STRATEGIC REPORT
EUROPEAN ORTHOPAEDIC
MARKET2016-2021
H I P , K N E E & S H O U L D E R
May 2017 – 15th Editionw w w. av i c e n n e . c om
AVICENNE’S
UNIQUE WARRANTY
If you are not 100% satisfied with our
report, send it back to us with a letter indicating
the reasons and we will refund you in full!PUBLISHED MAY 2017 • 15TH EDITION
Special focus on the Worldwide
orthopaedic market, player dynamics
and global market shares
NEW
OVER 25 YEARS OF STRATEGIC CONSULTANCY FOR THE MEDICAL DEVICE INDUSTRY
AVICENNE HAS BEEN INVOLVED IN THE MAIN EUROPEAN ORTHOPAEDIC DEALS OVER THE PAST 25 YEARS
STRATEGIC & COMMERCIAL DUE DILIGENCE: EXAMPLE OF MISSIONS
STRATEGIC MARKET RESEARCH, DIVERSIFICATION AND FINDING TARGETS FOR ACQUISITION: EXAMPLE OF MISSIONS
Foundation of AVICENNE
DePuy-Landanger
deal
CARLYLE-Marle deal
AXA PE - LIMA deal
Keensight- Menixdeal
APAX- Amplitude
dealLISI entering
Orthopaedics
Charlesbank- TECOMET
deal
1992
IMPLANTS:1rst edition
2005 2009 2012
20131997 2007 2011
2014
Implants:11th edition
2015
Conférence internationale pour l’innovationdes implants orthopédiques et des biomatériaux
2 0 1 5
TECRESAAP Biomaterials
2016
Biomaterials
International conference on innovation & solutionsfor orthopaedic implants and orthobiologics
• Product portfolio assessment• Competitive advantages of the company in Italy, Germany, Spain, Portugal,
USA, Australia, South Korea and Japan in terms of products, market shares, image, etc.
• Analysis of the company distribution channels• Manufacturing organization assessment• New products, Business Plan and forecasts• Analysis of the company’s management capabilities to sustain growth• Support in finding the new company CEO• R&D projects pipeline up to 2018• Working Capital benchmarking with competitors• Management case discussions & restatements by segment• Profitability assumptions and analyses• Report and arguments for the debt suppliers
• Size and Forecast of the global orthopaedic markets by country, by product, by competitor market shares
• Reimbursement procedures, trends and impact on the target business• Outsourcing strategies and trends of orthopaedic companies• Segmentation, sizing and dynamics of contract manufacturing by capabilities
and also the market share details of the top 20 contract manufacturing players
• Risks and opportunities of relocation of the implants to BRIC countries• Selection and understanding of criteria for OEMs to choose their Contract
Manufacturers• Understanding company differentiation & the keys to grow market share• Strategic & operational recommendations: Ways to maximize value
• Product portfolio assessment for AAP biomaterials & TECRES• Size and Forecast of the global orthopaedics cement market• In-house Manufacturing & outsourcing strategies of the orthopaedic companies• Segmentation, sizing and dynamics of Vertebroplasty cements & instruments• Understanding the competitive advantages of each company• Strategic & operational recommendations for the merger• Proposal for an appropriate communication strategy with the Industry
• Analysis of orthopaedics contract manufacturing by segment: Forging, casting, machining, coating, etc..
• Drivers and limiters for each segment and focus on several opportunities• Analysis of the dental implants market worldwide and opportunities in this
field• Contract manufacturer acquisition opportunities analysis in Europe and the
USA• Business Plan scenarios: presentation & restatements• Road map for 5 years
• Quarterly market shares tracking in 14 European countries for different spine products
• Perimeter: Stabilization, Dynamics, Orthobiologics & Vertebroplasty with 13 sub-segments in detail
• Tracking of devices sold by unit & value• Product portfolio assessment of the players• Forecasts and trends to identify the future high growth products:
detailed inside the report
• Selection of 15 to 30 acquisition targets with defined criteria: - Serving the Orthopaedics OEMs in various areas - Capabilities in innovation with strong R&D and quality departments - Prototype, metrology, testing, machining, cleanroom class III, packaging,
competencies- Financial perimeter: 10 M US$ - 100 MUS$ revenues, level of profitability, etc.
• Analysis of the risks, complications and obstacles • Final selection of the appropriate targets• Open channels of communication with the targets
> 100 M€ revenues
> 100 M US$ revenues
2012
2013
2016
2011
2007 to
2011
CONFIDENTIAL
2016
Italy
USA
WW
WW
Europe
WW
Strategic Due
Diligence for the
buyer (AXA PE, now Ardian)
Strategic advice to
the shareholder(CharlesBank
Capital)
Strategic Due Diligence for the buyers (TECRES & Keensight Capital)
Strategic advice to diversify inorthopaedics.Goal: To reach
100 M US$ in revenues in 5 years
Strategic market
research
Finding appropriate targets for acquisition
and strategic analysis of risks and
opportunities
Deal Date Area Mission Details
Deal Date Area Mission Details
OEM :Hip, knee,shoulder,trauma
Contractmanufacturing
Implants &Instruments
Merger of n°2 and n°3 of the ortho. cement to build the independent
worldwide leader
Strategic advicesto enter in
orthopaedics
Market shares tracking for 50 spine
products
Finding targets for acquisition
Implants
Hip
Knee
Spine
Extremities
Trauma
METHODOLOGY: WHY CHOOSE THIS REPORT?
HIP, KNEE & SHOULDER DETAILED SEGMENTATION USED
SURVEY METHODOLOGY
OEM & Contract Manufacturer direct interviews with decision makers thanks to strong links with CEOs, R&D, Marketing, Sales...
Cross-checking of information thanks to our tried & tested operating models
OEM
Hip
Knee
Shoulder
IMPL
ANTS
ZIMMER STRYKER DEPUY SYNTHES
Vol Vol Vol
Y
Val Val ValRowth % %
DEPUY SYNTHES
AVIC
ENN
E SU
MM
ARY
Y a b c d e
Sour
ce 1
: con
tact
1
Sour
ce 1
: con
tact
2
Sour
ce 3
: mar
ketin
g
Sour
ce 4
: Pr
oduc
t Man
ager
Sour
ce 5
: Sa
les M
anag
er
…
Worldwide coverage
DEVELOPED COUNTRIES
BRICCOUNTRIES
DEVELOPING COUNTRIES
Latin America, Middle East, Asia
Western Europe+
25+ years of historical data on the Orthopaedics & Contract Manufacturing markets
Companies & continuous tracking
Highly detailed segmentation
Entire supply chain & all players: OEMs, Contract Manufacturers
All product types: implants, instruments, cases & trays, biologics, cements, ceramics
All manufacturing services: forging, casting, machining, coating, packaging, sterilization
Operating Models & Cross-checking of information
Implants Instruments Cases, trays Biologics
Contract Manufacturing
Fixations for Total hip
Cemented(Stem & cup are
cemented)
Metal / Polyethylene
Posterior stabilized
Metal / Polyethylene
Metal / Polyethylene
Hybrid(Stem is
cemented, cup is
cementless)
Bearings for Cemented
Total Knee
Bearings for Cementless
Bearings for Hybrid
Monobloc
Dual mobility cup
Standard With bipolar shell
HIP GENERAL SEGMENTATION
HIP SEGMENTATION BY FIXATIONS & BEARINGS
KNEE SEGMENTATION BY FIXATIONS & BEARINGS
Anterior approach
Postero/lateral approach
Total
Total Fixed
Fixed Mobile
Revision
Revision
Partial
HIP
KNEE Fixations for Total Knee
ResurfacingModular
Cemented Cementless Hybrid
Shorter stem & mini hip
Revision
Primary
Cementless(Stem & cup
are cementless)
Ceramic / Polyethylene
Cruciate retaining
Ceramic / Polyethylene
Ceramic / Polyethylene
Ceramic / Ceramic
Ceramic / Ceramic
Metal / Metal
Metal / Metal
Partial Mobile
CementedCemented
Total
Standard Reversed
Universal stems Revision Resurfacing
SHOULDER Mini shoulder
Partial
Cemented CementedCementless CementlessHybrid Hybrid
CementlessCementless
HybridHybrid
Unicondylar Femoro patelar
KNEE GENERAL SEGMENTATION
SHOULDER GENERAL SEGMENTATION
YOU WILL FIND IN THE REPORT:
GENERAL DATA ON COUNTRIES HEALTHCARE SYSTEMS
850 Pages – 1,550 Exhibits
Highly detailed segmentation: Total, Revision, Partial – Cemented, Cementless, Hybrid - All bearings, fixed, mobile - Standard, Reversed, etc.
5 main European countries analyzed in detail: Germany, UK, France, Italy, Spain
12 other countries, also analyzed to get accurate picture of entire European market: Belgium, Denmark, Finland, Sweden, Ireland, Netherlands, Austria, Luxembourg, Greece, Portugal, Switzerland & Norway
USA, China, South Korea, Australia, Japan: Hip & knee units and value in 2016 and 2021 forecast
Analysis of the drivers & limiters of the market, price pressure and regulatory trends
Comprehensive analysis of the key companies and their market share
KNEE
40+ companies analyzed plus market shares
detailed
SHOULDER
20+ companies
analyzed plus market shares detailed
HIP
50+ companies analyzed plus market shares detailed
DETAILS OF ALL SEGMENTS
MARKET SHARE PER COUNTRY, PER PLAYER AND FOR HIP,
KNEE & SHOULDER
2021 FORECASTS FOR ALL THE SEGMENTS & SUB-SEGMENTS
High growth productsD E TA I L E D I N R E P O RT
> Hip dual mobility,> Mini hip & Shorter hip stem,
> Anterior surgical hip approach,> Trabecular metal usage for hip,
knee & shoulder,> Mini shoulder stems
Download the detailed table of contents
www.avicenne.com
O R D E R F O R MEUROPEAN ORTHOPAEDIC MARKET
2016-2021H I P , K N E E & S H O U L D E R
Published May 2017 – 15th Edition
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Full report (pdf) European orthopaedic Market 2016-2021 / Hip, Knee & Shoulder market report 5 main countries + Rest of Europe (12 countries) and all products (Hip & Knee & Shoulder) • 850 pages / 1,550+ exhibits • Single-user licence: 5,900 €
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STRATEGIC REPORT
EUROPEAN ORTHOPAEDIC
MARKET2016-2021
H I P , K N E E & S H O U L D E R
CLIENTS
EUROPEAN ORTHOPAEDIC MARKET 2016-2021
H I P , K N E E & S H O U L D E R
Published May 2017 – 15th Editionco
mpa
nies
Ort
hopae
dics manufacturers
Contract
Private Equities
& financial services Consulti
ng firm
s
Aesculap-B Braun, Amplitude, Aston Medical, Bioland, Biomet, Biomicron, Ceraver,
Cousin-Biotech, Dedienne, Depuy Synthes, Eurospine, Evolutis, FH, FX Solutions, Geistlich,
Help Ortho, Implanet, Implant Industries, Integra Life Sciences, Kisco International,
Lepine, Lima, Mathys, Medtronic, MBA, Medacta, Nexis, OST, Orthosoft, Ossacur,
Osteotech, Plus Ortho, Progenor, SEM, Seremm, Scient’x, Smith & Nephew, SME, SMI, Stryker
Corp, Stryker Limerick, Stryker Spine, Spineway, SGM-Codim, Stanmore Implants, Stryker,
Symbios, Tornier, Transtructure, Transysteme, Zimmer Biomet, Wright Tornier, X’Nov…
Apax Partners, Altor Equity Partners, AXA PE now Ardian, Argos Soditic, Banque Lazard, BIP
Investment Partners, Carlyle Group, Charlesbank Capital, Clayton Dubilier & Rice, Eurazeo,
European Capital, Goldman Sachs, Keensight Capital, LBO France, Permira, Piper Jaffray,
Pragma Capital, Rothschild Five Arrows, Simuval, Tikehau, Warburg Pincus, Zurmont Madison…
Autocam Medical, Avalign, Ceramtec, Cetim, EOS, Eurocoating, Finetubes, Forginal, Geoffroy, Greatbatch, HWG, In’tech Medical, Invibio, Ionbond, Jabil Medical, Jenoptik, Heptal, Komet, LISI Medical, Manoir Industries, Marle, Metal Craft & Riverside, Nowak, Oerlikon, One Ortho, Paragon Medical, PolymerExpert, Projection Plasma System, Sandvik, Stainless, Somepic, Symmetry Medical, Tecomet, Terolab Surface Medical, Vaccucast, VSMPO Tirus, Wichard, Willemin Macodel…
Arthur D. Little, AT Kearney, Bain, Boston Consulting Group, KPMG Strategy, LEK Consulting, McKinsey & Company, OC&C Strategy, Oliver Wyman, Roland Berger…
The 2016 and 12th edition of IMPLANTS attracted more than 200 international decision-makers for a full day of presentations, tutorials and business networking. The speakers highlighted how innovation and new manufacturing techniques are evolving and impacting the future landscape. IMPLANTS has become a “must attend” event on the orthopaedics industry calendar.
www.implants-event.com
International conference on innovationfor orthopaedic implants and orthobiologics
20 1 7
Created and chaired by
June 7th, 2017 - Paris - 13rd edition