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The Medical Device Market: Spain

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

OVERVIEW OF THE MEDICAL MARKET IN SPAIN
The economic crisis has had a direct effect on the public healthcare sector in terms of some quite severe spending cuts, as well as rising co-payments Prior to the 2008 crisis, regional governments approved the construction of a number of public hospitals, without serious planning in some cases Unsurprisingly, some of these projects have collapsed since then, as the budget allocated by the government to public healthcare has been reduced by EUR6 7bn (US$8 9bn) since 2010 The increase in the number of public hospitals has not been homogenous in all the regions, but has been mainly concentrated on four regions: Andalucía, Castilla La Mancha, Comunidad Valenciana and Madrid

Medical device imports represent the largest part of the market In US dollar terms, they have experienced uneven growth in recent years due to exchange rate movements Imports fell by 8 1% to US$3 6bn in the 12 months to March 2013, with a fall of 6 2% registered in the final quarter All the import areas recorded falls in the annual cumulative period, led by patient aids and diagnostic imaging Imports fell by 7 5% to US $3 7bn in 2012, following a small decline of 0 2% in 2011, a low rise of 0 9% in 2010 and a contraction of 7 6% in 2009 Between 2003 and 2008, imports recorded double-digit rises every year, except a high onedigit increase in 2008 Overall, imports recorded a negative 2007-2012 CAGR of 1 2%, ranging from 6 9% for patient aids to a negative 7 5% for diagnostic imaging

Spain has a strong medical device manufacturing sector, which is based around Madrid and Barcelona Companies, however, tend to be small and concentrated at the low to medium technology end of the market Major export categories include medical supplies, syringes, needles & catheters and X-ray equipment Due to market stagnation and austerity-led measures, medical producers are concentrating efforts in export markets, as a way to counterbalance constrained sales in the internal market In US dollar terms, exports grew by 11 9% in the 12 months to March 2013, reaching US$1 5bnn, with a lower increase of 8 5% registered in the final quarter Orthopaedics & prosthetics recorded the highest growth, at 31 7%, followed by other medical devices (21 0%), patient aids (19 9%), dental products (19 2%), consumables (5 5%) and diagnostic imaging (2 5%)


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Table Of Contents

The Medical Device Market: Spain
Contents
Espicom Industry View 9
Espicom Industry View 9
SWOT 11
Medical Device Market 11
Political 13
Economic 14
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$mn, % Change) 29
Consumables Market Forecast 32
Table: Consumables Market, 2008-2018 (US$mn) 34
Table: Consumables Market, 2008-2018 (US$ Per Capita) 35
Table: Consumables Market, 2009-2018 (US$mn % Change) 36
Diagnostic Imaging Market Forecast 38
Electrodiagnotic Apparatus Sector 39
Radiation Apparatus Sector 39
Imaging Parts and Accessories Sector 40
Table: Diagnostic Imaging Market, 2008-2018 (US$mn) 40
Table: Diagnostic Imaging Market, 2008-2018 (US$ Per Capita) 41
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change) 42
Dental Products Market Forecast 44
Table: Dental Products Market, 2008-2018 (US$mn) 45
Table: Dental Products Market, 2008-2018 (US$ Per Capita) 46
Table: Dental Products Market, 2009-2018 (US$mn % Change) 47
Orthopaedics and Prosthetics Market Forecast 49
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$mn) 51
Table: Orthopaedics and Prosthetics Market, 2008-2018 (US$ Per Capita) 51
Table: Orthopaedics and Prosthetics Market, 2009-2018 (US$mn % Change) 52
Patient Aids Market Forecast 53
Table: Patient Aids Market, 2008-2018 (US$mn) 54
Table: Patient Aids Market, 2008-2018 (US$ Per Capita) 55
Table: Patient Aids Market, 2009-2018 (US$mn % Change) 55
Other Medical Devices Market Forecast 57
Table: Other Medical Devices Market, 2008-2018 (US$mn) 58

Table: Other Medical Devices Market, 2008-2018 (US$ Per Capita) 59
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change) 60
Annual Medical Device Imports 63
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s) 66
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s, % Change) 67
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s) 68
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s, % Change) 69
Table: Medical Device Imports By Product Area, 2008-2012 (% Distribution) 71
Table: Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 73
Table: Leading Medical Device Suppliers By Product Area, 2012 (% Distribution) 74
Table: Top 20 Medical Device Suppliers, 2012 (US$000s) 76
Table: Detailed Medical Device Imports By Product Area, 2008-2012 (US$000s) 77
Table: Detailed Medical Device Import Trends By Product Area, 2012 80
Table: Detailed Leading Medical Device Suppliers By Product Area, 2012 (US$000s) 85
Monthly Medical Device Imports 88
Table: Monthly Medical Device Imports By Product Area, July 2010-July 2013 (US$mn) 88
Annual Medical Device Exports 90
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s) 93
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s, % Change) 94
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s) 95
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s, % Change) 96
Table: Medical Device Exports By Product Area, 2008-2012 (% Distribution) 98
Table: Leading Medical Device Destinations By Product Area, 2012 (US$000s) 100
Table: Leading Medical Device Destinations By Product Area, 2012 (% Distribution) 101
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 120
Table: Spain - Economic Activity 125
Industry Risk Reward Ratings 126
Industry Risk Reward Ratings 126
Table: Espicom Analysis Of The Medical Device Market, 2013 126
Market Overview 128
Medical Device Market Overview 128
Overview 128
Table: Medical Device Market, Key Ratios, 2013 129
The Market In 2013 129
Table: Medical Device Market By Product Area, 2013 130
Healthcare Overview 131
Cross-Border Healthcare Directive 131
Healthcare System 131
Private Health Insurance 133

Table: Private Health Insurance Market, 2003-2011 134
Health Expenditure 134
Medical Technology Equipment 135
Table: Diagnostic Imaging Technology Equipment By Delivery Sector, 2006-2011 (Units) 135
Table: Medical Technology Equipment In Hospitals, 2006-2012 (Units) 137
Table: Medical Technology Equipment In Hospitals By Region, 2012 (Units) 138
Key Data 139
Table: Key Data, 2008-2013 139
Industry Trends And Developments 142
Industry Trends and Developments 142
Regulatory Development 146
Medical Device Regulations 146
National Competent Authority 146
European Regulations 146
National Regulations 146
National Registration Fees 149
Table: Registration Fees Of Medical Devices, 2012 149
National Regulatory Activities 150
Table: Health Product Company Licences, 2002-2012 150
Table: Registrations Of Class I Health Products And In Vitro Diagnostic Devices, Marketed By A Spanish Company, 2002-2012 151
Table: Market Launches Of Medium and High Risk Health Products, 2002-2012 151
Table: Other Evaluations and Authorisations Of Health Products, 2002-2012 152
Table: Vigilance System Of Health Products, 2002-2012 154
Table: Notified Adverse Incidents By Product Type, 2002-2012 154
Table: Post-Market Control Of Health Products, 2002-2012 155
Medical Device Pricing and Reimbursement 156
Procurement 156
Reimbursement 156
Table: Members Of The Council Of The Spanish Network Of SNS Services Assessment And HTA Agencies, 2013 157
Table: SNS Co-Payment Levels For Orthopaedics and Prosthetics Used In Ambulatory Care, 2012 158
Taxation 159
Competitive Landscape 160
Domestic Medical Device Production 160
Production Reported By INE 160
Table: Medical and Dental Device Production Indicators, 2007-2011 (EURmn) 160
Production Reported By Eurostat 161
Table: Medical Device Production By Product Area, 2008-2012 (EURmn) 161
Table: Detailed Medical Device Production By Product Area, 2008-2012 (EURmn) 162
Table: Detailed Medical Device Production By Product Area, 2008-2012 (US$mn) 166
Table: Detailed Medical Device Production By Product Area, 2008-2012 (% Total) 170
Domestic Medical Device Manufacturing 174
Producers Reported By INE 174
Table: Medical and Dental Device Producers, 2000-2011 174
Personnel Reported By INE 174

Table: Medical and Dental Device Personnel, 2000-2011 175
National Medical Device Manufacturers 175
Table: Grupo Indas' Sales, 2007-2011 (EURmn) 176
Table: Inibsa's Sales, 2007-2011 (EURmn) 177
Table: Grupo Prim's Sales, 2007-2011 (EURmn) 181
Multinational Medical Device Manufacturers 184
Table: B Braun's Sales and Employees By Company, 2012 186
Multinational Market Activity 187
Table: Multinational Market Activity, 2013 188
Medical Device Market Access 189
Market Environment 189
Distribution 189
Trade Association 190
Table: FENIN's Sectors, 2012 191
Trade Fairs 192
Methodology 193
Medical Device Market Methodology 193
Trade Code Classifications 194
Table: Used HS Trade Codes, 2014 194
Table: Rearranged HS Trade Codes, 2014 196
Risk/Reward Ratings Methodology 199
Table: Medical Devices Risk/Reward Ratings Indicators, 2014 200
Sources 201
Contact 202

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