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Brochure
More information from http://www.researchandmarkets.com/reports/2860517/
Market for Disposable Catheters and IV Devices
Description:
Catheter producers and other makers of medical supplies are feeling pressure to locate alternate sources of
materials because several key material and OEM suppliers have pulled out of the market. This report from
Kalorama Information examines the implications of this trend and others. The report covers single and
multiple-use disposable catheters and IV devices. It reviews the competitive environment for more than 20
major market segments. Projections on sales and growth rates are provided for 1996-2000. Profiles of the
leading non-OEM manufacturers are included.
Contents:
Chapter One: Executive Summary
Scope of Study
Methodology
Objectives
Chapter Two: Market Overview
Size of Market for Disposable Catheters
Worldwide, U.S., and Overseas Size of Market
Large-Volume Overseas Markets
Europe
Japan
Pacific Rim, Korea, and Taiwan
Comparison of Catheter Segment Dollar Volumes
By Worldwide Segment Dollar Volume
By U.S. Segment Dollar Volume
By Overseas Segment Dollar Volume
Comparison of Catheter Device Unit Prices
High-End Product Segments
Price Pressure
Reuse of Catheter Products
Low-End Product Segments
Largest Dollar Volume Catheter Suppliers
By Dollar Volume
Geographical Location of Suppliers
Comparison of Disposable Catheter Products By Distribution Channel
Interventional and Diagnostic Disposable Catheters
IV Access, Renal, and Urological Disposable Catheters
IV Access Lines
Renal Bloodlines and Peritoneal Dialysis Disposables
Urological Catheters
Chapter Three: Dilatation Balloon Catheters
Indications for Use of Dilatation Balloon Catheters
Intravascular Indications
Nonvascular Therapeutic Indications
Nontherapeutic Applications
Device Types
PTCA Dilatation Balloon Catheters
Balloon Sizes
Balloon Compliance
Inflation Pressure
Fixed-wire (FW) Balloon Catheter
Over-the-wire (OTW) Balloon Catheter
Rapid Exchange (R/E) Balloon Catheter
Perfusion (PER) Balloon Catheter
Neurointerventional (NI) Balloon Catheters
PTA Balloon Catheters
Occlusion Balloon Catheters
Distention Balloon Catheters
Embolectomy Balloon Catheters
Device Accessories
Guidewires
Guiding Catheters
Catheter Introducers
Peel-Away Introducers
Inflation Accessories
Procedural Overview
Percutaneous Transluminal Coronary Angioplasty
Percutaneous Transluminal Angioplasty (PTA)
Neurointerventional Transluminal Angioplasty
Nonvascular Surgical Procedures
Dilatation Balloon Use - Advantages and Disadvantages
Much Lower Cost
More Rapid Patient Recovery
Can Be Performed On An Outpatient Basis
Restenosis Remains Major Drawback
Pain and Bleeding At Femoral or Other Artery Insertion Site
PTCA Can Precipitate Deadly Complications
Balloons Often Require Multiple Insertions and Inflations
Not All Patients Are Candidates For PTCA/PTA
Abrupt Vessel Closure Remains A Problem
Competing Technologies And Devices
Coronary Artery Bypass Graft Surgery (CABG)
Atherectomy Catheters
Laser Angioplasty Catheters
Vascular Stents
Procedure Costs and Reimbursement Dynamics
Equipment Use Per Procedure
PTA and PTCA Procedures
Neurointerventional Procedures
Guidewire Use
Nonvascular Procedures
Costs and Medicare Reimbursement
Average Cost Breakdown
PTCA Procedures
PTA Procedures
Other Therapeutic and Nontherapeutic Procedures
Guidewires
Current Market Segment Volumes
Size of PTCA/PTA Procedure Candidate Population
Number of Cardiac Catheterization Laboratories Performing PTCA/PTA
Number of Interventional Cardiologists Performing Procedure
Number of Procedures Performed Worldwide
Sales By Distribution Channel
PTCA Dilatation Balloon Catheter Sales - By Unit Volume
PTA Dilatation Balloon Catheter Sales - By Unit Volume
Other Dilatation Balloon Catheter Sales - By Unit Volume
PTCA Dilatation Balloon Catheter Sales - By Dollar Volume
PTA Dilatation Balloon Catheter Sales - By Dollar Volume
PTCA Dilatation Balloon Catheter Sales - By Catheter Type
PTCA Dilatation Balloon Catheter Accessory Sales - By Dollar Volume
Other Dilatation Balloon Catheter Sales - By Dollar Volume
The Laser Angioplasty Market
Leading Companies, Products, and Market Shares
Chapter Four: Atherectomy Catheters
Indications for Use of Atherectomy Catheters
Device Types
Device Accessories
Guidewires
Guide Catheters
Catheter Introducers
Drive Unit
Procedural Overview
Initial Cannulation and Siting of Atherectomy Device
Drive Unit Powered Operation
Balloon Catheters Often Used Pre- or Postprocedure
Atherectomy Catheter Use - Advantages and Disadvantages
Minimally Invasive Procedure Offers Much Lower Cost
Rapid Patient Recovery
Outpatient Procedure
Restenosis Remains Major Drawback
Artery Insertion Site Problems
Use Will Not Precipitate A Heart Attack
Procedure Must Be Performed At Hospital-based Sites
Competing Technologies and Devices
PTCA Dilatation Balloon Catheters
Coronary Artery Bypass Graft Surgery (CABG)
Laser Angioplasty Catheters
Vascular Stents
Procedure Costs and Reimbursement Dynamics
Equipment Used Per Procedure
Costs and Medicare Reimbursement
Average Cost Breakdown
Current Market Segment Volumes
Size of Procedure Candidate Population
Number of Cardiac Catheterization Laboratories Performing Procedure
Number of Interventional Cardiologists Performing Procedure
Number of Atherectomy Procedures
Sales by Distribution Channel
Sales by Unit Volume
Sales by Dollar Volume
Major Companies, Products and Market Shares
Chapter Five: Angiography Catheters
Indications for Use of Angiographic Catheters
Diagnostic Use
As a Navigational Tool During Interventional Procedures
As a Tool For Intravascular Embolization During Neurointervention
Device Types
Access Catheter
Infusion Catheter
Flush Catheter
Selective Catheter
Flow-Assisted Catheter
Snares
Coaxial Catheter
Pigtail Catheter
Ultrasound Catheters
Neuroangiographic Catheters
Device Accessories
Guidewires
Guiding Catheters
Catheter Introducers
Sets
Procedural Overview
Initial Cannulation, Common Sites
Guidewire Directed
Introducer Often Left at Site
Procedure is Modified for Intracranial Procedures
Contrast Agent Injection
Angiography - Advantages and Disadvantages
Excellent Imaging in Real-time
Uses Ionizing Radiation - Dangerous in Large Doses
Contrast Agents Can Precipitate Dangerous Complications
Competing Technologies and Devices
Magnetic Resonance Imaging (MRI)
Computerized Tomography (CT)
Ultrasound Imaging
Procedure Costs and Reimbursement Dynamics
Equipment Used per Procedure
Costs and Medicare Reimbursement
Average Cost Breakdown
Current Market Segment Volumes
Size of Procedure Candidate Populations
Coronary Diagnostic Angiography
Peripheral Diagnostic Angiography
PTCA, PTA and Atherectomy
Population Affected by Neurovascular Defects
Treatment Population - Hemorrhagic Stroke
Treatment Population - Vaso-Occlusive Stroke
Preemptive Use of Neurointerventional Procedures
Number of Cardiac Catheterization Laboratories Performing Angiography
Number of Interventional Radiologists
Sales by Distribution Channel
Number of Procedures Performed Worldwide
Sales by Unit Volume - Coronary and Peripheral Segments
Sales by Dollar Volume - Total Angiography Market - Catheters and Accessories
Sales by Dollar Volume - Total Angiography Market - Catheters Alone
Sales by Dollar Volume - Coronary Segment
Sales by Dollar Volume - Peripheral Segment
Neurointerventional Catheter Segment - Sales Dollar Volume
Ultrasound Catheter Segment - Sales Dollar Volume
Leading Companies, Products, and Market Shares
Coronary Angiography Catheter and Accessories Segment
Peripheral Angiography Catheter and Accessories Segment
Neurointerventional Catheter Segment
Ultrasound Catheter Segment
Chapter Six: Mapping and Ablation Catheters
Introduction To Electrophysiology
ECG - Simplest Form of Electrophysiology Testing
The Cardiac Conduction Pathway
Pathway Disruptions Cause Arrhythmias
Types of Tachyarrhythmias
Indications for Electrophysiology Testing
Indications for Use of Radio-Frequency and Other Ablation Catheters
Radio-Frequency (RF) Ablation Therapy
Other Ablation Therapies
Device Types
Electrophysiology Mapping Catheters
RF Ablation Catheters
Laser, Microwave, and Ultrasound Ablation Catheters
Device Accessories
Catheter Introducers
Guidewires and Guide Catheters
Procedural Overview
Electrophysiological Testing
RF Catheter Ablation
Laser, Microwave, and Ultrasound Catheter Ablation
Mapping and Ablation Catheter Use - Advantages and Disadvantages
Must be Performed at a Hospital-Based Site
Heat Production at RF Ablation Sites
Can be Performed on an Outpatient Basis
High Success Rate
Competing Technologies and Devices
Antiarrhythmic Drug Therapy
Implantable Cardioverter-Defibrillators (ICD) and Pacemakers
Open-heart Surgery
Procedure Costs and Reimbursement Dynamics
Equipment Used per Procedure
Sterilization and Reuse of Mapping Catheters Very Common
Reuse of RF Ablation Catheters Less Common
Costs and Medicare Reimbursement
Average Cost Breakdown
Mapping Catheters
RF Ablation Catheters
Typical Ablation Procedure Disposables Costs
RF Energy Generator Consoles
Current Market Segment Volumes
Size of Electrophysiological Mapping and Ablation Procedure Candidate
Number of Laboratories and Cardiac Electrophysiologists Performing RF
Number of Procedures Performed Worldwide
Sales by Distribution Channel
Sales by Unit Volume
Sales by Dollar Volume
Leading Companies, Products, and Market Shares
Chapter Seven: Vascular Access Catheters and IV Accessories
Indications For Use of Vascular Access Catheters
Four Major IV Therapies
Antibiotic Therapy
Analgesic Therapy
Chemotherapy
Total Parenteral Nutrition and Hydration
Device Types
Central Venous Catheters (CVC)
Subclavian Vein Catheter (SVC)
Femoral Vein Catheters (FVC)
Jugular Vein Catheters (JVC)
Umbilical Artery Catheters (UAC)
Single Lumen Catheters
Multiple Lumen Catheters
Coaxial Catheters
Peripherally Inserted Central Catheters (PICC)
Midline Catheters (MC)
Noninvasive IV Catheter Lines
Sets - Gravity and Dedicated
Device Accessories
Catheter Introducers
Peel-Away Introducers
Butterfly or Winged Needles
Primary IV Administration Set
Secondary IV Administration Set
IV Extension Sets
Capped Luer-type IV Connector
Sealed Septum IV Connector
Prepierced Septum IV Connector
Valved IV Port
Y-site Connector and Manifold Ports
IV Injection Adapters
Needleless or Safety IV Systems
Recessed IV Needles
Recessed Needle IV Systems
Infusion Pumps, Controllers, and Pump/Controllers
Vascular Access Ports
Procedural Overview
Peripheral IV Delivery
Peripheral IV Procedure
Central Venous IV Delivery and Central Catheters
Central Venous Catheters (CVC)
Peripherally Inserted Central Catheters (PICC)
Major Modalities of IV Drug Delivery
Continuous IV Therapy
Intermittent IV Therapy
Bolus IV Therapy
Direct IV Therapy
Vascular Access Catheter Use - Advantages and Disadvantages
Occlusion is the Number One Problem with All Types of IV Catheters
IV Catheters and the Risk of Sepsis
PICC Use Can Substantially Lower Supplies and Labor Costs
Use of CVCs Carries Significant Risks Over PICC Use
CVC Use Includes A Host of Other Serious Complications
PICCs Have Their Own Set of Complications
Tissue Trauma From Repeated Use
IV Systems and Needlestick Injuries
Needleless, Stickless, or Safety IV Systems
Capped IV Systems - Need for Numerous Disposable Caps
Competing Technologies and Devices
Transdermal Delivery Systems
Oral Drug Delivery
Depot Drug Delivery
Liposomal Drug Delivery
Procedure Costs and Reimbursement Dynamics
Equipment Used per Procedure
Central Vessel Access
IV Systems
Costs and Medicare Reimbursement
Average Cost Breakdown
Standard IV Lines
Stickless IV System Lines
Recessed Needle IV System Lines
Ambulatory Infusion IV Systems
CVC/PICC/Midline Catheters
Current Market Segment Volumes
Potential Population Segment Utilizing IV Therapy
Sales By Distribution Channel
Sales by Dollar Volume
Sales by Unit Volume
Leading Companies, Products, and Market Shares
IV Catheter Segment
Needleless (Safety or Stickless) IV Systems
PICC/Midline and Central Venous Catheter Segments
Chapter Eight: Renal Catheters
Indications for Use of Dialysis
Normal Kidney Function
Acute Renal Failure - Definition
Chronic Renal Failure - Definition
Symptoms of Kidney Failure
Dialysis Methods
Hemodialysis
Peritoneal Dialysis
Procedural Overview
Hemodialysis
Use of Arterio-Venous (AV) Fistulas In Long-term HD
Six To Twelve Week Wait After Fistula Is Made
Vascular Grafts Used For Artificial AVFs
AVFs Are The Most Common HD Vascular Access
Large Capacity Fistula Needles Needed For AVFs
Semi-implanted Venous Catheters for Certain Patients
Two Major Types of Dialysate
HD Machines - Automatic Regulation of Multiple Parameters
Common Types of HD
Device Types
HD Machine Subsystems
Blood Circuit Components
Hemodialysis Bloodlines
Prepump, Postpump Line Sets
AV Fistula Needles
Drip Chambers
Pressure Transducer Protectors
External AV Shunts
Peritoneal Dialysis Catheters
Dialysate Bags and Tubing
Disconnect Systems
Device Accessories
Luer-type connectors
Ratchet clamps
Color-coded connectors and needle wings
Methods of Dialysis - Advantages and Disadvantages
Hemodialysis - Serious Catastrophic Circulatory Complications
Peritoneal Dialysis - Risk of Peritonitis but Lower Catastrophic Risk
Competing Technologies and Devices
Kidney Transplantation
Hemoperfusion
Continuous Arteriovenous Hemofiltration (CAVH)
Procedure Costs and Reimbursement Dynamics
Equipment Used per Procedure
Hemodialysis
Peritoneal Dialysis
Costs and Medicare Reimbursement
Average Cost Breakdown
Current Market Segment Volumes
Potential Population Segment Affected by Procedure
Number of Hemodialysis Clinics
Number of Hemodialysis and Peritoneal Dialysis Patients Worldwide
Sales by Distribution Channel
Sales by Unit Volume
Sales by Dollar Volume
Leading Companies, Products, and Market Shares
Hemodialysis Bloodlines
Peritoneal Dialysis Disposable Catheters and Accessories
Chapter Nine: Urological Drainage Catheters
Indications For Use of Urological Drainage Catheters
Incontinence and Convalescent and Postsurgical Incapacitation
Urine Volume Measurement
Device Types
Indwelling vs. External
Foley Catheters
Intermittent Catheters
External Catheters
Procedural Overview
Foley Catheter
Intermittent Catheter
External Catheters
Urological Drainage Catheter Use - Advantages and Disadvantages
Latex Allergy - A Major Risk Factor
Nosocomial Urinary Tract Infections Remain Prevalent
Competing Technologies and Devices
Surgical Correction Of Urethral Blockage
Female Incontinence - An Open Market
Procedure Costs and Reimbursement Dynamics
Equipment Used Per Procedure
Costs and Medicare Reimbursement
Average Cost Breakdown
Current Market Segment Volumes
Potential Population Segment Affected By Incontinence
Number of Facilities Using Urological Drainage Catheters
Sales By Distribution Channel
Sales by Unit Volume
Foley Catheters
External Catheters
Intermittent Catheters
Sales by Dollar Volume
Foley Catheters
External Catheters
Intermittent Catheters
Leading Companies, Products, and Market Shares
Foley Catheter Segment
External and Intermittent Catheter Segment
Chapter Ten: Forecasts
Growth, Growth Drivers, Projected Dollar Volumes, and Projected Supplier
Market Shares - By Catheter Market
Worldwide Disposable Catheter Market
Shift Towards Hospitalization Alternatives
Influence of Purchasing Consortiums And Buying Groups
Alteration of Buying Patterns - Reuse Is Not An Option
Reduced Rates of Federal Reimbursements
Little Growth In Free-Standing, Independent Catheterization Labs
Japan - Much Faster Growth Rate In This Half of The Decade
Dilatation Balloon Catheter Market
PTA Balloons - Growth Still Strong As Number of Procedures Increase
PTCA Volume Growth Stalled By Falling Balloon Catheter Prices
Falling Number of PTCA Catheters Used Per Procedure
Long Balloon Models
Stent Use - Significant Adverse Effect On Sequential Sales
Rapid-Exchange Perfusion Types Command Highest Prices And Offer Lowest Risk
U.S. Demographics Favor Increasing Numbers of Angioplasty Procedures
PTCA Leading Indication Is Relief of Angina, More Procedures Involving
Multiple Artery and Extensive Atherosclerotic Conditions
The Player Lineup - Lots of Changes Expected Over The Next Five Years
Nonvascular Dilatation Balloons - Healthy Growth
Laser Angioplasty - Capital Intensive, Slow Growth
Atherectomy Catheter Market
Stent Sales - Negative Effect on Growth
Physicians Still Unfamiliar With Procedure
European Market Largely Untouched
Saphenous Vein Procedures Increasing In Frequency
Saphenous Vein Procedures Not Expected To Increase In Europe
Stable Price Points
Complementary Ramping Of Dilatation Balloon Sales
Expect Other Atherectomy Devices To Die On The Vine
Angiography Catheter Market
Demographics Prime Growth Driver For PTCA, PTA, and
Atherectomy-related Therapeutic Angiography
Market Displays Commodity Characteristics
Little Change Expected In Player Positions
Materials Improvements Allow Smaller Diameters To Be Imaged
Neurointerventional Device Approvals Will Drive 26% Growth
Intravascular Ultrasound Not Reimbursable Yet
Endosonics Busy Establishing Market Presence Anyway
Intravascular Ultrasound - Imaging Without Contrast Agent Complications
Electrophysiology Catheter Markets
Parallel Ramping of Electrophysiology Catheter Sales
RF Ablation Market Untapped
VT Treatment Next Major Technological Hurdle
The Big Tip Blues?
Reuse Common In Mapping Segment
Temperature Monitoring - A Must-Have Feature
Brand Loyalty Difficult To Maintain
Enforcement of Reuse Regulations - Would Boost Mapping Volume
Largest Catheter Suppliers Expected To Rapidly Enter The RF Ablation Segment
IV Access Catheter Markets
Standard IV Lines - Flat Growth
Needleless Systems - Acceptance Not As Rapid As Planned
Alternate Site - Fastest Growing Distribution Channel
Cost Reduction Is The Primary Driver
Not A Blanket Acceptance of Home Care
AIDS-Associated Treatments Driving Home-based IV Segment
Short-term Materials Costs Have Skyrocketed, Lowering Manufacturing Margins
Sterilization Costs Have Increased With Attempts To Cut Use of Freon
PICC and Midline Catheters - Fastest Growing Segment
CVC to PICC Shift Will Initiate Active Positioning
Renal Catheter Markets
Inherent Cost Efficiencies Drive Peritoneal Dialysis Growth
HD Still The Most Prevalent Treatment Modality, Is The Market Basis
U.S. Softness Has Rebounded
Eastern Europe, Pacific Rim - New High Growth Markets
Despite Lowering of Tariffs by NAFTA, Sales Down In Latin America
Reuse of Bloodlines
Longer Treatments Are Recommended for Patient Health But Hurt Profitability
PET Materials Costs Have Skyrocketed, Affecting Manufacturing Margins
Sterilization Costs Have Increased - Adverse Effect of Freon Phaseout
Urological Drainage Catheter Markets
Growth Driven By Population Growth of Elderly
Shift In Product Mix As Demand For Latex-Free Products Increases
Threat of Liability Has Spooked Some Materials Makers
Sterilization Costs Have Increased - The Freon Phaseout
Acquisition Activity Foreseen
Chapter Eleven: Company Profiles
Baxter Heatlhcare Corporation (Baxter International, Inc.)
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Boston Scientific Corporation
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
C.R. Bard, Inc.
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Cordis Corporation
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Endosonics, Inc.
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Gambro Group AB
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Guidant Corporation
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Target Therapeutics, Inc.
Background
Catheter Market Involvement
Sales and Distribution
Technology and Product Offerings
Strategic and Business Development Activity
Appendix A: Company Names and Addresses
Appendix B: List of Relevant Organizations
Appendix C: List of Relevant Publications
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