Sterilization and disinfection are essential components of infection-control procedures. There has been a surge of cleaning standards and mounting pressure for sterilized medical devices and disinfection in hospitals and clinics, which has triggered the growth of the medical sterilization and disinfection market. With an increase in aging population across the globe and a demand for healthcare services, change in the healthcare reimbursement policies is pushing the providers of sterilization and disinfection to improve their operations by providing high-quality service at lower costs. These factors are expected to propel the growth of this market. The overall infection control market will grow at a steady pace of around 6% and will reach $14.0 billion by 2017 from $10.5 billion in 2012.

With the introduction of technically enhanced instruments in the market like endoscopes and analyzers, there has been an increased need for advanced sterilizers that are compatible with the same. This has brought about a drastic shift from steam sterilizers to low temperature sterilizers with its wide range of technologies such as ethylene oxide (EtO), vaporized hydrogen peroxide (VHP), hydrogen peroxide gas plasma, and ozone gas based sterilization.

The report also studies the sterilization services market, which includes healthcare solutions, hospital sterilization services, and applied sterilization technologies. This market, too, has witnessed a rise in demand. Contract sterilization services, in particular, is a common trend due to stringent regulatory requirements imposed by regulatory agencies like International Organization for Standardization (ISO) and Association for the Advancement of Medical Instrumentation (AAMI). Original Equipment Manufacturers (OEMs), hence, prefer outsourcing, as it reduces costs on sterilizing and disinfecting equipment in-house by focusing on their other business core competencies. However, in the near future, in-house sterilization is expected to give healthy competition to contract sterilization services mainly due to the advent of hydrogen gas plasma and vapor hydrogen peroxide that are preferred to be used in-house. It also offers better quality assurance with just-in-time facility for sterilized products.

Gamma and E-beam types of sterilization services are poised to have better growth over EtO in the near future due to their wider application with respect to sterilization of food, pharmaceutical, medical devices, life sciences, and cosmetic products.

Along with sterilization, cleaning and sanitation are also important activities carried out in healthcare, food, and pharmaceutical industry. Hand disinfectant market is the fastest growing segment as hands are considered to be the primary cause of cross infection. The demand for sanitizing and preservative disinfectants in food industry is also increasing due to high risks associated with food-borne pathogens along with other bacterial and viral food related infections. Increased focus on hygiene and spread of infections are the driving forces for disinfectants in the all the sectors. The endoscope reprocessing market is anticipated to show healthy growth in the near future due to continued instrument development and increasing minimally invasive surgery procedures.

Riding on these factors, along with increasing usage of single-use technology products such as medical non-wovens and face masks, the global disinfection market is expected to grow at a CAGR of more than 5.0% from 2012 to 2017.

North America constitutes the largest share to the infection control market, followed by Europe, Asia, and RoW. The rise in number of chronic diseases, pandemic diseases such as H1N1 and aging population has enhanced the growth of this market. Cost-containment issues have also led to the growth of the services sterilization market. The lack of government funds, however, has led to a decrease in innovation and enhancement of current technologies used for sterilization and disinfection. The Asian market is expected to display favorable growth in the coming years primarily due to rise in health awareness, growth of aging population, increase in number of surgical procedures, and growth in per capita income.

The major players in the sterilization equipment market are Steris Corporation (U.S.), Getinge AB (Sweden), Advanced Sterilization Products (U.S.), and Belimed (Switzerland). Key players in the contract sterilization services market are Synergy Health (U.K.) Steris Isomedix (U.S.), Sterigenics (U.S.), Medivators (U.S.), and Nordion (Canada). The disinfection market is dominated by Medivators, Cardinal Health (U.S.) and Kimberly-Clark (U.S.) along with the likes of Getinge, Steris, ASP, 3M (U.S.) and Belimed (Switzerland).

Scope of the Report

This research report categorizes the global sterilization market on the basis of technology, services, and applications. The disinfection market is categorized on the basis of various equipment and disposables used. These markets are broken down into segments and sub-segments, providing value analysis for 2010, 2011, and 2012, as well as forecast up to 2017. Each market is comprehensively analyzed by geography (North America, Europe, Asia, and Rest of the World) to provide in-depth information on the global scenario.

Global Infection Control Market Segmentation

Heat Sterilization
Moist Heat
Traditional & Table top
Gravity Sterilizers
Pre vacuum Sterilizers
Steam Flush Pressure-pulse Sterilizers
Dry Heat
Low temperature Sterilization
Ethylene Oxide Sterilization (EtO)
Vaporized Hydrogen Peroxide (VHP)
Hydrogen Peroxide Gas Plasma
Ozone Gas-based Medical Sterilization
Filtration

Global Sterilization Services Market:

In-House Sterilization
Ethylene Oxide
Gamma Sterilization
E-Beam
Others
Contract Sterilization Services
Ethylene Oxide
Gamma Sterilization
E-Beam
Others

Global Sterilization Application Market:

Life Sciences
Medical devices
Pharmaceutical
Food
Others

Global Disinfection Product Market:

Disinfectors
Washer disinfector
Flusher disinfector
Endoscope reprocessing
Equipment
Consumables
Disinfectants
Product type
Hand
Skin
Instrument
Surface
EPA class
High-level
Intermediate-level
Low-level
Medical Non-woven
Drapes
Gowns
Sterilization wrap
Facemasks
Disinfectant wipes

Infection Control Market, By Geography:

North America
Europe
Asia
RoW

The applications market for disinfection is not in the scope of this report as no information is available in paid and unpaid databases as well as through expert interviews.

Table Of Contents

TABLE OF CONTENTS

1 INTRODUCTION 26

1.1 KEY TAKE-AWAYS 26
1.2 REPORT DESCRIPTION 26
1.3 MARKETS COVERED 29
1.4 STAKEHOLDERS 31
1.5 RESEARCH METHODOLOGY 32
1.5.1 MARKET SIZE 32
1.5.2 MARKET SHARE 32
1.5.3 KEY DATA POINTS FROM SECONDARY SOURCES 33
1.5.4 KEY DATA POINTS FROM PRIMARY SOURCES 33
1.5.5 ASSUMPTIONS 34

2 EXECUTIVE SUMMARY 35

3 MARKET OVERVIEW 40

3.1 INTRODUCTION 40
3.2 MARKET SEGMENTATION 41
3.3 MARKET DYNAMICS 44
3.3.1 DRIVERS 45
3.3.1.1 Rise in hospital-acquired infections (HAIs) to trigger growth 45
3.3.1.2 Increase in surgeries demand development of infection control technologies 45
3.3.1.3 Aging population propels growth of the infection control market 46
3.3.1.4 Growth of food sterilization and disinfection to drive the market 46
3.3.2 RESTRAINTS 47
3.3.2.1 Regulatory compliances and stringent requirements mar the growth of the industry 47
3.3.2.2 Economic downturn and saturation to restrict growth 48
3.3.3 OPPORTUNITIES 48
3.3.3.1 Untapped emerging market provides significant growth opportunities 48
3.3.3.2 Rise in trend for E-beam radiation sterilization through service sterilization industry 49
3.3.3.3 Single-use technology products, an opportunity, especially in the developing countries 49
3.4 EMERGING STERILIZATION and DISINFECTION TECHNOLOGIES 50
3.4.1 SUPERCRITICAL CO2 TECHNOLOGY 50
3.4.2 ULTRA HIGH PRESSURE STERILIZATION 50
3.4.3 NITROGEN DIOXIDES 51
3.4.4 PULSED ELECTRICAL FIELD (PEF) STERILIZATION 51
3.4.5 MICROWAVE ENERGY STERILIZATION 52
3.4.6 PHOTOCATALYSIS 52
3.4.7 ULTRASONIC TECHNOLOGY 53
3.5 STERILIZATION PROCESS MONITORING 54
3.5.1 MECHANICAL INDICATOR 54
3.5.2 CHEMICAL INDICATOR 54
3.5.3 BIOLOGICAL INDICATOR 54
3.6 COMMONLY USED DISINFECTANTS and ANTISEPTICS 55
3.6.1 ALCOHOL 55
3.6.2 QUATERNARY AMMONIUM COMPOUNDS 55
3.6.3 CHLORHEXIDINE GLUCONATE 56
3.6.4 HYDROGEN PEROXIDE 57
3.6.5 IODINE 57
3.6.6 PHENOLIC COMPOUNDS 58
3.6.7 ALDEHYDES 58
3.6.8 CHLORINE 59
3.6.9 PERACETIC ACID 59
3.6.10 CHLORINE DIOXIDE 60
3.7 FORMALDEHYDE STERILIZATION AND LOW TEMPERATURE STEAM and FORMALDEHYDE (LTSF) 60
3.7.1 INTRODUCTION 60
3.7.2 COMPARISON WITH OTHER TECHNOLOGIES 61
3.7.2.1 Formaldehyde versus hydrogen peroxide 61
3.7.2.2 Formaldehyde versus ETO 61
3.7.2.3 Formaldehyde versus glutaraldehyde 61
3.7.3 GEOGRAPHIC TRENDS 62
3.7.3.1 North America 62
3.7.3.2 Europe 62
3.7.3.3 Japan 62
3.8 MARKET SHARE ANALYSIS 63
3.8.1 STERILIZATION MARKET 63
3.8.1.1 Sterilization equipment market 63
3.8.1.2 Sterilization contract services market 65
3.8.2 DISINFECTION MARKET 66
3.8.2.1 Disinfector market 66
3.8.2.2 Endoscope reprocessing market 67
3.8.2.3 Others 68

4 GLOBAL STERILIZATION EQUIPMENT MARKET 69

4.1 INTRODUCTION 70
4.2 HEAT STERILIZATION 72
4.2.1 MOIST HEAT (AUTOCLAVE) 74
4.2.1.1 Steam sterilization has limited applications 74
4.2.1.2 By Product 76
4.2.1.2.1 Traditional 76
4.2.1.2.2 Tabletop 78
4.2.1.3 By Technology 79
4.2.1.3.1 Gravity 79
4.2.1.3.2 Pre-vacuum 80
4.2.1.3.3 Steam flush pressure-pulse 81
4.2.2 DRY HEAT 81
4.2.2.1 Dry heat sterilization to show sluggish growth 82
4.3 LOW TEMPERATURE STERILIZATION 83
4.3.1 ETHYLENE OXIDE STERILIZATION (ETO) 84
4.3.1.1 Ethylene oxide consumption 87
4.3.1.1.1 Introduction 87
4.3.1.1.2 End-user analysis 90
4.3.2 VAPORIZED HYDROGEN PEROXIDE (VHP) 92
4.3.3 HYDROGEN PEROXIDE GAS PLASMA 93
4.3.3.1 Hydrogen peroxide gas plasma sterilization, advantageous over EtO 94
4.3.4 OZONE GAS-BASED MEDICAL STERILIZATION 95
4.3.4.1 Ozone sterilization will show low growth rate despite its advantages 96
4.4 FILTRATION MARKET 97

5 IN-HOUSE and CONTRACT STERILIZATION MARKETS 98

5.1 INTRODUCTION 99
5.2 IN-HOUSE STERILIZATION 100
5.2.1 IN-HOUSE STERILIZATION, A BETTER OPTION FOR ORGANIZATIONS WITH MODERATE NEEDS OF STERILIZATION 100
5.2.2 ETHYLENE OXIDE 101
5.2.3 GAMMA STERILIZATION 102
5.2.4 E-BEAM 102
5.2.4.1 Increasing adoption of E-beam technology for in-house sterilization 102
5.2.5 OTHERS 103
5.3 CONTRACT STERILIZATION SERVICES 103
5.3.1 ETHYLENE OXIDE 104
5.3.2 GAMMA STERILIZATION 105
5.3.3 E-BEAM 105
5.3.3.1 Shift to E-beam from EtO by contract service providers 106
5.3.4 OTHERS 106

6 GLOBAL STERILIZATION APPLICATION MARKET 107

6.1 INTRODUCTION 108
6.2 LIFE SCIENCES 108
6.2.1 LOW-TEMPERATURE STERILIZATION PREFERRED IN LIFE SCIENCES SECTOR 108
6.3 MEDICAL DEVICES 111
6.3.1 HEAT STERILIZATION TO BE REPLACED BY LOW TEMPERATURE STERILIZATION TECHNOLOGY 111
6.4 PHARMACEUTICAL 113
6.4.1 FILTRATION ACCOUNTS FOR THE LARGEST SEGMENT IN PHARMACEUTICAL STERILIZATION 113
6.5 FOOD 116
6.6 OTHERS 118

7 GLOBAL DISINFECTION MARKET 120

7.1 INTRODUCTION 121
7.2 DISINFECTOR MARKET 123
7.2.1 WASHER DISINFECTOR 125
7.2.2 FLUSHER DISINFECTOR 126
7.3 ENDOSCOPE REPROCESSING 128
7.3.1 ENDOSCOPE REPROCESSING MARKET TO GROW AT A HEALTHY RATE 128
7.3.2 EQUIPMENT/REPROCESSOR 130
7.3.3 CONSUMABLES and DETERGENTS 131
7.4 DISINFECTANT MARKET 132
7.4.1 BY PRODUCT TYPE 135
7.4.1.1 Hand disinfectant 135
7.4.1.2 Skin disinfectant 136
7.4.1.3 Instrument disinfectant 138
7.4.1.4 Surface disinfectant 139
7.4.2 BY EPA CLASSIFICATION 140
7.4.2.1 Low-level disinfectant 141
7.4.2.2 Intermediate-level disinfectant 142
7.4.2.3 High-level disinfectant 143
7.5 MEDICAL NON-WOVENS 145
7.5.1 SINGLE-USE TECHNOLOGY PRODUCTS, A LUCRATIVE INVESTMENT OPPORTUNITY 145
7.5.2 SURGICAL DRAPES 148
7.5.3 SURGICAL GOWNS 149
7.5.4 STERILIZATION WRAPS 150
7.5.5 FACE MASKS 152
7.5.5.1 Face masks market to grow double-digit 152
7.6 DISINFECTANT WIPES 154

8 GEOGRAPHIC ANALYSIS 155

8.1 INTRODUCTION 156
8.2 NORTH AMERICA 159
8.2.1 U.S. 166
8.2.2 CANADA 170
8.3 EUROPE 176
8.3.1 GERMANY 182
8.3.2 FRANCE 186
8.3.3 U.K. 190
8.3.4 ITALY 194
8.3.5 SPAIN 198
8.3.6 REST OF EUROPE (ROE) 201
8.4 ASIA 205
8.4.1 JAPAN 211
8.4.2 CHINA 215
8.4.3 INDIA 219
8.4.4 ROA 222
8.5 ROW 225

9 COMPETITIVE LANDSCAPE 230

9.1 INTRODUCTION 230
9.2 NEW PRODUCTS LAUNCH 232
9.3 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS, CONTRACTS and JOINT VENTURES 240
9.4 MERGERS and ACQUISITIONS 245
9.5 EXPANSION 248
9.6 OTHERS 251

10 COMPANY PROFILES 253

10.1 3M COMPANY 253
10.2 ADVANCED STERILIZATION PRODUCTS SERVICES, INC. (A JOHNSON and JOHNSON COMPANY) 261
10.3 AHLSTROM CORPORATION 267
10.4 BELIMED AG (A METALL ZUG GROUP COMPANY) 272
10.5 CISA S.P.A. 280
10.6 GETINGE GROUP 283
10.7 HONEYWELL INTERNATIONAL, INC. 292
10.8 KIMBERLY-CLARK CORPORATION 296
10.9 MATACHANA GROUP 302
10.10 MEDIVATORS (A CANTEL MEDICAL COMPANY ) 308
10.11 MMM GROUP 316
10.12 NORDION, INC. 320
10.13 SAKURA GLOBAL HOLDING COMPANY 328
10.14 STERIS CORPORATION 333
10.15 STERIGENICS INTERNATIONAL, INC. 347
10.16 SYNERGY HEALTH, PLC 350
10.17 TSO3, INC. 359



LIST OF TABLES

TABLE 1 GLOBAL INFECTION CONTROL MARKET, BY SEGMENT,
2010 - 2017 ($MILLION) 36
TABLE 2 GLOBAL STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 37
TABLE 3 GLOBAL STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 71
TABLE 4 GLOBAL HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 73
TABLE 5 HEAT STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 73
TABLE 6 GLOBAL MOIST HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE, 2010 - 2017 ($MILLION) 75
TABLE 7 MOIST HEAT STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 76
TABLE 8 GLOBAL TRADITIONAL MOIST HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE, 2010 - 2017 ($MILLION) 77
TABLE 9 STEAM STERILIZATION METHODS 77
TABLE 10 GLOBAL TABLETOP STERILIZATION EQUIPMENT MARKET, BY TYPE, 2010 - 2017 ($MILLION) 79
TABLE 11 GRAVITY STEAM STERILIZERS: MINIMUM CYCLE TIME 80
TABLE 12 DRY HEAT STERILIZATION MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 82
TABLE 13 GLOBAL LOW TEMPERATURE STERILIZATION EQUIPMENT MARKET,
BY TYPE, 2010 - 2017 ($MILLION) 84
TABLE 14 ADVANTAGES and DISADVANTAGES OF ETO 85
TABLE 15 ETO STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 86
TABLE 16 ETO CONSUMPTION, BY GEOGRAPHY, 2010 - 2017 (MILLION POUNDS) 89
TABLE 17 GLOBAL ETO CONSUMPTION, BY END-USER, 2010 - 2017
(MILLION POUNDS) 91
TABLE 18 VHP STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 93
TABLE 19 HYDROGEN GAS PLASMA STERILIZATION EQUIPMENT MARKET,
BY GEOGRAPHY, 2010 - 2017 ($MILLION) 95
TABLE 20 OZONE STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 96
TABLE 21 FILTRATION STERILIZATION EQUIPMENT MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 97
TABLE 22 GLOBAL STERILIZATION SERVICES MARKET, BY TYPE,
2010 - 2017 ($MILLION) 99
TABLE 23 GLOBAL IN-HOUSE STERILIZATION MARKET, BY TYPE,
2010 - 2017 ($MILLION) 101
TABLE 24 GLOBAL CONTRACT SERVICES STERILIZATION MARKET, BY TYPE,
2010 - 2017 ($MILLION) 104
TABLE 25 GLOBAL STERILIZATION EQUIPMENT MARKET FOR LIFE SCIENCES,
BY TYPE, 2010 - 2017 ($MILLION) 109
TABLE 26 GLOBAL STERILIZATION SERVICES MARKET FOR LIFE SCIENCES,
BY TYPE, 2010 - 2017 ($MILLION) 110
TABLE 27 GLOBAL STERILIZATION EQUIPMENT MARKET FOR MEDICAL DEVICES, BY TYPE, 2010 - 2017 ($MILLION) 112
TABLE 28 GLOBAL STERILIZATION SERVICE MARKET FOR MEDICAL DEVICES,
BY TYPE, 2010 - 2017 ($MILLION) 112
TABLE 29 GLOBAL STERILIZATION EQUIPMENT MARKET FOR PHARMACEUTICALS, BY TYPE, 2010 - 2017 ($MILLION) 114
TABLE 30 GLOBAL STERILIZATION SERVICE MARKET FOR PHARMACEUTICALS,
BY TYPE, 2010 - 2017 ($MILLION) 115
TABLE 31 GLOBAL STERILIZATION EQUIPMENT MARKET FOR FOOD, BY TYPE, 2010 - 2017 ($MILLION) 117
TABLE 32 GLOBAL STERILIZATION SERVICES MARKET FOR FOOD, BY TYPE,
2010 - 2017 ($MILLION) 117
TABLE 33 GLOBAL STERILIZATION EQUIPMENT MARKET FOR OTHER APPLICATIONS, BY TYPE, 2010 - 2017 ($MILLION) 118
TABLE 34 GLOBAL STERILIZATION SERVICE MARKET FOR OTHER APPLICATIONS, BY TYPE, 2010 - 2017 ($MILLION) 119
TABLE 35 GLOBAL DISINFECTION MARKET, BY PRODUCT TYPE,
2010 - 2017 ($MILLION) 122
TABLE 36 GLOBAL DISINFECTOR MARKET, BY PRODUCT TYPE,
2010 - 2017 ($MILLION) 124
TABLE 37 DISINFECTOR MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 124
TABLE 38 WASHER DISINFECTOR MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 126
TABLE 39 FLUSHER DISINFECTOR MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 127
TABLE 40 GLOBAL ENDOSCOPE REPROCESSING MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 129
TABLE 41 ENDOSCOPE REPROCESSING MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 130
TABLE 42 ENDOSCOPE REPROCESSOR/EQUIPMENT MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 131
TABLE 43 ENDOSCOPE REPROCESSING CONSUMABLES MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 132
TABLE 44 GLOBAL DISINFECTANT MARKET, BY PRODUCT TYPE,
2010 - 2017 ($MILLION) 133
TABLE 45 GLOBAL DISINFECTANT MARKET, BY EPA CLASS,
2010 - 2017 ($MILLION) 134
TABLE 46 DISINFECTANT MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 135
TABLE 47 HAND DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 136
TABLE 48 SKIN DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 137
TABLE 49 SPAULDING’S CLASSIFICATION OF MEDICAL EQUIPMENT AND REQUIRED LEVEL OF REPROCESSING 138
TABLE 50 INSTRUMENT DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 139
TABLE 51 SURFACE DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 140
TABLE 52 LOW-LEVEL DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 142
TABLE 53 INTERMEDIATE-LEVEL DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 143
TABLE 54 HIGH-LEVEL DISINFECTANT MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 144
TABLE 55 GLOBAL MEDICAL NON-WOVEN MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 147
TABLE 56 MEDICAL NON-WOVEN, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 148
TABLE 57 SURGICAL DRAPES MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 149
TABLE 58 SURGICAL GOWN MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 150
TABLE 59 STERILIZATION WRAPS MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 151
TABLE 60 FACEMASKS MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 153
TABLE 61 DISINFECTANT WIPES MARKET, BY GEOGRAPHY,
2010 - 2017 ($MILLION) 154
TABLE 62 STERILIZATION MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 157
TABLE 63 DISINFECTION MARKET, BY GEOGRAPHY, 2010 - 2017 ($MILLION) 158
TABLE 64 NORTH AMERICA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 159
TABLE 65 NORTH AMERICA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 160
TABLE 66 NORTH AMERICA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE, 2010 - 2017 ($MILLION) 161
TABLE 67 NORTH AMERICA: LOW TEMPERATURE STERILIZATION EQUIPMENT MARKET, BY TECHNOLOGY, 2010 - 2017 ($MILLION) 162
TABLE 68 NORTH AMERICA: IN-HOUSE and CONTRACT STERILIZATION MARKETS, 2010 - 2017 ($MILLION) 163
TABLE 69 NORTH AMERICA: STERILIZATION MARKET, BY COUNTRY,
2010 - 2017 ($MILLION) 164
TABLE 70 NORTH AMERICA: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 165
TABLE 71 NORTH AMERICA: DISINFECTION MARKET, BY COUNTRY,
2010 - 2017 ($MILLION) 166
TABLE 72 U.S.: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 167
TABLE 73 U.S.: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 168
TABLE 74 U.S.: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 168
TABLE 75 U.S.: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 169
TABLE 76 U.S.: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 169
TABLE 77 CANADA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 172
TABLE 78 CANADA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 173
TABLE 79 CANADA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 173
TABLE 80 CANADA: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 174
TABLE 81 CANADA: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 175
TABLE 82 EUROPE: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 177
TABLE 83 EUROPE: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 178
TABLE 84 EUROPE: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 178
TABLE 85 EUROPE: LOW TEMPERATURE STERILIZATION EQUIPMENT MARKET,
BY TECHNOLOGY, 2010 - 2017 ($MILLION) 179
TABLE 86 EUROPE: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 180
TABLE 87 EUROPE: STERILIZATION MARKET, BY COUNTRY,
2010 - 2017 ($MILLION) 180
TABLE 88 EUROPE: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 181
TABLE 89 EUROPE: DISINFECTION MARKET, BY COUNTRY,
2010 - 2017 ($MILLION) 182
TABLE 90 GERMANY: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 183
TABLE 91 GERMANY: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 184
TABLE 92 GERMANY: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 184
TABLE 93 GERMANY: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 185
TABLE 94 GERMANY: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 186
TABLE 95 FRANCE: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 187
TABLE 96 FRANCE: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 188
TABLE 97 FRANCE: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 188
TABLE 98 FRANCE: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 189
TABLE 99 FRANCE: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 190
TABLE 100 U.K.: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 191
TABLE 101 U.K.: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 192
TABLE 102 U.K.: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 192
TABLE 103 U.K.: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 193
TABLE 104 U.K.: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 194
TABLE 105 ITALY: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 195
TABLE 106 ITALY: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 196
TABLE 107 ITALY: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 196
TABLE 108 ITALY: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 197
TABLE 109 ITALY: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 198
TABLE 110 SPAIN: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 199
TABLE 111 SPAIN: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 199
TABLE 112 SPAIN: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 200
TABLE 113 SPAIN: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 200
TABLE 114 SPAIN: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 201
TABLE 115 ROE: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 202
TABLE 116 ROE: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 202
TABLE 117 ROE: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 203
TABLE 118 ROE: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 204
TABLE 119 ROE: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 204
TABLE 120 ASIA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 206
TABLE 121 ASIA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 206
TABLE 122 ASIA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 207
TABLE 123 ASIA: LOW TEMPERATURE STERILIZATION EQUIPMENT MARKET,
BY TECHNOLOGY, 2010 - 2017 ($MILLION) 207
TABLE 124 ASIA: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 208
TABLE 125 ASIA: STERILIZATION MARKET, BY COUNTRY, 2010 - 2017 ($MILLION) 209
TABLE 126 ASIA: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 210
TABLE 127 ASIA: DISINFECTION MARKET, BY COUNTRY, 2010 - 2017 ($MILLION) 211
TABLE 128 JAPAN: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 212
TABLE 129 JAPAN: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 213
TABLE 130 JAPAN: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 213
TABLE 131 JAPAN: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 214
TABLE 132 JAPAN: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 215
TABLE 133 CHINA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 216
TABLE 134 CHINA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 217
TABLE 135 CHINA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 217
TABLE 136 CHINA: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 218
TABLE 137 CHINA: DISINFECTION MARKET, BY PRODUCT,
2010 - 2017 ($MILLION) 218
TABLE 138 INDIA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 220
TABLE 139 INDIA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 220
TABLE 140 INDIA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 221
TABLE 141 INDIA: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 221
TABLE 142 INDIA: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 222
TABLE 143 ROA: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 223
TABLE 144 ROA: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 223
TABLE 145 ROA: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 224
TABLE 146 ROA: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 224
TABLE 147 ROA: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 225
TABLE 148 ROW: STERILIZATION MARKET, BY TYPE, 2010 - 2017 ($MILLION) 226
TABLE 149 ROW: STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 227
TABLE 150 ROW: HEAT STERILIZATION EQUIPMENT MARKET, BY TYPE,
2010 - 2017 ($MILLION) 227
TABLE 151 ROW: LOW TEMPERATURE STERILIZATION EQUIPMENT MARKET,
BY TECHNOLOGY, 2010 - 2017 ($MILLION) 228
TABLE 152 ROW: IN-HOUSE and CONTRACT STERILIZATION MARKETS,
2010 - 2017 ($MILLION) 228
TABLE 153 ROW: DISINFECTION MARKET, BY PRODUCT, 2010 - 2017 ($MILLION) 229
TABLE 154 NEW PRODUCTS LAUNCH, 2010 - 2013 232
TABLE 155 AGREEMENTS, PARTNERSHIPS, COLLABORATIONS, CONTRACTS and JOINT VENTURES, 2010 - 2013 240
TABLE 156 MERGERS and ACQUISITIONS, 2010 - 2012 245
TABLE 157 EXPANSION, 2010 - 2012 248
TABLE 158 OTHERS, 2010 - 2013 251
TABLE 159 3M COMPANY: TOTAL REVENUE AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 254
TABLE 160 3M COMPANY: TOTAL REVENUE, BY SEGMENTS,
2009 - 2011 ($MILLION) 254
TABLE 161 3M COMPANY: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 255
TABLE 162 JOHNSON and JOHNSON: TOTAL REVENUE AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 262
TABLE 163 JOHNSON and JOHNSON: TOTAL REVENUE, BY SEGMENTS,
2009 - 2011 ($MILLION) 262
TABLE 164 JOHNSON and JOHNSON: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 263
TABLE 165 AHLSTROM CORPORATION: TOTAL REVENUE AND RandD EXPENDITURE, 2009 - 2011 ($MILLION) 268
TABLE 166 AHLSTROM CORPORATION: TOTAL REVENUE, BY SEGMENT,
2009 - 2011 ($MILLION) 268
TABLE 167 AHLSTROM CORPORATION: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 269
TABLE 168 METALL ZUG GROUP: TOTAL REVENUE AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 273
TABLE 169 METALL ZUG GROUP: TOTAL REVENUE, BY SEGMENTS,
2009 - 2011 ($MILLION) 273
TABLE 170 METALL ZUG GROUP: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 274
TABLE 171 GETINGE GROUP: TOTAL SALES AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 284
TABLE 172 GETINGE GROUP: TOTAL REVENUE, BY SEGMENTS,
2009 - 2011 ($MILLION) 284
TABLE 173 GETINGE GROUP: TOTAL SALES, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 285
TABLE 174 HONEYWELL INTERNATIONAL, INC.: TOTAL REVENUE AND RandD EXPENDITURE, 2009 - 2011 ($MILLION) 293
TABLE 175 HONEYWELL INTERNATIONAL, INC.: TOTAL REVENUE, BY SEGMENTS, 2009 - 2011 ($MILLION) 293
TABLE 176 HONEYWELL INTERNATIONAL, INC.: TOTAL REVENUE, BY GEOGRAPHY, 2009 - 2011 ($MILLION) 294
TABLE 177 KIMBERLY-CLARK CORPORATION: TOTAL REVENUE AND RandD EXPENDITURE, 2009 - 2011 ($MILLION) 297
TABLE 178 KIMBERLY-CLARK CORPORATION: TOTAL REVENUE, BY SEGMENT,
2009 - 2011 ($MILLION) 297
TABLE 179 KIMBERLY-CLARK CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, 2009 - 2011 ($MILLION) 298
TABLE 180 CANTEL MEDICAL CORPORATION: TOTAL REVENUE AND RandD EXPENDITURE 2010 - 2012 ($MILLION) 309
TABLE 181 CANTEL MEDICAL CORPORATION: TOTAL REVENUE, BY SEGMENTS, 2010 - 2012 ($MILLION) 309
TABLE 182 CANTEL MEDICAL CORPORATION: TOTAL REVENUE, BY GEOGRAPHY, 2010 - 2012 ($MILLION) 310
TABLE 183 NORDION, INC.: TOTAL REVENUE AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 321
TABLE 184 NORDION, INC.: TOTAL REVENUE, BY SEGMENTS,
2009 - 2011 ($MILLION) 321
TABLE 185 NORDION, INC.: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 323
TABLE 186 STERIS CORPORATION: TOTAL REVENUE AND RandD EXPENDITURE,
2010 - 2012 ($MILLION) 334
TABLE 187 STERIS CORPORATION: TOTAL REVENUE, BY SEGMENTS,
2010 - 2012 ($MILLION) 335
TABLE 188 STERIS CORPORATION: TOTAL REVENUE, BY SEGMENTS,
2010 - 2012 ($MILLION) 336
TABLE 189 STERIS CORPORATION: TOTAL REVENUE, BY GEOGRAPHY,
2010 - 2012 ($MILLION) 337
TABLE 190 SYNERGY HEALTH, PLC: TOTAL REVENUE, 2010 - 2012 ($MILLION) 351
TABLE 191 SYNERGY HEALTH, PLC: TOTAL REVENUE, BY SEGMENTS,
2010 - 2012 ($MILLION) 351
TABLE 192 SYNERGY HEALTH, PLC: TOTAL REVENUE, BY GEOGRAPHY,
2010 - 2012 ($MILLION) 352
TABLE 193 TSO3, INC.: TOTAL REVENUE AND RandD EXPENDITURE,
2009 - 2011 ($MILLION) 360
TABLE 194 TSO3, INC.: TOTAL REVENUE, BY GEOGRAPHY,
2009 - 2011 ($MILLION) 360



LIST OF FIGURES

FIGURE 1 GLOBAL STERILIZATION EQUIPMENT and SERVICES MARKET,
2010 - 2017 ($MILLION) 38
FIGURE 2 GLOBAL DISINFECTION MARKET, BY SEGMENT, 2012 ($MILLION) 39
FIGURE 3 GLOBAL STERILIZATION MARKET SEGMENTATION 42
FIGURE 4 GLOBAL DISINFECTION MARKET SEGMENTATION 43
FIGURE 5 MARKET DYNAMICS 44
FIGURE 6 GLOBAL STERILIZATION EQUIPMENT MARKET SHARE ANALYSIS,
BY KEY PLAYERS, 2012 64
FIGURE 7 GLOBAL DISINFECTOR MARKET SHARE ANALYSIS, BY KEY PLAYERS, 2012 66
FIGURE 8 GLOBAL ENDOSCOPE REPROCESSING MARKET SHARE ANALYSIS,
BY KEY PLAYERS, 2012 67
FIGURE 9 ETO CONSUMPTION CAPACITY, BY GEOGRAPHY, 2010 - 2017
(MILLION POUNDS) 88
FIGURE 10 GLOBAL ETO CONSUMPTION CAPACITY, BY END-USER (%) 90
FIGURE 11 EPA CLASSIFICATION OF DISINFECTANTS 141
FIGURE 12 MEDICAL NON-WOVENS MARKET and PENETRATION OF SINGLE-USE NON-WOVENS, BY GEOGRAPHY, 2012 146
FIGURE 13 KEY GROWTH STRATEGIES, 2010 - 2012 231

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