Bariatric (Obesity) Surgical Devices

Published by: Global Industry Analysts

Published: Jul. 1, 2009 - 284 Pages

Table of Contents

I.INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations

Disclaimers

Data Interpretation & Reporting Level

Quantitative Techniques & Analytics

Product Definitions and Scope of Study

II. EXECUTIVE SUMMARY

1.INDUSTRY OVERVIEW

Obesity Assumes Epidemic Proportions

Growing Problem of Obesity in Asia ParticularlyChina

Obesity - Quick Statistics

Table 1: Global Overweight Prevalence (2006):Overweight Population (%) of Select Countries(BMI > 25) (includes corresponding Graph/Chart)

Table 2: Obese and Overweight & Obese Populationin the World (2009): Percentage Share Breakdown byRegion for US, European Union, and Rest of World(includes corresponding Graph/Chart)

Table 3: Abdominal Obesity Prevalence (%) by Regionand Sex (includes corresponding Graph/Chart)

Surgery Provides Hope for Morbidly Obese Patients

Growing Obesity Prevalence Drives Development ofWeight Loss Therapies

2.MARKET DYNAMICS

Relevance of Bariatric Surgery in Pediatrics

Sleeve Gastrectomy - Challenging the Growth ofBanding Procedures

Compliance Trends with Physician Advise in Post-Surgery Scenario

Recommendation Compliance After Surgery - Weight Lossin Compliant and Non-Compliant Patients

Risk of Bariatric Surgery on Pregnancy

Stomaphyx Surgery - Addressing Post-SurgicalComplications

VBLOC - An Alternative to Bariatric Surgery

Endobarrier - An Experimental Device OffersAlternative to Surgery

Competition Intensifies in the Bariatric Surgery Market

3.AN INTRODUCTION TO OBESITY

Obesity - A Conceptual Definition

Childhood Obesity

Causes of Obesity

Dietary Habits

Sedentary Lifestyle

Genetic Factors

Medical and Psychiatric Illnesses

Socioeconomic Factors

Diagnosis of Obesity

Body Mass Index (BMI)

Classification of Obesity as per BMI

Classification for Class III Obesity

Deriving Body Fat Percentage from BMI

Central Obesity

Central Obesity in Men and Women - Criteria forIdentification Using Absolute Waist Circumferenceand Waist-Hip Ratio Methods

Impact of Obesity on Health

Mortality

Morbidity

Major Obesity-Related Diseases

Obesity Treatment

Diet Therapy

Lifestyle Modification

Pharmacotherapy

Medical Devices

Bariatric Surgery

Clinical Protocols for Obesity Treatment

4.BARIATRIC SURGERY - AN INSIGHT

Defining Bariatrics

Bariatric Surgery

Patient Eligibility for Bariatric Surgery

Role of Technologies in the Growth of Bariatric Surgery

Endoluminal and Transgastric Surgeries

Laparoscopy

Endoscopy in Bariatric Surgery

Advantages of Bariatric Surgery

Disadvantages of Bariatric Surgery

5.SURGICAL OPTIONS FOR OBESITY TREATMENT

Surgical Treatment for Obesity

Classification of Bariatric Surgery Procedures

Restrictive Procedures

Vertical Banded Gastroplasty

Laparoscopic Adjustable Gastric Banding

World Estimates and Forecasts

Table 4: World Recent Past, Current & FutureAnalysis for Bariatric Surgery: Annual Numberof Gastric Banding Procedures for Years 2005through 2015 (in Thousands) (includescorresponding Graph/Chart)

Eligibility Criteria for Gastric Banding Patients

Advantages of Gastric Banding

Adverse Effects of Banding

Malabsorptive Procedures

Biliopancreatic Diversion Procedure

Biliopancreatic Diversion with Duodenal Switch

Benefits & Drawbacks of the Procedure

Combination Procedures

Gastric Bypass Surgery

Table 5: Effectiveness of Gastric Bypass Surgery(includes corresponding Graph/Chart)

Surgical Techniques for Gastric Bypass

Variations of Gastric Bypass

Loop Gastric Bypass

Mini Gastric Bypass

Table 6: Key Performance Characteristics ofLaparoscopic Mini Gastric Bypass Surgery

Long-Limb Gastric Bypass

Gastric Bypass, Roux En-Y (Proximal)

Gastric Bypass, Roux en-Y (Distal)

Open Vs Laparoscopic Gastric Bypass Surgery

Complications of Gastric Bypass Procedure

Anastamotic Leakage

Anastamotic Stricture

Dumping Syndrome

Major Complications of Laparoscopic GastricBypass

Sleeve Gastrectomy

Analysis of Various Bariatric Procedures

Table 7: A Comparative Analysis of Various BariatricSurgery Procedures

Table 8: Efficacy Rates of Bariatric Procedures(At 2 Year of Surgery)

Gastric Banding Vs Gastric Bypass

Table 9: Comparison of Gastric Band & GastricBypass Surgeries

6.BARIATRIC SURGERY DEVICES

Adjustable Gastric Bands

Background

Available Gastric Bands

Adjustable Gastric Bands Marketedin the US and Europe

Allergan & Ethicon Vie for Global Gastric BandMarket Share

Table 10: Leading Players in the Global Gastric Bands Market (2007): Percentage Share Breakdown of ValueSales for Allergan, Johnson & Johnson/Ethicon,and Others (includes corresponding Graph/Chart)

Lap-Band Vs Realize Band

Intragastric Balloons

Implantable Gastric Stimulator (IGS)

Surgical Clamps/Gastric Surgery Clamps

Clip Applier

Endo Stitch

Pneumoperitoneum Needle

Surgical Staple

Trocars

7.RESEARCH/STUDY FINDINGS

Bariatric Surgery Reduces Complications Associatedwith NAFLD

Research Finds Lower Maternal Risks Among Surgery-Treated Obesity Patients

Metabolic Syndrome Affects In-Hospital OutcomesAfter Bariatric Surgery

Researchers Assess Pulmonary Aspiration Riskin Bariatric Surgery Patients

Post-Operative Outcomes of Bariatric Surgeries

Gastric Bypass Surgery Improves Immune Response ofPatients

Bariatric Surgery Reduces Cancer Risk

Study Shows Need for Re-Surgery in Banding SurgeryPatients

Gastric Banding Surgery Improves Resistanceto Insulin

8.PRODUCT INNOVATIONS/INTRODUCTIONS

Covidien Introduces Versaport™ Plus BladelessTrocar Line

West Penn Bariatric Surgery Center Commences use ofREALIZE Gastric Band

Ethicon Receives FDA Approval to MarketREALIZE™

Swan Medical Devices Introduces IntraluminalGastroplasty Device

9.RECENT INDUSTRY ACTIVITY

Allergan Acquires EndoArt

Allergan and Covidien to Co-promote Lap-Band

Taiwan Approves Intragastric Balloon Treatment

Cellular Technical Services Takes Over SafeStitch

USGI Medical to Use EOS

Synovis Acquires 4Closure™ Surgical Fascia ClosureSystem

Allergan Acquires Inamed

Medtronic Acquires Transneuronix

EnteroMedics and Mayo Enter into R&D Agreement

10.FOCUS ON SELECT PLAYERS

Allergan, Inc. (US)

Cousin Biotech (France)

Covidien Ltd. (Bermuda)

Ethicon Endo-Surgery, Inc. (US)

Helioscopie SA (France)

Medical Innovation Development Company (France)

PARÉ Surgical, Inc. (US)

Satiety, Inc. (US)

Silimed Ltda (Brazil)

Surgical IOC (France)

III. MARKET

1.THE UNITED STATES

A. Market Analysis

Outlook

Obesity - A Major Concern for HealthcareIndustry

Factors Contributing to Rising Incidence of Obesity

A Quick Glance at Obesity Statistics

Table 11: Obesity-Affected Population in the US(2009): Percentage Share Breakdown by Age Group (includes corresponding Graph/Chart)

Table 12: Proportion (%) of Obesity in the USOverweight Population by Age Group(includes corresponding Graph/Chart)

Table 13: US Obesity Rate (2007): PrevalenceRate by Leading States

Bariatric Surgery - Ultimate Option for ObesityTreatment

Bariatric Surgery - Fast Facts

Focus on Physical Well-Being Boosts BariatricSurgery Market

Growth Drivers

Market Restraints

Rapid Growth in Bariatric Surgery Devices Market

Surgery Market for Adolescent Obesity- Slow &Steady Growth

Gastric Banding - A Market Set for Rapid Growth

Laparoscopic Adjustable Gastric Banding GainsPopularity

LGB Vs LGBP - Cost Comparison

Robot-Assisted Gastric Bypass Surgery Risesin Popularity

Reimbursement Scenario

Insurance Coverage

CMS Offers Coverage for Bariatric Surgery

Lack of Sufficient Coverage - A Major Obstacle

Competition Intensifies in the US GastricBanding Market

Table 14: Leading Players in the US AdjustableGastric Banding Market (2006 & 2008):Percentage Share Breakdown of Revenuesfor Allergan and Johnson & Johnson

Product Launches

Strategic Corporate Developments

Key Players

Allergan, Inc.

Ethicon Endo-Surgery, Inc.

PARÉ Surgical, Inc.

Satiety, Inc.

B. Market Analytics

Table 15: US Recent Past, Current & Future Analysisfor Bariatric Surgery: Annual Number of GastricBypass and Gastric Banding Procedures forYears 2005 through 2015 (in Thousands)(includes corresponding Graph/Chart)

Table 16: US 10-Year Perspective for BariatricSurgical Procedures by Segment - PercentageBreakdown of Gastric Bypass and GastricBanding Procedures for Years 2006,2009 & 2015

Table 17: US Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Gastric Bypassand Gastric Banding Markets Independently Analyzedwith Annual Revenues in US$ Million for Years2005 through 2015 (includes correspondingGraph/Chart)

Table 18: US 10-Year Perspective for Bariatric Surgical Devices by Segment - PercentageBreakdown of Annual Revenues for GastricBypass and Gastric Banding Markets forYears 2006, 2009 & 2015

2.EUROPE

A. Market Analysis

Outlook

Obese Population in Europe

Table 19: Obese and Overweight & ObesePopulation in the European Union (2009):Percentage Share Breakdown by Age Group

Table 20: Obesity Prevalence (2007) inSelect European Union Countries: ObesityRates by Gender (includes correspondingGraph/Chart)

Table 21: Europe Obesity Prevalence (2007) byGender and Age Category (in 000s) (includes corresponding Graph/Chart)

Bariatric Surgery in Europe

Growing Awareness Levels to Boost SurgeryDevices Market

Factors Driving the European Bariatric SurgeryDevices Market

Factors Restraining Growth in the EuropeanBariatric Surgery Devices Market

Pricing Scenario

Gastric Bypass Surgery Gains Strength

Reimbursement Scenario in Europe

Reimbursement Policies in Select EuropeanCountries

Competitive Landscape

Table 22: Leading Players in the European Bariatric Surgical Devices Market (2007): Percentage Share Breakdown of Revenues for Ethicon Endo Surgery, Allergan/Inamed, Covidien, and Others(includes corresponding Graph/Chart)

B. Market Analytics

Table 23: European Recent Past, Current & FutureAnalysis for Bariatric Surgical Devices by Geographic Region - France, Germany, Italy, UK, Spain, andRest of Europe Markets Independently Analyzed with Annual Revenues in US$ Million forYears 2005 through 2015 (includes corresponding Graph/Chart)

Table 24: European 10-Year Perspective for Bariatric Surgical Devices by Geographic Region - Percentage Breakdown of Annual Revenues forFrance, Germany, Italy, UK, Spain, andRest of Europe Markets for Years 2006,2009 & 2015 (includes correspondingGraph/Chart)

Table 25: European Recent Past, Current & FutureAnalysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices,and Intragastric Balloon Devices MarketsIndependently Analyzed with Annual Revenuesin US$ Million for Years 2005 through 2015(includes corresponding Graph/Chart)

Table 26: European 10-Year Perspective forBariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for AdjustableGastric Banding, Gastric Bypass Devices, andIntragastric Balloon Devices Markets forYears 2006, 2009 & 2015 (includescorresponding Graph/Chart)

2A.FRANCE

A. Market Analysis

Outlook

Obesity - A Major Health Concern

Key Players

Cousin Biotech

Helioscopie SA

Medical Innovation Development Company

Surgical IOC

B. Market Analytics

Table 27: French Recent Past, Current & FutureAnalysis for Bariatric Surgical Devices bySegment - Adjustable Gastric Banding,Gastric Bypass Devices, and IntragastricBalloon Devices Markets IndependentlyAnalyzed with Annual Revenuesin US$Million for Years 2005 through2015 (includes corresponding Graph/Chart)

Table 28: French 10-Year Perspective for BariatricSurgical Devices by Segment - PercentageBreakdown of Annual Revenues for AdjustableGastric Banding, Gastric Bypass Devices, andIntragastric Balloon Devices Markets forYears 2006, 2009 & 2015 (includescorresponding Graph/Chart)

2B.GERMANY

A. Market Analysis

Outlook

Overview

Bariatric Solutions GmbH - A Key Player

B. Market Analytics

Table 29: German Recent Past, Current & FutureAnalysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric BypassDevices, and Intragastric Balloon DevicesMarkets Independently Analyzed with AnnualRevenues in US$ Million for Years 2005through 2015 (includes correspondingGraph/Chart)

Table 30: German 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdownof Annual Revenues for Adjustable Gastric Banding,Gastric Bypass Devices, and Intragastric BalloonDevices Markets for Years 2006, 2009 & 2015(includes corresponding Graph/Chart)

2C.ITALY

Market Analysis

Table 31: Italian Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Million for Years 2005 through2015 (includes corresponding Graph/Chart)

Table 32: Italian 10-Year Perspective for BariatricSurgical Devices by Segment - Percentage Breakdownof Annual Revenues for Adjustable Gastric Banding,Gastric Bypass Devices, and Intragastric BalloonDevices Markets for Years 2006, 2009 & 2015(includes corresponding Graph/Chart)

2D.UNITED KINGDOM

A. Market Analysis

Outlook

Overview

B. Market Analytics

Table 33: UK Recent Past, Current & Future Analysisfor Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Millionfor Years 2005 through 2015 (includescorresponding Graph/Chart)

Table 34: UK 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Marketsfor Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2E.SPAIN

Market Analysis

Table 35: Spanish Recent Past, Current & FutureAnalysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices,and Intragastric Balloon Devices Markets Independently Analyzed with Annual Revenues in US$ Millionfor Years 2005 through 2015 (includescorresponding Graph/Chart)

Table 36: Spanish 10-Year Perspective for BariatricSurgical Devices by Segment - Percentage Breakdownof Annual Revenues for Adjustable Gastric Banding,Gastric Bypass Devices, and Intragastric BalloonDevices Markets for Years 2006, 2009 & 2015(includes corresponding Graph/Chart)

2F.REST OF EUROPE

A. Market Analysis

Overview

Gastric Banding Market Gains Strength

Belgium

The Netherlands

Juvenile Obesity - A Major Cause of Concern

Finland

Sweden

Strategic Corporate Developments

New2DM S.A (Luxembourg) -A Major Player

B. Market Analytics

Table 37: Rest of Europe Recent Past, Current & Future Analysis for Bariatric Surgical Devices by Segment - Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon Devices Markets Independently Analyzed withAnnual Revenues in US$ Million for Years 2005 through2015 (includes corresponding Graph/Chart)

Table 38: Rest of Europe 10-Year Perspective for Bariatric Surgical Devices by Segment - Percentage Breakdown of Annual Revenues for Adjustable Gastric Banding, Gastric Bypass Devices, and Intragastric Balloon DevicesMarkets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE

Total Companies Profiled: 49 (including Divisions/Subsidiaries - 64)

Region/Country Players

The United States

Canada

Japan

Europe

France

Germany

The United Kingdom

Rest of Europe

Abstract

This report analyzes the US and European markets for Bariatric (Obesity) Surgical Devices in Millions of US$. The US market for Bariatric Surgical Devices is analyzed by the following segments: Gastric Bypass Devices, and Gastric Banding Devices. The European market is separately analyzed by the following segments: Adjustable Gastric Banding Devices, Gastric Bypass Devices, and Intragastric Balloon Devices. Annual forecasts are provided for the period of 2005 through 2015. The report profiles 49 companies including many key and niche players worldwide such as Allergan, Inc., Cousin Biotech, Covidien Ltd., Ethicon Endo-Surgery, Inc., Helioscopie SA, Medical Innovation Development Company, PARÉ Surgical, Inc., Satiety, Inc., Silimed Ltda., and Surgical IOC. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

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