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European Markets for Urinary Stone Removal Devices and Equipment
Report #A453 - August 2008
234 Pages – 84 Exhibits – 10 Key Company Profiles

Kidney stones are one of the most common disorders of the urinary tract, affecting approximately 5%-7% of all women and 10%-12% of men. An estimated 5 million or more kidney stone cases are diagnosed annually worldwide, and an estimated 1 million diagnosed in Europe alone. The incidence of kidney stones is increasing; while reasons for the increase are unclear, it is believed the number of cases will increase significantly if the climate continues to warm.

While many people pass very small stones naturally, many patients must have them surgically removed upon the sudden onset of excruciating pain, and to lessen the risk of bleeding, infection, obstruction and kidney damage. Fortunately, several established minimally invasive stone removal procedures such as extracorporeal shockwave lithotripsy, endoscopic/intracorporeal lithotripsy or percutaneous nephrolithotomy have virtually replaced open surgery, giving many patients less painful, highly effective treatment alternatives. Today, minimally invasive treatment may include the use of a variety of urinary stone access, disintegration and removal devices and equipment, which are the focus of this report.

The combined European market for minimally invasive urinary stone removal devices and equipment was valued at approximately $127 million in 2007. Sales of urinary stone removal products in Europe are expected to increase at a compound annual rate of approximately 3.0%, approaching nearly $150 million in the year 2011.

This dynamic, new report from Medtech Insight includes analyses of products, current and emerging markets, competitors, and opportunities in the European urinary stone removal devices and equipment market. Covered topics in this report include a discussion of the healthcare markets of France, Germany, Italy, Spain, the U.K., and the Benelux countries (Belgium, the Netherlands, and Luxembourg); an overview of urinary stone disease and treatment; minimally invasive stone removal devices and equipment, including extracorporeal shockwave lithotripsy systems, laser lithotripsy systems, electrohydraulic, pneumatic and ultrasonic lithotripsy systems, urinary tract access and stone retrieval systems, and ureteral stents; as well as a European market and competitive analysis.

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 Report# Publication
Date		 List Price

European Markets for Urinary Stone Removal Devices and Equipment

A453

 August 2008

$2,850
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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.       Urinary Stone Treatment

ii.      Urinary Stone Prevention

iii.      European Market for Urinary Stone Removal Devices and Equipment

v.      Methodology

 

Exhibit ES-1:    The Urinary Tract

Exhibit ES-2:    Extracorporeal Shock Wave Lithotripsy

Exhibit ES-3:    Percutaneous Nephrolithotomy

Exhibit ES-4:    Europe, Urinary Stone Removal Devices and Equipment, Market Forecast, 2006-2011

Exhibit ES-5:    2007, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment

Exhibit ES-6:    2011, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment

 

1. EUROPEAN HEALTHCARE MARKETS

1.1 The European Union

1.1.1 A Common Currency

1.1.2 Regulatory Policies

1.1.3 Reimbursement

1.1.4 Healthcare Spending

1.2 Selected European National Healthcare Profiles

1.2.1 France

1.2.1.1 Healthcare Organization and Reform

1.2.1.2 Hospital Services

1.2.1.3 Medical Device Reimbursement

1.2.2 Germany

1.2.2.1 Healthcare Organization and Reform

1.2.2.2 Hospital Services

1.2.2.3 Medical Device Reimbursement

1.2.3 Italy

1.2.3.1 Healthcare Organization and Reform

1.2.3.2 Hospital Services

1.2.3.3 Medical Device Reimbursement

1.2.4 Spain

1.2.4.1 Healthcare Organization and Reform

1.2.4.2 Hospital Services

1.2.4.3 Medical Device Reimbursement

1.2.5 United Kingdom

1.2.5.1 Healthcare Organization and Reform

1.2.5.2 Hospital Services

1.2.5.3 Medical Device Reimbursement

1.2.6 Benelux

1.2.6.1 Healthcare Organization and Reform

1.2.6.1.1 Belgium

1.2.6.1.2 Luxembourg

1.2.6.1.3 The Netherlands

1.2.6.2 Hospital Services

1.2.6.3 Medical Device Reimbursement

 

Exhibit 1-1:      European Union, Medical Devices Risk Classification System

Exhibit 1-2:      2007, Europe, Population Statistics, Selected Countries

Exhibit 1-3:      France, Selected National Healthcare Statistics

Exhibit 1-4:      Germany, Selected National Healthcare Statistics

Exhibit 1-5:      Italy, Selected National Healthcare Statistics

Exhibit 1-6:      Spain, Selected National Healthcare Statistics

Exhibit 1-7:      United Kingdom, Selected National Healthcare Statistics

Exhibit 1-8:      Belgium, Selected National Healthcare Statistics

Exhibit 1-9:      Luxembourg, Selected National Healthcare Statistics

Exhibit 1-10:    The Netherlands, Selected National Healthcare Statistics

 

2. CLINICAL OVERVIEW OF URINARY STONES

2.1 Bladder Stones

2.1.1 Causes

2.1.2 Symptoms

2.1.3 Diagnosis

2.1.4 Treatment

2.1.5 Prevention

2.2 Kidney Stones

2.2.1 Causes

2.2.2 Symptoms

2.2.3 Diagnosis

2.2.4 Treatment

2.2.5 Prevention

 

Exhibit 2-1:      The Urinary Tract

Exhibit 2-2:      Extracorporeal Shock Wave Lithotripsy

Exhibit 2-3:      Percutaneous Nephrolithotomy

 

3. URINARY STONE REMOVAL DEVICES AND EQUIPMENT MARKET

3.1 Urinary Stone Treatment

3.2 Extracorporeal Shock Wave Lithotripsy Systems

3.2.1 DiREX Systems/DirexGroup

3.2.2 Dornier MedTech

3.2.3 EDAP TMS

3.2.4 Elmed Lithotripsy Systems/ Elmed Electronics & Medical Industry & Trade

3.2.5 HealthTronics

3.2.6 Medispec

3.2.7 Siemens Healthcare/Siemens

3.2.8 Storz Medical/Karl Storz

3.2.9 Richard Wolf

3.3 Laser Intracorporeal Lithotripsy Systems

3.3.1 Convergent Laser Technologies

3.3.2 Dornier MedTech

3.3.3 Gyrus ACMI/Olympus

3.3.4 Lumenis

3.3.5 New Star Lasers

3.3.6 PhotoMedex

3.3.7 Karl Storz

3.3.8 Trimedyne

3.4 Other Intracorporeal Lithotripsy Systems

3.4.1 Boston Scientific

3.4.2 Electro Medical Systems

3.4.3 Elmed Lithotripsy Systems/ Elmed Electronics & Medical Industry & Trade

3.4.4 Gyrus ACMI/Olympus

3.4.5 LMA Urology/LMA International

3.4.6 Medispec

3.4.7 Olympus

3.4.8 Karl Storz

3.4.9 Richard Wolf

3.5 Urinary Tract Access and Stone Retrieval Systems

3.5.1 Bard Urological/C.R. Bard

3.5.2 Boston Scientific

3.5.3 Cook Medical/Cook Group

3.5.4 Gyrus ACMI/Olympus

3.6 Ureteral Stents

3.6.1 Bard Urological/C.R. Bard

3.6.2 Boston Scientific

3.6.3 Cook Medical/Cook Group

3.6.4 Gyrus ACMI/Olympus

3.7 Market Analysis

3.7.1 Procedure Volumes Forecast

3.7.2 Market Forecast

3.7.3 Competitive Analysis

3.7.3.1 Extracorporeal Shock Wave Lithotripsy Systems

3.7.3.2 Intracorporeal Lithotripsy Systems

3.7.3.3 Stone Access and Removal Devices

3.7.3.4 Ureteral Stents

 

Exhibit 3-1:      2008, Selected Extracorporeal Shock Wave Lithotripsy Systems

Exhibit 3-2:      DiREX Systems’ Duet System

Exhibit 3-3:      DiREX Systems’ Integra SL System

Exhibit 3-4:      DiREX Systems’ Nova Ultima Shock Wave Lithotripter

Exhibit 3-5:      Dornier MedTech’s Compact Sigma System with FarSight Ultrasound Technology

Exhibit 3-6:      Dornier MedTech’s Flexible Therapy Head Technology

Exhibit 3-7:      Dornier MedTech’s Compact Delta II System

Exhibit 3-8:      Technomed Medical Systems’ Sonolith Praktis System

Exhibit 3-9:      EDAP TMS’s Sonolith i-sys System

Exhibit 3-10:    Elmed Lithotripsy Systems’ Complit Lithotripter

Exhibit 3-11:    Elmed Lithotripsy Systems’ Multimed Classic System

Exhibit 3-12:    HealthTronic’s LithoDiamond Ultra Lithotripter

Exhibit 3-13:    Medispec’s E2000 and E3000 Lithotripters

Exhibit 3-14:    Siemens Healthcare’s Lithoskop System with Pulso Shock Wave Technology

Exhibit 3-15:    Siemens Healthcare’s Modularis Variostar and Lithostar Vario Lithotripsy Modules

Exhibit 3-16:    Storz Medical’s Modulith SLX-F2 System

Exhibit 3-17:    Storz Medical’s Modulith SLK System

Exhibit 3-18:    2008, Selected Holmium Laser Intracorporeal Lithotripsy Systems

Exhibit 3-19:    The Odyssey 30 Holmium Laser System

Exhibit 3-20:    Dornier MedTech’s Medilas H 20 Holmium Laser System

Exhibit 3-21:    Gyrus ACMI’s DUR-HL20 Laser Lithotripter

Exhibit 3-22:    Lumenis’ VersaPulse PowerSuite Laser System

Exhibit 3-23:    New Star Lasers’ NS1500 Laser System

Exhibit 3-24:    PhotoMedex’s LaserPro CTH Holmium Laser System

Exhibit 3-25:    2008, Selected Electrohydraulic, Pneumatic, and Ultrasonic Intracorporeal Lithotripsy Systems

Exhibit 3-26:    Boston Scientific’s Swiss LithoClast Ultra System

Exhibit 3-27:    Electro Medical Systems’ Swiss LithoClast 2 System

Exhibit 3-28:    Electro Medical Systems’ Swiss LithoClast Master System

Exhibit 3-29:    Elmed Lithotripsy Systems’ Vibrolith and Vibrolith Plus Systems

Exhibit 3-30:    Gyrus ACMI’s CyberWand Dual Probe Ultrasonic Lithotripter

Exhibit 3-31:    LMA Urology’s LMA StoneBreaker Device

Exhibit 3-32:    Medispec’s Lithospec Intracorporeal Lithotripter

Exhibit 3-33:    Olympus’ Lithotripters

Exhibit 3-34:    2008, Selected Urinary Stone Access and Dilation Products

Exhibit 3-35:    2008, Selected Urinary Stone Retrieval Devices

Exhibit 3-36:    Bard Urological’s AquaGuide Ureteral Access Sheath

Exhibit 3-37:    Bard Urological’s UroForce Balloon Dilation Catheter

Exhibit 3-38:    The Bard Dimension Articulating Stone Basket/Grasper

Exhibit 3-39:    Bard Urological’s Platinum Class Flat Wire Stone Basket and Platinum Class Torque-Stable Helical Stone Basket

Exhibit 3-40:    Boston Scientific’s Escape Nitinol Stone Retrieval Basket

Exhibit 3-41:    Boston Scientific’s Gemini Paired Wire Helical Basket

Exhibit 3-42:    Boston Scientific’s ZeroTip Nitinol Stone Retrieval Basket

Exhibit 3-43:    Cook Medical’s Flexor DL Ureteral Access Sheath and Captura Helical Stone Extractor

Exhibit 3-44:    Cook Medical’s NCircle Helical Tipless Stone Extractor

Exhibit 3-45:    Cook Medical’s NCompass Nitinol Stone Extractor

Exhibit 3-46:    Gyrus ACMI’s AUR-7 Flexible Ureteroscope and DUR-8 Elite Ureteroscope

Exhibit 3-47:    Gyrus ACMI’s Sur-Catch Cross Paired Wire Baskets

Exhibit 3-48:    Gyrus ACMI’s Sur-Catch NT Nitinol Basket

Exhibit 3-49:    2008, Selected Ureteral Stents

Exhibit 3-50:    Bard Urological’s InLay Optima Ureteral Stent

Exhibit 3-51:    Boston Scientific’s Percuflex and Polaris Ultra Ureteral Stents

Exhibit 3-52:    Boston Scientific’s Stretch VL Flexima Stent

Exhibit 3-53:    Cook Medical’s C-Flex Double Pigtail Ureteral Stent

Exhibit 3-54:    Cook Medical’s Sof-Flex Double Pigtail Stent

Exhibit 3-55:    Gyrus ACMI’s Double-J Ureteral Stents

Exhibit 3-56:    Gyrus ACMI’s Sof-Curl Ureteral Stent

Exhibit 3-57:    Gyrus ACMI’s UroGuide Ureteral Stent

Exhibit 3-58:    Europe, Urinary Stone Removal, Procedure Volumes Forecast, 2006-2011

Exhibit 3-59:    Europe, Urinary Stone Removal Devices and Equipment, Market Forecast, 2006-2011

Exhibit 3-60:    2007, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment

Exhibit 3-61:    2011, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment

Exhibit 3-62:    2007, Europe, Extracorporeal Shock Wave Lithotripsy Systems, Share by Supplier

Exhibit 3-63:    2007, Europe, Intracorporeal Lithotripsy Systems, Share by Supplier

Exhibit 3-64:    2007, Europe, Urinary Stone Access and Retrieval Devices, Share by Supplier

Exhibit 3-65:    2007, Europe, Ureteral Stents, Share by Supplier

 

4. COMPANY PROFILES

4.1    Bard Urological/C.R. Bard, Inc.

4.2    Boston Scientific Corporation

4.3    Cook Group, Inc.

4.4    Dornier MedTech GmbH

4.5    EDAP TMS SA

4.6    Electro Medical Systems SA

4.7    Gyrus ACMI, Inc./Olympus Corporation

4.8    Lumenis LTD

4.9    Siemens AG

4.10  Storz Medical AG/Karl Storz GmbH & Company KG

APPENDIX:  COMPANY LISTING

 

 

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