Business Monitor International


Germany Medical Devices Report

Published 28 February 2014

  • 231 pages
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$1,295.00
Germany Medical Devices Report

Espicom Industry View : Despite an increasingly challenging operating environment, Germany remains one of the most attractive medical device markets in Western Europe, testament to the underlying strength of the Germany economy and a commitment to maintain a high quality healthcare service. Whilst austerity measures in the health sector have hit the pharmaceutical industry harder than the medical device industry, measures to restrict the growth in spending on hospital and ambulatory services are inevitably increa s ing pressure on prices, particularly as many public hospitals are continuing to operate at a loss. However, the announcement in April 2013 of additional financial support from the federal government for hospitals of EUR1.1bn during 2013 and 2014 is a positive development as is the support for medical technology and innovation in general expressed in the coalition agreement of the new federal government .

Headline Industry Forecasts

  • Germany has the third largest medical device market ranking behind the USA and Japan. In 2013, the medical device market is estimated at US$25.6bn, equal to US$313 per capita. The market is forecast to grow at a US dollar 2013-2018 CAGR of 4.7%, which is above average for the region.

  • Medical device imports supply around 71% of the market. Between 2007 and 2012, medical device imports grew at a CAGR of 7.6% in euros and 6.0% in US dollars. The running annual import total reached US$17.3bn in the 12 months to October 2013, representing y-o-y dollar growth of 6.4%.

  • Between 2007 and 2012, medical device exports grew at a CAGR of 6.3% in euros and 4.7% in US dollars. The running annual export total amounted to US$27.2bn in the 12 months to October 2013, representing y-o-y dollar growth of 4.8%. Germany has a balance of trade surplus in the region of US$10.0bn, around half of which comes from diagnostic imaging products.

  • Germany has a history of producing high quality medical equipment, with particular...

Table of Contents

Espicom Industry View
9
SWOT
12
Medical Device Market
12
Political
13
Economic
14
Business Environment
15
Industry Forecast
16
Medical Device Market Forecast
16
Table: Projected Medical Device Market, 2013-2018
18
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$mn)
19
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$ Per Capita)
23
Table: Detailed Medical Device Market By Product Area, 2008-2018 (% Of Total)
26
Table: Detailed Medical Device Market By Product Area, 2009-2018 (US$mn % Change)
29
Consumables Market Forecast
33
Table: Consumables Market, 2008-2018 (US$mn)
34
Table: Consumables Market, 2008-2018 (US$ Per Capita)
35
Table: Consumables Market, 2009-2018 (US$mn % Change)
36
Diagnostic Imaging Market Forecast
38
Electrodiagnostic Sector
39
Radiation Apparatus Sector
40
Imaging Parts & Accessories Sector
40
Table: Diagnostic Imaging Market, 2008-2018 (US$mn)
41
Table: Diagnostic Imaging Market, 2008-2018 (US$ Per Capita)
42
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change)
43
Dental Products Market Forecast
45
Table: Dental Products Market, 2008-2018 (US$mn)
46
Table: Dental Products Market, 2008-2018 (US$ Per Capita)
47
Table: Dental Products Market, 2009-2018 (US$mn % Change)
48
Orthopaedics & Prosthetics Market Forecast
50
Table: Orthopaedics & Prosthetics Market, 2008-2018 (US$mn)
52
Table: Orthopaedics & Prosthetics Market, 2008-2018 (US$ Per Capita)
52
Table: Orthopaedics & Prosthetics Market, 2009-2018 (US$mn % Change)
53
Patient Aids Market Forecast
55
Table: Patient Aids Market, 2008-2018 (US$mn)
56
Table: Patient Aids Market, 2008-2018 (US$ Per Capita)
56
Table: Patient Aids Market, 2009-2018 (US$mn % Change)
57
Other Medical Devices Market Forecast
60
Table: Other Medical Devices Market, 2008-2018 (US$mn)
60
Table: Other Medical Devices Market, 2008-2018 (US$ Per Capita)
62
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change)
63
Annual Medical Device Imports
66
Table: Medical Device Imports By Product Area , 2008-2012(US$000s)
69
Table: Medical Device Imports By Product Area, 2008-2012 (US$000s, % Change)
70
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s)
71
Table: Medical Device Imports By Product Area, 2008-2012 (Local Currency 000s, % Change)
72
Table: Medical Device Imports By Product Area, 2008-2012 (% Distribution)
74
Table: Leading Medical Device Suppliers By Product Area, 2012 (US$ 000s)
76
Table: Leading Medical Device Suppliers By Product Area, 2012 (% Distribution)
77
Table: Top 20 Medical Device Suppliers, 2012 (US$000s)
78
Table: Detailed Medical Device Imports By Product Area, 2008-2012 (US$000s)
79
Table: Detailed Medical Device Import Trends By Product Area, 2012
82
Table: Detailed Leading Medical Device Suppliers By Product Area, 2012 (US$000s)
86
Monthly Medical Device Imports
89
Table: Monthly Medical Device Imports By Product Area, November 2010 - October 2013 (US$mn)
90
Annual Medical Device Exports
92
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s)
95
Table: Medical Device Exports By Product Area, 2008-2012 (US$000s, % Change)
96
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s)
97
Table: Medical Device Exports By Product Area, 2008-2012 (Local Currency 000s, % Change)
98
Table: Medical Device Exports By Product Area, 2008-2012 (% Distribution)
100
Table: Leading Medical Device Destinations By Product Area, 2012 (US$000s)
102
Table: Leading Medical Device Destinations By Product Area, 2012 (% Distribution)
103
Table: Top 20 Medical Device Destinations, 2012 (US$000s)
104
Table: Detailed Medical Device Exports By Product Area, 2008-2012 (US$000s)
105
Table: Detailed Medical Device Export Trends By Product Area, 2012
108
Table: Detailed Leading Medical Device Destinations By Product Area, 2012 (US$000s)
112
Table: Detailed Medical Device Balance Of Trade, 2008-2012 (US$000s)
115
Monthly Medical Device Exports
119
Table: Monthly Medical Device Imports By Product Area, November 2010 - October 2013 (US$mn)
119
Macroeconomic Forecasts
121
Economic Analysis
121
Table: Germany - Economic Activity
126
Industry Risk Reward Ratings
127
Table: Western Europe Medical Device Risk/Reward Ratings, Q214
128
Market Overview
129
Medical Device Market Overview
129
Table: Medical Device Market, Key Ratios, 2013
131
Table: Medical Device Market By Product Area, 2013
132
Healthcare Overview
134
Health Status
134
Healthcare System
135
Private Healthcare Providers
140
Healthcare Funding
143
Table: Health Insurance Spending By Service, 2010-2012 (EURbn)
146
Healthcare Resources
148
Table: Hospitals By Type, 2012
149
Table: Medical Technology In Inpatient Facilities By Type, 2005-2012
151
Table: Medical Technology By Sector And Type, 2012
151
Table: Inpatient Diagnostic Imaging Procedures By Type, 2008-2012
152
Healthcare Activity
153
Table: Inpatient Operations, Diagnostic & Therapeutic Procedures By Type, 2008-2012
154
Table: Most Frequent Inpatient Operations Performed In German Hospitals, 2009-2012
155
Healthcare Personnel
157
Key Data
158
Table: Key Data, 2008-2013
158
Industry Trends And Developments
161
Industry Trends & Developments
161
Table: Top 20 Medical Device Export Destinations, H112/H113 (US$000s)
162
Table: Statutory Health Insurance Spending By Service, Q1-3 2012-2013 (EURbn)
163
Table: Artificial Joint Replacement Procedures, 2005-2012
166
Regulatory Development
171
Medical Device Regulations
171
Competent Authority
171
Notified Bodies
171
Table: German Medical Notified Bodies, 2011
171
Regulatory Developments
172
EU Medical Device Regulations
172
Designated Authorities
172
Existing Regulations
173
Proposed Regulatory Changes
173
Implications For The Industry
175
Medical Device Pricing & Reimbursement
176
Reimbursement
176
Procurement
178
Competitive Landscape
180
Domestic Medical Device Production
180
Table: Medical Device Production by Broad Product Area, 2008-2012 (EURmn)
181
Table: Detailed Medical Device Production By Product Area, 2008-2012 (EURmn)
181
Table: Detailed Medical Device Production By Product Area, 2008-2012 (US$mn)
184
Table: Detailed Medical Device Production By Product Area, 2008-2012 (% Distribution)
188
Domestic Medical Device Manufacturing
191
National Medical Device Manufacturers
193
Table: B
194
Table: B
194
Table: Biotronik Turnover By Type, 2009-2011
197
Table: Biotronik Turnover By Region, 2009-2011
197
Table: BSN Consolidated Revenues By Division, 2009-2011
199
Table: BSN Medical Consolidated Revenues By Region, 2009-2011
199
Table: Carl Zeiss Meditec Turnover By Division, FY2010-2013 (Ending September 30)
201
Table: Carl Zeiss Meditec Turnover By Region, FY2010-2013 (Ending September 30)
201
Table: Dr-ger Medical Turnover By Region, 2010-2012
202
Table: Fresenius Medical Care, Turnover By Segment, 2010-2012
205
Table: Fresenius Medical Care, Turnover By Region, 2010-2012
205
Table: Maquet, Turnover By Segment, 2009-2011
210
Table: Maquet, Turnover By Region, 2009-2011
210
Table: Maquet Cardiopulmonary, Turnover By Segment, 2009-2011
211
Table: Maquet Cardiopulmonary, Turnover By Region, 2009-2011
211
Table: Otto Bock Healthcare, Turnover By Division, 2009-2011
213
Table: Otto Bock Healthcare, Turnover By Region, 2009-2011
213
Table: Paul Hartmann, Turnover By Segment, 2010-2011
215
Table: Paul Hartmann, Turnover By Region, 2010-2011
215
Table: Richard Wolf, Turnover, 2009-2011
216
Table: Siemens Healthcare, Turnover By Region, FY2010-2013 (September 30)
219
Table: Waldemar Link, Turnover, 2009-2011
221
Table: World of Medicine, Turnover By Segment, 2010-2011
222
Table: World of Medicine, Turnover By Region, 2010-2011
223
Multinational Medical Device Manufacturers
223
Multinational Market Activity
229
Table: Multinational Market Activity, 2014
229
Medical Device Market Access
232
Distribution
232
Trade Associations
232
Trade Fairs
233
Methodology
235
Medical Device Market Methodology
235
Trade Code Classifications
236
Table: Used HS Trade Codes, 2014
236
Table: Rearranged HS Trade Codes, 2014
238
Risk/Reward Ratings Methodology
241
Table: Medical Devices Risk/Reward Ratings Indicators, 2014
242
Sources
243
Contact
244

The Germany Medical Devices Report features forecasts for medical devices production, imports, exports and healthcare expenditure by Espicom, a Business Monitor International company (BMI). These forecasts focus on Consumables, Diagnostic Imaging Apparatus, Dental Products, Orthopaedic and Prosthetic Devices and other medical devices.

The breakdown of domestic production, domestic manufacturing, individual trade associations and multinational activity in Germany provides industry professionals, strategists, company executives, and analysts with independent forecasts and competitive intelligence on the Germany medical devices industry.

Key Benefits

  • Benchmark Espicom’s Medical Devices expenditure forecasts, which take into account macroeconomic and industry-specific forecasts for Germany, to test analysis as it is a key input for budgeting and strategic business planning. Use our standardised data to gain a better understanding of market performance in Germany.
  • Target Business Opportunities in the Germany medical devices market by using our assessments and projections for disease and demographic trends, regulatory developments, tax legislation and government subsidies, investment dynamics and domestic demand in Germany.
  • Assess the activities and market position of your competitors via our assessments of domestic production, imports and exports, trade associations, national and multinational manufacturers, along with the trade and distribution outlets of multinationals, key company developments and future growth prospects.

Coverage

BMI Industry View

Covers geographic factors, political issues, and economic concerns, together with an overview of the country’s healthcare systems, health insurance regulations and health related projects which might have an impact on the country. These are presented in conjunction with estimates of health expenditure.

Market Developments

Provides analysis on the latest regulatory developments, key forecast indicators and major corporate developments, including production growth and government investment programmes.

Medical Market Analysis

Evaluates the market’s developments over the past year, comparing it with historical trends, and provides a forecast of future performance throughout our forecast period to end-2018. The report presents forecasts on the annual imports and exports for each of these sectors along with a monthly analysis of import and export trends and developments. There is also a detailed assessment of domestic production and domestic manufacturing, with a breakdown of individual trade associations, national and multinational manufacturers.

Medical Device Market Projections cover Market (US$mn), Per Capita (US$mn), (%) of total expenditure, and (%) change, for the below medical devices:

Consumables (US$mn): bandages and dressings, suturing materials, ostomy products, syringes, needles, and catheters.

Diagnostic Imaging (US$mn): electrodiagnostic, ultrasound, MRI, patient monitoring, CT scanners, X-ray apparatus, imaging parts and accessories.

Dental Products (US$mn): dental capital equipment, dental drills, dental chairs, dental X-rays, dental instruments and supplies, dental cements, teeth and other fittings.

Orthopaedic and prosthetic products (US$mn): fixation devices, artificial joints, and other artificial body parts.

Patient Aids (US$mn): portable aids, hearing aids, pacemakers, and therapeutic appliances.

Other medical devices (US$mn): wheelchairs, ophthalmic instruments, anaesthesia apparatus, dialysis apparatus, blood pressure monitors, endoscopy monitors, and hospital furniture.

Multinational Activity

Discusses the presence of multinational companies in the country, either via sales and distribution outlets, or through manufacturing facilities. ‘Domestic Manufacturing’ delineates the presence and activities of domestic medical device companies. Key company developments are incorporated, enabling a full evaluation of recent company performance and future growth prospects.

Accessing the Market

This section contains analysis of the overall market environment, distribution (including over 1,600 qualified sales agencies and distribution leads), import duties and taxes, procurement options (such as trade fairs, various expositions and procurement bodies), together with an explanation of the regulatory environment covering registration, labelling requirements and the use of second-hand equipment.

Directory

Contains details for Healthcare organisations, Professional Bodies, and Trade Associations, along with Trade Code Classifications.

Appendix – Statistical Tables

Extensive statistical tables provide historical data and forecasts from 2007-2018, identifying trends and changes in population, principle causes of death, public health expenditure, hospital data (including beds by type, discharge data, long stay patients by type), and hospital personnel.

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Testimonials

'An essential, multi-faceted research tool. BMI’s thorough understanding of the major market players enables an informed – and informative – review of the sector’s actual performance, together with useful insights into current industry issues, which are topped-off with detailed and invaluable forecasts of industry and macroeconomic trends.’

Senior Research Analyst, ABC International Bank plc