MediPoint: Total Wrist Reconstruction - US Analysis and Market Forecasts

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MediPoint: Total Wrist Reconstruction - US Analysis and Market Forecasts
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MediPoint: Total Wrist Reconstruction - US Analysis and Market Forecasts

Summary

Injuries to any of the bones, ligaments, tendons or nerves in the wrist joint can cause pain. Severe arthritis is the most common condition for patients considering a total wrist replacement surgery. Two major categories of arthritis may affect the wrist joint, namely osteoarthritis and rheumatoid or inflammatory arthritis. Post traumatic arthritis is another reason for the onset of osteoarthritis years later after trauma to the joint. Finally another indication for wrist pain and dysfunction includes carpal tunnel syndrome.

The growth rate is moderate for the adoption rate of these devices and will be due to a slow and gradual adoption rate, with the US to be one of the major countries to lead the way. For TWF, the trends are similar, though with lower growth rates.

Scope

- An overview of arthritis, which includes epidemiology, etiology, symptoms, diagnosis, pathology and treatment guidelines.
- Annualized the US TWR market revenue and future forecasts from 2009 to 2011, forecast for 7 years to 2018.
- Investigation of current and future market competition for TWR
- Insightful review of the key industry drivers, restraints and challenges as well as predicted impact of key events.
- Competitor assessment including device approval analysis and device sales forecasts.
- Marketed and pipeline product profiles covering efficiency, safety, clinical study details, device approvals, product positioning and device sales forecast.
- Analysis of unmet needs within the market and opportunities for future players.
- Technology trends evaluation to assess strength of pipeline.
- An overview of all devices in development including clinical study details, design and material selection considerations, efficacy reports, and device approval timelines.
- Company profiles including business description, financial overview and SWOT analysis.
- Coverage of key market players.
- Strategic assessment of the TWR device sector through market impact analysis, future market scenario and company analysis.
- Direct quotes from Key Opinion Leaders (KOL) as well as orthopedists

Reasons to buy

- Understand the trends shaping and driving the US TWR Market.
- Realize device preferences of physicians who have performed the tests already.
- Access market sizing, forecasts and quantified growth opportunities in the US TWR Market through 2018.
- Quantify candidate patient populations to better design product pricing & launch plans.
- Drive revenues, formulate effective sales and marketing strategies and gain in-depth understanding of the competitive landscape.
- Perform benchmarking analysis of growth opportunities against currently marketed products.
- Assess competitiveness of products in market by understanding the strengths and weaknesses of current competition.
- Take a comprehensive look at the market's device pipeline and identify promising, paradigm-shifting products.
- Create an effective counter-strategy to gain a competitive advantage against those currently in the market.
- Organize your sales and marketing efforts by identifying the market categories and segments that present the best opportunities for growth.
- What's the next big thing in the US TWR market landscape? Identify, understand and capitalize.

Table of Contents

1 Table of Contents 5
1.1 List of Tables 10
1.2 List of Figures 12
2 Introduction 13
2.1 Catalyst 13
3 Disease Overview 14
3.1 Anatomy and Physiology 14
3.2 Pathophysiology 15
3.2.1 Overview 15
3.2.2 Osteoarthritis 15
3.2.3 Rheumatoid Arthritis 15
3.2.4 Carpal Tunnel Syndrome 16
3.2.5 Others 16
3.3 Clinical Presentation 17
3.4 Clinical Outcomes 18
3.4.1 Overview 18
3.4.2 Conservative Therapy 19
3.4.3 Arthroscopic Debridement 19
3.4.4 Proximal Row Carpectomy 19
3.4.5 Total Wrist Fusion 20
3.4.6 Total Wrist Replacement 22
3.4.7 Wrist Fusion Versus Total Wrist Replacement 24
3.5 Epidemiology 26
3.6 Economic Impact 28
3.6.1 Economic Impact of Treating Arthritis 28
3.6.2 Cost Effectiveness of Orthopedic Implants 29
4 Competitive Assessment 30
4.1 Total Wrist Implant 30
4.1.1 Overview of Historical Designs 30
4.1.2 Current Designs 30
4.2 Total Wrist Fusion 43
4.2.1 Overview of Historical Designs 43
4.2.2 Current Designs 43
5 Unmet Needs 52
5.1 Long-Term Clinical Data 52
5.2 Limited Product Offerings 53
5.3 Failure and Revision Rate 54
5.4 Minimal Bone Resection and Other Complications 54
5.5 Lack of Pipeline Products 56
5.6 Need for Better Physician Training 56
6 Pipeline Products 58
6.1 Overview 58
7 Industry Overview 59
7.1 US Procedure Volumes 59
7.2 Market Access 62
7.2.1 Regulation 63
7.2.2 Adoption 63
7.3 US Reimbursement Trends 64
7.4 Regulatory Issues/Recalls 66
7.5 Mergers & Acquisitions / Key Partnerships 67
8 Company Profiles 69
8.1 Small Bone Innovation Inc. 69
8.1.1 Overview 69
8.1.2 Portfolio Assessment 69
8.1.3 SWOT Analysis 70
8.2 Depuy Synthes International 70
8.2.1 Overview 70
8.2.2 Portfolio Assessment 70
8.2.3 SWOT Analysis 71
8.3 Integra LifeSciences Inc. 72
8.3.1 Overview 72
8.3.2 Portfolio Assessment 72
8.3.3 SWOT Analysis 72
8.4 Biomet Orthopedics 73
8.4.1 Overview 73
8.4.2 Portfolio Assessment 73
8.4.3 SWOT Analysis 74
8.5 Medartis AG 74
8.5.1 Overview 74
8.5.2 Portfolio Assessment 74
8.5.3 SWOT Analysis 75
8.6 Acumed 75
8.6.1 Overview 75
8.6.2 Portfolio Assessment 75
8.6.3 SWOT Analysis 76
8.7 Tornier N.V. 77
8.7.1 Overview 77
8.7.2 Portfolio Assessment 77
8.7.3 SWOT Analysis 78
8.8 Swemac Orthopaedics AB 78
8.8.1 Overview 78
8.8.2 Portfolio Assessment 78
8.8.3 SWOT Analysis 79
8.9 Zimmer Holdings Inc. 80
8.9.1 Overview 80
8.9.2 Portfolio Assessment 80
8.9.3 SWOT Analysis 81
8.10 Skeletal Dynamics 82
8.10.1 Overview 82
8.10.2 Portfolio Assessment 82
8.10.3 SWOT Analysis 82
9 Market Drivers & Opportunities 83
9.1 Market Drivers 83
9.1.1 Rise in Osteoarthritis 83
9.1.2 Aging 83
9.1.3 Trauma 83
9.1.4 Patient Demand and Awareness 84
9.1.5 Availability of Long-Term Clinical Data 84
9.1.6 Further Technological Advancement 85
9.1.7 Corporate Promotions and Teaching Seminars 85
9.2 Opportunities 86
9.2.1 Expanding Aging and Arthritis Indication 86
9.2.2 Revision Surgery 86
9.2.3 Emerging Markets 87
9.2.4 Capitalizing on Market Fragmentation 87
10 Market Threats & Substitutes 88
10.1 Market Threats 88
10.1.1 Slow Technological Advancement 88
10.1.2 Physician Perception and Learning Curve 88
10.1.3 Complications 89
10.1.4 Cost 89
10.1.5 Lack of Long-Term Studies 90
10.2 Substitutes 90
10.2.1 Therapeutic Options and Fusion 90
11 US Outlook & Forecast 91
11.1 Market Overview 91
11.2 US Market Analysis 91
12 Appendix 93
12.1 Abbreviations 93
12.2 Bibliography 94
12.3 Report Methodology 100
12.3.1 Overview 100
12.3.2 Coverage 100
12.3.3 Secondary Research 100
12.3.4 Forecasting Methodology 101
12.3.5 Primary Research – Key Opinion Leader Interviews 102
12.3.6 Primary Research – Physician Survey 102
12.3.7 Expert Panel Validation 102
12.4 Physicians and Specialists Included in this Study 103
12.4.1 Dr. Philippe Bellemère 103
12.4.2 Dr. Vikas Gupta, MBBS, MS 103
12.4.3 William H. Seitz, Jr., MD 103
12.4.4 Robert M. Szabo, MD, MPH 103
12.4.5 David Warwick, MD, BM, DIMC, FRCS (Orth) 103
12.5 About the Authors 104
12.5.1 Analysts 104
12.5.2 Global Head of Healthcare 105
12.6 About MediPoint 105
12.7 About GlobalData 105
12.8 Contact Us 106
12.9 Disclaimer 106

List of Tables

Table 1: Clinical Symptoms and Descriptions 17
Table 2: Advantages and Disadvantages of Wrist Fusion and Total Wrist Replacement 25
Table 3: Direct and Indirect Costs of Arthritis 28
Table 4: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 32
Table 5: SWOT Universal 2 Total Wrist Implant System 32
Table 6: ReMotion Total Wrist (Small Bone Innovations, Inc.) 34
Table 7: SWOT ReMotion Total Wrist 34
Table 8: Maestro Total Wrist System (Biomet Orthopedics) 36
Table 9: SWOT Maestro Total Wrist System 36
Table 10: Tornier Resurfacing Capitate Pyrocarbon Implant 38
Table 11: SWOT:Tornier Resurfacing Capitate Pyrocarbon Wrist Implant 38
Table 12: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 40
Table 13: SWOT Motec Wrist Joint Prosthesis 40
Table 14: MWP III Total Wrist Prosthesis (Zimmer Inc.) 42
Table 15: SWOT MWP III Total Wrist Prosthesis 42
Table 16: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 45
Table 17: SWOT LCP Wrist Fusion Set 45
Table 18: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 47
Table 19: SWOT Integra Total Wrist Fusion System 47
Table 20: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 49
Table 21: SWOT Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist 49
Table 22: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 51
Table 23: SWOT Implate Wrist Arthrodesis Nail 51
Table 24: Complications and Risks for TWR and TWF 55
Table 25: Product Components and Costs 62
Table 26: Reimbursements Associated with TWR 65
Table 27: Medicare Payment Trend for Wrist Procedures,1992–2004 65
Table 28: Company Profile – Small Bone Innovation Inc. 69
Table 29: SWOT Analysis – Small Bone Innovations Inc. 70
Table 30: Company Profile – Depuy Synthes International 71
Table 31: SWOT Analysis – Depuy Synthes International 71
Table 32: Company Profile – Integra LifeSciences Inc. 72
Table 33: SWOT Analysis – Integra LifeSciences Inc. 72
Table 34: Company Profile – Biomet Orthopedics 73
Table 35: SWOT Analysis – Biomet Orthopedics 74
Table 36: Company Profile – Medartis AG 74
Table 37: SWOT Analysis – Medartis AG 75
Table 38: Company Profile – Acumed LLC 76
Table 39: SWOT Analysis – Acumed LLC 76
Table 40: Company Profile – Tornier N.V. 77
Table 41: SWOT Analysis – Tornier N.V. 78
Table 42: Company Profile – Swemac Orthopaedics AB 79
Table 43: SWOT Analysis – Swemac Orthopaedics AB 79
Table 44: Company Profile – Zimmer Holdings Inc. 80
Table 45: SWOT Analysis – Zimmer Holdings, Inc. 81
Table 46: Company Profile – Skeletal Dynamics LLC 82
Table 47: SWOT Analysis – Skeletal Dynamics LLC 82
Table 48: US Sales ($m) Forecast for TWF and TWR, 2009–2018 92

List of Figures

Figure 1: Anatomy of the Wrist 14
Figure 2: Treatment Paradigm for Wrist Arthritis 18
Figure 3: Wrist Arthrodesis with a Fusion Plate 21
Figure 4: Total Wrist Arthroplasty 23
Figure 5: Population with Wrist Arthritis in the US, 2008–2020 26
Figure 6: Disease Segments of Wrist Arthritis 27
Figure 7: Universal 2 Total Wrist Implant System (Integra LifeSciences Inc.) 31
Figure 8: ReMotion Total Wrist (Small Bone Innovations, Inc.) 33
Figure 9: Maestro Total Wrist System (Biomet Orthopedics) 35
Figure 10: Tornier Resurfacing Capitate Pyrocarbon Implant 37
Figure 11: Motec Wrist Joint Prosthesis (Swemac Orthopaedics AB) 39
Figure 12: MWP III Total Wrist Prosthesis (Zimmer Inc.) 41
Figure 13: LCP Wrist Fusion Set (DePuy Synthes, Johnson & Johnson Co.) 44
Figure 14: Integra Total Wrist Fusion System (Integra LifeSciences Inc.) 46
Figure 15: Arthrodesis System 2.0/2.3, 2.5 APTUS Wrist (Medartis AG) 48
Figure 16: Implate Wrist Arthrodesis Nail (Skeletal Dynamics LLC) 50
Figure 17: Importance of Safety of Arthrodesis and Arthroplasty Implants 55
Figure 18: US Arthrodesis and Arthroplasty Procedure Volumes (2009–2018) 61
Figure 19: Medicare Payment Trend for Wrist Procedures, 1992–2004 66
Figure 20: US TWR and TWF Market, 2009–2018 92

Companies Mentioned

Small Bone Innovation Inc.
Depuy Synthes International
Integra LifeSciences Inc.
Biomet Orthopedics
Medartis AG
Acumed
Tornier N.V.
Swemac Orthopaedics AB
Zimmer Holdings Inc.
Skeletal Dynamics

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Orthopedic Industry: MediPoint: Total Wrist Reconstruction - US Analysis and Market Forecasts

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