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France Medical Devices Report Q3 2015, Business Monitor International

  • May 2015
  • -
  • Business Monitor International
  • -
  • 250 pages

BMI Industry View: Although France continues to rank among the top five largest medical device markets in the world, growth rates are modest by global standards. The continuing drive to hold down costs and the more restrictive measures being implemented to regulate medical device expenditure in a similar manner to drug expenditure will continue to constrain spending on medical devices. Having implemented measures to curtail spending on reimbursable devices in the ambulatory sector, the authorities are starting to pay much greater attention to spending in the hospital sector through the PHARE hospital responsible purchasing programme, Phase 4 of which was launched in September 2014.

Headline Industry Forecasts
- France ranks among the top five largest medical device markets in the world. We value the market at USD14.4bn in 2013, equal to USD225 per capita. We forecast moderate growth through to 2018 with the growing healthcare needs of the aging population offset by cost containment measures to control spending on medical devices.
- Medical device imports supply around 75% of the market. Between 2008 and 2013, imports grew at a CAGR of 4.5% in euros and 2.3% in US dollars. The running annual import total fell to USD11.1bn in the 12 months to February 2015, representing y-o-y dollar growth of -3.8%. In euro terms the contraction was lower at -0.8%. We expect imports to return to low single-digit growth in 2015 when measured in euros, but local currency weakness will continue to impact on US dollar values. Not all imported products are destined for the domestic market due to re-exporting in some sectors.

Table Of Contents

France Medical Devices Report Q3 2015, Business Monitor International
BMI Industry View . 9
SWOT .. 12
Medical Device Market ... 12
Political . 14
Economic . 15
Operational Risk ... 16
Industry Forecast 17
Medical Device Market Forecast 17
2008-2013 Performance .. 17
2013-2018 Performance .. 19
Table: Projected Medical Device Market, 2013-2018 .. 20
Table: Detailed Medical Device Market By Product Area, 2008-2018 (USDmn) ... 21
Consumables Market Forecast ... 25
Bandages and Dressings .. 25
Suturing Materials . 26
Syringes, Needles and Catheters .. 26
Other Consumables 27
Table: Consumables Market, 2008-2018 (USDmn) .. 27
Table: Consumables Market, 2009-2018 (USDmn % Change) 28
Diagnostic Imaging Market Forecast .. 30
Electrodiagnostic Apparatus .. 31
Radiation Apparatus . 32
Imaging Parts and Accessories .. 33
Table: Diagnostic Imaging Market, 2008-2018 (USDmn) ... 33
Table: Diagnostic Imaging Market, 2009-2018 (USDmn % Change) . 34
Dental Products Market Forecast . 36
Capital Equipment . 36
Instruments and Supplies ... 37
Table: Dental Products Market, 2008-2018 (USDmn) . 37
Table: Dental Products Market, 2009-2018 (USDmn % Change) ... 39
Orthopaedics and Prosthetics Market Forecast 40
Fixation Devices .. 41
Artificial Joints 42
Other Artificial Body Parts 42
Table: Orthopaedics and Prosthetics Market, 2008-2018 (USDmn) ... 43
Table: Orthopaedics and Prosthetics Market, 2009-2018 (USDmn % Change) . 43
Patient Aids Market Forecast ... 44
Portable Aids 45
Therapeutic Appliances ... 45
Table: Patient Aids Market, 2008-2018 (USDmn) ... 46
Table: Patient Aids Market, 2009-2018 (USDmn % Change) .. 47
Other Medical Devices Market Forecast 49
Table: Other Medical Devices Market, 2008-2018 (USDmn) .. 50
Table: Other Medical Devices Market, 2009-2018 (USDmn % Change) 51
Annual Medical Device Imports . 52
Table: Medical Device Imports By Product Area, 2009-2013 (USD000s) ... 57
Table: Medical Device Imports By Product Area, 2009-2013 (USD000s % Change) . 58
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s) 59
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s % Change) ... 60
Table: Top 20 Medical Device Suppliers, 2013 (USD000s) .. 62
Table: Detailed Medical Device Imports By Product Area, 2009-2013 (USD000s) . 63
Table: Detailed Medical Device Import Trends By Product Area, 2013 ... 66
Table: Detailed Leading Medical Device Suppliers By Product Area, 2013 (USD000s) 69
Monthly Medical Device Imports 73
Table: Monthly Medical Device Imports By Product Area, March 2012 - February 2015 (USDmn) . 73
Annual Medical Device Exports . 75
Table: Medical Device Exports By Product Area, 2009-2013 (USD000s) ... 78
Table: Medical Device Exports By Product Area, 2009-2013 (USD000s % Change) . 79
Table: Medical Device Exports By Product Area, 2009-2013 (Local Currency 000s) 80
Table: Medical Device Exports By Product Area, 2009-2013 (Local Currency 000s % Change) ... 81
Table: Top 20 Medical Device Destinations, 2013 (USD000s) 84
Table: Detailed Medical Device Exports By Product Area, 2009-2013 (USD000s) . 85
Table: Detailed Medical Device Export Trends By Product Area, 2013 ... 88
Table: Detailed Leading Medical Device Destinations By Product Area, 2013 (USD000s) . 92
Table: Detailed Medical Device Trade Balance, 2009-2013 (USD000s) 95
Monthly Medical Device Exports 98
Table: Monthly Medical Device Exports By Product Area, March 2012 - February 2015 (USDmn) . 98
Macroeconomic Forecasts ... 101
Economic Analysis . 101
Table: GDP By Expenditure (France 2012-2019) ... 107
Industry Risk/Reward Index ... 108
Table: WE Medical Device Risk/Reward Index, Q315 109
Market Overview ... 110
Medical Device Market Overview ... 110
Table: Medical Device Market, Key Ratios, 2013 ... 112
Table: Medical Device Market by Product Area, 2013 112
Healthcare Overview 113
Health Status . 113
Healthcare System 113
Public Healthcare Providers .. 121
Private Healthcare Providers . 124
Healthcare Funding 127
Table: ONDAM, 2014 (EURbn) ... 129
Healthcare Resources ... 129
Table: Hospitals By Type, 2011 ... 130
Medical Technology ... 131
Table: Diagnostic Imaging Technology By Type, 2008-2013 . 131
Table: Diagnostic Imaging Technology And Activity, 2010-2012 ... 132
Table: MRI Installations, 2009-2013 .. 133
Healthcare Activity . 134
Table: Procedures Performed In Short Stay Units, 2008-2012 ... 134
Table: Procedures Performed In Short Stay Units By Specialty, 2012 134
Healthcare Personnel ... 135
Key Healthcare Data .. 135
Table: Key Healthcare Data, 2009-2014 135
Industry Trends And Developments 138
Industry Trends and Developments 138
Table: Top 15 Medical Device Suppliers, 2009-2013 (USDmn) 139
Table: Top 15 Medical Device Export Destinations, 2010-2014 (USDmn) . 140
Table: Hospital Activity Ambulatory Rate By Sector, 2012 (%) ... 144
Table: CNAM Reimbursable Medical Device Spending By Funding, 2012-2014 (EURmn) .. 149
Table: CNAM Medical Device Reimbursements By Type, 2012-2014 (EUR000) ... 150
Regulatory Development 156
Medical Device Regulations .. 156
Competent Authority ... 156
Notified Body 156
National Regulations .. 157
Market Vigilance . 158
EU Medical Device Regulations . 158
Designated Authorities .. 158
Existing Regulations ... 158
Proposed Regulatory Changes 160
Implications For The Industry 163
Medical Device Pricing and Reimbursement . 165
Pricing . 165
Table: Savings From Medical Device Price/Tariff Reductions, 2009-2013 (EURmn) 166
Reimbursement .. 166
Table: Medical Devices, Reimbursable Expenditure, 2013 (EURmn) 170
Table: Total Spending On Reimbursable Medical Devices, Ambulatory Sector, 2008-2013 EURmn 171
Procurement . 172
Table: Targeted Medical Device Savings Under PHARE Programme 174
Competitive Landscape .. 175
Domestic Medical Device Production 175
Table: Medical Device Production By Product Area, 2009-2013 (EURmn) .. 175
Table: Detailed Medical Device Production By Product Area, 2009-2013 (EURmn) 176
Table: Detailed Medical Device Production By Product Area, 2009-2013 (USDmn) 179
Table: Detailed Medical Device Production By Product Area, 2009-2013 (% Total) 183
Domestic Medical Device Manufacturing ... 186
Table: Selected Medical Device Producers By Product Area, 2010-2013 (EUR000s) ... 186
National Medical Device Manufacturers .. 189
Multinational Medical Device Manufacturers ... 214
B Braun ... 214
Table: B. Braun Medical, Key Financials 2010-2014 (EUR000) ... 215
Baxter 216
Table: Baxter Gambro, Key Financials, 2010-2013 (EUR000) ... 217
Becton Dickinson . 217
Table: Becton Dickinson, Key Financials, 2010-2013 (EUR000) ... 218
BSN Medical-Radiante .. 218
Table: BSN Medical Key Financials, 2013 (EUR000) 219
Table: BSN Medical, Turnover 2010-2012 .. 220
Coloplast .. 220
Table: Coloplast Manufacturing France, Key Financials, FY2010-2014 Ended September 30 (EUR000) .. 221
Fresenius .. 221
Table: Fresenius Medical Care SMAD, Key Financials, 2010-2013 (EUR000) 222
Table: Fresenius Vial, Key Financials, 2010-2013 (EUR000) 223
GE Healthcare .. 223
Table: GE Medical Systems, Key Financials, 2010-2013 (EUR000) .. 224
Greatbatch . 224
Hill-Rom .. 225
Table: Hill-Rom (Pluvigner), Key Financials, FY2010-2013 Ended September 30 (EUR000) ... 225
Integra Life Sciences ... 226
Medtronic ... 226
Table: Sofradim Production, Key Financials, FY2010-2014 Ended September 30 (EUR000) ... 228
Table: Covidien Manufacturing, Key Financials, FY2010-2014 Ended September 30 (EUR000) . 228
Ossur . 229
Table: Gibaud, Key Financials, 2010-2013 (EUR000) 229
Sorin . 230
Table: Sorin CRM France, Key Financials, 2010-2014 (EURmn) .. 231
Table: Sorin Group France, Key Financials, 2010-2014 (EURmn) . 231
Stryker . 231
Table: Stryker Spine, Key Financials, 2010-2013 (EUR000) . 232
Wright Medical Group .. 233
Zimmer 234
Multinational Market Activity .. 235
Table: Multinational Market Activity, 2015 . 235
Medical Device Market Access . 238
Distribution 238
Trade Associations . 238
Trade Fairs . 239
Methodology .. 240
Forecast Methodology .. 240
Trade Code Classifications .. 241
Table: Used HS Trade Codes .. 241
Table: Rearranged HS Trade Codes . 243
Risk/Reward Index Methodology ... 246
Table: Medical Devices Risk/Reward Index Indicators ... 247
Sources 249
Contact 250

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