Worldwide Orthopaedic & Spine Contract Manufacturing 2019-2024

Worldwide Orthopaedic & Spine Contract Manufacturing 2019-2024

Avicenne is happy to announce the release of the 9th edition of its reference survey on the Worldwide Orthopaedic & Spine Contract Manufacturing 2019-2024 and Top 100 Supplier profiles.

Worldwide Orthopaedic & Spine Contract Manufacturing 2019-2024 and Top 100 Supplier profiles is a 350+ pages report, with 1,000+ insightful charts, report covers the main Contract Manufacturing segments: hip, knee, spine, trauma, instruments, cases & trays detailed by manufacturing methods: forging, casting, machining, coating, marking, packaging, sterilization, coating and ceramics markets.

For this June 2020 edition, please note the additional analysis Vs the previous one in 2019:
• Covid-19 impact on orthopaedics: end-market & CMO side
• Analysis on Europe's new Medical Devices Regulation (MDR)
• Jabil-Depuy deal analysis & forecasts
• Worldwide Sport medicine market
• Robotics for orthopaedics & spine
• Additive Manufacturing up-date: Reconstructive implants, spine cages, complex spine implants, customized implants, instruments & complex Instruments. Also, machines supply and quantification (by supplier and by customer).

As usual, we have updated all the main figures:
• Orthopaedic market, CMO market, Buyers data, etc.
• Analysis on price erosion in Europe, USA, Row
• Analysis on certain challengers: Nuvasive, Globus, Microport, Corin, Lima, etc.
• Analysis in Top 20 contract Manufacturers ranking: Tecomet, Orchid, Viant, NN, Avalign, Intech, Arch Medical, RMS Surgical, etc.
• New CMO profiles: Among the 100 CMO profiles, you can find 35+ new profiles Vs 2019.


Purpose of the Survey and Methodology
Synopsis & Executive summary
Segmentation
Worldwide Orthopaedic market in 2019 : by product & by player
Worldwide Orthopaedic market in 2019 : Majors Vs challengers
Worldwide Orthopaedic market in 2019: life cycle of orthopaedic products and forecasts for 2024
Orthopaedic Contract Manufacturing value chain
Contract Manufacturing market & trends: Forging
Contract Manufacturing market & trends: Casting
Contract Manufacturing market & trends: Instrument machining
Contract Manufacturing market & trends: Instruments is a highly fragmented market
Contract Manufacturing market & trends: Coating
Contract Manufacturing market & trends: Cases & trays
Contract Manufacturing market & trends: Ranking of top players
Orthopaedic Contract Manufacturing market & trends : Top20, Top 21-100 and top 101 -1000 distribution of revenues
Orthopaedic Contract Manufacturing market & trends : consolidation by acquisition- Forecasts by service for 2024
The Orthopaedics Contract Manufacturing market is growing faster than In-house manufacturing
Orthopaedic Contract Manufacturing market & trends: Additive Manufacturing for hip, knee, knee, shoulder& trauma
Orthopaedic Contract Manufacturing market & trends: Additive Manufacturing for spine & Additive Manufacturing machines in 2019 and usage forecast for 2024
I- Orthopaedic environment
Orthopaedics Macro environment: Political, Economical, social,/culture, technological, environment, legal & regulatory
Market Drivers
Global population growth 1950-2050 and people over 65
The market drivers: Demographic & Economic
Orthopaedics is generally risk-averse with few disruptive innovations, many small incremental innovations
Innovation and new products pull the market
Innovative surgeons are looking for new products, % of the surgeons by category in each type of country
Product Mix pulls the market up
The revision driver: more and more people have more than one implant in their lifetime
Bearing trends in Total hip market, Europe example
Mini hip implants; Europe 2019 - From a promising innovation to a mass market
Dual mobility cups; Europe 2019
Total knee market in 2019: For fixed to mobile bearing and back to fixed, the pathways of innovation
Knee implant market; Europe 2019 - Total Vs. Partial Vs. Revision
Shoulder implant market in 2019 Standard Vs. Reversed
The market limiters
Reimbursement and pricing regulation
Market limiter: Hip Price trends in Europe
Market limiter: Knee Price trends in Europe
MDR (Medical Device Regulation): Impact in Europe
A product’s CE marked under MDD will remain valid for about 5 years, which will necessitate a mandatory request for validation under MDR, backed up by clinical
studies, before the MDD expiry date: details
Reimbursement price decreases over the last 18 years
Hip ASP erosion in developed countries
Knee ASP erosion in developed countries
Hip average price trend in Europe 2003-2019: France, Germany, UK, Italy, Average Europe
Price erosion forecast 2019-2024 USA, Australia, Japan, France
Regulatory, Certification
Group purchasing in Germany, France and Italy
The orthopaedic sales channels
II- Worldwide orthopaedic & spine market; players, drivers & limiters and forecasts 2019 - 2024
Orthopaedics Ecosystem
Worldwide orthopaedic markets in 2019 by product
The Worldwide orthopaedics market: Growth 2000 - 2010 CAGR, 2010 - 2012 CAGR, 2012 - 2019 CAGR
Worldwide implants market in 2019 by value (B$): Knee, hip, spine and by area, USA, Europe, Row
Worldwide Sport Medicine markets in 2019
Worldwide implants & Orthobiologics market in 2019 by value (BUS$)
Worldwide orthopaedic market in 2019: competition
Worldwide competition by product in 2019: Market share
Three types of Challengers competing with the Majors
The challengers gained market share continuously: 2013-2014-2015-2016-2017-2018 -2019 and hip, knee, spine, trauma & CMF
Hip Europe market share 2012-2019: Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other
Knee Europe market share 2012-2019: Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other
Majors Vs Challengers : Revenues CAGR, market share
Majors Vs Challengers: 2019 picture
Challengers growing Vs majors
Hip Europe forecast market share 2014-2024
Knee Europe forecast market share 2014-2024
The life cycle of orthopaedic products: Growth forecasts by 2024 for hip, knee, spine, extremities
Worldwide orthopaedic market forecasts 2000-2024 for hip, knee, extremities, trauma, spine, orthobiologics
III- Worldwide orthopaedic & spine Contract Manufacturing market, OEM strategies, Contract Manufacturers position, market share and forecasts to 2024
OEM contract manufacturing strategy: Stryker
OEM contract manufacturing strategy: Depuy Synthes
OEM contract manufacturing strategy: Zimmer Biomet
OEM contract manufacturing strategy: Smith & Nephew
OEM contract manufacturing needs: Medtronic
OEM contract manufacturing needs: Challengers
Contract Manufacturing process segmentation & raw materials: 14 segments & 62 sub-segments
Forging Contract Manufacturing market 2019-2024 by product
Forging Contract Manufacturing market share in 2019: Tecomet, Marle, Lisi, Orchid, etc.
Forging Contract Manufacturing market: OEMs relationships with their suppliers
Casting Contract Manufacturing market 2019-2024 by product
Casting Contract Manufacturing market share in 2019: Orchid, Tecomet, Marle, etc.
Casting Contract Manufacturing market: OEMs relationships with their suppliers
Hip machining & finishing Contract Manufacturing market 2019-2024 by product
Knee machining & finishing Contract Manufacturing market 2019-2024 by product
Spine and Trauma implants machining & finishing market 2019-2024 by product
Instruments Contract Manufacturing market 2019-2024 by product
Instruments Contract Manufacturing top 20 market share in 2019: Tecomet, Orchid, Viant, etc.
Orthopaedic robotic market in 2019: MAKO from Stryker, ROSA from Zimmer Biomet,
Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy and many others have followed
Robotic assisted surgeries: USA is by far the leading country for Robotics usage. 2014-2024 procedures by robotic systems
What are orthopaedic cases & trays?
Cases & trays Contract Manufacturing market 2019-2024 by product
Cases & trays Contract Manufacturing top 15 market share in 2019: Tecomet, VIANT, Orchid, etc.
Ceramics Contract Manufacturing market 2019-2024 by product
Coating Contract Manufacturing market 2019-2024 by product
Coating Contract Manufacturing market share in 2019: DOT, APS Materials, Linkotec (Eurocoating), etc.
Marking Packaging & Sterilization –MPS- Contract Manufacturing market 2019-2024 by product
Contract Manufacturing market value chain
Contract Manufacturers worldwide orthopaedics revenues in 2019 (in MUS$)
Contract Manufacturing competitor ranking & dispersion
Orthopaedic Contract Manufacturing concentration by acquisition
Contract Manufacturing industry needs more concentration
More outsourcing is a heavy trend for all the orthopaedic companies: Outsourcing rate
Continuous trend: OEM facility disinvestments occur when there are opportunities to sell to a large and reliable player, who can guarantee supply security
More outsourcing is a heavy trend for all the orthopaedic companies
Orthopaedic Contract Manufacturing concentration by acquisition
The risk of moving to LLC by 2024
Contract Manufacturing LLC impact: OEM points of view, CM points of view
Johnson & Johnson – Jabil: strategic deal to disinvest facilities: 2019-2021 road map
OEM facility disinvestments: Huge impact of Depuy Synthes – Jabil deal for 2019
Contract Manufacturing price range dashboard
Orthopaedics Contract Manufacturing market is growing faster than In-house manufacturing
Contract Manufacturing market is growing
Contract Manufacturing market historical revenues & forecasts (MUS$): 2012-2024
IV- Additive Manufacturing
Additive Manufacturing & Trabecular in Orthopaedics
Additive Manufacturing history in Orthopaedics
Story of Zimmer and Trabecular Tantalum
Zimmer, Trabecular Metal related implants
Metal Additive Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser, Arcam, Others
Arcam EBM installed base for orthopaedic industry: Lima
Beijing AK MEDICAL EBM Installed base
Illustrative build-up speed and resolution of selected Metal Additive Manufacturing systems: EBM Vs Selective Laser Melting
Smith & Nephew usage of Additive Manufacturing for customized cutting blocks
Stryker’s History of 3D Printing: STRYKER, to build a 3-D printing manufacturing facility for more than $400 million
Stryker’s current products made by 3D printing: Knee, cages, other
Depuy Spine usage of Additive Manufacturing for prototyping of complex surgical tools
DePuy Synthes has acquired 3D printing technology from Tissue Regeneration Systems Inc.
XILLOC invested usage for Cranio Maxillofacial applications
Equipment suppliers for Orthopaedics, Installed base per customer and per supplier: EOS, ARCAM, CONCEPTLASER, SLM Solutions and their customers
Addressable market should increase with lower Additive Manufacturing cost: cost and complexity curve linked with addressable market
Additive Manufacturing is attractive for reconstructive implants
Number of implants produced using Additive Manufacturing
FDA clearance for medical devices using Additive Manufacturing in USA
Additive Manufacturing in 2019
Additive Manufacturing impact on forging, casting & machining of implants
Cages Raw Materials in the five main European countries: Peek , Titanium Vs Additive Manufacturing
Is Additive Manufacturing the right option for the implant Contract Manufacturing business? Analysis for implants, standard cages, special cages and customized
implants
Is Additive Manufacturing the right option for the instruments Contract Manufacturing business? Analysis of customized cutting guides and complex instruments
Analysis of one of the most advanced Contract Manufacturers in Additive Manufacturing
Major Contract Manufacturers: Additive Manufacturing investments and strategies; Tecomet, Orchid, Eurocoating, Marle, C&A Tool, DRT Medical and many others
Additive Manufacturing for orthopaedics: Executive summary
V- Impact of Covid-19
COVID-19: timeline of a Pandemic
The impact of Covid-19 on the Orthopaedics Market
During the 2008 financial crisis, growth in orthopaedics was merely slowed down implants and contract manufacturers largely held their ground
What is the forecast for 2020 for the world economy and the orthopaedic industry? Even the International Monetary Fund has said that forecasts have become
very dicey and a grey area
The world economy will experience the worst recession since the Great Depression (1930s)
Growth projections: the COVID-19 health crisis will have a severe impact on economic activity in 2020
Latest World Economic Outlook: the COVID-19 pandemic will severely impact growth across all regions
The “Covid-19 effect”: orthopaedic sales decline, Zimmer Biomet: Q1net sales decreased in %
The “Covid-19 effect”: orthopaedic sales decline, DEPUY Q1 2020 sales decrease: trauma is less impacted
The “Covid-19 effect”: orthopaedic sales decline, Medtronic Q4 (January-March) sales decrease mainly in USA
The “Covid-19 effect”: orthopaedic sales decline, STRYKER 2020 April sales decreased in %
Forecasts of the main players, % of loose of their 2020 revenues from orthopaedics due to the impact of Covid-19
Orthopaedic activity in China recovered in April, while European and US activity collapsed.
According to the forecasts of the main players, they will lose a small part of their 2020 revenues from orthopaedics due to the impact of Covid-19: details
Covid-19 impact on US Orthopaedic players
VI- Contract manufacturing competitor ranking, Top 100 profiles and SWOT analysis of the leaders

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