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Global Surgical Incision Closures Industry

  • March 2015
  • -
  • Global Industry Analysts
  • -
  • 288 pages

This report analyzes the worldwide markets for Surgical Incision Closures in US$ Million by the following Product Segments: Stapler Products (Internal Stapler, Skin Staplers, Surgical/Ligature Clips, & Vascular Clips), Suture Products (Absorbable Sutures, & Non Absorbable), Hemostats, Tape Closures, and Tissue Sealants. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2014 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 51 companies including many key and niche players such as -

3M Healthcare
Abbott Laboratories
Advanced Medical Solutions Group Plc
Aesculap AG & Co. KG
Baxter International, Inc.

Table Of Contents

Global Surgical Incision Closures Industry



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-2
Product Definitions and Scope of Study I-3
Stapler Products I-3
Internal Staplers I-3
Skin Staplers I-3
Surgical/Ligature Clips I-4
Vascular Clips I-4
Sutures I-4
Absorbable Sutures I-4
Non-Absorbable Sutures I-4
Hemostats I-4
Tape Closures I-4
Tissue Sealants/Adhesives I-4


II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW II-1
Surgical Incision Closures - A Prelude II-1
Current and Future Analysis II-1
Developing Markets Hold Lucrative Potential for Wound Closure
Devices II-2
Maximizing on the ‘Minimal' Market II-2
Next Generation Closure Technologies Offer Lucrative
Opportunities II-2
Suture Products: Largest Market II-3
Staplers Compete with Sutures II-4
Tapes/Strips: Simplifying Closures II-4
Tissue Sealants: Gain in Popularity II-4
Why Use Adhesives and Sealants Over Sutures and Staples? II-5
Surgical Adhesive and Sealants Utility in Surgeries II-6
Gauging the Economic Benefits of Hemostats and Sealants II-6
Tissue Adhesives: On the Growth Curve II-7
Biomaterials and Synthetic Materials Mark Metamorphosis II-7
Advanced Wound Closure Devices: Comparing the US and European
Markets II-8
Market Gains from Increase in Cosmetic Surgeries II-8
Growing Focus on Reducing Hospital Stays Lends Traction II-9

2. COMPETITIVE SCENARIO II-10
Table 1: Leading Players in the Global Sutures, Staples and
Mechanical Closure Devices Market (2013): Percentage Breakdown
of Sales for Ethicon, Medtronic, B. Braun and Others (includes
corresponding Graph/Chart) II-10

Table 2: Leading Players in the Global Surgical Tapes Market
(2013): Percentage Breakdown of Sales for 3M Healthcare,
Ethicon, B.Braun and Others (includes corresponding
Graph/Chart) II-10

Table 3: Leading Players in the Global Fibrin and Other
Sealants Market (2013): Percentage Breakdown of Sales for
Ethicon, Baxter International, and Others (includes
corresponding Graph/Chart) II-11

Table 4: Leading Players in the Global Hemostats Market
(2013): Percentage Breakdown of Sales for Ethicon, CSL
Behring, Pfizer, Equimedical BV and Others (includes
corresponding Graph/Chart) II-11

Table 5: Leading Players in the Global High Strength Medical
Adhesives Market (2013): Percentage Breakdown of Sales for
Ethicon, Cryolife, B.Braun and Others (includes corresponding
Graph/Chart) II-11
Product Mix of Leading Players in the Traditional Surgical
Incision Closures Market II-12

3. MARKET TRENDS and DRIVERS II-13
Technological Advancements Drive Growth II-13
Surgical Adhesives and Glues - The Future of Wound Closure
Devices II-13
Companies Focus on Non-Invasive Closure Products II-14
Developments in Laparoscopy Call for New Product Advancements II-15
Absorbable Sutures to Race Ahead over Non-Absorbable Sutures II-15
Barbed Sutures - The New Generation Sutures II-16
Innovative Products Stabilize Growth in the Staplers Market II-17
TopClosure System - An Alternative Approach for Mass-Casualty
Situations II-18
Nanotechnology in Incision Closures II-19
Hemostatic Agents: In Close Competition with Sutures Technology II-19
Hemostats Pose Threat to Tissue Sealants II-20
Topical Skin Adhesives Gain Acceptance in Radiological
Applications II-20
Adhesives and Sealants to Witness Rapid Gains in
Cardiovascular Procedures II-20
Fibrin Sealants Focus on Minimizing Risk of Infection II-21

4. PRODUCT ANALYSIS II-22
Surgical Stapler Products II-22
Stapler Products: Replacement for Manual Suturing II-22
Internal Staplers II-23
Skin Staplers II-23
Surgical/Ligature Clips II-23
Vascular Clips II-23
Sutures Products II-23
Sweeping Changes in the Kinds of Suture Material Used II-23
Applications of Sutures II-24
Sutures Classification II-24
Absorbable and Non-Absorbable Surgical Suture II-24
Monofilament and Multifilament II-24
Absorbable Suture Materials II-24
Surgical Gut or Catgut II-24
Chromic Gut II-24
Fast-Absorbing Gut II-25
Polyglycolic Acid II-25
Polyglactin II-25
Polydioxanone II-25
Polytrimethylene Carbonate II-25
Polyglecaprone II-26
Uses of Absorbable Sutures II-26
Characteristics of Absorbable Sutures II-26
Non-Absorbable Suture Materials II-26
Silk II-27
Nylon II-27
Polyester II-27
Polypropylene II-27
Polybutester II-27
Uses of Non-Absorbable Sutures II-27
Characteristics of Non-Absorbable Sutures II-28
Synthetic Absorbable Sutures Dominate Suture Markets II-28
Tissue Sealants II-28
Fibrin Sealants II-28
Tapes II-29
Comparison of Advantages and Disadvantages of Different
Surgical Closure Devices/ Procedures II-29
Hemostats II-30
List of Select Hemostat Products Available II-30

5. PRODUCT LAUNCHES/DEVELOPMENTS II-31
Cardica Introduces Novel MicroCutter XCHANGE30 Short Shaft Handle II-31
Cardica Launches Curved Tip Cartridge for MicroCutter XCHANGE® 30 II-31
Cayenne Medical Unveils SureLockâ„¢ All-Suture Anchor System II-31
UCL Hospitals Develops Novel Surgical Clip II-31
ZipLine® Medical Launches Range of Zip Devices II-31
IonMed to Introduce BioWeld1 II-31
ZipLine® Medical Launches a Non-invasive Skin Closure Device II-31
Theragenics Introduces PLUS Range of Antibacterial Sutures II-32
AD Surgical Unveils UNIFY® Polyester and Cable Nylon Non-
absorbable Sutures II-32
Micro International to Introduce Permaseal II-32
Covidien Unveils AS Meniscalâ„¢ Repair Device II-32
Teleflex Introduces Weck Efxâ„¢ Endo Fascial Closure System and
Range of Weck® Access Devices II-32
Ethicon Unveils Range of STRATAFIXâ„¢ Knotless Tissue Control
Devices II-32
ZSX Medical to Introduce Zip-Stitch Clips II-32
Covidien Introduces V-Locâ„¢ Knotless Suturing Reloads II-33
Covidien Introduces Endo GIAâ„¢ Radial Reload II-33
Omnia Launches PTFE Sutures II-33
Medline Industries Launches Octylsealâ„¢ Tissue Adhesive II-33
AccessClosure Unveils MynxGrip Vascular Closure Device II-33

6. RECENT INDUSTRY ACTIVITY II-34
Medtronic Takes Over Covidien II-34
Cohera Medical Inks Agreement with B.Braun Surgical over
Distribution of TissuGlu® Surgical Adhesives in Parts of
Europe II-34
China Materialia Invests US$5.7 million in ZipLine® Medical II-34
The Medicines Company Takes Over Tenaxis Medical II-34
Gecko Biomedical Bags €8 Million in Series A Financing to
Develop Biodegradable Surgical Wound Closure Solutions II-34
Teleflex Acquires Microlaparoscopy Technology of InnoLap Surgical II-34
TPG Growth Acquires Sutures India II-35
Tenaxis Medical Obtains BSI Approval for ArterX Surgical Sealant II-35
Abbott Acquires OptiMedica II-35
Theragenics Inks Definitive Merger Agreement with Juniper
Investment II-35
Advanced Medical Solutions Obtains FDA Approval for its New
Product II-35
Smith and Nephew to Acquire Healthpoint Biotherapeutics II-35
Covidien Obtains FDA 510(k) Clearance for iDriveâ„¢ Ultra
Powered Stapling System II-35

7. FOCUS ON SELECT PLAYERS II-36
3M Healthcare (US) II-36
Abbott Laboratories (US) II-36
Advanced Medical Solutions Group Plc (UK) II-36
Aesculap AG and Co. KG (Germany) II-37
Baxter International, Inc. (US) II-37
CP Medical, Inc. (US) II-38
Derma Sciences, Inc. (US) II-38
Ethicon Endo-Surgery, Inc. (US) II-39
Medtronic, Inc. (US) II-39
Smith and Nephew plc (UK) II-40
Surgical Specialties Corporation (US), Inc. II-40
Teleflex Medical OEM (US) II-41

8. GLOBAL MARKET PERSPECTIVE II-42
Table 6: World Recent Past, Current and Future Analysis for
Surgical Incision Closures by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-42

Table 7: World Historic Review for Surgical Incision Closures
by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-43

Table 8: World 14-Year Perspective for Surgical Incision
Closures by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets for Years
2007, 2015 and 2020 (includes corresponding Graph/Chart) II-44
Surgical Incision Closures Market by Product Segment II-45
Table 9: World Recent Past, Current and Future Analysis for
Stapler Products by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-45

Table 10: World Historic Review for Stapler Products by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-46

Table 11: World 14-Year Perspective for Stapler Products by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-47

Table 12: World Recent Past, Current and Future Analysis for
Stapler Products by Product Segment - Internal Stapler, Skin
Staplers, Surgical/Ligature Clips, and Vascular Clips Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2014 through 2020 (includes corresponding
Graph/Chart) II-48

Table 13: World Historic Review for Stapler Products by
Product Segment - Internal Stapler, Skin Staplers,
Surgical/Ligature Clips, and Vascular Clips Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-49

Table 14: World 14-Year Perspective for Stapler Products by
Product Segment - Percentage Breakdown of Dollar Sales for
Internal Stapler, Skin Staplers, Surgical/ Ligature Clips, and
Vascular Clips Markets for Years 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-50

Table 15: World Recent Past, Current and Future Analysis for
Internal Stapler Products by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-51

Table 16: World Historic Review for Internal Stapler Products
by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-52

Table 17: World 14-Year Perspective for Internal Stapler
Products by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets for Years
2007, 2015 and 2020 (includes corresponding Graph/Chart) II-53

Table 18: World Recent Past, Current and Future Analysis for
Skin Stapler Products by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-54

Table 19: World Historic Review for Skin Stapler Products by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-55

Table 20: World 14-Year Perspective for Skin Stapler Products
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-56

Table 21: World Recent Past, Current and Future Analysis for
Surgical/Ligature Clips Products by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2014 through
2020 (includes corresponding Graph/Chart) II-57

Table 22: World Historic Review for Surgical/Ligature Clips
Products by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2007 through 2013 (includes
corresponding Graph/Chart) II-58

Table 23: World 14-Year Perspective for Surgical/ Ligature
Clips Products by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2007, 2015 and 2020 (includes corresponding Graph/Chart) II-59

Table 24: World Recent Past, Current and Future Analysis for
Vascular Clips Products by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-60

Table 25: World Historic Review for Vascular Clips Products by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-61

Table 26: World 14-Year Perspective for Vascular Clips
Products by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets for Years
2007, 2015 and 2020 (includes corresponding Graph/Chart) II-62

Table 27: World Recent Past, Current and Future Analysis for
Suture Products by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-63

Table 28: World Historic Review for Suture Products by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-64

Table 29: World 14-Year Perspective for Suture Products by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-65

Table 30: World Recent Past, Current and Future Analysis for
Suture Products by Product Segments - Absorbable Sutures and
Non-Absorbable Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-66

Table 31: World Historic Review for Suture Products by Product
Segments - Absorbable Sutures and Non-Absorbable Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-67

Table 32: World 14-Year Perspective for Stapler Products by
Product Segments - Percentage Breakdown of Dollar Sales for
Absorbable Sutures and Non-Absorbable Markets for Years 2007,
2015 and 2020 (includes corresponding Graph/Chart) II-68

Table 33: World Recent Past, Current and Future Analysis for
Absorbable Sutures by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-69

Table 34: World Historic Review for Absorbable Sutures by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-70

Table 35: World 14-Year Perspective for Absorbable Sutures by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-71

Table 36: World Recent Past, Current and Future Analysis for
Non-Absorbable Sutures by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2014 through 2020
(includes corresponding Graph/Chart) II-72

Table 37: World Historic Review for Non-Absorbable Sutures by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-73

Table 38: World 14-Year Perspective for Non-Absorbable Sutures
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-74

Table 39: World Recent Past, Current and Future Analysis for
Hemostat Closures by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-75

Table 40: World Historic Review for Hemostat Closures by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-76

Table 41: World 14-Year Perspective for Hemostat Closures by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-77

Table 42: World Recent Past, Current and Future Analysis for
Tape Closures by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-78

Table 43: World Historic Review for Tape Closures by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-79

Table 44: World 14-Year Perspective for Tape Closures by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-80

Table 45: World Recent Past, Current and Future Analysis for
Tissue Sealants by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2014 through 2020 (includes
corresponding Graph/Chart) II-81

Table 46: World Historic Review for Tissue Sealants by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2007 through 2013 (includes corresponding
Graph/Chart) II-82

Table 47: World 14-Year Perspective for Tissue Sealants by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2007, 2015 and
2020 (includes corresponding Graph/Chart) II-83


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Outlook III-1
Surgical Incision Market - Overview III-1
Advanced Wound Closure Devices on Strong Growth Path III-1
Rising Elderly Population Indicate More Room for Growth III-2
Table 48: Increase in Number of Surgeries in the US
(2001-2010, 2010-2020) (in %) (includes corresponding
Graph/Chart) III-3
Market for Surgical Sealants III-3
Fibrin Sealants III-4
Table 49: Leading Players in the US Fibrin Sealants Market
(2014): Percentage Share Breakdown by Value Sales for
Baxter International, Haemacure/Angiotech, and Others
(includes corresponding Graph/Chart) III-4
Low Awareness, Rigid FDA Approvals Restrain Hemostats
Tissue Sealants Growth III-4
Table 50: Associated Costs of Hemostat Agents used in the
US Surgical Market (includes corresponding Graph/Chart) III-5
Sutures - Holding Their Own III-6
Synthetic Absorbables Gain Popularity III-6
Leading Players III-6
Table 51: Leading Players in the US Suture Products Market
(2013): Percentage Share Breakdown by Value Sales for
Ethicon Inc., Covidien, and Others (includes corresponding
Graph/Chart) III-6
Surgical Stapling Market III-6
Obesity Numbers Drive the Surgical Stapling Market III-7
Table 52: Proportion (%) of Obesity in the US Overweight
Population by Age Group (includes corresponding
Graph/Chart) III-7
Leading Players III-8
Table 53: Leading Players in the US Stapler Products
Market (2013): Percentage Share Breakdown by Value Sales
for Ethicon Endo-Surgery, Covidien, 3M Healthcare and Others
(includes corresponding Graph/Chart) III-8
Ligature Clips III-8
Table 54: Leading Players in the US Ligature Clips Market
(2013) Percentage Share Breakdown by Value Sales for
Covidien, Ethicon, Teleflex Medical, Aesculap and Others
(includes corresponding Graph/Chart) III-8
Adhesive Strips III-9
Table 55: Leading Players in the US Strips Market (2013) -
Percentage Share Breakdown by Value Sales for 3M
Healthcare, Derma Sciences, and Others (includes
corresponding Graph/Chart) III-9
Product Launches/Developments III-9
Recent Industry Activity III-11
Key Players III-12
B.Market Analytics III-17
Table 56: US Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-17

Table 57: US Historic Review for Surgical Incision Closures
by Product Group/ Segment - Stapler Products (Internal
Staplers, Skin Staplers, Surgical/Ligature Clips and
Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-18

Table 58: US 14-Year Perspective for Surgical Incision
Closures by Product Group/ Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-19

2. CANADA III-20
Market Analysis III-20
Table 59: Canadian Recent Past, Current and Future Analysis
for Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-21

Table 60: Canadian Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-22

Table 61: Canadian 14-Year Perspective for Surgical Incision
Closures by Product Group/ Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-23

3. JAPAN III-24
A.Market Analysis III-24
Wound and Tissue Management Market to Witness Growth III-24
B.Market Analytics III-25
Table 62: Japanese Recent Past, Current and Future Analysis
for Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-25

Table 63: Japanese Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-26

Table 64: Japanese 14-Year Perspective for Surgical Incision
Closures by Product Group/ Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-27

4. EUROPE III-28
A.Market Analysis III-28
Wound Closure Devices Market in Europe III-28
Tissue Sealant Market in Europe III-28
Gaining from Increasing Surgical Volumes III-29
Increase in Demand for Synthetic Absorbable Sutures III-29
B.Market Analytics III-30
Table 65: European Recent Past, Current and Future Analysis
for Surgical Incision Closures by Geographic Region -
France, Germany, Italy, UK, Spain, Russia and Rest of Europe
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-30

Table 66: European Historic Review for Surgical Incision
Closures by Geographic Region - France, Germany, Italy, UK,
Spain, Russia and Rest of Europe Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2007 through 2013 (includes corresponding Graph/Chart) III-31

Table 67: European 14-Year Perspective for Surgical Incision
Closures by Geographic Region - Percentage Breakdown of
Dollar Sales for France, Germany, Italy, UK, Spain, Russia
and Rest of Europe Markets for Years 2007, 2015 and 2020
(includes corresponding Graph/Chart) III-32

Table 68: European Recent Past, Current and Future Analysis
for Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-33

Table 69: European Historic Review for Surgical Incision
Closures by Product Group/Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-34

Table 70: European 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-35

4a. FRANCE III-36
A.Market Analysis III-36
Recent Industry Activity III-36
B.Market Analytics III-37
Table 71: French Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-37

Table 72: French Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-38

Table 73: French 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/ Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-39

4b. GERMANY III-40
A.Market Analysis III-40
Largest European Market for Surgical Incision Closures III-40
Aesculap ag and co. Kg - key player III-40
B.Market Analytics III-41
Table 74: German Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-41

Table 75: German Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-42

Table 76: German 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/ Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-43

4c. ITALY III-44
A.Market Analysis III-44
Product Launch III-44
B.Market Analytics III-45
Table 77: Italian Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-45

Table 78: Italian Historic Review for Surgical Incision
Closures by Product Group/Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-46

Table 79: Italian 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/ Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-47

4d. THE UNITED KINGDOM III-48
A.Market Analysis III-48
Product Development III-48
Recent Industry Activity III-48
Key Players III-48
B.Market Analytics III-50
Table 80: UK Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-50

Table 81: UK Historic Review for Surgical Incision Closures
by Product Group/ Segment - Stapler Products (Internal
Staplers, Skin Staplers, Surgical/Ligature Clips and
Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-51

Table 82: UK 14-Year Perspective for Surgical Incision
Closures by Product Group/ Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-52

4e. SPAIN III-53
Market Analysis III-53
Table 83: Spanish Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-54

Table 84: Spanish Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-55

Table 85: Spanish 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-56

4f. RUSSIA III-57
Market Analysis III-57
Table 86: Russian Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-58

Table 87: Russian Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-59

Table 88: Russian 14-Year Perspective for Surgical Incision
Closures by Product Group/ Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-60

4g. REST OF EUROPE III-61
A.Market Analysis III-61
Product Launches III-61
B.Market Analytics III-62
Table 89: Rest of Europe Recent Past, Current and Future
Analysis for Surgical Incision Closures by Product
Group/Segment - Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-62

Table 90: Rest of Europe Historic Review for Surgical
Incision Closures by Product Group/ Segment - Stapler
Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2007 through 2013 (includes corresponding Graph/Chart) III-63

Table 91: Rest of Europe 14-Year Perspective for Surgical
Incision Closures by Product Group/Segment - Percentage
Breakdown of Dollar Sales for Stapler Products (Internal
Staplers, Skin Staplers, Surgical/Ligature Clips and
Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets for Years 2007, 2015 and 2020 (includes
corresponding Graph/Chart) III-64

5. ASIA-PACIFIC III-65
A.Market Analysis III-65
Advanced Wound Closure Devices Growing in Prominence III-65
B.Market Analytics III-66
Table 92: Asia-Pacific Recent Past, Current and Future
Analysis for Surgical Incision Closures by Geographic Region
- China, India and Rest of Asia-Pacific Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2014 through 2020 (includes corresponding
Graph/Chart) III-66

Table 93: Asia-Pacific Historic Review for Surgical Incision
Closures by Geographic Region - China, India and Rest of
Asia-Pacific Markets Independently Analyzed with Annual
Sales Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-67

Table 94: Asia-Pacific 14-Year Perspective for Surgical
Incision Closures by Geographic Region - Percentage
Breakdown of Dollar Sales for China, India and Rest of
Asia-Pacific Markets for Years 2007, 2015 and 2020 (includes
corresponding Graph/Chart) III-68

Table 95: Asia-Pacific Recent Past, Current and Future
Analysis for Surgical Incision Closures by Product
Group/Segment - Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2014 through 2020 (includes
corresponding Graph/Chart) III-69

Table 96: Asia-Pacific Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-70

Table 97: Asia-Pacific 14-Year Perspective for Surgical
Incision Closures by Product Group/ Segment - Percentage
Breakdown of Dollar Sales for Stapler Products (Internal
Staplers, Skin Staplers, Surgical/Ligature Clips and
Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets for Years 2007, 2015 and 2020 (includes
corresponding Graph/Chart) III-71

5a. CHINA III-72
A.Market Analysis III-72
Current and Future Analysis III-72
Recent Industry Activity III-72
Player Review: Qingdao Kingston Medical Devices Co. III-72
B.Market Analytics III-73
Table 98: Chinese Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-73

Table 99: Chinese Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-74

Table 100: Chinese 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/ Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-75

5b. INDIA III-76
A.Market Analysis III-76
Medical Tourism Offers New Growth Opportunities III-76
Table 101: Estimated Cost of Select Medical Procedures in
India III-77
Recent Industry Activity III-77
Pal Surgical Works - An Important Regional Player III-77
B.Market Analytics III-78
Table 102: Indian Recent Past, Current and Future Analysis for
Surgical Incision Closures by Product Group/Segment -
Stapler Products (Internal Staplers, Skin Staplers,
Surgical/Ligature Clips and Vascular Clips), Suture Products
(Absorbable Sutures and Non-Absorbable Sutures), Hemostats,
Tape Closures and Tissue Sealants Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2014 through 2020 (includes corresponding Graph/Chart) III-78

Table 103: Indian Historic Review for Surgical Incision
Closures by Product Group/ Segment - Stapler Products
(Internal Staplers, Skin Staplers, Surgical/Ligature Clips
and Vascular Clips), Suture Products (Absorbable Sutures and
Non-Absorbable Sutures), Hemostats, Tape Closures and Tissue
Sealants Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2007 through 2013
(includes corresponding Graph/Chart) III-79

Table 104: Indian 14-Year Perspective for Surgical Incision
Closures by Product Group/Segment - Percentage Breakdown of
Dollar Sales for Stapler Products (Internal Staplers, Skin
Staplers, Surgical/Ligature Clips and Vascular Clips),
Suture Products (Absorbable Sutures and Non-Absorbable
Sutures), Hemostats, Tape Closures and Tissue Sealants
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-80

5c. REST OF ASIA-PACIFIC III-81
Market Analysis

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