Implant Demand by Product Group                          54
           6    Cardiac Implant Demand by Indication                             56
           7    US Trade in Cardiac Implants                                     59
           8    World Cardiac Implant Demand by Region                           62

                SECTION IV -- PACING DEVICES
           1    Pacing Device Demand by Product Group                            64
           2    Implantable Cardioverter Defibrillator (ICD) Demand by Type      70
           3    Cardiac Resynchronization Therapy (CRT) Device Demand            78
           4    Implantable Cardiac Pacemaker Demand by Type                     83
           5    Pacing Lead Demand by Type                                       90

                SECTION V -- STENTS & RELATED IMPLANTS
           1    Cardiac Stent & Related Implant Demand by Product Group         100
           2    Coronary Stent Demand by Type                                   106
           3    Coronary Drug-Eluting Stent Demand                              110
           4    Coronary Bare-Metal Stent Demand                                112
           5    Peripheral Stent Demand by Product Group                        115
           6    Endovascular Stent-Graft Demand                                 116
           7    Renal & Related Stent Demand                                    122
           8    Femoral & Related Stent Demand                                  124
           9    Carotid Stent Demand                                            127
          10    Stent-Related Implant Demand by Product Group                   128

                SECTION VI -- STRUCTURAL CARDIAC IMPLANTS
           1    Structural Cardiac Implant Demand by Product Group              136
           2    Heart Valve Implant Demand by Product Group                     141
           3    Ventricular Assist Device Demand                                152
           4    Implantable Heart Monitor Demand                                155


                SECTION VII -- INDUSTRY STRUCTURE
           1    Cardiac Implant Sales by Company, 2007                          162
           2    Selected Acquisitions & Divestitures                            170
           3    Selected Cooperative Agreements                                 172
                
                                 LIST OF CHARTS
                                        
CHART NUMBER                                                                   PAGE


                SECTION III -- CARDIAC IMPLANT OVERVIEW
           1    Cardiovascular Conditions by Type, 2007               		 39
           2    Cardiac Implant Procedures by Type, 2007                         46
           3    Cardiac Implant Demand by Product Group, 2007                    54
           4    Cardiac Implant Demand by Indication, 2007                       57
                                                                                   
                SECTION IV -- PACING DEVICES
           1    Pacing Device Demand by Product Group, 2007                      66
           2    Pacing Devices Market Share by Company, 2007                     68

                SECTION V -- STENTS & RELATED IMPLANTS
           1    Stent & Stent-Related Implant Demand by Product Group, 
                    2007                                                        102
           2    Stents & Stent-Related Implant Market Share by Company, 
                    2007                                                        104

                SECTION VI -- STRUCTURAL CARDIAC IMPLANTS
           1    Structural Cardiac Implant Demand by Product Group, 2007  	138
           2    Structural Cardiac Implant Market Share by Company, 2007        139

                SECTION VII -- INDUSTRY STRUCTURE
           1    US Cardiac Implants, Market Share by Company, 2007              164

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