Main report focus area:
Products: hip, knee, spine, trauma, extremities and shoulder
Services: forging, casting, machining, coating, packaging, sterilization, ceramics, cases & trays.
New updates:
- Complete overview of the orthopedic end-user market: markets, prices, players, strategic trends & moves
- Spine, Trauma, extremities and shoulder contract manufacturing, detailed and separate analyses
- Inflation: Impact on the contract manufacturing business and the orthopedic end-user market
- 3D printing for orthopedics: Contract manufacturing & in-house market sizes and forecasts
- MDR: Decreased competitiveness of the European orthopedic industry, scenarios of short and long terms impact on the players
- Robotics for orthopedics: Penetration of robotics for players like Stryker, Zimmer-Biomet, Depuy-Synthes, Think Surgical, etc.
- Chrome Cobalt: What are the alternatives and when will they be available?
- A plethora of strategic information on the Top 100 contract manufacturers, with 125 profiles - included those of acquired companies
- Purpose of the Survey and Methodology
- Synopsis & Executive summary
- Segmentation
- Worldwide Orthopedic market in 2024: by product & by player Worldwide Orthopedic market in 2024: Majors Vs challengers
- Worldwide Orthopedic market in 2024: life cycle of orthopedic products and forecasts for 2030 Orthopedic 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
- Orthopedic Contract Manufacturing market & trends: Top20, Top 21-100 and top 101 -1 000 distribution of revenues Orthopedic Contract Manufacturing market & trends: consolidation by acquisition- Forecasts by service for 2030
- The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
- Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for hip, knee, knee, shoulder& trauma
- Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for spine & Additive Manufacturing machines in 2024 and usage forecasts for 2030
- I- Orthopedic environment 34
- Contract Manufacturing market value chain
- Orthopedics 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
- Orthopedics 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 The market limiters
- Regulatory & Certification
- Reimbursement and pricing regulation
- 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
- Hip Price trends in Europe show regular decrease
- Reimbursement price decreases are not frequent, hence they have been manageable over the long term Hip ASP erosion in developed countries
- Hip average price trend in Europe 2003-2024: France, Germany, UK, Italy, Average Europe Reimbursement HIP average price trend in Europe (€), including country disparities
- Group purchasing in Germany, France and Italy The orthopedic sales channels
- II- Worldwide orthopedic & spine market; players, drivers & limiters and forecasts 2024 - 2030 52
- Orthopedics Ecosystem
- Worldwide orthopedic markets in 2024 by product
- Worldwide implants market in 2024 by value (B$): Knee, hip, spine and by area, USA, Europe, Row Worldwide implants market knee, hip & spine in 2024 by value (BUS$)
- Worldwide implants market Trauma, shoulder & Extremities in 2024 by value (BUS$) Hip & Knee sales per area: USA, Europe, Japan, Australia, Korea & Row
- Ratio for 10,000 inhabitants & growth by area (2024) Worldwide orthopedic market in 2024: competition
- Worldwide competition by product in 2024: Market share Three types of Challengers competing with the Majors
- Top 4 vs. Challengers for hip & knee worldwide markets: Majors have no growth while challengers are growing fast
- Note: If we exclude Stryker, the results are much more revealing: The 3 majors have been flat over 10 years, while the challengers have grown by 5.5% per year Hip, knee & shoulder challengers are growing faster than the market average
- Spine challengers are grabbing market share from the Majors and emerging as top players with revenues ranging from US$0.5B - US$1B Spine: Worldwide market shares 2012-2024: Majors limit market share losses by buying rivals
- Trauma: Worldwide player market shares, 2016-2024
- Hip Europe market share 2012-2024: Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other Knee Europe market share 2012-2024: Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other Challengers have continuously gained market share 2018-2024 - Except in 2020 due to Covid impact
- Majors Vs Challengers : Revenues CAGR, market shares Majors Vs Challengers: 2024 picture
- Challengers growing Vs majors
- Smith & Nephew and ATEC comparison: average new products launched per year
- Reasons why Challengers are growing faster than Majors (except during Covid crisis) Hip ASP erosion in developed countries 2012-2024
- Knee ASP erosion in developed countries 2012-2024
- Forecast Price erosion 2024 -2030: USA, Australia, Japan, Europe
- The life cycle of orthopedic products: Growth forecasts by 2030 for hip, knee, spine, extremities
- Worldwide orthopedic market forecasts 2000-2030 for hip, knee, extremities, shoulder, trauma, spine, orthobiologics & Others Summary: Orthopedic market
- III- Worldwide orthopedic & spine Contract Manufacturing market, OEM strategies, Contract Manufacturers position, market share and forecasts to 2030 86
- Zimmer Biomet: main facilities details
- OEM contract manufacturing strategy: Zimmer Biomet OEM contract manufacturing strategy: Stryker
- OEM contract manufacturing strategy: Depuy Synthes
- OEM contract manufacturing strategy: Smith & Nephew OEM contract manufacturing needs: Medtronic
- OEM contract manufacturing needs: Globus-Nuvasive OEM contract manufacturing needs: Challengers
- Contract Manufacturing process segmentation & raw materials: 14 segments & 70 sub-segments Forging Contract Manufacturing market 2024
- Forging Contract Manufacturing market 2012-2030 by product
- Forging Contract Manufacturing market share in 2024: Tecomet, Marle, Orchid, Lisi, PMP, etc. Forging Contract Manufacturing market: OEMs relationships with their suppliers
- Casting Contract Manufacturing market 2024
- Casting Contract Manufacturing market 2012-2030 by product
- Casting Contract Manufacturing market share in 2024: Orchid, PCC, Marle, Lincotek, Tecomet, etc. Casting Contract Manufacturing market: OEMs relationships with their suppliers
- Hip machining & finishing Contract Manufacturing market 2024
- Hip machining & finishing Contract Manufacturing market 2012-2030 by product Knee machining & finishing Contract Manufacturing market 2024
- Knee machining & finishing Contract Manufacturing market 2012-2030 by product Shoulder machining & finishing Contract Manufacturing market 2024
- Shoulder machining & finishing Contract Manufacturing market 2012-2030 by product Spine implants machining & finishing Contract Manufacturing market 2024
- Spine implants machining & finishing Contract Manufacturing market 2012-2030 Trauma implants machining & finishing Contract Manufacturing market 2024
- Trauma implants machining & finishing Contract Manufacturing market 2012-2030 Extremities implants machining & finishing Contract Manufacturing market 2024
- Extremities implants machining & finishing Contract Manufacturing market 2012-2030 Spine, Trauma, Extremities & Shoulder Contract Manufacturing market 2024-2030
- Player market shares: Spine, Trauma, Extremities & Shoulder contract manufacturing in 2024 What are orthopedic instruments for knee, hip, spine, trauma, shoulder & extremities?
- Knee orthopedic instruments: functional segmentation
- Knee orthopedic instrument segmentation: 150 to 200 pieces
- Spine instruments: 30 to 50 pieces
- Spine orthopedic instruments - product segmentation Trauma instruments segmentation: 10 to 20 pieces
- The Major OEMs have a different outsourcing strategy Vs the challengers. The challengers outsource almost all their instruments
- Instruments life cycle: New OEM projects lead to instruments set manufacturing. When an OEM postpones the launch of its new projects (for example during the 2008 & 2011 crisis & during Covid 19), it also drastically reduces its instruments manufacturing
- Cutting tools: Single-use trend: Single-use is a pressing demand from surgeons
- Cutting tools: Single-use trend: Single-use is growing rapidly in the US and Europe Instruments Contract Manufacturing market 2024
- Instruments Contract Manufacturing market 2012-2030 by product
- Instruments Contract Manufacturing market share in 2024: Tecomet, Intech, Jabil, Paragon, etc.
- Orthopedic robotic market in 2024: MAKO from Stryker, ROSA from Zimmer Biomet, Corin, TANVI, Navio of Smith, Mazor from Medtronic and Velys from Depuy Synthes
- Navigation Vs robotic assisted surgery
- Mako’s acquisition by Stryker boosted the orthopedic robotic market and have a huge impact on instruments market
- Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy and many others have followed New generations of Mako for shoulder and spine surgery planned for the coming years – Roadmap 2013-2024
- Zimmer Biomet with Rosa roadmap 2013-2024
- Smith & Nephew with Navio & Cori roadmap 2015-2024 Depuy Synthes with Velys roadmap 2018-2024
- Robotic orthopedic system benchmark in details: CT scan based or not, technical support… Mako, Rosa, Velys and Cori benchmark Operating cost / Acquisition cost
- Robotic assisted surgeries: USA is by far the leading country for Robotics usage. 2014-2024 procedures by robotic systems Product benchmarking: Mako is the robot with the most extensive clinical track record, but the acquisition cost is high
- US knee robotic-assisted surgeries 2020-2030 in units: the USA is by far the leading country for robotics usage. Knee surgery is the first target
- Australia was always a pioneer in the use of innovations in orthopedics especially for knee robotic-assisted surgeries. Germany and Japan and France situations Robotic-assisted surgeries outside the US: Between 2024 and 2030, the number of robotic knee operations outside the USA
- What are orthopedic cases & trays?
- Cases & trays Contract Manufacturing market 2024
- Cases & trays Contract Manufacturing market 2012-2030 by product
- Cases & trays Contract Manufacturing top 15 market share in 2024: Tecomet, VIANT, Paragon, Avalign, etc. Ceramics Contract Manufacturing market 2024
- Ceramics Contract Manufacturing market 2012-2030 by product
- Ceramics Contract Manufacturing market share in 2024: Ceramtec, Kyocera, etc. Coating Contract Manufacturing
- Coating Contract Manufacturing market 2024
- Coating Contract Manufacturing market 2012-2030 by product
- Coating Contract Manufacturing market share in 2024: Orchid, Lincotek, DOT, Viant, APS Materials, etc. MPS Contract Manufacturing market 2024
- Marking Packaging & Sterilization –MPS- Contract Manufacturing market 2012-2030 by product Contract Manufacturing market value chain
- Contract Manufacturers worldwide orthopedics revenues in 2024 (in MUS$) CMO top players: 2017-2024 main M&A activity
- Tecomet revenues by area and by customers 2019-2024 Orchid revenues by area and by customers 2019-2024
- Viant revenues by area and by customers 2019-2024
- Avalign revenues by area and by customers 2019-2024
- CMOs leader: presence in different services: forging, casting, machining, coating, instruments, cases & trays, and packaging CMOs leader: Tecomet, Orchid and Viant - Strengths & Weaknesses
- Contract Manufacturing competitor ranking & dispersion
- Billing for Orthopedic instruments by geographical area and by players: Jabil, Intech, Tecomet, Arch, paragon, Avalign, Norwood, Autocam, Viant Orthopedic Contract Manufacturing concentration by acquisition
- Contract Manufacturing industry needs more concentration
- More outsourcing is a heavy trend for all the orthopedic 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 Depuy Synthes – Jabil: strategic deal to disinvest 14 facilities: initial road map
- JABIL Healthcare profile
- OEM facility disinvestments: huge impact of Depuy Synthes – Jabil deal for 2019-2020 More outsourcing is a heavy trend for all the orthopedic companies
- Contract Manufacturing price range dashboard in 2024
- Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing Contract Manufacturing market is growing at a higher rate than the orthopedic market
- Contract Manufacturing market historical revenues & forecasts (MUS$): 2012-2030
- IV- 3D Printing in Orthopedics 207
- 3D Printing & Trabecular in Orthopedics 3D Printing history in Orthopedics
- Story of Zimmer and Trabecular Tantalum Zimmer, Trabecular Metal related implants
- 3D Printing Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser (GE), Arcam (GE), Others Arcam EBM installed base for orthopedic industry: Lima
- Beijing AK MEDICAL EBM Installed base
- Illustrative build-up speed and resolution of selected Metal 3D Printing systems: EBM Vs Selective Laser Melting Smith & Nephew usage of 3D Printing for customized cutting blocks
- Stryker’s History of 3D Printing: STRYKER, to build a 3D printing manufacturing facility for more than $400 million Stryker’s current products made by 3D printing: Knee, cages, other
- Depuy Spine usage of 3D Printing 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 Orthopedics, Installed base per customer and per supplier: EOS, ARCAM (GE), CONCEPT LASER (GE), SLM Solutions, 3D Systems, Trumpf and their customers
- Dozens of companies mentioned with the number of 3D printing machines and type of machines
- Addressable market should increase with lower 3D Printing cost: cost and complexity curve linked with addressable market Additive Manufacturing is attractive for reconstructive implants
- Number of implants produced using 3D Printing: Zimmer Biomet, Lima, Exactech, Adler Ortho FDA clearance for medical devices using 3D Printing in USA
- 3D Printing has reached the mass market for a few key products
- 3D Printing today has a slight impact on the forging, casting & machining of implants. Our research shows that Stryker and challengers are most advanced in the use of 3D printing, particularly for hip cups, tibial knee plates and spinal cages.
- 3D printing cages are gaining in market share over Peek and Titanium cages. 3D Printing in 2024
- 3D Printing impact on forging, casting & machining of implants
- Cages Raw Materials in the five main European countries: Peek, Titanium Vs 3D Printing
- Is 3D Printing the right option for the implant Contract Manufacturing business? Analysis for implants, standard cages, special cages and customized implants: players, products, benefits, drivers and limiters
- Is Additive Manufacturing the right option for the instruments Contract Manufacturing business? Analysis of customized cutting guides and instruments Analysis of one of the most advanced Contract Manufacturers in 3D Printing: Lincotek
- Lincotek 3D Printing activity details
- Most large contract manufacturers are investing in 3D printing; Orchid, Lincotek, Marle, Paragon, Norman Noble and many others: detail of strategy of each The most manufactured orthopedic products by 3D Printing: cups, tibial knee, cages, shoulder glenoid,
- Standard manufacturing process Vs 3D Printing process: cost comparison in US$
- Trend of the installed bases of the main machine suppliers: the number of 3D Printing machines used in orthopedics has grown by 25% per year since 2015: EOS, ARCAM, Concept Laser, 3D Systems, SLM, Renishaw, etc.
- 3D Printing In-house & Contract Manufacturing market: by products (hip cup, knee tibial, shoulder glenoid, spine cage, other) : 2015-2030
- In-house and contract manufacturing market by customer: Depuy Synthes, Stryker, Smith & Nephew, Zimmer Biomet, Medtronic, other companies 3D Printing for orthopedics: Executive summary
- V- Orthobiologics / Cobalt Chrome / Contract & Design Manufacturing Organization / ASC 242
- Use of antibiotics for orthopedic cements: Need for cements with new antibiotics
- Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts Top bone grafts on the market: injectables and antibiotics are the main drivers
- Cobalt Chrome is today used in many orthopedic products: femoral part of the knee, the cup in dual mobility and some hip heads, etc..
- Anti-allergic solutions against nickel, cobalt, etc. have been developed for several decades for a patient population considered to represent less than 10% of orthopedic operations.
- Contract & Design Manufacturing Organization Companies like Tyber and Resolve specialize in the design and development of implants and instruments for orthopedic companies.
- With the merger of Resolve and Tyber Medical with Intech the new group will dominate the CDMO market – with projected revenues of over US$300M in 2025 TOP 20 CDMO companies: Most of these companies are based in the US.
- Ambulatory Surgery Center – ASC forecast in the USA
- Table of Contents of the worldwide orthopedic & spine Contract manufacturing Market 2024-2030 & Top 100 supplier profiles
- VI- Impact of Inflation 253
- Contribution to year-on year CPI (Consumer Price Index) inflation in the G7 countries July 2022 Contribution to year-on year CPI (Consumer Price Index) inflation in the G7 countries September 2022 Contribution to year-on year CPI (Consumer Price Index) inflation in the G7 countries October 2023 Impact of inflation on the end-user market and on contract manufacturing (1/2)
- Impact of inflation on the end-user market and on contract manufacturing (2/2)
- FX rate variation from January 2018 to September 2024: The Euro has devalued by almost 20% Vs the US Dollar!
- Impact of exchange rate fluctuations on the major orthopedic companies: the Majors are impacted in terms of their revenues in Europe! Production will tend to relocate within Europe or to ROW
- Impact of exchange rate fluctuations on orthopedic contract manufacturers: Majors contract manufacturers are negatively impacted on their share of sales in Europe
- Worldwide orthopedic market 2000-2024
- The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing 2000-2030 Opportunities and risks for orthopedic end-user market
- Opportunities and risks for orthopedic contract manufacturing
- VII- Contract manufacturing competitor ranking, Top 100 profiles and SWOT analysis of the leaders 266
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