Table of Contents
1.1 List of Tables 8
1.2 List of Figures 10
2 Introduction 12
2.1 What Is This Report About? 12
3 Definitions of Markets Covered in This Report 13
3.1 Wound Care Management 13
3.2 Advanced Wound Management 13
3.2.1 Alginates 13
3.2.2 Collagens 13
3.2.3 Foams 13
3.2.4 Hydrocolloids 13
3.2.5 Hydrofibres 13
3.2.6 Hydrogels 13
3.2.7 Negative Pressure Wound Therapy (NPWT) 13
3.2.8 Semi-Permeable Films 13
3.3 Compression Therapy 13
3.4 Ostomy 14
3.5 Traditional Wound Management 14
3.6 Wound Closure Devices 14
3.6.1 Skin Closure Devices 14
3.6.2 Tissue Sealants 14
4 Healthcare Sector Review 15
4.1 Healthcare Sector 15
4.2 Healthcare Expenditure 15
4.3 Healthcare Infrastructure 18
4.3.1 Healthcare Personnel Data 18
4.3.2 Healthcare Facilities Data 20
4.4 Healthcare Policy 25
5 Regulation System 26
5.1 Regulation System 26
5.2 Medical Equipment Approval Process 26
5.2.1 Classification of Medical Devices 26
5.3 Conformity Assessment Process 35
5.3.1 Class I devices 35
5.3.2 Class IIa devices 36
5.3.3 Class IIb devices 37
5.3.4 Class III devices 38
5.4 Post Market Surveillance 39
6 Pricing and Reimbursement 40
6.1 SHI 40
6.1.1 Private Health Insurance 40
6.1.2 Diagnosis Related Groups (DRG) 40
7 Distribution Structure 41
8 Wound Care Management In Germany 42
8.1 Wound Care Management Cross Country Comparison, Revenue ($ mn), 2000-2015 42
8.2 Wound Care Management, Germany, Overall Revenue ($ mn), 2000-2015 43
8.3 Wound Care Management, Germany, Category Volume (Units), 2000-2015 47
8.4 Wound Care Management, Germany, Company Share (2006-2007) 50
9 Advanced Wound Management In Germany 51
9.1 Advanced Wound Management Overall Revenue (2000-2015) 51
9.2 Advanced Wound Management Overall Volume (2000-2015) 55
9.3 Advanced Wound Management Average Price (2000-2015) 59
9.4 Advanced Wound Management Distribution Share (2007-2008) 60
9.5 Advanced Wound Management, Germany, Company Share (2006-2007) 61
10 Compression Therapy In Germany 62
10.1 Compression Therapy Overall Revenue (2000-2015) 62
10.2 Compression Therapy Overall Volume (2000-2015) 64
10.3 Compression Therapy Average Price (2000-2015) 66
10.4 Compression Therapy Distribution Share (2007-2008) 67
10.5 Compression Therapy, Germany, Company Share (2006-2007) 68
11 Ostomy In Germany 69
11.1 Ostomy Overall Revenue (2000-2015) 69
11.2 Ostomy Overall Volume (2000-2015) 71
11.3 Ostomy Average Price (2000-2015) 73
11.4 Ostomy Distribution Share (2007-2008) 74
11.5 Ostomy, Germany, Company Share (2006-2007) 75
12 Traditional Wound Management In Germany 76
12.1 Traditional Wound Management Overall Revenue (2000-2015) 76
12.2 Traditional Wound Management Overall Volume (2000-2015) 78
12.3 Traditional Wound Management Average Price (2000-2015) 80
12.4 Traditional Wound Management Distribution Share (2007-2008) 81
12.5 Traditional Wound Management, Germany, Company Share (2006-2007) 82
13 Wound Closure Devices In Germany 83
13.1 Wound Closure Devices Overall Revenue (2000-2015) 83
13.2 Wound Closure Devices Overall Volume (2000-2015) 85
13.3 Wound Closure Devices Average Price (2000-2015) 87
13.4 Wound Closure Devices Distribution Share (2007-2008) 88
13.5 Wound Closure Devices, Germany, Company Share (2006-2007) 89
14 Overview of Key Companies in Germany Wound Care Management Market 90
14.1 HARTMANN GROUP 90
14.1.1 Company Overview 90
14.1.2 Value Chain Analysis 90
14.1.2.1 Manufacturing 91
14.1.2.2 Product Development 91
14.1.2.3 Sales and Marketing 91
14.2 Smith & Nephew Plc 92
14.2.1 Company Overview 92
14.2.2 Value Chain Analysis 93
14.2.2.1 Manufacturing 93
14.2.2.2 Product Development 94
14.2.2.3 Sales and Marketing 95
14.2.3 Smith & Nephew Plc Pipeline Products 95
14.2.3.1 Smith & Nephew Plc Pipeline Products By Equipment Type 95
14.2.3.2 Smith & Nephew Plc Pipeline Products By Development Stage 96
14.2.3.3 Smith & Nephew Plc Pipeline Products By Therapy Area 96
14.2.3.4 Smith & Nephew Plc Pipeline Products By News Summary 97
14.3 Ethicon, Inc. 97
14.3.1 Company Overview 97
14.3.2 Ethicon, Inc. Pipeline Products 97
14.3.2.1 Ethicon, Inc. Pipeline Products By Equipment Type 97
14.3.2.2 Ethicon, Inc. Pipeline Products By Development Stage 98
14.3.2.3 Ethicon, Inc. Pipeline Products By Therapy Area 98
14.3.2.4 Ethicon, Inc. Pipeline Products By Clinical Trials 98
14.4 Coloplast A/S 99
14.4.1 Company Overview 99
14.4.2 Value Chain Analysis 99
14.4.2.1 Manufacturing 100
14.4.2.2 Product Development 100
14.4.2.3 Sales and Marketing 101
14.5 Covidien Ltd. 102
14.5.1 Company Overview 102
14.5.2 Value Chain Analysis 103
14.5.2.1 Manufacturing 103
14.5.2.2 Product Development 104
14.5.2.3 Sales and Marketing 105
14.6 ConvaTec 105
14.6.1 Company Overview 105
14.7 Johnson & Johnson 106
14.7.1 Company Overview 106
14.7.2 Value Chain Analysis 106
14.7.2.1 Manufacturing 107
14.7.2.2 Product Development 107
14.7.2.3 Sales and Marketing 108
14.8 BSN medical GmbH 109
14.8.1 Company Overview 109
14.9 Baxter International Inc. 109
14.9.1 Company Overview 109
14.9.2 Value Chain Analysis 110
14.9.2.1 Manufacturing 110
14.9.2.2 Product Development 110
14.9.2.3 Sales and Marketing 111
14.10 Advanced Medical Solutions Group plc 112
14.10.1 Company Overview 112
14.10.2 Value Chain Analysis 113
14.10.2.1 Manufacturing 113
14.10.2.2 Product Development 113
14.10.2.3 Sales and Marketing 114
14.10.3 Advanced Medical Solutions Group Plc Pipeline Products 115
14.10.3.1 Advanced Medical Solutions Group Plc Pipeline Products By Equipment Type 115
14.10.3.2 Advanced Medical Solutions Group Plc Pipeline Products By Development Stage 115
14.10.3.3 Advanced Medical Solutions Group Plc Pipeline Products By Therapy Area 115
14.11 Molnlycke Health Care AB 116
14.11.1 Company Overview 116
14.12 Hollister Incorporated 116
14.12.1 Company Overview 116
14.13 Paul Hartmann AG 116
14.13.1 Company Overview 116
14.14 B. Braun Melsungen AG 117
14.14.1 Company Overview 117
14.14.2 Value Chain Analysis 117
14.14.2.1 Manufacturing 118
14.14.2.2 Product Development 118
14.14.2.3 Sales and Marketing 119
15 Appendix 121
15.1 Research Methodology 121
15.2 Coverage 122
15.3 Secondary Research 122
15.4 Primary Research 123
15.5 Models 123
15.6 Forecasts 124
15.7 Expert Panel Validation 124
15.8 Currency Conversion 125
15.9 Contact Us 126
15.10 Disclaimer 126
1.1 List of Tables
Table 1: Healthcare Expenditure in Germany, (€m), 2000 ¨C 2006 15
Table 2: Healthcare Personnel by Region in Germany, 2007 18
Table 3: Doctors by Specialty in Germany, 2000-2004 19
Table 4: Hospitals by Region in Germany, 2004 20
Table 5: Hospitals and Beds by Region in Germany, 2007 21
Table 6: Rehabilitation Centers by Region in Germany, 2004 22
Table 7: Rehabilitation Center Beds by Region in Germany, 2004 23
Table 8: Discharges by Diagnosis in Germany, 2004 24
Table 9: Wound Care Management Cross Country Comparison, Revenue ($ mn), 2000-2015 42
Table 10: Wound Care Management, Germany, Overall Revenue ($ mn), 2000-2015 43
Table 11: Wound Care Management, Germany, Cross-Category Analysis, 2000-2015 44
Table 12: Wound Care Management, Germany, Overall Revenue ($ mn), Historic, 2000-2008 45
Table 13: Wound Care Management, Germany, Overall Revenue ($ mn), Forecast, 2008-2015 46
Table 14: Wound Care Management, Germany, Category Volume (Units), 2000-2015 47
Table 15: Wound Care Management, Germany, Category Volume (Units), Historic, 2000-2008 48
Table 16: Wound Care Management, Germany, Category Volume (Units), Forecast, 2008-2015 49
Table 17: Wound Care Management, Germany, Company Share by Revenue ($ mn), 2006-2007 50
Table 18: Advanced Wound Management, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 52
Table 19: Advanced Wound Management, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 54
Table 20: Advanced Wound Management, Germany, Volume (Units) by Segment, Historic, 2000-2008 56
Table 21: Advanced Wound Management, Germany, Volume (Units) by Segment, Forecast, 2008-2015 58
Table 22: Advanced Wound Management, Germany, Average Price ($), Historic, 2000-2008 59
Table 23: Advanced Wound Management, Germany, Average Price ($), Forecast, 2008-2015 59
Table 24: Advanced Wound Management, Germany, Distribution Share by Revenue ($mn), 2007-2008 60
Table 25: Advanced Wound Management, Germany, Company Share by Revenue ($ mn), 2006-2007 61
Table 26: Compression Therapy, Germany, Revenue ($ mn), Historic, 2000-2008 62
Table 27: Compression Therapy, Germany, Revenue ($ mn), Forecast, 2008-2015 63
Table 28: Compression Therapy, Germany, Volume (Units), Historic, 2000-2008 64
Table 29: Compression Therapy, Germany, Volume (Units), Forecast, 2008-2015 65
Table 30: Compression Therapy, Germany, Average Price ($), Historic, 2000-2008 66
Table 31: Compression Therapy, Germany, Average Price ($), Forecast, 2008-2015 66
Table 32: Compression Therapy, Germany, Distribution Share by Revenue ($mn), 2007-2008 67
Table 33: Compression Therapy, Germany, Company Share by Revenue ($ mn), 2006-2007 68
Table 34: Ostomy, Germany, Revenue ($ mn), Historic, 2000-2008 69
Table 35: Ostomy, Germany, Revenue ($ mn), Forecast, 2008-2015 70
Table 36: Ostomy, Germany, Volume (Units), Historic, 2000-2008 71
Table 37: Ostomy, Germany, Volume (Units), Forecast, 2008-2015 72
Table 38: Ostomy, Germany, Average Price ($), Historic, 2000-2008 73
Table 39: Ostomy, Germany, Average Price ($), Forecast, 2008-2015 73
Table 40: Ostomy, Germany, Distribution Share by Revenue ($mn), 2007-2008 74
Table 41: Ostomy, Germany, Company Share by Revenue ($ mn), 2006-2007 75
Table 42: Traditional Wound Management, Germany, Revenue ($ mn), Historic, 2000-2008 76
Table 43: Traditional Wound Management, Germany, Revenue ($ mn), Forecast, 2008-2015 77
Table 44: Traditional Wound Management, Germany, Volume (Units), Historic, 2000-2008 78
Table 45: Traditional Wound Management, Germany, Volume (Units), Forecast, 2008-2015 79
Table 46: Traditional Wound Management, Germany, Average Price ($), Historic, 2000-2008 80
Table 47: Traditional Wound Management, Germany, Average Price ($), Forecast, 2008-2015 80
Table 48: Traditional Wound Management, Germany, Distribution Share by Revenue ($mn), 2007-2008 81
Table 49: Traditional Wound Management, Germany, Company Share by Revenue ($ mn), 2006-2007 82
Table 50: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 83
Table 51: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 84
Table 52: Wound Closure Devices, Germany, Volume (Units) by Segment, Historic, 2000-2008 85
Table 53: Wound Closure Devices, Germany, Volume (Units) by Segment, Forecast, 2008-2015 86
Table 54: Wound Closure Devices, Germany, Average Price ($), Historic, 2000-2008 87
Table 55: Wound Closure Devices, Germany, Average Price ($), Forecast, 2008-2015 87
Table 56: Wound Closure Devices, Germany, Distribution Share by Revenue ($mn), 2007-2008 88
Table 57: Wound Closure Devices, Germany, Company Share by Revenue ($ mn), 2006-2007 89
Table 58: Smith & Nephew Plc Pipeline Products by Equipment Type 95
Table 59: Smith & Nephew Plc Pipeline Products By Development Stage 96
Table 60: Smith & Nephew Plc Pipeline Products By Therapy Area 96
Table 61: Smith & Nephew Plc Pipeline Products By News Summary 97
Table 62: Ethicon, Inc. Pipeline Products by Equipment Type 97
Table 63: Ethicon, Inc. Pipeline Products By Development Stage 98
Table 64: Ethicon, Inc. Pipeline Products By Therapy Area 98
Table 65: Ethicon, Inc. Pipeline Products By Clinical Trials 98
Table 66: Advanced Medical Solutions Group Plc Pipeline Products by Equipment Type 115
Table 67: Advanced Medical Solutions Group Plc Pipeline Products By Development Stage 115
Table 68: Advanced Medical Solutions Group Plc Pipeline Products By Therapy Area 115
Table 69: USD to Local Currency, Average Exchange Rate 2008 125
1.2 List of Figures
Figure 1: Healthcare Expenditure Sources in Germany, 2006 16
Figure 2: Healthcare Financing Framework in Germany, 2007 17
Figure 3: Flowchart for Classification of Non-invasive Devices in Germany, 2007 27
Figure 4: Flowchart for Classification of Invasive Devices in Germany, 2007 28
Figure 5: Flowchart for Classification of Invasive Devices in Germany, 2007 29
Figure 6: Classification of Invasive Devices in Germany, 2007 30
Figure 7: Classification of Invasive Devices in Germany, 2007 31
Figure 8: Flowchart for Classification of Active Devices in Germany, 2007 32
Figure 9: Flowchart for Classification of Active Devices in Germany, 2007 33
Figure 10: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in Germany, 2007 34
Figure 11: Conformity Assessment of Class-I Medical Devices in Germany, 2007 35
Figure 12: Conformity Assessment of Class-IIa Medical Devices in Germany, 2007 36
Figure 13: Conformity Assessment of Class-IIb Medical Devices in Germany, 2007 37
Figure 14: Conformity Assessment of Class-III Medical Devices in Germany, 2007 38
Figure 15: Wound Care Management Cross Country Comparison, Revenue ($ mn), 2000-2015 42
Figure 16: Wound Care Management, Germany, Overall Revenue ($ mn), 2000-2015 43
Figure 17:Wound Care Management, Germany, Cross-Category Analysis, 2000-2015 44
Figure 18: Wound Care Management, Germany, Overall Revenue ($ mn), Historic, 2000-2008 45
Figure 19: Wound Care Management, Germany, Overall Revenue ($ mn), Forecast, 2008-2015 46
Figure 20: Wound Care Management, Germany, Category Volume (Units), 2000-2015 47
Figure 21: Wound Care Management, Germany, Category Volume (Units), Historic, 2000-2008 48
Figure 22: Wound Care Management, Germany, Category Volume (Units), Forecast, 2008-2015 49
Figure 23: Wound Care Management, Germany, Company Share (%), 2007 50
Figure 24: Advanced Wound Management, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 51
Figure 25: Advanced Wound Management, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 53
Figure 26: Advanced Wound Management, Germany, Volume (Units) by Segment, Historic, 2000-2008 55
Figure 27: Advanced Wound Management, Germany, Volume (Units) by Segment, Forecast, 2008-2015 57
Figure 28: Advanced Wound Management, Germany, Company Share (%), 2007 61
Figure 29: Compression Therapy, Germany, Revenue ($ mn), Historic, 2000-2008 62
Figure 30: Compression Therapy, Germany, Revenue ($ mn), Forecast, 2008-2015 63
Figure 31: Compression Therapy, Germany, Volume (Units), Historic, 2000-2008 64
Figure 32: Compression Therapy, Germany, Volume (Units), Forecast, 2008-2015 65
Figure 33: Compression Therapy, Germany, Company Share (%), 2007 68
Figure 34: Ostomy, Germany, Revenue ($ mn), Historic, 2000-2008 69
Figure 35: Ostomy, Germany, Revenue ($ mn), Forecast, 2008-2015 70
Figure 36: Ostomy, Germany, Volume (Units), Historic, 2000-2008 71
Figure 37: Ostomy, Germany, Volume (Units), Forecast, 2008-2015 72
Figure 38: Ostomy, Germany, Company Share (%), 2007 75
Figure 39: Traditional Wound Management, Germany, Revenue ($ mn), Historic, 2000-2008 76
Figure 40: Traditional Wound Management, Germany, Revenue ($ mn), Forecast, 2008-2015 77
Figure 41: Traditional Wound Management, Germany, Volume (Units), Historic, 2000-2008 78
Figure 42: Traditional Wound Management, Germany, Volume (Units), Forecast, 2008-2015 79
Figure 43: Traditional Wound Management, Germany, Company Share (%), 2007 82
Figure 44: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 83
Figure 45: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 84
Figure 46: Wound Closure Devices, Germany, Volume (Units) by Segment, Historic, 2000-2008 85
Figure 47: Wound Closure Devices, Germany, Volume (Units) by Segment, Forecast, 2008-2015 86
Figure 48: Wound Closure Devices, Germany, Company Share (%), 2007 89
Figure 49: Hartmann Group Value Chain Analysis 90
Figure 50: Smith & Nephew Plc Value Chain Analysis 93
Figure 51: Coloplast A/S Value Chain Analysis 99
Figure 52: Covidien Ltd./Tyco Healthcare Value Chain Analysis 103
Figure 53: Johnson & Johnson Value Chain Analysis 106
Figure 54: Baxter International Inc. Value Chain Analysis 110
Figure 55: Advanced Medical Solutions Group Plc Value Chain Analysis 113
Figure 56: B. Braun Melsungen AG Value Chain Analysis 117
Figure 57: Methodology 121