The market for advanced wound care products market has been rapidly evolving over the past 25 years and has recently entered a new phase with the introduction of several sophisticated products based on biotechnology and biomaterials science. Some of the new entrants projected to become dominant in the coming years were technically not feasible until recently.

1. Markets for Advanced Wound Care Technologies
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STUDY GOALS AND OBJECTIVES
The market for advanced wound care products market has been rapidly evolving over the
past 25 years and has recently entered a new phase with the introduction of several
sophisticated products based on biotechnology and biomaterials science. Some of the new
entrants projected to become dominant in the coming years were technically not feasible
until recently. These novel products and technologies have made it through the regulatory
hurdles and now face the daunting task of changing traditional wound care practices.
Although traditional practices continue to dominate many sectors of wound care, advanced
wound dressings and related technologies offer impressive, often lifesaving, advancements
being increasingly accepted by both the hospital and alternative care markets. Growth is
coming largely at the expense of traditional gauze and impregnated gauze dressings which
still hold a majority share of the market.
Our report analyzes the current market for wound care products and focuses on emerging
products and technologies. Markets are divided into hospital and alternative care sectors.
The alternate care sector includes all medically supervised care of wounds in non-hospital
settings. Both markets are huge consumers of wound care products and the newer
dressings and technologies are gaining broad acceptance within each sector.
This report describes the types of wound care products and technologies being used in the
year 2000 as well as those poised to become major market factors by the turn of the
decade. Discussion of wound care products is divided into the following product and
technology sections:
Alginate dressings
 Composite dressings
 Contact layer dressings
 Foam dressings
 Gauze dressings (non-impregnated)
 Gauze dressings (impregnated)
 Hydrocolloid dressings
 Hydrogel dressings
 Specialty absorptive dressings
 Transparent film dressings
 Allografts, heterografts, and tissue culture products
 Artificial skin
 Enzymatic debriding agents
 Wound cleansers
Skin sealants, protectants, and moisturizers
 Electrical stimulation
 Hyperbaric oxygen

2.  Autologous growth factors.
 Tissue growth factors
 Miscellaneous emerging products.
Available novel products and technologies
 Emerging novel products and technologies
 Synthetic Dressings
 Biological and Biosynthetic Dressings
 Topical Adjuvants
 Novel Products and Technologies
The plethora of synthetic dressings on the market makes organization of this section
difficult. In the interest of following already established systems, we use a categorization
system developed by the Durable Medical Equipment Regional Coordinators (DEMERC).
DEMERC was established in October 1993 to streamline the Medicare Part B claims
procedures. An overview of DEMERC is included in the Regulatory Issues chapter of this
report.
The above listing of synthetic dressing categories includes some minor deviations from the
DEMERC system. DEMERC has a category for wound fillers not otherwise listed and a
category for miscellaneous surgical supplies. We have deleted these categories and created
a section, Biological and Biosynthetic Dressings, that includes most of the dressings listed
by DEMERC under the deleted DEMERC categories.
Under the Topical Adjuvant section, skin sealants, protectants, and moisturizers are
reimbursed by DEMERC, but wound cleansers and enzymatic debriding agents are not.
Enzymatic debriding agents are classified as drugs, and wound cleansers were dropped by
DEMERC in 1995 for the apparent reason that they are considered expendable. We include a
discussion of these three topical products in this report as each is widely used and
intimately related to wound healing.
The Novel Products and Technologies section includes products and technologies now or will
soon be at the vanguard of wound management, especially with reference to chronic
wounds and severe burns.
This report provides the reader with a comprehensive analysis of the markets for wound
care products and technologies and illuminates the important and emerging products,
technologies, and companies. It also includes discussion and analysis of topical issues
relating to pricing, evolving market trends, and regulation. It provides the reader with an
accurate bearing on where the industry is heading as we move into the next century.
The report:
 Describes the industry, its importance to the economy, and trends for the future;
 Provides a brief historical perspective;
 Provides the developmental history, describes the properties, and lists the benefits of
each wound care product and technology;
 Analyzes the market for wound care products and technologies according to the type of
wound (acute, chronic, and burn wounds), and provides the volume and value of sales
along with forecasts of the volume and value;

3.  Separates the markets for wound care products and technologies into hospital and
alternative care segments and describes the relationship of each wound care product
and technology to these segments;
 Estimates the market share of each category of wound care product and technique held
by competing manufacturers;
 Analyzes the impact of novel products and technologies on the industry;
 Discusses the role and importance of distributors and the changes affecting the
distribution of wound care products;
 Discusses the role of third party payers and trends within the industry toward
consolidation and strategic alliances; and
 Profiles the important manufacturers.
REASONS FOR THE STUDY
Although the medical sector as a whole has been undergoing a gradual revolution over the
past hundred or more years, progress in the dressing and management of wounds has been
more erratic. The use of the term “modern” dressings, the primary subject of this report,
did not occur until the 1960s. Since the 1980s, developments have been fast paced and
growth of gauze dressing alternatives has mushroomed. These developments have seen the
emergence of many new suppliers and the demise of others. Consolidation in the industry is
occurring at a rapid pace and competition for market share within all categories is keen.
Change is affecting the industry in many ways. For example, less well-known suppliers are
finding it more difficult to compete in a market in which demands for cost curtailment are
causing hospitals, extended care facilities, and other large buyers to narrow their listing of
approved vendors and to take advantage of the cost incentives provided by volume
purchases. A smaller vendor list also simplifies paperwork and inventory costs.
Participants in the industry must remain acutely aware of market developments if they are
to plan intelligently. This report provides manufacturers, distributors, health care providers,
and other interested parties with the knowledge needed to make informed decisions relating
to investment, strategic planning, procurement, product development, and related matters.
STUDY RATIONALE
The intent of this study is to help simplify the tough choices faced by today’s health care
industry executives. Market intelligence plays a critical role in decisions relating to research
and development, sales planning and strategy, marketing planning and strategy, capital
investment, and myriad other choices faced by buyers and sellers of wound care products
and technologies. Many wound care products on the market are new and growing at double
digit rates, while others are mature and subject to displacement. Product development is
being pursued aggressively by all key manufacturers, while physicians, nurses, and other
health care providers weigh the costs and benefits of the newer introductions against the
exigencies of curtailed budgets and the comfort of doing things the old way.
In this environment, market ignorance can prove very costly. This report gives you the solid
information you need to pursue an intelligent plan of action.
SCOPE AND FORMAT
The geographic scope of this report is the U.S. The wound care product scope includes
wound dressings, topical medications, and novel products and technologies for wound
healing used under the guidance of trained medical personnel. This categorization includes

4. wounds treated within the home, provided a visiting nurse or similarly trained person is
overseeing the wound management. The important types of wounds are listed and
described. Categories of wound care products and technologies are listed and described,
and are associated with a particular wound type. Neither the “over-the-counter” market for
home-use products nor the industrial market for wound care products is covered.
METHOD USED TO PREPARE THIS REPORT
The extensive research capabilities of the Communications Co., Inc. staff were employed to
analyze markets and access government and industry statistics. New technologies, market
developments, and research and development expenditures and trends were identified
through patent and data base searches and discussions with key industry sources. Person-
to-person and telephone interviews were the primary method of information gathering.
METHODOLOGY
Research for this report began with an in-depth analysis of technical and literature, a well as
a review of the history of the technology. Interviews with industry experts, company
representatives, federal government researchers, and university scientists provided the
basis for an assessment of the outlook for non-separating, semi-permeable membrane
applications. Secondary sources of information included product literature from membrane
system suppliers, and numerous scientific references, patent searches, and BCC, Inc.’s
Membrane & Separation Technology News, Medical Materials Update.
The study is divided into certain key chapters dealing with the structure and properties of
non-separating, semi-permeable membranes and other main components of their
applications, including critical components, such as chemical raw materials, and
manufacturing processes necessary for the final function. The study emphasizes areas under
research and the resulting trends.
The report makes projections for each market in terms of constant dollars. Historical values
are presented for the given year, with focus on the U.S. Overseas activity is also mentioned,
putting the U.S. market into global context. Estimates of the membrane areas installed in
particular application areas were obtained, either from surveys done or from estimates of
those knowledgeable in the industry.
INFORMATION SOURCES
The information sources for this study include extensive online research, patent literature,
worldwide technical journals and magazines, and principals in the industry.
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