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TABLE OF CONTENTS
EXECUTIVE
SUMMARY
i. Tissue Engineering and Cell
Transplantation Technologies
ii. Tissue Engineered Cardiac
and Vascular Products
iii. Tissue Engineered Musculoskeletal
Products
iv. Tissue Engineered Neurologic
Products
v. Tissue Engineered Urologic
Products
vi. Tissue Engineered Organ Regeneration
Products
vii. Tissue Engineered Skin Replacements
and Substitutes
viii. Combined Market Forecast
Exhibit ES-1: Tissue Engineered
Cardiac and Vascular Products, Potential Market Forecast, 2006
and 2016
Exhibit ES-2: Tissue Engineered
Musculoskeletal Products, Potential Market Forecast, 2006 and
2016
Exhibit ES-3: Tissue Engineered
Neurologic Products, Potential Market Forecast, 2006 and 2016
Exhibit ES-4: Tissue Engineered
Urologic Products, Potential Market Forecast, 2006 and 2016
Exhibit ES-5: Tissue Engineered
Organ Regeneration Products, Potential Market Forecast, 2006 and
2016
Exhibit ES-6: Tissue Engineered
Skin Replacements and Substitutes, Potential Market Forecast,
2006 and 2016
Exhibit ES-7: Tissue Engineered
Products, Combined Potential Market Forecast, 2006 and 2016
1. TISSUE ENGINEERING AND ORGAN REGENERATION
TECHNOLOGIES
1.1
Biomaterials Technology
1.1.1 Synthetic Materials
1.1.1.1 Scaffold Materials
1.1.1.1.1 Types
1.1.1.1.2 Emerging Scaffold Technologies
1.1.1.2 Bone Replacement Materials
1.1.1.3 Artificial Vascular Graft Materials
1.1.1.4 Hydrogel Technology
1.1.2 Biologically Derived Materials
1.1.2.1 Collagen
1.1.2.1.1 Animal-Derived
1.1.2.1.2 Recombinant
1.1.2.2 Xenogenic Tissue
1.2
Genetically Engineered Materials
1.2.1 Deoxyribonucleic Acid Transfection Vectors
1.2.2 Genetically Manipulated Cells
1.2.3 Three-Dimensional Polymer Technology
1.2.4 Transgenics
1.2.5 Fibroblasts
1.2.6 Neural Stem Cells
1.2.7 Gene-Activated Matrices
1.3
Cell Culture Technology
1.3.1 Bioreactors
1.3.1.1 Flat-Bed Perfusion Systems
1.3.1.2 Hollow-Fiber Bioreactor Systems
1.3.1.3 Mammalian Cell Suspension Systems
1.4
Stem Cell Technology
1.4.1 Extraction Methods and Devices
1.4.2 Expansion Culture Conditions
1.4.3 Biotechnology Aspects
1.4.4 Serum-Free Culture
1.4.5 Bioreactors
1.4.6 Products
1.5
Immunoisolation Technology
1.5.1 Chimeric Immunity
1.5.2 Antibody/Polymer Technology
1.5.3 Cell Encapsulation Technology
Exhibit 1-1: 2007, Selected Synthetic
Biomaterials Used in Tissue Engineering and Organ Regeneration
Applications
Exhibit 1-2: 2007, Selected Synthetic
Materials Used in the Manufacture of Tissue Engineered Products
Exhibit 1-3: 2007, Selected Bone
Replacement Materials Used in Tissue Engineering and Organ Regeneration
Applications
Exhibit 1-4: 2007, Selected Biologically
Derived Materials Used in Tissue Engineering and Organ Regeneration
Applications
Exhibit 1-5: 2007, Selected Emerging
Genetically Engineered Materials Used in Tissue Engineering and
Organ Regeneration Applications
Exhibit 1-6: Comparison of Cell
Extraction Devices and Methods
2. TISSUE ENGINEERED CARDIAC AND VASCULAR
PRODUCTS
2.1
Disease Incidence and Market Potential
2.1.1 Coronary Artery Disease
2.1.2 Heart Failure
2.1.3 Heart Valve Dysfunction
2.1.4 Myocardial Infarction
2.1.5 Peripheral Vascular Disease
2.1.5.1 Femoropopliteal Bypass
2.1.5.2 Abdominal Aortic Aneurysm
2.1.6 Heart Transplantation
2.1.6.1 Alternative to Transplant
2.1.7 Developmental Issues
2.2
Emerging Technologies
2.2.1 Tissue Engineered Heart Valves
2.2.1.1 Academic Research
2.2.1.2 Products
2.2.1.2.1 Biologic
2.2.1.2.2 Synthetic
2.2.2 Tissue Engineered Vascular Grafts
2.2.2.1 Bioreactors
2.2.2.2 Synthetic Grafts and Scaffolds
2.2.2.2.1 Polycarbonate Urethane
2.2.2.2.2 Polytetrafluoroethylene
2.2.2.3 Cell-Based Approaches
2.2.2.4 Collagen Matrix
2.2.2.5 Collagen/Polymer Composite
Constructs
2.2.2.6 Elastin Scaffold
2.2.2.7 Sheet-Based
2.2.2.8 Xenogenic Tissue
2.2.2.9 Genetically Altered Tissue
2.2.3 Myocardial Tissue Regeneration
2.2.3.1 Scaffolding Patches
2.2.3.2 Cell-Based Approaches
2.2.3.2.1 Muscle Cell Transplantation
2.2.3.2.2 Embryonic Stem Cells
2.2.3.2.3 Peripheral Blood Stem Cells
2.2.3.2.4 Mesenchymal Stem Cells
2.2.3.2.5 Umbilical Cord Stem Cells
2.2.3.2.6 Myoblasts versus Embryonic Stem Cells
2.2.3.2.7 Gene Therapy
2.2.4 Therapeutic Angiogenesis
2.2.4.1 Cytokines
2.2.4.2 Routes of Administration
2.2.4.3 Recombinant Vascular Endothelial
Growth Factor
2.2.4.4 Adenoviral Vector Delivery
2.2.4.5 Nitric Oxide Synthase Therapy
2.2.4.6 Recombinant Deoxyribonucleic
Acid
2.2.4.7 Angiogen Delivery System
2.2.4.8 Polymer Delivery System
2.2.4.9 Fibroblast Growth Factor
2.2.4.10 Transmyocardial Revascularization
2.2.5 Restenosis Prevention
2.2.5.1 Drug-Eluting Coronary Stents
2.2.5.2 Bioengineered Surfaces
2.2.5.3 Adult Stem Cells
2.2.5.4 Catheter-Mediated Gene Transfer
2.2.5.5 Nitric Oxide Synthase Gene
Transfer
2.2.5.6 Ex Vivo Delivery
2.2.5.7 Adenoviral-Based Gene Therapy
2.3
Market Analysis
2.3.1 Market Drivers
2.3.2 Market Limiters
2.3.3 Competitive Analysis
Exhibit 2-1: Heart Valve Replacement
and Repair, Procedure Volumes Forecast, 2006-2011
Exhibit 2-2: Femoropopliteal
Bypass, Procedure Volumes Forecast, 2006-2011
Exhibit 2-3: Abdominal Aortic
Aneurysm Repair, Procedure Volumes Forecast, 2006-2011
Exhibit 2-4: Heart Transplantation,
Historical Procedure Volumes, 1995-2005
Exhibit 2-5: 2007, Selected Emerging
Tissue Engineered Heart Valves
Exhibit 2-6: 2007, Selected Emerging
Tissue Engineered Vascular Grafts
Exhibit 2-7: 2007, Selected Emerging
Tissue Engineered Myocardial Regeneration Products
Exhibit 2-8: 2007, Selected Emerging
Tissue Engineered Angiogenesis Products
Exhibit 2-9: 2007, Selected Emerging
Tissue Engineered Restenosis Prevention Products
Exhibit 2-10: Tissue Engineered
Cardiac and Vascular Products, Potential Market Forecast, 2006
and 2016
Exhibit 2-11: Tissue Engineered
Cardiac and Vascular Technologies, by Indication, 2006 and 2016
Exhibit 2-12: Tissue Engineered
Cardiac and Vascular Products, Product Introduction Forecast,
by Indication, 2012 and 2017
3. TISSUE ENGINEERED MUSCULOSKELETAL
PRODUCTS
3.1
Disease Incidence and Existing Therapies
3.1.1 Joint Degeneration
3.1.2 Cartilage Injuries
3.1.2.1 Osteochondral Grafting
3.1.2.2 Viscosupplementation/Synovial
Fluid Replacement Therapy
3.1.3 Ligament and Tendon Injuries
3.1.4 Shoulder Soft Tissue Tears
3.1.5 Meniscal Injuries
3.1.6 Bone Grafts
3.1.6.1 Fracture Repair
3.1.6.2 Revision Total Joint Surgery
3.1.6.3 Tumors/Bone Cysts
3.1.6.4 Spinal Indications
3.1.6.5 Vertebroplasty
3.1.7 Potential Bone Grafting Procedures
3.1.7.1 Bone Grafting Materials
3.1.7.1.1 Autogenous
3.1.7.1.2 Allogenic
3.1.7.1.3 Synthetic
3.1.7.2 Bone Grafting Market
3.2
Emerging Technologies
3.2.1 Cartilage Repair and Replacement
3.2.1.1 Cell Transplantation Techniques
3.2.1.1.1 Mesenchymal Stem Cells
3.2.1.1.2 Autologous Chondrocyte Implantation
3.2.1.1.3 Other Technologies
3.2.1.2 Genetically Altered Cells
3.2.1.3 Ultraviolet Light
3.2.1.4 Polymer Matrices
3.2.1.5 Collagen Matrices
3.2.1.6 Chrysalin
3.2.1.7 Cryopreservation
3.2.2 Ligament Repair and Replacement
3.2.2.1 Bioreactors
3.2.2.2 Biologic Scaffolds
3.2.2.2.1 Allogenic
3.2.2.2.2 Xenogenic
3.2.2.2.3 Collagen
3.2.2.2.4 Polymeric
3.2.2.3 Growth Factors
3.2.3 Meniscus Repair and Replacement
3.2.3.1 Allogenic
3.2.3.2 Xenogenic
3.2.3.3 Collagen
3.2.3.4 Polymeric
3.2.3.5 Mesenchymal Stem Cells
3.2.4 Bone Repair and Replacement
3.2.4.1 Biomaterials
3.2.4.2 Bone Growth Factors
3.2.4.3 Recombinant Growth Factors
3.2.4.3.1 Carrier Materials
3.2.4.3.2 Bone Morphogenic Proteins
3.2.4.4 Demineralized Bone Matrix
3.2.4.5 Cell Transplantation
3.2.4.5.1 Autologous Cells
3.2.4.5.2 Stem Cells
3.2.4.6 Synthetic Peptides
3.2.4.7 Gene Therapy
3.2.4.7.1 Gene Therapy versus Growth
Factors
3.2.4.7.2 Systemic Gene Therapy
3.2.4.7.3 Regional Gene Therapy
3.2.4.7.4 LIM Mineralization Protein
3.3
Market Analysis
3.3.1 Market Drivers
3.3.2 Market Limiters
3.3.3 Competitive Analysis
Exhibit 3-1: Arthroscopic Knee
Surgery, Procedure Volumes Forecast, 2006-2011
Exhibit 3-2: 2006, Ligament and
Tendon Repair and Replacement, Procedure Volumes
Exhibit 3-3: 2006, Meniscectomy
and Meniscal Repair, Procedure Volumes
Exhibit 3-4: 2006, Bone Grafting
in Orthopedic/Spinal Surgery, Potential Procedure Volumes
Exhibit 3-5: 2006, Bone Grafts
and Bone Substitutes Market
Exhibit 3-6: 2007, Selected Tissue
Engineered Orthopedic Products
Exhibit 3-7: 2007, Selected Tissue
Engineered Cartilage Repair and Replacement Products
Exhibit 3-8: 2007, Selected Tissue
Engineered Ligament Repair and Replacement Products
Exhibit 3-9: 2007, Selected Tissue
Engineered Meniscal Repair and Replacement Products
Exhibit 3-10: 2007, Selected Tissue
Engineered Bone Repair Products
Exhibit 3-11: Bone Morphogenetic
Proteins, Market Forecast, 2006-2011
Exhibit 3-12: 2006, Allogenic Demineralized
Bone Matrix Products, Share by Supplier
Exhibit 3-13: Comparison of Growth
Factors and Gene Therapy for Bone Repair
Exhibit 3-14: Gene Therapy Delivery
Methods for Bone Repair
Exhibit 3-15: Tissue Engineered
Musculoskeletal Products, Potential Market Forecast, 2006 and
2016
Exhibit 3-16: Tissue Engineered
Musculoskeletal Products, Product Introduction Forecast, by Indication,
2012 and 2017
4.
TISSUE ENGINEERED NEUROLOGIC PRODUCTS
4.1
Existing Therapies
4.1.1 Alzheimer's Disease
4.1.2 Epilepsy
4.1.3 Multiple Sclerosis
4.1.4 Parkinson’s Disease
4.1.5 Peripheral Nerve Injury
4.1.6 Spinal Cord Injury
4.1.7 Stroke
4.2
Technology Requirements
4.3
Emerging Technologies
4.3.1 Stem Cell Therapy
4.3.1.1 Embryonic Stem Cells and Spinal
Cord Regeneration
4.3.1.2 Adult Stem Cells and Central
Nervous System Disorders
4.3.1.3 Fetal Porcine Cells and Parkinson’s
Disease
4.3.1.4 Retinal Pigment Epithelial
Cell Transplants and Central Nervous System Disorders
4.3.2 Gene Therapy
4.3.2.1 Sonic Hedgehog
4.3.2.2 Growth Factors
4.3.2.3 Remyelinating Monoclonal Antibodies
4.3.3 Nerve Grafting
4.3.4 Peptide-Based Scaffolding
4.4
Market Analysis
4.4.1
Market Drivers
4.4.2 Market Limiters
4.4.3 Competitive Analysis
Exhibit 4-1: 2007, Selected Drugs
Indicated for the Treatment of Parkinson’s Disease
Exhibit 4-2: 2007, Selected Current
and Emerging Tissue Engineered Neurologic Products
Exhibit 4-3: Tissue Engineered
Neurologic Products, Potential Market Forecast, 2006 and 2016
Exhibit 4-4: Tissue Engineered
Neurologic Technologies, by Indication, 2006 and 2016
Exhibit 4-5: Tissue Engineered
Neurologic Products, Product Introduction Forecast, 2012 and 2017
5.
TISSUE ENGINEERED UROLOGIC PRODUCTS
5.1
Disease Incidence
5.1.1 Key Applications
5.2
Existing Therapies
5.2.1 Bladder, Ureteral, and Urethral
Repair Surgery
5.2.2 Incontinence Treatment
5.2.3 Penile Prostheses
5.2.4 Vesicoureteral Reflux Treatment
5.3
Emerging Technologies
5.3.1 Biomaterials
5.3.2 Bladder Repair and Replacement
Products
5.3.3 Cell-Based Gene Therapy Products
5.3.4 Genital Tissue Products
5.3.5 Reconstituted Structures
5.3.6 Ureter and Urethra Repair and
Replacement Products
5.3.7 Urethral Augmentation Products
5.4
Market Analysis
5.4.1 Market Drivers and Limiters
5.4.1.1 Market Drivers
5.4.1.2 Market Limiters
5.4.2 Competitive Analysis
Exhibit 5-1: 2006, Urologic Diseases/Disorders
Potentially Treatable Using Tissue Engineering, Incidence and
Prevalence
Exhibit 5-2: 2006, Urologic Treatments,
Procedure Volumes
Exhibit 5-3: Tissue Engineered
Urologic Products, Potential Market Forecast, 2006 and 2016
Exhibit 5-4: Tissue Engineered
Urologic Technologies, by Indication, 2006 and 2016
Exhibit 5-5: Tissue Engineered
Urologic Products, Product Introduction Forecast, 2012 and 2017
6. TISSUE ENGINEERED ORGAN REGENERATION
PRODUCTS
6.1
Disease Incidence
6.1.1 Bone Marrow Disease
6.1.1.1 Aplastic Anemia
6.1.1.2 Leukemia and Lymphoma
6.1.2 Diabetes
6.1.3 Intestinal Disorders
6.1.3.1 Intestinal Pseudo-Obstruction
6.1.3.2 Microvillus Inclusion Disease
6.1.3.3 Short Bowel Syndrome
6.1.4 Kidney Disease
6.1.5 Liver Disease
6.2
Existing Therapies
6.2.1 Ex Vivo Systems
6.2.1.1 Kidney Dialysis Systems
6.2.2 Organ Transplantation
6.2.2.1 Bone Marrow Transplantation
6.2.2.2 Kidney Transplantation
6.2.2.3 Liver Transplantation
6.2.2.3.1 Split Cadaveric Livers
6.2.2.3.2 Liver Segments from Living
Donors
6.2.2.4 Pancreas Transplantation
6.2.2.5 Small Bowel Transplantation
6.2.3 Artificial Organ Technologies
6.2.3.1 Artificial Kidney
6.2.3.2 Artificial Liver
6.2.3.3 Artificial Pancreas
6.3
Emerging Technologies
6.3.1 Genes
6.3.2 Scaffolds
6.3.3 Stem Cells
6.3.4 Xenotransplants
6.3.5 Emerging Technologies, by Organ Type
6.3.5.1 Bone Marrow
6.3.5.1.1 Products
6.3.5.2 Intestine
6.3.5.2.1 Products
6.3.5.3 Kidney
6.3.5.3.1 Products
6.3.5.4 Liver
6.3.5.4.1 Products
6.3.5.5 Pancreas
6.4.5.5.1 Products
6.4
Market Analysis
6.4.1 Market Drivers
6.4.2 Market Limiters
6.4.3 Competitive Analysis
Exhibit 6-1: Incidence and Prevalence
of Major Organ Diseases
Exhibit 6-2: 2006, Organ Transplantation,
Procedure Volumes
Exhibit 6-3: 2005, Average Cost
of Transplantation, by Organ
Exhibit 6-4: 2007, Selected Emerging
Artificial Organ Products
Exhibit 6-5: 2007, Selected Emerging
Liver Failure Treatment Products
Exhibit 6-6: 2007, Selected Emerging
Pancreatic Failure Treatment Products
Exhibit 6-7: Tissue Engineered
Organ Regeneration Products, Potential Market Forecast, 2006 and
2016
Exhibit 6-8: Tissue Engineered
Organ Regeneration Technologies, by Indication, 2006 and 2016
Exhibit 6-9: Tissue Engineered
Organ Regeneration Products, Product Introduction Forecast, 2012
and 2017
7. TISSUE ENGINEERED SKIN REPLACEMENTS
AND SUBSTITUTES
7.1
Disease Incidence
7.1.1 Burns
7.1.2 Skin Ulcers
7.1.2.1 Diabetic Foot Ulcers
7.1.2.2 Pressure Ulcers
7.1.2.3 Venous Stasis Ulcers
7.1.3 Plastic Surgery
7.1.4 Inguinal Herniorrhaphy
7.2
Technology Requirements
7.3
Current and Emerging Therapies
7.3.1 Tissue Engineered Skin Replacements/Substitutes
7.3.1.1 Tissue Engineered Skin
7.3.1.2 Dermal Equivalent Products
7.3.1.3 Epidermal Equivalent Products
7.3.1.4 Multilayer Equivalent Products
7.3.1.5 Other Products
7.4
Market Analysis
7.4.1 Market Drivers
7.4.2 Market Limiters
7.4.3 Competitive Analysis
Exhibit 7-1: 2006, Potential
Patient Population for Tissue Engineered Skin Replacements and
Substitutes
Exhibit 7-2: Stages of Pressure
Ulcers
Exhibit 7-3: Tissue Engineered
Skin Replacements and Substitutes, Potential Market Forecast,
2006 and 2016
Exhibit 7-4: Tissue Engineered
Skin Replacements and Substitutes, Market Forecast, 2006-2011
Exhibit 7-5: 2006, Tissue Engineered
Skin Replacements and Substitutes Market, Share by Supplier
Exhibit 7-6: Tissue Engineered
Skin Replacements and Substitutes, Product Introduction Forecast,
2012 and 2017
8.
COMPANY PROFILES
8.1
Aastrom Biosciences, Inc.
8.2
CryoLife, Inc.
8.3
Curis, Inc.
8.4
GenVec, Inc.
8.5
Genzyme Corporation
8.6
Integra LifeSciences Holdings Corporation
8.7
LifeCell Corporation
8.8
Osiris Therapeutics, Inc.
8.9
Regeneration Technologies, Inc.
8.10
StemCells, Inc.
8.11
Tepha, Inc.
8.12
Titan Pharmaceuticals, Inc
APPENDIX:
COMPANY LISTING
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