Implantable Medical Devices

Demand for implantable medical devices will benefit from advances that should raise overall confidence in these products, as well as a lack of alternative treatments for chronic disorders.

US demand to grow 7.7% annually through 2015

US demand for implantable medical devices is forecast to increase 7.7 percent annually to $52 billion in 2015, benefiting from technological advances and the development of next generation devices that should increase patient and provider confidence in implant products. Demand will also benefit from the lack of alternative treatments for many chronic disorders and injuries. Over the long term, sales for medical implants will be challenged as insurance providers tighten control over implantation costs. However, the ability of medical implants to reduce overall treatment cost for many conditions, including osteoarthritis and chronic heart failure, will promote growth for these products.

Orthopedic implants to remain largest segment

largest implantable device segment in market value. US demand for orthopedic implants is forecast to rise 8.8 percent annually through 2015, spurred by technological improvements and safety enhancements. Gains will also reflect the growing prevalence of degenerative musculoskeletal disorders and lifestyle changes that place people at risk for sports and exercise injuries. At the same time, as products become more durable and long-lived, demand will increasingly come from an enlarged patient base for new surgeries rather than for replacements. Also challenging this segment over the long term will be advances in pharmaceutical alternatives to treat arthritic conditions. However, the segment will benefit from a strong base of insurance approvals for orthopedic implants, as well as a stable and wellfunded medical delivery system and product designs that allow for less invasive surgeries.

Pacing devices to realize greatest sales gains in cardiovascular segment

Cardiovascular implants have strong potential to reduce the overall treatment cost for heart disease, and at the same time contribute significantly to improved quality of life. Demand for these devices is expected to grow 5.1 percent per year through 2015. Pacing devices will realize the greatest sales gains, largely due to growth in cardiac resynchronization therapy (CRT).

A focus on developing new generations of pacing devices that reduce mortality and improve patient outcomes has resulted in greater pricing flexibility in an increasingly cost-conscious health care environment. Demand for cardiovascular stents and related devices will be similar to that of demand for pacing devices. The fastest growth will be in structural implants, as technological advances in heart valves, ventricular- assist devices and implantable monitors will encourage greater use.

Study Scope

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.

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  1. Implantable Medical Devices

    $5,100.00

    1. 1 INTRODUCTION

      $85.00

    2. 2 EXECUTIVE SUMMARY

      $103.00

      1. Table | IMPLANTABLE MEDICAL DEVICE DEMAND (million dollars)

    3. 3 MARKET ENVIRONMENT

      $1,539.00

      1. 3.1 General

        $82.00

      2. 3.2 Macroeconomic Outlook

        $135.00

        1. Table | MACROECONOMIC INDICATORS (billion 2005 dollars)*

      3. 3.3 Demographic Patterns

        $99.00

        1. Table | POPULATION BY AGE GROUP (million persons)

      4. 3.4 Health Care Trends

        $635.00

        1. 3.4.1 Health Insurance

          $93.00

          1. Table | HEALTH INSURANCE COVERAGE OF THE US POPULATION (million enrollees)

        2. 3.4.2 Medical Conditions

          $243.00

          1. Table | ACUTE CONDITIONS BY TYPE (million conditions)

          2. Table | CHRONIC CONDITIONS BY TYPE (million conditions)

          3. Table | CARDIOVASCULAR CONDITIONS BY TYPE (million conditions)

          4. Table | ORTHOPEDIC CONDITIONS BY TYPE (million conditions)

        3. 3.4.3 National Health Expenditures

          $82.00

          1. Table | NATIONAL HEALTH EXPENDITURES BY TYPE (billion dollars)

        4. 3.4.4 Medical Providers

          $101.00

          1. Table | MEDICAL PROVIDERS BY TYPE

        5. 3.4.5 Patient Activity

          $110.00

          1. Table | PATIENT ACTIVITY BY TYPE & VOLUME

      5. 3.5 Implant Procedures

        $188.00

        1. Table | MEDICAL IMPLANT PROCEDURES BY TYPE (thousand)

        2. 3.5.1 Orthopedic Procedures

          $82.00

        3. 3.5.2 Cardiovascular Procedures

          $82.00

        4. 3.5.3 Other Implant Procedures

          $82.00

      6. 3.6 Regulatory Considerations

        $105.00

      7. 3.7 Historical Market Trends

        $82.00

        1. Table | IMPLANTABLE MEDICAL DEVICES -- HISTORICAL MARKET, 2000-2010

      8. 3.8 Pricing Trends

        $82.00

      9. 3.9 US Trade

        $82.00

        1. Table | US TRADE IN IMPLANTABLE MEDICAL DEVICES (million dollars)

      10. 3.10 International Markets

        $82.00

      11. 3.11 Product Overview

        $108.00

        1. Table | IMPLANTABLE MEDICAL DEVICE DEMAND BY PRODUCT GROUP (million dollars)

    4. 4 ORTHOPEDIC IMPLANTS

      $2,012.00

      1. 4.1 General

        $119.00

        1. Table | ORTHOPEDIC IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

      2. 4.2 Reconstructive Joint Replacements

        $832.00

        1. Table | RECONSTRUCTIVE JOINT REPLACEMENTS DEMAND BY TYPE (million dollars)

        2. 4.2.1 Knee Replacements

          $211.00

          1. Table | RECONSTRUCTIVE KNEE REPLACEMENTS DEMAND BY TYPE (million dollars)

        3. 4.2.2 Hip Replacement Implants

          $252.00

          1. Table | RECONSTRUCTIVE HIP REPLACEMENTS DEMAND BY TYPE (million dollars)

        4. 4.2.3 Other Reconstructive Joint Replacements

          $267.00

          1. Table | OTHER RECONSTRUCTIVE JOINT REPLACEMENTS DEMAND BY PRODUCT GROUP (million dollars)

      3. 4.3 Spinal Implants

        $422.00

        1. Table | SPINAL IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 4.3.1 Thoracolumbar Implants

          $82.00

          1. Table | THORACOLUMBULAR IMPLANTS DEMAND BY APPLICATION (million dollars)

        3. 4.3.2 Intervertebral Spacers

          $112.00

          1. Table | INTERVERTEBRAL SPACERS DEMAND BY TYPE (million dollars)

        4. 4.3.3 Motion Preservation Devices

          $82.00

          1. Table | MOTION PRESERVATION DEVICE DEMAND (million dollars)

        5. 4.3.4 Cervical Implants

          $82.00

          1. Table | CERVICAL IMPLANTS DEMAND BY APPLICATION (million dollars)

        6. 4.3.5 Implantable Spinal Stimulators

          $82.00

          1. Table | IMPLANTABLE SPINAL STIMULATORS DEMAND (million dollars)

      4. 4.4 Orthobiologics

        $317.00

        1. Table | ORTHOBIOLOGICS DEMAND BY PRODUCT GROUP (million dollars)

        2. 4.4.1 Hyaluronic Acid

          $82.00

          1. Table | HYALURONIC ACID DEMAND (million dollars)

        3. 4.4.2 Bone Substitutes

          $82.00

          1. Table | BONE SUBSTITUTES DEMAND (million dollars)

        4. 4.4.3 Bone Growth Factors

          $82.00

          1. Table | BONE GROWTH FACTORS DEMAND (million dollars)

        5. 4.4.4 Bone Cement

          $82.00

          1. Table | BONE CEMENT DEMAND (million dollars)

        6. 4.4.5 Tissue Implants

          $82.00

          1. Table | TISSUE IMPLANTS DEMAND (million dollars)

      5. 4.5 Trauma Implants

        $216.00

        1. Table | TRAUMA IMPLANT DEVICE DEMAND BY PRODUCT GROUP (million dollars)

        2. 4.5.1 Internal Fixation Devices

          $82.00

          1. Table | INTERNAL FIXATION DEVICE DEMAND BY APPLICATION (million dollars)

        3. 4.5.2 Craniomaxillofacial Implants

          $82.00

          1. Table | CRANIOMAXILLOFACIAL IMPLANTS DEMAND (million dollars)

        4. 4.5.3 Implantable Trauma Stimulators

          $82.00

          1. Table | IMPLANTABLE TRAUMA STIMULATORS DEMAND (million dollars)

      6. 4.6 Dental & Other Implants

        $105.00

        1. Table | DENTAL & OTHER IMPLANTS DEMAND (million dollars)

    5. 5 CARDIOVASCULAR IMPLANTS

      $2,260.00

      1. 5.1 General

        $113.00

        1. Table | CARDIOVASCULAR IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

      2. 5.2 Pacing Devices

        $642.00

        1. Table | PACING DEVICES BY PRODUCT GROUP (million dollars)

        2. 5.2.1 Cardiac Resynchronization Therapy Devices (CRTs)

          $114.00

          1. Table | CARDIAC RESYNCHRONIZATION THERAPY DEVICES (CRT) DEMAND

        3. 5.2.2 Implantable Cardioverter Defibrillators (ICDs)

          $126.00

          1. Table | IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (ICD) DEMAND BY TYPE (million dollars)

        4. 5.2.3 Implantable Cardiac Pacemakers (ICPs)

          $196.00

          1. Table | IMPLANTABLE CARDIAC PACEMAKERS (ICP) DEMAND BY TYPE

        5. 5.2.4 Pacing Accessories

          $151.00

          1. Table | PACING ACCESSORIES DEMAND BY PRODUCT GROUP (million dollars)

      3. 5.3 Cardiac Stents & Related Implants

        $887.00

        1. Table | CARDIAC STENTS & RELATED IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 5.3.1 Coronary Stents

          $232.00

          1. Table | CORONARY STENTS DEMAND BY TYPE (million dollars)

          2. Table | DRUG-ELUTING STENT DEMAND

          3. Table | BARE-METAL CORONARY STENTS DEMAND

        3. 5.3.2 Peripheral Stents

          $348.00

          1. Table | PERIPHERAL STENTS DEMAND BY PRODUCT GROUP (million dollars)

          2. Table | ENDOVASCULAR STENT GRAFTS DEMAND

          3. Table | RENAL & RELATED STENTS DEMAND

          4. Table | FEMORAL & RELATED STENTS DEMAND

          5. Table | CAROTID STENTS DEMAND

        4. 5.3.3 Stent-Related Implants

          $241.00

          1. Table | STENT-RELATED IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

          2. Table | SYNTHETIC GRAFTS DEMAND

          3. Table | VENA CAVA FILTERS DEMAND

      4. 5.4 Structural Cardiac Implants

        $617.00

        1. Table | STRUCTURAL CARDIAC IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 5.4.1 Heart Valves & Accessories

          $363.00

          1. Table | HEART VALVES & RELATED ACCESSORIES DEMAND BY TYPE (million dollars)

        3. 5.4.2 Ventricular-Assist Devices

          $82.00

          1. Table | VENTRICULAR-ASSIST DEVICES (VAD) DEMAND (million dollars)

        4. 5.4.3 Implantable Heart Monitors

          $130.00

          1. Table | IMPLANTABLE HEART MONITORS DEMAND (million dollars)

    6. 6 OTHER MEDICAL IMPLANTS

      $1,807.00

      1. 6.1 General

        $82.00

        1. Table | OTHER IMPLANTABLE MEDICAL DEVICE DEMAND BY PRODUCT GROUP (million dollars)

      2. 6.2 Neurological Stimulators

        $236.00

        1. Table | IMPLANTABLE NEUROLOGICAL STIMULATORS DEMAND (million dollars)

      3. 6.3 Ophthalmic Implants

        $174.00

        1. Table | OPHTHALMIC IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 6.3.1 Intraocular Lenses

          $82.00

        3. 6.3.2 Glaucoma & Other Lenses

          $86.00

      4. 6.4 Gynecological Devices

        $225.00

        1. Table | GYNECOLOGICAL IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 6.4.1 Soft Tissue Repair

          $83.00

        3. 6.4.2 Intrauterine Devices

          $106.00

      5. 6.5 Drug Implants

        $224.00

        1. Table | DRUG IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 6.5.1 Hormonal Implants

          $82.00

        3. 6.5.2 Brachytherapy Products

          $100.00

        4. 6.5.3 Implantable Drug Pumps

          $82.00

      6. 6.6 Otolaryngeal Implants

        $257.00

        1. Table | OTOLARYNGEAL IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 6.6.1 Cochlear Implants

          $107.00

        3. 6.6.2 Airway & Esophageal Stents

          $82.00

        4. 6.6.3 Other Otolaryngeal Implants

          $82.00

      7. 6.7 Cosmetic Implants

        $275.00

        1. Table | COSMETIC IMPLANTS DEMAND BY TYPE (million dollars)

        2. 6.7.1 Breast Implants

          $156.00

        3. 6.7.2 Other Cosmetic Implants

          $91.00

      8. 6.8 Gastroenterological Implants

        $184.00

        1. Table | GASTROENTEROLOGICAL IMPLANTS DEMAND BY PRODUCT GROUP (million dollars)

        2. 6.8.1 Gastric Bands

          $82.00

        3. 6.8.2 Biliary Stents

          $82.00

        4. 6.8.3 Other Gastroenterological Implants

          $82.00

      9. 6.9 Urological Implants

        $113.00

        1. Table | UROLOGICAL IMPLANTS DEMAND BY TYPE (million dollars)

        2. 6.9.1 Penile & Testicular Implants

          $82.00

        3. 6.9.2 Other Urological Devices

          $82.00

      10. 6.10 All Other Implantable Medical Devices

        $82.00

        1. Table | ALL OTHER IMPLANTABLE MEDICAL DEVICES (million dollars)

    7. 7 INDUSTRY STRUCTURE

      $5,132.00

      1. 7.1 General

        $82.00

        1. Table | US IMPLANTABLE MEDICAL DEVICES SALES BY COMPANY, 2010 (million dollars)

      2. 7.2 Market Share

        $82.00

      3. 7.3 Competitive Strategies

        $252.00

      4. 7.4 Mergers & Acquisitions

        $91.00

        1. Table | SELECTED ACQUISITIONS & DIVESTITURES

      5. 7.5 Licensing & Related Agreements

        $142.00

        1. Table | SELECTED COOPERATIVE AGREEMENTS

      6. 7.6 Research & Development

        $82.00

      7. 7.7 Marketing & Distribution

        $82.00

      8. 7.8 Manufacturing

        $82.00

      9. 7.9 Company Profiles

        $5,132.00

        1. 7.9.1 Abbott Laboratories

          $211.00

        2. 7.9.2 Allergan Incorporated

          $175.00

        3. 7.9.3 Bard (CR) Incorporated

          $245.00

        4. 7.9.4 Bausch & Lomb Incorporated

          $87.00

        5. 7.9.5 Biomet Incorporated

          $402.00

        6. 7.9.6 Boston Scientific Corporation

          $322.00

        7. 7.9.7 Edwards Lifesciences Corporation

          $113.00

        8. 7.9.8 Endo Pharmaceuticals Holdings Incorporated

          $168.00

        9. 7.9.9 General Electric Company

          $82.00

        10. 7.9.10 Gore (WL) & Associates Incorporated

          $144.00

        11. 7.9.11 Johnson & Johnson

          $494.00

        12. 7.9.12 Medtronic Incorporated

          $611.00

        13. 7.9.13 Merck & Company Incorporated

          $82.00

        14. 7.9.14 Novartis AG

          $82.00

        15. 7.9.15 Orthofix International NV

          $174.00

        16. 7.9.16 Smith & Nephew plc

          $223.00

        17. 7.9.17 Sorin SpA

          $149.00

        18. 7.9.18 St. Jude Medical Incorporated

          $283.00

        19. 7.9.19 Stryker Corporation

          $508.00

        20. 7.9.20 Synthes Incorporated

          $313.00

        21. 7.9.21 Thoratec Corporation

          $82.00

        22. 7.9.22 Tornier NV

          $185.00

        23. 7.9.23 Wright Medical Group Incorporated

          $316.00

        24. 7.9.24 Zimmer Holdings Incorporated

          $350.00

      10. 7.10 Other Companies Mentioned in Study

        $82.00

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