EUROPEAN MARKETS FOR URINARY STONE REMOVAL DEVICES AND EQUIPMENT

225 Pages | 65 Exhibits | 2008 Analysis | Forecasts Through 2011

OVERVIEW:
Kidney stones are one of the most common disorders of the urinary tract, affecting approximately 5%-7% of all women and 10%-12% of men. An estimated 5 million or more kidney stone cases are diagnosed annually worldwide, and an estimated 1 million diagnosed in Europe alone. The incidence of kidney stones is increasing; while reasons for the increase are unclear, it is believed the number of cases will increase significantly if the climate continues to warm.

While many people pass very small stones naturally, many patients must have them surgically removed upon the sudden onset of excruciating pain, and to lessen the risk of bleeding, infection, obstruction and kidney damage. Fortunately, several established minimally invasive stone removal procedures such as extracorporeal shockwave lithotripsy, endoscopic/intracorporeal lithotripsy or percutaneous nephrolithotomy have virtually replaced open surgery, giving many patients less painful, highly effective treatment alternatives. Today, minimally invasive treatment may include the use of a variety of urinary stone access, disintegration and removal devices and equipment, which are the focus of this report.

The combined European market for minimally invasive urinary stone removal devices and equipment was valued at approximately $185 million in 2007. Sales of urinary stone removal products in Europe are expected to increase at a compound annual rate of approximately 3.2%, approaching nearly $210 million in the year 2011.

This dynamic, new report from Medtech Insight includes analyses of products, current and emerging markets, competitors, and opportunities in the European urinary stone removal devices and equipment market. Covered topics in this report include a discussion of the healthcare markets of France, Germany, Italy, Spain, the U.K., and the Benelux countries (Belgium, the Netherlands, and Luxembourg); an overview of urinary stone disease and treatment; minimally invasive stone removal devices and equipment, including extracorporeal shockwave lithotripsy systems, laser lithotripsy systems, electrohydraulic, pneumatic and ultrasonic lithotripsy systems, urinary tract access and stone retrieval systems, and ureteral stents; as well as a European market and competitive analysis.

TABLE OF CONTENTS:
EXECUTIVE SUMMARY
i.	Urinary Stone Treatment
ii.	Urinary Stone Prevention
iii.	European Market for Urinary Stone Removal Devices and Equipment
v.	Methodology

Exhibit ES-1:	The Urinary Tract
Exhibit ES-2:	Extracorporeal Shock Wave Lithotripsy
Exhibit ES-3:	Percutaneous Nephrolithotomy
Exhibit ES-4:	Europe, Urinary Stone Removal Devices and Equipment, Market Forecast, 2006-2011
Exhibit ES-5:	2007, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment
Exhibit ES-6:	2011, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment

1. EUROPEAN HEALTHCARE MARKETS

1.1 The European Union
    1.1.1 A Common Currency
    1.1.2 Regulatory Policies
    1.1.3 Reimbursement
    1.1.4 Healthcare Spending
1.2 Selected European National Healthcare Profiles
    1.2.1 France
        1.2.1.1 Healthcare Organization and Reform
        1.2.1.2 Hospital Services
        1.2.1.3 Medical Device Reimbursement
    1.2.2 Germany
        1.2.2.1 Healthcare Organization and Reform
        1.2.2.2 Hospital Services
        1.2.2.3 Medical Device Reimbursement
    1.2.3 Italy
        1.2.3.1 Healthcare Organization and Reform
        1.2.3.2 Hospital Services
        1.2.3.3 Medical Device Reimbursement
    1.2.4 Spain
        1.2.4.1 Healthcare Organization and Reform
        1.2.4.2 Hospital Services
        1.2.4.3 Medical Device Reimbursement
    1.2.5 United Kingdom
        1.2.5.1 Healthcare Organization and Reform
        1.2.5.2 Hospital Services
        1.2.5.3 Medical Device Reimbursement
    1.2.6 Benelux
        1.2.6.1 Healthcare Organization and Reform
            1.2.6.1.1 Belgium
            1.2.6.1.2 Luxembourg
            1.2.6.1.3 The Netherlands
        1.2.6.2 Hospital Services
        1.2.6.3 Medical Device Reimbursement

Exhibit 1-1:	European Union, Medical Devices Risk Classification System
Exhibit 1-2:	2007, Europe, Population Statistics, Selected Countries
Exhibit 1-3:	France, Selected National Healthcare Statistics
Exhibit 1-4:	Germany, Selected National Healthcare Statistics
Exhibit 1-5:	Italy, Selected National Healthcare Statistics
Exhibit 1-6:	Spain, Selected National Healthcare Statistics
Exhibit 1-7:	United Kingdom, Selected National Healthcare Statistics
Exhibit 1-8:	Belgium, Selected National Healthcare Statistics
Exhibit 1-9:	Luxembourg, Selected National Healthcare Statistics
Exhibit 1-10:	The Netherlands, Selected National Healthcare Statistics

2. CLINICAL OVERVIEW OF URINARY STONES

2.1 Bladder Stones
    2.1.1 Causes
    2.1.2 Symptoms
    2.1.3 Diagnosis
    2.1.4 Treatment
    2.1.5 Prevention
2.2 Kidney Stones
    2.2.1 Causes
    2.2.2 Symptoms
    2.2.3 Diagnosis
    2.2.4 Treatment
    2.2.5 Prevention

Exhibit 2-1:	The Urinary Tract
Exhibit 2-2:	Extracorporeal Shock Wave Lithotripsy
Exhibit 2-3:	Percutaneous Nephrolithotomy

3. URINARY STONE REMOVAL DEVICES AND EQUIPMENT MARKET

3.1 Urinary Stone Treatment
3.2 Extracorporeal Shock Wave Lithotripsy Systems
    3.2.1 DiREX Systems/DirexGroup
    3.2.2 Dornier MedTech
    3.2.3 EDAP TMS
    3.2.4 Elmed Lithotripsy Systems/ Elmed Electronics & Medical Industry & Trade
    3.2.5 HealthTronics
    3.2.6 Medispec
    3.2.7 Siemens Healthcare/Siemens
    3.2.8 Storz Medical/Karl Storz
    3.2.9 Richard Wolf
3.3 Laser Intracorporeal Lithotripsy Systems
    3.3.1 Convergent Laser Technologies
    3.3.2 Dornier MedTech
    3.3.3 Gyrus ACMI/Olympus
    3.3.4 Lumenis
    3.3.5 New Star Lasers
    3.3.6 PhotoMedex
    3.3.7 Karl Storz
    3.3.8 Trimedyne
3.4 Other Intracorporeal Lithotripsy Systems
    3.4.1 Boston Scientific
    3.4.2 Electro Medical Systems
    3.4.3 Elmed Lithotripsy Systems/ Elmed Electronics & Medical Industry & Trade
    3.4.4 Gyrus ACMI/Olympus
    3.4.5 LMA Urology/LMA International
    3.4.6 Medispec
    3.4.7 Olympus
    3.4.8 Karl Storz
    3.4.9 Richard Wolf
3.5 Urinary Tract Access and Stone Retrieval Systems
    3.5.1 Bard Urological/C.R. Bard
    3.5.2 Boston Scientific
    3.5.3 Cook Medical/Cook Group
    3.5.4 Gyrus ACMI/Olympus
3.6 Ureteral Stents
    3.6.1 Bard Urological/C.R. Bard
    3.6.2 Boston Scientific
    3.6.3 Cook Medical/Cook Group
    3.6.4 Gyrus ACMI/Olympus
3.7 Market Analysis
    3.7.1 Procedure Volumes Forecast
    3.7.2 Market Forecast
    3.7.3 Competitive Analysis
        3.7.3.1 Extracorporeal Shock Wave Lithotripsy Systems
        3.7.3.2 Intracorporeal Lithotripsy Systems
        3.7.3.3 Stone Access and Removal Devices
        3.7.3.4 Ureteral Stents

Exhibit 3-1:	2008, Selected Extracorporeal Shock Wave Lithotripsy Systems
Exhibit 3-2:	DiREX Systems' Duet System
Exhibit 3-3:	DiREX Systems' Integra SL System
Exhibit 3-4:	DiREX Systems' Nova Ultima Shock Wave Lithotripter
Exhibit 3-5:	Dornier MedTech's Compact Sigma System with FarSight Ultrasound Technology
Exhibit 3-6:	Dornier MedTech's Flexible Therapy Head Technology
Exhibit 3-7:	Dornier MedTech's Compact Delta II System
Exhibit 3-8:	Technomed Medical Systems' Sonolith Praktis System
Exhibit 3-9:	EDAP TMS's Sonolith i-sys System
Exhibit 3-10:	Elmed Lithotripsy Systems' Complit Lithotripter
Exhibit 3-11:	Elmed Lithotripsy Systems' Multimed Classic System
Exhibit 3-12:	HealthTronic's LithoDiamond Ultra Lithotripter
Exhibit 3-13:	Medispec's E2000 and E3000 Lithotripters
Exhibit 3-14:	Siemens Healthcare's Lithoskop System with Pulso Shock Wave Technology
Exhibit 3-15:	Siemens Healthcare's Modularis Variostar and  Lithostar Vario Lithotripsy Modules
Exhibit 3-16:	Storz Medical's Modulith SLX-F2 System
Exhibit 3-17:	Storz Medical's Modulith SLK System
Exhibit 3-18:	2008, Selected Holmium Laser Intracorporeal Lithotripsy Systems
Exhibit 3-19:	The Odyssey 30 Holmium Laser System
Exhibit 3-20:	Dornier MedTech's Medilas H 20 Holmium Laser System
Exhibit 3-21:	Gyrus ACMI's DUR-HL20 Laser Lithotripter
Exhibit 3-22:	Lumenis' VersaPulse PowerSuite Laser System
Exhibit 3-23:	New Star Lasers' NS1500 Laser System
Exhibit 3-24:	PhotoMedex's LaserPro CTH Holmium Laser System
Exhibit 3-25:	2008, Selected Electrohydraulic, Pneumatic, and Ultrasonic Intracorporeal Lithotripsy Systems
Exhibit 3-26:	Boston Scientific's Swiss LithoClast Ultra System
Exhibit 3-27:	Electro Medical Systems' Swiss LithoClast 2 System
Exhibit 3-28:	Electro Medical Systems' Swiss LithoClast Master System
Exhibit 3-29:	Elmed Lithotripsy Systems' Vibrolith and Vibrolith Plus Systems
Exhibit 3-30:	Gyrus ACMI's CyberWand Dual Probe Ultrasonic Lithotripter
Exhibit 3-31:	LMA Urology's LMA StoneBreaker Device
Exhibit 3-32:	Medispec's Lithospec Intracorporeal Lithotripter
Exhibit 3-33:	Olympus' Lithotripters
Exhibit 3-34:	2008, Selected Urinary Stone Access and Dilation Products
Exhibit 3-35:	2008, Selected Urinary Stone Retrieval Devices
Exhibit 3-36:	Bard Urological's AquaGuide Ureteral Access Sheath
Exhibit 3-37:	Bard Urological's UroForce Balloon Dilation Catheter
Exhibit 3-38:	The Bard Dimension Articulating Stone Basket/Grasper
Exhibit 3-39:	Bard Urological's Platinum Class Flat Wire Stone Basket and Platinum Class Torque-Stable Helical Stone Basket
Exhibit 3-40:	Boston Scientific's Escape Nitinol Stone Retrieval Basket
Exhibit 3-41:	Boston Scientific's Gemini Paired Wire Helical Basket
Exhibit 3-42:	Boston Scientific's ZeroTip Nitinol Stone Retrieval Basket
Exhibit 3-43:	Cook Medical's Flexor DL Ureteral Access Sheath and Captura Helical Stone Extractor
Exhibit 3-44:	Cook Medical's NCircle Helical Tipless Stone Extractor
Exhibit 3-45:	Cook Medical's NCompass Nitinol Stone Extractor
Exhibit 3-46:	Gyrus ACMI's AUR-7 Flexible Ureteroscope and DUR-8 Elite Ureteroscope
Exhibit 3-47:	Gyrus ACMI's Sur-Catch Cross Paired Wire Baskets
Exhibit 3-48:	Gyrus ACMI's Sur-Catch NT Nitinol Basket
Exhibit 3-49:	2008, Selected Ureteral Stents
Exhibit 3-50:	Bard Urological's InLay Optima Ureteral Stent
Exhibit 3-51:	Boston Scientific's Percuflex and Polaris Ultra Ureteral Stents
Exhibit 3-52:	Boston Scientific's Stretch VL Flexima Stent
Exhibit 3-53:	Cook Medical's C-Flex Double Pigtail Ureteral Stent
Exhibit 3-54:	Cook Medical's Sof-Flex Double Pigtail Stent
Exhibit 3-55:	Gyrus ACMI's Double-J Ureteral Stents
Exhibit 3-56:	Gyrus ACMI's Sof-Curl Ureteral Stent
Exhibit 3-57:	Gyrus ACMI's UroGuide Ureteral Stent
Exhibit 3-58:	Europe, Urinary Stone Removal, Procedure Volumes Forecast, 2006-2011
Exhibit 3-59:	Europe, Urinary Stone Removal Devices and Equipment, Market Forecast, 2006-2011
Exhibit 3-60:	2007, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment
Exhibit 3-61:	2011, Europe, Urinary Stone Removal Devices and Equipment Market, Estimated Share of Sales, by Segment
Exhibit 3-62:	2007, Europe, Extracorporeal Shock Wave Lithotripsy Systems, Share by Supplier
Exhibit 3-63:	2007, Europe, Intracorporeal Lithotripsy Systems, Share by Supplier
Exhibit 3-64:	2007, Europe, Urinary Stone Access and Retrieval Devices, Share by Supplier
Exhibit 3-65:	2007, Europe, Ureteral Stents, Share by Supplier

4. COMPANY PROFILES

4.1	Bard Urological/C.R. Bard, Inc.
4.2	Boston Scientific Corporation
4.3	Cook Group, Inc.
4.4	Dornier MedTech GmbH
4.5	EDAP TMS SA
4.6	Electro Medical Systems SA
4.7	Gyrus ACMI, Inc./Olympus Corporation
4.8	Lumenis LTD
4.9	Siemens AG
4.10	Storz Medical AG/Karl Storz GmbH & Company KG


APPENDIX:  COMPANY LISTING


COMPANIES COVERED:

  1. Bard Urological/C.R. Bard
  2. Boston Scientific
  3. Cook Medical
  4. Dornier MedTech
  5. EDAP TMS S.A.
  6. Gyrus ACMI, Inc./Olympus Corporation
  7. Lumenis LTD
  8. Siemens AG
  9. Storz Medical AG/Karl Storz Group
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