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U.S. Markets for Current and Emerging Wound Closure Technologies
Report #A138 - October 2012
149 Pages – 40 Exhibits – 7 Company Profiles

In 2011, nearly 100 million wounds were treated in U.S. hospitals; these included amputations; arterial, diabetic, pressure, and venous ulcers; burns, surgical wounds; and traumatic wounds. In the same year, treatment of these wounds generated more than $3.8 billion in wound closure product sales (including traditional products such as sutures, stapling systems, and wound closure strips, as well as emerging products such as surgical sealants and glues, energy-based closure devices, automated suturing products, and negative pressure wound therapy systems). 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 4.0%, reaching more than $4.6 billion in the year 2016.

This new report by Medtech Insight presents a detailed overview of the U.S. current 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.

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 Report# Publication
Date		 List Price

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

A138

October 2012

$3,750
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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

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:    2009, Incidence of Major Wound Types

Exhibit ES-3:    Traditional Wound Closure Products, Market Forecast, 2011-2016

Exhibit ES-4:    Emerging Wound Closure Products, Market Forecast, 2011-2016

Exhibit ES-5:    Wound Closure Products, Combined Market Forecast, 2011-2016

 

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 Hypodermis

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 Intrinsic Factors

1.2.1.1 Age and Chronic Illness

1.2.1.2 Body Composition

1.2.1.3 Nutritional Status

1.2.2 Extrinsic Factors

1.2.2.1 Ambient Temperature

1.2.2.2 Desiccation/Hydration

1.2.2.3 Infection

1.2.2.4 Maceration

1.2.2.5 Medication and Other Treatment Modalities

1.2.2.6 Necrotic Tissue and Debris

1.2.2.7 Oxygen

1.2.2.8 Stress

1.2.2.9 Wound Creation and Depth

1.2.2.10 Wound Closure Techniques

1.2.2.11 Other Extrinsic Factors

1.2.3 Complications of Wound Healing

1.2.3.1 Scarring

1.2.3.2 Bleeding

1.3 Wound Types

1.3.1 Illness-Related Wounds

1.3.1.1 Etiology

1.3.1.1.1 Arterial Ulcers

1.3.1.1.2 Diabetic Ulcers

1.3.1.1.3 Venous Ulcers

1.3.1.2 Epidemiology

1.3.2 Pressure Ulcers

1.3.2.1 Etiology

1.3.2.2 Epidemiology

1.3.3 Surgical Wounds

1.3.3.1 Etiology

1.3.3.2 Epidemiology

1.3.4 Traumatic Wounds

1.3.4.1 Etiology

1.3.4.1.1 Abrasions, Contusions, and Lacerations

1.3.4.1.2 Amputations

1.3.4.1.3 Burns

1.3.4.2 Epidemiology

 

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:      Illness-Related Wounds, Facts and Figures, 1996-2006, and 2009

Exhibit 1-5:      Pressure Ulcers, Facts and Figures, 1996-2006, and 2009

Exhibit 1-6:      Stages of Pressure Ulcers

Exhibit 1-7:      Surgical Wounds, Facts and Figures, 1996-2006, and 2009

Exhibit 1-8:      Lacerations and Other Types of Traumatic Wounds, Facts and Figures, 1996-2006, and 2009

Exhibit 1-9:      Amputations, Facts and Figures, 1996-2006, and 2009

Exhibit 1-10:    Burns, Facts and Figures, 1996-2006, and 2009

Exhibit 1-11:    Classification of Burns, by Mechanism of Injury

Exhibit 1-12:    Classification of Burns, by Extent of Injury

 

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:      Sutures, Market Forecast, 2011-2016

Exhibit 2-2:      2011, Sutures Market, Share by Supplier

Exhibit 2-3:      Surgical Stapling Products, Market Forecast, 2011-2016

Exhibit 2-4:      2011, Surgical Stapling Products Market, Share by Supplier

Exhibit 2-5:      Wound Closure Strips, Market Forecast, 2011-2016

Exhibit 2-6:      2011, Wound Closure Strips Market, Share by Supplier

Exhibit 2-7:      Traditional Wound Closure Products, Combined Market Forecast, 2011-2016

 

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 Biologic 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:      Surgical Sealants and Glues, Market Forecast, 2011-2016

Exhibit 3-8:      2011, Surgical Sealants and Glues Market, Share by Supplier

Exhibit 3-9:      Effects of Temperature on Collagenous Tissue

Exhibit 3-10:    Energy-Based Wound Closure Devices,  Market Forecast, 2011-2016

Exhibit 3-11:    2011, Energy-Based Wound Closure Devices Market, Share by Supplier

Exhibit 3-12:    Automated Suturing Products, Market Forecast, 2011-2016

Exhibit 3-13:    2011, Automated Suturing Products Market, Share by Supplier

Exhibit 3-14:    Negative Pressure Wound Therapy Products,  Market Forecast, 2011-2016

Exhibit 3-15:    2011, Negative Pressure Wound Therapy Products Market, Share by Supplier

Exhibit 3-16:    Emerging Wound Closure Products, Combined Market Forecast, 2011-2016

 

4. COMPANY PROFILES

4.1    3M Health Care/3M Company

4.2    Baxter Healthcare Corporation/Baxter International, Inc.

4.3    Covidien LTD

4.4    CryoLife, Inc.

4.5    Ethicon, Inc./Johnson & Johnson

4.6    Kinetic Concepts, Inc.

4.7    Olympus America, Inc./Olympus Corporation

 

APPENDIX: COMPANY LISTING

 

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