1. Executive Summary
1.1 Industry Highlights
1.2 Overview of the Report Content
1.3 Research and Analysis Methods
1.4 Glossary of Terms Related to Medical Devices
2. An Introduction to the Medical Device Industry
2.1 Classifying Medical Devices
2.1.1 The US Medical Devices Classification System
2.1.2 The EU Medical Devices Classification System
2.2 Regulation of Medical Devices
2.2.1 The US Approval and Regulation System
2.2.2 The EU Approval and Regulation System
2.2.2.1 Post-marketing Surveillance in the EU
2.3 Coronary Artery Disease and Coronary Stents
2.3.1 Bare Metal Stents
2.3.2 Drug Eluting Stents (DES)
2.3.3 Drugs Used in DES
2.3.3.1 Sirolimus: The first drug to be used on a DES
2.3.3.2 Everolimus
2.3.3.3 Zotarolimus
2.3.3.4 Paclitaxel: the only non-sirolimus deravative In the US market
2.4 Neuromodulation
2.4.1 Chronic Pain and Spinal Cord Stimulation
2.4.2 Parkinson's Disease and Deep Brain Stimulation
2.4.2.1 Parkinson's Disease
2.4.2.2 Deep Brain Stimulation
2.4.2.3 Epilepsy and Vagus Nerve Stimulation
3. The Global Medical Device Market 2013-2023
3.1 Medical Devices: Market Overview
3.1.1 Size of the Medical Device Market in 2012
3.1.2 Medical Devices: Revenue Analysis by Company, 2012
3.1.2.1 Johnson & Johnson: Largest Market Share in the Medical Device Sector
3.1.2.2 GE Healthcare: Strong Growth in Emerging Markets
3.1.2.3 Siemens Healthcare: Third Largest Medical Device Company in 2012
3.1.2.4 Medtronic: Largest Company Solely Manufacturing Medical Devices
3.1.2.5 Baxter International: Major Player in the Renal Devices Sector
3.1.2.6 Philips Healthcare: Specialist in Medical Imaging Systems
3.1.2.7 Roche: Major Player in the European Medical Device Market
3.1.2.8 Abbott Laboratories: Market Leader in the Coronary DES Sector
3.1.2.9 Stryker Corporation: Strong Growth in Neurovascular Business
3.1.2.10 Becton, Dickinson & Co.
3.1.2.11 Samsung: A New Entry Into The Market
3.2 World Medical Device Market Forecast, 2013-2017
3.3 World Medical Device Market Forecast, 2017-2023
3.4 Regional Medical Device Market Forecast, 2013-2023
3.4.1 US, EU5 and Japan - The Leading Regions in the Medical Device Market
3.4.1.1 The US Market: Represents Over a Third of the Global Market
3.4.1.2 The EU5 Markets: Fiscal Restrictions Affecting Market Growth
3.4.1.3 Japan: The Second Largest National Medical Device Market in the World
3.4.2 The Chinese and Indian Markets
3.4.2.1 China: Double Digit CAGR in 2013-2023
3.4.2.2 India: A Rapidly Growing Medical Device Market
3.4.3 Russia and Brazil: New Power Players in the Medical Device Global Market
3.4.3.1 The Russian Market
3.4.3.2 The Brazilian Market
3.4.4 The EU5 Medical Device Markets
3.4.4.1 Germany: The Biggest Medical Device Market in Europe
3.4.4.2 France: A Rapidly Rising over-65 Population
3.4.4.3 UK: An Import-led Market
3.4.4.4 Italy: Decentralisation of Medical Services will Drive Growth
3.4.4.5 Spain: Cost-Containment Measures Impacting Growth
3.5 Changing Market Shares by Region, 2012-2023
4. Issues Affecting the Medical Device Market
4.1 SWOT Analysis of the Medical Device Industry and Market, 2013-2023
4.2 Strengths
4.2.1 Strong Government Support Across Major International Markets
4.2.2 Sustained Market Segmentation
4.2.3 Large Number of Participating Companies
4.3 Weaknesses
4.3.1 The Market is Susceptible to Economic Pressures
4.3.2 Much of the Market Has Reached Maturity
4.4 Opportunities
4.4.1 An Aging Global Population
4.4.2 Personalised Medicine Providing Growth Opportunities
4.4.3 Regulatory Harmonisation Across Major International Markets
4.4.4 Increased Incidence and Prevalence of Many Diseases
4.4.5 Rapid Growth in Emerging Markets
4.5 Threats
4.5.1 Changes to Reimbursement Globally
4.5.2 Comparative Effectiveness Research as an Added Expense
4.5.3 US Medical Device Excise Tax
4.6 Porter's Five Force Analysis of the Medical Device Market
4.6.1 Power of Suppliers: Low
4.6.2 Threat of Substitutes: Low
4.6.3 Rivalry Among Competitors: High
4.6.4 Bargaining Power of Buyers: High
4.6.5 Threat of New Entrants: Low
5. The Cardiology Devices Market 2013-2023
5.1 Cardiology Devices: Market Overview
5.1.1 Cardiology Devices Market in 2012
5.1.2 Cardiology Devices Market Forecast, 2013-2023
5.2 The Drug Eluting Coronary Stent Market: Analysis & Forecast 2013-2023
5.2.1 The DES Market, 2012
5.2.2 The DES Market Forecast, 2013-2017
5.2.3 The DES Market Forecast, 2017-2023
5.3 Leading Coronary Stents: Product Analysis
5.3.1 Biomatrix (Biosensors International)
5.3.2 Xience Family of Everolimus-Eluting Stents (Abbott Vascular)
5.3.3 Taxus Paclitaxel-Eluting Stent (Boston Scientific)
5.3.4 Promus Everolimus-Eluting Stent (Boston Scientific)
5.3.5 Endeavor (Medtronic)
5.4 Coronary Stent Pipeline
5.4.1 Genous Combo (OrbusNeich)
5.4.2 Jactax (Boston Scientific)
5.4.3 Catania (CeloNova Biosciences)
5.4.4 MiStent SES (MiCell Technologies)
5.4.5 BioFreedom (Biosensors International)
5.4.6 Synergy (Boston Scientific)
5.5 SWOT Analysis of the DES Market, 2013-2023
5.5.1 Strengths
5.5.1.1 Competition: A Catalyst for DES Market Growth
5.5.1.2 DES: Proven Effectiveness over BMS
5.5.1.3 Continuous Innovation
5.5.1.3.1 Polyzene-F Coated Stents: Potential Game Changer for the Stent Market?
5.5.2 Weaknesses
5.5.2.1 The Success of DES Compared with Other Treatments
5.5.2.2 The Risk of Stent Thrombosis
5.5.3 Opportunities
5.5.3.1 Rising Incidences of Coronary Artery Disease
5.5.3.2 Dual Antiplatelet Therapy: An Avoidable Expense?
5.5.4 Threats
5.5.4.1 The DES Market is Still Emerging
5.5.4.2 US and Japan DES Markets are Dominated by a Small Number of Companies
5.5.4.3 The Stent May Become Secondary to the Eluted Drug
6. The Neurological Device Market 2013-2023
6.1. Neurological Devices: Market Overview
6.2 Neurological Device Market Forecast, 2013-2023
6.3 Neuromodulation Market Analysis
6.3.1 The Neuromodulation Market Forecast, 2013-2023
6.3.2 SCS Market Forecast, 2013-2017
6.3.3 SCS Market Forecast, 2017-2023
6.3.4 DBS Market Forecast, 2013-2017
6.3.5 DBS Market Forecast, 2017-2023
6.3.6 VNS Market Forecast, 2013-2017
6.3.7 VNS Market Forecast, 2017-2023
6.3.8 Other Neuromodulation Devices Forecast, 2013-2023
6.4 Changing Market Shares of the Leading Neuromodulation Segments
6.5 Neuromodulation Device Pipeline
6.5.1. NeuroPace
6.5.2 Apnex Medical
6.5.3 Intelect Medical (acquired by Boston Scientific Corporation)
6.5.4 CVRx
6.5.5. ImThera Medical
6.5.6 Devices Treating Obesity
6.5.6.1 IntraPace
6.5.6.2 EnteroMedics
6.5.6.3 MetaCure
6.6 SWOT Analysis of the Neuromodulation Device Industry, 2013-2023
6.6.1 Strengths
6.6.1.1 Provides a Safer Alternative
6.6.1.2 Neuromodulation Often Means Less Medication
6.6.1.3 Neuromodulation as a Cost-Effective Treatment Option
6.6.2 Weaknesses
6.6.2.1 Mechanisms are Not Fully Understood
6.6.2.2 Delayed FDA approvals
6.6.2.3 A Few Large Companies Dominate the Market
6.6.2.4 Devices Failing in Clinical Trials
6.6.3 Opportunities
6.6.3.1 Neuromodulation Market Set for Rapid Growth due to Expanding Disease Indications
6.6.3.2 Expansion into Emerging Markets
6.6.3.3 Increasing Prevalence of Neurological Diseases
6.6.3.4 The Potential of Personalised Medicine
6.6.4 Threats
6.6.4.1 Increasing Regulatory and Pricing Scrutiny
6.6.4.2 The Emergence of Stem Cell Therapies
6.6.4.3 SCS Faces Competition from Other Treatment Options
7. Expert Opinion
7.1 Interview with Dr. Simon Thomson, Consultant in Pain medicine and Neuromodulation, and President of the International Neuromodulation Society (INS)
7.1.1 The Fast Growing Neuromodulation Market
7.1.2 Potential Advancements in Neuromodulation Technology
7.1.3 Electro-ceuticals: Possible New Treatment?
7.1.4 Strategies To Tackle Negative Perception of Interventional Devices
7.1.5 Medical Devices Excise Tax: Friend or Foe?
7.1.6 Influencing Market Penetration of Neuromodulation Devices
7.1.7 Neuromodulation Market: Future Projection
7.2 Interview with Dr. Mateusz Zelewski, Chief Executive Officer, MetaCure
7.2.1 Current State of the Gastrostimulation Market
7.2.2 Impact of New Tax Legislations
7.2.3 MetaCure's DIAMOND System: New Model
7.2.4 Changing Perception of Interventional Diabetology
7.2.5 Product Distribution and Potential Collaborations
7.2.6 Future Projection for the Gastrostimulation Sector
7.3 Interview with Spokesperson From Boston Scientific Corporation
7.3.1 Current Perspective on the Medical Devices Industry
7.3.2 Boston Scientific's Position in the DES Market
7.3.3 FDA Approval: An Unnecessarily Long-winded Process?
7.3.4 Boston Scientific's Neuromodulation Market Consolidation and Growth Strategies
7.3.5 Influencing Public Oppinion on Interventional Devices
7.3.6 US Excise Tax: A Restraint to Product Innovation?
7.3.7 The Future of the Medical Devices Market
8. Conclusions
8.1 The Medical Device Industry, 2013-2023
8.1.1 Personalised Medicine: Possible Growth Driver in the Coming Decade
8.1.2 Emerging Markets: Urbanisation-Driven Growth
8.2 The Coronary Stent Market, 2013-2023
8.3 The Neurology Market 2013-2023
8.3.1 Neuromodulation: A Rapidly Growing Sector
8.3.2 New Indications Driving Neuromodulation Market Growth
8.4 Alternative Treatment Options: Potential Restraint on Market Growth
List of Tables
Table 2.1 The US Classification of Medical Devices
Table 2.2 The EU Classification of Medical Devices
Table 3.1 The Medical Devices Market: Revenues ($bn) and Market Shares (%) by Sector, 2012
Table 3.2 The Top Medical Device Companies: Revenues ($bn) and Market Shares (%), 2012
Table 3.3 Johnson & Johnson Medical Devices and Diagnostics: Revenue ($bn) and Revenue Shares (%) by Franchise, 2012
Table 3.4 Johnson & Johnson: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.5 GE Healthcare: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.6 Siemens Healthcare Medical Devices: Revenues ($bn) and Revenue Shares (%) by Region, 2011 and 2012
Table 3.7 Siemens Healthcare: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.8 Medtronic: Revenues ($bn) and Revenue Shares (%) by Franchise, 2012
Table 3.9 Medtronic: Revenues ($bn) and Revenue Shares (%) by Region, 2012
Table 3.10 Medtronic: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.11 Baxter International: Revenues ($bn) and Revenue Shares (%) by Business Sector, 2012
Table 3.12 Baxter International: Revenues ($bn) and Revenue Shares (%) by Region, 2012
Table 3.13 Baxter International: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.14 Philips Healthcare: Revenues ($bn) and Revenue Shares (%) by Sector, 2012
Table 3.15 Philips Healthcare Medical Devices: Revenues ($bn) and Revenue Shares (%) by Region, 2012
Table 3.16 Philips Healthcare: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.17 Roche Medical Devices and Diagnostics: Revenues ($bn) and Revenue Shares (%) by Sector, 2012
Table 3.18 Roche: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.19 Abbott Medical Devices and Diagnostics: Revenues ($bn) and Revenue Shares (%) by Region, 2012
Table 3.20 Abbott Laboratories: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.21 Stryker Corporation Medical Devices: Total Revenue Shares (%) by Franchise, 2012
Table 3.22 Stryker Corporation: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.23 Becton Dickinson & Co: Medical Devices Revenues ($bn) and Revenue Shares (%) by Sector, 2012
Table 3.24 Becton Dickinson & Co: Medical Devices Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 3.25 The Global Medical Device Market: Drivers and Restraints, 2013-2023
Table 3.26 The Global Medical Devices Market: Revenue Forecast ($bn, AGR%, CAGR%) by Region, 2012-2017
Table 3.27 The Global Medical Devices Market: Revenue Forecast ($bn, AGR%, CAGR%) by Region, 2017-2023
Table 3.28 The EU5 Medical Devices Markets: Revenues ($bn) and Market Shares (%) by Country, 2012
Table 3.29 The EU5 Medical Devices Markets: Revenue Forecast ($bn, AGR%, CAGR%) by Country, 2012-2017
Table 3.30 The EU5 Medical Devices Markets: Revenue Forecast ($bn, AGR%, CAGR%) by Country, 2017-2023
Table 3.31 The Medical Device Market: Revenue ($bn) by Region, 2012, 2017 and 2023
Table 3.32 The Medical Device Market: Market Shares (%) by Region, 2012, 2017 and 2023
Table 4.1 SWOT Analysis for the Medical Device Industry, 2013-2023
Table 5.1 Cardiology Devices: Market Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 5.2 Cardiology Devices: Market Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 5.3 Drug Eluting Stents: Market Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 5.4 Drug Eluting Stents: Market Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 5.5 Growth Drivers and Restraints for the Drug Eluting Stent Market, 2013-2023
Table 5.6 Boston Scientific's Taxus Stent Revenue ($bn) by Region, 2011 & 2012
Table 5.7 Coronary Stent Development Pipeline, 2013
Table 5.8 SWOT Analysis for the DES Market, 2013-2023
Table 6.1 Neurological and Neuromodulation Markets: Revenue ($bn) by Sector, 2012
Table 6.2 Neurological Devices: Market Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 6.3 Neurological Devices: Market Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 6.4 Neuromodulation Devices: Revenue Forecast ($bn, AGR%, CAGR%) by Sector, 2012-2017
Table 6.5 Neuromodulation Devices Revenue Forecast ($bn, AGR%, CAGR%) by Sector, 2017-2023
Table 6.6 SCS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 6.7 SCS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 6.8 DBS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 6.9 DBS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 6.10 VNS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2012-2017
Table 6.11 VNS Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2017-2023
Table 6.12 Other Neuromodulation Devices: Revenue Forecast ($bn, AGR%, CAGR%), 2012-2023
Table 6.13 Neuromodulation Devices: Market Shares (%) by Sector, 2012-2023
Table 6.14 Neuromodulation Devices: Industry Pipeline, 2013
Table 6.15 SWOT Analysis of the Neuromodulation Devices Industry, 2013-2023
List of Figures
Figure 2.1 The Structure of Sirolimus
Figure 2.2 The Structure of Everolimus
Figure 2.3 The Structure of Zotarolimus
Figure 2.4 The Structure of Paclitaxel
Figure 3.1 The Medical Device Market: Market Shares (%) by Sector, 2012
Figure 3.2 Johnson & Johnson Medical Devices and Diagnostics: Revenue Shares (%) by Franchise, 2012
Figure 3.3 Johnson & Johnson Medical Devices and Diagnostics: Revenue ($bn) by Franchise, 2012
Figure 3.4 Johnson & Johnson: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.5 GE Healthcare: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.6 Siemens Healthcare Medical Devices: Revenue Shares (%) by Region, 2012
Figure 3.7 Siemens Healthcare Medical Devices: Revenue ($bn) by Region, 2011 and 2012
Figure 3.8 Siemens Healthcare: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.9 Medtronic: Revenue Shares (%) by Franchise, 2012
Figure 3.10 Medtronic: Revenue ($bn) by Region, 2012
Figure 3.11 Medtronic: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.12 Baxter International: Revenues ($bn) by Business Sector, 2012
Figure 3.13 Baxter International: Revenue Shares (%) by Region, 2012
Figure 3.14 Baxter International: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.15 Philips Healthcare Medical Devices: Revenue Shares (%) by Sector, 2012
Figure 3.16 Philips Healthcare: Revenues ($bn) by Region, 2012
Figure 3.17 Philips Healthcare: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.18 Roche Medical Devices and Diagnostics: Revenue ($bn) by Sector, 2012
Figure 3.19 Roche: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.20 Abbott Medical Devices and Diagnostics: Revenue ($bn) by Region, 2012
Figure 3.21 Abbott Medical Devices and Diagnostics: Revenue Shares (%) by Region, 2012
Figure 3.22 Abbott Laboratories: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.23 Stryker Corporation Medical Devices: Total Revenue Shares (%) by Franchise, 2012
Figure 3.24 Stryker Corporation: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.25 Becton Dickinson & Co: Medical Devices Revenue Shares (%) by Sector, 2012
Figure 3.26 Becton Dickinson & Co: Medical Devices Revenue Forecast ($bn), 2012-2023
Figure 3.27 The Global Medical Devices Market: Revenue Forecast ($bn), 2012-2017
Figure 3.28 The Global Medical Devices Market: Revenue Forecast ($bn), 2017-2023
Figure 3.29 US, EU5 and Japan Medical Devices Markets: Revenue Forecast ($bn), 2012-2017
Figure 3.30 US, EU5 and Japan Medical Devices Markets: Revenue Forecast ($bn), 2017-2023
Figure 3.31 China and India: Medical Devices Revenue Forecast ($bn), 2012-2017
Figure 3.32 China and India: Medical Devices Revenue Forecast ($bn), 2017-2023
Figure 3.33 Brazil and Russia: Medical Devices Revenue Forecast ($bn), 2012-2017
Figure 3.34 Brazil and Russia: Medical Devices Revenue Forecast ($bn), 2017-2023
Figure 3.35 The EU5 Medical Devices Markets: Market Shares (%) by Country, 2012
Figure 3.36 The EU5 Medical Devices Markets: Revenue Forecast ($bn), 2012-2017
Figure 3.37 The EU5 Medical Devices Markets: Revenue Forecast ($bn), 2017-2023
Figure 3.38 Medical Device Market: Revenue ($bn) by Region, 2013, 2017 and 2023
Figure 3.39 The Medical Devices Market: Market Shares (%) by Region, 2012
Figure 3.40 The Medical Devices Market: Market Shares (%) by Region, 2017
Figure 3.41 The Medical Devices Market: Market Shares (%) by Region, 2023
Figure 5.1 Cardiology Devices: Market Revenue Forecast ($bn), 2012-2017
Figure 5.2 Cardiology Devices: Market Revenue Forecast ($bn), 2017-2023
Figure 5.3 Drug Eluting Stents: Market Revenue Forecast ($bn), 2012-2017
Figure 5.4 Drug Eluting Stents: Market Revenue Forecast ($bn), 2017-2023
Figure 5.5 Boston Scientific's Taxus Stent Revenue ($bn) by Region, 2011 & 2012
Figure 6.1 Neurological Devices: Market Revenue Forecast ($bn), 2012-2017
Figure 6.2 Neurological Devices: Market Revenue Forecast ($bn), 2017-2023
Figure 6.3 Neuromodulation Devices: Revenue Forecast ($bn), 2012-2017
Figure 6.4 Neuromodulation Devices: Revenue Forecast ($bn), 2017-2023
Figure 6.5 SCS Devices: Revenue Forecast ($bn), 2012-2017
Figure 6.6 SCS Devices: Revenue Forecast ($bn), 2017-2023
Figure 6.7 DBS Devices: Revenue Forecast ($bn), 2012-2017
Figure 6.8 DBS Devices: Revenue Forecast ($bn), 2017-2023
Figure 6.9 VNS Devices: Revenue Forecast ($bn), 2012-2017
Figure 6.10 VNS Devices: Revenue Forecast ($bn), 2017-2023
Figure 6.11 Other Neuromodulation Devices: Revenue Forecast ($bn), 2012-2023
Figure 6.12 Neuromodulation Devices: Market Shares (%) by Sector, 2012
Figure 6.13 Neuromodulation Devices: Market Shares (%) by Sector, 2017
Figure 6.14 Neuromodulation Devices: Market Shares (%) by Sector, 2023
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