SAMPLE. India Cardiovascular Devices Market Outlook to Reference Code: GDMEMC0040DB. Publication Date: May 2014

Transcription

1 India Cardiovascular Devices Market Outlook to 2020 Reference Code: GDMEMC0040DB Publication Date: May 2014 Page 1

2 1 Table of Contents 1 Table of Contents List of Tables List of Figures Introduction What Is This Report About? Cardiovascular Devices Market Segmentation Definitions of Markets Covered in the Report Cardiovascular Devices Market, India Cardiovascular Devices Market, India, Revenue ($m), Cardiovascular Devices Market, India, Revenue Mix ($m), Cardiovascular Devices Market, India, Category Contribution by Revenue ($m), Cardiovascular Devices Market, India, Category Comparison by Revenue ($m), Cardiovascular Devices Market, India, Revenue ($m), Cardiovascular Devices Market, India, Revenue ($m), Cardiovascular Devices Market, India, Volume (Units), Cardiovascular Devices Market, India, Volume (Units), Cardiovascular Devices Market, India, Volume (Units), Cardiovascular Devices Market, India, Company Share by Revenue ($m), Cardiac Assist Devices Market, India Cardiac Assist Devices Market, India, Revenue Mix ($m), Cardiac Assist Devices Market, India, Segment Contribution (%), Cardiac Assist Devices Market, India, Revenue ($m), by Segment, Cardiac Assist Devices Market, India, Revenue ($m) by Segment, Cardiac Assist Devices Market, India, Volume (Units) by Segment, Cardiac Assist Devices Market, India, Volume (Units) by Segment, Cardiac Assist Devices Market, India, Distribution Share, Revenue ($m), Cardiac Assist Devices Market, India, Company Share by Revenue ($m), Cardiac Rhythm Management Market, India Cardiac Rhythm Management Market, India, Revenue Mix ($m), Cardiac Rhythm Management Market, India, Segment Contribution (%), Cardiac Rhythm Management Market, India, Revenue ($m), by Segment, Cardiac Rhythm Management Market, India, Revenue ($m) by Segment, Cardiac Rhythm Management Market, India, Volume (Units) by Segment, Cardiac Rhythm Management Market, India, Volume (Units) by Segment, Cardiac Rhythm Management Market, India, Distribution Share, Revenue ($m), Cardiac Rhythm Management Market, India, Company Share by Revenue ($m), Cardiovascular Monitoring and Diagnostic Devices Market, India Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m), by Segment, Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m) by Segment, Page 2

3 6.3 Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units) by Segment, Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units) by Segment, Cardiovascular Monitoring and Diagnostic Devices Market, India, Distribution Share, Revenue ($m), Cardiovascular Monitoring and Diagnostic Devices Market, India, Company Share by Revenue ($m), Cardiovascular Prosthetic Devices Market, India Cardiovascular Prosthetic Devices Market, India, Revenue Mix ($m), Cardiovascular Prosthetic Devices Market, India, Segment Contribution (%), Cardiovascular Prosthetic Devices Market, India, Revenue ($m), by Segment, Cardiovascular Prosthetic Devices Market, India, Revenue ($m) by Segment, Cardiovascular Prosthetic Devices Market, India, Volume (Units) by Segment, Cardiovascular Prosthetic Devices Market, India, Volume (Units) by Segment, Cardiovascular Prosthetic Devices Market, India, Distribution Share, Revenue ($m), Cardiovascular Prosthetic Devices Market, India, Company Share by Revenue ($m), Cardiovascular Surgery Market, India Cardiovascular Surgery Market, India, Revenue Mix ($m), Cardiovascular Surgery Market, India, Segment Contribution (%), Cardiovascular Surgery Market, India, Revenue ($m), by Segment, Cardiovascular Surgery Market, India, Revenue ($m) by Segment, Cardiovascular Surgery Market, India, Volume (Units) by Segment, Cardiovascular Surgery Market, India, Volume (Units) by Segment, Cardiovascular Surgery Market, India, Distribution Share, Revenue ($m), Cardiovascular Surgery Market, India, Company Share by Revenue ($m), Electrophysiology Market, India Electrophysiology Market, India, Revenue Mix ($m), Electrophysiology Market, India, Segment Contribution (%), Electrophysiology Market, India, Revenue ($m), by Segment, Electrophysiology Market, India, Revenue ($m) by Segment, Electrophysiology Market, India, Volume (Units) by Segment, Electrophysiology Market, India, Volume (Units) by Segment, Electrophysiology Market, India, Distribution Share, Revenue ($m), Electrophysiology Market, India, Company Share by Revenue ($m), External Defibrillators Market, India External Defibrillators Market, India, Revenue ($m), by Segment, External Defibrillators Market, India, Revenue ($m) by Segment, External Defibrillators Market, India, Volume (Units) by Segment, External Defibrillators Market, India, Volume (Units) by Segment, External Defibrillators Market, India, Distribution Share, Revenue ($m), External Defibrillators Market, India, Company Share by Revenue ($m), Interventional Cardiology Market, India Page 3

4 11.1 Interventional Cardiology Market, India, Revenue Mix ($m), Interventional Cardiology Market, India, Segment Contribution (%), Interventional Cardiology Market, India, Revenue ($m), by Segment, Interventional Cardiology Market, India, Revenue ($m), Interventional Cardiology Market, India, Volume (Units) by Segment, Interventional Cardiology Market, India, Volume (Units) by Segment, Interventional Cardiology Market, India, Distribution Share, Revenue ($m), Interventional Cardiology Market, India, Company Share by Revenue ($m), Peripheral Vascular Devices Market, India Peripheral Vascular Devices Market, India, Revenue Mix ($m), Peripheral Vascular Devices Market, India, Segment Contribution (%), Peripheral Vascular Devices Market, India, Revenue ($m), by Segment, Peripheral Vascular Devices Market, India, Revenue ($m) by Segment, Peripheral Vascular Devices Market, India, Volume (Units) by Segment, Peripheral Vascular Devices Market, India, Volume (Units) by Segment, Peripheral Vascular Devices Market, India, Distribution Share, Revenue ($m), Peripheral Vascular Devices Market, India, Company Share by Revenue ($m), Prosthetic Heart Valves Market, India Prosthetic Heart Valves Market, India, Revenue Mix ($m), Prosthetic Heart Valves Market, India, Segment Contribution (%), Prosthetic Heart Valves Market, India, Revenue ($m), by Segment, Prosthetic Heart Valves Market, India, Revenue ($m) by Segment, Prosthetic Heart Valves Market, India, Volume (Units) by Segment, Prosthetic Heart Valves Market, India, Volume (Units) by Segment, Prosthetic Heart Valves Market, India, Distribution Share, Revenue ($m), Prosthetic Heart Valves Market, India, Company Share by Revenue ($m), Overview of Key Companies in India, Cardiovascular Devices Market Medtronic, Inc Company Overview Terumo Corporation Company Overview Abbott Laboratories Company Overview St. Jude Medical, Inc Company Overview Boston Scientific Corporation Company Overview Edwards Lifesciences Corporation Company Overview Vascular Concepts Limited Company Overview Page 4

5 14.8 Philips Healthcare Company Overview Maquet Holding B.V. & Co. KG Company Overview Asahi Intecc Co., Ltd Company Overview Biotronik SE & Co. KG Company Overview Volcano Corporation Company Overview Sahajanand Medical Technologies Pvt. Ltd Company Overview Biosense Webster, Inc Company Overview Thoratec Corporation Company Overview Cordis Corporation Company Overview Nihon Kohden Corporation Company Overview Fukuda Denshi Co., Ltd Company Overview Sorin S.p.A Company Overview Cardiovascular Devices Market Pipeline Products Financial Deals Landscape Acquisition Goldman Sachs Rumored To Acquire 26% Stake In Opto Circuits For US$48 Million Skanray Healthcare Completes Acquisition Of L&T Medical Asset Transactions AngioDynamics Completes Acquisition Of Rights To Microwave Ablation Technology For US$16 Million Partnerships Abiomed Enters Into Licensing Agreement With Opsens For Optical Sensor Technology Sun Biomedical Plans To Enter Into Licensing Agreement With Parvulus Suisse Xenios Enters Into Licensing Agreement With Leukocare For Next Generation Extracorporeal Support Systems Coherex Medical Enters Into Distribution Agreement With Biosense Webster Biosensors Enters Into Licensing Agreement With Eurocor CardioDx And Core Diagnostics Enter Into Co-Marketing Agreement For Corus CAD Diagnostic Test Terumo Enters Into Co-Development Agreement With Kaneka For PTA Balloon Catheters Page 5

6 Terumo Enters Into Agreement With Shanghai AngioCare Medical Technolgy Biosensors Extends Licensing Agreement With Terumo For BioMatrix Technology Private Equity Goldman Sachs To Acquire 49% Stake In BPL Medical For US$20 Million Relisys Medical Devices Plans To Raise US$15 Million In Private Equity Financing Recent Developments Corporate Communications Apr 22, 2014: Sectra secures large mammography PACS order: Northern Ireland expands its regionwide healthcare imaging IT solution with digital breast imaging Financial Announcements Dec 19, 2013: Withdrawal of NTCELL pre-clinical study May 27, 2013: TTK Healthcare Reports Revenue Of INR3.8 Billion In Fiscal Other Significant Developments Oct 29, 2013: SHL Telemedicine signs agreement with India's third largest healthcare group, Manipal Hospitals. Expands into Bangalore Aug 27, 2013: SHL signs another agreement with hospital in Delhi Product News Nov 06, 2013: GE Healthcare To Ship Low-cost Medical Devices From India To Emerging Markets Strategy And Business Planning Oct 23, 2013: GE Healthcare Aims For 15 20% Growth In India During Fiscal Appendix Research Methodology Coverage Secondary Research Primary Research Market Modeling and Forecasting Company Share Analysis Distribution Share Analysis Expert Panel GlobalData Consulting Disclaimer Page 6

7 1.1 List of Tables Table 1: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Table 2: Cardiovascular Devices Market, India, Category Contribution by Revenue ($m), Table 3: Cardiovascular Devices Market, India, Category Comparison by Revenue ($m), Table 4: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Historic, Table 5: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Forecast, Table 6: Cardiovascular Devices Market, India, Volume (Units), Table 7: Cardiovascular Devices Market, India, Volume (Units), Historic, Table 8: Cardiovascular Devices Market, India, Volume (Units), Forecast, Table 9: Cardiovascular Devices Market, India, Company Share by Revenue ($m), USD Constant, Table 10: Cardiac Assist Devices Market, India, Segment Contribution (%), Table 11: Cardiac Assist Devices Market, India, Revenue ($m), USD Constant, Historic, Table 12: Cardiac Assist Devices Market, India, Revenue ($m) USD Constant, Forecast, Table 13: Cardiac Assist Devices Market, India, Volume (Units), Historic, Table 14: Cardiac Assist Devices Market, India, Volume (Units), Forecast, Table 15: Cardiac Assist Devices Market, India, Distribution Share by Revenue ($m), USD Constant, Table 16: Cardiac Assist Devices Market, India, Company Share by Revenue ($m), USD Constant, Table 17: Cardiac Rhythm Management Market, India, Segment Contribution (%), Table 18: Cardiac Rhythm Management Market, India, Revenue ($m), USD Constant, Historic, Table 19: Cardiac Rhythm Management Market, India, Revenue ($m) USD Constant, Forecast, Table 20: Cardiac Rhythm Management Market, India, Volume (Units), Historic, Table 21: Cardiac Rhythm Management Market, India, Volume (Units), Forecast, Table 22: Cardiac Rhythm Management Market, India, Distribution Share by Revenue ($m), USD Constant, Table 23: Cardiac Rhythm Management Market, India, Company Share by Revenue ($m), USD Constant, Table 24: Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m), USD Constant, Historic, Table 25: Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m) USD Constant, Forecast, Table 26: Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units), Historic, Table 27: Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units), Forecast, Table 28: Cardiovascular Monitoring and Diagnostic Devices Market, India, Distribution Share by Revenue ($m), USD Constant, Table 29: Cardiovascular Monitoring and Diagnostic Devices Market, India, Company Share by Revenue ($m), USD Constant, Table 30: Cardiovascular Prosthetic Devices Market, India, Segment Contribution (%), Table 31: Cardiovascular Prosthetic Devices Market, India, Revenue ($m), USD Constant, Historic, Table 32: Cardiovascular Prosthetic Devices Market, India, Revenue ($m) USD Constant, Forecast, Table 33: Cardiovascular Prosthetic Devices Market, India, Volume (Units), Historic, Table 34: Cardiovascular Prosthetic Devices Market, India, Volume (Units), Forecast, Table 35: Cardiovascular Prosthetic Devices Market, India, Distribution Share by Revenue ($m), USD Constant, Table 36: Cardiovascular Prosthetic Devices Market, India, Company Share by Revenue ($m), USD Constant, Table 37: Cardiovascular Surgery Market, India, Segment Contribution (%), Table 38: Cardiovascular Surgery Market, India, Revenue ($m), USD Constant, Historic, Table 39: Cardiovascular Surgery Market, India, Revenue ($m) USD Constant, Forecast, Page 7

8 Table 40: Cardiovascular Surgery Market, India, Volume (Units), Historic, Table 41: Cardiovascular Surgery Market, India, Volume (Units), Forecast, Table 42: Cardiovascular Surgery Market, India, Distribution Share by Revenue ($m), USD Constant, Table 43: Cardiovascular Surgery Market, India, Company Share by Revenue ($m), USD Constant, Table 44: Electrophysiology Market, India, Segment Contribution (%), Table 45: Electrophysiology Market, India, Revenue ($m), USD Constant, Historic, Table 46: Electrophysiology Market, India, Revenue ($m) USD Constant, Forecast, Table 47: Electrophysiology Market, India, Volume (Units), Historic, Table 48: Electrophysiology Market, India, Volume (Units), Forecast, Table 49: Electrophysiology Market, India, Distribution Share by Revenue ($m), USD Constant, Table 50: Electrophysiology Market, India, Company Share by Revenue ($m), USD Constant, Table 51: External Defibrillators Market, India, Revenue ($m), USD Constant, Historic, Table 52: External Defibrillators Market, India, Revenue ($m) USD Constant, Forecast, Table 53: External Defibrillators Market, India, Volume (Units), Historic, Table 54: External Defibrillators Market, India, Volume (Units), Forecast, Table 55: External Defibrillators Market, India, Distribution Share by Revenue ($m), USD Constant, Table 56: External Defibrillators Market, India, Company Share by Revenue ($m), USD Constant, Table 57: Interventional Cardiology Market, India, Segment Contribution (%), Table 58: Interventional Cardiology Market, India, Revenue ($m), USD Constant, Historic, Table 59: Interventional Cardiology Market, India, Revenue ($m) USD Constant, Forecast, Table 60: Interventional Cardiology Market, India, Volume (Units), Historic, Table 61: Interventional Cardiology Market, India, Volume (Units), Forecast, Table 62: Interventional Cardiology Market, India, Distribution Share by Revenue ($m), USD Constant, Table 63: Interventional Cardiology Market, India, Company Share by Revenue ($m), USD Constant, Table 64: Peripheral Vascular Devices Market, India, Segment Contribution (%), Table 65: Peripheral Vascular Devices Market, India, Revenue ($m), USD Constant, Historic, Table 66: Peripheral Vascular Devices Market, India, Revenue ($m) USD Constant, Forecast, Table 67: Peripheral Vascular Devices Market, India, Volume (Units), Historic, Table 68: Peripheral Vascular Devices Market, India, Volume (Units), Forecast, Table 69: Peripheral Vascular Devices Market, India, Distribution Share by Revenue ($m), USD Constant, Table 70: Peripheral Vascular Devices Market, India, Company Share by Revenue ($m), USD Constant, Table 71: Prosthetic Heart Valves Market, India, Segment Contribution (%), Table 72: Prosthetic Heart Valves Market, India, Revenue ($m), USD Constant, Historic, Table 73: Prosthetic Heart Valves Market, India, Revenue ($m) USD Constant, Forecast, Table 74: Prosthetic Heart Valves Market, India, Volume (Units), Historic, Table 75: Prosthetic Heart Valves Market, India, Volume (Units), Forecast, Table 76: Prosthetic Heart Valves Market, India, Distribution Share by Revenue ($m), USD Constant, Table 77: Prosthetic Heart Valves Market, India, Company Share by Revenue ($m), USD Constant, Table 78: Cardiovascular Devices Market Pipeline Products Table 79: Goldman Sachs Rumored To Acquire 26% Stake In Opto Circuits For US$48 Million Table 80: Skanray Healthcare Completes Acquisition Of L&T Medical Table 81: AngioDynamics Completes Acquisition Of Rights To Microwave Ablation Technology For US$16 Million Table 82: Abiomed Enters Into Licensing Agreement With Opsens For Optical Sensor Technology Page 8

9 Table 83: Sun Biomedical Plans To Enter Into Licensing Agreement With Parvulus Suisse Table 84: Xenios Enters Into Licensing Agreement With Leukocare For Next Generation Extracorporeal Support Systems Table 85: Coherex Medical Enters Into Distribution Agreement With Biosense Webster Table 86: Biosensors Enters Into Licensing Agreement With Eurocor Table 87: CardioDx And Core Diagnostics Enter Into Co-Marketing Agreement For Corus CAD Diagnostic Test Table 88: Terumo Enters Into Co-Development Agreement With Kaneka For PTA Balloon Catheters Table 89: Terumo Enters Into Agreement With Shanghai AngioCare Medical Technolgy Table 90: Biosensors Extends Licensing Agreement With Terumo For BioMatrix Technology Table 91: Goldman Sachs To Acquire 49% Stake In BPL Medical For US$20 Million Table 92: Relisys Medical Devices Plans To Raise US$15 Million In Private Equity Financing Table 93: Total Number of Primary Research Participants, Cardiovascular Devices Market, by Country Page 9

10 1.2 List of Figures Figure 1: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Figure 2: Cardiovascular Devices Market, India, Revenue Mix ($m), Figure 3: Cardiovascular Devices Market, India, Category Contribution (%), Figure 4: Cardiovascular Devices Market, India, Category Comparison by Revenue ($m), Figure 5: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Historic, Figure 6: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Forecast, Figure 7: Cardiovascular Devices Market, India, Volume (Units), Figure 8: Cardiovascular Devices Market, India, Volume (Units), Historic, Figure 9: Cardiovascular Devices Market, India, Volume (Units), Forecast, Figure 10: Cardiovascular Devices Market, India, Company Share (%), Figure 11: Cardiac Assist Devices Market, India, Revenue Mix ($m), Figure 12: Cardiac Assist Devices Market, India, Segment Contribution (%), Figure 13: Cardiac Assist Devices Market, India, Revenue ($m), USD Constant, Historic, Figure 14: Cardiac Assist Devices Market, India, Revenue ($m) USD Constant, Forecast, Figure 15: Cardiac Assist Devices Market, India, Volume (Units), Historic, Figure 16: Cardiac Assist Devices Market, India, Volume (Units), Forecast, Figure 17: Cardiac Assist Devices Market, India, Company Share (%), Figure 18: Cardiac Rhythm Management Market, India, Revenue Mix ($m), Figure 19: Cardiac Rhythm Management Market, India, Segment Contribution (%), Figure 20: Cardiac Rhythm Management Market, India, Revenue ($m), USD Constant, Historic, Figure 21: Cardiac Rhythm Management Market, India, Revenue ($m) USD Constant, Forecast, Figure 22: Cardiac Rhythm Management Market, India, Volume (Units), Historic, Figure 23: Cardiac Rhythm Management Market, India, Volume (Units), Forecast, Figure 24: Cardiac Rhythm Management Market, India, Company Share (%), Figure 25: Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m), USD Constant, Historic, Figure 26: Cardiovascular Monitoring and Diagnostic Devices Market, India, Revenue ($m) USD Constant, Forecast, Figure 27: Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units), Historic, Figure 28: Cardiovascular Monitoring and Diagnostic Devices Market, India, Volume (Units), Forecast, Figure 29: Cardiovascular Monitoring and Diagnostic Devices Market, India, Company Share (%), Figure 30: Cardiovascular Prosthetic Devices Market, India, Revenue Mix ($m), Figure 31: Cardiovascular Prosthetic Devices Market, India, Segment Contribution (%), Figure 32: Cardiovascular Prosthetic Devices Market, India, Revenue ($m), USD Constant, Historic, Figure 33: Cardiovascular Prosthetic Devices Market, India, Revenue ($m) USD Constant, Forecast, Figure 34: Cardiovascular Prosthetic Devices Market, India, Volume (Units), Historic, Figure 35: Cardiovascular Prosthetic Devices Market, India, Volume (Units), Forecast, Figure 36: Cardiovascular Prosthetic Devices Market, India, Company Share (%), Figure 37: Cardiovascular Surgery Market, India, Revenue Mix ($m), Figure 38: Cardiovascular Surgery Market, India, Segment Contribution (%), Figure 39: Cardiovascular Surgery Market, India, Revenue ($m), USD Constant, Historic, Figure 40: Cardiovascular Surgery Market, India, Revenue ($m) USD Constant, Forecast, Page 10

11 Figure 41: Cardiovascular Surgery Market, India, Volume (Units), Historic, Figure 42: Cardiovascular Surgery Market, India, Volume (Units), Forecast, Figure 43: Cardiovascular Surgery Market, India, Company Share (%), Figure 44: Electrophysiology Market, India, Revenue Mix ($m), Figure 45: Electrophysiology Market, India, Segment Contribution (%), Figure 46: Electrophysiology Market, India, Revenue ($m), USD Constant, Historic, Figure 47: Electrophysiology Market, India, Revenue ($m) USD Constant, Forecast, Figure 48: Electrophysiology Market, India, Volume (Units), Historic, Figure 49: Electrophysiology Market, India, Volume (Units), Forecast, Figure 50: Electrophysiology Market, India, Company Share (%), Figure 51: External Defibrillators Market, India, Revenue ($m), USD Constant, Historic, Figure 52: External Defibrillators Market, India, Revenue ($m) USD Constant, Forecast, Figure 53: External Defibrillators Market, India, Volume (Units), Historic, Figure 54: External Defibrillators Market, India, Volume (Units), Forecast, Figure 55: External Defibrillators Market, India, Company Share (%), Figure 56: Interventional Cardiology Market, India, Revenue Mix ($m), Figure 57: Interventional Cardiology Market, India, Segment Contribution (%), Figure 58: Interventional Cardiology Market, India, Revenue ($m), USD Constant, Historic, Figure 59: Interventional Cardiology Market, India, Revenue ($m) USD Constant, Forecast, Figure 60: Interventional Cardiology Market, India, Volume (Units), Historic, Figure 61: Interventional Cardiology Market, India, Volume (Units), Forecast, Figure 62: Interventional Cardiology Market, India, Company Share (%), Figure 63: Peripheral Vascular Devices Market, India, Revenue Mix ($m), Figure 64: Peripheral Vascular Devices Market, India, Segment Contribution (%), Figure 65: Peripheral Vascular Devices Market, India, Revenue ($m), USD Constant, Historic, Figure 66: Peripheral Vascular Devices Market, India, Revenue ($m) USD Constant, Forecast, Figure 67: Peripheral Vascular Devices Market, India, Volume (Units), Historic, Figure 68: Peripheral Vascular Devices Market, India, Volume (Units), Forecast, Figure 69: Peripheral Vascular Devices Market, India, Company Share (%), Figure 70: Prosthetic Heart Valves Market, India, Revenue Mix ($m), Figure 71: Prosthetic Heart Valves Market, India, Segment Contribution (%), Figure 72: Prosthetic Heart Valves Market, India, Revenue ($m), USD Constant, Historic, Figure 73: Prosthetic Heart Valves Market, India, Revenue ($m) USD Constant, Forecast, Figure 74: Prosthetic Heart Valves Market, India, Volume (Units), Historic, Figure 75: Prosthetic Heart Valves Market, India, Volume (Units), Forecast, Figure 76: Prosthetic Heart Valves Market, India, Company Share (%), Figure 77: GlobalData Epidemiology-Based Forecasting Model Figure 78: GlobalData Capital Equipment-Based Forecasting Model Figure 79: Primary Interviews by Participant Type (%) Page 11

12 2 Introduction Medical Equipment Market Reports are the ideal guide for anyone wishing to understand their market better in terms of revenues, unit sales, distributors and competitors. 2.1 What Is This Report About? This report provides an overview and the following information related to the country, various categories, distribution share and competitive landscape in the market: 1. Comprehensive data related to the market revenue, unit sale, company share and distribution share. 2. Corporate-level profiles of key companies operating in the Cardiovascular Devices market, which includes a brief overview of the company. The selection of the companies is based on their operational presence. 3. A list of key products under development by different companies. The selection of this list is based on the territory in which these products are being clinically investigated. 4. Key news and deals related to the Cardiovascular Devices market. 2.2 Cardiovascular Devices Market Segmentation Cardiovascular Devices market is segmented into the following categories, as described below, in this report: Cardiac Assist Devices includes segments such as 1. Total Artificial Heart 2. Intra-Aortic Balloon Pumps Intra-Aortic Balloon Pumps includes sub-segments such as Intra-Aortic Balloon Pump Catheters and Intra-Aortic Balloon Pump Consoles 3. Ventricular Assist Devices Ventricular Assist Devices includes sub-segments such as Biventricular Assist Devices, External Ventricular Assist Devices, Left Ventricular Assist Devices and Right Ventricular Assist Devices Cardiac Rhythm Management Devices includes segments such as 1. Implantable Loop Recorders 2. Cardiac Resynchronisation Therapy Cardiac Resynchronisation Therapy includes sub-segments such as Cardiac Resynchronisation Therapy - Defibrillators and Cardiac Resynchronisation Therapy - Pacemakers 3. Implantable Cardioverter Defibrillators Implantable Cardioverter Defibrillators includes Dual Chamber Implantable Cardioverter Defibrillators and Single Chamber Implantable Cardioverter Defibrillators 4. Pacemakers Pacemakers includes Dual Chamber Pacemakers and Single Chamber Pacemakers Cardiovascular Monitoring and Diagnostic Devices includes segments such as 1. Cardiopulmonary Stress Testing Systems 2. ECG Data Management Systems 3. ECG Monitoring Equipment Page 12

13 4. ECG Stress Testing Systems 5. Event Monitoring Systems 6. Holter Monitoring Systems Cardiovascular Prosthetic Devices 1. Cardiac Valve Repairs 2. Septal Occluders Septal Occluders includes sub-segments such as Atrial Septal Defect (ASD) Occluders, Patent Foramen Ovale (PFO) Occluders and Ventricular Septal Defect (VSD) Occluders Cardiovascular Surgery Devices includes segments such as 1. Cardiac Ablation Devices 2. Cardiopulmonary Bypass Equipment 3. Beating Heart Surgery Systems Beating Heart Surgery Systems includes sub-segments such as Positioners and Stabilizers 4. Perfusion Disposables Perfusion Disposables includes sub-segments such as Custom Tubing Packs and Oxygenators Electrophysiology Devices includes segments such as 1. Electrophysiology Lab Systems 2. Electrophysiology Diagnostic Catheters Electrophysiology Diagnostic Catheters includes sub-segments such as Standard Diagnostic Catheters and Advanced Diagnostic Catheters 3. Electrophysiology Ablation Catheters Electrophysiology Ablation Catheters includes sub-segments such as Standard Ablation Catheters and Advanced Ablation Catheters External Defibrillators includes segments such as 1. Manual Defibrillators 2. Professional AED 3. Public Access AED Interventional Cardiology includes segments such as 1. PTCA Coronary Drug Eluting Balloons (DEB) 2. Coronary Guidewires 3. Arteriotomy Closure Devices Arteriotomy Closure Devices includes sub-segments such as Femoral Access Devices and Radial Access Devices 4. Cardiac Catheters Cardiac Catheters includes sub-segments such as Angiography Catheters and Guiding Catheters 5. Coronary Stents Coronary Stents includes sub-segments such as Bare Metal Stents and Drug Eluting Stents (DES) 6. Intravascular Ultrasound Systems (IVUS) Intravascular Ultrasound Systems (IVUS) includes sub-segments such as Intravascular Ultrasound Catheters and Intravascular Ultrasound System Consoles Balloons 7. PTCA Page 13

14 PTCA Balloons includes sub-segments such as FW Balloons, Over the Wire Balloons, PTCA Cutting and Scoring Balloons and Rx Balloons Peripheral Vascular Devices includes segments such as 1. Renal Denervation Disposable Catheters 2. PTA Balloons 3. PTA Peripheral Drug Eluting Balloons (DEB) 4. Inferior Vena Cava Filters (IVCF) Inferior Vena Cava Filters (IVCF) includes sub-segments such as Permanent IVCF and Retrievable IVCF 5. Peripheral Embolic Protection Devices Peripheral Embolic Protection Devices includes sub-segments such as Carotid Embolic Protection Devices, Lower Extremity Embolic Protection Devices and Renal Embolic Protection Devices 6. Peripheral Guidewires Peripheral Guidewires includes sub-segments such as Hydrophilic Peripheral Guidewires and Non- Hydrophilic Peripheral Guidewires 7. Peripheral Vascular Stents Peripheral Vascular Stents includes sub-segments such as Carotid Artery Bare Metal Stents, Fempop Artery Stents (Fem-pop Artery Bare Metal Stents, Fem-pop Artery Bioabsorbable Stents, Fempop Artery Covered Stents and Fem-pop Artery Drug Eluting Stents), Iliac Artery Stents (Iliac Artery Bare Metal Stents, Iliac Artery Bioabsorbable Stents, Iliac Artery Covered Stents and Iliac Artery Drug Eluting Stents), Infrapop Artery Stents (Infrapop Artery Bare Metal Stents, Infrapop Artery Bioabsorbable Stents, Infrapop Artery Covered Stents and Infrapop Artery Drug Eluting Stents) and Renal Artery Bare Metal Stents 8. Aortic Stent Grafts Aortic Stent Grafts includes sub-segments such as Abdominal Aortic Stent Grafts and Thoracic Aortic Stent Grafts 9. Vascular Grafts 10. Peripheral Venous Thrombectomy Devices Peripheral Venous Thrombectomy Devices includes sub-segments such as Mechanical Thrombectomy Devices and Aspiration Thrombectomy Devices Prosthetic Heart Valves includes segments such as 1. Transcatheter Heart Valves 2. Mechanical Heart Valves Mechanical Heart Valves includes sub-segments such as Mechanical Aortic Valve Replacements and Mechanical Mitral Valve Replacements 3. Tissue Heart Valves Tissue Heart Valves includes sub-segments such as Tissue Aortic Valve Replacements and Tissue Mitral Valve Replacements Page 14

15 2.3 Definitions of Markets Covered in the Report Cardiac Assist Devices Cardiac assist devices are used to support the failing heart which cannot be managed with standard medical therapy. These devices can be used for both short term and long term purposes allowing the heart to rest long enough so that it can return to normal. Cardiac assist devices include Total Artificial Heart (TAH) devices, Ventricular Assist Devices (VAD) and Intra-Aortic Balloon Pumps (IABP). Total Artificial Heart A total artificial heart is a prosthetic device that is implanted into the body to replace the biological heart. One unit refers to one total artificial heart. Ventricular Assist Devices A Ventricular Assist Device (VAD) is a mechanical pump that helps a heart that is too weak to pump blood through the body. It is sometimes referred to as a bridge to transplant since it can help a patient survive until a heart transplant can be performed. Left Ventricular Assist Devices A left ventricular assist device is a ventricular assist system intended for the treatment of advanced-stage heart failure. It assists the left ventricle in pumping the blood. One unit refers to one left ventricular assist device with accessories. Right Ventricular Assist Devices A right ventricular assist device is a ventricular assist system intended to assist the right ventricle in pumping the blood. One unit refers to one right ventricular assist device with accessories. External Ventricular Assist Devices An external ventricular assist device is provided for augmenting cardiac contractions. This is connected surgically to an EKG machine which actuates a fluid pump in response to the QRS waves of the heart. It consists of a flexible, non-distensible shell adapted to be positioned over the heart base. One unit refers to one external ventricular assist device with accessories. Biventricular Assist Devices Biventricular assist device is a ventricular assist system intended to assist both the ventricles in pumping the blood. One unit refers to one biventricular assist device with accessories. Intra-Aortic Balloon Pumps The Intra-aortic Balloon Pump (IABP) is a mechanical device that is used to decrease myocardial oxygen demand while at the same time increasing cardiac output. By increasing cardiac output it also increases coronary blood flow Page 15

16 and therefore myocardial oxygen delivery. It consists of a cylindrical balloon that sits in the aorta and counter pulsates. Intra-Aortic Balloon Pump Catheters Intra-Aortic Balloon Catheters are used in conjunction with Intra-Aortic Balloon Pumps to assist in improving the cardiac output to meet the oxygen demand of the body. One unit refers to one Intra-Aortic Balloon Pump Catheter. Intra-Aortic Balloon Pump Consoles Intra-aortic balloon pump console triggers and optimizes counter pulsation support to patients. The console triggers the counter pulsatisation based on factors like ECG readings or pressure required. These systems automatically sets both the inflate and deflate timings. It comes along in a cart with a monitor and an internal battery. One unit refers to one intra-aortic balloon pump console with all the above mentioned components. Cardiac Rhythm Management Cardiac Rhythm Management (CRM) devices are used to restore the natural synchronized pumping rhythm of the heart. These include pacemakers, Cardiac Resynchronization Therapy (CRT), Implantable Loop Recorders and Implantable Cardioverter Defibrillators (ICD). These Devices are used for the treatment of congestive heart failure. Cardiac Resynchronisation Therapy Cardiac Resynchronization Therapy (CRT) device is used for the treatment of heart failure-induced conduction disturbances and ventricular dysynchrony. When used in combination with stable, optimal medical therapy, CRT is designed to reduce symptoms and improve cardiac function by restoring the mechanical sequence of ventricular activation and contraction. Cardiac Resynchronisation Therapy Defibrillators Cardiac Resynchronisation Therapy Defibrillator uses an Implantable Cardioverter Defibrillator (ICD) to improve the coordination of the heart rhythm. This device utilizes three leads, one to the right atrium and one in each of the ventricles. One unit refers to one cardiac resynchronisation therapy - defibrillator. Leads and electrodes are not included here. Cardiac Resynchronisation Therapy Pacemakers Cardiac Resynchronisation Therapy Pacemaker uses a pacemaker device to improve the coordination of the heart rhythm. This device utilizes three leads, one to the right atrium and one in each of the ventricles. One unit refers to one cardiac resynchronisation therapy - pacemaker. Leads and electrodes are not included here. Implantable Cardioverter Defibrillators An Implantable Cardioverter Defibrillator (ICD) is a device which detects cardiac arrhythmia, or irregular beating of the heart, and delivers a high voltage shock to restore the natural rhythm. This restores the natural rhythm of the heart. The ICD is of the single chamber and dual chamber. Page 16

17 Single Chamber Implantable Cardioverter Defibrillators A single chamber Implantable Cardioverter Defibrillator (ICD) is a device which detects cardiac arrhythmia, or irregular beating of the heart in one chamber (either an atrium or a ventricle) of the heart, and delivers a high voltage shock to restore the natural rhythm. One unit refers to one single chamber implantable cardoverter defibrillator. Leads and electrodes are not included here. Dual Chamber Implantable Cardioverter Defibrillators A dual chamber Implantable Cardioverter Defibrillator (ICD) is a device which detects cardiac arrhythmia, or irregular beating of the heart in two chambers (the atrium or the ventricle) of the heart, and delivers a high voltage shock to restore the natural rhythm. One unit refers to one dual chamber implantable cardioverter defibrillator. Leads and electrodes are not included here. Pacemakers A pacemaker is a device designed to regulate the beating of the heart by providing electrical impulses delivered by the electrodes contacting the heart muscle. It can be a single chamber or dual chamber type. Dual Chamber Pacemakers Dual chamber pacemakers have pacing leads in two chambers of the heart. One lead paces the atrium and one paces the ventricle. This approach more closely matches the natural pacing of the heart. These types of pacemaker can co-ordinate function between the atria and ventricles. Leads and electrodes are not included here. One unit refers to one dual chamber pacemaker. Single Chamber Pacemakers A single chamber pacemaker is a device which has a single pacing lead placed into a chamber of the heart. This could be the atrium or ventricle. Leads and electrodes are not included here. One unit refers to one single chamber pacemaker. Implantable Loop Recorder (ILR) An Implantable Loop Recorder (ILR) is a subcutaneous, single-lead, electrocardiographic (ECG) monitoring device used for diagnosis in patients with recurrent unexplained episodes of palpitations or syncope, along with long-term monitoring in patients at risk for or with atrial fibrillation, structural heart disease, bundle branch block, recurrent neurally mediated syncope etc. It consists of the insertable recorder that comes with a battery and two surface electrodes. One unit refers to a single implantable loop recorder. Cardiovascular Monitoring and Diagnostic Devices Cardiovascular monitoring and diagnostic devices are used to detect and feedback abnormal episodes of electrical functioning of the heart. The cardiovascular monitoring and diagnostic devices include Cardiopulmonary Stress Page 17

18 Testing Systems, ECG Data Management Systems, ECG Monitoring Equipment, ECG Stress Testing Systems, Event Monitoring Systems and Holter Monitoring Systems. Cardiopulmonary Stress Testing Systems Cardiopulmonary exercise or cardiopulmonary stress testing is done to non-invasively measure heart rate, cardiac output, oxygen saturation, ventilation, and gas exchange to bring forth abnormalities not detectable at rest. The test is used to characterize a patient's primary limitation of exercise tolerance as either cardiac or pulmonary in nature. In addition, the test also provides an assessment of the response to a specific treatment regime. Physicians now prescribe cardiopulmonary stress test for both cardiac and pulmonary function tests that help identify or assess conditions of the heart and lungs. One unit refers to one cardio pulmonary stress testing system. ECG Data Management Systems ECG Database Management Systems are used to store and manage patients ECG. It allows to capture and store auditing information, report the serial ECG changes, and can communicate with other systems, such as hospital information systems. Hospitals use ECG Data Management Systems to store and retrieve patients ECG data. These systems are integrated systems and are highly configurable to the individual hospital requirements. Multiple facilities may share a single system. Only market for the main facility has been sized, not all facilities associated with the main system. One unit refers to one new installation, upgrades are not considered while estimating the market size. ECG Monitoring Equipment Resting ECG equipment records the electrocardiogram (ECG) and is used to evaluate 10 seconds (or a specific time interval) of electrical activity of the heart so a physician can determine the condition of a patient's heart. Resting ECG equipment is primarily used for the 12-lead ECG test and is primarily used on a mobile cart or trolley. Resting ECG equipment is NOT the same as ECG Bedside Patient Monitoring equipment. Single channel ECG machines are not covered in this segment. One unit refers to one ECG monitoring equipment with more than 3 channels. ECG Stress Testing Systems ECG Stress Testing Systems or Tread Mill Testing (TMT) System is used to record ECG of the heart during excessive workload. The system measures the performance of the heart at various stress levels. This does not include cost of treadmill. One unit refers to one ECG recorder and PC based software. Event Monitoring Systems Event monitors or recorders are devices which record only the abnormal events of the ECG over an extended period of time. One unit refers to one event monitor or recorder. Holter Monitoring Systems Holter monitoring systems record the ECG for a 24 or 48 hour period and are used to identify abnormal episodes of the heart. The Holter system usually consists of a recorder, an interface circuit board, software for data analysis, and an audio cassette or digital flash memory device for storage. One unit refers to one Holter monitoring system and a Page 18

19 glenoid component made of this alloy or a combination of this alloy and ultra-high molecular weight polyethylene. One unit is one implant set. Cardiovascular Prosthetic Devices Cardiovascular prosthetic devices are used to improve the survival and quality of life, treat chronic heart valve conditions. Cardiac Valve Repairs Cardiac valve repair devices are used in the repair of malfunctioning valves. Only mitral valve repair has been covered under this segment. Tricuspid and Aortic annuloplasty rings are not included here. One unit refers to one annuloplasty cardiac valve repair ring. Annuloplasty is a technique used to repair an enlarged annulus; a ring is placed at the base of the heart valve. This annuloplasty ring makes the opening of valve smaller. The ring provides support to the valve so it can close more tightly. Septal Occluders These devices are used to correct congenital heart defects. These defects generally include atrial septal defect, ventricular septal defect, and the patent foramen ovale. Atrial Septal Defect (ASD) Occluders ASD occluder is used to close the abnormal hole in the wall of the upper chambers of the heart where the wall between the right and left atria does not close completely. One unit refers to one ASD occluder. Ventricular Septal Defect (VSD) Occluders VSD occluder is used to close the defect in the ventricular septum. One unit refers to VSD occluder. Patent Foramen Ovale (PFO) Occluders PFO occluder is used to close the defect in the septum (wall) between the two upper (atrial) chambers of the heart. One unit refers to one PFO Occluder. Cardiovascular Surgery This includes devices used in cardiovascular surgeries such as coronary artery bypass surgery. The category includes devices and accessories used to aid in cardiovascular surgery. Beating Heart Surgery Systems Beating heart surgery systems are a new technique of cardiac surgery in which the heart continues to beat at its normal rhythm during the surgery. This segment consists of positioners and stabilizers. Page 19

20 Positioners Positioners guide and hold the heart in a position that provides the best access to the blocked arteries. One unit refers to one positioner. Stabilizers Stabilizers hold a small area of the heart still while a surgeon works on it. One unit refers to one stabilizer. Cardiac Ablation Devices Cardiac ablation devices are used to treat the atrial fibrillation by disrupting the abnormal pathways using RF/Microwave energy or intense cold (cryoablation). Electrophysiology (EP) ablation is not tracked under this segment. The system includes radiofrequency (RF) generator, remote control console and irrigation pump. One unit refers to one cardiac ablation device consisting of the above mentioned devices. Cardiopulmonary Bypass Equipment Cardiopulmonary bypass equipment consists of the capital equipment used during cardio pulmonary bypass surgery. This includes the heart-lung machine. One unit refers to one heart-lung machine. Perfusion Disposables Perfusion disposables consist of the disposable items used during cardio pulmonary bypass surgery. These include custom packs and oxygenators. One oxygenator and one custom tubing pack are used for each on-pump procedure. Custom Tubing Packs Custom Tubing Packs are made from non-toxic medical grade P.V.C. tubing, and are used exclusively in combination with heart lung machine and other devices of the system, such as oxygenator, blood cardioplegia delivery system. The set is used exclusively for supply of blood & other liquids between the patient & extracorporeal system. A custom tubing pack usually consists of tubing, connectors, fittings and monitoring cells. One unit refers to one custom tubing pack. Oxygenators Oxygenators are devices in which blood and oxygen are separated by a semi-permeable membrane, generally of Teflon or polypropylene, across which gas exchange occurs. These devices are used along with heart-lung machines during cardiopulmonary bypass surgery. One unit refers to one oxygenator. Electrophysiology Electrophysiology equipment analyzes the electrical activity of the heart. The equipment is used with cardiac catheters and sophisticated computers to generate electrocardiogram tracings and electrical measurements with Page 20

21 exquisite precision from within the heart chambers. RF generators may be used in conjunction with electrophysiology equipment to treat the abnormal impulse generating areas in the heart. Electrophysiology Ablation Catheters Electrophysiology ablation catheter is a catheter with an electrode on one end that emits mild radiofrequency energy to destroy a small area of heart tissue in the abnormal pathway, preventing any further transmission of the impulses causing the arrhythmia. Standard and advanced ablation catheters have been tracked under this segment. Advanced Ablation Catheters Advanced ablation catheters include irrigational tip catheters, cryo ablation catheters, laser ablation catheters and navigational catheters. Navigational catheters are used in advance mapping devices which are not tracked under this category. One unit is defined as one advanced ablation catheter. Standard Ablation Catheters Standard ablation catheter is a normal tip catheter (4mm-8mm) which is used in electrophysiology devices. One unit is defined as one standard ablation catheter. Electrophysiology Diagnostic Catheters Electrophysiology diagnostic catheter is a tube with an electrode that is threaded through an artery into the heart where it both records electrical activity and emits electrical impulses to test the heart s response. This test helps doctors identify rhythm problems and pinpoint areas of the heart responsible for abnormal heart rates. One unit refers to one electrophysiology diagnostic catheter. Standard and advanced diagnostic catheters have been tracked under this segment. Advanced Diagnostic Catheters Advanced diagnostic catheters include pulmonary vein catheters (loop catheters). Ultrasound catheters are not tracked under this category. One unit is defined as one advanced diagnostic catheter. Standard Diagnostic Catheters Standard diagnostic catheters include fixed and steerable diagnostic catheters. One unit is defined as one standard diagnostic catheter. Electrophysiology Lab Systems Electrophysiology Lab Systems are used for the visualization, diagnosis and treatment of cardiac arrhythmias. Electrophysiology lab systems include Advanced Mapping Systems, EP Recording Systems, X-ray Systems, Intracardiac Echocardiography Systems, Radiofrequency Ablation Generators, EP Stimulators, Remote Navigation Systems and Cryoablation Consoles. Only complete installations of Electrophysiology lab systems are tracked here. One unit refers to one Electrophysiology lab system. Page 21

22 External Defibrillators External defibrillators are emergency medical devices that are predominantly used to diagnose life-threatening abnormalities such as irregular heart rhythms (cardiac arrhythmia), and treat these conditions by delivering electrical energy to the heart to restore its normal rhythm. These devices are used in emergency situations on the patients who have suffered or collapsed due to sudden cardiac arrest. They are ideally used within a few minutes of the collapse. Manual Defibrillators Manual external defibrillators are used with an electrocardiogram display or have a built - in electrocardiogram to diagnose the rhythm of the heart. On the basis of the diagnosis, the clinician then determines the energy amount to be delivered to the patient. These devices are predominantly used in hospitals and in some ambulances with doctors/physicians/skilled paramedics onboard. Public Access AED Public access AED's provide clear voice prompts that instruct users through the lifesaving cycle including prompts to perform CPR, and step-by-step instructions on how to use the AED. It comes along with pads and connecting cables. One unit refers to one public access AED defibrillator with a set of pads and connecting cables. Professional AED Professional AED's display the victim's heart rhythm on a built-in high resolution color ECG display and give professional users the option of delivering defibrillation shocks either semi-automatically or manually during the emergency treatment of a victim of sudden cardiac arrest. It comes along with pads and connecting cables. One unit refers to one professional AED defibrillator with a set of pads and connecting cables. Interventional Cardiology Interventional cardiology includes devices used to diagnose and treat diseases related to the coronary artery using a minimally invasive procedure. These include coronary stents, cardiac catheters, Percutaneous Transluminal Coronary Angioplasty (PTCA) Balloons, coronary guidewires, Intravascular Ultrasound Systems (IVUS) and arteriotomy closure devices. Electrophysiology products are not covered under this category. Arteriotomy Closure Devices Arteriotomy closure devices are used for carrying out hemostasis at the end of a percutaneous intervention (PCI). This is used as an alternative to manual or mechanical compression. Radial access devices and femoral access devices have been tracked under this segment. Femoral Access Devices Femoral closure devices are used for the percutaneous closure of common femoral artery access sites in patients who have undergone diagnostic endovascular catheterization devices. Hemostasis is carried out by these devices either by a clip, titanium staple or by an absorbable sealant. One unit refers to one femoral closure device. Page 22

23 Radial Access Devices Radial closure devices provide controlled compression of the radial artery without completely occluding vessel flow. It consists of a transparent cuff, the air injection port, inflator and an adjustable band. One unit refers to one radial closure device. Cardiac Catheters Cardiac catheters are narrow hollow tubes used for guiding and visualization of the coronary vasculature or the functioning of heart valves. Cardiac catheters include guiding catheters and angiography catheters. Angiography Catheters Angiography catheters are used to administer a radio contrast dye into the chambers of the heart to detect any abnormalities related to the coronary arteries or cardiac valves. One unit refers to one angiography catheter. Guiding Catheters Guiding catheters are catheters used to navigate stents, balloons and leads during a minimally invasive procedure. One unit refers to one guiding catheter. Coronary Guidewires A coronary guidewire is used to navigate catheters during percutaneous coronary interventions (PCIs). The guidewire has an elongated body for a degree of flexibility and a distal tip. One unit refers to one coronary guidewire Coronary Stents A stent is an expandable perforated tube that is inserted into a natural conduit of the body to prevent or counteract a disease-induced localized flow constriction. The main goal of the stent is to hold the inner wall in its compressed position and retain the enlarged vessel diameter. Coronary stents are used in the coronary vasculature and include Bare Metal Stents (BMS) and Drug Eluting Stents (DES). Bare Metal Stents Bare metal stents (BMS) are uncoated stents that are permanently placed inside the artery. These stents are constructed from a range of metals, including nitinol, stainless steel, and cobalt chromium. One unit refers to one bare metal stent. Drug Eluting Coronary Stents Drug Eluting Stent (DES) is a BMS that releases drugs locally and can be coated with a polymeric material. The stent releases an anti-proliferative or immunosuppressive drug over time, leaving behind the metallic stent in the artery. One unit refers to one drug eluting stent. Intravascular Ultrasound Systems Page 23

24 Intravascular ultrasound system is a fiber-optic, catheter-based, near-infrared (NIR) spectroscopy and intravascular ultrasound combined system intended to identify and characterize atherosclerotic plaque in the coronary arteries. It is a combination device that uses IVUS to quantify the degree of narrowing produced by a plaque, the size of the artery and the adequacy of stent expansion. Intravascular Ultrasound Catheters Intravascular ultrasound catheter is an imaging catheter intended for evaluation of vascular morphology in blood vessels of the coronary and peripheral vasculature. It provides cross-sectional image of such vessels. It incorporates a cylindrical ultrasound transducer array used to radiate acoustic energy into the surrounding tissue and detects the subsequent ultrasonic echoes. The information from the echoes is used to generate real-time images of the coronary and peripheral vessels. One unit refers to one Intravascular Ultrasound Catheter. Intravascular Ultrasound System Consoles Intravascular Ultrasound System Console is the base unit which is integrated into the interventionalist lab with the control panel, CPU, Color LCD Monitor, patient interface module for catheter designed to hang on bed rail. One unit refers to one Intravascular Ultrasound System Consoles. Percutaneous Transluminal Coronary Balloon (PTCA) Balloons Percutaneous Transluminal Coronary Angioplasty (PTCA) balloon catheters are used to restore blood flow in occluded coronary arteries and deliver stents. PTCA balloons include Rapid Exchange (RX), Over-the-Wire, Fixed Wire (FW) and Cutting and Scoring balloons. Fixed Wire (FW) Balloon A fixed wire angioplasty balloon catheter is an elongated, flexible, thin walled metal tube with an inflatable balloon on the distal end. A FW PTCA catheter is used to compress plaque and dilate (widen) narrowed coronary arteries to restore normal blood flow. This is often accompanied by implanting an expandable metal stent. One unit refers to one FW balloon catheter. Over the Wire Balloons An over-the-wire balloon catheter consists of two lumens including one for the guidewire and the other for balloon inflation. An over-the-wire PTCA catheter can be used compress plaque and dilate (widen) narrowed coronary arteries to restore normal blood flow. This is often accompanied by implanting an expandable metal stent. One unit refers to one over the wire balloon catheter. PTCA Cutting and Scoring Balloons Cutting and scoring balloon catheters have microsurgical blades mounted longitudinally on the angioplasty balloon catheter. They can be advanced through occluded coronary arteries and used for plaque debulking. Cutting and scoring balloon catheters exert less pressure compared with that by conventional balloon angioplasty catheters. One unit refers to one PTCA cutting and scoring balloon catheter. Page 24

25 Rx Balloons An Rx balloon catheter has an elongated shaft, two lumens for balloon inflation and guidewire and a proximal and distal shaft. An angioplasty balloon is located on the distal shaft of the catheter. A Rx PTCA catheter is used to compress plaque and dilate (widen) narrowed coronary arteries to restore normal blood flow. One unit refers to one Rx balloon catheter. PTCA Drug Eluting Balloons (DEB) A drug eluting balloon (DEB) is an anti-restenotic drug coated PTCA (Percuatneous Transluminal Coronary Angioplasty) balloon intended to prevent re-narrowing of the coronary arteries. DEBs provide fast, short-term, homogenous, local drug delivery, preserve the anatomy of the vessel, promote enhanced vessel healing, and reduce the need for prolonged dual anti-platelet therapy without leaving any metal behind. They can be used for coronary and peripheral artery applications including treating in-stent restenosis (ISR), bifurcations, small vessels, and long lesions. One unit refers to one PTCA drug eluting balloon. Peripheral Vascular Devices Peripheral vascular devices include devices used to treat peripheral vascular disease (PVD). These include peripheral vascular stents, peripheral non vascular stents, peripheral guidewires, percutaneous transluminal angioplasty (PTA) balloons, grafts (allograft and artificial) and embolic protection devices. Inferior Vena Cava Filter (IVCF) Inferior Vena Cava Filter (IVCF) is used to prevent emboli from reaching lungs which results in Pulmonary Embolism (PE). It includes Retrievable IVCF and Permanent IVCF. Permanent IVCF Permanent IVCF are the one's which cannot be removed or repositioned. One unit refers to one Permanent IVCF. Retrievable IVCF Temporary or retrievable IVCF are the one s which can be retrieved or repositioned up to a certain point of time. It includes both temporary filters that must be retrieved and retrievable filters where retrieval is optional. One unit refers to one Retrievable IVCF. Peripheral Embolic Protection Devices Peripheral Embolic Protection devices prevent the emboli or other debris from blocking and disrupting blood flow in the body. Carotid, renal and lower extremity embolic protection devices have been tracked under this segment. Carotid Embolic Protection Devices Carotid embolic protection devices are used to prevent the debris from reaching the brain during carotid angioplasty. One unit refers to one embolic protection device used in carotid angioplasty. Page 25

26 Renal Embolic Protection Devices Renal embolic protection devices are used to prevent the debris from reaching the kidney while placing a stent in the renal artery. One unit refers to one renal embolic protection device. Lower Extremity Embolic Protection Devices Lower extremity embolic protection devices are used during lower extremity interventions. One unit refers to one lower extremity embolic protection device. Peripheral Guidewires Peripheral Guidewires are used during the percutaneous transluminal angioplasty and angiography for guiding the stents or catheters to the site of action in the peripheral vasculature. Hydrophilic and Non-hydrophilic peripheral guidewires are tracked under this segment. Hydrophilic Peripheral Guidewires Hydrophilic peripheral guidewires are coated with hydrophilic coating which provides maximum lubricity and helps to facilitate catheter navigation. One unit refers to one hydrophilic peripheral guidewire. Non-Hydrophilic Peripheral Guidewires Non-hydrophilic peripheral guidewires are peripheral guidewires which do not have a hydrophilic coating and may include other coatings such as PTFE, silicone etc. One unit refers to one peripheral guidewire. Peripheral Vascular Stents Peripheral Vascular Stent is an expandable perforated tube that is inserted into a peripheral vessel to prevent blood flow constriction. Carotid artery stents, Iliac Artery Stents, Infrapop Artery Stents, Renal Artery stents and Fem-pop Artery stents, are covered under this segment. Carotid Artery Bare Metal Stents A carotid artery stent is the tube that is inserted in the Carotid artery, to increase the flow of blood blocked by plaque. It is generally recommended for people who are unable to undergo an endarterectomy. Only Bare Metal Stents are tracked under this sub-segment, as majority of the surgeries use Bare Metal Stents for Carotid Artery Stenting. One unit refers to one Carotid Artery Bare Metal Stent. Renal Artery Bare Metal Stents Renal stent is a tube that is inserted in the renal arteries to increase blood flow to kidneys. Only Bare Metal Stents are tracked under this sub-segment, as majority of the surgeries use Bare Metal Stents for the Renal Artery Stenting. One unit refers to one Renal Artery Bare Metal Stent. Page 26

27 Fem-pop Artery Stents A Fem-pop Stent is a tiny, expandable metal coil that is inserted into the femoral and popliteal arteries located in thigh and knee during the femoropopliteal artery stenting devices. Fem-pop Artery Stents are further segmented into; Fem-pop Artery Bare Metal Stents Fem-pop Artery Bare-metal stent is a stent without a coating. It is a mesh-like tube of thin wire. One unit refers to one Fem-pop Artery Bare Metal Stent. Fem-pop Artery Drug Eluting Stents Fem-pop Artery Drug-Eluting stent is coated with a medicine or drug that helps further prevent the arteries from reclosing. One unit refers to one Fem-pop Artery Drug Eluting Stent. Fem-pop Artery Covered Stents Fem-pop Artery Covered Stent is a flexible tube used to repair or support a damaged section of an artery. These stents are made up of a metallic frame which is covered by durable fabric. One unit refers to one Fem-pop Artery Covered Stent. Fem-pop Artery Bio-absorbable Stents Fem-pop Artery Bio-absorbable Stent is manufactured from a material that may dissolve or be absorbed in the body. One unit refers to one Fem-pop Artery Bio-absorbable Stent. Iliac Artery Stents An Iliac artery stent is the tube that is inserted in the Iliac artery to increase the flow of blood in the narrowed iliac arteries. Iliac Artery Stents are further segmented into; Iliac Artery Bare Metal Stents lliac Artery Bare-metal stent is a stent without a coating. It is a mesh-like tube of thin wire. One unit refers to one Iliac Artery Bare Metal Stent. Iliac Artery Drug Eluting Stents liac Artery Drug-Eluting stent is coated with a medicine or drug that helps further prevent the arteries from reclosing. One unit refers to one Iliac Artery Drug Eluting Stent. Iliac Artery Covered Stents Iliac Artery Covered Stent is a flexible tube used to repair or support a damaged section of an artery. These stents are made up of a metallic frame which is covered by durable fabric. One unit refers to one Iliac Artery Covered Stent. Page 27

28 Iliac Artery Bio-absorbable Stents Iliac Artery Bio-absorbable Stent is manufactured from a material that may dissolve or be absorbed in the body. One unit refers to one Iliac Artery Bio-absorbable Stent. Infrapop Artery Stents An Infrapop Stent is a tiny, expandable metal coil that is inserted to establish flow in the tibial, peroneal or pedal arteries. Infrapop Artery Stents are further classified into; Infrapop Artery Bare Metal Stents Infrapop Artery Bare-metal stent is a stent without a coating. It is a mesh-like tube of thin wire. One unit refers to one Infrapop Artery Bare Metal Stent. Infrapop Artery Drug Eluting Stents Infrapop Artery Drug-Eluting stent is coated with a medicine or drug that helps further prevent the arteries from reclosing. One unit refers to one Infrapop Artery Drug Eluting Stent. Infrapop Artery Covered Stents Infrapop Artery Covered Stent is a flexible tube used to repair or support a damaged section of an artery. These stents are made up of a metallic frame which is covered by durable fabric. One unit refers to one Infrapop Artery Covered Stent. Infrapop Artery Bio-absorbable Stents Infrapop Artery Bio-absorbable Stent is manufactured from a material that may dissolve or be absorbed in the body. One unit refers to one Infrapop Artery Bio-absorbable Stent. Renal Denervation Disposable Catheters Renal Denervation is a catheter based specialized ablation procedure used to reduce blood pressure in patients with hypertension, or who are resistant to medical therapy. During this procedure, Radio Frequency (RF) energy is delivered to the renal artery using a catheter with a RF energy electrode tip. This ablation delivered to the renal artery disrupts the renal nerves resulting in reduction of blood pressure. One unit refers to one Renal Denervation Disposable Catheter. PTA Balloons Percutaneous Transluminal Angioplasty (PTA) balloon catheters are used to compress plaque and dilate the arterial wall to restore normal blood flow through the vessel. A PTA balloon catheter has a small folded balloon at the end of the catheter. One unit refers to one PTA balloon catheter. Page 28

29 PTA Peripheral Drug Eluting Balloons (DEB) A Drug Eluting Balloon (DEB) is an anti-restenotic drug coated PTA (percutaneous transluminal angioplasty) balloon intended to prevent re-narrowing of the peripheral arteries. DEBs provide fast, short-term, homogenous, local drug delivery, preserve the anatomy of the vessel, promote enhanced vessel healing, and reduce the need for prolonged dual antiplatelet therapy without leaving any metal behind. One unit refers to one PTA peripheral DEB. Aortic Stent Grafts Aortic Stent grafts are used to surgically reinforce a part of the diseased aorta such as blood filled dilation and are used in cases that cannot be treated with intervention. It can be an allograft or a poly tetra fluro ethylene (PTFE) type. These include thoracic aortic stent grafts and abdominal aortic stent grafts. Abdominal Aortic Stent Grafts Abdominal aortic stent grafts are used to treat abdominal aortic aneurysms by reinforcing a part of the aorta using a minimally invasive procedure. One unit refers to one abdominal stent graft. Thoracic Aortic Stent Grafts Thoracic aortic stent grafts are used to treat thoracic aortic aneurysms by reinforcing a part of the aorta using a minimally invasive procedure. One unit refers to one thoracic aortic stent graft. Vascular Grafts Vascular grafts are used to repair or replace blood vessels in surgical devices. They are made up of Dacron or polytetrafluroethylene (PTFE). It is also used to patch injured or diseased areas of arteries, for replacement of whole segments of larger arteries such as the aorta. One unit refers to one vascular graft. In the taxonomy only synthetic vascular grafts are tracked, thus preserved autologous grafts from other veins and arteries, cryo-preserved veins, xenografts, arterial homograft are excluded from the analysis. Peripheral Venous Thrombectomy Devices Peripheral venous thrombectomy devices are the type of clot busting devices that are used to treat thrombus containing lesions developed due to peripheral insufficiency. Mechanical Thrombectomy devices and Aspiration Thrombectomy devices are tracked under this category: Mechanical Thrombectomy Devices Mechanical thrombectomy device involves the use of rotating coil which mechanically breaks the clot, sucking the debris out through the catheter from the peripheral vasculature by negative pressure. One unit of mechanical thrombectomy device consists of a catheter and a driving unit with a rotating coil to which the catheter is attached. Aspiration Thrombectomy Devices This type of thrombectomy device involves the application of negative pressure for the removal of thrombus from the peripheral vasculature. The pressure is applied at the distal end of the catheter which leads to aspiration of the clot Page 29

30 into the catheter. One unit of aspiration thrombectomy device consists of a catheter and a driving unit to which the catheter is attached. Prosthetic Heart Valves Prosthetic heart valve is a device which mimics the function of human heart valves and have a passive mode of functioning; opening and closing of valves are responses to pressure and flow changes within the heart. They are for the patients that have a heart valvular disease where they need their valve to be replaced. Prosthetic heart valves include both mechanical and tissue or biological heart valves. Mechanical Heart Valves Mechanical heart valves are generally made of non physiological materials with a mobile occluder, which is made of rigid materials. Mechanical Aortic Valve Replacements This includes replacement of the aortic heart valve using a mechanical prosthesis. One unit refers to one mechanical aortic valve. Mechanical Mitral Valve Replacements This includes replacement of the mitral heart valve using a mechanical prosthesis. One unit refers to one mechanical mitral valve replacement. Tissue Heart Valves Tissue heart valve are a combination of tissue and synthetic biomaterials with the tissue itself being flexible. Bovine and porcine valves are included here. Tissue Aortic Valve Replacements This includes replacement of the aortic heart valve using a biological prosthesis. One unit refers to one tissue aortic valve. Tissue Mitral Valve Replacements This includes replacement of the mitral heart valve using a biological prosthesis. One unit refers to one tissue mitral valve. Transcatheter Heart Valves The Transcathetar heart valve is a tissue valve replacement that can be compressed down to the diameter of a pencil. It can be placed inside a beating heart using a catheter threaded through the patient's circulatory system or through a small incision between ribs. Once inside the heart, the valve can then be opened into its natural position by inflation of a balloon and deployed within the patient's diseased aortic valve. Only Aortic valve replacements are tracked here. One unit refers to one Transcathetar heart valve. Page 30

31 3 Cardiovascular Devices Market, India 3.1 Cardiovascular Devices Market, India, Revenue ($m), Figure 1: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Source: GlobalData Page 31

32 Table 1: Cardiovascular Devices Market, India, Revenue ($m), USD Constant, Category CAGR CAGR CAGR Interventional Cardiology Peripheral Vascular Devices Cardiac Rhythm Management Prosthetic Heart Valves Cardiovascular Surgery Electrophysiology Cardiovascular Monitoring and Diagnostic Devices External Defibrillators Cardiac Assist Devices Cardiovascular Prosthetic Devices Total Source: GlobalData. Page 32

33 3.2 Cardiovascular Devices Market, India, Revenue Mix ($m), 2012 Figure 2: Cardiovascular Devices Market, India, Revenue Mix ($m), 2012 Source: GlobalData Page 33

34 3.3 Cardiovascular Devices Market, India, Category Contribution by Revenue ($m), 2012 Figure 3: Cardiovascular Devices Market, India, Category Contribution (%), 2012 Source: GlobalData Page 34

35 Table 2: Cardiovascular Devices Market, India, Category Contribution by Revenue ($m), 2012 Category Revenue ($m) Contribution Revenue (%) Contribution Interventional Cardiology Peripheral Vascular Devices Cardiac Rhythm Management Prosthetic Heart Valves Cardiovascular Surgery Electrophysiology Cardiovascular Monitoring and Diagnostic Devices External Defibrillators Cardiac Assist Devices Cardiovascular Prosthetic Devices Source: GlobalData Page 35

36 18 Appendix The data and analysis within this report are driven by Medical etrack. Medical etrack gives you the key information required to drive sales, investment and deal-making activity in your business. It includes the following: 15,000+ data tables showing market size across more than 780 medical equipment segments and 15 countries, from 2005 and forecast to ,000+ primary expert interviews, conducted annually to ensure data and report quality 1,100+ medical equipment conference reports 1,000+ industry-leading reports per annum, covering growing sectors, market trends, investment opportunities and competitive landscape 600+ analysis reports, covering market and pipeline product analysis, by indication; medical equipment trends and issues, and investment and M&A trends worth over $3m 50,000+ medical equipment company profiles 2,000+ private, emerging and technology start-up company profiles 4,000+ company profiles of medical equipment manufacturers in China and India 2,000+ company profiles of medical equipment manufacturers in Japan 825+ companies revenue splits and market shares 1,100+ quarterly and annual medical equipment company financials 700+ medical equipment company SWOTs 11,700+ pipeline product profiles 14,000+ marketed product profiles 16,900+ clinical trials 17,000+ trial investigators 18,000+ new product patents 3,700+ reports on companies with products in development 21,500+ reports on deals in the medical equipment industry 1,300+ surgical and diagnostic procedures by therapy area 50+ key healthcare indicators by country For more information or to receive a free demonstration of the service, please visit: Page 199

37 18.1 Research Methodology GlobalData s dedicated research and analysis teams consist of experienced professionals with advanced statistical expertise and marketing, market research and consulting backgrounds in the medical devices industry. GlobalData adheres to the codes of practice of the European Pharmaceutical Marketing Research Association ( All GlobalData databases are continuously updated and revised Coverage The objective of updating GlobalData s coverage is to ensure that it represents the most up-to-date vision of the industry possible. Changes to the industry taxonomy are built on the basis of extensive research of company, association and competitor sources. Company coverage is based on three key factors: revenue; product and media attention; and innovation and market potential. The estimated revenue of all major companies, both private and public, are gathered and used to prioritize coverage. GlobalData aims to cover all major news events and deals in the medical devices industry, updated on a daily basis. The coverage is further streamlined and strengthened with additional input from GlobalData s expert panel Secondary Research The research process begins with extensive secondary research using internal and external sources to gather all relevant data and information pertaining to a particular market model for a particular country. The secondary research sources that are typically referred to include, but are not limited to: Company websites, annual reports, financial reports, broker reports, investor presentations and SEC filings Industry trade journals, scientific journals and other technical literature Association and healthcare organization websites PubMed, Medscape and other relevant services which compile extensive reviews of clinical literature Internal proprietary databases Relevant patent and regulatory databases National government documents, statistical databases and market reports Procedure registries News articles, press releases and web-casts specific to the companies operating in the market Page 200

38 Primary Research GlobalData conducts interviews with industry participants and commentators in order to validate its data and analysis. A typical research interview fulfills the following functions: Provides first-hand information on market size, market trends, growth trends, competitive landscape and future outlook Helps to validate and strengthen secondary research findings Further develops the analysis team s expertise and market understanding Primary research involves correspondence, telephone interviews and face-to-face interviews for each market, category, segment and sub-segment across a range of geographies. The participants who typically take part in such a process include, but are not limited to: o o o o Industry participants: CEOs, VPs, marketing/product managers, market intelligence managers and national sales managers Distributors, paramedics and representatives from hospital stores, laboratories and pharmacies Outside experts: investment bankers, valuation experts and research analysts that specialize in specific medical equipment markets Key opinion leaders: physicians and surgeons that specialize in the therapeutic areas in which the medical device is used The market data was validated based on the inputs from 1,771 primary research participants. The primary research participants included stakeholders from demand side such as the cardiovascular surgeons, as well as participants from the supply side such as the marketing managers, sales managers and product managers of companies manufacturing/marketing cardiovascular devices. Page 201

39 Table 93: Total Number of Primary Research Participants, Cardiovascular Devices Market, by Country Country Total Number of Primary Research Participants United States 136 United Kingdom 120 Germany 128 France 153 Italy 121 Spain 134 Brazil 128 China 79 India 173 Russia 89 Japan 88 Australia 122 Canada 111 Mexico 90 South Korea 99 Total 1,771 Source: GlobalData Market Modeling and Forecasting GlobalData uses an epidemiology-based treatment flow model and capital equipment-based model to estimate and forecast market size. Epidemiology-Based Market Model and Forecasting The epidemiology-based forecasting model uses epidemiology data gathered from research publications and primary interviews with physicians to establish the target patient population and treatment flow pattern for individual diseases and therapies. The data covers prevalence, incidence, diseased population, diagnosed population, and treatment population. The market forecast begins with the general population, the size of which varies depending on the indication. Prevalence is the percentage of the total population that suffers from a particular disease or condition. Incidence is the number of new cases of a condition, symptom, death or injury that develop during a specific time period, such as one year. The diseased population is the population suffering from a particular disease or condition. The diagnosed population is the population that has been diagnosed with a particular disease or condition, expressed as a percentage of the prevalence population. Page 202

40 The treatment population is the percentage of the population that has been diagnosed with a particular disease or condition. Device uptake is the percentage of the treatment population using a particular device, determined based on the primary responses and the information available in secondary sources. The epidemiology-based forecasting model for a medical device is used to: Determine the patient segment using a particular device or procedure Determine the frequency of usage of a particular device depending on the patient type, which further helps to determine the absolute unit sales of a device in a year The market for any medical device is directly proportional to the volume of units sold and the price per unit. Market size = volumes of units sold X ASP (Average Selling Price) The volume of units sold is calculated from the number of patients using or that has been implanted with the device. Data on treatment rate, diagnosis and surgical treatment rate, if unavailable from research publications, is gathered from interviews with physicians and used to estimate the patient volume for the disease under consideration. The ASP of a device is mostly gathered from primary and secondary sources. ASP is the price at which a device is available in a target country to an end-user. For capital equipment, the end-user is typically considered to be the healthcare setting. For implants and consumables purchased by patients, the end-user is the patient. Factors such as company share, reimbursement, company type (local/domestic or multinational) are taken into consideration during ASP analysis, which uses the following sources: Company websites Annual reports/industry reports Press releases Page 203

41 Epidemiology-Based Forecasting Model Figure 77: GlobalData Epidemiology-Based Forecasting Model Source: GlobalData Capital Equipment-Based Market Model and Forecasting The capital equipment-based forecasting model is based on the installed base, replacements and new sales of a specific type of capital equipment in healthcare facilities such as hospitals, clinics and diagnostic centers. The installed base is calculated from the average number of units per facility. Sales for a particular year are arrived at by calculating the number of replacement units and new units (additional and first-time purchases). Secondary sources and interviews with supply-side participants and key opinion leaders from healthcare facilities are used to arrive at installed base and unit sales for a particular year. The factors typically affecting the forecast growth rates are: Growth in the number of healthcare facilities Healthcare spending and government programs and initiatives Migration from low-end equipment to high-end equipment Growth in the diagnosed population and treatment population Page 204

42 Capital Equipment-Based Forecasting Model Figure 78: GlobalData Capital Equipment-Based Forecasting Model Source: GlobalData Company Share Analysis Company shares are calculated by analyzing a company s sales in a particular market. In the case of public companies, annual reports and regulatory filings, investor presentations, earnings call transcripts and broker reports are used to determine a company s revenue in a particular market and in a particular geography. In the case of the private companies, company share data is gathered mostly from primary interviews and secondary sources. Company share analysis is based on primary interviews with: Supply side (manufacturers) Procurement side Distributors Hospital purchasing groups Demand side (surgeons/specialists) Page 205