Global Bariatric (Obesity) Surgical Devices Industry

  • July 2014
  • -
  • Global Industry Analysts
  • -
  • 204 pages

This report analyzes the worldwide markets for Bariatric (Obesity) Surgical Devices in US$ Thousands. The US market is analyzed by the following Segments: Gastric Bypass Devices, Gastric Banding Devices, and Sleeve Gastrectomy. The European market is analyzed by the following Segments: Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices.The report provides separate comprehensive analytics for the US, Canada, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 31 companies including many key and niche players such as -

Apollo Endosurgery, Inc.
Bariatric Solutions
Cousin Biotech
Covidien plc
Ethicon Endo-Surgery, Inc.

Table Of Contents




I. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS
Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation and Reporting Level I-2
Quantitative Techniques and Analytics I-3
Product Definitions and Scope of Study I-3


II. EXECUTIVE SUMMARY

1. MARKET OVERVIEW II-1
Rising Obesity Levels Drive Demand for Bariatric Surgery Devices II-1
Surgery Offers Hope for Morbidly Obese Patients II-2
Impact of Economic Slowdown in Retrospect II-2
Global Bariatric Procedures: Estimates and Forecasts II-3
Table 1: World Recent Past, Current and Future Analysis for
Bariatric Procedures by Segment - Annual Number of Gastric
Bypass, Gastric Banding, Sleeve Gastrectomy and Duodenal
Switch Procedures for Years 2013 through 2020 (in Thousands)
(includes corresponding Graph/Chart) II-4

Table 2: World Historic Review for Bariatric Surgery by
Segment - Annual Number of Gastric Bypass, Gastric Banding,
Sleeve Gastrectomy, and Duodenal Switch Procedures for Years
2006 through 2012 (in Thousands) (includes corresponding
Graph/Chart) II-5

Table 3: World 15-Year Perspective for Bariatric Surgical
Procedures by Segment - Percentage Breakdown of Gastric
Bypass, Gastric Banding, Sleeve Gastrectomy, and Duodenal
Switch Procedures for Years 2006, 2014 and 2020 (includes
corresponding Graph/Chart) II-6

Table 4: Bariatric Surgeries Worldwide (2013E): Percentage
Share Breakdown of Procedure Volume by Region/Country
(includes corresponding Graph/Chart) II-7
Growing Obesity Prevalence Drives Development of Weight Loss
Therapies II-7
Alarming Rise in Global Obesity Levels - The Major Growth Factor II-8
Growing Problem of Obesity in Asia II-9
Obesity Statistics II-10
Table 5: Overweight and Obese Population in Select Geographic
Regions (2013) (in Millions) (includes corresponding
Graph/Chart) II-10

Table 6: Overweight and Obese Individuals as % of Total
Population by Geographic Region (includes corresponding
Graph/Chart) II-10

Table 7: Global Obesity Population by Country (2013)
(includes corresponding Graph/Chart) II-11

Table 8: Global Obesity Levels (2013): Percentage Breakdown
of Obese Population for The United States, India, China,
Mexico, The United Kingdom, Germany, Spain, Australia,
Canada, Japan, Greece, South Korea, Portugal, Slovakia, New
Zealand, Finland, Switzerland, Ireland, and Others (includes
corresponding Graph/Chart) II-11

Table 9: Leading Countries Ranked by % of Overweight
Population (Male and Female) (includes corresponding
Graph/Chart) II-12

Table 10: Obesity Rates Among Adults (%) in OECD Countries
aged 15 and above (2012) (includes corresponding Graph/Chart) II-13

Table 11: Obesity Rates Among Adults (%) in OECD Countries
aged 15 and Above by Gender (2012) (includes corresponding
Graph/Chart) II-14

Table 12: Worldwide Overweight Prevalence (1980 and 2013): % of
Men and Women with BMI>25 (includes corresponding Graph/Chart) II-15

Table 13: Abdominal Obesity Prevalence (%) by Region and
Gender (includes corresponding Graph/Chart) II-15
Increasing Diabetes Prevalence: Opportunity for Obesity
Surgery Market II-15
Table 14: Worldwide Prevalence of Diabetes Mellitus by Region
(2013 and 2035) (includes corresponding Graph/Chart) II-17

Table 15: Incidence of Diabetes in Select Countries (2013 and
2035) (includes corresponding Graph/Chart) II-17
Minimally Invasive Bariatric Surgery Finds Favor among Patients II-18
The United States - The Largest Obesity and Anti-Obesity Market II-18
Emerging Economies to Lead Growth II-18
Competitive Landscape II-19

2. MARKET DYNAMICS II-20
Sleeve Gastrectomy: Challenging the Growth of Banding Procedures II-20
Bariatric Surgery Adoption Rate Still Low II-20
Relevance of Bariatric Surgery in Pediatrics II-20
Bariatric Surgery - Potential Opportunities for Medical Tourism II-21
Compliance Trends with Physician Advise in Post-Surgery Scenario II-22
Table 16: Recommendation Compliance After Surgery - Weight
Loss in Compliant and Non-Compliant Patients II-22
Potential Risks of Bariatric Surgeries II-22
Risk of Bariatric Surgery on Pregnancy II-23
Stomaphyx Surgery - Addressing Post-Surgical Complications II-23
Interventional Radiology - Managing Post Treatment Complications II-23
Technological Innovations in the Bariatric Surgical Devices
Market II-24
VBLOC - An Alternative to Bariatric Surgery II-24
Endobarrier - An Experimental Device Offers Alternative to
Surgery II-24
Intragastric Balloons - Innovative Alternative to Gastric Bands II-25
A Glance at Select Bariatric Surgery Products in Pipeline II-25
AspireAssist Aspiration Therapy II-25
ValenTx Endoluminal Bypass Therapy II-25
Satisphere Endoscopically Implantable Device II-26
TransPyloric Shuttle II-26
ReShape Integrated Dual Balloon System II-26
Weight Loss Pill Expands into Gastric Balloon II-26

3. INTRODUCTION TO OBESITY II-27
Obesity - A Conceptual Definition II-27
Childhood Obesity II-27
Causes of Obesity II-27
Dietary Habits II-28
Sedentary Lifestyle II-28
Genetic Factors II-28
Medical and Psychiatric Illnesses II-28
Socioeconomic Factors II-28
Diagnosis of Obesity II-29
Body Mass Index (BMI) II-29
Table 17: Classification of Obesity as per BMI II-29
Table 18: Classification for Class III Obesity II-29
Deriving Body Fat Percentage from BMI II-30
Gender is 1 for males, and 0 for females II-30
Central Obesity II-30
Table 19: Central Obesity in Men and Women - Criteria for
Identification Using Absolute Waist Circumference and
Waist-Hip Ratio Methods II-30
Impact of Obesity on Health II-30
Mortality II-30
Morbidity II-31
Major Obesity-Related Diseases II-31
Obesity Treatment II-32
Diet Therapy II-32
Lifestyle Modification II-32
Pharmacotherapy II-32
Medical Devices II-33
Bariatric Surgery II-33
Clinical Protocols for Obesity Treatment II-33

4. BARIATRIC SURGERY - AN INSIGHT II-34
Defining Bariatrics II-34
Bariatric Surgery II-34
Patient Eligibility for Bariatric Surgery II-34
Patients eligible for bariatric surgery must meet the
following major criteria: - II-34
Role of Technologies in the Growth of Bariatric Surgery II-35
Endoluminal and Transgastric Surgeries II-35
Laparoscopy II-35
Endoscopy in Bariatric Surgery II-36
Advantages of Bariatric Surgery II-36
Disadvantages of Bariatric Surgery II-36

5. SURGICAL OPTIONS FOR OBESITY TREATMENT II-38
Surgical Treatment for Obesity II-38
Classification of Bariatric Surgery Procedures II-38
Restrictive Procedures II-38
Vertical Banded Gastroplasty II-39
Laparoscopic Adjustable Gastric Banding II-39
Eligibility Criteria for Gastric Banding Patients II-39
Advantages of Gastric Banding II-40
Adverse Effects of Banding II-40
Malabsorptive Procedures II-41
Biliopancreatic Diversion Procedure II-41
Biliopancreatic Diversion with Duodenal Switch II-41
Benefits and Drawbacks of the Procedure II-42
Combination Procedures II-42
Gastric Bypass Surgery II-42
Table 20: Effectiveness of Gastric Bypass Surgery (includes
corresponding Graph/Chart) II-43
Bypass Surgery Complications II-43
Variations of Gastric Bypass II-44
Loop Gastric Bypass II-44
Mini Gastric Bypass II-44
Table 21: Key Performance Characteristics of Laparoscopic
Mini Gastric Bypass Surgery II-44
Long-Limb Gastric Bypass II-45
Gastric Bypass, Roux En-Y (Proximal) II-45
Gastric Bypass, Roux en-Y (Distal) II-45
Open Vs Laparoscopic Gastric Bypass Surgery II-45
Complications of Gastric Bypass Procedure II-45
Anastamotic Leakage II-45
Anastamotic Stricture II-46
Dumping Syndrome II-46
Major Complications of Laparoscopic Gastric Bypass
(Primarily Roux-en-Y gastric bypass) II-46
Sleeve Gastrectomy II-47
Gastric Plication II-47
Analysis of Various Bariatric Procedures II-48
Table 22: A Comparative Analysis of Various Bariatric
Surgery Procedures II-48

Table 23: Efficacy Rates of Bariatric Procedures (At 2 Year
of Surgery) II-49
Gastric Banding Vs Gastric Bypass II-49
Table 24: Comparison of Gastric Band and Gastric Bypass
Surgeries II-50

6. BARIATRIC SURGERY DEVICES II-51
Adjustable Gastric Bands II-51
Background II-51
Available Gastric Bands II-51
Adjustable Gastric Bands Marketed in the US and Europe II-52
Intragastric Balloon II-52
Implantable Gastric Stimulator (IGS) II-53
Surgical Clamps/Gastric Surgery Clamps II-53
Clip Applier II-53
Endo Stitch II-54
Pneumoperitoneum Needle II-54
Surgical Staple II-54
Trocars II-54

7. A GLANCE AT ALTERNATIVE OBESITY TREATMENT APPROACHES II-55
Dietary Therapy II-55
Exercise Therapy II-55
Behavior Therapy II-55
Pharmacotherapy II-55
Prescription Drugs Vis-a-vis Non-Prescription Drugs II-55
Table 25: Obesity Treatment Options and Corresponding Success
Rate II-56

8. RESEARCH/STUDY FINDINGS II-57
Research on ‘How Bariatric Surgery Cures Diabetes?’ II-57
Research on Endoscopic Use in Bariatric Procedures II-57
Studies Reveal Long-Term Weight Loss Outcomes in LAP-BAND® System II-57
Study Reveals Dangers of Pre-bypass Intragastric Balloon
Treatment II-57
Study Reveals Long-Term Benefit of Bariatric Surgery for
Control of Diabetes II-57
Research Finds Excess Weight Loss among Obese People without
Diabetes II-58
Bariatric Surgery Reduces Risk of Cardiovascular Deaths II-58

9. RECENT INDUSTRY ACTIVITY II-59
Medtronic to Acquire Covidien II-59
Ethicon Introduces HARMONIC ACE®+7 Shears with Advanced
Hemostasis II-59
Apollo Endosurgery Introduces ‘It Fits’ Campaign II-59
Apollo Endosurgery Acquires Obesity Intervention Division of
Allergan Inc II-59
Apollo Endosurgery Receives CE Mark for OverStitchâ„¢ Endoscopic
Suturing System II-59
Bariatec Corporation Submits GaBP Ring Autolock System for US
FDA Review II-59
Obalon Therapeutics and PacificPharma Enter into Distribution
Agreement II-60
Covidien to Introduce Two New Surgical Access Devices II-60
ReShape Medical to Submit Premarket Approval Application to US
FDA for ReShape Duo dual intragastric balloon II-60
Ethicon Obtains 510(K) Clearance for New Harmonic Ace®+ 7
Shears with Advanced Hemostasis II-60
Ethicon Obtains 510(K) Clearance for New Harmonic Focus®+
Shears With Adaptive Tissue Technology II-60
Ethicon Endo-Surgery Introduces Sleeve Solution II-60
Covidien Introduces V-Locâ„¢ Knotless Suturing Device II-60

10. FOCUS ON SELECT PLAYERS II-61
Apollo Endosurgery, Inc. (US) II-61
Agency for Medical Innovations GmbH (Austria) II-61
Bariatric Solutions (Switzerland) II-61
Cousin Biotech (France) II-62
Covidien plc (Ireland) II-62
Ethicon Endo-Surgery, Inc. (US) II-63
Helioscopie SA (France) II-63
Medical Innovation Developpement (France) II-63
Silimed Ltda (Brazil) II-64

11. GLOBAL MARKET PERSPECTIVE II-65
Table 26: World Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Geographic Region - US, Canada,
Europe, Asia-Pacific, Latin America and Rest of World Markets
Independently Analyzed with Annual Revenues in US$ Thousand
for Years 2013 through 2020 (includes corresponding
Graph/Chart) II-65

Table 27: World Historic Review for Bariatric Surgical Devices
by Geographic Region - US, Canada, Europe, Asia-Pacific, Latin
America and Rest of World Markets Independently Analyzed with
Annual Revenues in US$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) II-66

Table 28: World 15-year Perspective for Bariatric Surgical
Devices by Geographic Region - Percentage Breakdown of Annual
Revenues for US, Canada, Europe, Asia-Pacific, Latin America
and Rest of World Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) II-67


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Current and Future Analysis III-1
Obesity - A Major Concern for Healthcare Industry III-1
Factors Contributing to Rising Incidence of Obesity III-2
A Glance at Obesity Statistics III-2
Table 29: Proportion (%) of Obesity in the US Overweight
Population by Age Group (includes corresponding
Graph/Chart) III-3

Table 30: Prevalence Rate of Obesity among Adults in the US
by Age Group for Men and Women (2012-2013E): (includes
corresponding Graph/Chart) III-3

Table 31: US Childhood Obesity by Age-Group (2013):
Percentage of Obese Population (includes corresponding
Graph/Chart) III-3

Table 32: Prevalence Rate of Obesity among Adults in the US
by Race and Hispanic Origin for Men and Women (2012-2013E)
(includes corresponding Graph/Chart) III-4

Table 33: Overweight and Obese Boys and Girls as a % of
Total Population by Race and Hispanic Group (2013E)
(includes corresponding Graph/Chart) III-4

Table 34: Obesity Prevalence in US Adults by Type (2013)
(includes corresponding Graph/Chart) III-5

Table 35: US Obesity Prevalence by Age-Group (2013)
(includes corresponding Graph/Chart) III-5

Table 36: US Obesity Prevalence by Annual Income Level (%):
2013 (includes corresponding Graph/Chart) III-5
State-wise Statistics: Steep Rise in US Obesity Rates III-6
Table 37: Adult Obesity Rates in the Country by State
(2013) (includes corresponding Graph/Chart) III-7

Table 38: US Obesity Prevalence by Top Cities (% of Total
Population): 2013 (includes corresponding Graph/Chart) III-8

Table 39: Top 5 US States by Obesity Class (%) (H1 2012)
(includes corresponding Graph/Chart) III-8
Obesity Algorithm by ASBP III-9
Bariatric Surgery - The Gold Standard for Obesity Treatment III-9
Table 40: US Weight Loss Market by Major Product Segment
(2013): Percentage Share Breakdown of Revenues for
Artificial Sweeteners, Bariatric Surgery, Diet Drinks, Diet
Foods, Health Clubs, Low Calorie Diet Programs, Meal
Replacements and Appetite Suppressants, Medically Supervised
Programs, Prescription Drugs, Weight Loss Centers, and
Others (includes corresponding Graph/Chart) III-10
Bariatric Surgery - Fast Facts III-11
Uncertain Economy Affects Demand for Bariatric Procedures III-12
Rapid Growth in Bariatric Surgery Devices Market III-13
Laparoscopic Sleeve Gastrectomy - Replacing Gastric Band Market III-14
An Insight into Gastric Banding Market III-14
Gastric Banding Market: High Growth in the Pre-Recession
Period III-14
Economic Uncertainty Dents Demand for Gastric Banding
Procedures III-15
LAP-BAND and REALIZE: The Two Approved Bands for Obesity
Treatment in the US III-15
Growing Competition from Alternate Surgical Procedures III-16
Laparoscopic Adjustable Gastric Banding Market III-17
Surgery for Adolescent Obesity - Slow and Steady Growth III-17
Next Tier Patients Drive Bariatric Surgery Adoption III-18
Surgery Finds Favor among American Teens III-18
Body Contouring Rises in Popularity III-18
Changing Consumer Perception III-19
Robot-Assisted Gastric Bypass Surgery Rises in Popularity III-19
Reimbursement Scenario III-19
Insurance Coverage III-19
Lack of Sufficient Coverage - A Major Obstacle III-20
Manufacturers Seek Coverage for Bariatric Surgeries III-20
CMS Offers Coverage for Bariatric Surgery III-21
Current Reimbursement Scenario III-21
Table 41: 2014 Bariatric Surgery Reimbursement III-22

Table 42: Bariatric Surgery Reimbursement in Outpatient
Facility III-23

Table 43: Bariatric Surgery Reimbursement in Inpatient
Facility III-24

Table 44: Diagnoses Related Groups (DRGs)- based Medicare
Reimbursement III-25
Strategic Corporate Developments III-25
Key Players III-27
B.Market Analytics III-28
Table 45: US Recent Past, Current and Future Analysis for
Bariatric Procedures by Segment: Annual Number of Gastric
Bypass, Gastric Banding, and Sleeve Gastrectomy Procedures
for Years 2013 through 2020 (in Thousands) (includes
corresponding Graph/Chart) III-28

Table 46: US Historic Review for Bariatric Surgery by
Segment: Annual Number of Gastric Bypass, Gastric Banding,
and Sleeve Gastrectomy Procedures for Years 2006 through
2012 (in Thousands) (includes corresponding Graph/Chart) III-29

Table 47: US 15-Year Perspective for Bariatric Surgical
Procedures by Segment - Percentage Breakdown of Gastric
Bypass, Gastric Banding, and Sleeve Gastrectomy Procedures
for Years 2006, 2014 and 2020 (includes corresponding
Graph/Chart) III-30

Table 48: US Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Gastric Bypass,
Gastric Banding, and Sleeve Gastrectomy Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2013 through 2020 (includes corresponding
Graph/Chart) III-31

Table 49: US Historic Review for Bariatric Surgical Devices
by Segment - Gastric Bypass, Gastric Banding, and Sleeve
Gastrectomy Markets Independently Analyzed with Annual
Revenue Figures in US$ Thousand for Years 2006 through 2012
(includes corresponding Graph/Chart) III-32

Table 50: US 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Gastric Bypass, Gastric Banding, and Sleeve Gastrectomy
Markets for Years 2006, 2014 and 2020 (includes corresponding
Graph/Chart) III-33

2. CANADA III-34
A.Market Analysis III-34
Current and Future Analysis III-34
Americans Opt for Intragastric Balloon Procedures in Canada III-34
B.Market Analytics III-35
Table 51: Canadian Recent Past, Current and Future Analysis
for Bariatric Surgical Devices with Annual Revenue Figures
in US$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) III-35

Table 52: Canadian Historic Review for Bariatric Surgical
Devices with Annual Revenue Figures in US$ Thousand for
Years 2006 through 2012 (includes corresponding Graph/Chart) III-36

3. EUROPE III-37
A.Market Analysis III-37
Current and Future Analysis III-37
Prevalence of Obesity in Europe III-37
Table 53: Obese and Overweight and Obese Population in the
European Union (2013): Percentage Share Breakdown by Age
Group (includes corresponding Graph/Chart) III-38

Table 54: Obese Population in EU Member Countries as a % of
Global Obese Population (includes corresponding
Graph/Chart) III-38

Table 55: Obesity Prevalence in Select EU Countries (2013)
by Gender (%) (includes corresponding Graph/Chart) III-39
Bariatric Surgery in Europe III-40
Growing Awareness Levels to Boost Surgery Devices Market III-40
Gastric Bypass - The Most Widely Used Bariatric Surgery
Procedure III-41
Gastric Bands Market in Europe III-41
Laparoscopic Device Market - Moderate Growth despite Huge
Potential III-42
Reimbursement Scenario in Europe III-42
Reimbursement Policies in Select European Countries III-43
Competitive Landscape III-43
Strategic Corporate Development III-43
B.Market Analytics III-44
Table 56: European Recent Past, Current and Future Analysis
for Bariatric Surgical Devices by Geographic Region -
France, Germany, Italy, UK, Spain, and Rest of Europe
Markets Independently Analyzed with Annual Revenue Figures
in US$ Thousand for Years 2013 through 2020 (includes
corresponding Graph/Chart) III-44

Table 57: European Historic Review for Bariatric Surgical
Devices by Geographic Region - France, Germany, Italy, UK,
Spain, and Rest of Europe Markets Independently Analyzed
with Annual Revenue Figures in US$ Thousand for Years 2006
through 2012 (includes corresponding Graph/Chart) III-45

Table 58: European 15-Year Perspective for Bariatric
Surgical Devices by Geographic Region - Percentage Breakdown
of Annual Revenues for France, Germany, Italy, UK, Spain,
and Rest of Europe Markets for Years 2006, 2014 and 2020
(includes corresponding Graph/Chart) III-46

Table 59: European Recent Past, Current and Future Analysis
for Bariatric Surgical Devices by Segment - Adjustable
Gastric Banding, Gastric Bypass Devices, and Intragastric
Balloon Devices Markets Independently Analyzed with Annual
Revenue Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-47

Table 60: European Historic Review for Bariatric Surgical
Devices by Segment - Adjustable Gastric Banding, Gastric
Bypass Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-48

Table 61: European 15-Year Perspective for Bariatric
Surgical Devices by Segment - Percentage Breakdown of Annual
Revenues for Adjustable Gastric Banding, Gastric Bypass
Devices, and Intragastric Balloon Devices Markets for Years
2006, 2014 and 2020 (includes corresponding Graph/Chart) III-49

3a. FRANCE III-50
A.Market Analysis III-50
Current and Future Analysis III-50
Obesity - A Major Health Concern III-50
Select Players III-50
B.Market Analytics III-52
Table 62: French Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Adjustable Gastric
Banding, Gastric Bypass Devices, and Intragastric Balloon
Devices Markets Independently Analyzed with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-52

Table 63: French Historic Review for Bariatric Surgical
Devices by Segment - Adjustable Gastric Banding, Gastric
Bypass Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-53

Table 64: French 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) III-54

3b. GERMANY III-55
A.Market Analysis III-55
Current and Future Analysis III-55
Overview III-55
B.Market Analytics III-56
Table 65: German Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Adjustable Gastric
Banding, Gastric Bypass Devices, and Intragastric Balloon
Devices Markets Independently Analyzed with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-56

Table 66: German Historic Review for Bariatric Surgical
Devices by Segment - Adjustable Gastric Banding, Gastric
Bypass Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-57

Table 67: German 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) III-58

3c. ITALY III-59
Market Analysis III-59
Table 68: Italian Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Adjustable Gastric
Banding, Gastric Bypass Devices, and Intragastric Balloon
Devices Markets Independently Analyzed with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-59

Table 69: Italian Historic Review for Bariatric Surgical
Devices by Segment - Adjustable Gastric Banding, Gastric
Bypass Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-60

Table 70: Italian 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) III-61

3d. THE UNITED KINGDOM III-62
A.Market Analysis III-62
High Potential for Bariatric Surgical Devices III-62
Steep Rise in Gastric Bypass Operations in UK III-62
Table 71: Number of Gastric Bypass Surgeries Performed in
the UK (2007 and 2012) (includes corresponding Graph/Chart) III-62
Obesity: A Major Health Issue in the UK III-63
Table 72: Classification of Obese and Overweight Population
as per BMI Range (in Kg/m2) in UK III-63

Table 73: Obesity Prevalence Rates in the UK by Region
(2013E) (includes corresponding Graph/Chart) III-64
B.Market Analytics III-64
Table 74: UK Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Adjustable Gastric
Banding, Gastric Bypass Devices, and Intragastric Balloon
Devices Markets Independently Analyzed with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-64

Table 75: UK Historic Review for Bariatric Surgical Devices
by Segment - Adjustable Gastric Banding, Gastric Bypass
Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-65

Table 76: UK 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) III-66

3e. SPAIN III-67
Market Analysis III-67
Table 77: Spanish Recent Past, Current and Future Analysis for
Bariatric Surgical Devices by Segment - Adjustable Gastric
Banding, Gastric Bypass Devices, and Intragastric Balloon
Devices Markets Independently Analyzed with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-67

Table 78: Spanish Historic Review for Bariatric Surgical
Devices by Segment - Adjustable Gastric Banding, Gastric
Bypass Devices, and Intragastric Balloon Devices Markets
Independently Analyzed with Annual Revenue Figures in US$
Thousand for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-68

Table 79: Spanish 15-Year Perspective for Bariatric Surgical
Devices by Segment - Percentage Breakdown of Annual Revenues
for Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets for Years 2006, 2014 and
2020 (includes corresponding Graph/Chart) III-69

3f. REST OF EUROPE III-70
A.Market Analysis III-70
Current and Future Analysis III-70
Focus on Select Regions III-70
Belgium III-70
The Netherlands III-70
Finland III-70
Sweden III-71
Strategic Corporate Development III-71
Select Players III-71
B.Market Analytics III-73
Table 80: Rest of Europe Recent Past, Current and Future
Analysis for Bariatric Surgical Devices by Segment -
Adjustable Gastric Banding, Gastric Bypass Devices, and
Intragastric Balloon Devices Markets Independently Analyzed
with Annual Revenue Figures in US$ Thousand for Years 2013
through 2020 (includes corresponding Graph/Chart) III-73

Table 81: Rest of Europe Historic Review for Bariatric
Surgical Devices by Segment - Adjustable Gastric Banding,
Gastric Bypass Devices, and Intragastric Balloon Devices
Markets Independently Analyzed with Annual Revenue Figures
in US$ Thousand for Years 2006 through 2012 (includes
corresponding Graph/Chart) III-74

Table 82: Rest of Europe 15-Year Perspective for Bariatric
Surgical Devices by Segment - Percentage Breakdown of Annual
Revenues for Adjustable Gastric Banding, Gastric Bypass
Devices, and Intragastric Balloon Devices Markets for Years
2006, 2014 and 2020 (includes corresponding Graph/Chart) III-75

4. ASIA-PACIFIC III-76
A.Market Analysis III-76
Current and Future Analysis III-76
India III-76
Obesity Market on the Rise III-76
Table 83: Expenditure on Gastric Bypass Surgery in Select
Countries (2013E) (in US$) (includes corresponding
Graph/Chart) III-77
China III-78
Table 84: Prevalence (%) of Overweight and Obese Population
in China (2013) (includes corresponding Graph/Chart) III-78
Strategic Corporate Development III-78
B.Market Analytics III-79
Table 85: Asia-Pacific Recent Past, Current and Future
Analysis for Bariatric Surgical Devices with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-79

Table 86: Asia-Pacific Historic Review for Bariatric
Surgical Devices with Annual Revenue Figures in US$ Thousand
for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-80

5. LATIN AMERICA III-81
A.Market Analysis III-81
Current and Future Analysis III-81
Silimed Ltda (Brazil) - A Key Player III-81
B.Market Analytics III-81
Table 87: Latin American Recent Past, Current and Future
Analysis for Bariatric Surgical Devices with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-81

Table 88: Latin American Historic Review for Bariatric
Surgical Devices with Annual Revenue Figures in US$ Thousand
for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-82

6. REST OF WORLD III-83
A.Market Analysis III-83
Current and Future Analysis III-83
Focus on Select Regions III-83
Japan III-83
Australia III-83
Table 89: Australian Obesity and Overweight Prevalence
(2013): Percentage Share Breakdown of Population for
Obese/ Overweight, Healthy Weight and Underweight
Categories (includes corresponding Graph/Chart) III-83
Historic Perspective III-84
Table 90: Prevalence Rate (%) of Overweight/Obese Students
in Australia (includes corresponding Graph/Chart) III-84

Table 91: Health and Weight Loss Market in Australia
(2012): Percentage Share Breakdown of Spending for Fitness
Centers, Weight Loss Services, Medication and Dietary
Supplements, and Bariatric Surgery (includes corresponding
Graph/Chart) III-85
United Arab Emirates (UAE) III-85
B.Market Analytics III-86
Table 92: Rest of World Recent Past, Current and Future
Analysis for Bariatric Surgical Devices with Annual Revenue
Figures in US$ Thousand for Years 2013 through 2020
(includes corresponding Graph/Chart) III-86

Table 93: Rest of World Historic Review for Bariatric
Surgical Devices with Annual Revenue Figures in US$ Thousand
for Years 2006 through 2012 (includes corresponding
Graph/Chart) III-87


IV. COMPETITIVE LANDSCAPE

Total Companies Profiled: 31 (including Divisions/Subsidiaries - 34)

The United States (19)
Japan (1)
Europe (11)
- France (3)
- Germany (5)
- Rest of Europe (3)
Asia-Pacific (Excluding Japan) (1)
Latin America (1)
Africa (1)

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