The market is expected to continue a substantial shift from transvaginal mesh to sacrocolpopexy mesh. While transvaginal mesh sales currently comprise the majority of the market, their dominance will decrease as physicians move towards sacrocolpopexy mesh at increasing rates. Although the U.S. market was struck heavily by the FDA warnings issued in 2011, the European market was never substantially impacted. The United Kingdom has been by far the most impacted, possibly because of the high degree of cross-over in negative press between the two countries regarding pelvic organ prolapse procedures using mesh. Modifications to the mesh, extra clinical trials to prove safety and pre-emptive marketing is helping to clarify the safety and health risks associated with mesh to curb the decline in procedures. ASPs for both types of mesh have been relatively stable, with a slight decline on average over the past few years. In Europe, there are many smaller companies that compete in the incontinence sling market. Competitive pricing, which pushes down ASP, is one of the tactics that allows these smaller companies to thrive amongst larger medical device corporations. Changes in the market due to companies choosing to leave the market, notably Johnson & Johnson’s transvaginal mesh products, has allowed many smaller competitors to better position themselves in their respective markets.
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TABLE OF CONTENTS I
LIST OF FIGURES III
LIST OF CHARTS V
EXECUTIVE SUMMARY 1
EUROPEAN MARKET FOR GYNECOLOGICAL DEVICES OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 7
MARKET DEVELOPMENTS 10
PROCEDURE NUMBERS 11
MARKETS INCLUDED 12
KEY REPORT UPDATES 14
VERSION HISTORY 17
RESEARCH METHODOLOGY 18
1.1 RESEARCH SCOPE 18
1.2 IDATA’S 9-STEP METHODOLOGY 18
1.2.1 Step 1: Project Initiation & Team Selection 18
1.2.2 Step 2: Prepare Data Systems and Perform Secondary Research 20
1.2.3 Step 3: Preparation for Interviews & Questionnaire Design 21
1.2.4 Step 4: Performing Primary Research 22
1.2.5 Step 5: Research Analysis: Establishing Baseline Estimates 24
1.2.6 Step 6: Market Forecast and Analysis 25
1.2.7 Step 7: Identify Strategic Opportunities 27
1.2.8 Step 8: Final Review and Market Release 28
1.2.9 Step 9: Customer Feedback and Market Monitoring 29
COUNTRY PROFILES 30
2.1 INTRODUCTION 30
2.1.1.1 Population 30
2.1.1.2 Median Age 32
2.1.1.3 GDP Per Capita 32
2.1.1.4 Price Index 33
2.2 GERMANY 34
2.3 FRANCE 35
2.4 UNITED KINGDOM 36
2.5 ITALY 37
2.6 SPAIN 38
2.7 BENELUX 39
2.8 SCANDINAVIA 40
2.9 AUSTRIA 41
2.10 SWITZERLAND 43
2.11 PORTUGAL 44
PELVIC ORGAN PROLAPSE REPAIR DEVICE MARKET 45
3.1 INTRODUCTION 45
3.2 MARKET OVERVIEW 47
3.3 MARKET ANALYSIS AND FORECAST 52
3.3.1 Total Pelvic Organ Prolapse Repair Device Market 52
3.3.2 Transvaginal Mesh Market 60
3.3.3 Sacrocolpopexy Mesh Market 67
3.4 DRIVERS AND LIMITERS 74
3.4.1 Market Drivers 74
3.4.2 Market Limiters 74
3.5 COMPETITIVE MARKET SHARE ANALYSIS 76
ABBREVIATIONS 82
Chart 1 1: Gynecological Device Market by Segment, Europe, 2012 – 2022 3
Chart 1 2: Gynecological Device Market Overview, Europe, 2015 & 2022 3
Chart 2 1: Country Profile, Germany, 2015 34
Chart 2 2: Country Profile, France, 2015 35
Chart 2 3: Country Profile, United Kingdom, 2015 36
Chart 2 4: Country Profile, Italy, 2015 37
Chart 2 5: Country Profile, Spain, 2015 38
Chart 2 6: Country Profile, Benelux, 2015 39
Chart 2 7: Country Profile, Scandinavia, 2015 40
Chart 2 8: Country Profile, Austria, 2015 42
Chart 2 9: Country Profile, Switzerland, 2015 43
Chart 2 10: Country Profile, Portugal, 2015 44
Chart 3 1: Pelvic Organ Prolapse Repair Device Market by Segment, Europe, 2012 – 2022 50
Chart 3 2: Pelvic Organ Prolapse Repair Device Market Breakdown, Europe, 2015 51
Chart 3 3: Pelvic Organ Prolapse Repair Device Market Breakdown, Europe, 2022 51
Chart 3 4: Total Pelvic Organ Prolapse Repair Device Market, Europe, 2012 – 2022 54
Chart 3 5: Transvaginal Mesh Market, Europe, 2012 – 2022 61
Chart 3 6: Sacrocolpopexy Mesh Market, Europe, 2012 – 2022 68
Chart 3 7: Leading Competitors, Pelvic Organ Prolapse Repair Device Market, Europe, 2015 79
Chart 3 8: Projected Leading Competitors, Pelvic Organ Prolapse Repair Device Market, Europe, 2016 81
Figure 1 1: Gynecological Device Competitor Market Share Ranking by Segment, Europe, 2015 (1 of 3) 4
Figure 1 2: Gynecological Device Competitor Market Share Ranking by Segment, Europe, 2015 (2 of 3) 5
Figure 1 3: Gynecological Device Competitor Market Share Ranking by Segment, Europe, 2015 (3 of 3) 5
Figure 1 4: Companies Researched in this Report, Europe, 2015 6
Figure 1 5: Factors Impacting the Gynecological Device Market by Segment, Europe (1 of 3) 7
Figure 1 6: Factors Impacting the Gynecological Device Market by Segment, Europe (2 of 3) 8
Figure 1 7: Factors Impacting the Gynecological Device Market by Segment, Europe (3 of 3) 9
Figure 1 8: Recent Events in Gynecological Device Market, Europe, 2012 – 2016 10
Figure 1 9: Gynecological Procedures Covered, Europe, 2015 11
Figure 1 10: Gynecological Device Markets Covered, Europe, 2015 (1 of 2) 12
Figure 1 11: Gynecological Device Markets Covered, Europe, 2015 (2 of 2) 13
Figure 1 12: Key Report Updates (1 of 3) 14
Figure 1 13: Key Report Updates (2 of 3) 15
Figure 1 14: Key Report Updates (3 of 3) 16
Figure 1 15: Version History 17
Figure 2 1: Population by Country, Europe, 2015 30
Figure 2 2: Population, Benelux, 2015 31
Figure 2 3: Scandinavia, Europe, 2015 31
Figure 2 4: GDP per Capita, Europe, 2015 32
Figure 3 1: Pelvic Organ Prolapse Repair Device Market by Segment, Europe 2012 – 2022 (€M) 48
Figure 3 2: Pelvic Organ Prolapse Repair Device Market by Segment, Europe 2012 – 2022 (US$M) 49
Figure 3 3: Total Pelvic Organ Prolapse Repair Device Market, Europe, 2012 – 2022 (€ and US$) 53
Figure 3 4: Units Sold by Country, Total Pelvic Organ Prolapse Repair Device Market, Europe, 2012-2022 55
Figure 3 5: Average Sales Price by Country, Total Pelvic Organ Prolapse Repair Device Market, Europe, 2012-2022 (€) 56
Figure 3 6: Average Sales Price by Country, Total Pelvic Organ Prolapse Repair Device Market, Europe, 2012-2022 (US$) 57
Figure 3 7: Total Pelvic Organ Prolapse Repair Device Market by Country, Europe, 2012-2022 (€M) 58
Figure 3 8: Total Pelvic Organ Prolapse Repair Device Market by Country, Europe, 2012-2022 (US$M) 59
Figure 3 9: Transvaginal Mesh Market, Europe, 2012 – 2022 (€ and US$) 61
Figure 3 10: Units Sold by Country, Transvaginal Mesh Market, Europe, 2012-2022 62
Figure 3 11: Average Sales Price by Country, Transvaginal Mesh Market, Europe, 2012-2022 (€) 63
Figure 3 12: Average Sales Price by Country, Transvaginal Mesh Market, Europe, 2012-2022 (US$) 64
Figure 3 13: Transvaginal Mesh Market by Country, Europe, 2012-2022 (€M) 65
Figure 3 14: Transvaginal Mesh Market by Country, Europe, 2012-2022 (US$M) 66
Figure 3 15: Sacrocolpopexy Mesh Market, Europe, 2012 – 2022 (€ and US$) 68
Figure 3 16: Units Sold by Country, Sacrocolpopexy Mesh Market, Europe, 2012-2022 69
Figure 3 17: Average Sales Price by Country, Sacrocolpopexy Mesh Market, Europe, 2012-2022 (€) 70
Figure 3 18: Average Sales Price by Country, Sacrocolpopexy Mesh Market, Europe, 2012-2022 (US$) 71
Figure 3 19: Sacrocolpopexy Mesh Market by Country, Europe, 2012-2022 (€M) 72
Figure 3 20: Sacrocolpopexy Mesh Market by Country, Europe, 2012-2022 (US$M) 73
Figure 3 21: Drivers and Limiters, Pelvic Prolapse Repair Device Market Europe, 2015 75
Figure 3 22: Leading Competitors by Country, Pelvic Organ Prolapse Repair Device Market, Europe, 2015 78
Figure 3 23: Projected Leading Competitors by Country, Pelvic Organ Prolapse Repair Device Market, Europe, 2016 80
Bayer
Karl Storz
Cooper Surgical
Olympus
Richard Wolf
Cook Medical
Johnson & Johnson
Astora Women's Health
Vitrolife
Boston Scientific
Johnson & Johnson
Hologic
