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Study #: 2455

Published: 03/2009

Pages: 373

Full Study Price: US$ 4,800

Per Page Price: US$ 35.00 (text) | 60.00 (table)

In Vitro Diagnostics to 2013 - Market Research, Market Share, Market Size, Sales, Demand Forecast, Market Leaders, Company Profiles, Industry Trends

US demand for in vitro diagnostic (IVD) products is forecast to increase 5.4 percent annually through 2013. Clinical chemistry and immunoassay will remain the top two IVD methodologies. Nucleic acid testing products will generate the fastest demand gains while endocrine condition testing remains the largest application.

This study analyzes the $17.6 billion US IVD industry. It presents historical demand data for the years 1998, 2003 and 2008, and forecasts for 2013 and 2018 by product type (e.g., reagents and consumables, instruments and systems, clinical chemistry, immunoassay, blood testing, nucleic acid testing, microbiology, cellular analysis), application (e.g., endocrine conditions, infectious diseases, cancer, drug testing) and market.

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 22 industry players, including Johnson & Johnson, Roche Holding and Siemens Healthcare Diagnostics.

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TABLE OF CONTENTS


SECTION                                                                          PAGE

                 INTRODUCTION                                                    xiii
                 
          I.     EXECUTIVE SUMMARY                                                  1
                 
         II.     MARKET ENVIRONMENT                                                 4
                 General                                                            4
                 Macroeconomic Environment                                          5
                 Population & Demographic Trends                                   10
                 Health Care Trends                                                13
                     Acute Conditions                                              14
                     Chronic Conditions                                            16
                     Cancer & AIDS                                                 18
                     Health Insurance Trends                                       21
                     National Health Expenditures                                  25
                     Medical Providers                                             28
                       Acute Care Hospitals                                        28
                       Physicians                                                  29
                       Outpatient Facilities                                       30
                     Patient Activity                                              32
                       Hospital Activity                                           33
                       Surgical Procedures                                         33
                       Outpatient & Home Health Care Activity                      34
                 IVD Product Overview                                              37
                     Regulation                                                    37
                     Technology                                                    40
                     Diagnostic Testing Volume                                     42
                     Clinical Laboratory Testing Services                          43
                     Pricing Trends                                                45
                     Product Demand Patterns, 1998-2008                            46
                     US Trade                                                      48
                     International Markets                                         50

        III.     IVD PRODUCTS                                                      54
                 General                                                           54
                 Product Segments                                                  56
                     Reagents & Consumables                                        59
                     Instruments & Systems                                         61
                 Clinical Chemistry Products                                       62
                     Professional Products                                         65
                       Reagents & Test Kits                                        66
                          Blood Glucose                                            67
                          Lipids                                                   67
                          Electrolytes & Blood Gases                               69
                          Proteins                                                 70
                          Enzymes                                                  70
                          Toxicology Reagents                                      71
                          Other Clinical Chemistry Reagents                        71
                       Standards & Controls                                        72
                       Instruments & Systems                                       74
                       Applications                                                85
                       Producers                                                   85
                     Self-Testing Products                                         86
                       Blood Glucose Monitoring Products                           87
                          Test Strips & Discs                                      88
                          Monitors                                                 90
                       Other Self-Testing Products                                 93
                 Immunoassay Products                                              94
                     Technology Overview                                           96
                       Competitive Immunoassays                                    97
                       Noncompetitive Immunoassays                                 97
                       Heterogeneous & Homogeneous Immunoassays                    98
                       Labeling Techniques                                         98
                       Manual Immunoassays                                        100
                     Reagents & Test Kits                                         101
                       Enzyme Immunoassays                                        101
                       Chemiluminescent Immunoassays                              102
                       Fluorescent Immunoassays                                   102
                       Radioimmunoassays                                          103
                     Instruments & Systems                                        103
                     Applications                                                 104
                       Drug Testing                                               106
                          Therapeutic Drugs                                       106
                          Illicit Drugs                                           107
                       Infectious Disease Testing                                 108
                       Endocrine Condition Testing                                108
                       Cancer Testing                                             109
                       Heart Disease Testing                                      110
                       Other Applications                                         110
                     Producers                                                    111
                 Blood Testing Products                                           115
                     Hematology Products                                          116
                       Reagents & Consumables                                     117
                       Instruments & Systems                                      118
                       Applications                                               119
                       Producers                                                  120
                     Blood Banking Products                                       121
                       Reagents & Consumables                                     122
                       Instruments & Systems                                      123
                       Applications                                               124
                       Producers                                                  125
                     Hemostasis Products                                          127
                       Reagents & Consumables                                     128
                       Instruments & Systems                                      129
                       Applications                                               130
                       Producers                                                  133
                 Nucleic Acid Testing Products                                    135
                     Technology Overview                                          137
                       Polymerase Chain Reaction (PCR)                            138
                       Microarrays                                                139
                       DNA Sequencing                                             139
                       In Situ Hybridization (ISH)                                140
                       Restriction Fragment Length Polymorphisms (RFLPs)          140
                     Amplified DNA Probes                                         140
                     Direct DNA Probes                                            143
                     Instruments & Systems                                        145
                       PCR Systems                                                145
                       Microarray Systems                                         147
                     Microarray Products                                          149
                       Types of Microarrays                                       150
                       IVD Applications                                           151
                          Disease Management                                      153
                          Forensic Medicine                                       154
                          Illicit Drug Testing                                    154
                     Consumables                                                  155
                     Applications                                                 157
                     Producers                                                    159
                 Microbiology Products                                            159
                     Culture Media                                                160
                     Reagents & Consumables                                       161
                     Instruments & Systems                                        162
                     Applications                                                 163
                     Producers                                                    164
                 Cellular Analysis Products                                       165
                     Flow Cytometry Products                                      167
                       Reagents & Consumables                                     168
                       Instruments & Systems                                      168
                       Applications                                               170
                       Producers                                                  170
                     Other Cellular Analysis Products                             172
                       Reagents & Consumables                                     173
                       Instruments                                                174
                       Applications                                               176
                       Producers                                                  177
                 Other IVD Products                                               177
                     Anatomical Pathology Products                                178
                       Histology Products                                         179
                       Immunohistochemistry Products                              181
                     Effusion & Visual Inspection Products                        183
                       Visual Inspection Tests                                    184
                       Effusion Tests                                             185
                       Applications                                               186
                       Producers                                                  187
                     Cytology Products                                            190
                       Reagents, Supplies & Instruments                           191
                       Applications                                               193
                       
         IV.     IVD APPLICATIONS                                                 195
                 General                                                          195
                 Endocrine Conditions                                             197
                     Diabetes Monitoring Products                                 199
                       Blood Glucose Test Strips                                  199
                       Blood Glucose Monitors                                     201
                       Other Diabetes Monitoring Products                         202
                          Hemoglobin A1c                                          203
                          Microalbumin                                            204
                          Ketones                                                 206
                          All Other Diabetes IVD Products                         207
                     Pregnancy, Ovulation & Fertility Tests                       208
                     Other IVD Products for Endocrine Conditions                  209
                 Infectious Diseases                                              210
                     Sexually Transmitted Diseases                                211
                       IVD Demand by Methodology                                  211
                       IVD Demand by Condition                                    212
                          AIDS/HIV                                                213
                          Chlamydia                                               216
                          Herpes                                                  218
                          Gonorrhea                                               218
                          Other Sexually Transmitted Diseases                     219
                     Other Infectious Diseases                                    220
                       IVD Demand by Methodology                                  220
                       IVD Demand by Condition                                    221
                          Hepatitis                                               222
                          All Other Infectious Diseases                           224
                 Cancer                                                           226
                     IVD Demand by Methodology                                    227
                     IVD Demand by Condition                                      228
                       Cervical Cancer                                            229
                       Breast Cancer                                              231
                       Prostate Cancer                                            233
                       Colorectal Cancer                                          234
                       Other Cancers                                              236
                 Drug Testing                                                     236
                     Therapeutic Drug Monitoring (TDM)                            238
                     Illicit Drug Testing                                         240
                 Heart Disease                                                    242
                     Lipid Profiling                                              245
                     Cardiac Markers                                              246
                     Blood Proteins                                               247
                 Blood Grouping & Screening                                       248
                     Blood Typing & Matching                                      249
                     Blood & Bleeding Disorders                                   250
                 Forensic Medicine & Related Testing                              251
                     Forensic Testing                                             252
                     Genetic Testing                                              253
                     Identity Testing                                             254
                 General Health Screening & Other IVD Applications                255
                     General Health Screening                                     256
                     Disease Detection & Other                                    258
                     
          V.     IVD MARKETS                                                      261
                 General                                                          261
                 Hospitals                                                        264
                 Independent Clinical Laboratories                                266
                 Home Health Care                                                 269
                 Outpatient Facilities                                            270
                 Other Markets                                                    272
                 
         VI.     INDUSTRY STRUCTURE                                               274
                 General                                                          274
                 Market Share                                                     277
                     Johnson & Johnson                                            278
                     Roche Holding                                                279
                     Siemens Healthcare Diagnostics                               281
                     Abbott Laboratories                                          281
                     Beckman Coulter                                              282
                     Becton Dickinson                                             283
                 Competitive Strategies                                           284
                 Mergers & Acquisitions                                           285
                 Cooperative Agreements                                           290
                 Research & Development                                           294
                 Marketing & Distribution                                         296
                 Manufacturing                                                    298
                 Company Profiles                                                 300
                     454 Life Sciences, see Roche
                     Abbott Laboratories                                          301
                     Applied Biosystems Incorporated, see Life Technologies          
                     Bayer AG                                                     306
                     BD GeneOhm, see Becton Dickinson                                
                     Beckman Coulter Incorporated                                 308
                     Becton, Dickinson and Company                                313
                     Bio-Rad Laboratories Incorporated                            317
                     bioMerieux SA                                                319
                     Biosite Incorporated, see Inverness Medical Innovations         
                     BioVeris Corporation, see Roche
                     Celera Corporation                                           322
                     Cholestech Corporation, see Inverness Medical Innovations       
                     Cytopeia Incorporated, see Becton Dickinson                     
                     Cytyc Corporation, see Hologic
                     Dade Behring Incorporated, see Siemens
                     Danaher Corporation                                          324
                     Digene Corporation, see QIAGEN
                     First Check Diagnostics, see Inverness Medical Innovations 
                     Gen-Probe Incorporated                                       325
                     Hologic Incorporated                                         327
                     Inverness Medical Innovations Incorporated                   329
                     Invitrogen Corporation, see Life Technologies                   
                     Johnson & Johnson                                            335
                     Life Technologies Corporation                                339
                     LifeScan Incorporated, see Johnson & Johnson                    
                     Lumigen Incorporated, see Beckman Coulter
                     Meridian Bioscience Incorporated                             341
                     NimbleGen Systems Incorporated, see Roche                       
                     Olympus Corporation                                          343
                     Oncogene Science Incorporated, see Siemens
                     Ortho-Clinical Diagnostics, see Johnson & Johnson               
                     QIAGEN NV                                                    345
                     Quidel Corporation                                           347
                     Redwood Toxicology Laboratory Incorporated, 
                       see Inverness Medical Innovations
                     Roche Holding Limited                                        348
                     Siemens AG                                                   355
                     Swiss Precision Diagnostics, see Inverness Medical 
                       Innovations                                                   
                     Sysmex Corporation                                           360
                     Thermo Fisher Scientific Incorporated                        363
                     Third Wave Technologies Incorporated, see Hologic               
                     Trinity Biotech plc                                          365
                     TriPath, see Becton Dickinson
                     Ventana Medical Systems Incorporated, see Roche
                     Veridex LLC, see Johnson & Johnson                              
                 Other Companies Mentioned in the Study                           368

                                    LIST OF TABLES
                                          
TABLE NUMBER                                                                     PAGE
                 

                 SECTION I -- EXECUTIVE SUMMARY
                 Summary Table                                                      3

                 SECTION II --  MARKET ENVIRONMENT
           1     Macroeconomic Indicators                                          10
           2     Population & Demographics                                         13
           3     Acute Conditions by Type                                          16
           4     Chronic Conditions by Type                                        18
           5     Cancer & AIDS Indicators                                          21
           6     Health Insurance Coverage of the US Population, 1998-2008 24
           7     National Health Expenditures by Type & Source                     27
           8     Acute Care Hospitals                                              29
           9     Physicians & Physicians' Offices                                  30
          10     Outpatient Facilities                                             32
          11     Acute Care Hospital Activity                                      33
          12     Surgical Procedures                                               34
          13     Outpatient & Home Health Care Activity                            36
          14     Diagnostic Testing Volume                                         43
          15     Clinical Laboratory Testing Sites & Revenues                      45
          16     IVD Product Demand, 1998-2008                                     48
          17     US Trade in IVD Products                                          50
          18     World IVD Product Demand by Region                                53

                 SECTION III -- IVD PRODUCTS
           1     IVD Demand by Product Group                                       56
           2     IVD Product Demand by Methodology                                 58
           3     IVD Reagent & Consumable Demand by Methodology                    61
           4     IVD Instrument & System Demand by Methodology                     62
           5     Clinical Chemistry Product Demand by Segment                      65
           6     Professional Clinical Chemistry Product Demand by Type            66
           7     Common Clinical Chemistry Tests                                   76
           8     Professional Clinical Chemistry Product Demand
                      by Application                                               85
           9     Self-Testing Clinical Chemistry Product Demand by Type            87
          10     Self-Testing Clinical Chemistry Product Demand 
                     by Application                                                94
          11     Immunoassay Product Demand by Type                                96
          12     Immunoassay Product Demand by Application                        106
          13     Blood Testing Product Demand by Methodology                      116
          14     Hematology Product Demand by Type                                117
          15     Hematology Product Demand by Application                         120
          16     Blood Banking Product Demand by Type                             122
          17     Blood Banking Product Demand by Application                      125
          18     Hemostasis Product Demand by Type                                128
          19     Hemostasis Product Demand by Application                         132
          20     Nucleic Acid Testing Product Demand by Type                      136
          21     Nucleic Acid Testing Product Demand by Application               158
          22     Microbiology Product Demand by Type                              160
          23     Microbiology Product Demand by Application                       164
          24     Cellular Analysis Product Demand by Methodology                  166
          25     Flow Cytometry Product Demand by Type                            167
          26     Flow Cytometry Product Demand by Application                     170
          27     Other Cellular Analysis Product Demand by Type                   173
          28     Other Cellular Analysis Product Demand by Application            176
          29     Other IVD Product Demand by Methodology                          178
          30     Anatomical Pathology Product Demand by Type                      179
          31     Anatomical Pathology Product Demand by Application               183
          32     Effusion & Visual Inspection Product Demand by Type              184
          33     Effusion & Visual Inspection Product Demand by Application       187
          34     Cytology Product Demand by Type                                  190
          35     Cytology Product Demand by Application                           194

                 SECTION IV -- IVD APPLICATIONS
           1     IVD Product Demand by Application                                196
           2     Endocrine Testing -- IVD Product Demand by Methodology 
                     & Condition                                                  198
           3     Infectious Disease Testing -- IVD Product Demand 
                     by Condition                                                 210
           4     Sexually Transmitted Disease (STD) Testing -- 
                     IVD Product Demand by Methodology                            212
           5     Sexually Transmitted Disease (STD) Testing -- 
                     IVD Product Demand by Condition                              213
           6     Other Infectious Disease Testing -- IVD Demand 
                     by Methodology                                               221
           7     Cancer Testing -- IVD Product Demand by Methodology              228
           8     Cancer Testing -- IVD Product Demand by Condition                229
           9     Drug Testing -- IVD Product Demand by Methodology 
                     & Type                                                       238
          10     Heart Disease Testing -- IVD Product Demand 
                     by Methodology                                               245
          11     Blood Grouping & Screening -- IVD Product Demand 
                     by Methodology                                               249
          12     Forensic & Related Testing -- IVD Product Demand 
                     by Methodology                                               252
          13     General Health Screening & Other Applications -- 
                     IVD Product Demand by Methodology & Procedure                256

                 SECTION V -- IVD MARKETS
           1     IVD Product Demand by Market                                     263
           2     Hospital Laboratory IVD Product Demand                           266
           3     Independent Clinical Laboratory IVD Product Demand               268
           4     Home IVD Product Demand                                          270
           5     Outpatient IVD Product Demand                                    272
           6     Other Markets: IVD Product Demand                                273

                 SECTION VI -- INDUSTRY STRUCTURE
           1     US IVD Product Sales by Company, 2008                            276
           2     Selected Acquisitions & Divestitures                             287
           3     Selected Cooperative Agreements                                  292

                                    LIST OF CHARTS
                                          
CHART NUMBER                                                                     PAGE


                 SECTION III -- IVD PRODUCTS
           1     IVD Product Demand by Methodology, 2008                           58
                       
                 SECTION IV -- IVD APPLICATIONS
           1     IVD Product Demand by Application, 2008                          197

                 SECTION V -- IVD MARKETS
           1     IVD Product Demand by Market, 2008                               263
                     
SECTION VI -- INDUSTRY STRUCTURE
           1     US IVD Product Sales, Market Share by Company, 2008              277
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