The Medical Device Market: Brazil

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


OVERVIEW OF THE MEDICAL MARKET IN BRAZIL
Brazil has the largest economy and medical device market in Latin America, but per capita medical expenditure is still very low The highest expenditure is in the large cities, such as São Paulo or Rio de Janeiro, but producers are moving into regional markets outside the major state capitals The medical device market in 2013 is valued at US$5,918 9mn, equal to US$29 6 per capita

The public health system (SUS), created in 1988, provides healthcare services to around 75% of the population and the private sector 25% However, the majority of inpatient services within the SUS are operated by private providers, with more than two-thirds of hospital facilities operated by the private sector Further private investment in the health sector is being encouraged through a public-private partnership scheme launched in 2008, which is supported by the International Finance Corporation, the Brazilian Development Bank and the Inter-American Development Bank

Brazil has the second largest private health insurance sector in the Americas, after the USA, covering around 25% of the population, 48mn people, in 2012 The expansion of the private health insurance sector in recent years has resulted in demand for better medical care and, in turn, further expenditure in medical equipment The economic downturn has not affected hospital capital investments so severely The public sector continues to be modernised and to upgrade obsolete equipment, therefore there are sizeable market opportunities if prices are competitive

The government is extending healthcare service access through its Mais Saúde programme launched at the end of 2007, phase 2 of which is set to run until 2014 This programme has focused attention on developing the primary care network

The government continues to invest in the expansion of the SUS In 2013, BRL2 3bn (US$1 1bn) will be invested to support the development of primary health and emergency care services A total of BRL$1 39bn (US$662mn) has also been invested in university hospitals since 2010 under the National University Hospital Restructuring programme (REHUF), which aims to improve access and quality of tertiary services provided to patients as well as the working and training conditions of medical students

Medical device mports hold a relatively small share of the market, totalling US$2 8bn in 2012 They increased by 8 0% in 2012, but the CAGR 2007-2012 was much higher at 14 8% Imports tend to be hightech medical equipment not produced locally In 2012, over 75% of imports were supplied by Europe and the USA

Brazilian medical device exports totalled US$524 6mn in 2012, a fall of 5 4% over 2011 The country has a well-established medical industry, comprising local and multinational companies Domestic production, however, is geared towards the local market Exports are small in comparison with total production and the country consistently runs a negative balance of trade in medical equipment and supplies



PROVIDING STRATEGIC MARKET ANALYSIS EVERY MONTH

Espicom's highly-regarded world medical technology and device market research reports provide enhanced strategic intelligence in a user-friendly format Each report provides in-depth information, setting the medical equipment market in context The reports provide:

Unique projected estimates of market size and growth for 33 equipment categories
Five year statistical data for key economic and healthcare indicators
Information on regulation, distribution and market access, including Espicom’s unique distributor directory
Detailed Medical trade data
Data on leading local/multinational medical equipment players in the market

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WITH THIS MARKET REPORT YOU CAN

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Understand the operating and regulatory environment
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Table Of Contents

Espicom Industry View 7
Espicom Industry View 7
SWOT 9
Medical Device Market 9
Political 10
Economic 11
Business Environment 12
Industry Forecast 13
Medical Device Market Forecast 13
Past Performance 2008-2013 13
Future Performance 2013-2018 14
Table: Projected Medical Device Market, 2013-2018 15
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$mn) 16
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$ Per Capita) 20
Table: Detailed Medical Device Market By Product Area, 2008-2018 (% Of Total) 23
Table: Detailed Medical Device Market By Product Area, 2009-2018 (US$mn, % Change) 26
Consumables Market Forecast 29
Table: Consumables Market, 2008-2018 (US$mn) 31
Table: Consumables Market, 2008-2018 (US$ Per Capita) 32
Table: Consumables Market, 2009-2018 (US$mn % Change) 33
Diagnostic Imaging Market Forecast 35
Electrodiagnostic Apparatus Sector 36
Radiation Apparatus Sector 37
Imaging Parts and Accessories Sector 38
Table: Diagnostic Imaging Market, 2008-2018 (US$mn) 38
Table: Diagnostic Imaging Market, 2008-2018 (US$ Per Capita) 39
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change) 40
Dental Products Market Forecast 42
Table: Dental Products Market, 2008-2018 (US$mn) 44
Table: Dental Products Market, 2008-2018 (US$ Per Capita) 44
Table: Dental Products Market, 2009-2018 (US$mn % Change) 45
Orthopaedics and Prosthetics Market Forecast 47
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$mn) 48
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$ Per Capita) 49
Table: Orthopaedics and Prosthetics Market, 2009-2018 (US$mn % Change) 49
Patient Aids Market Forecast 51
Table: Patient Aids Market, 2008-2018 (US$mn) 52
Table: Patient Aids Market, 2008-2018 (US$ Per Capita) 53
Table: Patient Aids Market, 2009-2018 (US$mn % Change) 53
Other Medical Devices Market Forecast 55
Table: Other Medical Devices Market, 2008-2018 (US$mn) 56
4
Table: Other Medical Devices Market, 2008-2018 (US$ Per Capita) 57
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change) 58
Annual Medical Device Imports 60
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s) 64
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s, % Change) 65
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s) 66
Table: Medical Device Imports By Product Area 2008-2012 (Local Currency 000s, % Change) 67
Table: Medical Device Imports By Product Area 2008-2012 (% Distribution) 68
Table: Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 71
Table: Leading Medical Device Suppliers By Product Area, 2012 (% Distribution) 72
Table: Top 20 Medical Device Suppliers, 2012 (US$000s) 73
Table: Detailed Medical Device Imports By Product Area, 2008-2012 (US$000s) 74
Table: Detailed Medical Device Import Trends By Product Area, 2012 77
Table: Detailed Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 81
Monthly Medical Device Imports 85
Table: Monthly Medical Device Imports By Product Area, October 2010 - September 2013 (US$mn) 85
Annual Medical Device Exports 87
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s) 89
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s, % Change) 90
Table: Medical Device Exports By Product Area 2008-2012, (Local Currency 000s) 91
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s, % Change) 92
Table: Medical Device Exports By Product Area, 2008-2012 (% Distribution) 94
Table: Leading Medical Device Destinations By Product Area, 2012 (US$000s) 97
Table: Leading Medical Device Destinations By Product Area, 2012 (% Distribution) 98
Table: Top 20 Medical Device Destinations, 2012 (US$000s) 99
Table: Detailed Medical Device Exports By Product Area, 2008-2012 (US$000s) 100
Table: Detailed Medical Device Export Trends By Product Area, 2012 103
Table: Detailed Leading Medical Device Destinations By Product Area, 2012 (US$000s) 107
Table: Detailed Medical Device Balance Of Trade, 2008-2012 (US$000s) 110
Monthly Medical Device Exports 114
Table: Monthly Medical Device Exports By Product Area, October 2010 - September 2013 (US$mn) 114
Macroeconomic Forecasts 116
Table: Brazil - Economic Activity 122
Industry Risk Reward Ratings 123
Industry Risk Reward Ratings 123
Table: Espicom Analysis Of The Medical Device Market, 2013 123
Market Overview 125
Medical Device Market Overview 125
Overview 125
Table: Medical Device Market, Key Ratios, 2013 127
The Market In 2013 127
Table: Medical Device Market By Product Area, 2013 128
Healthcare Overview 131
Healthcare System 131
Main World Bank Health-Related Projects 132
Health Insurance 133
5
Health Expenditure 134
Medical Device Technology 134
Table: Medical Device Technology By Type, 2005-2012 135
Key Data 137
Table: Key Data, 2008-2013 137
Industry Trends And Developments 140
Industry Trends and Developments 140
Table: Funding Allocation For Elective Surgery By State, July 2013 143
Regulatory Development 151
Medical Device Regulations 151
Medical Device Pricing and Reimbursement 155
Competitive Landscape 157
Domestic Medical Device Production 157
Table: Medical Device Manufacturers By Type, 2005-2011 158
Table: Electromedical and Radiology Equipment Manufacturers By Type, Key Indicators, 2011 159
Table: Medical and Surgical Instrument Manufacturers By Type, Key Indicators, 2011 159
Table: Medical Supplies Manufacturers By Type, Key Indicators, 2011 161
Table: Medical Device Production By Type, 2007-2011 (BRL000) 162
Table: Medical Device Production By Type, 2007-2011 (US$000) 165
Domestic Medical Device Manufacturing 169
Table: Medical Device Industry Economic Data, 2005-2011 (US$mn) 169
National Medical Device Manufacturers 171
Table: Cremer Net Revenues, 2011 - June 2013 (BRLmn) 173
Multinational Medical Device Manufacturers 182
Multinational Market Activity 192
Table: Multinational Market Activity, 2013 192
Medical Device Market Access 195
Market Environment 195
Distribution 196
Mercosur 196
Import Duties and Taxes 197
Table: CET for Medical Devices as at 25th April 2012 197
Trade Associations 204
Table: ABIMED Members, 2013 204
Trade Fairs 207
Methodology 210
Table: Used HS Trade Codes, 2013 211
Table: Rearranged HS Trade Codes, 2013 213

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