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The Medical Device Market: France

  • January 2014
  • -
  • Espicom Business Intelligence
  • -
  • 227 pages

OVERVIEW OF THE MEDICAL MARKET IN FRANCE
France ranks among the top five largest medical device markets in the world Consumption of medical equipment and supplies is valued at US$14 9bn in 2013, equal to US$233 per capita New measures have recently been taken to control spending on medical devices, similar to those already in force for pharmaceuticals For this reason, the medical market is only likely to see moderate growth over the next five years

Despite several high profile investment programmes, France continues to lag behind its European neighbours in some high technology fields, most notably imaging and radiotherapy equipment A second five-year cancer plan has now been launched which includes plans to further boost the number of MRI scanners used to diagnostic various forms of cancer and to increase the number of cancer specialists including radiotherapy technicians

France has a well established medical device manufacturing industry with production concentrated on medical imaging, consumables and orthopaedic & prosthetic equipment The medical manufacturing industry has seen an influx of foreign companies; most of the larger manufacturers are now subsidiaries of multinational groups The latest production figures indicate that output of medical devices is stagnating In recent years, several major multinationals, including Covidien, Johnson & Johnson and Stryker, have sold off or closed manufacturing operations, as companies seek to rationalise their
production activities The acquisitions process has opened up new distribution channels for foreign manufactured equipment, increasing the market share of imported products

The US dollar value of medical device imports fell below US$11 0bn in 2012, but continued to grow in euro terms reaching EUR8 6bn Not all imported products are destined for the domestic market In recent years, there has been a marked rise in re-exports in certain sectors, most notably pacemakers


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Detailed Medical trade data
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Table Of Contents

The Medical Device Market: France
Espicom Industry View 9
SWOT 12
Medical Device Market 12
Political 13
Economic 14
Business Environment 15
Industry Forecast 16
Medical Device Market Forecast 16
Past Performance 2008-2013 16
Future Performance 2013-2018 18
Table: Projected Medical Device Market, 2013-2018 19
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$mn) 21
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$ Per Capita) 25
Table: Detailed Medical Device Market By Product Area, 2008-2018 (% Of Total) 28
Table: Detailed Medical Device Market By Product Area, 2009-2018 (US$mn, % Change) 31
Consumables Market Forecast 34
Woundcare Sector 34
Syringes, Needles, Catheters and Cannulae Sector 35
Other Consumables Sector 35
Table: Consumables Market, 2008-2018 (US$mn) 36
Table: Consumables Market, 2008-2018 (US$ Per Capita) 37
Table: Consumables Market, 2009-2018 (US$mn % Change) 38
Diagnostic Imaging Market Forecast 40
Electrodiagnostic Apparatus Sector 42
Radiation Apparatus Sector 43
Imaging Parts and Accessories Sector 43
Table: Diagnostic Imaging Market, 2008-2018 (US$mn) 44
Table: Diagnostic Imaging Market, 2008-2018 (US$ Per Capita) 45
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change) 46
Dental Products Market Forecast 48
Dental Capital Equipment 48
Dental Instruments and Supplies 50
Table: Dental Products Market, 2008-2018 (US$mn) 50
Table: Dental Products Market, 2008-2018 (US$ Per Capita) 51
Table: Dental Products Market, 2009-2018 (US$mn % Change) 52
Orthopaedics and Prosthetics Market Forecast 54
Fixation Devices Sector 55
Artificial Joints Sector 55
Artificial Body Parts Sector 56

Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$mn) 56
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$ Per Capita) 57
Table: Orthopaedics and Prosthetics Market, 2009-2018 (US$mn % Change) 57
Patient Aids Market Forecast 59
Portable Aids Sector 60
Therapeutic Appliances Sector 60
Table: Patient Aids Market, 2008-2018 (US$mn) 60
Table: Patient Aids Market, 2008-2018 (US$ Per Capita) 61
Table: Patient Aids Market, 2009-2018 (US$mn % Change) 62
Other Medical Devices Market Forecast 64
Table: Other Medical Devices Market, 2008-2018 (US$mn) 65
Table: Other Medical Devices Market, 2008-2018 (US$ Per Capita) 66
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change) 67
Annual Medical Device Imports 69
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s) 73
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s, % Change) 74
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s) 75
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s, % Change) 76
Table: Medical Device Imports By Product Area, 2008-2012 (% Distribution) 78
Table: Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 81
Table: Leading Medical Device Suppliers By Product Area, 2012 (% Distribution) 82
Table: Top 20 Medical Device Suppliers, 2012 (US$000s) 83
Table: Detailed Medical Device Imports By Product Area, 2008-2012 (US$000s) 84
Table: Detailed Medical Device Import Trends By Product Area, 2012 88
Table: Detailed Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 91
Monthly Medical Device Imports 95
Table: Monthly Medical Device Imports By Product Area, September 2010 - August 2013 (US$mn) 95
Annual Medical Device Exports 97
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s) 100
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s, % Change) 101
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s) 102
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s, % Change) 103
Table: Medical Device Exports By Product Area, 2008-2012 (% Distribution) 105
Table: Leading Medical Device Destinations By Product Area, 2012 (US$000s) 107
Table: Leading Medical Device Destinations By Product Area, 2012 (% Distribution) 108
Table: Top 20 Medical Device Destinations, 2012 (US$000s) 109
Table: Detailed Medical Device Exports By Product Area, 2008-2012 (US$000s) 110
Table: Detailed Medical Device Export Trends By Product Area, 2012 113
Table: Detailed Leading Medical Device Destinations By Product Area, 2012 (US$000s) 117
Table: Detailed Medical Device Balance Of Trade, 2008-2012 (US$000s) 120
Monthly Medical Device Exports 123
Table: Monthly Medical Device Exports By Product Area, September 2010 - August 2013 (US$mn) 123
Macroeconomic Forecasts 125
Economic Activity 125
Real GDP By Expenditure Breakdown 126
Risks To Outlook 130
Table: France - Gdp By Expenditure 131

Industry Risk Reward Ratings 133
Industry Risk Reward Ratings 133
Table: Espicom Analysis Of The Medical Device Market, 2013 133
Market Overview 135
Medical Device Market Overview 135
Overview 135
Table: Medical Device Market, Key Ratios, 2013 136
The Market In 2013 137
Table: Medical Device Market by Product Area, 2013 137
Healthcare Overview 138
Healthcare System 138
Health Insurance 143
Health Expenditure 144
Table: ONDAM, 2014 (EURbn) 145
Medical Technology 145
Table: Diagnostic Imaging Technology By Type, 2005-2012 146
Table: Diagnostic Imaging Activity, 2010-2012 147
Key Data 148
Table: Key Data, 2008-2013 148
Industry Trends And Developments 151
Industry Trends and Developments 151
Table: Top 20 Medical Device Export Destinations, H112/H113 (US$000s) 152
Table: Top 20 Medical Device Export Destinations, 2008-2012 (US$000s) 153
Table: Spending On Reimbursable Medical Devices, 2012 156
Table: CNAM Spending On Reimbursable Medical Devices By Source Of Funding, 2012-2013 158
Table: CNAM Reimbursements For Medical Devices By Type, 2012-2013 159
Table: Targeted Medical Device Savings Under PHARE Programme 160
Regulatory Development 165
Medical Device Regulations 165
Medical Device Pricing and Reimbursement 167
Table: Savings From Medical Device Price/Tariff Reductions (EURmn) 168
Competitive Landscape 171
Domestic Medical Device Production 171
Production Reported By INSEE 171
Table: Selected Medical Device Producers By Product Area, 2009-2012 (EUR000s) 171
Production Reported By Eurostat 172
Table: Medical Device Production By Product Area, 2008-2012 (EURmn) 174
Table: Detailed Medical Device Production By Product Area, 2008-2012 (EURmn) 174
Table: Detailed Medical Device Production By Product Area, 2008-2012 (US$mn) 177
Table: Detailed Medical Device Production By Product Area, 2008-2012 (% Distribution) 181
Domestic Medical Device Manufacturing 184
Table: Leading Medical Device Manufacturers 184
National Medical Device Manufacturers 185

Multinational Medical Device Manufacturers 204
Table: Baxter Gambro, Turnover 2009-2012 205
Table: B Braun Medical, Turnover 2009-2012 207
Table: Becton Dickinson, Turnover 2009-2012 208
Table: BSN Medical, Turnover 2010-2012 208
Table: Fresenius Medical Care (FMC SMAD), Turnover 2009-2011 211
Table: Fresenius Vial, Turnover 2009-2012 211
Table: GE Medical Systems, Turnover 2009-2012 212
Table: Hill-Rom SAS, Turnover 2009-2012 213
Table: Sorin CRM SAS, Turnover 2010-2012 214
Table: Stryker Spine, Turnover 2009-2012 215
Multinational Market Activity 216
Table: Multinational Market Activity, 2013 216
Medical Device Market Access 218
Distribution 218
Trade Associations 218
Trade Fairs 219
Methodology 220
Table: Used HS Trade Codes, 2013 221
Table: Rearranged HS Trade Codes, 2013 223

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