全球肥胖手術設備市場

Abstract

This report analyzes the US and European markets for Bariatric (Obesity) Surgical Devices in Millions of US$. The US market for Bariatric Surgical Devices is analyzed by the following segments: Gastric Bypass Devices, and Gastric Banding Devices. The European market is separately analyzed by the following segments: Adjustable Gastric Banding Devices, Gastric Bypass Devices, and Intragastric Balloon Devices. Annual forecasts are provided for the period of 2005 through 2015. The report profiles 49 companies including many key and niche players worldwide such as Allergan, Inc., Cousin Biotech, Covidien Ltd., Ethicon Endo-Surgery, Inc., Helioscopie SA, Medical Innovation Development Company, PARÉ Surgical, Inc., Satiety, Inc., Silimed Ltda., and Surgical IOC. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

Table of Contents

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

• Study Reliability and Reporting Limitations
• Disclaimers
• Data Interpretation & Reporting Level
• Quantitative Techniques & Analytics
• Product Definitions and Scope of Study

II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW

• Obesity Assumes Epidemic Proportions
• Growing Problem of Obesity in Asia Particularly China
• Obesity - Quick Statistics
• Table 1: Global Overweight Prevalence (2006): Overweight Population (%) of Select Countries (BMI > 25) (includes corresponding Graph/Chart)
• Table 2: Obese and Overweight & Obese Population in the World (2009): Percentage Share Breakdown by Region for US, European Union, and Rest of World (includes corresponding Graph/Chart)
• Table 3: Abdominal Obesity Prevalence (%) by Region and Sex (includes corresponding Graph/Chart)
• Surgery Provides Hope for Morbidly Obese Patients
• Growing Obesity Prevalence Drives Development of Weight Loss Therapies

2. MARKET DYNAMICS

• Relevance of Bariatric Surgery in Pediatrics
• Sleeve Gastrectomy - Challenging the Growth of Banding Procedures
• Compliance Trends with Physician Advise in Post-Surgery Scenario
• Recommendation Compliance After Surgery - Weight Loss in Compliant and Non-Compliant Patients
• Risk of Bariatric Surgery on Pregnancy
• Stomaphyx Surgery - Addressing Post-Surgical Complications
• VBLOC - An Alternative to Bariatric Surgery
• Endobarrier - An Experimental Device Offers Alternative to Surgery
• Competition Intensifies in the Bariatric Surgery Market

3. AN INTRODUCTION TO OBESITY

• Obesity - A Conceptual Definition
• Childhood Obesity
• Causes of Obesity
• Dietary Habits
• Sedentary Lifestyle
• Genetic Factors
• Medical and Psychiatric Illnesses
• Socioeconomic Factors
• Diagnosis of Obesity
• Body Mass Index (BMI)
• Classification of Obesity as per BMI
• Classification for Class III Obesity
• Deriving Body Fat Percentage from BMI
• Central Obesity
• Central Obesity in Men and Women - Criteria for Identification Using Absolute Waist Circumference and Waist-Hip Ratio Methods
• Impact of Obesity on Health
• Mortality
• Morbidity
• Major Obesity-Related Diseases
• Obesity Treatment
• Diet Therapy
• Lifestyle Modification
• Pharmacotherapy
• Medical Devices
• Bariatric Surgery
• Clinical Protocols for Obesity Treatment

4. BARIATRIC SURGERY - AN INSIGHT

• Defining Bariatrics
• Bariatric Surgery
• Patient Eligibility for Bariatric Surgery
• Role of Technologies in the Growth of Bariatric Surgery
• Endoluminal and Transgastric Surgeries
• Laparoscopy
• Endoscopy in Bariatric Surgery
• Advantages of Bariatric Surgery
• Disadvantages of Bariatric Surgery

5. SURGICAL OPTIONS FOR OBESITY

• Surgical Treatment for Obesity
• Classification of Bariatric Surgery Procedures
• Restrictive Procedures
• Vertical Banded Gastroplasty
• Laparoscopic Adjustable Gastric Banding
• World Estimates and Forecasts
• Table 4: World Recent Past, Current & Future Analysis for Bariatric Surgery: Annual Number of Gastric Banding Procedures for Years 2005 through 2015 (in Thousands) (includes corresponding Graph/Chart)
• Eligibility Criteria for Gastric Banding Patients
• Advantages of Gastric Banding
• Adverse Effects of Banding
• Malabsorptive Procedures
• Biliopancreatic Diversion Procedure
• Biliopancreatic Diversion with Duodenal Switch
• Benefits & Drawbacks of the Procedure
• Combination Procedures
• Gastric Bypass Surgery
• Table 5: Effectiveness of Gastric Bypass Surgery (includes corresponding Graph/Chart)
• Surgical Techniques for Gastric Bypass
• Variations of Gastric Bypass
• Loop Gastric Bypass
• Mini Gastric Bypass
• Table 6: Key Performance Characteristics of Laparoscopic Mini Gastric Bypass Surgery
• Long-Limb Gastric Bypass
• Gastric Bypass, Roux En-Y (Proximal)
• Gastric Bypass, Roux en-Y (Distal)
• Open Vs Laparoscopic Gastric Bypass Surgery
• Complications of Gastric Bypass Procedure
• Anastamotic Leakage
• Anastamotic Stricture
• Dumping Syndrome
• Major Complications of Laparoscopic Gastric Bypass
• Sleeve Gastrectomy
• Analysis of Various Bariatric Procedures
• Table 7: A Comparative Analysis of Various Bariatric Surgery Procedures
• Table 8: Efficacy Rates of Bariatric Procedures (At 2 Year of Surgery)
• Gastric Banding Vs Gastric Bypass
• Table 9: Comparison of Gastric Band & Gastric Bypass Surgeries

6. BARIATRIC SURGERY DEVICES

• Adjustable Gastric Bands
• Background
• Available Gastric Bands
• Adjustable Gastric Bands Marketed in the US and Europe
• Allergan & Ethicon Vie for Global Gastric Band Market Share
• Table 10: Leading Players in the Global Gastric Bands Market (2007): Percentage Share Breakdown of Value Sales for Allergan, Johnson & Johnson/Ethicon, and Others (includes corresponding Graph/Chart)
• Lap-Band Vs Realize Band
• Intragastric Balloons
• Implantable Gastric Stimulator (IGS)
• Surgical Clamps/Gastric Surgery Clamps
• Clip Applier
• Endo Stitch
• Pneumoperitoneum Needle
• Surgical Staple
• Trocars

7. RESEARCH/STUDY FINDINGS

• Bariatric Surgery Reduces Complications Associated with NAFLD
• Research Finds Lower Maternal Risks Among Surgery- Treated Obesity Patients
• Metabolic Syndrome Affects In-Hospital Outcomes After Bariatric Surgery
• Researchers Assess Pulmonary Aspiration Risk in Bariatric Surgery Patients
• Post-Operative Outcomes of Bariatric Surgeries
• Gastric Bypass Surgery Improves Immune Response of Patients
• Bariatric Surgery Reduces Cancer Risk
• Study Shows Need for Re-Surgery in Banding Surgery Patients
• Gastric Banding Surgery Improves Resistance to Insulin

8. PRODUCT INNOVATIONS/INTRODUCTIONS

• Covidien Introduces Versaport(tm) Plus Bladeless Trocar Line
• West Penn Bariatric Surgery Center Commences use of REALIZE Gastric Band
• Ethicon Receives FDA Approval to Market REALIZE(tm)
• Swan Medical Devices Introduces Intraluminal Gastroplasty Device

9. RECENT INDUSTRY ACTIVITY

• Allergan Acquires EndoArt
• Allergan and Covidien to Co-promote Lap-Band
• Taiwan Approves Intragastric Balloon Treatment
• Cellular Technical Services Takes Over SafeStitch
• USGI Medical to Use EOS
• Synovis Acquires 4Closure(tm) Surgical Fascia Closure System
• Allergan Acquires Inamed
• Medtronic Acquires Transneuronix
• EnteroMedics and Mayo Enter into R&D Agreement

10. FOCUS ON SELECT PLAYERS

• Allergan, Inc. (US)
• Cousin Biotech (France)
• Covidien Ltd. (Bermuda)
• Ethicon Endo-Surgery, Inc. (US)
• Helioscopie SA (France)
• Medical Innovation Development Company (France)
• PARE Surgical, Inc. (US)
• Satiety, Inc. (US)
• Silimed Ltda (Brazil)
• Surgical IOC (France)

III. MARKET

1. THE UNITED STATES

• A. Market Analysis
• Outlook
• Obesity - A Major Concern for Healthcare Industry
• Factors Contributing to Rising Incidence of Obesity
• A Quick Glance at Obesity Statistics
• Table 11: Obesity-Affected Population in the US (2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart)
• Table 12: Proportion (%) of Obesity in the US Overweight Population by Age Group (includes corresponding Graph/Chart)
• Table 13: US Obesity Rate (2007): Prevalence Rate by Leading States
• Bariatric Surgery - Ultimate Option for Obesity Treatment
• Bariatric Surgery - Fast Facts
• Focus on Physical Well-Being Boosts Bariatric Surgery Market
• Growth Drivers
• Market Restraints
• Rapid Growth in Bariatric Surgery Devices Market
• Surgery Market for Adolescent Obesity- Slow & Steady Growth
• Gastric Banding - A Market Set for Rapid Growth
• Laparoscopic Adjustable Gastric Banding Gains Popularity
• LGB Vs LGBP - Cost Comparison
• Robot-Assisted Gastric Bypass Surgery Rises in Popularity
• Reimbursement Scenario
• Insurance Coverage
• CMS Offers Coverage for Bariatric Surgery
• Lack of Sufficient Coverage - A Major Obstacle
• Competition Intensifies in the US Gastric Banding Market
• Table 14: Leading Players in the US Adjustable Gastric Banding Market (2006 & 2008): Percentage Share Breakdown of Revenues for Allergan and Johnson & Johnson
• Product Launches
• Strategic Corporate Developments
• Key Players
• Allergan, Inc.
• Ethicon Endo-Surgery, Inc.
• PARE Surgical, Inc.
• Satiety, Inc.
• B. Market Analytics
• Table 15: US Recent Past, Current & Future Analysis for Bariatric Surgery: Annual Number of Gastric Bypass and Gastric Banding Procedures for Years 2005 through 2015 (in Thousands) (includes corresponding Graph/Chart)
• Table 16: US 10-Year Perspective for Bariatric Surgical Procedures by Segment - Percentage Breakdown of Gastric Bypass and Gastric Banding Procedures for Years 2006, 2009 & 2015
• Table 17: US Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Gastric Bypass and Gastric Banding Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 18: US 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Gastric Bypass and Gastric Banding Markets for Years 2006, 2009 & 2015

2. EUROPE

• A. Market Analysis
• Outlook
• Obese Population in Europe
• Table 19: Obese and Overweight & Obese Population in the European Union (2009): Percentage Share Breakdown by Age Group
• Table 20: Obesity Prevalence (2007) in Select European Union Countries: Obesity Rates by Gender (includes corresponding Graph/Chart)
• Table 21: Europe Obesity Prevalence (2007) by Gender and Age Category (in 000s) (includes corresponding Graph/Chart)
• Bariatric Surgery in Europe
• Growing Awareness Levels to Boost Surgery Devices Market
• Factors Driving the European Bariatric Surgery Devices Market
• Factors Restraining Growth in the European Bariatric Surgery Devices Market
• Pricing Scenario
• Gastric Bypass Surgery Gains Strength
• Reimbursement Scenario in Europe
• Reimbursement Policies in Select European Countries
• Competitive Landscape
• Table 22: Leading Players in the European Bariatric Surgical Devices Market (2007): Percentage Share Breakdown of Revenues for Ethicon Endo Surgery, Allergan/Inamed, Covidien, and Others (includes corresponding Graph/Chart)
• B. Market Analytics
• Table 23: European Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Geographic Region - France, Germany, Italy, UK, Spain, and Rest of Europe Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 24: European 10-Year Perspective for Bariatric Surgical Devices by Geographic Region - Percentage Breakdown of Annual Revenues for France, Germany, Italy, UK, Spain, and Rest of Europe Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 25: European Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 26: European 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2a. FRANCE

• A. Market Analysis
• Outlook
• Obesity - A Major Health Concern
• Key Players
• Cousin Biotech
• Helioscopie SA
• Medical Innovation Development Company
• Surgical IOC
• B. Market Analytics
• Table 27: French Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenuesin US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 28: French 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2b. GERMANY

• A. Market Analysis
• Outlook
• Overview
• Bariatric Solutions GmbH - A Key Player
• B. Market Analytics
• Table 29: German Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 30: German 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2c. ITALY

• Market Analysis
• Table 31: Italian Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 32: Italian 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2d. UNITED KINGDOM

• A. Market Analysis
• Outlook
• Overview
• B. Market Analytics
• Table 33: UK Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 34: UK 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2e. SPAIN

• Market Analysis
• Table 35: Spanish Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 36: Spanish 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2f. REST OF EUROPE

• A. Market Analysis
• Overview
• Gastric Banding Market Gains Strength
• Belgium
• The Netherlands
• Juvenile Obesity - A Major Cause of Concern
• Finland
• Sweden
• Strategic Corporate Developments
• New2DM S.A (Luxembourg) - A Major Player
• B. Market Analytics
• Table 37: Rest of Europe Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through 2015 (includes corresponding Graph/Chart)
• Table 38: Rest of Europe 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE