Japanese Markets for Interventional Cardiology Devices 2009

This publication has been discontinued on May 9, 2011.

Below is the updated product.

Introduction

Abstract

The Japanese interventional cardiology (IC) device market comprises the sale of coronary stents, percutaneous transluminal coronary angioplasty balloon catheters, accessory devices, and intravascular imaging catheters. Over the forecast period, unit sales will be driven by an increasing number of percutaneous coronary interventions performed to treat coronary artery disease. In 2009 and 2010, the introduction of four new drug-eluting stent (DES) brands will boost usage of premium-priced DES through 2014. The Japanese government is making great attempts to curb health care spending and through biennial reimbursement cuts is pressuring hospitals to limit device use. The combination of these factors will result in a continued drop in revenues through 2014. Prices will erode severely due to increased market competition, and reimbursement cuts imposed by the Japanese Ministry of Health, Labour and Welfare (MHLW) will impact revenues considerably.

Methodology

Research Methodology

The following report uses a number of methodologies to gather and present data and analysis. At the outset, a large survey of secondary sources is conducted. These sources act as the basis for the primary research stage, which builds and enhances the quantitative and qualitative attributes of the early research.

Secondary sources include:

• Government Sources:
  • Securities and Exchange Commission filings
  • Food and Drug Administration and patent filings
  • National Center for Health Statistics data
• Interventional Cardiology (IC) Device Companies:
  • Annual reports, product brochures, corporate profiles, etc.
• Internal Databases and Reports:
  • Previous reports on similar/related sources
• General Internet Searches, Medical Literature, and Newspaper/Magazine Searches:
  • Identifying various centers of specialization and articles that might provide leads for primary research.

The secondary research stage builds the foundation for the primary research.

The primary research methodology has four steps:

Step 1: The first step involves an impartial scan of all the information gathered during the secondary research stage to determine its utility based on the specific requirements of this report. Each piece of information is, thus, either discarded or marked as high or low priority. It is then organized appropriately as determined by the structure and sectioning of the report.

Step 2: At this stage, early assumptions are formed as to the implications of the information for the various IC device market segments. These assumptions are then used to determine hypotheses using both inductive and deductive approaches. On the quantitative front, these hypotheses result in full historical and projected market data sets (market sizes [units and US$] and market shares).

Step 3: At this stage, the research is in position for its most important primary phase - expert interviews. Throughout the secondary research, industry and medical experts are identified. These experts are now contacted by telephone and asked to participate in interviews on recent trends and developments in the industry.

Interviews are either conducted at the time of the initial call or scheduled at the convenience of the expert. Interview questions are tailored to the expertise of the particular interviewee, although in most cases, the most important questions are asked of all experts. The questions are largely based on the assumptions and hypotheses developed in Step 2, which are then either augmented, discarded, or adjusted, based on the views and positions put forth. Attempts are made, whenever possible, to cross-check the views of various experts against each other and reach positions of consensus on issues and market numbers.

Step 4: The final stage of primary research involves individual and group analysis by Millennium Research Group. All research results are assessed and cross-checked thoroughly to determine their validity, relevance, and weight. From this process, qualitative conclusions are reached and data points finalized.

Table of Contents

TABLE OF CONTENTS

LIST OF EXHIBITS

EXECUTIVE SUMMARY

METHODOLOGY

1.0 JAPANESE INTERVENTIONAL CARDIOLOGY DEVICE MARKET

• 1.1 Market Overview
• 1.2 Coronary Artery Disease Overview
• 1.3 Treatment Overview
  • 1.3.1 Medical Management
  • 1.3.2 Coronary Artery Bypass Graft Surgery
  • 1.3.3 Percutaneous Coronary Intervention
    • 1.3.3.1 Stenting
    • 1.3.3.2 Percutaneous Transluminal Balloon Angioplasty
• 1.4 Market Analysis
  • 1.4.1 Key Report Updates
  • 1.4.2 Japanese Health Care System Overview
    • 1.4.2.1 Japanese Medical Device Reimbursement
  • 1.4.3 Economic Assumptions for the Forecast Period
  • 1.4.4 Procedures
  • 1.4.5 Market Forecast
  • 1.4.6 Market Drivers and Limiters
• 1.5 Competitive Analysis
  • 1.5.1 Market Shares

2.0 CORONARY STENT MARKET

• 2.1 Market Overview
• 2.2 Market Analysis
  • 2.2.1 Procedures
  • 2.2.2 Market Forecast
    • 2.2.2.1 Drug-Eluting Stent Market
    • 2.2.2.2 Bare-Metal Stent Market
  • 2.2.3 Market Drivers and Limiters
• 2.3 Competitive Analysis
  • 2.3.1 Market Shares
  • 2.3.2 Competitor Discussions (Alphabetical Order)
    • Abbott Vascular
    • Boston Scientific
    • Cordis
    • Medtronic
    • Terumo Medical
    • Other

3.0 PTCA BALLOON CATHETER MARKET

• 3.1 Market Overview
• 3.2 Market Analysis
  • 3.2.1 Procedures
  • 3.2.2 Market Forecast
  • 3.2.3 Market Drivers and Limiters
• 3.3 Competitive Analysis
  • 3.3.1 Market Shares
  • 3.3.2 Competitor Discussions (in Alphabetical Order)
    • Abbott Vascular
    • Boston Scientific
    • Goodman Co., Ltd.
    • Kaneka Medix
    • Medtronic
    • Terumo Medical
    • Other

4.0 ACCESSORY DEVICE MARKET

• 4.1 Market Overview
• 4.2 Market Analysis
  • 4.2.1 Procedures
  • 4.2.2 Market Forecast
  • 4.2.3 Market Drivers and Limiters
• 4.3 Competitive Analysis
  • 4.3.1 Market Shares
  • 4.3.2 Competitor Discussions (in Alphabetical Order)
    • Abbott Vascular
    • ASAHI INTECC
    • Boston Scientific
    • CATHEX
    • Cordis
    • Goodman Co., Ltd.
    • Medtronic
    • Terumo Medical
    • Togo Medikit (a Medikit Company)
    • Zeon Medical
    • Other

5.0 INTRAVASCULAR IMAGING CATHETER MARKET

• 5.1 Market Overview
• 5.2 Market Analysis
  • 5.2.1 Procedures
  • 5.2.2 Market Forecast
  • 5.2.3 Market Drivers and Limiters
• 5.3 Competitive Analysis
  • 5.3.1 Market Shares
  • 5.3.2 Competitor Discussions (in Alphabetical Order)
    • Boston Scientific
    • Goodman Co., Ltd.
    • Terumo Medical
    • Volcano

APPENDIX A: MRG ACRONYMS AND INITIALISMS

APPENDIX B: SUPPLEMENTAL EXHIBITS

List of Exhibits

EXECUTIVE SUMMARY

• Exhibit 1: IC Device Market, Japan (US$), 2008 - 2014
• Exhibit 2: Coronary Stent Revenues, by Stent Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 3: PCIs, by Type, Japan, 2008 - 2014
• Exhibit 4: Accessory Device Market, Japan (US$), 2008 - 2014
• Exhibit 5: IV Imaging Catheter Market, Japan (US$), 2008 - 2014
• Exhibit 6: Leading Competitors in the IC Device Market, Japan, 2009

METHODOLOGY

• Exhibit 7: Currency Exchange Rates, 2008

CHAPTER 1: JAPANESE INTERVENTIONAL CARDIOLOGY DEVICE MARKET

• Exhibit 8: IC Device Market, Japan (US$), 2008 - 2014
• Exhibit 9: CAD Treatment Options
• Exhibit 10: Key Report Updates, 2009
• Exhibit 11: IC Procedures, by Type, Japan, 2008 - 2014 (Graphical Format)
• Exhibit 12: IC Procedures, by Type, Japan, 2008 - 2014 (Tabular Format)
• Exhibit 13: PCIs, by Type, Japan, 2008 - 2014
• Exhibit 14: IC Device Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 15: IC Device Market, by Segment, Japan (US$ and ¥), 2008 - 2014
• Exhibit 16: Drivers of the IC Device Market, Japan
• Exhibit 17: Limiters of the IC Device Market, Japan
• Exhibit 18: Leading Competitors in the IC Device Market, by Segment, as a % of Total, Japan, 2009

CHAPTER 2: CORONARY STENT MARKET

• Exhibit 19: Coronary Stent Market, Japan (US$), 2008 - 2014
• Exhibit 20: Coronary Stent Procedures, by Type, Japan, 2008 - 2014
• Exhibit 21: Coronary Stent Procedures and Units, by Stent Type, Japan, 2008 - 2014
• Exhibit 22: Coronary Stent Procedure and Unit Growth, by Stent Type, Japan, 2009 - 2014
• Exhibit 23: Coronary Stent Procedures and Units, by Stent Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 24: Coronary Stent Market, by Stent Type, Japan (US$), 2008 - 2014 (Graphical Format)
• Exhibit 25: Coronary Stent Market, by Stent Type, Japan (US$), 2008 - 2014 (Tabular Format)
• Exhibit 26: Coronary Stent Market, by Stent Type, Japan (¥), 2008 - 2014
• Exhibit 27: Coronary Stent Market Growth, by Stent Type, Japan, 2009 - 2014
• Exhibit 28: Coronary Stent Market, by Stent Type, as a % of Total, Japan, 2008 - 2014
• Exhibit 29: DES ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 30: BMS ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 31: Drivers of the Coronary Stent Market, Japan
• Exhibit 32: Limiters of the Coronary Stent Market, Japan
• Exhibit 33: Leading Competitors in the Coronary Stent Market, by Stent Type, as a % of Total, Japan, 2009

CHAPTER 3: PTCA BALLOON CATHETER MARKET

• Exhibit 34: PTCA Balloon Catheter Market, Japan (US$), 2008 - 2014
• Exhibit 35: PTCA Balloon Catheter Procedures, by Type, Japan, 2008 - 2014
• Exhibit 36: PTCA Balloon Catheter Units, Japan, 2008 - 2014
• Exhibit 37: PTCA Balloon Catheter Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 38: PTCA Balloon Catheter Market, by Segment, Japan (¥), 2008 - 2014
• Exhibit 39: PTCA Balloon Catheter Market Growth, by Segment, Japan, 2009 - 2014
• Exhibit 40: PTCA Balloon Catheter Market, by Segment, as a % of Total, Japan, 2008 - 2014
• Exhibit 41: Normal Balloon Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 42: Cutting Balloon Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 43: Drivers of the PTCA Balloon Catheter Market, Japan
• Exhibit 44: Limiters of the PTCA Balloon Catheter Market, Japan
• Exhibit 45: Leading Competitors in the PTCA Balloon Catheter Market, as a % of Total, Japan, 2009

CHAPTER 4: ACCESSORY DEVICE MARKET

• Exhibit 46: Accessory Device Market, Japan (US$), 2008 - 2014
• Exhibit 47: IC Procedures, by Type, Japan, 2008 - 2014
• Exhibit 48: Accessory Device Market, by Segment, Japan (US$ and ¥), 2008 - 2014
• Exhibit 49: PTCA Guidewire Units, Japan, 2008 - 2014
• Exhibit 50: PTCA Guidewire Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 51: PTCA Guidewire Market, by Segment, Japan (¥), 2008 - 2014
• Exhibit 52: PTCA Guidewire Market Growth, by Segment, Japan, 2009 - 2014
• Exhibit 53: PTCA Guidewire Market, by Segment, as a % of Total, Japan, 2008 - 2014
• Exhibit 54: Workhorse Guidewire Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 55: Specialty Guidewire Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 56: PTCA Guiding Catheter Units, Japan, 2008 - 2014
• Exhibit 57: PTCA Guiding Catheter Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 58: PTCA Guiding Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 59: Diagnostic Catheter Units, Japan, 2008 - 2014
• Exhibit 60: Diagnostic Catheter Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 61: Diagnostic Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 62: Introducer Sheath Units, Japan, 2008 - 2014
• Exhibit 63: Introducer Sheath Market, Japan (US$ and ¥), 2008 - 2014
• Exhibit 64: Introducer Sheath ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 65: Drivers of the Accessory Device Market, Japan
• Exhibit 66: Limiters of the Accessory Device Market, Japan
• Exhibit 67: Leading Competitors in the Accessory Device Market, by Segment, as a % of Total, Japan, 2009

CHAPTER 5: INTRAVASCULAR IMAGING CATHETER MARKET

• Exhibit 68: IV Imaging Catheter Market, Japan (US$), 2008 - 2014
• Exhibit 69: IV Imaging Procedures, by Type, Japan, 2008 - 2014
• Exhibit 70: IV Imaging Catheter Market, by Segment, Japan (US$), 2008 - 2014
• Exhibit 71: IV Imaging Catheter Market, by Segment, Japan (¥), 2008 - 2014
• Exhibit 72: IV Imaging Catheter Market Growth, by Segment, Japan, 2009 - 2014
• Exhibit 73: IV Imaging Catheter Market, by Segment, as a % of Total, Japan, 2008 - 2014
• Exhibit 74: IVUS Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 75: OCT Catheter ASPs and Reimbursement, Japan (¥), 2008 - 2014
• Exhibit 76: Drivers of the IV Imaging Catheter Market, Japan
• Exhibit 77: Limiters of the IV Imaging Catheter Market, Japan
• Exhibit 78: Leading Competitors in the IV Imaging Catheter Market, by Segment, as a % of Total, Japan, 2009

APPENDIX B: SUPPLEMENTAL EXHIBITS

• Exhibit 79: IC Device Market, by Segment, Japan (US$), 2008 - 2014 (Detailed Format)
• Exhibit 80: Coronary Stent Sales, by Type, as a % of Total, Japan, 2008 - 2014 (Detailed Format)
• Exhibit 81: PCIs, by Type, Japan, 2008 - 2014 (Detailed Format)
• Exhibit 82: Accessory Device Market, Japan (US$), 2008 - 2014 (Detailed Format)
• Exhibit 83: IV Imaging Catheter Market, Japan (US$), 2008 - 2014 (Detailed Format)

Related Reports