Post on 10-Apr-2016
description
Devices – Public and Private Hospitals Sector (DPPHS)
Medical devices market review 2014 + forecasts 2015-2016
1. General part:
a) Foreword
b) Methodology
c) Macroeconomic trends
d) Major funding sources (federal programs), legislation initiatives
e) Sector financial results of 2012, 2013, 2014; forecasts 2015
f) Brief forecasts 2016-2020
Contents
2. Description per segments (see the list of segments – next slides):
a) Resume for 2012-2014
b) Structure 2014
c) Indicators 2014
d) Segment’s volume change in 2012-2014 + forecasts 2015-2016
e) Segmentation by product categories 2012-2014
f) Brief results of 2012
g) Brief results of 2013
h) Forecasts 2015-2016
i) Rate of demand, funding sources, major market players
j) Detailed data on product categories separately for 2014 and trends 2012-2014
k) Summary – trends per product categories
l) Key accounts segmentation
m) Market capacity, expectations
Contents
1. Operating Room Equipment & Medical Furniture
3. Anesthesiology, Reanimation, Neonatology
4. X-ray, CT, MRI
Anesthesia devices
Medical ventilators
Patient monitors
Resuscitation systems
Neonatal incubators
Ceiling- and wall-mounted pendants, climatizedmodules
Defibrillators
Infusion pumps
Other
MRI
CT
Interventional x-ray (iXr)
Mammography devices
Fixed and mobile diagnostic x-ray devices (dXr)
Dental x-ray
Other
Operating tables
Operating room lighting
Hospital beds
Hospital chairs
Other furniture
2. Ultrasound Diagnostics
Ultrasound diagnostics devices
Probes and accessories
Segments
6. Radiation Therapy & Nuclear Medicine
5. Functional Diagnostics
Linear accelerator
Gamma-therapy devices
Accessories (information management system, dosimetry equipment, fixation systems, etc.)
PET/CT
SPECT/CT
ECG Devices
Blood Pressure Monitoring
Holter ECG and Blood Pressure Monitoring
Neurology & Brain DIagnostics
ENT Diagnostics (ENT combines, Audiometers, Laryngoscopes, etc.)
Other
7. Sterilization & Disinfection
Sterilization Machines
Washing Disinfectors
Ultrasound Washing Machines
Utilization Devices
Other
Segments
8. Rehabilitation & Physiotherapy
Rehabilitation
Physiotherapy
Locomotor Therapy
Mechanotherapy
Balneology
Inhalation devices
Biomechanical Systems
Other
9. Endoscopy & Electrosurgery
Rigid endoscopy
Flexible endoscopy
Electro- and ultrasound surgery
Robotic endosurgery
Laser surgery
Other
Segments
Additional offers
Offer Price
Complete list of Distributors $100 / per segment
Complete list of major Accounts (federal, regional, municipal, privatefacilities)
$50 / per segment
Methodology
The numbers in the report are based upon customs import data
Customs import data is a multi-parameter database provided by Federal Customs Service(http://eng.customs.ru/)
The FCS database is one of two existing information sources (the second one is public auctions database)
As soon as all imported products are to be registered by customs the FCS database is a reliable sourceproviding 100% verified data
The customs data is being processed by professional MR specialists
All segments contain appropriate information regarding the numbers and structure
The figures in the report cannot be related to commercial data of companies, DST takes no responsibility forany commercial use of this report
DPPHS: results of 2012(chart: customs import value in US$)
OR equipment & medical furniture
Anesthesiology, reanimation, neonatology
X-ray, CT, MRI
Rehabilitation & physiotherapy
Sterilization & disinfection
Ultrasound diagnostics
Functional diagnostics
Endoscopy & electro surgery
Radiation therapy & nuclear medicine
4%
18%
32%
3%3%
14%
2%
12%
12%
DEMO
Segment Demand rate 2015 Forecast
2016 Forecast2012 2013 2014
Operating Room Equipment & Medical Furniture
$148,4 $126,6 $87,4 $88,0 $98,0
Anesthesiology, Reanimation, Neonatology
$625,6 $281,6 $177,2 $162,0 $188,0
X-Ray, CT, MRI $1076,8 $575,9 $392,7 $273,0 $340,0
Rehabilitation & Physiotherapy $102,1 $92,1 $66,0 $60,0 $80,0
Sterilization & Disinfection $100,1 $59,7 $66,9 $43,1 $51,1
Ultrasound Diagnostics (USD) $458,5 $270,9 $170,1 $120,0 $155,0
Functional Diagnostics $66,5 $68,9 $34,3 $31,5 $40,0
Endoscopy & Electro Surgery $392,7 $241,8 $176,2 $119,0 $146,5
Radiation Therapy & Nuclear Medicine
$421,3 $127,7 $149,1 $35,0 $118,0
DPPHS: overview 2012-2016(table: customs import value in US$ mlns)
DEMO
DPPHS: forecasts 2012-2020(chart: customs import value in US$ mlns)
$0.0
$500.0
$1,000.0
$1,500.0
$2,000.0
$2,500.0
$3,000.0
$3,500.0
$4,000.0
2012 2013 2014 2015 (frcst) 2016 (frcst) 2017 (frcst) 2018 (frcst) 2019 (frcst) 2020 (frcst)
DEMO
In scope:
» Operating tables
» Operating room lighting
» Hospital beds
» Hospital chairs
» Other furniture
» Other
CAGR for 2012 - 2014:
Operating tables - 36.8%
Operating room lighting - 43.2%
Hospital beds - 17.6%
Hospital chairs - 8.6%
Other furniture 7.6%
Other -
The product categories listed are combined in one segment due to a number of implications: perfectly matches the business structure of major Russian distributors, major manufacturers produce both OR equipment and medical furniture. Some smaller categories are not included in frame of this part. Other major product categories are presented in further segments.
Back to the list of segments
Structure
OR Equipment & Medical Furniture 2
DEMO
Segment volume in 2014:
» Cumulative reduction by 31.0% compared to 2013 (in US$)
» Reduction by 16.8% compared to 2013 (in Rubles)
» Segment’s total in customs import prices for 2014 - $87.4 mln
» Estimated segment’s total in final customer prices for 2014 - $150.0 mln
Reduction in demand largely affected the segment of OR equipment. OR equipment was affected both by demand slowdown and Ruble devaluation. Medical furniture demonstrated more stability during 2012-2014, slightly affected by Ruble devaluation.
valid.
valid.
valid.
estim.
Maquet10%
Vernipoll9%
Lojer8%
Merivaara7%
Hill-Rom6%
Armed6%
Schmitz3%
Linet3%
Trumpf3%
Others45%
valid.
Back to the list of segments
Indicators 2014
OR Equipment & Medical Furniture 3
DEMO
OR Equipment & Medical Furniture in 2012-2014
» In 2011-2013 the segment was a part of Healthcare Modernization program => considerable funding in 2012; the best year for OR equipment, operating tables & lights accounted for more than 50% of total segment
» OR equipment part reduced strongly in 2013 due to smaller number of new facilities launches and gradual reduction of purchases in frame of Healthcare Modernization; the same year medical furniture demonstrated moderate growth as a result of stronger demand in frame of Healthcare Modernization (medical furniture is considered to be secondary equipment and is financed on leftovers)
» Overall deep decline in 2014 was a result of significant Ruble devaluation and strong reduction of funding in frame of federal programs$0.0
$20,000.0
$40,000.0
$60,000.0
$80,000.0
$100,000.0
$120,000.0
$140,000.0
$160,000.0
2012 2013 2014 2015 2016
valid.
Segment’s volume change in 2012-2014 + forecasts 2015-2016 (chart: customs import value in US$ thds)
Back to the list of segments OR Equipment & Medical Furniture 4
DEMO
Operating tables22%
Operating lights11%
Hospital beds32%
Hospital chairs
9%
Other furniture & appliances
(incl. rehab, dental
furniture, stretchers)
26%
valid.
2014
Operating tables20%
Operating lights13%
Hospital beds41%
Hospital chairs
6%
Other furniture & appliances
(incl. rehab, dental
furniture, stretchers)
20%
valid.
2013
Segmentation by product categories(charts: customs import value in US$)
Back to the list of segments OR Equipment & Medical Furniture 6
DEMO
» Total segment’s volume in customs import prices -$148.4 mln
» Estimated segment’s volume in final customer prices -$250.0 mln
» At least 1/3 of major manufacturers offer both operating tables and lighting
» Higher and Premium segment dominated in 2012 due to excessive funding provided in 2012 from federal budget in frame of Healthcare Modernization program
» OR equipment accounted for 51% of total segment in 2012
Major manufacturers in 2012
Maquet $15,041.4 -
Merivaara $13,410.3 -
Trumpf $11,348.3 -
KLS Martin $11,251.8 -
Hill-Rom $9,098.8 -
Lojer $7,076.7 -
Vernipoll $6,832.0 -
Schmitz $5,463.9 -
Armed $5,129.2 -
Others $63,750.6 -
valid.
estim.
estim.
Maquet10%
Merivaara9%
Trumpf8%
KLS Martin7%
Hill-Rom6%
Lojer5%
Vernipoll5%
Schmitz4%
Armed3%
Others43%
Segment volume in 2012(chart, table: customs import value in US$ thds)
valid.
Back to the list of segments OR Equipment & Medical Furniture 8
DEMO
Forecasts 2015
» Based on assumption that macroeconomic situation is comparatively stable in 2015 expected volume will be => $88.0 mln
» Expected growth only by 0.7% in $ equivalent due to strongest Ruble devaluation in 2015
» The segment will grow by 52.2% in Ruble equivalent (attributable to the program of new 32 perinatal centers and new cardiac surgery centers and departments construction and launch across all regions of Russia)
Forecasts 2016
» Based on assumption that macroeconomic situation is improving in 2016 expected volume will be => $98.0 mln
» Expected growth by 11.4% in $ equivalent due to Ruble change positive effect
» The segment will drop by 13.6% in Ruble equivalent (the program of new 32 neonatal centers construction will continue through 2016, no additional programs)
Forecasts 2015-2016(customs import value in US$)
Back to the list of segments OR Equipment & Medical Furniture 10
DEMO
Demand rate is comparatively stable
» No skyrocketing trends in the segment (even if the industry experiencing strong growth)
» Possible moderate growth/reduction as a reaction on the industry trends
» Basic for equipping of the OR units; medical furniture – hospital’s interior
Major financing sources:
» Healthcare Modernization program (2011-2013)
» Patient care improvement program for those injured in traffic accidents (2009-2014)
» 32 new perinatal centers (2015-2016)
» Regular purchases (not limited in period)
Rate of demand, funding
Back to the list of segments OR Equipment & Medical Furniture 11
DEMO
Major players:
» Operating tables: Maquet, Trumpf, Mindray, Steris, Lojer, Merivaara
» Operating room lighting: KLS Martin, Mediland, Merivaara, Mindray
» Hospital beds: Hill-Rom, Vernipoll, Armed, Merivaara, Linet
» Hospital chairs: Digiterm, Lojer, Likamed, Borcad
» Other furniture & appliances: Vernipoll, Lojer, Merivaara, Dental Art
Major players
Back to the list of segments OR Equipment & Medical Furniture 12
DEMO
Indicator Figure
Estimated total for 2014 $18.8 mln
Cumulative growth 2014/2012 -60.0%
Growth 2014/2013 -24.9%
Estimated CAGR for 2012-2014 -36.8%
Expected growth rate 2015/2014
$ 6-17%
R 60-77%
Expected total for 2015 – $20-22 mln. Expectedlimited growth due to severe Ruble devaluation. Strong growth of the segment in Rubles due to stronger federal funding
Started implementation of federal program 32 new perinatal centers launch and construction and launch of new cardiac surgery centers and departments
valid.
estim.
estim.
estim.
valid.Maquet37%
Trupmpf10%Mindray
9%
Lojer8%Steris
5%
Others31%
valid.
Operating tables in 2014(chart: customs import value in US$)
Back to the list of segments OR Equipment & Medical Furniture 13
valid.
valid.
DEMO
2012 2013 2014
Maquet $13,006.7 $3,856.7 $6,965.4
Trupmpf $8,103.3 $6,138.6 $1,954.5
Mindray $1,267.7 $966.6 $1,657.5
Lojer $2,197.9 $2,085.5 $1,407.9
Steris $1,400.5 $758.9 $970.1
Medifa-Hesse
$4,310.6 $868.6 $794.3
Others $16,756.6 $10,337.9 $5,032.8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
2012 2013 2014
Others
Medifa-Hesse
Steris
Lojer
Mindray
Trupmpf
Maquet
valid.
$0.00
$15,000.00
$30,000.00
$45,000.00
$60,000.00
2012 2013 2014
Operating tables in 2012-2014(chart, table: customs import value in US$ thds)
Back to the list of segments OR Equipment & Medical Furniture 14
DEMO
Stronger demand in the part of OR devices in 2012 was a result of active implementation of Healthcare Modernization program. Subsequent reduction that started in 2013 caused by shortage of funding and following reduction in demand from public hospitals. Expected growth that can start from 2015 can be fostered by additional federal funding in frame of federal programs (construction & launch of 32 new perinatal centers and construction & launch of cardiac surgery departments and centers across Russia)
$0.0
$5,000.0
$10,000.0
$15,000.0
$20,000.0
$25,000.0
$30,000.0
$35,000.0
$40,000.0
$45,000.0
$50,000.0
2012 2013 2014 2015 2016
Operating tables
Operating lights
CAGR 2012-2014
CAGR 2014-2016
forecasts
- 36,8%
8,2%
- 43,2%
14,6%
Trends per product groups in 2012-2014 + forecasts 2015-2016(chart: customs import value in US$ thds)
Back to the list of segments OR Equipment & Medical Furniture 23
DEMO
Rank Clients categories Ownership Key products purchased
3 Regional Clinical Hospitals –multi-disciplinary (are located in Regional capitals and considered to be main healthcare facilities in frame of specific region)
Public Higher and mid price segments operating tables and lighting. Regional Clinical Hospitals receive substantial funding primarily from regional budget, also may receive major part of federal funding that is provided for all hospitals throughout the specific region. Overall funding of Regional Centers directly depends on gross regional revenue. Normally buy mid segment devices if use own funding. Sometimes can get federal funding and buy devices of higher price segment. Can have 3-10 OR units. Cumulative price of OR equipment set can vary within $1-3 mln per facility.Mid price furniture from Europe, Russia, China. In more than 50% cases tend to buy furniture from Russian manufacturers. Buy quality hospital beds or chairs from European, China manufacturers. Cumulative cost of hospital furniture can vary within $0.5-3 mln per facility.Regional Hospitals can use there own funding or receive target funding from Federal Budget
Key accounts segmentation
Back to the list of segments OR Equipment & Medical Furniture 27
DEMO
Market capacity is generated by:
» Purchases of devices for new facilities
» Replacement of obsolete equipment
» Increasing the equipment fleet for existing facilities
» Purchases of OR devices and medical furniture for 32 new perinatal centers
» Purchases of OR devices for new cardiac surgery departments and centers
Total market capacity equals to $1,810.0 mln
» Operating tables – $400.0 mln
» Operating lights – $330.0 mln
» Hospital beds – $600.0 mln
» Hospital chairs – $140.0 mln
» Other furniture – $340.0 mln
Market capacity, expectations
Back to the list of segments OR Equipment & Medical Furniture 32
DEMO
OR equipment & medical furniture is considered to be ‘basic’. An average demand/capacity rate is estimated at 6-7%
The market capacity rate will grow by 3-4% in 2015-2017 (new equipment for 32 new perinatal centers and cardiac surgery departments, other private and public facilities)
Expected significant demand increase in 2018-2020 as a result of growing necessity of replacing the obsolete equipment in federal and regional facilities
Market demand will increase moderately in 2015-2017 due to implementation of federal program construction and launch of 32 new perinatal centers. Stronger growth in 2019-2020 as a result of more launches of new federal facilities and growing necessity of replacing the obsolete devices.
Market capacity, expectations
Back to the list of segments OR Equipment & Medical Furniture 33
estim.
estim.
DEMO