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U.S. Markets for Current and Emerging Wound Closure Technologies
Report #A124 -
April 2009
192 Pages – 44 Exhibits
1
3 Company Profiles


In 2008, more than 100 million wounds were treated in U.S. hospitals; these included surgical wounds; traumatic wounds; pressure, arterial, venous, and diabetic ulcers; burns; and amputations. In the same year, treatment of these wounds generated nearly $3.5 billion in wound closure product sales. Over the forecast period covered by this report, sales of traditional and emerging wound closure products are expected to increase at a compound annual rate of 3.5%, reaching approximately $4.1 billion in the year 2013.

This new report by Medtech Insight presents a detailed overview of the U.S. traditional and emerging wound closure products market. Major topics covered by this report include a an overview of the physiology of wound closure; a discussion of traditional wound closure products such as sutures, stapling products, and wound closure strips; a discussion of emerging wound closure products such as surgical sealants and glues, energy-based closure devices, automated suturing devices, and negative pressure wound therapy products; and analyses of the sales and leading competitors in each of these markets.

Ordering Information

Title

Report# Publication
Date
List Price

U.S. Markets for Current and Emerging Wound Closure Technologies

A124

April 2009

$4,750

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Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

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

 

 

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