United States Hospital Supplies Investment Opportunities, Analysis and Forecasts to 2015

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United States Hospital Supplies Investment Opportunities, Analysis
and Forecasts to 2015
Published on April 2009

Report Summary

United States Hospital Supplies Investment Opportunities, Analysis and Forecasts to 2015

Summary

This report is an essential source for in-depth information and data relating to the USA hospital supplies market. It also offers detailed
and comprehensive coverage of market revenue, volume, distribution and company share information; and latest news, financial
deals and pipeline products information of each of the key sub-segments of the hospital supplies in USA

Scope

- The report provides hospital supplies information broken down into detailed categories and segments in United States.
- Total revenues, products sold, end users, and average pricing.
- Market shares of all the key competitors.
- Key pipeline products that are set to shape the market, broken down by sector.
- Information on the top medical equipment companies in the sector in the country covering business description, strategic analysis,
and financial information.
- Healthcare structure, regulatory environment, approval process, pricing trends and reimbursement.
- Product and brand updates, strategy changes, R&D projects, corporate expansions and contractions and regulatory changes.
- Key mergers and acquisitions, partnerships, private equity investments and IPOs.
- Customer, hospitals and physicians data.

Reasons to buy

- Gain a strong understanding of the hospital supplies devices market in United States.
- Evaluate and compare the attractiveness of the market in the country.
- Identify growth segments and opportunities in each industry sector within the country.
- Evaluate the pipeline of key products that will change the sector, and identify threats and opportunities before the products are
launched in the country.
- Analyze the competitiveness of the market in the country and identify hotspots.
- Develop strategies based on the latest product, brand, expansion and research and development news in the country.
- Do deals with an understanding of how competitors are financed, and the mergers and partnerships that have shaped the market in
the country.
- Identify and analyze the strengths and weaknesses of the industry incumbents in the country.

Table of Content

United States Hospital Supplies Investment Opportunities, Analysis and Forecasts to 2015 Page 1/11


Table of Content

1.1 List of Tables 10
1.2 List of Figures 12
2 Introduction 14
2.1 What Is This Report About' 14
3 Definitions of Markets Covered in the Report 15
3.1 Hospital Supplies 15
3.2 Disposable Hospital Supplies 15
3.2.1 Gloves 15
3.2.2 Gowns and Drapes 15
3.2.3 Procedure Kits and Trays 15
3.3 Mobility Aids and Transportation Equipment 15
3.3.1 Stretchers 15
3.3.2 Wheelchairs 15
3.4 Patient Examination Devices 16
3.4.1 Stethoscope 16
3.4.2 Thermometer 16
3.5 Sterilization and Disinfectant Equipment 16
3.5.1 Chemical Sterilization 16
3.5.2 Physical Sterilization 16
3.5.3 Radiation Sterilization 16
3.6 Syringes and Needles 17
3.6.1 General Syringes 17
3.6.2 Specialized Syringes 17
4 Healthcare Sector Review 18
4.1 Healthcare Expenditure 18
4.2 Healthcare Infrastructure 20
4.2.1 Healthcare Personnel Data 22
4.3 United States Healthcare Trade Statistics 24
5 Regulation System 25
5.1 Regulation System 25
5.2 Medical Equipment Approval Process 25
5.2.1 Pre-market Approval Process 26
5.2.2 Intended use and Indications for use 26
5.2.3 Predicate Device 27
5.2.4 Safe and Effective 27
5.2.5 Other Category Devices 29
5.2.6 Post-Market Approval Process 30
5.2.7 Compliance and Enforcement 30
5.2.8 Registration Fee 31
5.2.9 Approval Time 31
6 Pricing and Reimbursement 32
6.1 Government Policies 32
6.2 Private Insurance 33
6.3 Diagnosis Related Groups (DRG) 34
7 Distribution Structure 35
7.1 Distribution Structure 35
8 Hospital Supplies in United States 36



8.1 Hospital Supplies Cross Country Comparison, Revenue ($ mn), 2000-2015 36
8.2 Hospital Supplies, United States, Overall Revenue ($ mn), 2000-2015 37
8.3 Hospital Supplies, United States, Category Volume (Units), 2000-2015 41
8.4 Hospital Supplies, United States, Company Share (2006-2007) 43
9 Disposable Hospital Supplies In United States 44
9.1 Disposable Hospital Supplies Overall Revenue (2000-2015) 44
9.2 Disposable Hospital Supplies Overall Volume (2000-2015) 46
9.3 Disposable Hospital Supplies Average Price (2000-2015) 47
9.4 Disposable Hospital Supplies Distribution Share (2007-2008) 48
9.5 Disposable Hospital Supplies, United States, Company Share (2006-2007) 49
10 Mobility Aids and Transportation Equipment In United States 51
10.1 Mobility Aids and Transportation Equipment Overall Revenue (2000-2015) 51
10.2 Mobility Aids and Transportation Equipment Overall Volume (2000-2015) 53
10.3 Mobility Aids and Transportation Equipment Average Price (2000-2015) 55
10.4 Mobility Aids and Transportation Equipment Distribution Share (2007-2008) 56
10.5 Mobility Aids and Transportation Equipment, United States, Company Share (2006-2007) 57
11 Patient Examination Devices In United States 58
11.1 Patient Examination Devices Overall Revenue (2000-2015) 58
11.2 Patient Examination Devices Overall Volume (2000-2015) 60
11.3 Patient Examination Devices Average Price (2000-2015) 62
11.4 Patient Examination Devices Distribution Share (2007-2008) 63
11.5 Patient Examination Devices, United States, Company Share (2006-2007) 64
12 Sterilization and Disinfectant Equipment In United States 65
12.1 Sterilization and Disinfectant Equipment Overall Revenue (2000-2015) 65
12.2 Sterilization and Disinfectant Equipment Overall Volume (2000-2015) 66
12.3 Sterilization and Disinfectant Equipment Average Price (2000-2015) 67
12.4 Sterilization and Disinfectant Equipment Distribution Share (2007-2008) 68
12.5 Sterilization and Disinfectant Equipment, United States, Company Share (2006-2007) 69
13 Syringes and Needles In United States 70
13.1 Syringes and Needles Overall Revenue (2000-2015) 70
13.2 Syringes and Needles Overall Volume (2000-2015) 72
13.3 Syringes and Needles Average Price (2000-2015) 74
13.4 Syringes and Needles Distribution Share (2007-2008) 75
13.5 Syringes and Needles, United States, Company Share (2006-2007) 76
14 Overview of Key Companies in United States Hospital Supplies Market 77
14.1 3M Health Care 77
14.1.1 Company Overview 77
14.2 Cardinal Health, Inc. 78
14.2.2 Value Chain Analysis 78
14.2.2.1 Manufacturing 79
14.2.2.2 Product Development 79
14.2.2.3 Sales and Marketing 80
14.3 Medline Industries, Inc. 81
14.4 Kimberly-Clark Corporation 82



14.5 Getinge AB 85
14.6 B. Braun Melsungen AG 87
14.7 Ansell Limited 91
14.8 Molnlycke Health Care AB 93
14.9 Sunrise Medical 93
14.10 Invacare Corporation 94
14.11 Becton, Dickinson and Company 97
14.12 Advanced Sterilization Products 99
14.13 STERIS Corporation 100
14.14 Stryker Corporation 102
14.15 Hill-Rom Holdings, Inc. 105



14.16 ArjoHuntleigh 105
14.17 Etac Sverige AB 105
14.18 Covidien Ltd. 106
14.19 Terumo Corporation 109
14.20 Integra LifeSciences Holdings Corporation 112
14.21 Merit Medical Systems, Inc. 116
14.22 Safety Syringes, Inc. 116
14.23 C.R. Bard, Inc. 117
14.24 ICU Medical, Inc. 120
14.25 Hospira, Inc. 124
14.26 Cypress Medical Products 128
14.27 Danlee Medical Products, Inc. 128
14.28 Tuttnauer USA Co. Ltd. 128



14.29 Crosstex International 129
14.30 Ethox International, Inc. 129
14.31 Accurate Surgical & Scientific Instruments Corporation 129
15 Financial Deals Landscape 130
15.1 Acquisition 130
15.1.1 Arkema Acquires Oxford Performance Materials 130
15.1.2 Moog Acquires Ethox International 131
15.2 Partnerships 132
15.2.1 Kinetic Concepts Enters Into An Agreement With Carroll Hospital Group 132
15.2.2 Cardinal Health Enters Into An Agreement With SRI/Surgical Express 133
15.2.3 R&D Products Enters Into An Agreement With A Manufacturer 134
15.2.4 STERIS Signs A Joint Venture Agreement With VTS Medical Systems 135
16 Recent Developments 136
16.1 Strategy And Business Planning 136
16.1.1 Apr 24, 2009: Covalon Technologies, Amsino International Announce Strategic Alliance 136
16.1.2 Mar 24, 2009: Hospira Announces Plans To Optimize Operations, Increase Shareholder Value 136
16.1.3 Mar 16, 2009: Cardinal Opens New Facility In Nebraska 137
16.1.4 Feb 06, 2009: Span-America Medical Systems Announces Cancellation Of Hill-Rom Supply Contract 138
16.1.5 Feb 02, 2009: ConvaTec Plans To Expand In Greensboro 139
16.1.6 Jan 30, 2009: Codman Plans To Close Its Manufacturing Operations In Miami Lakes 139
16.1.7 Dec 25, 2008: Phase II Medical Expands Rochester Manufacturing Facility 139
16.2 Legal and Regulatory 140
16.2.1 Mar 10, 2009: US District Court Certifies Class Action In Boston Scientific Securities Lawsuit 140
16.2.2 Jan 07, 2009: BD Settles Lawsuit With Ultimed 140
16.2.3 Dec 12, 2008: Terumo And Its Subsidiary Settle Lawsuits With Maquet 140
16.2.4 Nov 24, 2008: Medegen Prevails On Appeal In ICUI Patent Infringement Case 141
16.3 Government and Public Interest 141
16.3.1 Mar 19, 2009: Medicare Rules On Home-equipment Worry Patients 141
16.4 Product Approvals 142
16.4.1 Feb 19, 2009: Revolutions Medical Announces 510(K) Approval For Rev Vac Safety Syringe 142
16.4.2 Feb 16, 2009: Vitrolife Announces US FDA Approval For Swemed Sense 142
17 Appendix 143
17.1 Global Markets Direct Research Methodology 143
17.2 Coverage 144
17.3 Secondary Research 144
17.4 Primary Research 145
17.5 Models 145
17.6 Forecasts 146
17.7 Expert Panel Validation 146
17.8 Currency Conversion 147
17.9 Contact Us 148
17.10 Disclaimer 148

List of Tables



Table 1: United States Healthcare Expenditure, 2003-2010 19
Table 2: Total Number of Doctors in the United States, 2003-2010 22
Table 3: Number of Doctors by Specialty in the United States, 2003-2010 23
Table 4: United States Healthcare Trade Statistics, 2001-2006 24
Table 5: Medical Equipment Registration Fee in United States, 2007 31
Table 6: Medical Device Approval Time in United States 31
Table 7: Hospital Supplies Cross Country Comparison, Revenue ($ mn), 2000-2015 36
Table 8: Hospital Supplies, United States, Overall Revenue ($ mn), 2000-2015 37
Table 9: Hospital Supplies, United States, Cross-Category Analysis, 2000-2015 38
Table 10: Hospital Supplies, United States, Overall Revenue ($ mn), Historic, 2000-2008 39
Table 11: Hospital Supplies, United States, Overall Revenue ($ mn), Forecast, 2008-2015 40
Table 12: Hospital Supplies, United States, Category Volume (Units), 2000-2015 41
Table 13: Hospital Supplies, United States, Category Volume (Units), Historic, 2000-2008 41
Table 14: Hospital Supplies, United States, Category Volume (Units), Forecast, 2008-2015 42
Table 15: Hospital Supplies, United States, Company Share by Revenue ($ mn), 2006-2007 43
Table 16: Disposable Hospital Supplies, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 44
Table 17: Disposable Hospital Supplies, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 45
Table 18: Disposable Hospital Supplies, United States, Volume (Units) by Segment, Historic, 2000-2008 46
Table 19: Disposable Hospital Supplies, United States, Volume (Units) by Segment, Forecast, 2008-2015 46
Table 20: Disposable Hospital Supplies, United States, Average Price ($), Historic, 2000-2008 47
Table 21: Disposable Hospital Supplies, United States, Average Price ($), Forecast, 2008-2015 47
Table 22: Disposable Hospital Supplies, United States, Distribution Share by Revenue ($mn), 2007-2008 48
Table 23: Disposable Hospital Supplies, United States, Company Share by Revenue ($ mn), 2006-2007 50
Table 24: Mobility Aids and Transportation Equipment, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 51
Table 25: Mobility Aids and Transportation Equipment, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 52
Table 26: Mobility Aids and Transportation Equipment, United States, Volume (Units) by Segment, Historic, 2000-2008 53
Table 27: Mobility Aids and Transportation Equipment, United States, Volume (Units) by Segment, Forecast, 2008-2015 54
Table 28: Mobility Aids and Transportation Equipment, United States, Average Price ($), Historic, 2000-2008 55
Table 29: Mobility Aids and Transportation Equipment, United States, Average Price ($), Forecast, 2008-2015 55
Table 30: Mobility Aids and Transportation Equipment, United States, Distribution Share by Revenue ($mn), 2007-2008 56
Table 31: Mobility Aids and Transportation Equipment, United States, Company Share by Revenue ($ mn), 2006-2007 57
Table 32: Patient Examination Devices, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 58
Table 33: Patient Examination Devices, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 59
Table 34: Patient Examination Devices, United States, Volume (Units) by Segment, Historic, 2000-2008 60
Table 35: Patient Examination Devices, United States, Volume (Units) by Segment, Forecast, 2008-2015 61
Table 36: Patient Examination Devices, United States, Average Price ($), Historic, 2000-2008 62
Table 37: Patient Examination Devices, United States, Average Price ($), Forecast, 2008-2015 62
Table 38: Patient Examination Devices, United States, Distribution Share by Revenue ($mn), 2007-2008 63
Table 39: Patient Examination Devices, United States, Company Share by Revenue ($ mn), 2006-2007 64
Table 40: Sterilization and Disinfectant Equipment, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 65
Table 41: Sterilization and Disinfectant Equipment, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 65
Table 42: Sterilization and Disinfectant Equipment, United States, Volume (Units) by Segment, Historic, 2000-2008 66
Table 43: Sterilization and Disinfectant Equipment, United States, Volume (Units) by Segment, Forecast, 2008-2015 66
Table 44: Sterilization and Disinfectant Equipment, United States, Average Price ($), Historic, 2000-2008 67
Table 45: Sterilization and Disinfectant Equipment, United States, Average Price ($), Forecast, 2008-2015 67
Table 46: Sterilization and Disinfectant Equipment, United States, Distribution Share by Revenue ($mn), 2007-2008 68
Table 47: Sterilization and Disinfectant Equipment, United States, Company Share by Revenue ($ mn), 2006-2007 69
Table 48: Syringes and Needles, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 70
Table 49: Syringes and Needles, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 71
Table 50: Syringes and Needles, United States, Volume (Units) by Segment, Historic, 2000-2008 72



Table 51: Syringes and Needles, United States, Volume (Units) by Segment, Forecast, 2008-2015 73
Table 52: Syringes and Needles, United States, Average Price ($), Historic, 2000-2008 74
Table 53: Syringes and Needles, United States, Average Price ($), Forecast, 2008-2015 74
Table 54: Syringes and Needles, United States, Distribution Share by Revenue ($mn), 2007-2008 75
Table 55: Syringes and Needles, United States, Company Share by Revenue ($ mn), 2006-2007 76
Table 56: Arkema Acquires Oxford Performance Materials 130
Table 57: Moog Acquires Ethox International 131
Table 58: Kinetic Concepts Enters Into An Agreement With Carroll Hospital Group 132
Table 59: Cardinal Health Enters Into An Agreement With SRI/Surgical Express 133
Table 60: R&D Products Enters Into An Agreement With A Manufacturer 134
Table 61: STERIS Signs A Joint Venture Agreement With VTS Medical Systems 135
Table 62: USD to Local Currency, Average Exchange Rate 2008 147

1.2 List of Figures

Figure 1: United States, Healthcare Expenditure by Source 19
Figure 2: United States, Healthcare Infrastructure, Top Level View, 2007 21
Figure 3: Healthcare Expenses Segmentation by End User 22
Figure 4: Medical Equipment Approval Process in the United States, 2007 26
Figure 5: PMA Approval Process in the United States, 2007 28
Figure 6: The 510(k) Approval Process for Medical Devices in the United States, 2007 29
Figure 7: Reimbursement Structure in the United States, 2007 34
Figure 8: Distribution Structure of Medical Equipment in the United States 35
Figure 9: Hospital Supplies Cross Country Comparison, Revenue ($ mn), 2000-2015 36
Figure 10: Hospital Supplies, United States, Overall Revenue ($ mn), 2000-2015 37
Figure 11: Hospital Supplies, United States, Cross-Category Analysis, 2000-2015 38
Figure 12: Hospital Supplies, United States, Overall Revenue ($ mn), Historic, 2000-2008 39
Figure 13: Hospital Supplies, United States, Overall Revenue ($ mn), Forecast, 2008-2015 40
Figure 14: Hospital Supplies, United States, Company Share (%), 2007 43
Figure 15: Disposable Hospital Supplies, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 44
Figure 16: Disposable Hospital Supplies, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 45
Figure 17: Disposable Hospital Supplies, United States, Company Share (%), 2007 49
Figure 18: Mobility Aids and Transportation Equipment, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 51
Figure 19: Mobility Aids and Transportation Equipment, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 52
Figure 20: Mobility Aids and Transportation Equipment, United States, Volume (Units) by Segment, Historic, 2000-2008 53
Figure 21: Mobility Aids and Transportation Equipment, United States, Volume (Units) by Segment, Forecast, 2008-2015 54
Figure 22: Mobility Aids and Transportation Equipment, United States, Company Share (%), 2007 57
Figure 23: Patient Examination Devices, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 58
Figure 24: Patient Examination Devices, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 59
Figure 25: Patient Examination Devices, United States, Volume (Units) by Segment, Historic, 2000-2008 60
Figure 26: Patient Examination Devices, United States, Volume (Units) by Segment, Forecast, 2008-2015 61
Figure 27: Patient Examination Devices, United States, Company Share (%), 2007 64
Figure 28: Sterilization and Disinfectant Equipment, United States, Company Share (%), 2007 69
Figure 29: Syringes and Needles, United States, Revenue ($ mn) by Segment, Historic, 2000-2008 70
Figure 30: Syringes and Needles, United States, Revenue ($ mn) by Segment, Forecast, 2008-2015 71
Figure 31: Syringes and Needles, United States, Volume (Units) by Segment, Historic, 2000-2008 72
Figure 32: Syringes and Needles, United States, Volume (Units) by Segment, Forecast, 2008-2015 73
Figure 33: Syringes and Needles, United States, Company Share (%), 2007 76



Figure 34: Cardinal Health, Inc. Value Chain Analysis 78
Figure 35: Kimberly-Clark Corporation Value Chain Analysis 82
Figure 36: Getinge AB Value Chain Analysis 85
Figure 37: B. Braun Melsungen AG Value Chain Analysis 87
Figure 38: Ansell Limited Value Chain Analysis 91
Figure 39: Invacare Corporation Value Chain Analysis 94
Figure 40: Becton, Dickinson and Company Value Chain Analysis 97
Figure 41: STERIS Corporation Value Chain Analysis 100
Figure 42: Stryker Corporation Value Chain Analysis 102
Figure 43: Covidien Ltd./Tyco Healthcare Value Chain Analysis 107
Figure 44: Terumo Corporation Value Chain Analysis 109
Figure 45: Integra LifeSciences Holdings Corporation Value Chain Analysis 113
Figure 46: C.R. Bard, Inc. Value Chain Analysis 117
Figure 47: ICU Medical, Inc. Value Chain Analysis 121
Figure 48: Hospira, Inc. Value Chain Analysis 125
Figure 49: Global Markets Direct Methodology 143



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United States Hospital Supplies Investment Opportunities, Analysis and Forecasts to 2015

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United States Hospital Supplies Investment Opportunities, Analysis and Forecasts to 2015