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The Medical Device Market: Italy

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

OVERVIEW OF THE MEDICAL MARKET IN ITALY
Italy is the fourth largest economy in the EU-27, but it has underperformed in recent years, being the second weakest of the major EU-27 economies Real growth is expected to contract in 2013; it contracted in 2012, stagnated in 2011 and 2010, and contracted in 2009 and 2008 Following the February 2013 parliamentary elections which resulted in a clear voter rejection of austerity, the coalition has pledged to do more to spur growth, implying an end to further fiscal consolidation Although this will support short-term GDP growth, BMI believes that it also means the pace of structural reform implemented under former prime minister Mario Monti will slow dramatically, with negative implications for future growth and debt sustainability

The provision of healthcare, in common with other Western European countries, is advanced, with universal access Being initially based on the UK's NHS-model, the Italian health service is also facing similar scenarios, most notably efforts to restrain rising costs According to Assobiomedica, the government has implemented a number of laws in recent years that will affect public health expenditure, with a high incidence in public medical device expenditure These include L228/2012 (2013 Stability Law), L135/2012, L94/2012 and L111/2011

The Italian medical device market is the fourth largest in the EU-27 The market is expected to continue to exhibit sluggish growth in US dollar terms, with a 2013-2018 CAGR of 1 4%, which should see it grow from an estimated US$9 1bn in 2013 to US$9 7bn by 2018 This makes Italy one of the slowest growing markets in the world and reflects the ongoing debt crisis and the financial difficulties of the Italian health service

Long payment delays have long been a feature of supplying to the public hospital market According to Assobiomedica, the average payment time was 274 days in May 2013, which compared relatively well with 303 days in May 2012 Calabria recorded the longest average payment time with 926 days in May 2013, whilst Valle d'Aosta registered the shortest average payment time with 78 days


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Table Of Contents

The Medical Device Market: Italy
Espicom Industry View 9
Espicom Industry View 9
SWOT 11
Medical Device Market 11
Political 12
Economic 13
Business Environment 15
Industry Forecast 16
Medical Device Market Forecast 16
Past Performance 2008-2013 16
Future Performance 2013-2018 17
Table: Projected Medical Device Market, 2013-2018 18
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$mn) 19
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$ Per Capita) 23
Table: Detailed Medical Device Market By Product Area, 2008-2018 (% Of Total) 26
Table: Detailed Medical Device Market By Product Area, 2009-2018 (US$mn, % Change) 30
Consumables Market Forecast 33
Table: Consumables Market, 2008-2018 (US$mn) 35
Table: Consumables Market, 2008-2018 (US$ Per Capita) 36
Table: Consumables Market, 2009-2018 (US$mn, % Change) 37
Diagnostic Imaging Market Forecast 39
Electrodiagnostic Sector 40
Radiation Apparatus Sector 40
Imaging Parts and Accessories Sector 41
Table: Diagnostic Imaging Market, 2008-2018 (US$mn) 41
Table: Diagnostic Imaging Market, 2008-2018 (US$ Per Capita) 43
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change) 44
Dental Products Market Forecast 47
Table: Dental Products Market, 2008-2018 (US$mn) 48
Table: Dental Products Market, 2008-2018 (US$ Per Capita) 48
Table: Dental Products Market, 2009-2018 (US$mn % Change) 49
Orthopaedics and Prosthetics Market Forecast 51
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$mn) 52
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$ Per Capita) 53
Table: Orthopaedics and Prosthetics Market, 2009-2018 (US$mn % Change) 53
Patient Aids Market Forecast 55
Table: Patient Aids Market, 2008-2018 (US$mn) 56
Table: Patient Aids Market, 2008-2018 (US$ Per Capita) 57
Table: Patient Aids Market, 2009-2018 (US$mn % Change) 57
Other Medical Devices Market Forecast 59
Table: Other Medical Devices Market, 2008-2018 (US$mn) 60

Table: Other Medical Devices Market, 2008-2018 (US$ Per Capita) 61
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change) 62
Annual Medical Device Imports 66
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s) 69
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s, % Change) 70
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s) 71
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s, % Change) 72
Table: Medical Device Imports By Product Area, 2008-2012 (% Distribution) 74
Table: Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 76
Table: Leading Medical Device Suppliers By Product Area, 2012 (% Distribution) 77
Table: Top 20 Medical Device Suppliers, 2012 (US$000s) 78
Table: Detailed Medical Device Imports By Product Area, 2008-2012 (US$000s) 79
Table: Detailed Medical Device Import Trends By Product Area, 2012 82
Table: Detailed Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 86
Monthly Medical Device Imports 89
Table: Monthly Medical Device Imports By Product Area, July 2010-July 2013 (US$mn) 89
Annual Medical Device Exports 91
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s) 94
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s, % Change) 95
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s) 96
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s, % Change) 97
Table: Medical Device Exports By Product Area, 2008-2012 (% Distribution) 99
Table: Leading Medical Device Destinations By Product Area, 2012 (US$000s) 100
Table: Leading Medical Device Destinations By Product Area, 2012 (% Distribution) 102
Table: Top 20 Medical Device Destinations, 2012 (US$000s) 103
Table: Detailed Medical Device Exports By Product Area, 2008-2012 (US$000s) 104
Table: Detailed Medical Device Export Trends By Product Area, 2012 107
Table: Detailed Leading Medical Device Destinations By Product Area, 2012 (US$000s) 111
Table: Detailed Medical Device Balance Of Trade, 2008-2012 (US$000s) 114
Monthly Medical Device Exports 117
Table: Monthly Medical Device Exports By Product Area, July 2010-July 2013 (US$mn) 117
Macroeconomic Forecasts 119
Economic Analysis 119
Industry Risk Reward Ratings 125
Industry Risk Reward Ratings 125
Table: Espicom Analysis Of The Medical Device Market, 2013 125
Market Overview 127
Medical Device Market Overview 127
Overview 127
Table: Medical Device Market, Key Ratios, 2013 128
The Market In 2013 128
Table: Medical Device Market By Product Area, 2013 129
Healthcare Overview 130
Healthcare System 130
Healthcare Reforms 132
Health Expenditure 133

Table: Estimated Savings In Public Medical Device Expenditure, 2012-2014 (EURmn) 134
Healthcare Delivery 134
Medical Technology 135
Table: Diagnostic Imaging Technology By Type And Sector, 2006-2011 (Units) 136
Key Data 137
Table: Key Data, 2008-2013 137
Industry Trends And Developments 140
Industry Trends and Developments 140
Table: SSN Debt To Medical Device Suppliers By Region, September 2013 141
Regulatory Development 144
Medical Device Regulations 144
Competent Authority 144
Notified Bodies 145
Regulations 146
Medical Device Pricing and Reimbursement 149
Competent Authorities 149
Formulary Lists 152
Pathways 152
Evaluation 153
Competitive Landscape 155
Domestic Medical Device Production 155
Table: Medical Device Production By Product Area, 2008-2012 (EURmn) 155
Table: Detailed Medical Device Production By Product Area, 2008-2012 (EURmn) 156
Table: Detailed Medical Device Production By Product Area, 2008-2012 (US$mn) 159
Table: Detailed Medical Device Production By Product Area, 2008-2012 (% Total) 163
Domestic Medical Device Manufacturing 167
National Medical Device Manufacturers 167
Artsana 167
Table: Artsana's Financial Indicators, 2007-2011 (EURmn) 168
Bellco 169
Bracco Imaging 169
Castellini 170
CID Vascular 170
Cosmed 171
Esaote 171
Table: Esaote's Financial Indicators, 2010-2011 (EURmn) 172
ET Medical Devices/Remco Italia 173
Euronda 173
IGEA 174
IMS 174
Lima 175
Major Prodotti Dentari 175
Medel Italiana 175

Menarini Diagnostics 176
Table: Menarini Diagnostics' Turnover, 2008-2012 (EURmn) 176
Sorin 177
Table: Sorin's Financial Indicators, 2010-2011 (EURmn) 178
Multinational Medical Device Manufacturers 180
B Braun 180
Covidien 180
Fresenius 181
Haemonetics 181
Medtronic 181
Orthofix International N V 182
Table: Orthofix International N V 's Net Sales, 2010-2012 (US$mn) 182
Philips 183
Siemens 183
Multinational Market Activity 183
Table: Multinational Market Activity, 2013 184
Medical Device Market Access 185
Market Environment 185
Distribution 185
Trade Associations 186
Trade Fairs 187
Methodology 188
Table: Used HS Trade Codes, 2013 189
Table: Rearranged HS Trade Codes, 2013 191

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