The Outlook for Medical Devices in Brazil, Russia, India & China

Introduction

Abstract

Many are concerned that the global economic downturn is blunting the rapid growth in the BRIC countries. Is this a time of exciting opportunity or commercial danger for medical manufacturers and how is the economic turmoil affecting each market? These reports separate fact from fiction and are essential in making sound, impartial business judgements.

These leading emerging economies represent a total medical market of US$26.8 billion. But how might the impact of the economic downturn affect them? Where do commercial opportunities exist for medical device companies now, and what are the future prospects?

Putting things in perspective

With a combined population of 3.0 billion people and with significant unmet medical need, the challenges and opportunities of the BRIC markets are considerable. The economic downturn has affected these markets varyingly; for example, the Brazilian import market may be affected by disadvantageous US$ exchange rates, but China is affected more by a weak economy in the USA, its major market. Significant growth rates are impressive, but the low starting point - along with a range of other operational issues - means companies must be targeted in the opportunities they pursue.

Opportunities do exist

There are, of course, wide regional differences in expenditure levels within the BRIC countries, far more so than in developed countries where health systems have evolved to provide a more uniform level of coverage. All four countries have a relatively wealthy urban population with a far greater spending power than their respective national average. These urban populations have grown rapidly, and number hundreds of millions. The challenge for these countries is to extend this level of wealth to the rest of the population, in order that better levels of healthcare become affordable.

A long haul

The prevailing economic woes have to be seen over the long term. This is evolution not revolution, and change will be incremental. Short-term opportunities exist in meeting the health demands of the burgeoning middle classes, and future prospects are bright, where steady growth in BRIC markets will erode commercial differences with the established markets in North America, Japan and Europe.

Highlights from the Region

BRAZIL

Brazil has the largest economy and medical device market in Latin America, but per capita medical expenditure is still very low. The highest expenditure is in the large cities, such as Sao Paulo or Rio de Janeiro, but producers are moving into regional markets outside the major state capitals. Dilma Roussef, who took office as President on 1st January 2011, has largely followed in the footsteps of former president Lula da Silva, maintaining market-friendly policies and ensuring broad policy continuity. The next elections will be held in 2014. GDP is forecast to grow 3.5% in 2013 and at an average of 4.1% through to 2018. With a growing economy, if inflation is kept in check, there will be more money available to spend on healthcare both in the public and private sectors.

RUSSIA

In 2012, the Russian market for medical equipment and supplies is estimated at US$5,455.7 million. Per capita spending is low by European standards at US$39 per capita. This is despite rapid growth, especially of imported products, in the 2007-11 period. Russian medical device manufacturers are generally small and under-capitalised, and tend to produce obsolete products; they can only compete with Western products in terms of cost. The country has a strong scientific research base but has no experience of commercialising new products. Exports are low and centred on other former USSR markets. In November 2010, the government developed a strategy that will help the medical device industry to attract investment, create new jobs and produce competitive, safe, good quality and affordable products to fulfil the healthcare system's requirements. Currently, the bulk of high-tech medical equipment comes from abroad. If the objectives of the plan are realised, by 2020, the local industry will be able to meet 50% of the local demand for medical devices.

INDIA

The Indian market for medical equipment and supplies ranks among the world's top 20 but, despite strong growth rates, the market remains disproportionately small with per capita spending of US$2.4. The private sector is the dominant healthcare provider, particularly in urban areas, and as such is the major end-user of medical equipment. High quality, high tech products are sought after, particularly by facilities run by corporate groups such as Apollo Hospitals and Fortis Healthcare. The latest Five Year Plan (2012-17) proposes an ambitious expansion of healthcare services including doubling the level of public health spending to 2.5% of GDP and increasing health insurance coverage from 25% to 75%. Given the lack of healthcare infrastructure, the government's plans mark an opportunity for private investors, and manufacturers of medical devices, as new facilities are constructed and existing ones are upgraded. Detailed regulation of medical devices is still under consideration. New regulations were to have been published as the Drugs, Cosmetics and Medical Device bill in the winter 2012 parliamentary session, but implementation has been further delayed.

CHINA

For 2012, Espicom estimates market growth to be in the region of 21.4%; one of the fastest growing markets in the world. High rates of growth are not uncommon in the Asian region, but on the back of a huge market size, China's growth is particularly pronounced. Latest annual data to December 2012 show that imports have grown very strongly during the period, rising by 20.8% to reach US$10,329 million. All product categories posted strong growth during the period, with orthopaedic & prosthetic products leading the way with a rise of 51.4% over the previous year. All other categories achieved at least 15% growth during the period. The prospects for medical device spending is huge; the government has committed heavily in the construction of thousands of hospitals, healthcare centres, clinics and this will inevitably lead to spending on capital goods, most notably medical devices, equipment and furniture at an unprecedented rate in a relatively short space of time. In addition, the government is actively encouraging the development of the private sector to cater for the growing needs of China's middle classes and restrictions on foreign investors operating hospitals have been lifted.

These Quarterly Updated Reports Analyse the Issues

The Outlook for Medical Device Markets in Brazil, Russia, India, China and South Africa is published by Espicom. Each report provides an individual and highly-detailed analysis of each market, looking at the key regulatory, political, economic and corporate developments in the wider context of market structure, service and access. The reports are available individually or as a discounted collection, and the price includes 4 completely updated reports sent quarterly and details of local medical equipment distributors.

About Espicom Business Intelligence

Espicom Business Intelligence is a UK-based company with a 30-year pedigree providing business intelligence on Medical Devices, Pharmaceuticals & Healthcare and Therapeutics across global markets.

Table of Contents

Table of Contents

BrazilMedical Device Intelligence Report Q2 2013

EXECUTIVE SUMMARY

KEY BACKGROUND DATA

• Geographic
• Political
• Economic
• Healthcare System
  • Mais Saude Programme
  • Main World Bank Health-Related Projects
  • Health Insurance
• Health Expenditure

MARKET DEVELOPMENTS

• Medical Device Imports Recover Momentum in Fourth Quarter of 2012
• Medical Device Exports Record Weak Performance in 2012
• Output of Medical Devices Stalls despite Government Measures to Support Local Industry
• Sorin Acquires Cardiac Surgical Devices Manufacturer
• President Announces Funding of R$2.3 billion to Support Development of Public Health System
• Major Expansion of Dental Care Programme
• University Hospitals Benefitting from REHUP Restructuring programme
• Ministry to Increase funding for Cancer Services
• Ministries Sign Partnership to Support Health Research
• Toshiba's Production Facility to Start Operations in Early 2013
• Siemens Opens Diagnostic Imaging Plant in Brazil
• Fanem Reports Strong Growth in Neonatology Sales in First Half of 2012
• Multinationals Set to Boost Medical Device Production in Booming Medical Market
• Ministry of Health to Invest R$505 million in Radiotherapy

MEDICAL MARKET ANALYSIS

• Overview
• The Market in 2012
• Past Performance 2007-11
• Future Performance 2012-17
• The Brazilian Market for Consumables
• The Brazilian Market for Diagnostic Imaging Apparatus
• The Brazilian Market for Dental Products
• The Brazilian Market for Orthopaedic & Prosthetic Devices
• The Brazilian Market for Patient Aids
• The Brazilian Market for Other Medical Devices

ANNUAL IMPORTS

• Consumables
• Diagnostic Imaging Apparatus
• Dental Products
• Orthopaedic & Prosthetic Products
• Patient Aids
• Other Medical Products

MONTHLY IMPORTS

ANNUAL EXPORTS

• Consumables
• Diagnostic Imaging Apparatus
• Dental Products
• Orthopaedic & Prosthetic Products
• Patient Aids
• Other Medical Products

MONTHLY EXPORTS

DOMESTIC PRODUCTION

• Trade Associations
  • ABIMED
  • ABIMED's Members 2011
  • ABIMO
  • ABIÓTICA
  • ABRAIDI
  • ABRASP
  • ABRASP's Members 2011
  • Suppliers of Raw Materials
  • Suppliers of Raw Materials
  • ASSIBRAL
  • CBDL

DOMESTIC MANUFACTURING

• National Manufacturers
  • Baumer
  • Cremer
  • Dabi Atlante
  • EDLO
  • Erwin Guth
  • Fanem
  • GMReis
  • Gnatus
  • JP Indústria Farmacêutica & Olidef
  • Lifemed
  • Mediphacos
  • MV Sistemas
  • Neodent
  • Olsen Odontomédica
  • Samtronic
  • Segmenta
  • Sercon
  • Silimed
  • Sismatec
  • WEM
• Multinational Manufacturers
  • 3M
  • Agfa Healthcare
  • Air Liquide
  • Apotheka
  • Baxter
  • Becton Dickinson
  • B. Braun
  • Carefusion
  • Covidien
  • Fresenius
  • GE Healthcare
  • Getinge - Maquet
  • Guerbet
  • Johnson & Johnson
  • Kavo
  • Nipro
  • Philips
  • Scantek Medical
  • Siemens
  • St. Jude Medical
  • Synthes
  • Toshiba

MULTINATIONAL ACTIVITY

ACCESSING THE MARKET

• Market Environment
• Distribution
• Mercosur
• Import Duties & Taxes
• Procurement
  • Trade Fairs
    • FIOSP
    • HEMO EXPO
    • Hospitalar
    • Hospital Business
    • JPR
    • MD & M Brazil
    • Reatech Expo

MEDICAL DEVICE REGULATIONS

• Registration
• Labelling Requirements
• Used/Refurbished Equipment

METHODOLOGY & SOURCES

• Trade Code Classifications
• Methodology
• Sources
• Need more information?

LIST OF TABLES

• Espicom Analysis of the Brazil Medical Market, 2013
• Economic Projections, 2013-18
• Summary of Key Data, 2006-12
• Top Twenty Suppliers of Brazilian Medical Device Imports, 2008-12 (US$000s)
• Brazilian Medical Device Market, Key Ratios, 2012
• Brazilian Medical Device Market by Category, 2012
• Projected Medical Device Market, 2012-17
• The Brazilian Medical Device Market, 2007-17 (US$ millions)
• The Brazilian Medical Device Market, 2007-17 (US$ per capita)
• The Brazilian Medical Device Market, 2007-17 (% of Total)
• The Brazilian Medical Device Market, 2007-17 (% Change)
• The Brazilian Consumables Market, 2007-17 (US$ millions)
• The Brazilian Consumables Market, 2007-17 (US$ Per Capita)
• The Brazilian Consumables Market, 2007-17 (% Change)
• The Brazilian Diagnostic Imaging Market, 2007-17 (US$ millions)
• The Brazilian Diagnostic Imaging Market, 2007-17 (US$ Per Capita)
• The Brazilian Diagnostic Imaging Market, 2007-17 (% Change)
• The Brazilian Dental Products Market, 2007-17 (US$ millions)
• The Brazilian Dental Products Market, 2007-17 (US$ Per Capita)
• The Brazilian Dental Products Market, 2007-17 (% Change)
• The Brazilian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ millions)
• The Brazilian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ Per Capita)
• The Brazilian Orthopaedic & Prosthetic Products Market, 2007-17 (% Change)
• The Brazilian Patient Aids Market, 2007-17 (US$ millions)
• The Brazilian Patient Aids Market, 2007-17 (US$ Per Capita)
• The Brazilian Patient Aids Market, 2007-17 (% Change)
• The Brazilian Other Medical Devices Market, 2007-17 (US$ millions)
• The Brazilian Other Medical Devices Market, 2007-17 (US$ Per Capita)
• The Brazilian Other Medical Devices Market, 2007-17 (% Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s)
• Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (Reals 000s)
• Summary Medical Equipment Imports by Product Area, 2007-11 (Reals % Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Suppliers by Product Area, 2011 (US$000s)
• Leading Medical Equipment Suppliers by Product Area, 2011 (% of Total)
• Top 20 Suppliers to the Brazilian Market, 2011 (US$000s)
• Detailed Imports of Medical Equipment, 2007-11 (US$000s)
• Detailed Imports of Medical Equipment, 2007-11 (Growth Trends)
• Detailed Imports, Leading Suppliers, 2011 (US$000s)
• Monthly Medical Equipment Imports (US$ 000's)
• Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s)
• Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Equipment Exports by Product Area, 2007-11 (Reals 000s)
• Summary Medical Equipment Exports by Product Area, 2007-11 (Reals % Change)
• Summary Medical Equipment Exports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Destinations by Product Area, 2011 (US$000s)
• Leading Medical Equipment Destinations by Product Area, 2011 (% of Total)
• Top 20 Destinations for the Brazilian Exports, 2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-11 (US$000s)
• Detailed Exports of Medical Equipment, 2007-11 (Growth Trends)
• Detailed Exports, Leading Destinations, 2011 (US$000s)
• Monthly Medical Equipment Exports (US$ 000's)
• Manufacturers of Medical Devices, 2005-2010
• Manufacturers of Electromedical & Radiology Equipment, Key Indicators, 2010
• Manufacturers of Medical Instruments & Appliances, Key Indicators, 2010
• Manufacturers of Medical Supplies, Key Indicators, 2010
• Brazilian Medical Device Production, 2007-10 (R$ millions)
• Brazilian Medical Device Production, 2007-10 (US$ millions)
• CBDL's Members, 2011
• Medical Device Industry Economic Data, 2005-2011 (US$ Millions)
• Baumer: Revenues, 2003-2011
• Baumer's Business Divisions
• Cremer's Sales, 2010-2011
• CET for Medical Devices as at 25th April 2012
• HS Trade Codes Used in This Report
• HS Trade Codes, Rearranged

LIST OF CHARTS

• Brazilian Health Expenditure Per Capita, 2001-12 (US$)
• Production Index, Medical, Dental, Orthopaedic Devices, January 2007 to December 2012
• Balance of Trade in Medical Devices, 2003-2012 (US$ millions)
• Brazilian Medical Device Market by Category, 2012 (%)
• Change in the Brazilian Medical Device Market, 2007-11 (%)
• CAGR of the Brazilian Medical Device Market by Product Area, 2007-11 (%)
• Market Projections, 2012-17 (US$millions)
• Projected CAGR of Medical Device Market by Product Area, 2012-17 (%)
• The Brazilian Market for Consumables, 2007-17 (US$ millions)
• The Brazilian Market for Consumables, 2007-17 (CAGR)
• The Brazilian Market for Diagnostic Imaging, 2007-17 (US$ millions)
• The Brazilian Market for Diagnostic Imaging, 2007-17 (CAGR)
• The Brazilian Market for Dental Products, 2007-17 (US$ millions)
• The Brazilian Market for Dental Products, 2007-17 (CAGR)
• The Brazilian Market for Orthopaedic & Prosthetic Products, 2007-17 (US$ millions)
• The Brazilian Market for Orthopaedic & Prosthetic Products, 2007-17 (CAGR)
• The Brazilian Market for Patient Aids, 2007-17 (US$ millions)
• The Brazilian Market for Patient Aids, 2007-17 (CAGR)
• The Brazilian Market for Other Medical Devices, 2007-17 (US$ millions)
• The Brazilian Market for Other Medical Devices, 2007-17 (CAGR)
• Medical Equipment Imports, 2003-11 (US$ millions)
• Change in Medical Equipment Imports, 2004-11 (%)
• CAGR of Medical Imports by Product Area, 2007-11 (%)
• Medical Equipment Imports by Product Area, 2011 (%)
• Leading Medical Equipment Suppliers, 2011 (%)
• Medical Equipment Exports, 2003-11 (US$ millions)
• Change in Medical Equipment Exports, 2004-11 (%)
• CAGR of Medical Exports by Product Area, 2007-11 (%)
• Medical Equipment Exports by Product Area, 2011 (%)
• Leading Medical Equipment Destinations, 2011 (%)
• Medical Device Manufacturers by Size, 2011
• Medical Device Manufacturers by Region, 2011
• Medical Device Revenues by Sector, 2009 (%)
• Map of Brazil's Regions, States and Federal District

China Medical Device Intelligence Report Q2 2013

EXECUTIVE SUMMARY

KEY BACKGROUND DATA

• Geographic
• Political
• Economic
• Healthcare System
• Ministry of Health
  • Hospitals
  • Rural Healthcare
  • Healthcare Reform Plan
• Health Insurance
  • Background
  • Medical Insurance to Cover all Urban Citizens
  • New Co-operative Medical Scheme (formerly Rural Co-operative Medical Scheme)
  • Commercial Medical Insurance
  • Red Cross Society of China
• Health Expenditure

MARKET DEVELOPMENTS

• Medical Device Imports Continue to See Sustained Growth
• Medical Device Exports Record More Muted Performance in 2012
• Health Minister Aims to Expand Health Insurance Cover
• Phase 2 of Health Reform Programme Targets Greater Private Sector Participation
• Stryker Acquires Chinese Orthopaedic Device Manufacturer
• Philips to Sell Stake in Diagnostic Imaging Joint Venture
• Terumo Enters Strategic Alliance to Exploit Chinese Renal Denervation Market
• Medtronic Completes Life Tech Purchase, Dissolves Orthopaedic Joint Venture
• Zimmer Signs Agreement to Train Chinese Regulators on Orthopaedic Standards
• New Labelling Requirements for Medical Devices
• Chinese Medical Market Booming
• Domestic Manufacturing Industry Continues to Achieve 20% Growth
• Multinationals Rushing to Exploit New Opportunities in Rural Healthcare Market
• Domestic Manufacturers See Lower Profits Due to Rising Costs

MEDICAL MARKET ANALYSIS

• Overview
• The Market in 2012
• Past Performance 2007-11
• Future Performance 2012-17
• The Chinese Market for Consumables
• The Chinese Market for Diagnostic Imaging
• The Chinese Market for Dental Products
• The Chinese Market for Orthopaedic & Prosthetic Products
• The Chinese Market for Patient Aids
• The Chinese Market for Other Medical Devices

ANNUAL IMPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic & Prosthetic Products
• Patient Aids

MONTHLY IMPORTS

ANNUAL EXPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic Products
• Patient Aids

MONTHLY EXPORTS

DOMESTIC PRODUCTION

DOMESTIC MANUFACTURING

• Five-Year Development Plan for the Pharmaceutical and Medical Device Industries
• National Manufacturers
  • Andon
  • Guangdong Biolight Meditech
  • Edan Instruments
  • Jiangsu Yuyue
  • Lepu Medical Group
  • Mindray
  • Neusoft Medical
  • Shandong Weigao Group Medical Polymer
  • Shandong Xinhua Medical Instrument
  • Trauson
  • Zhuhai Hokai
• Multinational Manufacturers
  • Agfa
  • Alfresa Pharma Corporation
  • Aloka
  • Asahi Kasei Corp
  • Bayer Schering
  • Baxter
  • Becton Dickinson
  • Beiersdorf
  • Bracco
  • Convatec
  • Covidien
  • Draeger
  • Eastman Kodak
  • Fimet
  • Fresenius Medical
  • GE Healthcare
  • Hitachi Medical
  • Johnson & Johnson
  • Karl Storz
  • Laser Industries, Israel
  • Medtronic
  • Neich Medical
  • Nihon Kohden
  • Omron
  • Philips Healthcare
  • Sakura Finetechnical Co
  • Shimadzu
  • Siemens
  • Siemens Hearing Instruments
  • Smith & Nephew
  • Stryker
  • Terumo
  • Zimmer

MULTINATIONAL ACTIVITY

ACCESSING THE MARKET

• Distribution

MEDICAL DEVICE REGULATIONS

• New Registration Procedures
• Medical Ads Require Approval of Provincial Health Departments
• New Industry Standards for Medical Devices
• New Labelling Requirements for Medical Devices
• Intellectual Property Rights
• Local Manufacturing
  • Clinical Trials
• Ministry of Health Regulations
  • Purchasing
  • Operation

METHODOLOGY & SOURCES

• Trade Code Classifications
• Methodology
• Sources

LIST OF TABLES

• Espicom Analysis of the Chinese Medical Market, 2013
• Economic Projections, 2013-18
• New Rural Co-operative Medical Scheme, 2004-11
• Summary of Key Data, 2007-12
• Top Twenty Suppliers of Chinese Medical Device Imports, 2008-12 (US$000s)
• Leading Destinations for Chinese Medical Device Exports, 2008-12 (US$000s)
• Chinese Medical Device Market, Key Ratios, 2012
• Chinese Medical Device Market by Category, 2012
• Projected Medical Device Market, 2012-17
• The Chinese Medical Device Market, 2007-17 (US$ millions)
• The Chinese Medical Device Market, 2007-17 (US$ per capita)
• The Chinese Medical Device Market, 2007-17 (% of Total)
• The Chinese Medical Device Market, 2007-17 (% Change)
• The Chinese Consumables Market, 2007-17 (US$ millions)
• The Chinese Consumables Market, 2007-17 (US$ Per Capita)
• The Chinese Consumables Market, 2007-17 (% Change)
• The Chinese Diagnostic Imaging Market, 2007-17 (US$ millions)
• The Chinese Diagnostic Imaging Market, 2007-17 (US$ Per Capita)
• The Chinese Diagnostic Imaging Market, 2007-17 (% Change)
• The Chinese Dental Products Market, 2007-17 (US$ millions)
• The Chinese Dental Products Market, 2007-17 (US$ Per Capita)
• The Chinese Dental Products Market, 2007-17 (% Change)
• The Chinese Orthopaedic & Prosthetic Products Market, 2007-17 (US$ millions)
• The Chinese Orthopaedic & Prosthetic Products Market, 2007-17 (US$ Per Capita)
• The Chinese Orthopaedic & Prosthetic Products Market, 2007-17 (% Change)
• The Chinese Patient Aids Market, 2007-17 (US$ millions)
• The Chinese Patient Aids Market, 2007-17 (US$ Per Capita)
• The Chinese Patient Aids Market, 2007-17 (% Change)
• The Chinese Other Medical Devices Market, 2007-17 (US$ millions)
• The Chinese Other Medical Devices Market, 2007-17 (US$ Per Capita)
• The Chinese Other Medical Devices Market, 2007-17 (% Change)
• Summary Medical Imports by Product Area, 2007-11 (US$000s)
• Summary Medical Imports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Imports by Product Area, 2007-11 (CNY 000s)
• Summary Medical Imports by Product Area, 2007-11 (CNY % Change)
• Summary Medical Imports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Suppliers by Product Area, 2011 (US$000s)
• Top 20 Suppliers to the Chinese Market, 2011 (US$000s)
• Detailed Imports of Medical Equipment, 2007-11 (US$000s)
• Detailed Imports of Medical Equipment, 2007-2011 (Growth Trends)
• Detailed Imports, Leading Suppliers, 2011 (US$000s)
• MONTHLY IMPORTS of Medical Equipment (US$ Millions)
• Summary Medical Exports by Product Area, 2007-11 (US$000s)
• Summary Medical Exports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Exports by Product Area, 2007-11 (CNY 000s)
• Summary Medical Exports by Product Area, 2007-11 (CNY % Change)
• Summary Medical Exports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Destinations by Product Area, 2011 (US$000s)
• Top 20 Destinations for Chinese Exports, 2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-2011 (Growth Trends)
• Detailed Exports, Leading Destinations, 2011 (US$000s)
• Balance of Medical Trade, 2007-2011 (US$000s)
• MONTHLY EXPORTS of Medical Equipment (US$ Millions)
• Andon Health Revenue and Profit, 2009-2011
• Guangdong Biolight Meditech Revenue and Profit, 2009-2011
• Edan Instruments Revenue and Profit, 2009-2011
• Jiangsu Yuyue Medical Equipment Revenue and Profit, 2009-2011
• Lepu Medical Group Revenue and Profit, 2009-2011
• Shandong Weigao Group Medical Polymer Revenue and Profit, 2009-2011
• Shandong Weigao Group Medical Polymer Revenue by Product Group, 2009-2011
• Shandong Xinhua Medical Instrument Revenue and Profit, 2009-2011
• Trauson Revenue and Profit, 2009-2011
• Trauson Revenues by Product Category, 2010-11
• Wandong Medical Equipment Revenue and Profit, 2009-2011
• Zhuhai Hokai Revenue and Profit, 2009-2011
• Leading Local Manufacturers by Category
• GE Healthcare's Principal Manufacturing Facilities in China
• HS Trade Codes Used in This Report
• HS Trade Codes, Rearranged

LIST OF CHARTS

• Chinese Health Expenditure Per Capita, 2001-2012 (US$)
• Medical Device Manufacturing Output, 2006-2012 (CNY billions)
• Chinese Medical Device Market by Category, 2012 (%)
• Change in the Chinese Medical Device Market, 2007-17 (%)
• CAGR of the Chinese Medical Device Market by Product Area, 2007-11 (%)
• Market Projections, 2012-17 (US$millions)
• Projected CAGR of Medical Device Market by Product Area, 2012-17 (%)
• The Chinese Market for Consumables, 2007-17 (US$ millions)
• The Chinese Market for Consumables, 2007-17 (CAGR)
• The Chinese Market for Diagnostic Imaging, 2007-17 (US$ millions)
• The Chinese Market for Diagnostic Imaging, 2007-17 (CAGR)
• The Chinese Market for Dental Products, 2007-17 (US$ millions)
• The Chinese Market for Dental Products, 2007-17 (CAGR)
• The Chinese Market for Orthopaedic & Prosthetic Products, 2007-17 (US$ millions)
• The Chinese Market for Orthopaedic & Prosthetic Products, 2007-17 (CAGR)
• The Chinese Market for Patient Aids, 2007-17 (US$ millions)
• The Chinese Market for Patient Aids, 2007-17 (CAGR)
• The Chinese Market for Other Medical Devices, 2007-17 (US$ millions)
• The Chinese Market for Other Medical Devices, 2007-17 (CAGR)
• Medical Equipment Imports, 2003-11 (US$ millions)
• Change in Medical Equipment Imports, 2003-11 (%)
• CAGR of Medical Imports by Product Area, 2007-11 (%)
• Medical Equipment Imports by Product Area, 2011 (%)
• Leading Medical Equipment Suppliers, 2011 (%)
• Medical Equipment Exports, 2003-11 (US$ millions)
• Change in Medical Equipment Exports, 2003-11 (%)
• CAGR of Medical Exports by Product Area, 2007-11 (%)
• Medical Equipment Exports by Product Area, 2011 (%)
• Leading Medical Equipment Destinations, 2011 (%)
• Medical Device Manufacturing Output, 2006-2012 (CNY billions)
• Mindray Revenue and Income, 2008-11 (US$ Millions)
• Mindray Sales by Product Category, 2011

India Medical Device Intelligence Report Q2 2013

EXECUTIVE SUMMARY

KEY BACKGROUND DATA

• Geographic
• Political
• Economic
• Healthcare System
  • Public Sector
  • Department of Health and Family Welfare
  • Department of AYU SH
  • Private Sector
• Health Expenditure

MARKET DEVELOPMENTS

• Indian Medical Device Market Set to See Dynamic Growth over Next Five Years
• Medical Device Imports Record Robust Growth
• Medical Device Exports Falter
• First Dialyser Manufacturing Plant in India to Drive Growth in Local Dialysis Market
• First Proton Therapy Centre in India
• Sutures India Expands Production
• ConvacTec Establishes Direct Presence in India
• 2012-2013 Budget to Boost Niche Sectors

MEDICAL MARKET ANALYSIS

• Overview
• The Market in 2012
• Past Performance 2007-11
• Future Performance 2012-17
• The Indian Market for Consumables
• The Indian Market for Diagnostic Imaging
• The Indian Market for Dental Products
• The Indian Market for Orthopaedic & Prosthetic Products
• The Indian Market for Patient Aids
• The Indian Market for Other Medical Devices

ANNUAL IMPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic & Prosthetic Products
• Patient Aids

MONTHLY IMPORTS

ANNUAL EXPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic Products
• Patient Aids

MONTHLY EXPORTS

DOMESTIC PRODUCTION

• Trade Associations
• AI-MED
• MDMA

DOMESTIC MANUFACTURING

• Local Manufacturers
  • Anand Medicaids Pvt. Ltd
  • ASCO
  • Atlas Surgical Company
  • Carewell Mediproducts
  • Dent-Eq
  • Eastern Medikit Ltd
  • Emdin India Pvt. Ltd
  • Endolite India Ltd
  • Hindustan Syringes and Medical Devices Ltd
  • Kay & Company
  • Kiran Medical Systems
  • Lifeline Systems
  • Narang Medical
  • New Life Surgical Works
  • Pace Devices
  • Relisys Medical Devices Ltd
  • Ribbel International Ltd
  • Sahajanand Medical Technologies
  • Skanray Technologies
  • South India Surgical Company (SISCO)
  • SURU International
  • Sutures India
  • Wadia Group (INOR Orthopaedics, Dental Products of India and Medical Microtechnology Ltd.)
• Multinational Manufacturers
  • Baxter International
  • B. Braun
  • Becton Dickinson
  • Carl Zeiss Meditec
  • Dräger
  • GE Healthcare
  • GE BE
  • Johnson & Johnson
  • Nipro Corp
  • Philips
  • Siemens
  • Terumo

MULTINATIONAL ACTIVITY

ACCESSING THE MARKET

• Distribution
• Import Duties
• Trade Fairs
  • Meditec Clinika 2013

MEDICAL DEVICE REGULATIONS

METHODOLOGY & SOURCES

• Trade Code Classifications
• Methodology
• Sources

LIST OF TABLES

• Espicom Analysis of the Indian Medical Market, 2013
• Economic Projections, 2013-18
• Summary of Key Data, 2007-12
• Indian Medical Device Market, Key Ratios, 2012
• Indian Medical Device Market by Category, 2012
• Projected Medical Device Market, 2012-17
• The Indian Medical Device Market, 2007-17 (US$ millions)
• The Indian Medical Device Market, 2007-17 (US$ per capita)
• The Indian Medical Device Market, 2007-17 (% of Total)
• The Indian Medical Device Market, 2007-17 (% Change)
• The Indian Consumables Market, 2007-17 (US$ millions)
• The Indian Consumables Market, 2007-17 (US$ Per Capita)
• The Indian Consumables Market, 2007-17 (% Change)
• The Indian Diagnostic Imaging Market, 2007-17 (US$ millions)
• The Indian Diagnostic Imaging Market, 2007-17 (US$ Per Capita)
• The Indian Diagnostic Imaging Market, 2007-17 (% Change)
• The Indian Dental Products Market, 2007-17 (US$ millions)
• The Indian Dental Products Market, 2007-17 (US$ Per Capita)
• The Indian Dental Products Market, 2007-17 (% Change)
• The Indian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ millions)
• The Indian Orthopaedic & Prosthetic Products Market, 2007-17 (US$ Per Capita)
• The Indian Orthopaedic & Prosthetic Products Market, 2007-17 (% Change)
• The Indian Patient Aids Market, 2007-17 (US$ millions)
• The Indian Patient Aids Market, 2007-17 (US$ Per Capita)
• The Indian Patient Aids Market, 2007-17 (% Change)
• The Indian Other Medical Devices Market, 2007-17 (US$ millions)
• The Indian Other Medical Devices Market, 2007-17 (US$ Per Capita)
• The Indian Other Medical Devices Market, 2007-17 (% Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s)
• Summary Medical Equipment Imports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (Rupees 000s)
• Summary Medical Equipment Imports by Product Area, 2007-11 (Rupees % Change)
• Summary Medical Equipment Imports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Suppliers by Product Area, 2011 (US$000s)
• Leading Medical Equipment Suppliers by Product Category, 2011 (% of Total)
• Top 20 Suppliers to the Indian Market, 2011 (US$000s)
• Detailed Imports of Medical Equipment, 2007-11 (US$000s)
• Detailed Imports of Medical Equipment, 2007-11 (Growth Trends)
• Detailed Imports of Medical Equipment, Leading Suppliers, 2011 (US$000s)
• MONTHLY IMPORTS of Medical Equipment (US$ Millions)
• Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s)
• Summary Medical Equipment Exports by Product Area, 2007-11 (US$000s % Change)
• Summary Medical Equipment Exports by Product Area, 2007-11 (Rupees 000s)
• Summary Medical Equipment Exports by Product Area, 2007-11 (Rupees % Change)
• Summary Medical Equipment Exports by Product Area, 2007-11 (% of Total)
• Leading Medical Equipment Destinations by Product Area, 2011 (US$000s)
• Leading Medical Equipment Suppliers by Product Category, 2011 (% of Total)
• Top 20 Destinations to the Indian Market, 2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-11 (US$000s)
• Detailed Exports of Medical Equipment, 2007-11 (Growth Trends)
• Detailed Exports of Medical Equipment, Leading Destinations, 2011 (US$000s)
• Balance of Medical Trade, 2007-11 (US$000s)
• MONTHLY EXPORTS of Medical Equipment (US$ Millions)
• HS Trade Codes Used in This Report
• HS Trade Codes, Rearranged

LIST OF CHARTS

• Indian Health Expenditure Per Capita, 2001-12 (US$)
• Indian Medical Device Market by Category, 2012 (%)
• Change in the Indian Medical Device Market, 2007-11 (%)
• CAGR of the Indian Medical Device Market by Product Area, 2007-11 (%)
• Market Projections, 2012-17 (US$millions)
• Projected CAGR of Medical Device Market by Product Area, 2012-17 (%)
• The Indian Market for Consumables, 2007-17 (US$ millions)
• The Indian Market for Consumables, 2007-17 (CAGR)
• The Indian Market for Diagnostic Imaging, 2007-17 (US$ millions)
• The Indian Market for Diagnostic Imaging, 2007-17 (CAGR)
• The Indian Market for Dental Products, 2007-17 (US$ millions)
• The Indian Market for Dental Products, 2007-17 (CAGR)
• The Indian Market for Orthopaedic & Prosthetic Products, 2007-17 (US$ millions)
• The Indian Market for Orthopaedic & Prosthetic Products, 2007-17 (CAGR)
• The Indian Market for Patient Aids, 2007-17 (US$ millions)
• The Indian Market for Patient Aids, 2007-17 (CAGR)
• The Indian Market for Other Medical Devices, 2007-17 (US$ millions)
• The Indian Market for Other Medical Devices, 2007-17 (CAGR)
• Medical Device Imports, 2001-2011
• Change in Medical Device Imports, 2002-2011
• CAGR of Medical Imports by Product Area, 2007-11 (%)
• Medical Imports by Product Area, 2011 (%)
• Leading Medical Equipment Suppliers, 2011 (%)
• Medical Device Exports, 2001-2011
• Change in Medical Device Exports, 2002-2011 (%)
• CAGR of Medical Exports by Product Area, 2007-11 (%)
• Medical Exports by Product Area, 2011 (%)
• Leading Medical Equipment Destinations, 2011 (%)

Russia Medical Device Intelligence Report Q2 2013

EXECUTIVE SUMMARY

KEY BACKGROUND DATA

• Geographic
• Political
• Economic
• Healthcare System
  • Concept for the Development of the Healthcare Sector until 2020
  • National Health Project
    • Project Funding
    • Salary Increases for Healthcare Personnel
    • Procurement of New Equipment
    • Construction of Medical Centres
    • Increasing the Availability of Advanced Medical Treatment
    • Prenatal and Postnatal Care
    • Reducing the Mortality Rate Linked to Cardiovascular Diseases and Road Accidents
    • Reducing the Mortality Rate Linked to Cancer
  • Regional Healthcare Modernisation Programme
    • Interim Results of the Regional Healthcare Modernisation Programme
    • Programme Extension
    • Three-Tier System of Healthcare Provision
  • Shortage of Doctors
• Health Expenditure

MARKET DEVELOPMENTS

• Strong Market Growth Expected until 2017
  • Government Funding for the Screening of Newborns
  • New Patient Database Network to be Introduced in 2013
  • New National Healthcare Development Plan for the 2013-20 Period
  • Strategy for the Development of Medical Science
  • Regional Healthcare Modernisation Programme Extended in 2013
• Interim Results of the Regional Healthcare Modernisation Programme
  • Improved Demographic Indicators in 2012
• Increased Availability of Advanced Medical Treatment

MEDICAL MARKET ANALYSIS

• Overview
• The Market in 2012
• Past Performance 2007-2011
• Future Performance 2012-2017
• The Russian Market for Consumables
• The Russian Market for Diagnostic Imaging
• The Russian Market for Dental Products
• The Russian Market for Orthopaedic & Prosthetic Products
• The Russian Market for Patient Aids
• The Russian Market for Other Medical Devices

ANNUAL IMPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic & Prosthetic Products
• Patient Aids

MONTHLY IMPORTS

ANNUAL EXPORTS

• Consumables
• Diagnostic Imaging
• Dental Products
• Orthopaedic Products
• Patient Aids

MONTHLY EXPORTS

DOMESTIC PRODUCTION

• Strategy for the Development of Medical Science
• Government Programme for the Development of the Medical Device Industry
• Trade Association
  • SPECTR-GRUPP

DOMESTIC MANUFACTURING

• Local Manufacturers
  • Amico
  • AngioSkan
  • Cardex
  • Conmet Holding
  • Elamed
  • Electron
  • ELEPS
  • Krylo
  • Lenigrad Optical & Mechanical Enterprise (LOMO)
  • Medicom-MTD
  • Medetek
  • Mitsar
  • Monitor
  • Polyus Research & Development Institute
  • SpectrAP
  • Spectromed
  • SPF BIOSS
  • Triton Electronic Systems
  • XEMA
  • Zelenograd Innovation Technology Centre of Medical Equipment (ZITC-MT)

MULTINATIONAL ACTIVITY

ACCESSING THE MARKET

• Distribution
• Trade Fair
  • International Exhibition for Healthcare, Medical Engineering and Pharmaceuticals 2013

MEDICAL DEVICE REGULATIONS

• Public Procurement
  • 2002 VAT Exemptions for Medical Equipment

METHODOLOGY & SOURCES

• Trade Code Classifications
• Methodology
• Sources

LIST OF TABLES

• Espicom Analysis of the Russian Medical Market, 2013
• SWOT Analysis of the Russian Medical Device Market, 2013
• Key Economic Projections, 2013-18
• Summary of Key Data, 2006-12
• Russian Medical Device Market, Key Ratios, 2012
• Russian Medical Device Market by Category, 2012
• Projected Medical Device Market, 2012-2017
• The Russian Medical Device Market, 2007-2017 (US$ Per Capita)
• The Russian Medical Device Market, 2007-2017 (% of Total)
• The Russian Medical Device Market, 2007-2017 (% Change)
• The Russian Consumables Market, 2007-2017 (US$ millions)
• The Russian Consumables Market, 2007-2017 (US$ Per Capita)
• The Russian Consumables Market, 2007-2017 (% Change)
• The Russian Diagnostic Imaging Market, 2007-2017 (US$ millions)
• The Russian Diagnostic Imaging Market, 2007-2017 (US$ Per Capita)
• The Russian Diagnostic Imaging Market, 2007-2017 (% Change)
• The Russian Dental Products Market, 2007-2017 (US$ millions)
• The Russian Dental Products Market, 2007-2017 (US$ Per Capita)
• The Russian Dental Products Market, 2007-2017 (% Change)
• The Russian Orthopaedic & Prosthetic Products Market, 2007-2017 (US$ millions)
• The Russian Orthopaedic & Prosthetic Products Market, 2007-2017 (US$ Per Capita)
• The Russian Orthopaedic & Prosthetic Products Market, 2007-2017 (% Change)
• The Russian Patient Aids Market, 2007-2017 (US$ millions)
• The Russian Patient Aids Market, 2007-2017 (US$ Per Capita)
• The Russian Patient Aids Market, 2007-2017 (% Change)
• The Russian Other Medical Devices Market, 2007-2017 (US$ millions)
• The Russian Other Medical Devices Market, 2007-2017 (US$ Per Capita)
• The Russian Other Medical Devices Market, 2007-17 (% Change)
• Summary Medical Equipment Imports by Product Area, 2007-2011 (US$000s)
• Summary Medical Equipment Imports by Product Area, 2008-2011 (US$000s % Change)
• Summary Medical Equipment Imports by Product Area, 2007-2011 (000s Roubles)
• Summary Medical Equipment Imports by Product Area, 2008-2011 (Roubles % Change)
• Summary Medical Equipment Imports by Product Area, 2007-2011 (% of Total)
• Leading Medical Equipment Suppliers by Product Area, 2011 (US$000s)
• Leading Medical Equipment Suppliers by Product Area, 2011 (%)
• Top 20 Suppliers to the Russian Market, 2011 (US$000s)
• Detailed Imports of Medical Equipment, 2007-2011 (US$000s)
• Detailed Imports of Medical Equipment, 2007-2011 (Growth Trends)
• Detailed Imports, Leading Suppliers, 2011 (US$000s)
• MONTHLY IMPORTS of Medical Equipment, February 2010-August 2012 (US$ Millions)
• Summary Medical Equipment Exports by Product Area, 2007-2011 (US$000s)
• Summary Medical Equipment Exports by Product Area, 2007-2011 (US$000s % Change)
• Summary Medical Equipment Exports by Product Area, 2007-2011 (Roubles 000s)
• Summary Medical Equipment Exports by Product Area, 2007-2011 (Roubles % Change)
• Summary Medical Equipment Exports by Product Area, 2007-2011 (% of Total)
• Leading Medical Equipment Destinations by Product Area, 2011 (US$000s)
• Leading Medical Equipment Destinations by Product Area, 2011 (%)
• Top 20 Destinations for Hungarian Exports, 2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-2011 (US$000s)
• Detailed Exports of Medical Equipment, 2007-2011 (Growth Trends)
• Detailed Exports, Leading Destination, 2011 (US$000s)
• Balance of Medical Trade, 2007-2011 (US$000s)
• MONTHLY EXPORTS of Medical Equipment, February 2010-August 2012 (US$ Millions)
• SPECTR-GRUPP Member Companies, 2013
• HS Trade Codes Used in This Report
• HS Trade Codes, Rearranged

LIST OF CHARTS

• Russian Medical Device Market by Category, 2012 (%)
• Change in the Russian Medical Device Market, 2007-2017 (%)
• CAGR of the Russian Medical Device Market by Product Area, 2007-2011 (%)
• Market Projections, 2012-2017 (US$millions)
• Projected CAGR of Medical Device Market by Product Area, 2012-2017 (%)
• The Russian Medical Device Market, 2007-2017 (US$ millions)
• The Russian Market for Consumables, 2007-2017 (US$ millions)
• The Russian Market for Consumables, 2007-2017 (CAGR)
• The Russian Market for Diagnostic Imaging, 2007-2017 (US$ millions)
• The Russian Market for Diagnostic Imaging, 2007-2017 (CAGR)
• The Russian Market for Dental Products, 2007-2017 (US$ millions)
• The Russian Market for Dental Products, 2007-2017 (CAGR)
• The Russian Market for Orthopaedic & Prosthetic Products, 2007-2017 (US$ millions)
• The Russian Market for Orthopaedic & Prosthetic Products, 2007-2017 (CAGR)
• The Russian Market for Patient Aids, 2007-2017 (US$ millions)
• The Russian Market for Patient Aids, 2007-2017 (CAGR)
• The Russian Market for Other Medical Devices, 2007-2017 (US$ millions)
• The Russian Market for Other Medical Devices, 2007-2017 (CAGR)
• Medical Imports, 2001-2011 (US$ millions)
• Change in Medical Imports, 2002-2011 (%)
• CAGR of Medical Imports by Product Area, 2007-2011 (%)
• Medical Equipment Imports by Product Area, 2011 (%)
• Leading Medical Equipment Suppliers, 2011 (%)
• Exports of Medical Equipment, 2001-2011 (US$000s)
• Change in Medical Exports, 2002-2011 (%)
• CAGR of Medical Exports by Product Area, 2007-2011 (%)
• Medical Equipment Exports by Product Area, 2011 (%)
• Leading Medical Equipment Destinations, 2011 (%)

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