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MediPoint: Negative Pressure Wound Therapy - Global Analysis and Market Forecasts

Summary

Negative pressure wound therapy (NPWT), sometimes referred to as topical negative pressure therapy or vacuum-assisted wound closure, is an emerging advanced wound management technology that is being utilized in the treatment of both acute and chronic wounds. The treatment entails using a vacuum that exerts negative pressure on a wound, where the force is applied away from the body, through a sealed dressing. The market for devices that can perform the treatment, including stand-alone devices, portable devices, disposable devices, and canisters, is expected to grow steadily through 2021.

Increasing physician and patient awareness of NPWT as well as the rising prevalence of diseases directly associated with the onset of chronic wounds, such as diabetes mellitus and cardiovascular disease, are expected to drive the growth of the global NPWT market. The development of increasingly lightweight portable NPWT devices will improve overall patient satisfaction with the treatment. With improvements in the design of NPWT devices, they have the potential to become the standard of treatment for acute and chronic wounds in the coming years.

This report focuses on the global NPWT market in the 10 major markets (10MM) (US, France, Germany, Italy, Spain, UK, Japan, China, India, and Brazil) for treating acute and chronic wounds. This report provides insight into the competitive landscape, the marketed and pipeline products, the current and emerging players, and market analysis of each segment. The report identifies the unmet needs in the market while providing an understanding of physicians’ perceptions and decision-making processes in using and evaluating the adoption of different types of NPWT devices.

Highlights

Key Questions Answered

- What is the current and future NPWT market outlook in the developed and emerging markets? What trends are affecting the global market?
- Which are the key, high growth markets that manufacturers should expand into? Which markets are growing the fastest, and what are the top-selling products in each segment?
- What are the unmet needs with NPWT devices currently on the market? How will emerging technologies fulfill these unmet needs?
- What clinical factors and technical specifications influence a physician to use one type of NPWT device over another? What is physician perception and market outlook of NPWT?
- What are the challenges and complications of NPWT that have hindered widespread adoption?
- With developing the next-generation of NPWT devices, what aspects of the technology are device manufacturers focused on optimizing? How will new entrants impact the global NPWT market?

Scope

- Overview of wound management, including anatomy, epidemiology, pathophysiology, symptoms, diagnosis, and treatment guidelines and modalities.
- Annualized total NPWT market revenue by type of device, direct and indirect costs of disease, procedure trends, and market outlooks by country through 2021.
- Key topics covered include strategic competitor assessment, market characterization, identification of unmet needs, reimbursement and regulatory considerations, evaluating market access in each region covered in the report, and implications of the emerging technologies on the market.
- Pipeline analysis: Comprehensive data split across different stages of development, including a discussion of emerging trends and NPWT devices in development.
- Analysis of the current and future market competition in the global NPWT market. Insightful review of the key industry drivers, opportunities, barriers and challenges. Each trend is independently researched to provide qualitative analysis of its implications.

Reasons to buy

- “What 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. In this report you will understand the perceptions of leading wound management specialists, plastic and reconstructive surgeons, and general surgeons from around the world. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Table Of Contents

MediPoint: Negative Pressure Wound Therapy - Global Analysis and Market Forecasts
1 Table of Contents
1 Table of Contents 6
1.1 List of Tables 12
1.2 List of Figures 17
2 Introduction 20
2.1 Catalyst 21
2.2 Related Reports 21
3 Industry Overview 22
3.1 Overview 22
3.1.1 Wound Healing 22
3.1.2 Negative Pressure Wound Therapy 23
3.1.3 Market Segmentation 24
3.2 Indications 26
3.2.1 Overview 26
3.2.2 Chronic Wounds 27
3.2.3 Acute Wounds 29
3.3 Clinical Presentation 30
3.3.1 Diagnosis 30
3.4 Clinical Outcomes 30
3.4.1 Treatment Options 30
3.4.2 Lifestyle Changes 32
3.4.3 Complications 32
3.5 Applications of Technology 33
3.5.1 Wound Drainage 33
3.5.2 Wound Healing 33
3.5.3 Bolstered Dressings for Skin Grafts 33
3.6 Market Access 34
3.6.1 Purchasing Decisions 35
3.6.2 Adoption 36
3.7 Influence of Clinical Trials 37
3.8 Brand Loyalty 37
3.9 Regulation 37
3.9.1 US 37
3.9.2 5EU 38
3.9.3 Asia-Pacific 40
3.9.4 South America 43
3.10 Reimbursement 44
3.10.1 US 44
3.10.2 5EU 47
3.10.3 Asia-Pacific 51
3.10.4 South America 53
3.11 Procedure Trends 55
3.11.1 Global Overview 55
3.11.2 By Region 57
3.12 Regulatory Issues/Recalls 67
3.12.1 Smith and Nephew's Renasys EZ Product Line 67
3.13 MandAs, Key Partnerships 67
3.13.1 Kinetic Concepts Partners with B. Braun Medical to Enhance Product Offering 67
3.13.2 Wound RX Medical Acquires the Rights to Market Atmos NPWT in the US 68
3.14 Economic Impact 68
3.14.1 Indirect Costs 68
3.14.2 Direct Costs 69
4 Unmet Needs 72
4.1 Overview 72
4.2 Need for Increased Portability 73
4.3 Additional Pump Setting Options 73
4.4 Sealing 75
4.5 Wound Interface Dressings 75
4.5.1 Addressing Dressing Over-Adherence 76
4.6 Instillation Therapy 77
4.7 Incorporating Device Safety Features 78
4.7.1 System Alarms 78
4.8 User Interface 79
4.8.1 Software Components 79
4.9 Single-Use/Disposable Devices 79
5 Market Opportunity Analysis 81
5.1 Overview 81
5.2 Emerging Markets 81
5.3 Powerless Devices 82
5.4 Novel Accessories 83
5.4.1 Biodegradable Dressings 83
5.4.2 Wound Contact Layers 84
5.5 “Smart” Negative Pressure Devices 84
5.6 Metered Negative Pressure Wound Therapy 85
6 Market Drivers and Barriers 86
6.1 Driver: Physician Awareness 86
6.2 Driver: Patient Demand and Awareness 86
6.3 Driver: Disposable Device Adoption 87
6.4 Driver: Rising Disease Prevalence 87
6.4.1 Diabetes Mellitus 88
6.4.2 Cardiovascular Disease 88
6.4.3 Obesity 89
6.5 Driver: Advanced Computational Tools 89
6.6 Driver: Rising Competition and Innovation 90
6.7 Barrier: Lack of Randomized Clinical Trails 90
6.8 Barrier: Lack of Reimbursement 90
6.9 Barrier: High Device and Procedure Cost 91
6.10 Barrier: Burden of Rising Regulation 91
6.11 Barrier: US Medical Device Excise Tax 92
6.12 Substitute: Advanced Wound Dressings 93
6.13 Substitute: Hyperbaric Oxygen Therapy 94
6.14 Substitute: Biologics and Tissue-Engineered Products 94
7 Competitive Assessment 95
7.1 Overview 95
7.2 Classification Based on Features 95
7.2.1 Reusable Devices 95
7.2.2 Disposable Devices 99
7.2.3 Accessories 101
7.3 Market Dynamics Analysis 101
7.4 Product Profiles 102
7.4.1 Reusable Devices 102
7.4.2 Disposable Devices 133
7.4.3 Accessories 139
8 Pipeline Assessment 141
8.1 Overview 141
8.2 Product Profiles 141
8.2.1 Platform for Wound Care Negative Pressure Device (Applied Tissue Technologies) 141
8.2.2 Quantum (Innovative Therapies) 142
8.2.3 SWAN-iCare “Smart” Negative Pressure System 143
8.2.4 Wound-Pump (WiCare) 144
9 Clinical Trials to Watch 146
9.1 Overview 146
9.2 Effectiveness of the V.A.C. Ulta Negative Pressure Wound Therapy System with the V.A.C. VeraFlo 146
9.3 Negative Pressure Wound Therapy - Therapy Effects and the Impact on the Patient's Quality of Life 146
9.4 Negative Pressure Wound Therapy as a Drug Delivery System (ADANPWT) 147
9.5 Negative Pressure Wound Therapy for Skin Grafts 147
10 Current and Future Players 148
10.1 Overview 148
10.2 Trends in Corporate Strategy 148
10.2.1 Maximizing Portability 148
10.2.2 Specialized Payment Structures 148
10.2.3 Targeted Device and Accessory Bundles 149
10.2.4 Training and Education Programs 149
10.3 Company Profiles 150
10.3.1 ArjoHuntleigh Healthcare 150
10.3.2 Atmos MedizinTechnik 151
10.3.3 ConvaTec 152
10.3.4 Devon Medical Products 154
10.3.5 EquinoxO2 Medical 155
10.3.6 Genadyne Biotechnologies 156
10.3.7 Innovative Therapies 157
10.3.8 Kinetic Concepts 158
10.3.9 Medela 160
10.3.10 Mölnlycke Health Care 161
10.3.11 Prospera 163
10.3.12 Shangdong Wego Newlife Medical Device Co. 164
10.3.13 Smith and Nephew 165
10.3.14 Spiracur 167
10.3.15 Talley Group 168
10.3.16 Triage Meditech 169
10.3.17 WuHan VSD Medical Science and Technology Co. 170
11 Market Outlook 172
11.1 Company Market Share 172
11.1.1 Global Overview 172
11.1.2 By Region 175
11.2 By Market Segment 179
11.2.1 Global Overview 179
11.2.2 Rental Market 181
11.2.3 Sales Market 181
11.3 By Geography 184
11.3.1 Global Overview 184
11.3.2 By Region 188
11.3.3 By Country 192
12 Appendix 224
12.1 Bibliography 224
12.2 Abbreviations 237
12.3 Report Methodology 241
12.3.1 Overview 241
12.3.2 Coverage 241
12.3.3 Secondary Research 241
12.4 Forecasting Methodology 242
12.5 Physicians and Specialists Included in This Study 243
12.6 About the Authors 245
12.6.1 Analysts 245
12.6.2 Global Head of Healthcare 246
12.7 About GlobalData 247
12.8 Disclaimer 247

1.1 List of Tables
Table 1: NPWT, SWOT Analysis, 2015 24
Table 2: Market Segmentation for NPWT Devices Sales Market 25
Table 3: Four Primary Stages of Pressure (Decubitus) Ulcers 27
Table 4: CEAP Classification of Venous Leg Ulcers 28
Table 5: Four Degrees of Burns, Based on Severity 29
Table 6: FDA Medical Device Classification System 38
Table 7: EC Medical Device Classification System For Wound Management Dressings 39
Table 8: Regulatory Differences Between the US and EU for the Approval of Medical Devices 39
Table 9: Level II HCPCS Codes and Description of Coverage for NPWT 45
Table 10: ICD-9 Codes Associated With NPWT 46
Table 11: Global Procedure Trends (Number of Cases) for Reusable and Disposable NPWT Devices by Country, 2014 and 2021 56
Table 12: NPWT, Estimated Daily Cost of Components 70
Table 13: Clinical Outcomes Associated with Foam vs. Gauze Wound Dressings for NPWT 76
Table 14: Advantages and Disadvantages of Reusable and Disposable NPWT Devices 80
Table 15: Current Advanced Wound Dressing Modalities 93
Table 16: Stand-Alone NPWT Devices, SWOT Analysis, 2015 97
Table 17: Currently Marketed Reusable NPWT Devices, 2014 97
Table 18: Portable NPWT Devices, SWOT Analysis, 2015 98
Table 19: Currently Marketed Portable NPWT Devices, 2014 99
Table 20: Disposable NPWT Devices, SWOT Analysis, 2015 100
Table 21: Currently Marketed Disposable NPWT Devices, 2014 100
Table 22: Types of Accessories Used in NPWT 101
Table 23: Product Profile - A4 103
Table 24: A4, SWOT Analysis, 2015 103
Table 25: Product Profile - Engenex System 104
Table 26: Engenex System, SWOT Analysis, 2015 105
Table 27: Product Profile - InfoV.A.C. Therapy Unit 106
Table 28: InfoV.A.C. Therapy Unit, SWOT Analysis, 2015 106
Table 29: Product Profile - Renasys EZ Plus 107
Table 30: Renasys EZ Plus, SWOT Analysis, 2015 108
Table 31: Product Profile - VTG 2901 108
Table 32: VTG 2901, SWOT Analysis, 2015 109
Table 33: Product Profile - V.A.C. Ulta 110
Table 34: V.A.C. Ulta, SWOT Analysis, 2015 111
Table 35: Product Profile - Venturi Avanti 112
Table 36: Venturi Avanti, SWOT Analysis, 2015 112
Table 37: Product Profile - WoundAssist TNP 113
Table 38: WoundAssist TNP, SWOT Analysis, 2015 114
Table 39: Product Profile - ActiV.A.C. 115
Table 40: ActiV.A.C, SWOT Analysis, 2015 116
Table 41: Product Profile - Atmos S042 116
Table 42: Atmos S042, SWOT Analysis, 2015 117
Table 43: Product Profile - Avance 118
Table 44: Avance, SWOT Analysis, 2015 119
Table 45: Product Profile - extriCARE 2400 119
Table 46: extriCARE 2400, SWOT Analysis, 2015 120
Table 47: Product Profile - extriCARE 3600 121
Table 48: extriCARE 3600, SWOT Analysis, 2015 121
Table 49: Product Profile - Invia Liberty 122
Table 50: Invia Liberty, SWOT Analysis, 2015 122
Table 51: Product Profile - Pro-III 123
Table 52: Pro-III, SWOT Analysis, 2015 124
Table 53: Product Profile - Renasys Go 124
Table 54: Renasys Go, SWOT Analysis, 2015 125
Table 55: Product Profile - V.A.C. Instill 126
Table 56: V.A.C. Instill, SWOT Analysis, 2015 126
Table 57: Product Profile - Venturi Compact 127
Table 58: Venturi Compact, SWOT Analysis, 2015 128
Table 59: Product Profile - Venturi MiNO 128
Table 60: Venturi MiNO, SWOT Analysis, 2015 129
Table 61: Product Profile - VT-100 130
Table 62: VT-100, SWOT Analysis, 2015 130
Table 63: Product Profile - VTG 3000 131
Table 64: VTG 3000, SWOT Analysis, 2015 132
Table 65: Product Profile - XLR8 132
Table 66: XLR8, SWOT Analysis, 2015 133
Table 67: Product Profile - Avance Solo 134
Table 68: Avance Solo, SWOT Analysis, 2015 134
Table 69: Product Profile - Pico (Smith and Nephew) 135
Table 70: Pico, SWOT Analysis, 2015 136
Table 71: Product Profile - V.A.C. Via 137
Table 72: V.A.C. Via, SWOT Analysis, 2015 137
Table 73: Product Profile - SNaP (Spiracur) 138
Table 74: SNaP, SWOT Analysis, 2015 139
Table 75: Product Profile - PFWC Negative Pressure Device 141
Table 76: PFWC Negative Pressure Device, SWOT Analysis, 2015 142
Table 77: Product Profile - Quantum 142
Table 78: Quantum, SWOT Analysis, 2015 143
Table 79: Product Profile - SWAN-iCare “Smart” Negative Pressure System 143
Table 80: SWAN-iCare “Smart” Negative Pressure System, SWOT Analysis, 2015 144
Table 81: Product Profile - Wound-Pump 144
Table 82: Wound-Pump, SWOT Analysis, 2015 145
Table 83: ArjoHuntleigh Healthcare, Company Profile, 2015 150
Table 84: ArjoHuntleigh Healthcare, SWOT Analysis, 2015 151
Table 85: Atmos MedizinTechnik, Company Profile, 2015 151
Table 86: Atmos MedizinTechnik, SWOT Analysis, 2015 152
Table 87: ConvaTec, Company Profile, 2015 153
Table 88: ConvaTec, SWOT Analysis, 2015 154
Table 89: Devon Medical Products, Company Profile, 2015 154
Table 90: Devon Medical Products, SWOT Analysis, 2015 155
Table 91: EquinoxO2 Medical, Company Profile, 2015 155
Table 92: EquinoxO2 Medical, SWOT Analysis, 2015 156
Table 93: Genadyne Biotechnologies, Company Profile, 2015 156
Table 94: Genadyne Biotechnologies, SWOT Analysis, 2015 157
Table 95: Innovative Therapies, Company Profile, 2015 158
Table 96: Innovative Therapies, SWOT Analysis, 2015 158
Table 97: Kinetic Concepts, Company Profile, 2015 159
Table 98: Kinetic Concepts, SWOT Analysis, 2015 160
Table 99: Medela, Company Profile, 2015 160
Table 100: Medela, SWOT Analysis, 2015 161
Table 101: Mölnlycke Health Care, Company Profile, 2015 162
Table 102: Mölnlycke Health Care, SWOT Analysis, 2015 163
Table 103: Prospera, Company Profile, 2015 163
Table 104: Prospera, SWOT Analysis, 2015 164
Table 105: Shangdong Wego Newlife Medical Device Co., Company Profile, 2015 164
Table 106: Shangdong Wego Newlife Medical Device Co., SWOT Analysis, 2015 165
Table 107: Smith and Nephew, Company Profile, 2015 166
Table 108: Smith and Nephew, SWOT Analysis, 2015 166
Table 109: Spiracur, Company Profile, 2015 167
Table 110: Spiracur, SWOT Analysis, 2015 168
Table 111: Talley Group, Company Profile, 2015 168
Table 112: Talley Group, SWOT Analysis, 2015 169
Table 113: Triage Meditech, Company Profile, 2015 169
Table 114: Triage Meditech, SWOT Analysis, 2015 170
Table 115: WuHan VSD Medical Science and Technology Co., Company Profile, 2015 170
Table 116: WuHan VSD Medical Science and Technology Co., SWOT Analysis, 2015 171
Table 117: Global NPWT Market Forecast ($m) by Market Segment, 2011-2021 180
Table 118: Global NPWT Market Forecast ($m) by Country, 2011-2021 185
Table 119: US NPWT Market Forecast ($m) by Segment, 2011-2021 193
Table 120: France NPWT Market Forecast ($m) by Segment, 2011-2021 196
Table 121: Germany NPWT Market Forecast ($m) by Segment, 2011-2021 199
Table 122: Italy NPWT Market Forecast ($m) by Segment, 2011-2021 202
Table 123: Spain NPWT Market Forecast ($m) by Segment, 2011-2021 205
Table 124: UK NPWT Market Forecast ($m) by Segment, 2011-2021 208
Table 125: Japan NPWT Market Forecast ($m) by Segment, 2011-2021 211
Table 126: China NPWT Market Forecast ($m) by Segment, 2011-2021 215
Table 127: India NPWT Market Forecast ($m) by Segment, 2011-2021 218
Table 128: Brazil NPWT Market Forecast ($m) by Segment, 2011-2021 221

1.2 List of Figures
Figure 1: The Four Phases of Wound Healing Following Injury 22
Figure 2: Wound Classification Hierarchy 26
Figure 3: Value Chain in the NPWT Market 35
Figure 4: US, Number of Cases Being Treated Using Reusable NPWT Devices, 2011-2021 57
Figure 5: US, Number of Cases Being Treated Using Disposable NPWT Devices, 2011-2021 58
Figure 6: 5EU, Number of Cases Being Treated Using Reusable NPWT Devices, 2011-2021 59
Figure 7: 5EU, Number of Cases Being Treated Using Disposable NPWT Devices, 2011-2021 61
Figure 8: APAC, Number of Cases Being Treated Using Reusable NPWT Devices, 2011-2021 62
Figure 9: APAC, Number of Cases Being Treated Using Disposable NPWT Devices, 2011-2021 64
Figure 10: Brazil, Number of Cases Being Treated Using Reusable NPWT Devices, 2011-2021 65
Figure 11: Brazil, Number of Cases Being Treated Using Disposable NPWT Devices, 2011-2021 66
Figure 12: Physicians' Perceptions of Top Unmet Needs Associated with NPWT 72
Figure 13: Pump Setting Options in NPWT 74
Figure 14: Schematic of Negative Pressure as a Function of Time for Various Pump Setting Options in NPWT 75
Figure 15: Global Company Market Shares for NPWT, 2013 172
Figure 16: Company Market Share for NPWT, By Country, 2013 173
Figure 17: US, Company Market Share for NPWT, 2013 175
Figure 18: 5EU, Company Market Share for NPWT, 2013 176
Figure 19: APAC, Company Market Share for NPWT, 2013 177
Figure 20: Brazil, Company Market Share for NPWT, 2013 178
Figure 21: Global NPWT Market Forecast ($m) by Market Segment, 2011-2021 179
Figure 22: Global NPWT Market Share by Market Segment, 2014 and 2021 180
Figure 23: Global NPWT Market Forecast ($m) by Country, 2011-2021 185
Figure 24: Global NPWT Market Share by Country, 2014 and 2021 187
Figure 25: 5EU NPWT Market Forecast ($m) by Segment, 2011-2021 188
Figure 26: 5EU NPWT Market Share by Segment, 2014 and 2021 190
Figure 27: APAC NPWT Market Forecast ($m) by Segment, 2011-2021 191
Figure 28: APAC NPWT Market Share by Segment, 2014 and 2021 192
Figure 29: US NPWT Market Forecast ($m) by Segment, 2011-2021 193
Figure 30: US NPWT Market Share by Segment, 2014 and 2021 194
Figure 31: France NPWT Market Forecast ($m) by Segment, 2011-2021 196
Figure 32: France NPWT Market Share by Segment, 2014 and 2021 197
Figure 33: Germany NPWT Market Forecast ($m) by Segment, 2011-2021 199
Figure 34: Germany NPWT Market Share by Segment, 2014 and 2021 200
Figure 35: Italy NPWT Market Forecast ($m) by Segment, 2011-2021 202
Figure 36: Italy NPWT Market Share by Segment, 2014 and 2021 203
Figure 37: Spain NPWT Market Forecast ($m) by Segment, 2011-2021 205
Figure 38: Spain NPWT Market Share by Segment, 2014 and 2021 206
Figure 39: UK NPWT Market Forecast ($m) by Segment, 2011-2021 207
Figure 40: UK NPWT Market Share by Segment, 2014 and 2021 209
Figure 41: Japan NPWT Market Forecast ($m) by Segment, 2011-2021 211
Figure 42: Japan NPWT Market Share by Segment, 2014 and 2021 212
Figure 43: China NPWT Market Forecast ($m) by Segment, 2011-2021 214
Figure 44: China NPWT Market Share by Segment, 2014 and 2021 216
Figure 45: India NPWT Market Forecast ($m) by Segment, 2011-2021 218
Figure 46: India NPWT Market Share by Segment, 2014 and 2021 219
Figure 47: Brazil NPWT Market Forecast ($m) by Segment, 2011-2021 220
Figure 48: Brazil NPWT Market Share by Segment, 2014 and 2021 222

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