Table of Contents
1.1 List of Tables 8
1.2 List of Figures 11
2 Introduction 13
2.1 What Is This Report About? 13
3 Definitions of Markets Covered in the Report 14
3.1 Wound Care Management 14
3.2 Advanced Wound Management 14
3.2.1 Alginates 14
3.2.2 Collagens 14
3.2.3 Foams 14
3.2.4 Hydrocolloids 14
3.2.5 Hydrofibres 14
3.2.6 Hydrogels 14
3.2.7 Semi-Permeable Films 14
3.3 Negative Pressure Wound Therapy (NPWT) 14
3.3.1 Negative Pressure Wound Therapy Disposables 15
3.3.2 Negative Pressure Wound Therapy Equipment 15
3.4 Compression Therapy 15
3.4.1 Compression Bandages 15
3.4.2 Dynamic Compression Therapy 15
3.5 Ostomy Drainage Bags 15
3.5.1 Colostomy 15
3.5.2 Ileostomy 16
3.5.3 Urostomy 16
3.6 Pressure Relief Devices 16
3.6.1 Mattress Overlays 16
3.6.2 Mattresses 16
3.6.3 Speciality Beds 16
3.7 Traditional Wound Management 16
3.8 Wound Closure Devices 16
3.8.1 Hemostats 16
3.8.2 Ligating Clips 17
3.8.3 Mechanical Stapling Devices 17
3.8.4 Tissue Sealants 17
3.8.5 Wound Closure Strips 17
4 Executive Summary 18
5 Healthcare Sector Review 19
5.1 Healthcare Expenditure 19
5.2 Healthcare Infrastructure 22
5.3 Healthcare Policy 23
5.4 UK Healthcare Trade Statistics 25
6 Regulation System 26
6.1 Medical Equipment Approval Process 26
6.1.1 Classification of Medical Devices 26
6.1.2 Conformity Assessment Process 34
6.2 Medical Device approval fee 38
6.3 Post Market Surveillance (PMS) 39
7 Pricing and Reimbursement 40
7.1 Market Pricing 40
7.2 Government Policies for Reimbursement 40
8 Distribution Structure 42
9 Wound Care Management In UK 43
9.1 Wound Care Management, UK, Overall Revenue ($ m), 2000-2015 43
9.2 Wound Care Management, UK, Category Volume (Units), 2000-2015 47
9.3 Wound Care Management, UK, Cross Category Analysis, 2000-2015 50
9.4 Wound Care Management Market Dynamics 51
9.4.1 Market Drivers 51
9.4.2 Market Restraints. 51
9.5 Wound Care Management, UK, Company Share (2007-2008) 52
10 Advanced Wound Management in UK 53
10.1 Advanced Wound Management Overall Revenue (2000-2015) 53
10.2 Advanced Wound Management Overall Volume (2000-2015) 57
10.3 Advanced Wound Management Average Price (2000-2015) 61
10.4 Advanced Wound Care Market Dynamics 62
10.4.1 Market Drivers 62
10.4.2 Market Restraints 62
10.5 Advanced Wound Management Distribution Share (2007-2008) 62
10.6 Advanced Wound Management, UK, Company Share (2007-2008) 63
11 Compression Therapy in UK 65
11.1 Compression Therapy Overall Revenue (2000-2015) 65
11.1.1 Dynamic Compression Therapy Revenue (2000-2015) 67
11.2 Compression Therapy Overall Volume (2000-2015) 69
11.2.1 Dynamic Compression Therapy Volume (2000-2015) 70
11.3 Compression Therapy Average Price (2000-2015) 72
11.4 Compression Therapy Market Dynamics 73
11.4.1 Market Drivers 73
11.4.2 Market Restraints 73
11.5 Compression Therapy Distribution Share (2007-2008) 73
11.6 Compression Therapy, UK, Company Share (2007-2008) 74
12 Negative Pressure Wound Therapy (NPWT) in UK 75
12.1 Negative Pressure Wound Therapy (NPWT) Overall Revenue (2000-2015) 75
12.2 Negative Pressure Wound Therapy (NPWT) Overall Volume (2000-2015) 77
12.3 Negative Pressure Wound Therapy (NPWT) Average Price (2000-2015) 78
12.4 NPWT Market Dynamics 79
12.4.1 Market Drivers 79
12.4.2 Market Restraints 79
12.5 Negative Pressure Wound Therapy (NPWT) Distribution Share (2007-2008) 79
12.6 Negative Pressure Wound Therapy (NPWT), UK, Company Share (2007-2008) 80
13 Ostomy Drainage Bags in UK 81
13.1 Ostomy Drainage Bags Overall Revenue (2000-2015) 81
13.2 Ostomy Drainage Bags Overall Volume (2000-2015) 83
13.3 Ostomy Drainage Bags Average Price (2000-2015) 85
13.4 Ostomy Drainage Bags Distribution Share (2007-2008) 86
13.5 Ostomy Drainage Bags, UK, Company Share (2007-2008) 87
14 Pressure Relief Devices in UK 88
14.1 Pressure Relief Devices Overall Revenue (2000-2015) 88
14.2 Pressure Relief Devices Overall Volume (2000-2015) 90
14.3 Pressure Relief Devices Average Price (2000-2015) 91
14.4 Pressure Relief Devices Market Dynamics 92
14.4.1 Market Drivers 92
14.4.2 Market Restraints 92
14.5 Pressure Relief Devices Distribution Share (2007-2008) 92
14.6 Pressure Relief Devices, UK, Company Share (2007-2008) 93
15 Traditional Wound Management in UK 94
15.1 Traditional Wound Management Overall Revenue (2000-2015) 94
15.2 Traditional Wound Management Overall Volume (2000-2015) 96
15.3 Traditional Wound Management Average Price (2000-2015) 98
15.4 Traditional Wound Management Market Dynamics 99
15.4.1 Market Drivers 99
15.4.2 Market Restraints 99
15.5 Traditional Wound Management Distribution Share (2007-2008) 99
15.6 Traditional Wound Management, UK, Company Share (2007-2008) 100
16 Wound Closure Devices in UK 101
16.1 Wound Closure Devices Overall Revenue (2000-2015) 101
16.2 Wound Closure Devices Overall Volume (2000-2015) 103
16.3 Wound Closure Devices Average Price (2000-2015) 105
16.4 Wound Closure Devices Market Trends 106
16.4.1 Market Drivers 106
16.4.2 Market Restraints 106
16.5 Wound Closure Devices Distribution Share (2007-2008) 106
16.6 Wound Closure Devices, UK, Company Share (2007-2008) 107
17 Overview of Key Companies in UK Wound Care Management Market 108
17.1 Coloplast A/S 108
17.1.1 Company Overview 108
17.2 Smith & Nephew Plc 108
17.2.1 Company Overview 108
17.2.2 Smith & Nephew Plc Pipeline Products 109
17.3 Molnlycke Health Care AB 112
17.3.1 Company Overview 112
17.4 HARTMANN GROUP 112
17.4.1 Company Overview 112
17.5 Kinetic Concepts, Inc. 113
17.5.1 Company Overview 113
17.5.2 Kinetic Concepts, Inc. Pipeline Products 113
17.6 ConvaTec 115
17.6.1 Company Overview 115
18 Financial Deals Landscape 116
18.1 Financial Deal Analysis – Deal Value and Volume 116
19 Recent Developments 117
19.1 Strategy and Business Planning 117
19.1.1 Aug 04, 2009: Systagenix Opens New Head Office at Gatwick 117
19.2 Legal and Regulatory 117
19.2.1 Jul 14, 2009: UK Court Of Appeal Rules in Smith & Nephew's Favour 117
19.2.2 Jul 14, 2009: KCI Plans to Appeal UK Court Ruling Revoking NPWT Patent 117
19.2.3 May 01, 2009: Smith & Nephew Encouraged By UK NPWT Patent Court Decision 118
19.2.4 May 01, 2009: KCI Says That Court Of England & Wales Upholds Injunction against Smith & Nephew 118
19.2.5 Jan 13, 2009: KCI Wins Temporary Injunction Order against Smith & Nephew 119
19.3 Government and Public Interest 119
19.3.1 Jul 15, 2009: Recent Developments In Wound Management: One Day Conference In London 119
20 Appendix 120
20.1 Research Methodology 120
20.2 Secondary Research 121
20.3 Primary Research 122
20.4 Models 122
20.5 Forecasts 123
20.6 Expert Panels 123
20.7 Consulting 123
20.8 Contact Us 123
20.9 Disclaimer 124
1.1 List of Tables
Table 1: Total Healthcare Expenditure, UK, 2000 – 2007 20
Table 2: Number of Doctor by Specialty in UK, 2003 -2007 23
Table 3: UK Healthcare Trade Statistics, 2001-2006 25
Table 4: Medical Device Approval Fee in UK, 2006 39
Table 5: Wound Care Management, UK, Overall Revenue ($ m), Historic, 2000-2008 44
Table 6: Wound Care Management, UK, Overall Revenue ($ m), Forecast, 2008-2015 46
Table 7: Wound Care Management, UK, Category Volume (Units), Historic, 2000-2008 48
Table 8: Wound Care Management, UK, Category Volume (Units), Forecast, 2008-2015 49
Table 9: Wound Care Management, UK, Cross-Category Analysis, 2000-2015 50
Table 10: Wound Care Management, UK, Company Share by Revenue ($ m), 2007-2008 52
Table 11: Advanced Wound Management, UK, Revenue ($ m) by Segment, Historic, 2000-2008 54
Table 12: Advanced Wound Management, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 56
Table 13: Advanced Wound Management, UK, Volume (Units) by Segment, Historic, 2000-2008 58
Table 14: Advanced Wound Management, UK, Volume (Units) by Segment, Forecast, 2008-2015 60
Table 15: Advanced Wound Management, UK, Average Price ($), Historic, 2000-2008 61
Table 16: Advanced Wound Management, UK, Average Price ($), Forecast, 2008-2015 61
Table 17: Advanced Wound Management, UK, Distribution Share by Revenue ($m), 2007-2008 62
Table 18: Advanced Wound Management, UK, Company Share by Revenue ($ m), 2007-2008 64
Table 19: Compression Therapy, UK, Revenue ($ m) by Segment, Historic, 2000-2008 65
Table 20: Compression Therapy, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 66
Table 21: Dynamic Compression Therapy, UK, Revenue ($ m) by Sub-Segment, Historic, 2000-2008 67
Table 22: Dynamic Compression Therapy, UK, Revenue ($ m) by Sub-Segment, Forecast, 2008-2015 68
Table 23: Compression Therapy, UK, Volume (Units) by Segment, Historic, 2000-2008 69
Table 24: Compression Therapy, UK, Volume (Units) by Segment, Forecast, 2008-2015 69
Table 25: Dynamic Compression Therapy, UK, Volume (Units) by Sub-Segment, Historic, 2000-2008 70
Table 26: Dynamic Compression Therapy, UK, Volume (Units) by Sub-Segment, Forecast, 2008-2015 71
Table 27: Compression Therapy, UK, Average Price ($), Historic, 2000-2008 72
Table 28: Compression Therapy, UK, Average Price ($), Forecast, 2008-2015 72
Table 29: Compression Therapy, UK, Distribution Share by Revenue ($m), 2007-2008 73
Table 30: Compression Therapy, UK, Company Share by Revenue ($ m), 2007-2008 74
Table 31: Negative Pressure Wound Therapy (NPWT), UK, Revenue ($ m) by Segment, Historic, 2000-2008 75
Table 32: Negative Pressure Wound Therapy (NPWT), UK, Revenue ($ m) by Segment, Forecast, 2008-2015 76
Table 33: Negative Pressure Wound Therapy (NPWT), UK, Volume (Units) by Segment, Historic, 2000-2008 77
Table 34: Negative Pressure Wound Therapy (NPWT), UK, Volume (Units) by Segment, Forecast, 2008-2015 77
Table 35: Negative Pressure Wound Therapy (NPWT), UK, Average Price ($), Historic, 2000-2008 78
Table 36: Negative Pressure Wound Therapy (NPWT), UK, Average Price ($), Forecast, 2008-2015 78
Table 37: Negative Pressure Wound Therapy (NPWT), UK, Distribution Share by Revenue ($m), 2007-2008 79
Table 38: Negative Pressure Wound Therapy (NPWT), UK, Company Share by Revenue ($ m), 2007-2008 80
Table 39: Ostomy Drainage Bags, UK, Revenue ($ m) by Segment, Historic, 2000-2008 81
Table 40: Ostomy Drainage Bags, UK, Revenue ($ mn) by Segment, Forecast, 2008-2015 82
Table 41: Ostomy Drainage Bags, UK, Volume (Units) by Segment, Historic, 2000-2008 83
Table 42: Ostomy Drainage Bags, UK, Volume (Units) by Segment, Forecast, 2008-2015 84
Table 43: Ostomy Drainage Bags, UK, Average Price ($), Historic, 2000-2008 85
Table 44: Ostomy Drainage Bags, UK, Average Price ($), Forecast, 2008-2015 85
Table 45: Ostomy Drainage Bags, UK, Distribution Share by Revenue ($m), 2007-2008 86
Table 46: Ostomy Drainage Bags, UK, Company Share by Revenue ($ m), 2007-2008 87
Table 47: Pressure Relief Devices, UK, Revenue ($ m) by Segment, Historic, 2000-2008 88
Table 48: Pressure Relief Devices, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 89
Table 49: Pressure Relief Devices, UK, Volume (Units) by Segment, Historic, 2000-2008 90
Table 50: Pressure Relief Devices, UK, Volume (Units) by Segment, Forecast, 2008-2015 90
Table 51: Pressure Relief Devices, UK, Average Price ($), Historic, 2000-2008 91
Table 52: Pressure Relief Devices, UK, Average Price ($), Forecast, 2008-2015 91
Table 53: Pressure Relief Devices, UK, Distribution Share by Revenue ($m), 2007-2008 92
Table 54: Pressure Relief Devices, UK, Company Share by Revenue ($ m), 2007-2008 93
Table 55: Traditional Wound Management, UK, Revenue ($ m), Historic, 2000-2008 94
Table 56: Traditional Wound Management, UK, Revenue ($ m), Forecast, 2008-2015 95
Table 57: Traditional Wound Management, UK, Volume (Units), Historic, 2000-2008 96
Table 58: Traditional Wound Management, UK, Volume (Units), Forecast, 2008-2015 97
Table 59: Traditional Wound Management, UK, Average Price ($), Historic, 2000-2008 98
Table 60: Traditional Wound Management, UK, Average Price ($), Forecast, 2008-2015 98
Table 61: Traditional Wound Management, UK, Distribution Share by Revenue ($m), 2007-2008 99
Table 62: Traditional Wound Management, UK, Company Share by Revenue ($ m), 2007-2008 100
Table 63: Wound Closure Devices, UK, Revenue ($ m) by Segment, Historic, 2000-2008 101
Table 64: Wound Closure Devices, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 102
Table 65: Wound Closure Devices, UK, Volume (Units) by Segment, Historic, 2000-2008 103
Table 66: Wound Closure Devices, UK, Volume (Units) by Segment, Forecast, 2008-2015 104
Table 67: Wound Closure Devices, UK, Average Price ($), Historic, 2000-2008 105
Table 68: Wound Closure Devices, UK, Average Price ($), Forecast, 2008-2015 105
Table 69: Wound Closure Devices, UK, Distribution Share by Revenue ($m), 2007-2008 106
Table 70: Wound Closure Devices, UK, Company Share by Revenue ($ mn), 2007-2008 107
Table 71: Smith & Nephew Plc Pipeline Products by Equipment Type 109
Table 72: Smith & Nephew Plc Pipeline Products By Development Stage 110
Table 73: Smith & Nephew Plc Pipeline Products By Therapy Area 111
Table 74: Smith & Nephew Plc Pipeline Products By News Summary 111
Table 75: Kinetic Concepts, Inc. Pipeline Products by Equipment Type 113
Table 76: Kinetic Concepts, Inc. Pipeline Products By Development Stage 114
Table 77: Kinetic Concepts, Inc. Pipeline Products By Therapy Area 114
Table 78: Kinetic Concepts, Inc. Pipeline Products By Clinical Trials 114
Table 79: Kinetic Concepts, Inc. Pipeline Products By News Summary 114
1.2 List of Figures
Figure 1: Total Healthcare Expenditure in UK, 2000-2007 20
Figure 2: Government and Private Healthcare Expenditure in UK, 2007 21
Figure 3: Flowchart for Classification of Non-invasive Devices in UK, 2007 27
Figure 4: Flowchart for Classification of Invasive Devices in UK, 2007 28
Figure 5: Flowchart for Classification of Invasive Devices in UK, 2007 29
Figure 6: Flowchart for Classification of Invasive Devices in UK, 2007 30
Figure 7: Flowchart for Classification of Invasive Devices in UK, 2007 31
Figure 8: Flowchart for Classification of Active Devices in UK, 2007 32
Figure 9: Flowchart for Classification of Active Devices in UK, 2007 33
Figure 10: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in UK, 2007 34
Figure 11: Conformity Assessment of Class-I Medical Devices in UK, 2007 35
Figure 12: Conformity Assessment of Class-IIa Medical Devices in UK, 2007 36
Figure 13: Conformity Assessment of Class-IIb Medical Devices in UK, 2007 37
Figure 14: Conformity Assessment of Class-III Medical Devices in UK, 2007 38
Figure 15: Wound Care Management, UK, Overall Revenue ($ m), Historic, 2000-2008 43
Figure 16: Wound Care Management, UK, Overall Revenue ($ m), Forecast, 2008-2015 45
Figure 17: Wound Care Management, UK, Category Volume (Units), Historic, 2000-2008 47
Figure 18: Wound Care Management, UK, Category Volume (Units), Forecast, 2008-2015 49
Figure 19: Wound Care Management, UK, Cross-Category Analysis, 2000-2015 50
Figure 20: Wound Care Management, UK, Company Share (%), 2008 52
Figure 21: Advanced Wound Management, UK, Revenue ($ m) by Segment, Historic, 2000-2008 53
Figure 22: Advanced Wound Management, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 55
Figure 23: Advanced Wound Management, UK, Volume (Units) by Segment, Historic, 2000-2008 57
Figure 24: Advanced Wound Management, UK, Volume (Units) by Segment, Forecast, 2008-2015 59
Figure 25: Advanced Wound Management, UK, Company Share (%), 2008 63
Figure 26: Compression Therapy, UK, Revenue ($ m) by Segment, Historic, 2000-2008 65
Figure 27: Compression Therapy, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 66
Figure 28: Dynamic Compression Therapy, UK, Revenue ($ m) by Sub-Segment, Historic, 2000-2008 67
Figure 29: Dynamic Compression Therapy, UK, Revenue ($ m) by Sub-Segment, Forecast, 2008-2015 68
Figure 30: Dynamic Compression Therapy, UK, Volume (Units) by Sub-Segment, Historic, 2000-2008 70
Figure 31: Dynamic Compression Therapy, UK, Volume (Units) by Sub-Segment, Forecast, 2008-2015 71
Figure 32: Compression Therapy, UK, Company Share (%), 2008 74
Figure 33: Negative Pressure Wound Therapy (NPWT), UK, Revenue ($ m) by Segment, Historic, 2000-2008 75
Figure 34: Negative Pressure Wound Therapy (NPWT), UK, Revenue ($ m) by Segment, Forecast, 2008-2015 76
Figure 35: Negative Pressure Wound Therapy (NPWT), UK, Company Share (%), 2008 80
Figure 36: Ostomy Drainage Bags, UK, Revenue ($ m) by Segment, Historic, 2000-2008 81
Figure 37: Ostomy Drainage Bags, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 82
Figure 38: Ostomy Drainage Bags, UK, Volume (Units) by Segment, Historic, 2000-2008 83
Figure 39: Ostomy Drainage Bags, UK, Volume (Units) by Segment, Forecast, 2008-2015 84
Figure 40: Ostomy Drainage Bags, UK, Company Share (%), 2008 87
Figure 41: Pressure Relief Devices, UK, Revenue ($ m) by Segment, Historic, 2000-2008 88
Figure 42: Pressure Relief Devices, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 89
Figure 43: Pressure Relief Devices, UK, Company Share (%), 2008 93
Figure 44: Traditional Wound Management, UK, Revenue ($ m), Historic, 2000-2008 94
Figure 45: Traditional Wound Management, UK, Revenue ($ m), Forecast, 2008-2015 95
Figure 46: Traditional Wound Management, UK, Volume (Units), Historic, 2000-2008 96
Figure 47: Traditional Wound Management, UK, Volume (Units), Forecast, 2008-2015 97
Figure 48: Traditional Wound Management, UK, Company Share (%), 2008 100
Figure 49: Wound Closure Devices, UK, Revenue ($ m) by Segment, Historic, 2000-2008 101
Figure 50: Wound Closure Devices, UK, Revenue ($ m) by Segment, Forecast, 2008-2015 102
Figure 51: Wound Closure Devices, UK, Volume (Units) by Segment, Historic, 2000-2008 103
Figure 52: Wound Closure Devices, UK, Volume (Units) by Segment, Forecast, 2008-2015 104
Figure 53: Wound Closure Devices, UK, Company Share (%), 2008 107
Figure 54: Wound Care Management US, Deal Value and Volume 116
Figure 55: Methodology 121