Global Kidney Stone Management Devices Industry

  • August 2011
  • -
  • Global Industry Analysts

This report analyzes the worldwide markets for Kidney Stone Management Devices in US$ Million by the following Product Segments: Lithotripsy Devices/Lithotripters, Stone Removal Devices, and Ureteral Stents. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Middle East, and Latin America. Annual estimates and forecasts are provided for the period of 2009 through 2017. Also, a six-year historic analysis is provided for these markets. The report profiles 43 companies including many key and niche players such as Boston Scientific Corporation, Bard Medical Division, Cook Medical, DirexGroup, Dornier MedTech, EDAP TMS SA, Electro Medical Systems (EMS) SA, Lumenis Ltd., New Star Lasers, Inc., Olympus Medical Systems Corp., Richard Wolf GmbH, Siemens Medical Solutions USA, Inc., Storz Medical AG, and United Medical Systems, Inc. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

Table Of Contents





1. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS 1
Study Reliability and Reporting Limitations 1
Disclaimers 2
Data Interpretation and Reporting Level 2
Quantitative Techniques and Analytics 3
Product Definitions and Scope of Study 3
Lithotripsy Devices/Lithotripters 4
Stone Removal Devices 4
Ureteral Stents 4

2. INDUSTRY OVERVIEW 5
Increasing Global Incidence of Urolithiasis Drives Kidney
Stone Management Devices Market 5
Emerging Countries Bode Higher Growth Prospects 5
Market Drivers at a Glance 6
Market Restraints - A Snapshot 7
Incidence and Prevalence of Urolithiasis Rises Worldwide 7
Altering Landscape in the Global Kidney Stone Management Space 7
Significant Advances Dot Urolithiasis Treatment Arena 8
Available Treatment Modalities 8
A Brief Comparison of Techniques 8
Selection of Apposite Technique 9
Minimally Invasive and Non-Invasive Procedures Hog the Limelight 9
Extracorporeal Lithotripsy Dominates the Market 10
Intracorporeal Procedures Gain Popularity 10
Economics Define Demand for Lithotripters in Developing Countries 11
High Variability Exists in Device and Procedural Costs Worldwide 11
Radiologists Address Rising Expectations for Evaluation of
Kidney Stones 11
Computed Tomography - A Major Technology in Evaluation of Stones 12
Competitive Landscape 12

3. EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL) 13
ESWL - The Gold Standard in Kidney Stone Treatment 13
Major Indications and Contra-Indications of ESWL 13
Non-Invasive Nature - A Major Driver for ESWL 13
Evolution Stalls in Efficacy of ESWL Technology 14
ESWL Market Typifies Intensified Competition 14
Electroconductive Technology - A New Breakthrough in Shock
Wave Therapy 14

4. INTRACORPOREAL LITHOTRIPSY 15
Efficacy Gains in Tools for Endourological Procedures Continue 15
Major Indications of Ureteroscopic Procedures 15
Size and Modality Advances Feature in New Pneumatic
Lithotripsy Devices 15
Advanced Ultrasonic Devices Overcome Bottlenecks in
Traditional Devices 16
Electrohydraulic Lithotripsy Fares Below New Modalities 16
Technological Advances in Ureteroscopes Engender Superior
Treatment Capabilities 16
Holmium Laser Market to Surge 17
High Versatility Typifies Laser Lithotripsy 17
Advances in Laser Technology Redefines Treatment Capabilities 18

5. PERCUTANEOUS NEPHROLITHOTOMY (PCNL) 19
Percutaneous Nephrolithotomy - Ideal Procedure for Removal of
Large Stones 19
Select PCNL Devices and Nephroscopes 19
Mini-Percutaneous Nephrolithotomy - A New Technique for
Smaller Stones 19
Comparative Analysis of Lithotripters in PCNL 20
Novel Nephroscopes Drive Efficacy in PCNL 20
Select Novel Stone Handling Devices 21
Matrix Agents and Sealants Yet to Prove Clinical Efficiency 21

6. STONE MANAGEMENT DEVICE ACCESSORIES 23
Stone Extracting Equipment Witnesses Advances 23
Rising Demand for Intracorporeal Lithotripters Drives Demand
for Accessories 23
Ureteral Stents - A Major Accessory in Kidney Stone Management 23
Ureteral Stent Demand Rises 23
Synthetic Polymers - The Most Common Biomaterial Used in
Ureteral Stents 24
Design Advances to Minimize Morbidity 24
Ureteral Stent Use in ESWL, Mired with Controversies 24
Drug Eluting and Drug Coated Stents - The Future of Ureteral
Stents? 25
Table 1: Major Players in the Global Basket Retrieval and
Stents Market (2008): Market Share Breakdown for Boston
Scientific, CR Bard, Cook Medical, and Others (includes
corresponding Graph/Chart) 25

7. KIDNEY STONE DISEASE - AN INSIGHT 26
An Introduction to Kidney Stone Disease 26
Causes of Kidney Stone Disease 26
Types of Kidney Stones 27
Oxalate 27
Phosphate 27
Uric Acid and Urate 27
Cystine 27
Rare/Uncommon Stone Types 27

8. KIDNEY STONE TREATMENT - AN OVERVIEW 28
Surgery 28
Extracorporeal Shock Wave Lithotripsy 28
ESWL-A Breakthrough in Kidney Stone Therapy 29
Intracorporeal Lithotripsy 30
Types of Intracorporeal Lithotripters 30
Electrohydraulic Lithotripsy (EHL) 30
Laser Lithotripsy 31
Types of Laser Lithotripters 31
Holmium Laser Lithotripsy 31
Pulsed-Dye Laser 31
Alexandrite Lasers 32
Percutaneous Nephrolithotomy 32
Factors Affecting Choice of Lithotripsy 32
Factors Affecting Choice of Lithotripters 32
Conventional Medicines for Kidney Stones 33
Calcium Stones 33
Uric Acid Stones 33
Cystine Stones 33
Struvite Stones 34
Natural Remedies 34
Complementary Therapy 34

9. SELECT PRODUCT APPROVALS/LAUNCHES 35
EDAP Obtains Japanese Approval for Sonolith i-Move Lithotripter 35
EDAP Secures European Approval for Sonolith i-Move 35
EDAP Obtains Approval for Sonolith i-move in Korea 35
EDAP Obtains Clearance for Sonolith I-Sys in Japan 35
Dorset County Hospital Expands Kidney Stones Treatment Options 36
Percutaneous Systems Launches Accordion CoAx Stone Control Device 36
Pluromed Obtains FDA Approval for BackStopâ„¢ 36
Cook Medical Introduces Odyssey 30 Holmium Laser System 37
Cook Medical Launches NGageâ„¢ Nitinol Stone Extractor 37
HealthTronics Unveils New LithoDiamond Ultra Lithotripter 37

10. RECENT INDUSTRY ACTIVITY 39
EDAP Strengthens Sales Force in Japan 39
EDAP Inks Exclusive Distribution Pact with Lumenis 39
LMA Outlicenses LMA Stonebreakerâ„¢ IP to Cook Medical 39
Endo Pharmaceuticals Acquires HealthTronics 39
Pluromed and Boston Scientific Enter Distribution Agreement 40
Viet-Han to Establish Medical Equipment Production Facility in
Hanoi, Vietnam 40
Direx Systems Introduces the Duet Magna Lithotripter 41
HealthTronics Selects Sonolith I-Sys Equipment of EDAP 41
RG Stone Establishes Urology Centre in Gurgaon, India 41

11. FOCUS ON SELECT GLOBAL PLAYERS 42
Boston Scientific Corporation (US) 42
Bard Medical Division (US) 42
Cook Medical (USA) 42
DirexGroup (Germany) 43
Dornier MedTech (Germany) 44
EDAP TMS SA (France) 44
Electro Medical Systems (EMS) SA (Switzerland) 44
Lumenis Ltd. (Israel) 45
New Star Lasers, Inc. (US) 45
Olympus Medical Systems Corp. (Japan) 46
Richard Wolf GmbH (Germany) 46
Siemens Medical Solutions USA, Inc. (US) 46
Storz Medical AG (Switzerland) 47
United Medical Systems, Inc. (US) 47

12. GLOBAL MARKET PERSPECTIVE 48
Table 2: World Recent Past, Current and Future Analysis for
Kidney Stone Management Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
America Markets Independently Analyzed with Annual Demand in
US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 48

Table 3: World Historic Review for Kidney Stone Management
Devices by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin America Markets
Independently Analyzed with Annual Demand in US$ Million for
Years 2003 through 2008 (includes corresponding Graph/Chart) 49

Table 4: World 15-Year Perspective for Kidney Stone Management
Devices by Geographic Region - Percentage Share Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific,
Middle East, and Latin American Markets for Years 2003, 2010
and 2017 (includes corresponding Graph/Chart) 50

13. THE UNITED STATES 51
A.Market Analysis 51
Current and Future Analysis 51
Table 5: Urinary Calculus Incidence by Type in the US:
Percentage Breakdown of Incidence for Calcium Oxalate +
Phosphate, Calcium Oxalate, Magnesium Ammonium Phosphate,
Uric Acid, Cystine and Others (includes corresponding
Graph/Chart) 51
Alternative Procedures Gain Popularity, As SWL Loses Sheen 52
Safety Concerns Mar SWL’s Popularity 52
Advancements in Ureteroscopy Devices Set Stage for Higher
Adoption 52
Robotics to Make a Mark in Kidney Stone Management 53
Physician Ownership in Ambulatory Centers to Surge Stone
Surgery Volumes 53
Global Warming to Expand US Kidney-Stone Belt 53
US Ureteral Stents Market 53
Reimbursement Scenario 54
Table 6: US National Medicare Average Reimbursement for
Select Lithotripsy Procedures 54
Product Approvals/Launches 54
Strategic Corporate Developments 56
Focus on Select Major Players 57
B.Market Analytics 60
Table 7: The US Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 60

Table 8: The US Historic Review for Kidney Stone Management
Devices Market Analyzed with Annual Demand in US$ Million
for Years 2003 through 2008 (includes corresponding
Graph/Chart) 61

14. CANADA 62
Market Analysis 62
Table 9: Canadian Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 62

Table 10: Canadian Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 63

15. JAPAN 64
A.Market Analysis 64
Current and Future Analysis 64
Table 11: Urinary Calculus Incidence by Type in Japan:
Percentage Breakdown of Incidence for Calcium Oxalate +
Phosphate, Magnesium Ammonium Phosphate, Calcium Oxalate,
Uric Acid, Cystine and Others (includes corresponding
Graph/Chart) 64
Product Approval 64
Strategic Corporate Developments 65
Olympus Medical Systems Corp. - A Key Japanese Player 65
B.Market Analytics 66
Table 12: Japanese Recent Past, Current and Future Analysis
for Kidney Stone Management Devices Market Analyzed with
Annual Demand in US$ Million for Years 2009 through 2017
(includes corresponding Graph/Chart) 66

Table 13: Japanese Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 66

16. EUROPE 67
A.Market Analysis 67
Current and Future Analysis 67
B.Market Analytics 68
Table 14: European Recent Past, Current and Future Analysis
for Kidney Stone Management Devices by Geographic Region -
France, Germany, Italy, UK, Spain, Russia and Rest of Europe
Markets Independently Analyzed with Annual Demand in US$
Million for Years 2009 through 2017 (includes corresponding
Graph/Chart) 68

Table 15: European Historic Review for Kidney Stone
Management Devices by Geographic Region - France, Germany,
Italy, UK, Spain, Russia and Rest of Europe Markets
Independently Analyzed with Annual Demand in US$ Million for
Years 2003 through 2008 (includes corresponding Graph/Chart) 69

Table 16: European 15-Year Perspective for Kidney Stone
Management Devices by Geographic Region - Percentage Share
Breakdown of Dollar Sales for France, Germany, Italy, UK,
Spain, Russia and Rest of Europe Markets for Years 2003,
2010 and 2017 (includes corresponding Graph/Chart) 70

16a. FRANCE 71
A.Market Analysis 71
Current and Future Analysis 71
Product Approval 71
Strategic Corporate Development 71
EDAP TMS SA - A Key French Player 72
B.Market Analytics 73
Table 17: French Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 73

Table 18: French Historic Review for Kidney Stone Management
Devices Market Analyzed with Annual Demand in US$ Million
for Years 2003 through 2008 (includes corresponding
Graph/Chart) 73

16b. GERMANY 74
A.Market Analysis 74
Current and Future Analysis 74
Focus on Select Key Players 74
B.Market Analytics 75
Table 19: German Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 75

Table 20: German Historic Review for Kidney Stone Management
Devices Market Analyzed with Annual Demand in US$ Million
for Years 2003 through 2008 (includes corresponding
Graph/Chart) 76

16c. ITALY 77
Market Analysis 77
Table 21: Italian Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 77

Table 22: Italian Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 78

16d. THE UNITED KINGDOM 79
A.Market Analysis 79
Current and Future Analysis 79
Kidney Stone Incidence On the Rise 79
Table 23: Urinary Calculus Incidence by Type in the UK:
Percentage Breakdown of Incidence for Calcium Oxalate,
Calcium Oxalate + Phosphate, Magnesium Ammonium Phosphate,
Uric Acid, Cystine and Others (includes corresponding
Graph/Chart) 79
Strategic Corporate Development 80
B.Market Analytics 81
Table 24: The UK Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 81

Table 25: The UK Historic Review for Kidney Stone Management
Devices Market Analyzed with Annual Demand in US$ Million
for Years 2003 through 2008 (includes corresponding
Graph/Chart) 81

16e. SPAIN 82
Market Analysis 82
Table 26: Spanish Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 82

Table 27: Spanish Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 83

16f. RUSSIA 84
Market Analysis 84
Table 28: Russian Recent Past, Current and Future Analysis for
Kidney Stone Management Devices Market Analyzed with Annual
Demand in US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 84

Table 29: Russian Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 85

16g. REST OF EUROPE 86
A.Market Analysis 86
Current and Future Analysis 86
Strategic Corporate Development 86
Focus on Select Key Players 86
B.Market Analytics 88
Table 30: Rest of European Recent Past, Current and Future
Analysis for Kidney Stone Management Devices Market Analyzed
with Annual Demand in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 88

Table 31: Rest of European Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 89

17. ASIA-PACIFIC 90
A.Market Analysis 90
Current and Future Analysis 90
Urolithiasis - A Widespread Condition in India 90
Table 32: Urinary Calculus Incidence by Type in India:
Percentage Breakdown of Incidence for Calcium Oxalate,
Calcium Oxalate + Phosphate, Magnesium Ammonium Phosphate,
Uric Acid, Cystine and Others (includes corresponding
Graph/Chart) 90
Growing Medical Tourism Increases Volume of Kidney Stone
Procedures in India 91
Product Approval 91
Strategic Corporate Developments 91
Select Regional Players 92
Sody Beijing Medical Equipment Co., Ltd. (China) 92
Apex MediTech (India) 92
B.Market Analytics 93
Table 33: Asia-Pacific Recent Past, Current and Future
Analysis for Kidney Stone Management Devices Market Analyzed
with Annual Demand in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 93

Table 34: Asia-Pacific Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 93

18. THE MIDDLE EAST 94
Market Analysis 94
Table 35: The Middle East Recent Past, Current and Future
Analysis for Kidney Stone Management Devices Market Analyzed
with Annual Demand in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 94

Table 36: The Middle East Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 95

19. LATIN AMERICA 96
Market Analysis 96
Table 37: Latin American Recent Past, Current and Future
Analysis for Kidney Stone Management Devices Market Analyzed
with Annual Demand in US$ Million for Years 2009 through
2017 (includes corresponding Graph/Chart) 96

Table 38: Latin American Historic Review for Kidney Stone
Management Devices Market Analyzed with Annual Demand in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 97


COMPETITIVE LANDSCAPE

Total Companies Profiled: 43 (including Divisions/Subsidiaries - 59)

------------------------------------------
Region/Country Players
------------------------------------------
The United States 28
Japan 3
Europe 15
France 1
Germany 10
Rest of Europe 4
Asia-Pacific (Excluding Japan) 11
Middle-East 2
------------------------------------------

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