Abstract
This Kalorama Information report, Hernia Repair Device Markets and Procedures
provides global market sizes and forecasts, trends and competitive activity in
this dynamic medical device segment. The development of prosthetic materials
ushered in the current era of hernia surgery, allowing a tension-free repair
to be performed even for the largest defects and the most difficult
procedures. During the past decade, medicine has witnessed a revolutionary
change in prosthetic biomaterials for application in hernia repair. Composite
mesh with absorbable and non-absorbable barriers for intraperitioneal
placement, lightweight macroporous mesh and xenogeneic and allogeneic
biological meshes are several of these novel materials
A handful of companies are involved in the development or marketing of hernia
repair procedures and specialty equipment. The market is considered evolving
with growth opportunity. Developing and developed markets alike have room to
grow due to an aging population worldwide. Among the top and/or innovative
competitors discussed within Corporate Profiles are:
- Atrium
- B. Braun
- Davol/C R Bard
- Cook
- Covidien
- Ethicon
- LifeCell
- Synovis Life Technologies
- TEI Biosciences
- W.L.Gore
There are several issues and/or trends that are directly and indirectly
affecting the hernia repair market. Although hernia repair has been performed
for many years, technological advances in both methods and materials have had
a large impact on the market recently and will continue to influence the
market in the future. Some of the issues and trends impacting the market today
and in the future include:
- Advances in Hernia Repair
- Sports Hernia Repair
- Laparoscopic Hernia Repair
- Procedures in England
- Fetal Treatment of Hernia Repair
- Robotics, MIS and Hernia Repair
- Physio Hernia Repair
- Hospital Acquired Infections
- Kugel Recall
- Biotextile Hernia Implants
- Obesity, Men, and Hernia Development
- Implantable Electrical Stimulator
- PatchAssist Hernia Mesh Placement Tool
- Patent Analysis
The report' s geographic scope is worldwide with information for specific
geographical regions; world demographics; life expectancy by country, and
other general issues affecting the market. Information is presented as a
worldwide overview, with special emphasis on the U.S., Europe, and other key
markets. A market summary includes market analysis by product and region and a
competitive analysis of leading providers. Additionally, key company profiles
are included.
The information for this report was gathered using both primary and secondary
research including comprehensive research of secondary sources such as company
literature, databases, investment reports, and medical and business journals.
Telephone interviews and email correspondence were the primary method of
gathering information. For the purpose of this study, Kalorama Information
conducted interviews with more than 16 key industry officials, consultants,
health care providers, and government personnel. These sources were the
primary basis in gathering information specifically relating to revenue and
market share data presented in this report. Additional interviews were
completed with relevant company representatives including marketing directors,
division managers, and product representatives.
The market is segmented by product type: The worldwide hernia market is
composed of two major product types:
- Polymer and Prosthetic Mesh
- Biologic
Market numbers are provided for:
- United States
- Europe
- Asia and Rest of World
All market data pertains to the world market at the manufacturers' level. The
base year for data was 2009. Historical data was provided for the years 2008,
with forecast data provided for 2010 through 2015. Compound annual growth
rates (CAGRs) are provided for 2008-2015 periods for each region and/or
segment covered. Competitive analysis is provided for the year 2009. The
forecasted market analysis for 2009-2015 was largely based on demographic
trends, new developments, innovative technology and global expansion.
Table of Contents
CHAPTER ONE: EXECUTIVE SUMMARY
- Background
- Scope and Methodology
- Size and Growth of the Market
- Key Issues and Trends Affecting Market
- Leading Competitors
CHAPTER TWO: INTRODUCTION
- Overview
- Types of Hernias
- Inguinal Hernia
- Indirect
- Direct
- Anterior Approaches
- Plug-and-Patch Repair
- Posterior Approaches
- Femoral Hernia
- Umbilical Hernia
- Ventral Hernia
- Hiatal Hernia<
- Risk Factors
- Complications of Hernia Repair Procedures
- World Demographics
- Prevalence, Incidence and Mortality
- Insurance for the Elderly in the United States
- Wound Healing in Hernia Repair
- Hernia Wound Healing Process
- Defense Against Injury<
- Mononuclear Phagocyte System
- Inflammatory Response
- Wound Healing Process
- Primary Intention
- Secondary Intention
- Tertiary Intention
- Delays of Hernia Wound Healing
- Complications of Wound Healing
- Hypertrophic Scars and Keloid Formation
- Contracture
- Dehiscence
- Excess Granulation Tissue
- Adhesions
CHAPTER THREE: HERNIA REPAIR PROCEDURES AND SPECIALTY PRODUCT ANALYSIS
- Types of Hernia Repair Procedures
- Tension Repair
- Open Tension-free Repair
- Laparoscopic Tension-free Repair
- Other Tension-Free Methods
- Overview of Products
- Mesh Repair
- Product Properties
- Polymers
- Polypropylene
- Polyester
- PTFE
- Biologics
- Prosthetic Mesh Repairs
- Industry Participants and Product Description
- Bard/Davol
- Ethicon
- Minnesota Medical Development
- Covidien
- TEI BioSciences
- LifeCell
- Organogenesis
- W.L. Gore
- Cook
- Atrium
- Surgical-IOC
- GfE Medizintechnik GmbH
- B Braun Aesculap Division
- Synovis Life Technologies
- Nicast Ltd
- SafeStitch Medical
- Biomerix Corp
- Aspide Medical
- Tutogen Medical
CHAPTER FOUR: ISSUES AND TRENDS
- Advances In Hernia Repair
- BioMD
- T-Shaped Prosthesis
- Sports Hernia Repair
- Laparoscopic Hernia Repair
- Procedures in England
- Fetal Treatment of Hernia
- Robotics, MIS and Hernia Repair
- Physio Hernia Repair
- Hospital- Acquired Infection
- Kugel Recall
- Biotextile Hernia Implants
- Obesity, Men and Hernia Development
- Implantable Electrical Stimulator
- PatchAssist Hernia Mesh Placement Tool
- Patent Analysis of top competitors
CHAPTER FIVE: MARKET AND COMPETITOR ANALYSIS
- Market Overview
- Market Analysis by Product Type
- Market Analysis by Country
- Competitive Analysis
CHAPTER SIX: LEADING MANUFACTURERS
- Overview
- Atrium Medical Corporation
- B Braun Aesculap Division
- Cook Group/ Cook Medical
- Covidien Ltd.
- CR Bard/Davol
- Ethicon, Inc.
- LifeCell Corporation
- Synovis Life Technologies, Inc
- TEI Biosciences
- W. L. Gore & Associates Inc
APPENDIX: LIST OF MAJOR COMPANIES
TABLE OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
- Table 1-1: Forecasted Hernia Repair Procedures and Specialty Equipment
Market Analysis: 2008-2012
- Figure 1-1: Hernia Repair Procedures and Specialty Equipment Market
Analysis: 2008-2015
CHAPTER TWO: INTRODUCTION
- Table 2-1: World Population by Selected Geographical Region, 2010-2050
- Figure 2-1: World Population by Selected Geographical Region, 2010-2050
- Table 2-2: Estimated World Population by Age and Geographical Region, 2009
- Figure 2-2: Estimated World Population by Age and Geographical Region, 2009
- Table 2-3: Percent Population Over 65 by Year and Region
- Figure 2-3: Estimated World Population by Age, 2009 and 2050
- Table 2-4: Health Insurance Trends in the United States, Estimated 2009
CHAPTER THREE: HERNIA REPAIR PROCEDURES AND SPECIALTY PRODUCT ANALYSIS
- Table 3-1: Select Products and Manufacturers of Polymer and Prosthetic
Mesh Hernia Repair Procedure Products
CHAPTER FOUR: ISSUES AND TRENDS
- Table 4-1: Finished Consultant Episodes for Repair of Inguinal Hernia and
% with Laparoscopic Surgery in 2008/2009
- Table 4-2: Selected Top Competitor Patents
CHAPTER FIVE: MARKET AND COMPETITOR ANALYSIS
- Table 5-1: Forecasted Hernia Repair Procedures and Specialty Equipment
Market Analysis: 2008-2015
- Figure 5-1: Hernia Repair Procedures and Specialty Equipment Market
Analysis: 2008-2015
- Table 5-2: Hernia Repair Procedures and Specialty Equipment Market
Analysis by Product Type, 2009
- Figure 5-1: Hernia Repair Procedures and Specialty Equipment Market
Analysis by Product Type, 2009
- Table 5-3: Hernia Repair Procedures and Specialty Equipment Market
Analysis by Region/Country, 2009
- Figure 5-2: Hernia Repair Procedures and Specialty Equipment Market
Analysis by Region/Country, 2009
- Table 5-4: Hernia Repair and Specialty Equipment Market Revenues and
Market Share of Leading Suppliers, 2009
- Figure 5-3: Hernia Repair and Specialty Equipment Market Market Share by
Leading Suppliers, 2009
新技術登場，2012年的疝氣修復裝置市場將超過40億美元的規模
2010年10月07日
Global Information, Inc.已開始銷售美國調查公司Kalorama Information所發行的報告書「Hernia Repair Device Markets and Procedures (疝氣修補裝置市場與處置)」
Kalorama Information預測，由於生物合成網狀物等侵襲性低的疝氣修復術急速普及，疝氣修復專用機器製造廠的銷售額亦會成長。根據該調查報告，高齡化、以往手術、肥胖、吸煙等是與疝氣發生有關的風險要因，醫療方面亦有可供選擇的方案，預計今後手術件數將增加，導致疝氣修復裝置的市場規模於2012年時達到41億美元。
利用生物合成網狀物的疝氣修復術，有患者負擔小、對感染症的抵抗力大、組織的增殖快等優點。硅和橡膠，聚丙烯，聚四氯乙烯(PTFE)等被製作了的生物合成網狀物，以接觸腸的形式形成保護層。最近亦開發出使用硅和聚丙烯形成的T型矽膠，有助於減少是以往手術發生原因的解剖微創疝氣件數。依據本調查報告，現在解剖微創疝氣平均的發生率為15∼20％，由於使用T型矽膠故能減少3∼4％。
Kalorama Information的發行人Bruce Carlson先生陳述：「生物合成網狀物與復發率低的腹腔鏡手術，並非小改善等，可說是很大的技術革新。該市場為因應患者想尋求高品質醫療的心聲，正進行各種技術的創新。」。
以往開發的治療法中，亦包含2000年時廣泛普及的腹腔鏡修復術。該治療法從體內以補丁式處理疝氣，故降低侵襲性，雖然以往有人批評復發率高，然因治療法的進步，現在復發率幾乎為0％。
以往美國發生不少有動過手術、肥胖、高齡，吸煙等因子、且發生疝氣高風險者被拒絕加入保險的案例。不過，藉由醫療改革，這些人也能加入保險。此外，隨著新的立法措施，疝氣修復手術的件數亦增加。因此，各公司為備齊因應該成長顯著的市場之新產品而變得積極。
