Abstract
United States Surgical Equipment Investment Opportunities, Analysis and
Forecasts to 2012
Summary
This report is an essential source for in-depth information and data relating
to United States surgical equipment market. It also offers detailed and
comprehensive coverage of market revenue, volume, distribution and company
share information; and latest news, financial deals and pipeline products
information of each of the key sub-segments of the surgical equipment in
United States
Scope
・ The report provides surgical equipment information broken down into detailed
categories and segments in United States.
・ Total revenues, products
sold, end users, and average pricing.
・ Market shares of all the key
competitors.
・ Key pipeline products that are set to shape the market,
broken down by sector.
・ Information on the top medical equipment
companies in the sector in the country covering business description,
strategic analysis, and financial information.
・ Healthcare structure,
regulatory environment, approval process, pricing trends and
reimbursement.
・ Product and brand updates, strategy changes, R&D
projects, corporate expansions and contractions and regulatory changes.
・
Key mergers and acquisitions, partnerships, private equity investments and
IPOs.
・ Customer, hospitals and physicians data.
Reasons to buy
・ Gain a strong understanding of the surgical equipment market in United
States.
・ Evaluate and compare the attractiveness of the market in the
country.
・ Identify growth segments and opportunities in each industry
sector within the country.
・ Evaluate the pipeline of key products that
will change the sector, and identify threats and opportunities before the
products are launched in the country.
・ Analyze the competitiveness of the
market in the country and identify hotspots.
・ Develop strategies based
on the latest product, brand, expansion and research and development news in
the country.
・ Do deals with an understanding of how competitors are
financed, and the mergers and partnerships that have shaped the market in the
country.
・ Identify and analyze the strengths and weaknesses of the
industry incumbents in the country.
Table of Contents
1 Table of Contents 2
1.1 List of Tables 7
1.2 List of Figures 10
2 Introduction 12
2.1 What Is This Report About? 12
2.2 Definitions
12
3 Healthcare Sector Review 14
3.1 Healthcare Expenditure 14
3.2
Healthcare Infrastructure 19
4 Surgical Equipment in United States 26
4.1 Surgical Equipment Overall Revenues (2000-2012) 26
4.2 Surgical
Equipment Overall Volume (2000-2012) 32
4.3 Surgical Equipment Overall
Company Shares (2005-2006) 35
5 Surgical Sutures in United States 36
5.1 Surgical Sutures Overall Revenues (2000-2012) 36
5.2 Surgical Sutures
Overall Volume (2000-2012) 44
5.3 Surgical Sutures Average Price
(2000-2012) 50
5.4 Surgical Sutures Distribution Share (2005-2006) 54
5.5 Surgical Sutures Company Share (2005-2006) 55
6 Hand Instruments in
United States 56
6.1 Hand Instruments Overall Revenues (2000-2012) 56
6.2 Hand Instruments Overall Volume (2000-2012) 58
6.3 Hand Instruments
Average Price (2000-2012) 60
6.4 Hand Instruments Distribution Share
(2005-2006) 62
6.5 Hand Instruments Company Share (2005-2006) 63
7
Electrosurgical Devices in United States 64
7.1 Electrosurgical Devices
Overall Revenues (2000-2012) 64
7.2 Electrosurgical Devices Overall Volume
(2000-2012) 72
7.3 Electrosurgical Devices Average Price (2000-2012)
77
7.4 Electrosurgical Devices Distribution Share (2005-2006) 81
7.5
Electrosurgical Devices Company Share (2005-2006) 82
8 Ethicon, Inc.
Company Profile 83
8.1 Company Overview 83
8.2 Business Overview
83
8.3 Locations And Subsidiaries 85
9 Covidien Ltd./Tyco Healthcare
Company Profile 86
9.1 Company Overview 86
9.2 Business Overview
86
9.3 Value Chain Analysis 91
9.4 SWOT Analysis 93
9.5 Financial
and Operational Review 97
9.6 Locations And Subsidiaries 99
9.7
Covidien Ltd./Tyco Healthcare Pipeline Products 101
10 B. Braun Melsungen
AG Company Profile 104
10.1 Company Overview 104
10.2 Business
Overview 104
10.3 Value Chain Analysis 108
10.4 SWOT Analysis 110
10.5 Financial and Operational Review 113
10.6 Locations And Subsidiaries
115
10.7 B. Braun Melsungen AG Pipeline Products 117
11 CONMED
Corporation Company Profile 122
11.1 Company Overview 122
11.2
Business Overview 122
11.3 Value Chain Analysis 126
11.4 SWOT Analysis
128
11.5 Financial and Operational Review 131
11.6 Locations And
Subsidiaries 133
12 Bovie Medical Corporation Company Profile 136
12.1
Company Overview 136
12.2 Business Overview 136
12.3 Locations And
Subsidiaries 138
12.4 Bovie Medical Corporation Pipeline Products 138
13 Regulation System 141
13.1 Medical Equipment Approval Process 141
14 Pricing and Reimbursement 148
14.1 Government Policies 148
14.2
Private Insurance 149
14.3 Diagnosis Related Groups (DRG) 150
15
Distribution Structure 151
15.1 Distribution Structure 151
16
Financial Deals Landscape 152
16.1 Merger 152
16.2 Acquisition 154
16.3 Private Equity 166
16.4 Venture Financing 170
16.5 IPO 199
16.6 Debt Offerings 209
16.7 Partnership 223
16.8 Asset Transactions
237
17 Recent Developments 243
17.1 Strategy And Business Planning
243
17.2 Research And Development 248
17.3 Corporate Communications
248
17.4 Legal and Regulatory 254
17.5 Product News 256
17.6 Other
Significant Developments 257
17.7 Product Approvals 258
17.8 Clinical
Trials 258
18 Appendix 260
18.1 Global Markets Direct Research
Methodology 260
18.2 Coverage 261
18.3 Secondary Research 261
18.4
Primary Research 262
18.5 Models 262
18.6 Forecasts 263
18.7
Expert Panels 263
18.8 Contact Us 263
18.9 Disclaimer 263
1.1
List of Tables
Table 1: United States Healthcare Expenditure, 2003-2010
19
Table 2: United States Healthcare Expenditure by Age (per person),
2000-2003 20
Table 3: United States Healthcare Expenditure by Sex (per
person), 2000-2003 20
Table 4: United States Healthcare Expenditure by
Race (per person), 2000-2003 20
Table 5: United States Personal Healthcare
Expenditure by Type, 2000-2004 21
Table 6: United States Personal
Healthcare Expenditure by Source, 2000-2004 22
Table 7: Total Number of
Doctors in the United States, 2003-2010 25
Table 8: Number of Doctors by
Specialty in the United States, 2003-2010 26
Table 9: Doctors by Region
(Number per 10,000 Civilian Population), 2002-2004 27
Table 10: Doctors by
Region (Number per 10,000 Civilian Population), 2002-2004 (Cont.) 28
Table
11: Total Hospitals in the United States, 2000-2004 28
Table 12: Community
Hospitals by Number of Beds in the United States, 2000-2004 29
Table 13:
Number of Hospital Beds in the United States, 2000-2004 29
Table 14:
Number of Hospital Beds by Range in the United States, 2000-2004 29
Table
15: Surgical Equipment, United States, Overall Revenues ($ mn), 2000-2012
30
Table 16: Surgical Equipment, United States, Overall Revenues ($ mn),
Historic, 2000-2007 31
Table 17: Surgical Equipment, United States,
Overall Revenues ($ mn), Forecast, 2007-2012 32
Table 18: Surgical
Equipment, United States, Category Revenues ($ mn), 2000-2012 33
Table 19:
Surgical Equipment, United States, Category Revenues ($ mn), Historic,
2000-2007 34
Table 20: Surgical Equipment, United States, Category
Revenues ($ mn), Forecast, 2007-2012 35
Table 21: Surgical Equipment,
United States, Category Volume (Units), 2000-2012 36
Table 22: Surgical
Equipment, United States, Category Volume (Units), Historic, 2000-2007 37
Table 23: Surgical Equipment, United States, Category Volume (Units),
Forecast, 2007-2012 38
Table 24: Surgical Equipment In United States,
Overall, Company Share by Revenue ($ mn), 2005-2006 39
Table 25: Surgical
Sutures, United States, Overall Revenues ($ mn), Historic, 2000-2007 40
Table 26: Surgical Sutures, United States, Overall Revenues ($ mn), Forecast,
2007-2012 41
Table 27: Surgical Sutures, United States, Revenue by Segment
($ mn), Historic, 2000-2007 42
Table 28: Surgical Sutures, United States,
Revenue by Segment ($ mn), Forecast, 2007-2012 43
Table 29: Absorbable
Sutures, United States, Overall Revenues ($ mn), Historic, 2000-2007 44
Table 30: Absorbable Sutures, United States, Overall Revenues ($ mn),
Forecast, 2007-2012 45
Table 31: Non Absorbable Sutures, United States,
Overall Revenues ($ mn), Historic, 2000-2007 46
Table 32: Non Absorbable
Sutures, United States, Overall Revenues ($ mn), Forecast, 2007-2012 47
Table 33: Surgical Sutures, United States, Overall Volume (Units), Historic,
2000-2007 48
Table 34: Surgical Sutures, United States, Overall Volume
(Units), Forecast, 2007-2012 49
Table 35: Absorbable Sutures, United
States, Overall Volume (Units), Historic, 2000-2007 50
Table 36:
Absorbable Sutures, United States, Overall Volume (Units), Forecast, 2007-2012
51
Table 37: Non Absorbable Sutures, United States, Overall Volume
(Units), Historic, 2000-2007 52
Table 38: Non Absorbable Sutures, United
States, Overall Volume (Units), Forecast, 2007-2012 53
Table 39:
Absorbable Sutures, United States, Average Price ($), Historic, 2000-2007
54
Table 40: Absorbable Sutures, United States, Average Price ($),
Forecast, 2007-2012 55
Table 41: Non Absorbable Sutures, United States,
Average Price ($), Historic, 2000-2007 56
Table 42: Non Absorbable
Sutures, United States, Average Price ($), Forecast, 2007-2012 57
Table
43: Surgical Sutures, United States, Distribution Share by Revenue ($mn),
2005-2006 58
Table 44: Surgical Sutures, United States, Company Share by
Revenue ($ mn), 2005-2006 59
Table 45: Hand Instruments, United States,
Overall Revenues ($ mn), Historic, 2000-2007 60
Table 46: Hand
Instruments, United States, Overall Revenues ($ mn), Forecast, 2007-2012
61
Table 47: Hand Instruments, United States, Overall Volume (Units),
Historic, 2000-2007 62
Table 48: Hand Instruments, United States, Overall
Volume (Units), Forecast, 2007-2012 63
Table 49: Hand Instruments, United
States, Average Price ($), Historic, 2000-2007 64
Table 50: Hand
Instruments, United States, Average Price ($), Forecast, 2007-2012 65
Table 51: Hand Instruments, United States, Distribution Share by Revenue
($mn), 2005-2006 66
Table 52: Hand Instruments, United States, Company
Share by Revenue ($mn), 2005-2006 67
Table 53: Electrosurgical Devices,
United States, Overall Revenues ($ mn), Historic, 2000-2007 68
Table 54:
Electrosurgical Devices, United States, Overall Revenues ($ mn), Forecast,
2007-2012 69
Table 55: Electrosurgical Devices, United States, Revenue by
Segment ($ mn), Historic, 2000-2007 70
Table 56: Electrosurgical Devices,
United States, Revenue by Segment ($ mn), Forecast, 2007-2012 71
Table 57:
Electrosurgical Disposables and Accessories, United States, Overall Revenues
($ mn), Historic, 2000-2007 72
Table 58: Electrosurgical Disposables and
Accessories, United States, Overall Revenues ($ mn), Forecast, 2007-2012
73
Table 59: Electrosurgical Generator, United States, Overall Revenues ($
mn), Historic, 2000-2007 74
Table 60: Electrosurgical Generator, United
States, Overall Revenues ($ mn), Forecast, 2007-2012 75
Table 61:
Electrosurgical Devices, United States, Overall Volume (Units), Historic,
2000-2007 76
Table 62: Electrosurgical Devices, United States, Overall
Volume (Units), Forecast, 2007-2012 76
Table 63: Electrosurgical
Disposables and Accessories, United States, Overall Volume (Units), Historic,
2000-2007 77
Table 64: Electrosurgical Disposables and Accessories, United
States, Overall Volume (Units), Forecast, 2007-2012 78
Table 65:
Electrosurgical Generator, United States, Overall Volume (Units), Historic,
2000-2007 79
Table 66: Electrosurgical Generator, United States, Overall
Volume (Units), Forecast, 2007-2012 80
Table 67: Electrosurgical
Generator, United States, Average Price ($), Historic, 2000-2007 81
Table
68: Electrosurgical Generator, United States, Average Price ($), Forecast,
2007-2012 82
Table 69: Electrosurgical Disposables and Accessories, United
States, Average Price ($), Historic, 2000-2007 83
Table 70:
Electrosurgical Disposables and Accessories, United States, Average Price ($),
Forecast, 2007-2012 84
Table 71: Electrosurgical Devices, United States,
Distribution Share by Revenue ($mn), 2005-2006 85
Table 72:
Electrosurgical Devices, United States, Company Share by Revenue ($mn),
2005-2006 86
Table 73: Ethicon, Inc., Other Locations 89
Table
74: Ethicon, Inc., Subsidiaries 89
Table 75: Covidien Ltd./Tyco
Healthcare, SWOT Analysis, 2007 97
Table 76: Covidien Ltd./Tyco
Healthcare, Financial Statements, USD Million, 2003-2007 101
Table 77:
Covidien Ltd./Tyco Healthcare, Financial Ratios, USD Million, 2003-2007
102
Table 78: Covidien Ltd./Tyco Healthcare, Share Holding Structure
103
Table 79: Covidien Ltd./Tyco Healthcare, Other Locations 103
Table 80: Covidien Ltd./Tyco Healthcare, Subsidiaries 104
Table 81:
B. Braun Melsungen AG, SWOT Analysis, 2006 114
Table 82: B. Braun
Melsungen AG, Financial Statements, Euro Thousand, 2002-2006 117
Table 83:
B. Braun Melsungen AG, Financial Ratios, Euro Thousand, 2002-2006 118
Table 84: B. Braun Melsungen AG, Subsidiaries 120
Table 85:
CONMED Corporation, SWOT Analysis, 2006 132
Table 86: CONMED
Corporation, Financial Statements, USD Thousand, 2002-2006 135
Table 87:
CONMED Corporation, Financial Ratios, USD Thousand, 2002-2006 136
Table
88: CONMED Corporation, Share Holding Structure 137
Table 89:
CONMED Corporation, Other Locations 138
Table 90: CONMED Corporation,
Subsidiaries 139
Table 91: Bovie Medical Corporation, Other Locations
142
Table 92: Medical Equipment Registration Fee in United States, 2007
151
Table 93: Medical Device Approval Time in United States, 2004 151
1.2 List of Figures
Figure 1: United States, Healthcare Expenditure
by Source, 2003 19
Figure 2: United States, Healthcare Infrastructure, Top
Level View, 2007 24
Figure 3: Healthcare Expenses Segmentation by End
User, 2003 25
Figure 4: Surgical Equipment, United States, Overall
Revenues ($ mn), 2000-2012 30
Figure 5: Surgical Equipment, United States,
Overall Revenues ($ mn), Historic, 2000-2007 31
Figure 6: Surgical
Equipment, United States, Overall Revenues ($ mn), Forecast, 2007-2012 32
Figure 7: Surgical Equipment, United States, Category Revenues ($ mn),
2000-2012 33
Figure 8: Surgical Equipment, United States, Category
Revenues ($ mn), Historic, 2000-2007 34
Figure 9: Surgical Equipment,
United States, Category Revenues ($ mn), Forecast, 2007-2012 35
Figure 10:
Surgical Equipment, United States, Category Volume (Units), 2000-2012 36
Figure 11: Surgical Equipment, United States, Category Volume (Units),
Historic, 2000-2007 37
Figure 12: Surgical Equipment, United States,
Category Volume (Units), Forecast, 2007-2012 38
Figure 13: Surgical
Equipment In United States, Overall, Company Share (%), 2006 39
Figure 14:
Surgical Sutures, United States, Overall Revenues ($ mn), Historic, 2000-2007
40
Figure 15: Surgical Sutures, United States, Overall Revenues ($ mn),
Forecast, 2007-2012 41
Figure 16: Surgical Sutures, United States, Revenue
by Segment ($ mn), Historic, 2000-2007 42
Figure 17: Surgical Sutures,
United States, Revenue by Segment ($ mn), Forecast, 2007-2012 43
Figure
18: Absorbable Sutures, United States, Overall Revenues ($ mn), Historic,
2000-2007 44
Figure 19: Absorbable Sutures, United States, Overall
Revenues ($ mn), Forecast, 2007-2012 45
Figure 20: Non Absorbable Sutures,
United States, Overall Revenues ($ mn), Historic, 2000-2007 46
Figure 21:
Non Absorbable Sutures, United States, Overall Revenues ($ mn), Forecast,
2007-2012 47
Figure 22: Surgical Sutures, United States, Overall Volume
(Units), Historic, 2000-2007 48
Figure 23: Surgical Sutures, United
States, Overall Volume (Units), Forecast, 2007-2012 49
Figure 24:
Absorbable Sutures, United States, Overall Volume (Units), Historic, 2000-2007
50
Figure 25: Absorbable Sutures, United States, Overall Volume (Units),
Forecast, 2007-2012 51
Figure 26: Non Absorbable Sutures, United States,
Overall Volume (Units), Historic, 2000-2007 52
Figure 27: Non Absorbable
Sutures, United States, Overall Volume (Units), Forecast, 2007-2012 53
Figure 28: Absorbable Sutures, United States, Average Price ($), Historic,
2000-2007 54
Figure 29: Absorbable Sutures, United States, Average Price
($), Forecast, 2007-2012 55
Figure 30: Non Absorbable Sutures, United
States, Average Price ($), Historic, 2000-2007 56
Figure 31: Non
Absorbable Sutures, United States, Average Price ($), Forecast, 2007-2012
57
Figure 32: Surgical Sutures, United States, Distribution Share (%),
2006 58
Figure 33: Surgical Sutures, United States, Company Share (%),
2006 59
Figure 34: Hand Instruments, United States, Overall Revenues ($
mn), Historic, 2000-2007 60
Figure 35: Hand Instruments, United States,
Overall Revenues ($ mn), Forecast, 2007-2012 61
Figure 36: Hand
Instruments, United States, Overall Volume (Units), Historic, 2000-2007 62
Figure 37: Hand Instruments, United States, Overall Volume (Units), Forecast,
2007-2012 63
Figure 38: Hand Instruments, United States, Average Price
($), Historic, 2000-2007 64
Figure 39: Hand Instruments, United States,
Average Price ($), Forecast, 2007-2012 65
Figure 40: Hand Instruments,
United States, Distribution Share (%), 2006 66
Figure 41: Hand
Instruments, United States, Company Share (%), 2006 67
Figure 42:
Electrosurgical Devices, United States, Overall Revenues ($ mn), Historic,
2000-2007 68
Figure 43: Electrosurgical Devices, United States, Overall
Revenues ($ mn), Forecast, 2007-2012 69
Figure 44: Electrosurgical
Devices, United States, Revenue by Segment ($ mn), Historic, 2000-2007 70
Figure 45: Electrosurgical Devices, United States, Revenue by Segment ($ mn),
Forecast, 2007-2012 71
Figure 46: Electrosurgical Disposables and
Accessories, United States, Overall Revenues ($ mn), Historic, 2000-2007
72
Figure 47: Electrosurgical Disposables and Accessories, United States,
Overall Revenues ($ mn), Forecast, 2007-2012 73
Figure 48:
Electrosurgical Generator, United States, Overall Revenues ($ mn), Historic,
2000-2007 74
Figure 49: Electrosurgical Generator, United States, Overall
Revenues ($ mn), Forecast, 2007-2012 75
Figure 50: Electrosurgical
Disposables and Accessories, United States, Overall Volume (Units), Historic,
2000-2007 77
Figure 51: Electrosurgical Disposables and Accessories,
United States, Overall Volume (Units), Forecast, 2007-2012 78
Figure 52:
Electrosurgical Generator, United States, Overall Volume (Units), Historic,
2000-2007 79
Figure 53: Electrosurgical Generator, United States, Overall
Volume (Units), Forecast, 2007-2012 80
Figure 54: Electrosurgical
Generator, United States, Average Price ($), Historic, 2000-2007 81
Figure
55: Electrosurgical Generator, United States, Average Price ($), Forecast,
2007-2012 82
Figure 56: Electrosurgical Disposables and Accessories,
United States, Average Price ($), Historic, 2000-2007 83
Figure 57:
Electrosurgical Disposables and Accessories, United States, Average Price ($),
Forecast, 2007-2012 84
Figure 58: Electrosurgical Devices, United States,
Distribution Share (%), 2006 85
Figure 59: Electrosurgical Devices, United
States, Company Share (%), 2006 86
Figure 60: Covidien Ltd./Tyco
Healthcare, Value Chain Analysis 95
Figure 61: B. Braun Melsungen AG,
Value Chain Analysis 112
Figure 62: CONMED Corporation, Value Chain
Analysis 130
Figure 63: Medical Equipment Approval Process in the United
States, 2007 146
Figure 64: PMA Approval Process in the United States,
2007 148
Figure 65: The 510(k) Approval Process for Medical Devices in the
United States, 2007 149
Figure 66: Reimbursement Structure in the United
States, 2007 154
Figure 67: Distribution Structure of Medical Equipment in
the United States, 2006 155
Figure 68: Global Markets Direct Methodology
264
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