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Germany Medical Devices Report Q3 2015, Business Monitor International

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

Includes 3 FREE quarterly updates

BMI Industry View: Despite an increasingly challenging operating environment, Germany remains one of the most attractive medical device markets in Western Europe (WE), testament to the underlying strength of the German economy and a commitment to maintain a high quality healthcare service. Whilst austerity measures in the health sector have hit the pharmaceutical industry harder than the medical device industry, measures to restrict the growth in spending on hospital and ambulatory services are inevitably increasing pressure on prices, particularly as many public hospitals are continuing to operate at a loss. However,
additional financial support from the federal government for hospitals of EUR1.1bn during 2013 and 2014 has been a positive development as is the support for medical technology and innovation in general expressed in the coalition agreement of the new federal government.

Headline Industry Forecasts

- Germany has the third largest medical device market in the world, ranking behind the USA and Japan. We value the market at USD25.6bn in 2013, equal to USD305 per capita. We project the market to grow at a US dollar 2013-2018 CAGR of 3.8%, which is above average for the region.
- Medical device imports supply around 70% of the market. Between 2008 and 2013, imports grew at a CAGR of 7.5% in euros and 5.2% in US dollars. Preliminary data for 2014 indicates that imports grew by around 0.7% in euro terms and 0.8% in US dollar terms to reach EUR13.7bn (USD18.2bn). After a strong start to the year, import performance in US dollar terms deteriorated over the 12-month period as the dollar appreciated against the euro culminating in a 4.9% fall in Q414. We expect imports will see low to mid single-digit growth in euro terms during 2015, but currency weakness will continue tonegatively impact on US dollar values.

Table Of Contents

Germany Medical Devices Report Q3 2015, Business Monitor International
BMI Industry View 9
SWOT 13
Medical Device Market 13
Political 15
Economic 16
Operational Risk 17
Industry Forecast 18
Medical Device Market Forecast 18
2008-2013 Performance 18
2013-2018 Performance 20
Table: Projected Medical Device Market, 2013-2018 21
Table: Detailed Medical Device Market By Product Area, 2008-2018 (USDmn) 22
Consumables Market Forecast 27
Bandages and Dressings 27
Suturing Materials 27
Syringes, Needles and Catheters 28
Other Consumables 28
Table: Consumables Market, 2008-2018 (USDmn) 28
Table: Consumables Market, 2009-2018 (USDmn % Change) 29
Diagnostic Imaging Market Forecast 31
Electrodiagnostic Apparatus 32
Radiation Apparatus 33
Imaging Parts and Accessories 34
Table: Diagnostic Imaging Market, 2008-2018 (USDmn) 34
Table: Diagnostic Imaging Market, 2009-2018 (USDmn % Change) 36
Dental Products Market Forecast 37
Capital Equipment 38
Instruments and Supplies 38
Table: Dental Products Market, 2008-2018 (USDmn) 39
Table: Dental Products Market, 2009-2018 (USDmn % Change) 39
Orthopaedics and Prosthetics Market Forecast 40
Fixation Devices 41
Artificial Joints 41
Other Artificial Body Parts 42
Table: Orthopaedics and Prosthetics Market, 2008-2018 (USDmn) 42
Table: Orthopaedics and Prosthetics Market, 2009-2018 (USDmn % Change) 43
Patient Aids Market Forecast 44
Portable Aids 44
Therapeutic Appliances 44
Table: Patient Aids Market, 2008-2018 (USDmn) 45
Table: Patient Aids Market, 2009-2018 (USDmn % Change) 46
Other Medical Devices Market Forecast 48
Table: Other Medical Devices Market, 2008-2018 (USDmn) 48
Table: Other Medical Devices Market, 2009-2018 (USDmn % Change) 50
Annual Medical Device Imports 52
Table: Medical Device Imports By Product Area, 2009-2013 (USD000s) 56
Table: Medical Device Imports By Product Area, 2009-2013 (USD000s, % Change) 57
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s) 58
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s % Change) 59
Table: Top 20 Medical Device Suppliers, 2013 (USD000s) 61
Table: Detailed Medical Device Imports By Product Area, 2009-2013 (USD000s) 62
Table: Detailed Medical Device Import Trends By Product Area, 2013 65
Table: Detailed Leading Medical Device Suppliers By Product Area, 2013 (USD000s) 68
Monthly Medical Device Imports 71
Table: Monthly Medical Device Imports By Product Area, March 2012 - February 2015 (USDmn) 72
Annual Medical Device Exports 74
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) 83
Table: Detailed Medical Device Exports By Product Area, 2009-2013 (USD000s) 84
Table: Detailed Medical Device Export Trends By Product Area, 2013 87
Table: Detailed Leading Medical Device Destinations By Product Area, 2013 (USD000s) 91
Table: Detailed Medical Device Trade Balance, 2009-2013 (USD000s) 94
Monthly Medical Device Exports 97
Table: Monthly Medical Device Exports By Product Area, March 2012 - February 2015 (USDmn) 97
Macroeconomic Forecasts 100
Economic Analysis 100
GDP By Expenditure 102
Risks To Outlook 106
Table: GDP By Expenditure (Germany 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 113
Healthcare Overview 114
Health Status 114
Healthcare System 117
Private Healthcare Providers 122
Healthcare Funding 125
Table: SHI Spending By Service, 2013-2014 (EURbn) 128
Table: Health Expenditure By Service, 2009-2013 (EURmn) 132
Table: Health Expenditure By Funding, 2009-2013 (EURmn) 133
Healthcare Resources 134
Table: Hospitals By Type, 2013 134
Table: Medical Technology In Inpatient Facilities By Type, 2008-2013 136
Table: Medical Technology By Sector And Type, 2013 136
Healthcare Activity 137
Table: Inpatient Diagnostic, Imaging, Surgical And Therapeutic Procedures By Type, 2008-2013 138
Table: Most Frequent Inpatient Operations Performed In Hospitals By Type, 2010-2013 140
Healthcare Personnel 142
Key Healthcare Data 143
Table: Key Healthcare Data, 2009-2014 143
Industry Trends And Developments 146
Industry Trends and Developments 146
Table: Top 20 Medical Device Suppliers, 2013-2014 (USD000) 147
Table: Top 20 Medical Device Export Destinations, 2013-2014 (USD000) 148
Table: SHI Spending By Service, 2013-2014 (EURbn) 153
Table: Inpatient Diagnostic, Surgical And Therapeutic Procedures By Type, 2008-2013 154
Table: Artificial Joint Replacement Procedures, 2006-2013 155
Regulatory Development 163
Medical Device Regulations 163
Competent Authority 163
Notified Bodies 163
Table: German Medical Notified Bodies, 2011 163
Regulatory Developments 164
EU Medical Device Regulations 165
Designated Authorities 165
Existing Regulations 166
Proposed Regulatory Changes 167
Implications For The Industry 170
Medical Device Pricing and Reimbursement 172
Reimbursement 172
Table: Reimbursable Medical Device Spending By Main Funding Sources, 2009-2013 (EURmn) 173
Health Technology Assessment 174
Procurement 176
Competitive Landscape 177
Domestic Medical Device Production 177
Table: Medical Device Production By Product Area, 2009-2013 (EURmn) 178
Table: Detailed Medical Device Production By Product Area, 2009-2013 (EURmn) 178
Table: Detailed Medical Device Production By Product Area, 2009-2013 (USDmn) 182
Table: Detailed Medical Device Production By Product Area, 2009-2013 (% Total) 185
Domestic Medical Device Manufacturing 188
Federal Statistical Office Manufacturing Survey 188
Table: Medical Device Companies By Sector, 2009-2014 189
Table: Medical Device Companies By Number Of Employees, 2014 189
BVMed Industry Survey 190
Electromedical Industry 190
National Medical Device Manufacturers 191
B. Braun 191
Table: B. Braun, Key Financials, 2009-2014 (EURmn) 193
Table: B. Braun, Turnover By Division and Type, 2010-2014 (EURmn) 193
Table: B. Braun, Turnover By Region, 2010-2014 (EURmn) 194
Biotronik 196
Table: Biotronik, Key Financials, 2009-2013 (EUR000) 197
Table: Biotronik, Turnover By Type, 2010-2013 (EUR000) 197
Table: Biotronik, Turnover By Region, 2010-2013 (EUR000) 198
BSN Medical 198
Table: BSN Medical, Consolidated Revenues By Division, 2009-2013 (EUR 000) 199
Table: BSN Medical, Consolidated Revenues By Region, 2009-2013 (EUR 000) 199
Carl Zeiss 199
Table: Carl Zeiss Meditec, Turnover By Division, FY2010-2014 (EURmn) 201
Table: Carl Zeiss Meditec, Turnover By Region, FY2010-2014 (EURmn) 202
Dräger Medical 202
Table: Dräger Medical, Key Financials, 2010-2014 (EURmn) 203
Table: Dräger Medical, Turnover By Region, 2010-2014 (EURmn) 203
Erbe Elektromedizin 204
Fresenius 204
Table: Fresenius Medical Care, Key Financials, 2010-2014 (USDmn) 205
Table: Fresenius Medical Care, Turnover By Segment, 2010-2014 (USDmn) 206
Table: Fresenius Medical Care, Turnover By Region, 2010-2014 (USDmn) 206
Geuder 207
Heine 208
Heraeus Dental 208
Heraeus Medical 208
Karl Storz 208
Karl Leibinger Medizintechnik 209
Lohmann and Rauscher 211
Meyra Ortopedia 212
Otto Bock Healthcare 212
Table: Otto Bock Healthcare, Turnover By Division, 2012-2013 (EURmn) 213
Table: Otto Bock Healthcare, Turnover By Region, 2010-2013 (EURmn) 213
Paul Hartmann 214
Table: Paul Hartmann, Turnover By Segment, 2010-2013 (EUR 000) 215
Table: Paul Hartmann, Turnover By Region, 2010-2013 (EUR 000) 216
Protec 216
Richard Wolf 216
Table: Richard Wolf, Turnover, 2009-2013 (EUR000) 217
Schölly Fibreoptic 217
Siemens 218
Table: Siemens Healthcare, Key Financials, FY2010-2014 (EURmn) 220
Table: Siemens Healthcare, Turnover By Region, FY2011-2014 (EURmn) 220
Stiegelmeyer 221
Waldemar Link 222
Table: Waldemar Link, Turnover By Region, 2009-2013 (EUR000) 222
Weinmann 222
World of Medicine 223
Table: World of Medicine, Turnover By Segment, 2010-2013 (EUR000) 224
Table: World of Medicine, Turnover By Region, 2010-2013 (EUR000) 224
Multinational Medical Device Manufacturers 225
Alcon 225
Bausch and Lomb 225
Baxter Gambro 225
GE Healthcare 226
Getinge 226
Hill-Rom 228
Invacare 229
Johnson and Johnson 229
Medtronic 230
Philips 230
Smith and Nephew 231
Sorin 231
Stryker 231
Multinational Market Activity 232
Table: Multinational Market Activity, 2015 232
Medical Device Market Access 237
Distribution 237
Trade Associations 237
Trade Fairs 238
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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