US demand to reach $47 billion in 2016

US demand for disposable medical supplies is forecast to increase 4.3 percent annually to $46.7 billion in 2016. An expanding volume of patient care activity spurred by aging demographic patterns, a rising incidence of diseases and disorders, and the extension of health insurance coverage by the Affordable Care Act of 2010 will promote growth. Demand for disposable medical supplies will also build upward momentum as hospitals, outpatient facilities and other health care establishments adopt stricter infection prevention safeguards to meet stronger standards. Health care cost containment pressures will remain the key moderating influence on growth in the US disposable medical supplies market. Hospitals and other medical providers will become increasingly price sensitive in purchasing products as public and private health insurance concerns tighten restrictions on fees paid for patient procedures.

Drug delivery products to maintain dominance

Drug delivery devices will remain the largest and fastest growing group of disposable medical supplies. Growth will reflect an expanding number of chronic care patients who require surgery or continuous therapy. This trend, coupled with the introduction of new higher value-added, safety-enhanced products, will boost demand for several single-use products, including prefillable syringes and inhalers, intravenous catheters, oxygen therapy disposables, hemodialysis bloodlines and peritoneal dialysis kits.

First aid kits to pace wound management demand

Demand for wound management supplies will benefit from tissue sealants and adhesives composed of polymers and bioengineered substances, along with foam, alginate, collagen and growth factor wound dressings, to post the fastest gains based on performance advantages in the healing of surgical incisions and treatment of moderate-to-severe lacerations, respectively. Conversely, demand for bandages will expand at a below average pace due to limited pricing flexibility and the overall lack of proprietary types. First aid kits will fare the best among the products in this group, building momentum from trends that promote selftreatment. Gains in less invasive surgery will weaken the overall market for traditional suture and staple wound closures.

Class IV surgical drapes & gowns to pace nonwovens

Class IV surgical drapes and gowns will post the strongest sales gains among nonwoven medical textiles as surgical infection prevention safeguards are upgraded by hospitals and ambulatory surgery centers. Disposable face masks will also fare well in the marketplace, benefiting from routine use by medical providers in virtually all direct contact patient procedures. New enhanced absorbent, odor neutralized undergarments and shields will see the fastest gains in demand among incontinence products due to comfort and protection advantages. Among other disposable medical supplies, blood glucose test strips; surgical, diagnostic and urinary catheters; biological sterilization indicators; and medical waste disposal products will realize the fastest growth in demand. An expanding number of diabetics engaging in selftesting will boost sales of blood glucose test strips. A rising prevalence of heart conditions will promote the increasing use of surgical and diagnostic catheters, with devices for angioplasty and angiography posting the fastest demand gains.

Study coverage

This upcoming industry study presents historical demand data (2001, 2006 and 2011) plus forecasts for 2016 and 2021 by type and market. The study also considers market environment factors, assesses the industry structure, evaluates company market share and profiles 24 competitors in the US industry.

Table Of Contents


TABLE OF CONTENTS

INTRODUCTION xv

I. EXECUTIVE SUMMARY 1

II. MARKET ENVIRONMENT 4

General 4
Economic Factors 5
Demographic Trends 9
Heath Care Trends 11
Health Insurance 12
Medical Conditions 15
Acute Conditions 15
Chronic Conditions 16
National Health Expenditures 19
Spending Categories 20
Funding Sources 22
Medical Providers 25
Hospitals 25
Outpatient Facilities 26
Physicians and Physicians’ Offices 29
Other Medical Providers 30
Patient Activity 32
Hospital Activity 33
Surgical Procedures 34
Outpatient Episodes 35
Diagnostic Tests 36
Medical Product Markets 38
Pharmaceuticals 40
Medical Supplies and Devices 41
Surgical Appliances and Supplies 42
Surgical and Medical Instruments 42
Electromedical Equipment 43
Diagnostic Products 43
Ophthalmic Goods 44
Dental Equipment and Supplies 44

III. RAW MATERIALS 46

General 46
Plastic Resins 49
Polyvinyl Chloride (PVC) 52
Polypropylene 54
Low Density Polyethylenes 54
Thermoplastic Elastomers 56
Acrylics 58
Polycarbonate 58
ABS 59
High Density Polyethylenes 59
Thermoplastic Polyesters 60
Polyurethane 60
Other Plastic Resins 61
Nonwoven Fabrics 62
Paper and Paperboard 64
Rubber 65
Other Raw Materials 67

IV. PRODUCT OVERVIEW 69

General 69
Historical Demand Patterns 72
Regulations 73
Supply and Device Reprocessing 74
Healthcare-Associated Infections (HAIs) 76
Occupational Safety and Health Administration (OSHA) 77
US Trade 78
International Markets 80

V. DRUG DELIVERY PRODUCTS 83

General 83
Infusion Products 86
IV Administration Sets 87
Premixed IV Solutions 89
IV Catheters 91
Other Infusion Products 94
Enteral Feeding Supplies 94
IV Accessories 95
Hypodermic Products 96
Prefillable Syringes 97
Injectors 98
Cartridges 100
Hypodermic Syringes 103
Hypodermic Needles 105
Inhalation Products 107
Prefillable Inhalers 108
Metered Dose Inhalers 110
Dry Powder Inhalers 114
Anesthesia Disposables 116
Oxygen Therapy Supplies 117
Nebulizers and Accessories 119
Humidifiers 120
Other Inhalation Disposables 122
Dialysis Disposables 123
Hemodialysis Disposables 125
Peritoneal Dialysis Disposables 127
Transdermal Patches 130

VI. WOUND MANAGEMENT SUPPLIES 134

General 134
Wound Closures 136
Sutures 138
Absorbable Sutures 140
Non-Absorbable Sutures 141
Producers 142
Surgical Staples 142
Tissue Sealants 145
Cyanoacrylate Sealants 146
Fibrin Sealants 147
Other Tissue Sealants 148
Other Wound Closures 149
Hemostats 150
Anti-Adhesion Products 151
Ligature Clips 153
Disposable Bandages 153
Adhesive Bandages 154
Adhesive Tapes 158
Cast Bandages and Accessories 160
Gauze and Gauze Bandages 162
Pads and Compresses 164
Other Disposable Bandages 165
Wound Dressings 167
Biological and Synthetic Wound Dressings 168
Film Dressings 169
Hydrocolloid Dressings 170
Collagen Dressings 171
Foam Dressings 172
Growth Factors 173
Hydrogel Dressings 174
Alginate Dressings 175
Other Biological and Synthetic Dressings 176
Non-Adherent Dressings 178
Gauze Dressings 179
Other Non-Adherent Dressings 180
Other Wound Management Supplies 180
First Aid Kits 181
Medical Sponges 182
Cotton Products 184

VII. NONWOVEN MEDICAL DISPOSABLES 185

General 185
Nonwoven Garments and Textiles 188
Surgical and Patient Gowns 189
Surgical Gowns 190
Patient Gowns 193
Surgical Drapes 195
Face Masks 198
Other Nonwoven Medical Garments and Textiles 200
Staff Apparel 201
Towels and Beddings 202
All Other Nonwoven Garments and Textiles 203
Incontinence Disposables 204
Adult Undergarments 205
Adult Shields 207
Underpads 208
Other Incontinence Disposables 210

VIII. OTHER DISPOSABLE MEDICAL SUPPLIES 212

General 212
Diagnostic and Laboratory Disposables 214
Diabetes Testing Supplies 215
Blood Glucose Test Stripes 216
Other Diabetes Testing Supplies 218
Blood Collection Supplies 219
Disposable Labware 221
Diagnostic Catheters 222
Angiography Catheters 223
Other Diagnostic Catheters 225
Other Diagnostic and Laboratory Disposables 226
Home Test Kits 226
Physicians’ Examination Supplies 228
Temperature Measuring Products 229
Disposable Electrodes 231
Infection Prevention Supplies 232
Sterilization Supplies 233
Sterile Containers 233
Trays 235
Pouches 237
Bags 239
Other Sterile Containers 241
Sterilization Wrap 242
Sterilization Indicators 245
Biological Indicators 246
Chemical Indicators 246
Producers 248
Examination and Surgical Gloves 248
Examination Gloves 249
Surgical Gloves 252
Waste Disposal Supplies 255
Waste Disposal Containers 256
Waste Disposal Accessories 258
Surgical Disposables 259
Procedural Kits and Trays 260
Cardiovascular Surgery 261
Orthopedic Surgery 263
Chest Drainage Units 264
Other Procedural Kits and Trays 265
Surgical Catheters 266
Angioplasty Catheters 266
Other Surgical Catheters 269
Suction Catheters 269
Atherectomy Catheters 269
All Other Surgical Catheters 270
Surgical Instruments 271
Plastic Surgical Drapes 273
All Other Disposable Medical Supplies 274
Patient Room Supplies 275
Urinary Disposables 277
Foley Catheters 279
Other Urinary Catheters 280
Urinary Catheter Accessories 280
Ostomy Disposables 281
Procedures 281
Products 282
Enema Disposables 284

IX. MARKETS 288

General 288
Hospital Market 290
Market Overview 291
Disposable Medical Supplies Demand 292
Home Health Care Market 293
Outpatient Market 295
Ambulatory Surgery Centers 297
Urgent Care Centers 297
General Medical Clinics 298
Other Outpatient Facilities 298
Physicians’ Office Market 299
Nursing Home Market 301
Dental Office Market 303
Other Health Care Markets 305

X. INDUSTRY STRUCTURE 308

General 308
Market Share 312
Competitive Strategies 317
Mergers and Acquisitions 318
Licensing and Related Agreements 319
Research and Development 323
Marketing and Distribution 325
Manufacturing 326
Company Profiles 327
Abbott Laboratories 328
Advanced Sterilization Products, see Johnson and Johnson
Ahlstrom Corporation 331
Ansell Limited 333
Bard (CR) Incorporated 336
BARRX Medical, see Covidien
Baxter International Incorporated 340
Becton, Dickinson and Company 342
Biosense Webster, see Johnson and Johnson
Boston Scientific Corporation 347
Braun (B.) Melsungen AG 350
Cardinal Health Incorporated 352
Codman and Shurtleff, see Johnson and Johnson
ConvaTec Incorporated 355
Cordis, see Johnson and Johnson
Covidien plc 358
Davol, see Bard (CR)
DePuy, see Johnson and Johnson
Ethicon, see Johnson and Johnson
ev3, see Covidien
GlaxoSmithKline plc 365
Hospira Incorporated 367
Janssen Pharmaceuticals, see Johnson and Johnson
Johnson and Johnson 369
Kimberly-Clark Corporation 376
LifeScan, see Johnson and Johnson
Medline Industries Incorporated 379
Medtronic Incorporated 384
Novartis AG 387
Ortho-McNeil-Janssen Pharmaceutical, see Johnson
and Johnson
Sandel Medical Industries, see Ansell
Smith and Nephew plc 390
Smiths Group plc 393
STERIS Corporation 396
Svenska Cellulosa AB 398
Teleflex Incorporated 400
Terumo Corporation 406
3M Company 409
VNUS Medical Technologies, see Covidien
Additional Companies Mentioned in the Study 413

LIST OF TABLES

SECTION I -- EXECUTIVE SUMMARY
Summary Table 3
SECTION II -- MARKET ENVIRONMENT
1 Macroeconomic Indicators 8
2 Population by Age Group 11
3 Health Insurance Coverage of the US Population 14
4 Acute Conditions by Type 16
5 Chronic Conditions by Type 19
6 National Health Expenditures by Category 22
7 National Health Expenditures by Source 24
8 Hospitals and Hospital Beds by Type 26
9 Outpatient Facilities 29
10 Physicians and Physicians’ Offices 30
11 Other Medical Providers 32
12 Hospital Activity 34
13 Surgical Procedures 35
14 Outpatient Episodes 36
15 Diagnostic Tests 38
16 Medical Product Demand by Type 40

SECTION III -- RAW MATERIALS

1 Disposable Medical Supplies (DMS) Raw Materials
Demand by Type 48
2 Plastic Resins Demand in Disposable Medical Supplies
(DMS) by Type 51
3 Nonwoven Fabric Demand in Disposable Medical
Supplies (DMS) 64
4 Paper and Paperboard Demand in Disposable Medical
Supplies (DMS) 65
5 Rubber Demand in Disposable Medical Supplies (DMS) 67
6 Other Raw Materials Demand in Disposable Medical
Supplies (DMS) 68

SECTION IV -- PRODUCT OVERVIEW

1 Disposable Medical Supplies Demand by Product Group 71
2 Disposable Medical Supplies (DMS) Historical Demand
2001-2011 73
3 US Trade in Disposable Medical Supplies (DMS) 79
4 World Disposable Medical Supplies (DMS) Demand
by Region 82

SECTION V -- DRUG DELIVERY PRODUCTS

1 Drug Delivery Products Demand by Product Group 85
2 Infusion Products Demand by Product Group 87
3 IV Administration Sets Demand by Type 89
4 Premixed IV Solutions Demand by Type 91
5 IV Catheters Demand by Type 93
6 Other Disposable Infusion Products Demand by Type 94
7 Hypodermic Products Demand by Product Group 97
8 Prefillable Syringes Demand by Type 98
9 Hypodermic Syringes Demand by Type 105
10 Hypodermic Needles Demand 107
11 Inhalation Products Demand by Product Group 108
12 Prefillable Inhalers Demand by Type 110
13 Anesthesia Disposables Demand by Product Group 117
14 Oxygen Therapy Supplies Demand 119
15 Disposable Nebulizers and Accessories Demand 120
16 Disposable Humidifiers Demand 122
17 Other Inhalation Disposables Demand 123
18 Dialysis Disposables Demand by Product Group 124
19 Hemodialysis Disposables Demand by Product Group 127
20 Peritoneal Dialysis Disposables Demand by Product Group 130
21 Transdermal Patches Demand 133

SECTION VI -- WOUND MANAGEMENT SUPPLIES

1 Wound Management Supplies Demand by Product Group 135
2 Wound Closures Demand by Product Group 138
3 Sutures Demand by Type 140
4 Surgical Staples Demand by Product Group 145
5 Tissue Sealants Demand 146
6 Other Wound Closures Demand 150
7 Disposable Bandages Demand by Product Group 154
8 Adhesive Bandages Demand 158
9 Adhesive Tapes Demand 160
10 Cast Bandages and Accessories Demand 162
11 Gauze and Gauze Bandages Demand 164
12 Pads and Compresses Demand 165
13 Other Disposable Bandages Demand 167
14 Disposable Wound Dressings Demand by Product Group 168
15 Biological and Synthetic Wound Dressings Demand
by Product Group 169
16 Non-Adherent Wound Dressings Demand by Product Group 178
17 Other Disposable Wound Management Supplies Demand
by Product Group 181

SECTION VII -- NONWOVEN MEDICAL DISPOSABLES

1 Nonwoven Medical Disposables Demand by Product Group 187
2 Nonwoven Medical Garments and Textiles Demand
by Product Group 189
3 Nonwoven Surgical and Patient Gowns Demand by Product
Group 190
4 Nonwoven Surgical Gowns Demand 193
5 Nonwoven Patient Gowns Demand 194
6 Nonwoven Surgical Drapes Demand by Application 198
7 Nonwoven Face Masks Demand by Type 200
8 Other Nonwoven Medical Garments and Textiles Demand
by Product Group 201
9 Incontinence Disposables Demand by Product Group 205

SECTION VIII -- OTHER DISPOSABLE MEDICAL SUPPLIES

1 Other Disposable Medical Supplies Demand by Product
Group 213
2 Diagnostic and Laboratory Disposables Demand by Product
Group 215
3 Diabetes Testing Supplies Demand by Product Group 216
4 Blood Collection Supplies Demand 220
5 Disposable Labware Demand 222
6 Diagnostic Catheters Demand by Product Group 223
7 Other Diagnostic and Laboratory Disposables Demand
by Product Group 226
8 Infection Prevention Supplies Demand by Product Group 232
9 Sterilization Supplies Demand by Product Group 233
10 Sterile Containers Demand by Type 234
11 Sterilization Wrap Demand by Type 244
12 Sterilization Indicators Demand by Type 245
13 Disposable Medical Gloves Demand by Product Group 249
14 Examination Gloves Demand 251
15 Surgical Gloves Demand 255
16 Medical Waste Disposal Supplies Demand by Product Group 256
17 Surgical Disposables Demand by Product Group 260
18 Procedural Kits and Trays Demand by Type 261
19 Surgical Catheters Demand by Product Group 266
20 Disposable Surgical Instruments Demand by Product Group 273
21 Plastic Surgical Drapes Demand 274
22 All Other Disposable Medical Supplies Demand by Product
Group 275
23 Patient Room Supplies Demand 277
24 Urinary Disposables Demand by Product Group 279
25 Ostomy Disposables Demand by Product Group 284
26 Enema Disposables Demand 287

SECTION IX -- MARKETS

1 Disposable Medical Supplies (DMS) Demand by Market 289
2 Hospital Disposable Medical Supplies (DMS) Demand
by Product Group 291
3 Home Health Care Disposable Medical Supplies (DMS)
Demand by Product Group 295
4 Outpatient Disposable Medical Supplies (DMS) Demand
by Product Group 296
5 Physicians’ Office Disposable Medical Supplies (DMS)
Demand by Product Group 301
6 Nursing Home Disposable Medical Supplies (DMS)
Demand by Product Group 303
7 Dental Office Disposable Medical Supplies (DMS) Demand
by Product Group 305
8 Other Health Care Markets Disposable Medical Supplies
(DMS) Demand by Product Group 307

SECTION X -- INDUSTRY STRUCTURE

1 US Disposable Medical Supplies (DMS) Sales by Company,
2011 309
2 Selected Acquisitions and Divestitures 319
3 Selected Cooperative Agreements 321

LIST OF CHARTS

SECTION III -- RAW MATERIALS
1 Disposable Medical Supplies Raw Materials Demand
by Type, 2011 49
2 Plastic Resins Demand in Disposable Medical Supplies, 2011 52
SECTION IV -- PRODUCT OVERVIEW
1 Disposable Medical Supplies Demand by Product
Group, 2011 72
SECTION V -- DRUG DELIVERY PRODUCTS
1 Drug Delivery Products Demand by Product Group, 2011 86
SECTION VI -- WOUND MANAGEMENT SUPPLIES
1 Disposable Wound Management Supplies by Product
Group, 2011 136
SECTION VII -- NONWOVEN MEDICAL DISPOSABLES
1 Nonwoven Medical Disposables Demand by Product
Group, 2011 188
SECTION VIII -- OTHER DISPOSABLE MEDICAL SUPPLIES
1 Other Disposable Medical Supplies Demand by Product
Group, 2011 214
SECTION IX -- MARKETS
1 Disposable Medical Supplies Demand by Market, 2011 290
SECTION X -- INDUSTRY STRUCTURE
1 US Disposable Medical Supplies Market Share
by Company, 2011 313

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