美國的外傷治療裝置市場：2012年

美國的外傷治療裝置市場：2012年 是由出版商Millennium Research Group在2011年12月所出版的。 這份英文市場調查報告書價格從美金6995起跳。

簡介

美國的外傷治療裝置（骨板和骨釘、骨髓內釘、中空骨釘、傳統型股關節螺釘、輔助裝置、外部固定裝置、長骨成長刺激裝置等）市場從2010年至2011年間呈現緩步成長。該領域的治療法的普及擴大，為一旦有必要時，可支撐在無選擇餘地下所進行外傷治療的本來性質。加上上述的　髄内ネイルやアナトミカルプレート、ロッキングプレート、スクリューシステム　等高價裝置提高了整體的平均單價，對市場成長有所貢獻。話雖如此，醫院透過團購機關採購的價格降低壓力的增強，另一方面，國家保健制度的改革，和伴隨而來的醫療報酬削減使預算縮減形成市場的基礎當中，美國外傷治療裝置產業在預測對象期間，面臨許多應克服的課題。但是，整體來看，治療法的普及擴大與高價產品導入使平均單價的上昇，將可克服這些缺點，並至2016年呈現持續的緩步市場成長。

本報告，探詢整體美國外傷治療裝置市場，在周全的預備調查上所獲得的基礎情報，彙整業界相關人士的直接採訪的檢證結果，由下列摘要形式闡述。

目錄

圖表一覽

報告摘要

第1章 臨床環境

• 骨頭與關節的解剖學
  • 骨頭的解剖學
  • 骨頭的形成
  • 骨頭的障礙與疾病
• 診斷與症狀模式
• 治療法的概要
  • 外傷裝置治療
  • 競爭療法
• 國內市場的概要
  • 人口動態與經濟
  • 保健系統
  • 法規環境

第2章 產品

• 概要
  • 對象產品
  • 差異化特徵
• 骨板和骨釘
• 骨髓內釘
• 中空骨釘
• 傳統型股關節螺釘
• 輔助裝置
• 外部固定裝置
• 長骨成長刺激裝置

第3章 臨床實驗

• 結束的臨床實驗
• 進行中的臨床實驗

第4章 品牌以及競爭分析

• 概要
  • 競爭概況
  • 詳述競爭環境
  • 市佔率
  • 近期動態
• 骨板和骨釘市場
• 骨髓內釘市場
• 中空骨釘市場
• 傳統型股關節螺釘市場
• 輔助裝置市場
• 外部固定裝置市場
• 長骨成長刺激裝置市場

第5章 市場展望

• 概要
  • 市場概況
  • 詳述市場狀況
• 骨板和骨釘市場
• 骨髓內釘市場
• 中空骨釘市場
• 傳統型股關節螺釘市場
• 輔助裝置市場
• 外部固定裝置市場
• 長骨成長刺激裝置市場

附錄

目錄

The US market for trauma devices - comprising plates and screws, intramedullary (IM) nails, cannulated screws, conventional hip screws, ancillary trauma devices, external fixation devices, and long-bone growth stimulation devices - experienced moderate expansion from 2010 to 2011. Procedure growth has been sustained due to the nonelective nature of trauma procedures. Additionally, the adoption of premium-priced devices such as anatomic and locked plate and screw systems, as well as IM nails, is leading to increases in aggregate average selling prices (ASPs), thereby propelling market growth in the US. Nonetheless, the US trauma device market will face a number of challenges over the forecast period. Hospitals have increasingly been coordinating their procurement of trauma devices through group purchasing organizations, placing pressure on manufacturers to reduce prices, even on specialized devices. In addition, the US health care reform and associated reimbursement cuts will shape the market outlook of trauma devices because hospitals are forced to operate within more constrained budgets. Overall, procedure growth and rising ASPs from adoption of premium-priced devices will overcome these pressures and the US market for trauma devices will continue to grow through 2016.

This report uses a number of methodologies to gather and present data and analysis. At the outset, a large survey of secondary sources is conducted. These sources act as the basis for the primary research stage, which builds and enhances the quantitative and qualitative attributes of the early research.

Secondary sources include

• Government sources:
  • Securities and Exchange Commission filings
  • Food and Drug Administration and patent filings
  • National Center for Health Statistics data
• Trauma device companies:
  • Annual reports, product brochures, corporate profiles, etc.
• Internal databases and reports:
  • Previous reports on similar/related sources
• General Internet searches, medical literature, and newspaper/magazine searches:
  • Identifying various centers of specialization and articles that might provide leads for primary research

The secondary research stage builds the foundation for the primary research.

Step 1: The first step involves an impartial scan of all the information gathered during the secondary research stage to determine its utility based on the specific requirements of this report. Each piece of information is either discarded or marked as high- or low-priority and then organized appropriately as determined by the structure and sectioning of the report.

Step 2: At this stage, early assumptions are formed as to the implications of the information for the various trauma device market segments. These assumptions are then used to determine hypotheses using both inductive and deductive approaches. On the quantitative front, these hypotheses result in full historical and projected market data sets (market sizes - unit sales, average selling prices [ASPs], and revenues - as well as market shares).

Step 3: At this stage, the research is in position for its most important primary phase - expert interviews. Throughout the secondary research phase, industry and medical experts are identified.

These experts are then contacted by telephone and asked to participate in interviews on recent trends and developments in the industry. Interviews are either conducted at the time of the initial call or scheduled at the convenience of the expert. Interview questions are tailored to the expertise of each particular interviewee, although in most cases, the most important questions are asked of all experts.

The questions are largely based on the assumptions and hypotheses developed in Step 2, which are then augmented, discarded, or adjusted based on the views and positions put forth. Attempts are made, whenever possible, to cross-check the views of various experts against each other and to reach positions of consensus on issues and market numbers.

Step 4: The final stage of primary research involves individual and group analysis by Millennium Research Group. All research results are assessed and cross-checked thoroughly to determine their validity, relevance, and weight. From this process, qualitative conclusions are reached and data points finalized.

In addition to the research methodology outlined above, the following “bottom-up” methodology is used to develop forecast assumptions for the report.

A comprehensive breakdown of various trauma device procedures and unit sales is prepared using data from several sources, including professional associations, government statistics, and private research/media sources. Industry experts and practitioners are consulted to ensure accuracy and verify observed trends. As a cross-check, total industry revenues available through annual reports and other sources are compared against modeled industry revenues.

Using the best estimates of industry experts, practitioners, private research/media sources, and inhouse experts, year-by-year growth rates and ASPs are applied individually to each subcategory to derive forecasts. These estimates are cross-checked by industry experts (marketing managers, product managers, CEOs, etc.) and further refined.

Overall findings are compared against market and procedure forecasts published by other sources to ensure reasonable estimates.

Companies mentioned in this report:

• Acumed
• Advanced Orthopedic Solutions
• Arthrex
• Ascension Orthopedics
• BioMedical Enterprises
• Biomet
• Bio Research Innovations
• Bioretec
• ConMed Linvatec
• Core Essence Orthopaedics
• DePuy
• DJO
• ExtraOrtho
• Hand Biomechanics Lab
• Integra LifeSciences
• Memometal Inc.
• MicroAire Surgical Instruments
• Orthofix
• OrthoHelix Surgical Designs
• OsteoMed
• Rigid fx Orthopedics
• Small Bone Innovations
• Smith & Nephew
• Sonoma Orthopedic Products
• Stryker
• Synthes
• Tornier
• TriMed
• Vilex
• Wright Medical Technology
• Zimmer

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

1.0. CLINICAL LANDSCAPE

• 1.1. Bone and Joint Anatomy
  • 1.1.1. Bone Anatomy
  • 1.1.2. Bone Formation
  • 1.1.3. Bone Disorders and Diseases
    • 1.1.3.1. Fractures
    • 1.1.3.2. Osteoporosis
    • 1.1.3.3. Osteoarthritis
    • 1.1.3.4. Rheumatoid Arthritis
• 1.2. Diagnosis and Referral Patterns
• 1.3. Procedure Overview
  • 1.3.1. Trauma Device Procedures
    • 1.3.1.1. Internal and External Fixation
      • Fracture Fixation
      • Osteosynthesis
    • 1.3.1.2. Long-Bone Stimulation
  • 1.3.2. Competing Treatments
    • 1.3.2.1. Immobilization (Casting and Bracing)
    • 1.3.2.2. Alternatives to Long-Bone Stimulation
• 1.4. Country Overview
  • 1.4.1. Demographics and Economy
  • 1.4.2. Health Care System
  • 1.4.3. Regulatory Environment

2.0. PRODUCTS

• 2.1. Overview
  • 2.1.1. Products Covered
  • 2.1.2. Differentiating Features
• 2.2. Plates and Screws
  • 2.2.1. Functions
  • 2.2.2. Differentiating Features
• 2.3. Intramedullary Nails
  • 2.3.1. Functions
• 2.4. Cannulated Screws
  • 2.4.1. Functions
• 2.5. Conventional Hip Screws
  • 2.5.1. Functions
• 2.6. Ancillary Trauma Devices
  • 2.6.1. Functions
• 2.7. External Fixation Devices
  • 2.7.1. Functions
  • 2.7.2. Differentiating Features
• 2.8. Long-Bone Stimulation Devices
  • 2.8.1. Functions
  • 2.8.2. Differentiating Features

3.0. CLINICAL TRIALS

• 3.1. Completed Clinical Trials
• 3.2. Ongoing Clinical Trials

4.0. BRANDS AND COMPETITIVE ANALYSIS

• 4.1. Overview
  • 4.1.1. Competitive Snapshot
  • 4.1.2. Detailed Competitive Landscape
  • 4.1.3. Market Shares
  • 4.1.4. Recent Events
• 4.2. Plate and Screw Market
  • 4.2.1. Competitive Snapshot
• 4.3. Intramedullary Nail Market
  • 4.3.1. Competitive Snapshot
• 4.4. Cannulated Screw Market
  • 4.4.1. Competitive Snapshot
• 4.5. Conventional Hip Screw Market
  • 4.5.1. Competitive Snapshot
• 4.6. Ancillary Trauma Device Market
  • 4.6.1. Competitive Snapshot
• 4.7. External Fixation Device Market
  • 4.7.1. Competitive Snapshot
• 4.8. Long-Bone Stimulation Device Market
  • 4.8.1. Competitive Snapshot

5.0. MARKET OUTLOOK

• 5.1. Overview
  • 5.1.1. Market Snapshot
  • 5.1.2. Detailed Market Overview
• 5.2. Plate and Screw Market
  • 5.2.1. Market Snapshot
  • 5.2.2. Detailed Market Overview
    • 5.2.2.1. Market Overview by Product Type (Standard and Anatomic)
      • Anatomic Plate and Screw Market by Anatomic Area (Upper and Lower Extremity)
      • Upper-Extremity Anatomic Plate and Screw Market by Anatomy (Wrist, Shoulder, Clavicle, Elbow, and Hand)
      • Lower-Extremity Anatomic Plate and Screw Market by Anatomy (Ankle, Knee, and Foot)
      • Standard Plate and Screw Market by Size (Small, Mini, Large)
    • 5.2.2.2. Market Overview by Product Feature (Locking and Nonlocking)
    • 5.2.2.3. Market Overview by Material (Titanium and Stainless Steel)
• 5.3. Intramedullary Nail Market
  • 5.3.1. Market Snapshot
  • 5.3.2. Detailed Market Overview
    • 5.3.2.1. Market Overview by Product Type (Cephalomedullary, Tibial, Femoral, Humeral, and Other)
    • 5.3.2.2. Market Overview by Material (Titanium and Stainless Steel)
• 5.4. Cannulated Screw Market
  • 5.4.1. Market Snapshot
  • 5.4.2. Detailed Market Overview
    • 5.4.2.1. Market Overview by Size (Small and Large)
    • 5.4.2.2. Market Overview by Material (Titanium and Stainless Steel)
• 5.5. Conventional Hip Screw Market
  • 5.5.1. Market Snapshot
  • 5.5.2. Detailed Market Overview
• 5.6. Ancillary Trauma Device Market
  • 5.6.1. Market Snapshot
  • 5.6.2. Detailed Market Overview
    • 5.6.2.1. Pin Market
    • 5.6.2.2. Wire Market
    • 5.6.2.3. Cable Market
    • 5.6.2.4. General Screw Market
    • 5.6.2.5. Staple Market
• 5.7. External Fixation Device Market
  • 5.7.1. Market Snapshot
  • 5.7.2. Detailed Market Overview
    • 5.7.2.1. Circular External Fixation Device Market
    • 5.7.2.2. Bilateral and Unilateral External Fixation Device Market
    • 5.7.2.3. Wrist External Fixation Device Market
    • 5.7.2.4. Ankle and Hybrid External Fixation Device Market
    • 5.7.2.5. Pelvic External Fixation Device Market
    • 5.7.2.6. Other External Fixation Device Market
• 5.8. Long-Bone Stimulation Device Market
  • 5.8.1. Market Snapshot
  • 5.8.2. Detailed Market Overview

APPENDIX A: METHODOLOGY

APPENDIX B: MRG ACRONYMS AND INITIALISMS

APPENDIX C: BIBLIOGRAPHY

TABLE OF CONTENTS

LIST OF FIGURES AND TABLES

EXECUTIVE SUMMARY

• Figure 1: Trauma Device Market, US (US$), 2010 - 2016
• Table 1: Trauma Device Market Landscape, US (US$), 2011 and 2016
• Table 2: Trauma Device Market Leaders, by Product Type and Revenue, US, 2011
• Table 3: Expected Key Events in the Trauma Device Market, US, 2012 - 2016
• Table 4: Factors Impacting the Trauma Device Market, by Product Type, US, 2011 - 2016
• Table 5: Companies Mentioned in This Report

1.0 CLINICAL LANDSCAPE

• Table 6: Common Types of Bone Fractures
• Figure 2: Trauma Procedure Referral Pattern, US
• Table 7: Key Health and Economic Indicators, US, 2011

2.0 PRODUCTS

• Table 8: Trauma Device Market, by Product Type, US
• Table 9: Advantages and Disadvantages of Internal and External Fixation Devices, by Product Type
• Table 10: Advantages and Disadvantages of Internal Fixation Devices, by Material
• Table 11: Types of Plate and Screw Systems
• Table 12: Advantages and Disadvantages of Plates and Screws, by Product Type
• Table 13: Advantages and Disadvantages of Plates and Screws, by Product Feature
• Table 14: Types of Cannulated Screws, by Size
• Table 15: Types of Ancillary Trauma Devices, by Product Type
• Table 16: Types of External Fixation Devices, by Product Type
• Table 17: Advantages and Disadvantages of External Fixation Devices, by Product Type
• Table 18: Advantages and Disadvantages of Long-Bone Stimulation Devices, by Product Type

3.0 CLINICAL TRIALS

• Table 19: Summary of REGAIN Study
• Table 20: Summary of Comparison of Two Methods for Treatment of Colles's Fracture
• Table 21: Summary of Comparative Study of Fixation or Fusion of Calcaneal Fractures (Sanders IV)
• Table 22: Summary of Proximal Femur Locking Compression Plates Versus Trochanteric Nails Study
• Table 23: Summary of Comparison of Three Fixation Techniques for Displaced Distal Radius Fractures (DRF)
• Table 24: Summary of RESTORE Study
• Table 25: Summary of TRUST Study

4.0 BRANDS AND COMPETITIVE ANALYSIS

• Table 26: Leading Competitors in the Trauma Device Market, by Product Type, as a % of Total, US, 2011
• Table 27: Recent Events in the Trauma Device Market, US

5.0 MARKET OUTLOOK

• Figure 3: Trauma Device Market, by Product Type, US (US$), 2010 - 2016
• Table 28: Factors Impacting the Trauma Device Market, by Product Type, US, 2011 - 2016
• Table 29: Trauma Device Procedures, by Procedure Type, US, 2010 - 2016
• Table 30: Trauma Fixation Device Procedures, by Technique, US, 2010 - 2016
• Table 31: Internal Fixation Device Procedures, by Product Type, as a % of Total, US, 2010 - 2016
• Table 32: Internal Fixation Device Procedures, by Anatomic Area, US, 2010 - 2016
• Table 33: Hip Fixation Procedures, by Product Type, US, 2010 - 2016
• Table 34: Trauma Device Market, by Technique, US (US$), 2010 - 2016
• Table 35: Trauma Device Market, by Product Type, US (US$), 2010 - 2016
• Table 36: Internal Fixation Device Market, by Material, US (US$), 2010 - 2016
• Figure 4: Plate and Screw Market, US (US$), 2010 - 2016
• Table 37: Plate and Screw Procedures, by Procedure Type, US, 2010 - 2016
• Table 38: Plate and Screw Procedures, by Anatomic Area, US, 2010 - 2016
• Table 39: Upper-Extremity Plate and Screw Procedures, by Anatomy, US, 2010 - 2016
• Table 40: Lower-Extremity Plate and Screw Procedures, by Anatomy, US, 2010 - 2016
• Table 41: Plate and Screw Units, by Product Type, US, 2010 - 2016
• Table 42: Plate and Screw Market, by Product Type, US (US$), 2010 - 2016
• Table 43: Plate and Screw Market Growth, by Product Type, US, 2011 - 2016
• Table 44: Plate and Screw Market, by Product Type, as a % of Total, US, 2010 - 2016
• Table 45: Anatomic Plate and Screw Market, by Anatomic Area, US (US$), 2010 - 2016
• Table 46: Upper-Extremity Anatomic Plate and Screw Market, by Anatomy, US (US$), 2010 - 2016
• Table 47: Upper-Extremity Anatomic Plate and Screw Market Growth, by Anatomy, US, 2011 - 2016
• Table 48: Upper-Extremity Anatomic Plate and Screw Market, by Anatomy, as a % of Total, US, 2010 - 2016
• Table 49: Lower-Extremity Anatomic Plate and Screw Market, by Anatomy, US (US$), 2010 - 2016
• Table 50: Lower-Extremity Anatomic Plate and Screw Market Growth, by Anatomy, US, 2011 - 2016
• Table 51: Lower-Extremity Anatomic Plate and Screw Market, by Anatomy, as a % of Total, US, 2010 - 2016
• Table 52: Standard Plate and Screw Market, by Size, US (US$), 2010 - 2016
• Table 53: Standard Plate and Screw Market Growth, by Size, US, 2011 - 2016
• Table 54: Standard Plate and Screw Market, by Size, as a % of Total, US, 2010 - 2016
• Table 55: Plate and Screw Market, by Product Feature, US (US$), 2010 - 2016
• Table 56: Plate and Screw Market, by Material, US (US$), 2010 - 2016
• Figure 5: IM Nail Market, by Product Type, US (US$), 2010 - 2016
• Table 57: IM Nail Procedures, by Procedure Type, US, 2010 - 2016
• Table 58: IM Nail Procedures, by Anatomy, US, 2010 - 2016
• Table 59: IM Nail Market, by Product Type, US (US$), 2010 - 2016
• Table 60: IM Nail Market Growth, by Product Type, US, 2011 - 2016
• Table 61: IM Nail Market, by Product Type, as a % of Total, US, 2010 - 2016
• Table 62: IM Nail Market, by Material, US (US$), 2010 - 2016
• Figure 6: Cannulated Screw Market, US (US$), 2010 - 2016
• Table 63: Cannulated Screw Procedures, by Procedure Type, US, 2010 - 2016
• Table 64: Cannulated Screw Procedures, by Anatomic Area, US, 2010 - 2016
• Table 65: Cannulated Screw Units, by Anatomic Area, US, 2010 - 2016
• Table 66: Cannulated Screw Market, by Size, US (US$), 2010 - 2016
• Table 67: Cannulated Screw Market Growth, by Size, US, 2011 - 2016
• Table 68: Cannulated Screw Market, by Size, as a % of Total, US, 2010 - 2016
• Table 69: Cannulated Screw Market, by Material, US (US$), 2010 - 2016
• Figure 7: Conventional Hip Screw Market, US (US$), 2010 - 2016
• Table 70: Conventional Hip Screw Market, by Material, US (US$), 2010 - 2016
• Table 71: Conventional Hip Screw Market Growth, by Material, US, 2011 - 2016
• Table 72: Conventional Hip Screw Market, by Material, as a % of Total, US, 2010 - 2016
• Figure 8: Ancillary Trauma Device Market, by Product Type, US (US$), 2010 - 2016
• Table 73: Ancillary Trauma Device Primary Fixation Procedures, by Procedure Type, US, 2010 - 2016
• Table 74: Ancillary Device Market, by Product Type, US (US$), 2010 - 2016
• Figure 9: External Fixation Device Market, US (US$), 2010 - 2016
• Table 75: External Fixation Procedures, by Anatomic Area, US, 2010 - 2016
• Table 76: External Fixation Device Market, by Product Type, US (US$), 2010 - 2016
• Table 77: External Fixation Device Market Growth, by Product Type, US, 2011 - 2016
• Table 78: External Fixation Device Market, by Product Type, as a % of Total, US, 2010 - 2016
• Figure 10: Long-Bone Stimulation Market, by Product Type, US (US$), 2010 - 2016
• Table 79: Long-Bone Stimulation Device Market, by Product Type, US (US$), 2010 - 2016
• Table 80: Long-Bone Stimulation Device Market Growth, by Product Type, US, 2011 - 2016
• Table 81: Long-Bone Stimulation Device Market, by Product Type, as a % of Total, US, 2010 - 2016

APPENDIX A: METHODOLOGY

• Table 83: ICD-9-CM Procedure Codes and Descriptions

APPENDIX B: MRG ACRONYMS AND INITIALISMS

• MRG Acronyms and Initialisms

APPENDIX C: BIBLIOGRAPHY

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