Table of Contents
1 Table of Contents 2
1.1 List of Tables 8
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
3 Definitions of Markets Covered in the Report 14
3.1 Diagnostic Imaging 14
3.2 MRI Systems 14
3.2.1 Closed MRI Systems 14
3.2.2 Open MRI Systems 14
3.3 Ultrasound Systems 14
3.3.1 Black and White (B/W) Ultrasound 14
3.3.2 Color Doppler Ultrasound Systems 15
3.4 X-Ray Systems 15
3.4.1 Analog X-Ray Systems 15
3.4.2 Digital X-Ray Systems 15
3.5 Mammography Equipment 16
3.6 Computed Tomography Systems 16
3.6.1 Multi Slice CT 16
3.6.2 Single Slice CT 16
3.7 Nuclear Imaging Equipment 16
3.7.1 Gamma Camera 16
3.7.2 Positron Emission Tomography (PET) 16
3.7.3 Single Photon Emission Computed Tomography (SPECT) 17
4 Executive Summary 18
5 Healthcare Sector Review 19
5.1 Healthcare Sector 19
5.2 Healthcare Expenditure 19
5.3 Healthcare Infrastructure 23
5.3.1 Healthcare Personnel Data 23
5.3.2 Healthcare Facilities Data 25
5.4 Healthcare Policy 26
6 Regulation System 27
6.1 Regulation System 27
6.2 Medical Equipment Approval Process 27
6.2.1 Classification of Medical Devices 27
6.3 Conformity Assessment Process 36
6.3.1 Class I devices 36
6.3.2 Class IIa devices 37
6.3.3 Class IIb devices 38
6.3.4 Class III devices 39
6.4 Post Market Surveillance 40
7 Pricing and Reimbursement 41
7.1 SHI 41
7.1.1 Private Health Insurance 41
7.1.2 Diagnosis Related Groups (DRG) 41
8 Distribution Structure 42
9 Diagnostic Imaging in Germany 43
9.1 Diagnostic Imaging, Germany, Overall Revenue ($m), 2000-2015 43
9.2 Diagnostic Imaging, Germany, Category Volume (Units), 2000-2015 47
9.3 Diagnostic Imaging, Germany, Cross Category Analysis 49
9.4 Diagnostic Imaging, Germany, Company Share (2007-2008) 51
10 Computed Tomography Systems In Germany 53
10.1 Computed Tomography Systems Overall Revenue (2000-2015) 53
10.2 Computed Tomography Systems Overall Volume (2000-2015) 56
10.3 Computed Tomography Systems Average Price (2000-2015) 58
10.4 Computed Tomography Systems 59
10.4.1 Market Drivers 59
10.4.2 Market Restraints 59
10.5 Computed Tomography Systems Distribution Share (2007-2008) 59
10.6 Computed Tomography Systems, Germany, Company Share (2007-2008) 60
11 Mammography Equipment In Germany 61
11.1 Mammography Equipment Overall Revenue (2000-2015) 61
11.2 Mammography Equipment Overall Volume (2000-2015) 64
11.3 Mammography Equipment Average Price (2000-2015) 66
11.4 Mammography Equipment Market Trends 67
11.4.1 Market Drivers 67
11.4.2 Market Restraints 67
11.5 Mammography Equipment Distribution Share (2007-2008) 68
11.6 Mammography Equipment, Germany, Company Share (2007-2008) 69
12 MRI Systems In Germany 71
12.1 MRI Systems Overall Revenue (2000-2015) 71
12.2 MRI Systems Overall Volume (2000-2015) 74
12.3 MRI Systems Average Price (2000-2015) 76
12.4 MRI Systems Market Trends 77
12.4.1 Market Drivers 77
12.4.2 Market Restraints 77
12.5 MRI Systems Distribution Share (2007-2008) 77
12.6 MRI Systems, Germany, Company Share (2007-2008) 78
13 Nuclear Imaging Equipment In Germany 80
13.1 Nuclear Imaging Equipment Overall Revenue (2000-2015) 80
13.1.1 Positron Emission Tomography Revenue (2000-2015) 83
13.2 Nuclear Imaging Equipment Overall Volume (2000-2015) 85
13.2.1 Positron Emission Tomography Volume (2000-2015) 87
13.3 Nuclear Imaging Equipment Average Price (2000-2015) 89
13.4 Nuclear Imaging Equipment Market Trends 90
13.4.1 Market Drivers 90
13.4.2 Market Restraints 90
13.5 Nuclear Imaging Equipment Distribution Share (2007-2008) 90
13.6 Nuclear Imaging Equipment, Germany, Company Share (2007-2008) 91
14 Ultrasound Systems In Germany 92
14.1 Ultrasound Systems Overall Revenue (2000-2015) 92
14.1.1 B/W Ultrasound System Revenue (2000-2015) 94
14.1.2 Color Doppler Ultrasound System Revenue (2000-2015) 96
14.2 Ultrasound Systems Overall Volume (2000-2015) 98
14.2.1 B/W Ultrasound System Volume (2000-2015) 100
14.2.2 Color Doppler Ultrasound System Volume (2000-2015) 102
14.3 Ultrasound Systems Average Price (2000-2015) 104
14.4 Ultrasound Systems Market Trends 105
14.4.1 Market Drivers 105
14.4.2 Market Restraints 105
14.5 Ultrasound Systems Distribution Share (2007-2008) 105
14.6 Ultrasound Systems, Germany, Company Share (2007-2008) 106
15 X-Ray Systems In Germany 108
15.1 X-Ray Systems Overall Revenue (2000-2015) 108
15.2 X-Ray Systems Overall Volume (2000-2015) 111
15.3 X-Ray Systems Average Price (2000-2015) 113
15.4 X-Ray Systems Market Trends 114
15.4.1 Market Drivers 114
15.4.2 Market Restraints 114
15.5 X-Ray Systems Distribution Share (2007-2008) 114
15.6 X-Ray Systems, Germany, Company Share (2007-2008) 115
16 Overview of Key Companies in Germany Diagnostic Imaging Market 116
16.1 TOSHIBA Medical Systems Corporation 116
16.1.1 Company Overview 116
16.1.2 Value Chain Analysis 116
16.1.3 Toshiba Medical Systems Corporation Pipeline Products 117
16.2 SonoSite, Inc. 119
16.2.1 Company Overview 119
16.2.2 Value Chain Analysis 119
16.3 Siemens Healthcare 122
16.3.1 Company Overview 122
16.3.2 Value Chain Analysis 122
16.3.3 Siemens Healthcare Pipeline Products 124
16.4 Shimadzu Corporation 126
16.4.1 Company Overview 126
16.5 Philips Healthcare 127
16.5.1 Company Overview 127
16.5.2 Value Chain Analysis 127
16.5.3 Philips Healthcare Pipeline Products 130
16.6 GE Healthcare 130
16.6.1 Company Overview 130
16.6.2 GE Healthcare Pipeline Products 130
17 Financial Deals Landscape 132
17.1 Financial Deal Analysis Deal Type 132
17.2 Financial Deal Analysis – Deal Value and Volume 133
17.3 Partnerships 134
17.3.1 Sentinelle Medical Enters Into An Agreement With Siemens Healthcare 134
18 Appendix 135
18.1 GlobalData Research Methodology 135
18.2 Secondary Research 136
18.3 Primary Research 137
18.4 Models 137
18.5 Forecasts 138
18.6 Expert Panel Validation 138
18.7 Currency Conversion 139
18.8 Contact Us 140
18.9 Disclaimer 140
List of Tables
1.1 List of Tables
Table 1: Healthcare Expenditure, Germany, 2000 – 2007 20
Table 2: Healthcare Personnel by Region in Germany, 2007 23
Table 3: Doctors by Specialty in Germany, 2000-2007 24
Table 4: Hospitals and Beds by Region in Germany, 2007 25
Table 5: Rehabilitation Centers and Beds, Germany, 2000-2007 26
Table 6: Diagnostic Imaging, Germany, Overall Revenue ($m), Historic, 2000-2008 44
Table 7: Diagnostic Imaging, Germany, Overall Revenue ($m), Forecast, 2008-2015 46
Table 8: Diagnostic Imaging, Germany, Category Volume (Units), Historic, 2000-2008 47
Table 9: Diagnostic Imaging, Germany, Category Volume (Units), Forecast, 2008-2015 48
Table 10: Diagnostic Imaging, Germany, Cross-Category Analysis, 2000-2015 49
Table 11: Diagnostic Imaging, Germany, Company Share by Revenue ($m), 2007-2008 51
Table 12: Computed Tomography Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 53
Table 13: Computed Tomography Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 55
Table 14: Computed Tomography Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 56
Table 15: Computed Tomography Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 57
Table 16: Computed Tomography Systems, Germany, Average Price ($), Historic, 2000-2008 58
Table 17: Computed Tomography Systems, Germany, Average Price ($), Forecast, 2008-2015 58
Table 18: Computed Tomography Systems, Germany, Distribution Share by Revenue ($m), 2007-2008 59
Table 19: Computed Tomography Systems, Germany, Company Share by Revenue ($m), 2007-2008 60
Table 20: Mammography Equipment, Germany, Revenue ($m) by Segment, Historic, 2000-2008 61
Table 21: Mammography Equipment, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 63
Table 22: Mammography Equipment, Germany, Volume (Units) by Segment, Historic, 2000-2008 64
Table 23: Mammography Equipment, Germany, Volume (Units) by Segment, Forecast, 2008-2015 65
Table 24: Mammography Equipment, Germany, Average Price ($), Historic, 2000-2008 66
Table 25: Mammography Equipment, Germany, Average Price ($), Forecast, 2008-2015 66
Table 26: Mammography Equipment, Germany, Distribution Share by Revenue ($m), 2007-2008 68
Table 27: Mammography Equipment, Germany, Company Share by Revenue ($m), 2007-2008 69
Table 28: MRI Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 71
Table 29: MRI Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 73
Table 30: MRI Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 74
Table 31: MRI Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 75
Table 32: MRI Systems, Germany, Average Price ($), Historic, 2000-2008 76
Table 33: MRI Systems, Germany, Average Price ($), Forecast, 2008-2015 76
Table 34: MRI Systems, Germany, Distribution Share by Revenue ($m), 2007-2008 77
Table 35: MRI Systems, Germany, Company Share by Revenue ($m), 2007-2008 78
Table 36: Nuclear Imaging Equipment, Germany, Revenue ($m) by Segment, Historic, 2000-2008 80
Table 37: Nuclear Imaging Equipment, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 82
Table 38: Positron Emission Tomography, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 83
Table 39: Positron Emission Tomography, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 84
Table 40: Nuclear Imaging Equipment, Germany, Volume (Units) by Segment, Historic, 2000-2008 85
Table 41: Nuclear Imaging Equipment, Germany, Volume (Units) by Segment, Forecast, 2008-2015 86
Table 42: Positron Emission Tomography, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 87
Table 43: Positron Emission Tomography, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 88
Table 44: Nuclear Imaging Equipment, Germany, Average Price ($), Historic, 2000-2008 89
Table 45: Nuclear Imaging Equipment, Germany, Average Price ($), Forecast, 2008-2015 89
Table 46: Nuclear Imaging Equipment, Germany, Distribution Share by Revenue ($m), 2007-2008 90
Table 47: Nuclear Imaging Equipment, Germany, Company Share by Revenue ($m), 2007-2008 91
Table 48: Ultrasound Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 92
Table 49: Ultrasound Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 93
Table 50: B/W Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 94
Table 51: B/W Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 95
Table 52: Color Doppler Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 96
Table 53: Color Doppler Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 97
Table 54: Ultrasound Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 98
Table 55: Ultrasound Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 99
Table 56: B/W Ultrasound System, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 100
Table 57: B/W Ultrasound System, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 101
Table 58: Color Doppler Ultrasound System, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 102
Table 59: Color Doppler Ultrasound System, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 103
Table 60: Ultrasound Systems, Germany, Average Price ($), Historic, 2000-2008 104
Table 61: Ultrasound Systems, Germany, Average Price ($), Forecast, 2008-2015 104
Table 62: Ultrasound Systems, Germany, Distribution Share by Revenue ($m), 2007-2008 105
Table 63: Ultrasound Systems, Germany, Company Share by Revenue ($m), 2007-2008 106
Table 64: X-Ray Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 108
Table 65: X-Ray Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 110
Table 66: X-Ray Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 111
Table 67: X-Ray Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 112
Table 68: X-Ray Systems, Germany, Average Price ($), Historic, 2000-2008 113
Table 69: X-Ray Systems, Germany, Average Price ($), Forecast, 2008-2015 113
Table 70: X-Ray Systems, Germany, Distribution Share by Revenue ($m), 2007-2008 114
Table 71: X-Ray Systems, Germany, Company Share by Revenue ($m), 2007-2008 115
Table 72: Toshiba Medical Systems Corporation Pipeline Products by Equipment Type 117
Table 73: Toshiba Medical Systems Corporation Pipeline Products By Development Stage 118
Table 74: Toshiba Medical Systems Corporation Pipeline Products By Therapy Area 118
Table 75: Siemens Healthcare Pipeline Products by Equipment Type 124
Table 76: Siemens Healthcare Pipeline Products By Development Stage 124
Table 77: Siemens Healthcare Pipeline Products By Therapy Area 125
Table 78: Philips Healthcare Pipeline Products by Equipment Type 130
Table 79: GE Healthcare Pipeline Products by Equipment Type 130
Table 80: GE Healthcare Pipeline Products By Development Stage 130
Table 81: GE Healthcare Pipeline Products By Therapy Area 131
Table 82: GE Healthcare Pipeline Products By Clinical Trials 131
Table 83: Sentinelle Medical Enters Into An Agreement With Siemens Healthcare 134
Table 84: USD to Local Currency, Average Exchange Rate 2008 139
List of Figures
1.2 List of Figures
Figure 1: Healthcare Expenditure, Germany, 2000 – 2007 20
Figure 2: Healthcare Expenditure Sources in Germany, 2007 21
Figure 3: Healthcare Financing Framework in Germany, 2007 22
Figure 4: Flowchart for Classification of Non-invasive Devices in Germany, 2007 28
Figure 5: Flowchart for Classification of Invasive Devices in Germany, 2007 29
Figure 6: Flowchart for Classification of Invasive Devices in Germany, 2007 30
Figure 7: Classification of Invasive Devices in Germany, 2007 31
Figure 8: Classification of Invasive Devices in Germany, 2007 32
Figure 9: Flowchart for Classification of Active Devices in Germany, 2007 33
Figure 10: Flowchart for Classification of Active Devices in Germany, 2007 34
Figure 11: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in Germany, 2007 35
Figure 12: Conformity Assessment of Class-I Medical Devices in Germany, 2007 36
Figure 13: Conformity Assessment of Class-IIa Medical Devices in Germany, 2007 37
Figure 14: Conformity Assessment of Class-IIb Medical Devices in Germany, 2007 38
Figure 15: Conformity Assessment of Class-III Medical Devices in Germany, 2007 39
Figure 16: Diagnostic Imaging, Germany, Overall Revenue ($m), Historic, 2000-2008 43
Figure 17: Diagnostic Imaging, Germany, Overall Revenue ($m), Forecast, 2008-2015 45
Figure 18: Diagnostic Imaging, Germany, Category Volume (Units), Historic, 2000-2008 47
Figure 19: Diagnostic Imaging, Germany, Category Volume (Units), Forecast, 2008-2015 48
Figure 20: Diagnostic Imaging, Germany, Cross-Category Analysis, 2000-2015 49
Figure 21: Diagnostic Imaging, Germany, Company Share (%), 2008 51
Figure 22: Computed Tomography Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 53
Figure 23: Computed Tomography Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 55
Figure 24: Computed Tomography Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 56
Figure 25: Computed Tomography Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 57
Figure 26: Computed Tomography Systems, Germany, Company Share (%), 2008 60
Figure 27: Mammography Equipment, Germany, Revenue ($m) by Segment, Historic, 2000-2008 61
Figure 28: Mammography Equipment, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 63
Figure 29: Mammography Equipment, Germany, Volume (Units) by Segment, Historic, 2000-2008 64
Figure 30: Mammography Equipment, Germany, Volume (Units) by Segment, Forecast, 2008-2015 65
Figure 31: Mammography Equipment, Germany, Company Share (%), 2008 69
Figure 32: MRI Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 71
Figure 33: MRI Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 73
Figure 34: MRI Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 74
Figure 35: MRI Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 75
Figure 36: MRI Systems, Germany, Company Share (%), 2008 78
Figure 37: Nuclear Imaging Equipment, Germany, Revenue ($m) by Segment, Historic, 2000-2008 80
Figure 38: Nuclear Imaging Equipment, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 82
Figure 39: Positron Emission Tomography, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 83
Figure 40: Positron Emission Tomography, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 84
Figure 41: Nuclear Imaging Equipment, Germany, Volume (Units) by Segment, Historic, 2000-2008 85
Figure 42: Nuclear Imaging Equipment, Germany, Volume (Units) by Segment, Forecast, 2008-2015 86
Figure 43: Positron Emission Tomography, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 87
Figure 44: Positron Emission Tomography, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 88
Figure 45: Nuclear Imaging Equipment, Germany, Company Share (%), 2008 91
Figure 46: Ultrasound Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 92
Figure 47: Ultrasound Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 93
Figure 48: B/W Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 94
Figure 49: B/W Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 95
Figure 50: Color Doppler Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Historic, 2000-2008 96
Figure 51: Color Doppler Ultrasound System, Germany, Revenue ($m) by Sub-Segment, Forecast, 2008-2015 97
Figure 52: Ultrasound Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 98
Figure 53: Ultrasound Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 99
Figure 54: B/W Ultrasound System, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 100
Figure 55: B/W Ultrasound System, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 101
Figure 56: Color Doppler Ultrasound System, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 102
Figure 57: Color Doppler Ultrasound System, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 103
Figure 58: Ultrasound Systems, Germany, Company Share (%), 2008 106
Figure 59: X-Ray Systems, Germany, Revenue ($m) by Segment, Historic, 2000-2008 108
Figure 60: X-Ray Systems, Germany, Revenue ($m) by Segment, Forecast, 2008-2015 110
Figure 61: X-Ray Systems, Germany, Volume (Units) by Segment, Historic, 2000-2008 111
Figure 62: X-Ray Systems, Germany, Volume (Units) by Segment, Forecast, 2008-2015 112
Figure 63: X-Ray Systems, Germany, Company Share (%), 2008 115
Figure 64: Financial Deal Analysis, Germany, Deal Type 132
Figure 65: Financial Deal Analysis, Europe, Deal Value and Volume 133
Figure 66: GlobalData Methodology 136