European Market Report for Stone Treatment Devices 2016 - MedCore

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Date: 01-Sep-2016
No. of pages: 155
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Description

The total market for stone management devices includes ESWL capital equipment, Holmium laser fibers, stone fragment retrieval devices and ureteral stents. These products are often used during endoscopic stone management procedures either in conjunction with ISWL procedures or by themselves. Growth in demand for nitinol stone fragment retrieval devices will bolster this segment's market value. Procedures involving Holmium lasers are known as laser lithotripsy procedures; only Holmium lasers are used in stone management. The ESWL device market is expected to maintain stable growth. There is a trend of urologists moving from one- or two-person practices to hospital employment, which limits unit sales growth for capital equipment. Most units sold in the ESWL market will be replacement units.

Abstract

There are numerous methods for treating and removing kidney and urinary stones. Treatments can be classified as either extracorporeal or endoscopic stone management procedures. Extracorporeal shock wave lithotripsy (ESWL) treatment uses an ultrasound device to fragment the stone until it is small enough to be passed through the urethra. This is a non-invasive outpatient procedure that generally takes one hour to complete and is performed under local anesthesia. Typically, ESWL is used for small- to medium-sized stones between 1/6 inch and one inch in size. On average, stones re-form in 20% of ESWL patients because fragments are not completely excreted. Complications associated with ESWL include blocked urine flow from fragments in the urinary tract, bleeding and urinary tract infection. In addition, ESWL is rarely used on cystine kidney stones because these do not break up easily.

Companies


  • Coloplast

  • Wellspect HealthCare

  • Teleflex

  • Hollister

  • C. R. Bard

  • Boston Scientific

  • Karl Storz

  • Olympus

  • Manfred Sauer

  • Lumenis

  • Covidien

  • Richard Wolf

  • Cook Medical

  • Dornier MedTech

  • Eckert & Ziegler BEBIG

  • GE Healthcare (Oncura)


Others include: Ace Medical Devices, Ackermann, Advanced Shockwave Technology, Agency for Medical Innovations (A.M.I.), Allium Medical, Amecath, Apexmed International, Applied Medical, AprioMed, Aspide, Astora, B. Braun, Bactiguard, Best Medical, BioDerm, Biolitec, Boston Scientific, Caldera Medical, CL Medical, Convatec, Convergent Laser Technologies, Cook Medical, Cousin Biotech, Cure Medical, Direx, DynaMesh, EDAP TMS, Electro Medical Systems, Elekta, Ethicon, Helioscopie, IsoAid, Karl Storz, LocaMed, Medispec, MTS Medical, Neomedic International, Olympus, PercSys, Poiesis Medical, Promedon, Quanta Systems, ROCAMED, Siemens, Sopro-Comeg, Stahl Endoscopy, Stryker, Theragenics (BXT Accelyon), Trimedyne, Vygon, Zephyr Surgical Implants, etc.

European Market Report for Stone Treatment Devices 2016 - MedCore

Table of Contents

Table Of Contents I
List Of Figures Xiii
List Of Charts Xvii

Executive Summary 1
European Urological Device Market Overview 1
Competitive Analysis 3
Market Trends 6
Market Developments 8
Markets Included 9
Procedures Included 11
Key Report Updates 12
Version History 12

Research Methodology 13
1.1 Research Scope 13
1.2 Idata's 9-Step Methodology 13
Step 1: Project Initiation & Team Selection 13
Step 2: Prepare Data Systems and Perform Secondary Research 15
Step 3: Preparation for Interviews & Questionnaire Design 16
Step 4: Performing Primary Research 17
Step 5: Research Analysis: Establishing Baseline Estimates 19
Step 6: Market Forecast and Analysis 20
Step 7: Identify Strategic Opportunities 22
Step 8: Final Review and Market Release 23
Step 9: Customer Feedback and Market Monitoring 24

Disease Overview 25
2.1 Basic Anatomy 25
2.1.1 Human Urinary System 25
2.2 Urinary Pathology And Disorders 26
2.2.1 Benign Prostate Hyperplasia (BPH) 26
2.2.2 Urinary Incontinence 27
2.2.3 Urinary Tract Infections (UTI) 27
2.2.4 Kidney Stones 28
2.2.5 Bladder Prolapse 29
2.2.6 Overactive Bladder 29
2.2.7 Prostatitis 30
2.2.8 Erectile Dysfunction (ED) 30
2.2.9 Cancer 31
2.2.9.1.1 Prostate Cancer 31
2.2.9.1.2 Bladder Cancer 32
2.3 Patient Demographics 34
2.3.1 Benign Prostatic Hyperplasia 34
2.3.2 Urinary Incontinence 34
2.3.3 UTI 35
2.3.4 Kidney Stones 35
2.3.5 Erectile Dysfunction 36
2.3.6 Overactive Bladder 37
2.3.7 Prostatitis 37
2.3.8 Cancer 38
2.3.8.1 Prostate Cancer 38
2.3.8.2 Bladder Cancer 38

Product Assessment 40
3.1 Product Portfolios 40
3.1.1 Stone Management 40
3.2 Clinical Trials 47
3.2.1 Boston Scientific 48
3.2.2 C.R. Bard 55
3.2.3 Coloplast 61
3.2.4 Dornier MedTech 63
3.2.5 Ethicon 64
3.2.6 GE (Oncura) 65
3.2.7 Hollister 66
3.2.8 Lumenis 67
3.2.9 Olympus 69
3.2.10 Teleflex 70
3.2.11 WellSpect Healthcare 71

Country Profiles 72
4.1 Introduction 72
4.1.1.1 Population 72
4.1.1.2 Median Age 72
4.1.1.3 GDP Per Capita 72
4.1.1.4 Price Index 72
4.2 Germany 74
4.3 France 75
4.4 United Kingdom 76
4.5 Italy 77
4.6 Spain 78
4.7 Benelux 79
4.8 Scandinavia 80
4.9 Austria 81
4.10 Switzerland 82
4.11 Portugal 83

Stone Treatment Device Market 84
5.1 Introduction 84
5.2 Market Overview 86
5.3 Market Analysis And Forecast 91
5.3.1 Total Stone Treatment Device Market 91
5.3.2 Extracorporeal Shock Wave Lithotripsy Device Market 92
5.3.3 Holmium Laser Fiber Market 94
5.3.4 Total Stone Fragment Retrieval Device Market 101
5.3.4.1 Nitinol Basket Market 109
5.3.4.2 Nitinol Grasper Market 116
5.3.4.3 Stainless Steel Basket Market 123
5.3.4.4 Stainless Steel Grasper Market 130
5.3.5 Ureteral Stent Market 137
5.4 Drivers And Limiters 144
5.4.1 Market Drivers 144
5.4.2 Market Limiters 145
5.5 Competitive Market Share Analysis 146

Abbreviations 153

Appendix II: Company Press Releases 155

List of Charts

Chart 1 1: Total Urological Device Market, Europe, 2012 - 2022 2
Chart 1 2: Total Urological Device Market Overview, Europe, 2015 & 2022 2
Chart 4 1: Country Profile, Germany, 2015 74
Chart 4 2: Country Profile, France, 2015 75
Chart 4 3: Country Profile, United Kingdom, 2015 76
Chart 4 4: Country Profile, Italy, 2015 77
Chart 4 5: Country Profile, Spain, 2015 78
Chart 4 6: Country Profile, Benelux, 2015 79
Chart 4 7: Country Profile, Scandinavia, 2015 80
Chart 4 8: Country Profile, Austria, 2015 81
Chart 4 9: Country Profile, Switzerland, 2015 82
Chart 4 10: Country Profile, Portugal, 2015 83
Chart 5 1: Stone Treatment Device Market by Segment, Europe, 2012 - 2022 89
Chart 5 2: Stone Treatment Device Market Breakdown, Europe, 2015 90
Chart 5 3: Stone Treatment Device Market Breakdown, Europe, 2022 90
Chart 5 4: Extracorporeal Shock Wave Lithotripsy Device, Europe, 2012 - 2022 93
Chart 5 5: Holmium Laser Fiber Market, Europe, 2012 - 2022 95
Chart 5 6: Total Stone Fragment Retrieval Device Market, Europe, 2012 - 2022 103
Chart 5 7: Nitinol Basket Market, Europe, 2012 - 2022 110
Chart 5 8: Nitinol Grasper Market, Europe, 2012 - 2022 117
Chart 5 9: Stainless Steel Basket Market, Europe, 2012 - 2022 124
Chart 5 10: Stainless Steel Grasper Market, Europe, 2012 - 2022 131
Chart 5 11: Ureteral Stent Market, Europe, 2012 - 2022 138
Chart 5 12: Leading Competitors, Stone Treatment Device Market, Europe, 2015 152

List of Figures

Figure 1 1: Urological Device Competitor Market Share Ranking by Segment, Europe, 2015 (1 of 2) 3
Figure 1 2: Urological Device Competitor Market Share Ranking by Segment, Europe, 2015 (2 of 2) 4
Figure 1 3: Companies Mentioned in Report 5
Figure 1 4: Factors Impacting the Urological Device Market by Segment, Europe (1 of 2) 6
Figure 1 5: Factors Impacting the Urological Device Market by Segment, Europe (2 of 2) 7
Figure 1 6: Recent Events in Urological Device Market, Europe, 2012 - 2016 8
Figure 1 7: Urological Device Markets Covered, Europe, 2015, (Part 1 of 2) 9
Figure 1 8: Urological Device Markets Covered, Europe, 2015, (Part 2 of 2) 10
Figure 1 9: Urological Procedures Covered, Europe, 2015 11
Figure 1 10: Key Report Updates 12
Figure 1 11: Version History 12
Figure 3 1: Stone Management Products by Company 41
Figure 3 2: Safety and Effectiveness of Jetstream Atherectomy System (J-SUPREME) 48
Figure 3 3: Investigational Device Evaluation of the WATCHMAN FLX™ LAA Closure Technology (PINNACLE FLX) 48
Figure 3 4: Microparticle Enhanced Cytotoxic Transarterial Embolization Therapy (MIRACLEIII) 49
Figure 3 5: Watchman FLX Left Atrial Appendage Closure Device Post Approval Study 49
Figure 3 6: Expanding MRI Access for Patients With New and Existing ICDs and CRT-Ds ( ENABLE MRI) (ENABLE MRI) 50
Figure 3 7: Observation of ImageReady™ MR Conditional Pacing System in China 50
Figure 3 8: EVOLVE Short DAPT Study 51
Figure 3 9: ELUVIA™ Drug-eluting Stent Versus Zilver® PTX® Stent (IMPERIAL) 51
Figure 3 10: CoverEdge Algorithm Programming Study 52
Figure 3 11: Safety and Efficacy Study of Lotus Valve for Transcatheter Aortic Valve Replacement 52
Figure 3 12: The Captivator EMR Registry 53
Figure 3 13: FAST Feasibility Study 53
Figure 3 14: Using the Vessix Renal Denervation System for the Treatment of Hypertension 54
Figure 3 15: A Study to Evaluate the Effect of Precision Spectra™ Programming 54
Figure 3 16: Clinical Study of the BARD® COVERA™ Arteriovenous (AV) Stent Graft 55
Figure 3 17: Study of Phasix™ Mesh for VHWG Grade 3 Midline Hernia Repair 55
Figure 3 18: A Single Arm Trial Evaluating the BARD Lutonix Drug-Coated Balloon 56
Figure 3 19: Korean Post-market Registry Assessing the Clinical Use and Safety of the Lutonix 56
Figure 3 20: A Prospective Trial of a Bio-absorbable Mesh 57
Figure 3 21: A Post-Market, Single-Arm Trial of XenMatrix™ AB Surgical Graft 57
Figure 3 22: BARD® The VENOVO™ Venous Stent Study 58
Figure 3 23: Clinical Study of the BARD® COVERA™ Arteriovenous (AV) Stent Graft (AVeNEW) 58
Figure 3 24: Time and Motion Related to PICC Insertion Process and Catheter Tip Confirmation 59
Figure 3 25: Prospective Feasibility Trial of AccuCath 2.25" BC 59
Figure 3 26: Study Comparing Lutonix AV Drug Coated Balloon vs Standard Balloon for Treatment 60
Figure 3 27: Assessing the Clinical Use of the Lutonix 035 Drug Coated Balloon Catheter 60
Figure 3 28: Investigation of Two New 1-piece Ostomy Products 61
Figure 3 29: Investigation of a New 2-piece Ostomy Product 61
Figure 3 30: Altis® 522 Trial - Treatment of Female Stress Urinary Incontinence 62
Figure 3 31: ARIES for Vasculogenic Erectile Dysfunction 63
Figure 3 32: The EVICEL® Neurosurgery Phase III Study 64
Figure 3 33: Powered Surgical Stapler in VATS Lung Resection Procedures in China 64
Figure 3 34: Development of a MR Scanner Capable of Being Sited in a Neonatal Intensive Care Unit 65
Figure 3 35: Clinical Evaluation of a Dual Energy CT System 65
Figure 3 36: Assessment of a Oral Endotracheal Tube Fastener 66
Figure 3 37: Utilizing Holmium Laser for FURS Renal Stone Lithotripsy 67
Figure 3 38: Ablation Efficacy of Contact Side Firing Fiber in Predefined Settings for Treating BPH. 67
Figure 3 39: Feasibility of IPL for Reducing Dry Eye Symptoms Caused by MGD 68
Figure 3 40: Radiofrequency Ablation for Multi-level Obstructive Sleep Apnea 69
Figure 3 41: Evaluation and Control of WAG in PACU Within Patient and Caregiver Breathing Zone 70
Figure 3 42: Evaluation of a Novel Electronic Transanal Irrigation System - Navina™ Smart 71
Figure 5 1: Stone Treatment Device Market by Segment, Europe, 2012 - 2022 (€M) 87
Figure 5 2: Stone Treatment Device Market by Segment, Europe, 2012 - 2022 (US$M) 88
Figure 5 3: Extracorporeal Shock Wave Lithotripsy Device Market, Europe, 2012 - 2022 (€ and US$) 93
Figure 5 4: Holmium Laser Fiber Market, Europe, 2012 - 2022 (€ and US$) 95
Figure 5 5: Units Sold by Country, Holmium Laser Fiber Market, Europe, 2012-2022 96
Figure 5 6: Average Sales Price by Country, Holmium Laser Fiber Market, Europe, 2012-2022 (€) 97
Figure 5 7: Average Sales Price by Country, Holmium Laser Fiber Market, Europe, 2012-2022 (US$) 98
Figure 5 8: Market Value by Country, Holmium Laser Fiber Market, Europe, 2012-2022 (€M) 99
Figure 5 9: Market Value by Country, Holmium Laser Fiber Market, Europe, 2012-2022 (US$M) 100
Figure 5 10: Total Stone Fragment Retrieval Device Market, Europe, 2012 - 2022 (€ and US$) 102
Figure 5 11: Units Sold by Country, Total Stone Fragment Retrieval Device Market, Europe, 2012-2022 104
Figure 5 12: Average Sales Price by Country, Total Stone Fragment Retrieval Device Market, Europe, 2012-2022 (€) 105
Figure 5 13: Average Sales Price by Country, Total Stone Fragment Retrieval Device Market, Europe, 2012-2022 (US$) 106
Figure 5 14: Market Value by Country, Total Stone Fragment Retrieval Device Market, Europe, 2012-2022 (€M) 107
Figure 5 15: Market Value by Country, Total Stone Fragment Retrieval Device Market, Europe, 2012-2022 (US$M) 108
Figure 5 16: Nitinol Basket Market, Europe, 2012 - 2022 (€ and US$) 109
Figure 5 17: Units Sold by Country, Nitinol Basket Market, Europe, 2012-2022 111
Figure 5 18: Average Sales Price by Country, Nitinol Basket Market, Europe, 2012-2022 (€) 112
Figure 5 19: Average Sales Price by Country, Nitinol Basket Market, Europe, 2012-2022 (US$) 113
Figure 5 20: Market Value by Country, Nitinol Basket Market, Europe, 2012-2022 (€M) 114
Figure 5 21: Market Value by Country, Nitinol Basket Market, Europe, 2012-2022 (US$M) 115
Figure 5 22: Nitinol Grasper Market, Europe, 2012 - 2022 (€ and US$) 116
Figure 5 23: Units Sold by Country, Nitinol Grasper Market, Europe, 2012-2022 118
Figure 5 24: Average Sales Price by Country, Nitinol Grasper Market, Europe, 2012-2022 (€) 119
Figure 5 25: Average Sales Price by Country, Nitinol Grasper Market, Europe, 2012-2022 (US$) 120
Figure 5 26: Market Value by Country, Nitinol Grasper Market, Europe, 2012-2022 (€M) 121
Figure 5 27: Market Value by Country, Nitinol Grasper Market, Europe, 2012-2022 (US$M) 122
Figure 5 28: Stainless Steel Basket Market, Europe, 2012 - 2022 (€ and US$) 124
Figure 5 29: Units Sold by Country, Stainless Steel Basket Market, Europe, 2012-2022 125
Figure 5 30: Average Sales Price by Country, Stainless Steel Basket Market, Europe, 2012-2022 (€) 126
Figure 5 31: Average Sales Price by Country, Stainless Steel Basket Market, Europe, 2012-2022 (US$) 127
Figure 5 32: Market Value by Country, Stainless Steel Basket Market, Europe, 2012-2022 (€M) 128
Figure 5 33: Market Value by Country, Stainless Steel Basket Market, Europe, 2012-2022 (US$M) 129
Figure 5 34: Stainless Steel Grasper Market, Europe, 2012 - 2022 (€ and US$) 131
Figure 5 35: Units Sold by Country, Stainless Steel Grasper Market, Europe, 2012-2022 132
Figure 5 36: Average Sales Price by Country, Stainless Steel Grasper Market, Europe, 2012-2022 (€) 133
Figure 5 37: Average Sales Price by Country, Stainless Steel Grasper Market, Europe, 2012-2022 (US$) 134
Figure 5 38: Market Value by Country, Stainless Steel Grasper Market, Europe, 2012-2022 (€M) 135
Figure 5 39: Market Value by Country, Stainless Steel Grasper Market, Europe, 2012-2022 (US$M) 136
Figure 5 40: Ureteral Stent Market, Europe, 2012 - 2022 (€ and US$) 137
Figure 5 41: Units Sold by Country, Ureteral Stent Market, Europe, 2012-2022 139
Figure 5 42: Average Sales Price by Country, Ureteral Stent Market, Europe, 2012-2022 (€) 140
Figure 5 43: Average Sales Price by Country, Ureteral Stent Market, Europe, 2012-2022 (US$) 141
Figure 5 44: Market Value by Country, Ureteral Stent Market, Europe, 2012-2022 (€M) 142
Figure 5 45: Market Value by Country, Ureteral Stent Market, Europe, 2012-2022 (US$M) 143
Figure 5 46: Drivers and Limiters, Ureteral Stent Market, Europe, 2015 145
Figure 5 47: Leading Competitors, Stone Treatment Device Market, Europe, 2015 151
Figure 7 1: Press Release Summary 156

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