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MediPoint: Orthopedic Power Tools - Global Analysis and Market Forecasts

Summary

A power tool is a key instrument in the armamentarium of the operating room for many orthopedic surgeries. The adoption rates for orthopedic power tools vary in different regions, mainly due to price sensitivity. Globally, and driven by the orthopedic industry’s continued innovation in cordless battery-powered systems as well as a better understanding of corded systems’ downsides, the usage of pneumatic-powered tools has been declining in the past decade as surgeons adopt premium-priced electric and, more significantly, battery-powered systems. In contrast, in developing countries, electric- and pneumatic-powered tools currently represent highly valued equipment for orthopedic surgeons; moreover, this equipment should continue to remain important, especially in light of the developing countries’ healthcare systems that cannot bear the substantial costs associated with capital equipment upgrades. Yet, a slow shift to battery-powered systems will still occur in these emerging economies, as players introduce the new-generation systems into these countries in the coming years and invest heavily in marketing and promotion.

Moving forward, industry consolidation and intense competition in the orthopedic power tools market will cause more and more companies to increase their research efforts to differentiate their products from the lower-end competitors. Instead of focusing on the capital equipment, players are expected to shift their marketing efforts to high-margin consumables. By implementing a consumables-based recurring-revenue business model, companies are able to establish a stable revenue stream while driving handpiece or capital equipment placements via capital sales and/or rentals. Meanwhile, it is equally important for companies to seek new revenue streams as delays in capital equipment purchases weaken the revenue growth.

GlobalData analyzes large bone, small bone, and high-speed power tools segments in this report. Within each segment, the adoption level and sales unit of battery-, electric-, and pneumatic-powered systems, and the revenue stream from capital equipment sales, consumables sales, and repair service are tracked and estimated based on GlobalData’s primary and secondary research.

Highlights

Key Questions Answered

- As the adoption of battery-powered tools increases further in the next five years, surgeons will be anticipating more efforts from the supply side to push the frontier in battery-powered systems. (Q).What are the current adoption levels of different types of large bone, small bone, and high-speed systems in different geographies?
- There is an increased involvement with hospitals’ “C-level” management in the procurement process of premium systems. These senior hospital executives often need to assess whether the procedure mix and payer mix can support the purchase of certain orthopedic power tools. (Q).How are hospitals’ cost-containment measures affecting the utilization of different types of power tools?
- It is an increasing trend among large orthopedic vendors to leverage their market position by offering bundle discounts for hospital orthopedic departments upon the purchase of a combination of implants, instruments, and capital equipment, rather than giving a discounted price for power tools. (Q).How will hospitals’ purchasing plans for capital equipment evolve in the upcoming years?
- The current small bone market offers a welcomed respite from the challenging large joint reconstruction and spinal fusion space. (Q).Does the small bone power tools segment represent an area where more attention should be devoted to?
- Recently, the single-use power tools have started to attract media attention. Despite the aggressive marketing efforts seen from the companies, key opinion leaders indicated that their cost-effectiveness remains to be justified at this stage. (Q).What are surgeons’ attitudes about the single-use orthopedic power tools?

Reasons to buy

- “What Do Physicians Think” quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Table Of Contents

MediPoint: Orthopedic Power Tools - Global Analysis and Market Forecasts
1 Table of Contents

2 Introduction 21
2.1 Catalyst 21
2.2 Related Reports 22
3 Industry Overview 23
3.1 Product Overview 23
3.1.1 Capital Equipment 23
3.1.2 Consumables 28
3.2 Procedural Trends 28
3.2.1 Global Overview 28
3.2.2 US 29
3.2.3 5EU 33
3.2.4 Asia-Pacific 38
3.2.5 South America 43
3.3 Adoption Trends 47
3.3.1 The Growing Role of Cost in Purchasing Decisions 47
3.3.2 Increased Involvement of the C-Level 50
3.3.3 The Shift to Battery-Powered Systems 51
3.3.4 Product Life Cycle 54
3.3.5 Maintenance and Repair 56
3.3.6 Reprocessed Single-Use Saw Blades 58
3.4 Market Access 61
3.4.1 US 62
3.4.2 5EU 62
3.4.3 Asia-Pacific 62
3.4.4 South America 63
3.5 Reimbursement 64
3.5.1 US 64
3.5.2 5EU 66
3.5.3 Asia-Pacific 67
3.5.4 South America 68
3.6 Mergers and Acquisitions/Key Partnerships 69
3.6.1 Zimmer to Combine with Biomet in Transaction Valued at $13.35 Billion (April, 2014) 69
3.6.2 Johnson and Johnson Acquired Synthes for $19.7 Billion (June, 2012) 70
3.6.3 Zimmer Acquired SoPlus Orthopaedic Surgical Power Tools Company (December, 2010) 70
3.6.4 Synthes Acquired Anspach (November, 2010) 71
4 Market Drivers 72
4.1 Increasing Orthopedic Procedure Volume Fuels Demand for Power Tool Consumables 72
4.2 Operating Room Supply Standardization Drives Cross-Selling 73
4.3 Rising Competition Forces Businesses to Innovate 74
4.4 A Powered Approach to Pedicle Screw Insertion 76
5 Market Opportunities 77
5.1 Small Bone Power Tools 77
5.2 Ultrasonic Bone Cutting Tools 79
5.3 Integration of Computer-Assisted Navigation Technologies into Power Tools 80
5.4 Continued Focus on Buying Groups and Integrated Delivery Networks to Drive Volume Growth 82
5.5 Emerging Countries 83
6 Market Barriers 84
6.1 Hospital Consolidation 84
6.2 Hospital Cost-Containment Pressures 85
6.3 Reimbursement 86
6.4 Are Robotic Technologies a Threat? 86
6.5 Medical Device Excise Tax 88
7 Unmet Needs 90
7.1 Refocus on Pipeline Products 90
7.2 Further Enhancements on Batteries 92
7.3 Cost-Effectiveness Analysis of Single-Use Power Tools 94
8 Competitive Assessment 98
8.1 Overview 98
8.2 Aesculap 98
8.2.1 Overview 98
8.2.2 SWOT Analysis 99
8.3 Arthrex 100
8.3.1 Overview 100
8.3.2 SWOT Analysis 100
8.4 Brasseler USA (Tava Surgical in Outside US markets) 101
8.4.1 Overview 101
8.4.2 SWOT Analysis 102
8.5 ConMed Linvatec 102
8.5.1 Overview 102
8.5.2 SWOT Analysis 104
8.6 DePuy Synthes 104
8.7 De Soutter Medical 106
8.7.1 Overview 106
8.7.2 SWOT Analysis 108
8.8 MicroAire 108
8.8.1 Overview 108
8.8.2 SWOT Analysis 110
8.9 Misonix 110
8.9.1 Overview 110
8.9.2 SWOT Analysis 111
8.10 Medtronic 111
8.10.1 Overview 111
8.10.2 SWOT Analysis 113
8.11 OsteoMed 113
8.11.1 Overview 113
8.11.2 SWOT Analysis 114
8.12 Stryker 114
8.12.1 Overview 114
8.12.2 SWOT Analysis 117
8.13 Zimmer Holdings 117
8.13.1 Overview 117
8.13.2 SWOT Analysis 118
9 Current and Future Players 119
9.1 Trends in Corporate Strategy 119
9.2 Established Players 121
9.2.1 Aesculap 121
9.2.2 Arthrex 123
9.2.3 Brasseler USA (Tava Surgical in Outside US markets) 125
9.2.4 ConMed Corporation 127
9.2.5 DePuy Synthes 130
9.2.6 De Soutter Medical 132
9.2.7 MicroAire 134
9.2.8 Misonix 136
9.2.9 Medtronic 137
9.2.10 OsteoMed 140
9.2.11 Stryker 142
9.2.12 Zimmer Holdings 144
9.3 Emerging Players 147
10 Market Outlooks 148
10.1 Company Share Analysis 148
10.1.1 Overview 148
10.1.2 US Market Share 149
10.1.3 5EU Market Share 152
10.1.4 APAC Market Share 154
10.1.5 South America Market Share 156
10.2 By Market Segment 157
10.2.1 Large Bone Power Tools 157
10.2.2 Small Bone Power Tools 158
10.2.3 High-Speed Power Tools 159
10.3 By Geography 160
10.3.1 Global Overview 160
10.3.2 US 167
10.3.3 France 172
10.3.4 Germany 177
10.3.5 Italy 182
10.3.6 Spain 187
10.3.7 UK 192
10.3.8 Japan 197
10.3.9 Brazil 202
10.3.10 China 207
10.3.11 India 212
11 Appendix 218
11.1 Abbreviations 218
11.2 Bibliography 222
11.3 Report Methodology 226
11.3.1 Overview 226
11.3.2 Coverage 226
11.3.3 Secondary Research 226
11.3.4 Forecasting Methodology 227
11.3.5 Primary Research - Key Opinion Leader Interviews 228
11.3.6 Expert Panel Validation 229
11.4 Physicians and Specialists Included in this Study 229
11.5 About the Authors 231
11.5.1 Analysts 231
11.5.2 Bonnie Bain, PhD, Global Head of Healthcare 231
11.6 About MediPoint 233
11.7 About GlobalData 233
11.8 Disclaimer 233

1.1 List of Tables

Table 1: SWOT Analysis - Battery-Powered Tools 25
Table 2: SWOT Analysis - Electric-Powered Tools 25
Table 3: SWOT Analysis - Pneumatic-Powered Tools 26
Table 4: SWOT Analysis - Single-Use Orthopedic Power Tools 27
Table 5: Global* Procedure Trends for Major Orthopedic Surgeries, 2011-2020 29
Table 6: US Procedure Trends for Major Orthopedic Surgeries, 2011-2020 30
Table 7: 5EU Procedure Trends for Major Orthopedic Surgeries, 2011-2020 35
Table 8: APAC* Procedure Trends for Major Orthopedic Surgeries, 2011-2020 39
Table 9: Brazil Procedure Trends for Major Orthopedic Surgeries, 2011-2020 44
Table 10: Hospitals' Three Primary Options When Orthopedic Power Tools Break Down 56
Table 11: Stryker's Prevision Saw Blade 59
Table 12: IEC 60601-1 and National Standards in Major Countries 61
Table 13: Medicare National Average Reimbursement Rates for Major Orthopedic Procedures that Involve the Usage of Power Tools, FY 2013-2014 65
Table 14: Marketing Focus of Single-Use Orthopedic Power Tools 94
Table 15: Aesculap's Orthopedic Power Tools 99
Table 16: SWOT Analysis - Aesculap's Orthopedic Power Tools Portfolio 99
Table 17: Arthrex's Orthopedic Power Tools 100
Table 18: SWOT Analysis - Arthrex's Orthopedic Power Tools Portfolio 100
Table 19: Brasseler's Orthopedic Power Tools 101
Table 20: SWOT Analysis - Brasseler's Orthopedic Power Tools Portfolio 102
Table 21: ConMed Linvatec's Orthopedic Power Tools 103
Table 22: SWOT Analysis - ConMed Linvatec's Orthopedic Power Tools Portfolio 104
Table 23: DePuy Synthes' Orthopedic Power Tools 105
Table 24: SWOT Analysis - DePuy Synthes' Orthopedic Power Tools Portfolio 106
Table 25: De Soutter Medical's Orthopedic Power Tools 107
Table 26: SWOT Analysis - De Soutter Medical's Orthopedic Power Tools Portfolio 108
Table 27: MicroAire's Orthopedic Power Tools 109
Table 28: SWOT Analysis - MicroAire's Orthopedic Power Tools Portfolio 110
Table 29: Misonix's Orthopedic Power Tools 111
Table 30: SWOT Analysis - Misonix's Orthopedic Power Tools Portfolio 111
Table 31: Medtronic's Orthopedic Power Tools 112
Table 32: SWOT Analysis - Medtronic's Orthopedic Power Tools Portfolio 113
Table 33: OsteoMed's Orthopedic Power Tools 113
Table 34: SWOT Analysis - OsteoMed's Orthopedic Power Tools Portfolio 114
Table 35: Stryker's Orthopedic Power Tools 116
Table 36: SWOT Analysis - Stryker's Orthopedic Power Tools Portfolio 117
Table 37: Zimmer's Orthopedic Power Tools 118
Table 38: SWOT Analysis - Zimmer's Orthopedic Power Tools Portfolio 118
Table 39: Company Profile - Aesculap 121
Table 40: SWOT Analysis - Aesculap 122
Table 41: Company Profile - Arthrex 123
Table 42: SWOT Analysis - Arthrex 125
Table 43: Company Profile - Brasseler 126
Table 44: SWOT Analysis - Brasseler 127
Table 45: Company Profile - ConMed Corporation 128
Table 46: SWOT Analysis - ConMed Corporation 129
Table 47: Company Profile - DePuy Synthes 131
Table 48: SWOT Analysis - DePuy Synthes 132
Table 49: Company Profile - De Soutter Medical 133
Table 50: SWOT Analysis - De Soutter Medical 134
Table 51: Company Profile - MicroAire 135
Table 52: SWOT Analysis - MicroAire 135
Table 53: Company Profile - Misonix 136
Table 54: SWOT Analysis - Misonix 137
Table 55: Company Profile - Medtronic 138
Table 56: SWOT Analysis - Medtronic 140
Table 57: Company Profile - OsteoMed 141
Table 58: SWOT Analysis - OsteoMed 141
Table 59: Company Profile - Stryker 142
Table 60: SWOT Analysis - Stryker 144
Table 61: Company Profile - Zimmer Holdings 145
Table 62: SWOT Analysis - Zimmer Holdings 146
Table 63: Emerging Players in the Global Orthopedic Power Tools Market 147
Table 64: Global Large Bone Power Tools Market Revenue ($m), 2011-2020 157
Table 65: Global Small Bone Power Tools Market Revenue ($m), 2011-2020 159
Table 66: Global High-Speed Power Tools Market Revenue ($m), 2011-2020 160
Table 67: Global* Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 162
Table 68: Global Orthopedic Power Tools Sales Revenue ($m), by Segment, 2011-2020 165
Table 69: US Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 168
Table 70: US Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 171
Table 71: France Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 173
Table 72: France Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 176
Table 73: Germany Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 178
Table 74: Germany Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 180
Table 75: Italy Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 183
Table 76: Italy Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 185
Table 77: Spain Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 188
Table 78: Spain Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 190
Table 79: UK Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 193
Table 80: UK Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 195
Table 81: Japan Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 198
Table 82: Japan Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 200
Table 83: Brazil Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 203
Table 84: Brazil Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 205
Table 85: China Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 208
Table 86: China Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 211
Table 87: India Orthopedic Power Tools Capital Equipment Sales Units, 2011-2020 213
Table 88: India Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 216

1.2 List of Figures
Figure 1: Market Segmentation of Orthopedic Power Tools 23
Figure 2: Major Large Bone Procedure Volumes in the US, 2011-2020 31
Figure 3: Major Small Bone Procedure Volumes in the US, 2011-2020 32
Figure 4: Major High-Speed Procedure Volumes in the US, 2011-2020 33
Figure 5: Major Large Bone Procedure Volumes in 5EU, 2011-2020 36
Figure 6: Major Small Bone Procedure Volumes in 5EU, 2011-2020 37
Figure 7: Major High-Speed Procedure Volumes in 5EU, 2011-2020 38
Figure 8: Major Large Bone Procedure Volumes in APAC,* 2011-2020 41
Figure 9: Major Small Bone Procedure Volumes in APAC,* 2011-2020 42
Figure 10: Major High-Speed Procedure Volumes in APAC,* 2011-2020 43
Figure 11: Major Large Bone Procedure Volumes in Brazil, 2011-2020 45
Figure 12: Major Small Bone Procedure Volumes in Brazil, 2011-2020 46
Figure 13: Major High-Speed Procedure Volumes in Brazil, 2011-2020 47
Figure 14: Average Life Span of Orthopedic Power Tools in 10 Major Markets, 2013 55
Figure 15: Average Replacement Rate of Orthopedic Power Tools in 10 Major Markets, 2013 56
Figure 16: Estimated Global Market Share for Orthopedic Power Tools, 2013 149
Figure 17: US Market Share for Orthopedic Power Tools, 2013 150
Figure 18: Estimated US Market Share for Orthopedic Power Tools, by Segment, 2013 151
Figure 19: Estimated France Market Share for Orthopedic Power Tools, 2013 152
Figure 20: Estimated Germany Market Share for Orthopedic Power Tools, 2013 153
Figure 21: Estimated Italy Market Share for Orthopedic Power Tools, 2013 153
Figure 22: Estimated Spain Market Share for Orthopedic Power Tools, 2013 154
Figure 23: Estimated UK Market Share for Orthopedic Power Tools, 2013 154
Figure 24: Estimated Japan Market Share for Orthopedic Power Tools, 2013 155
Figure 25: Estimated China Market Share for Orthopedic Power Tools, 2013 155
Figure 26: Estimated India Market Share for Orthopedic Power Tools, 2013 156
Figure 27: Estimated Brazil Market Share for Orthopedic Power Tools, 2013 156
Figure 28: Large Bone Orthopedic Power Tools Sales Revenue ($m), 2011-2020 158
Figure 29: Small Bone Orthopedic Power Tools Sales Revenue ($m), 2011-2020 159
Figure 30: High-Speed Orthopedic Power Tools Sales Revenue ($m), 2011-2020 160
Figure 31: Global Orthopedic Power Tools Market Sales, Units Segmentation, 2013 and 2020 163
Figure 32: Global Orthopedic Power Tools Sales Revenue ($m), by Segment, 2011-2020 165
Figure 33: Orthopedic Power Tools Market by Major Market, 2013 and 2020 166
Figure 34: US Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 169
Figure 35: US Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 171
Figure 36: US Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 172
Figure 37: France Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 174
Figure 38: France Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 176
Figure 39: France Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 177
Figure 40: Germany Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 179
Figure 41: Germany Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 181
Figure 42: Germany Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 182
Figure 43: Italy Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 184
Figure 44: Italy Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 186
Figure 45: Italy Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 187
Figure 46: Spain Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 189
Figure 47: Spain Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 191
Figure 48: Spain Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 192
Figure 49: UK Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 194
Figure 50: UK Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 196
Figure 51: UK Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 197
Figure 52: Japan Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 199
Figure 53: Japan Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 201
Figure 54: Japan Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 202
Figure 55: Brazil Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 204
Figure 56: Brazil Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 206
Figure 57: Brazil Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 207
Figure 58: China Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 209
Figure 59: China Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 211
Figure 60: China Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 212
Figure 61: India Orthopedic Power Tools Capital Equipment Sales Units Segmentation, 2011-2020 214
Figure 62: India Orthopedic Power Tools Market Sales Forecast ($m), 2011-2020 216
Figure 63: India Orthopedic Power Tools Market Revenue Distribution, by Segment, 2013 and 2020 217
Figure 64: Other Primary Research Participants Breakdown, by Institution (n=25) 230

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