EXECUTIVE
SUMMARY
i. Wound
Closure
ii. Wound
Types
a. Incidence of Major Wound Types
iii. Traditional
Wound Closure Products Market
a. Sutures
b. Surgical Stapling Products
c. Wound Closure Strips
d. Market Analysis
iv. Emerging
Wound Closure Products Market
a. Surgical Sealants and Glues
b. Energy-Based Wound Closure Products
c. Automated Suturing Devices
d. Negative Pressure Wound Therapy Products
e. Market Analysis
v. Combined
Market Forecast
Exhibit
ES-1: Phases of the Wound Closure Process
Exhibit ES-2: 2006, Inpatient
Surgery, Procedure Volumes
Exhibit
ES-3: 2007, Incidence of Major Wound Types
Exhibit ES-4: Traditional Wound
Closure Products, Market Forecast, 2008-2013
Exhibit ES-5: Emerging Wound
Closure Products, Market Forecast, 2008-2013
Exhibit ES-6: Wound Closure
Products, Combined Market Forecast, 2008-2013
1. CLINICAL ISSUES IN WOUND
MANAGEMENT
1.1
Physiology of Wound Closure
1.1.1 Layers of the Skin and Supporting Structures
1.1.1.1 Epidermis
1.1.1.2 Dermis
1.1.1.3 Subcutaneous Tissue
1.1.1.4 Fascia
1.1.1.5 Muscle
1.1.1.6 Bone
1.1.2 Wound Closure Process
1.1.2.1 Hemostasis
1.1.2.2 Inflammation
1.1.2.3 Proliferation
1.1.2.4 Remodeling Phase
1.2
Factors Affecting Wound Closure
1.2.1 Extrinsic Factors
1.2.1.1 Desiccation
1.2.1.2 Hydration
1.2.1.3 Infection
1.2.1.4 Maceration
1.2.1.5 Medication and Other
Treatment Modalities
1.2.1.6 Necrotic Tissue and Debris
1.2.1.7 Oxygenation
1.2.1.8 Stress
1.2.1.9 Temperature
1.2.1.10 Wound Creation and Depth
1.2.1.11 Wound Closure Techniques
1.2.1.12 Other Extrinsic Factors
1.2.2 Intrinsic Factors
1.2.2.1 Body Build
1.2.2.2 Chronic Illness and Age
1.2.2.3 Nutrition
1.2.3 Complications of Wound Healing
1.2.3.1 Bleeding
1.2.3.2 Scarring
1.3 Major
Wound Types
1.3.1 Amputation
1.3.2 Arterial Ulcers
1.3.3 Burns
1.3.4 Diabetic Ulcers
1.3.5 Pressure Ulcers
1.3.6 Surgical Wounds
1.3.7 Traumatic Wounds
1.3.8 Venous Ulcers
1.4
Incidence of Major Wound Types
Exhibit 1-1: The Skin’s Layers
and Supporting Structures
Exhibit 1-2: Phases of the
Wound Closure Process
Exhibit 1-3: Intrinsic and
Extrinsic Factors Affecting Wound Closure
Exhibit 1-4: Major Wound
Types, by Cause
Exhibit 1-5: Stages of Burn
Wounds
Exhibit 1-6: Stages of
Pressure Ulcers
Exhibit 1-7: 2006, Inpatient
Surgery, Procedure Volumes
Exhibit 1-8: 2007, Incidence
of Major Wound Types
2. TRADITIONAL WOUND CLOSURE
PRODUCTS MARKET
2.1
Sutures
2.1.1 Types
2.1.1.1 Monofilament and Multifilament
2.1.1.2 Nonresorbable
2.1.1.3 Resorbable
2.1.1.4 Antimicrobial
2.1.2 Products
2.1.3 Market Analysis
2.1.4 Competitive Analysis
2.2
Stapling Products
2.2.1 Types
2.2.2 Products
2.2.3 Market Analysis
2.2.4 Competitive Analysis
2.3 Wound
Closure Strips
2.3.1 Products
2.3.2 Market Analysis
2.3.3 Competitive Analysis
2.4
Combined Market Analysis
Exhibit 2-1: 2009, Selected
Sutures
Exhibit 2-2: Sutures, Market
Forecast, 2008-2013
Exhibit 2-3: 2008, Sutures
Market, Share by Supplier
Exhibit 2-4: 2009, Selected
Surgical Staplers
Exhibit 2-5: Surgical Stapling
Products, Market Forecast, 2008-2013
Exhibit 2-6: 2008, Surgical
Stapling Products Market, Share by Supplier
Exhibit 2-7: 2009, Selected
Wound Closure Strips
Exhibit 2-8: Wound Closure
Strips, Market Forecast, 2008-2013
Exhibit 2-9: 2008, Wound
Closure Strips Market, Share by Supplier
Exhibit 2-10: Traditional Wound
Closure Products, Combined Market Forecast, 2008-2013
3. EMERGING WOUND CLOSURE PRODUCTS
MARKET
3.1
Surgical Sealants and Glues
3.1.1 Applications
3.1.1.1 Cardiac and Vascular Surgery
3.1.1.2 General Surgery
3.1.1.3 Thoracic Surgery
3.1.1.4 Aesthetic and Otolaryngologic Surgery
3.1.1.5 Neurologic and Spine Surgery
3.1.2 Fibrin Sealants
3.1.2.1 Composition
3.1.2.2 Application Methods
3.1.3 Autologous-Processed Sealants
3.1.4 Collagen- and Albumin-Based Sealants
3.1.5 Cyanoacrylate-Based Sealants
3.1.6 Polymer-Based Sealants
3.1.7 Market Analysis
3.1.8 Competitive Analysis
3.2
Energy-Based Wound Closure Products
3.2.1 Radiofrequency Closure
3.2.1.1 Monopolar/Bipolar
3.2.2 Ultrasonic Closure
3.2.3 Thermal Closure
3.2.4 Market Analysis
3.2.5 Competitive Analysis
3.3
Automated Suturing Devices
3.3.1 Market Analysis
3.3.2 Competitive Analysis
3.4
Negative Pressure Wound Therapy
3.4.1 Market Analysis
3.4.2 Competitive Analysis
3.5
Combined Market Analysis
Exhibit 3-1: Modes of Action
for Surgical Sealants and Glues
Exhibit 3-2: Comparison of
Biological and Synthetic Sealants
Exhibit 3-3: Usage of Surgical
Sealants and Glues, by Specialty
Exhibit 3-4: Major
Applications for Surgical Sealants and Glues in Cardiac and Vascular Surgery
Exhibit 3-5: Major
Applications for Surgical Sealants and Glues in General Surgery
Exhibit 3-6: Major
Applications for Surgical Sealants and Glues in Thoracic Surgery
Exhibit 3-7: 2009, Selected
Surgical Sealants and Glues
Exhibit 3-8: Surgical Sealants
and Glues, Market Forecast, 2008-2013
Exhibit 3-9: 2008, Surgical
Sealants and Glues Market, Share by Supplier
Exhibit 3-10: Effects of
Temperature on Collagenous Tissue
Exhibit 3-11: 2009, Selected
Energy-Based Closure Devices
Exhibit 3-12: Energy-Based
Closure Devices, Market Forecast, 2008-2013
Exhibit 3-13: 2008, Energy-Based
Closure Devices Market, Share by Supplier
Exhibit 3-14: 2009, Selected
Automated Suturing Devices
Exhibit 3-15: Automated Suturing
Devices, Market Forecast, 2008-2013
Exhibit 3-16: 2008, Automated
Suturing Devices Market, Share by Supplier
Exhibit 3-17: 2009, Selected
Negative Pressure Wound Therapy Systems
Exhibit 3-18: Negative Pressure
Wound Therapy Products, Market Forecast, 2008-2013
Exhibit 3-19: 2008, Negative
Pressure Wound Therapy Products Market, Share by Supplier
Exhibit 3-20: Emerging Wound
Closure Products, Combined Market Forecast, 2008-2013
4. COMPANY PROFILES
4.1 3M
Health Care/3M Company
4.2 ArthroCare
Corporation
4.3 C.R.
Bard, Inc.
4.4 Baxter
International, Inc.
4.5 Biomet,
Inc.
4.6 ConMed
Corporation
4.7 Covidien
LTD
4.8 CryoLife,
Inc. 9
4.9 Derma
Sciences, Inc.
4.10 Ethicon,
Inc./Johnson & Johnson
4.11 Gyrus ACMI/Olympus
America, Inc/Olympus Corporation
4.12 Kinetic
Concepts, Inc.
4.13 Smith
& Nephew PLC
APPENDIX:
COMPANY LISTING