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Bariatric (Obesity) Surgical Devices - Global Strategic Business Report

Price:
USD $2,450.00
ISBN/SKU #:
GIA-MCP5042
Research Group:
Global Industry Analysts
Date of Publication:
July 2009
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Summary

This report analyzes the US and European markets for Bariatric (Obesity) Surgical Devices in Millions of US$. The US market for Bariatric Surgical Devices is analyzed by the following segments: Gastric Bypass Devices, and Gastric Banding Devices. The European market is separately analyzed by the following segments: Adjustable Gastric Banding Devices, Gastric Bypass Devices, and Intragastric Balloon Devices. Annual forecasts are provided for the period of 2005 through 2015. The report profiles 49 companies including many key and niche players worldwide such as Allergan, Inc., Cousin Biotech, Covidien Ltd., Ethicon Endo-Surgery, Inc., Helioscopie SA, Medical Innovation Development Company, PARÉ Surgical, Inc., Satiety, Inc., Silimed Ltda., and Surgical IOC. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.

 TABLE OF CONTENTS

BARIATRIC (OBESITY) SURGICAL DEVICES		MCP-5042
A US & EUROPEAN MARKET REPORT


                                            CONTENTS 


  I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

      Study Reliability and Reporting Limitations                       I-1
      Disclaimers                                                       I-2
      Data Interpretation & Reporting Level                             I-3
       Quantitative Techniques & Analytics                              I-3
      Product Definitions and Scope of Study                            I-3


 II. EXECUTIVE SUMMARY

  1. INDUSTRY OVERVIEW                                                  II-1
      Obesity Assumes Epidemic Proportions                              II-1
       Growing Problem of Obesity in Asia Particularly China            II-1
      Obesity - Quick Statistics                                        II-2
       Table 1: Global Overweight Prevalence (2006): Overweight
       Population (%) of Select Countries (BMI > 25) (includes
       corresponding Graph/Chart)                                       II-3

       Table 2: Obese and Overweight & Obese Population in the World
       (2009): Percentage Share Breakdown by Region for US, European
       Union, and Rest of World (includes corresponding Graph/Chart)    II-3

       Table 3: Abdominal Obesity Prevalence (%) by Region and Sex
       (includes corresponding Graph/Chart)                             II-4
      Surgery Provides Hope for Morbidly Obese Patients                 II-4
      Growing Obesity Prevalence Drives Development of Weight Loss
       Therapies                                                        II-5

  2. MARKET DYNAMICS                                                    II-6
      Relevance of Bariatric Surgery in Pediatrics                      II-6
      Sleeve Gastrectomy - Challenging the Growth of Banding Procedures II-6
      Compliance Trends with Physician Advise in  Post-Surgery Scenario II-7
       Recommendation Compliance After Surgery - Weight Loss in
        Compliant and Non-Compliant Patients                            II-7
      Risk of Bariatric Surgery on Pregnancy                            II-7
      Stomaphyx Surgery - Addressing Post-Surgical Complications        II-8
      VBLOC - An Alternative to Bariatric Surgery                       II-8
      Endobarrier - An Experimental Device Offers Alternative to
       Surgery                                                          II-8
      Competition Intensifies in the Bariatric Surgery Market           II-8

  3. AN INTRODUCTION TO OBESITY                                         II-10
      Obesity - A Conceptual Definition                                 II-10
       Childhood Obesity                                                II-10
      Causes of Obesity                                                 II-10
       Dietary Habits                                                   II-11
       Sedentary Lifestyle                                              II-11
       Genetic Factors                                                  II-11
       Medical and Psychiatric Illnesses                                II-11
       Socioeconomic Factors                                            II-12
      Diagnosis of Obesity                                              II-12
       Body Mass Index (BMI)                                            II-12
        Classification of Obesity as per BMI                            II-12
        Classification for Class III Obesity                            II-13
       Deriving Body Fat Percentage from BMI                            II-13
       Central Obesity                                                  II-13
        Central Obesity in Men and Women - Criteria for
         Identification Using Absolute Waist Circumference and
          Waist-Hip Ratio Methods                                       II-14
      Impact of Obesity on Health                                       II-14
       Mortality                                                        II-14
       Morbidity                                                        II-14
        Major Obesity-Related Diseases                                  II-14
      Obesity Treatment                                                 II-15
       Diet Therapy                                                     II-16
       Lifestyle Modification                                           II-16
       Pharmacotherapy                                                  II-16
       Medical Devices                                                  II-16
       Bariatric Surgery                                                II-16
      Clinical Protocols for Obesity Treatment                          II-16

  4. BARIATRIC SURGERY - AN INSIGHT                                     II-17
      Defining Bariatrics                                               II-17
      Bariatric Surgery                                                 II-17
      Patient Eligibility for Bariatric Surgery                         II-17
      Role of Technologies in the Growth of Bariatric Surgery           II-18
       Endoluminal and Transgastric Surgeries                           II-18
       Laparoscopy                                                      II-18
      Endoscopy in Bariatric Surgery                                    II-19
      Advantages of Bariatric Surgery                                   II-19
      Disadvantages of Bariatric Surgery                                II-19

  5. SURGICAL OPTIONS FOR OBESITY  TREATMENT                            II-21
     SURGICAL TREATMENT FOR OBESITY                                     II-21
       Classification of Bariatric Surgery Procedures                   II-21
      Restrictive Procedures                                            II-21
       Vertical Banded Gastroplasty                                     II-22
       Laparoscopic Adjustable Gastric Banding                          II-22
        World Estimates and Forecasts                                   II-22
         Table 4: World Recent Past, Current & Future Analysis for
         Bariatric Surgery: Annual Number of Gastric Banding
         Procedures for Years 2005 through 2015 (in Thousands)
         (includes corresponding Graph/Chart)                           II-23
        Eligibility Criteria for Gastric Banding Patients               II-23
        Advantages of Gastric Banding                                   II-23
        Adverse Effects of Banding                                      II-24
      Malabsorptive Procedures                                          II-24
       Biliopancreatic Diversion Procedure                              II-25
       Biliopancreatic Diversion with Duodenal Switch                   II-25
        Benefits & Drawbacks of the Procedure                           II-26
      Combination Procedures                                            II-26
       Gastric Bypass Surgery                                           II-26
        Table 5: Effectiveness of Gastric Bypass Surgery (includes
        corresponding Graph/Chart)                                      II-27
       Surgical Techniques for Gastric Bypass                           II-27
       Variations of Gastric Bypass                                     II-27
        Loop Gastric Bypass                                             II-27
        Mini Gastric Bypass                                             II-28
         Table 6: Key Performance Characteristics of Laparoscopic
         Mini Gastric Bypass Surgery                                    II-28
        Long-Limb Gastric Bypass                                        II-28
        Gastric Bypass, Roux En-Y (Proximal)                            II-28
        Gastric Bypass, Roux en-Y (Distal)                              II-29
       Open Vs Laparoscopic Gastric Bypass Surgery                      II-29
       Complications of Gastric Bypass Procedure                        II-29
        Anastamotic Leakage                                             II-29
        Anastamotic Stricture                                           II-29
        Dumping Syndrome                                                II-29
        Major Complications of Laparoscopic Gastric Bypass              II-30
       Sleeve Gastrectomy                                               II-30
      Analysis of Various Bariatric Procedures                          II-31
       Table 7: A Comparative Analysis of Various Bariatric Surgery
       Procedures                                                       II-31

       Table 8: Efficacy Rates of Bariatric Procedures (At 2 Year of
       Surgery)                                                         II-32
      Gastric Banding Vs Gastric Bypass                                 II-32
       Table 9: Comparison of Gastric Band & Gastric Bypass
       Surgeries                                                        II-33

  6. BARIATRIC SURGERY DEVICES                                          II-34
      Adjustable Gastric Bands                                          II-34
       Background                                                       II-34
       Available Gastric Bands                                          II-34
        Adjustable Gastric Bands Marketed in the US and Europe          II-35
       Allergan & Ethicon Vie for Global Gastric Band Market Share      II-35
        Table 10: Leading Players in the Global Gastric Bands Market
        (2007): Percentage Share Breakdown of Value Sales for
        Allergan, Johnson & Johnson/Ethicon, and Others (includes
        corresponding Graph/Chart)                                      II-36
        Lap-Band Vs Realize Band                                        II-36
      Intragastric Balloons                                             II-36
      Implantable Gastric Stimulator (IGS)                              II-37
      Surgical Clamps/Gastric Surgery Clamps                            II-37
      Clip Applier                                                      II-37
      Endo Stitch                                                       II-38
      Pneumoperitoneum Needle                                           II-38
      Surgical Staple                                                   II-38
      Trocars                                                           II-38

  7. RESEARCH/STUDY FINDINGS                                            II-39
      Bariatric Surgery Reduces Complications Associated with NAFLD     II-39
      Research Finds Lower Maternal Risks Among Surgery- Treated
       Obesity Patients                                                 II-39
      Metabolic Syndrome Affects In-Hospital Outcomes After
       Bariatric Surgery                                                II-40
      Researchers Assess Pulmonary Aspiration Risk in Bariatric
       Surgery Patients                                                 II-41
      Post-Operative Outcomes of Bariatric Surgeries                    II-41
      Gastric Bypass Surgery Improves Immune Response of Patients       II-41
      Bariatric Surgery Reduces Cancer Risk                             II-41
      Study Shows Need for Re-Surgery in Banding Surgery Patients       II-42
      Gastric Banding Surgery Improves Resistance to Insulin            II-42

  8. PRODUCT INNOVATIONS/INTRODUCTIONS                                  II-43
      Covidien Introduces Versaport™ Plus Bladeless Trocar Line         II-43
      West Penn Bariatric Surgery Center Commences use of REALIZE
       Gastric Band                                                     II-43
      Ethicon Receives FDA Approval to Market REALIZE™                  II-43
      Swan Medical Devices Introduces Intraluminal Gastroplasty Device  II-43

  9. RECENT INDUSTRY ACTIVITY                                           II-44
      Allergan Acquires EndoArt                                         II-44
      Allergan and Covidien to Co-promote Lap-Band                      II-44
      Taiwan Approves Intragastric Balloon Treatment                    II-44
      Cellular Technical Services Takes Over SafeStitch                 II-44
      USGI Medical to Use EOS                                           II-45
      Synovis Acquires 4Closure™ Surgical Fascia Closure System         II-45
      Allergan Acquires Inamed                                          II-45
      Medtronic Acquires Transneuronix                                  II-45
      EnteroMedics and Mayo Enter into R&D Agreement                    II-46

  10. FOCUS ON SELECT PLAYERS                                           II-47
      Allergan, Inc. (US)                                               II-47
      Cousin Biotech (France)                                           II-47
      Covidien Ltd. (Bermuda)                                           II-47
      Ethicon Endo-Surgery, Inc. (US)                                   II-48
      Helioscopie SA (France)                                           II-48
      Medical Innovation Development Company (France)                   II-48
      PARÉ Surgical, Inc. (US)                                          II-48
      Satiety, Inc. (US)                                                II-48
      Silimed Ltda (Brazil)                                             II-49
      Surgical IOC (France)                                             II-49


III. MARKET

  1. THE UNITED STATES                                                  III-1
      A.Market Analysis                                                 III-1
        Outlook                                                         III-1
        Obesity - A Major Concern for Healthcare Industry               III-1
        Factors Contributing to Rising Incidence of Obesity             III-1
        A Quick Glance at Obesity Statistics                            III-2
         Table 11: Obesity-Affected Population in the US (2009):
         Percentage Share Breakdown by Age Group (includes
         corresponding Graph/Chart)                                     III-3

         Table 12: Proportion (%) of Obesity in the US Overweight
         Population by Age Group (includes corresponding
         Graph/Chart)                                                   III-3

         Table 13: US Obesity Rate (2007): Prevalence Rate by
         Leading States                                                 III-4
        Bariatric Surgery - Ultimate Option for Obesity Treatment       III-5
         Bariatric Surgery - Fast Facts                                 III-5
        Focus on Physical Well-Being Boosts Bariatric Surgery Market    III-5
         Growth Drivers                                                 III-6
         Market Restraints                                              III-6
        Rapid Growth in Bariatric Surgery Devices Market                III-6
        Surgery Market for Adolescent Obesity- Slow & Steady Growth     III-7
        Gastric Banding - A Market Set for Rapid Growth                 III-7
        Laparoscopic Adjustable Gastric Banding Gains Popularity        III-7
        LGB Vs LGBP - Cost Comparison                                   III-8
        Robot-Assisted Gastric Bypass Surgery Rises in Popularity       III-8
        Reimbursement Scenario                                          III-8
         Insurance Coverage                                             III-9
         CMS Offers Coverage for Bariatric Surgery                      III-9
         Lack of Sufficient Coverage - A Major Obstacle                 III-9
        Competition Intensifies in the US Gastric Banding Market        III-10
         Table 14: Leading Players in the US Adjustable Gastric
         Banding Market (2006 & 2008): Percentage Share Breakdown of
         Revenues for Allergan and Johnson & Johnson                    III-10
        Product Launches                                                III-11
        Strategic Corporate Developments                                III-12
        Key Players                                                     III-14
         Allergan, Inc.                                                 III-14
         Ethicon Endo-Surgery, Inc.                                     III-14
         PARÉ Surgical, Inc.                                            III-14
         Satiety, Inc.                                                  III-14
      B.Market Analytics                                                III-15
        Table 15: US Recent Past, Current & Future Analysis for
        Bariatric Surgery: Annual Number of Gastric Bypass and
        Gastric Banding Procedures for Years 2005 through 2015 (in
        Thousands) (includes corresponding Graph/Chart)                 III-15

        Table 16: US 10-Year Perspective for Bariatric Surgical
        Procedures by Segment - Percentage Breakdown of Gastric
        Bypass and Gastric Banding Procedures for Years 2006, 2009 &
        2015                                                            III-15

        Table 17: US Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Gastric Bypass and
        Gastric Banding Markets Independently Analyzed with Annual
        Revenues in US$ Million for Years 2005 through 2015
        (includes corresponding Graph/Chart)                            III-16

        Table 18: US 10-Year Perspective for Bariatric  Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Gastric Bypass and Gastric Banding Markets for Years
        2006, 2009 & 2015                                               III-16

  2. EUROPE                                                             III-17
      A.Market Analysis                                                 III-17
        Outlook                                                         III-17
        Obese Population in Europe                                      III-17
         Table 19: Obese and Overweight & Obese Population in the
         European Union (2009): Percentage Share Breakdown by Age
         Group                                                          III-17

         Table 20: Obesity Prevalence (2007) in Select European
         Union Countries: Obesity Rates by Gender (includes
         corresponding Graph/Chart)                                     III-18

         Table 21: Europe Obesity Prevalence (2007) by Gender and
         Age Category (in 000s) (includes corresponding Graph/Chart)    III-18
        Bariatric Surgery in Europe                                     III-19
        Growing Awareness Levels to Boost Surgery Devices Market        III-19
        Factors Driving the European Bariatric Surgery Devices Market   III-20
        Factors Restraining Growth in the European Bariatric Surgery
         Devices Market                                                 III-20
        Pricing Scenario                                                III-20
        Gastric Bypass Surgery Gains Strength                           III-20
        Reimbursement Scenario in Europe                                III-21
         Reimbursement Policies in Select European Countries            III-22
        Competitive Landscape                                           III-22
         Table 22: Leading Players in the European Bariatric
         Surgical Devices Market (2007): Percentage Share Breakdown
         of Revenues for Ethicon Endo Surgery, Allergan/Inamed,
         Covidien, and Others (includes corresponding Graph/Chart)      III-23
      B.Market Analytics                                                III-23
        Table 23: European Recent Past, Current & Future Analysis
        for Bariatric Surgical Devices by Geographic Region -
        France, Germany, Italy, UK, Spain, and Rest of Europe
        Markets Independently Analyzed  with Annual Revenues in US$
        Million for Years 2005 through 2015 (includes  corresponding
        Graph/Chart)                                                    III-23

        Table 24: European 10-Year Perspective for  Bariatric
        Surgical Devices by Geographic Region - Percentage Breakdown
        of Annual Revenues for France, Germany, Italy, UK, Spain,
        and Rest of Europe Markets for Years 2006, 2009 & 2015
        (includes corresponding Graph/Chart)                            III-24

        Table 25: European Recent Past, Current & Future Analysis
        for Bariatric Surgical Devices by Segment - Adjustable
        Gastric Banding, Gastric Bypass Devices, and Intragastric
        Balloon Devices Markets Independently Analyzed with Annual
        Revenues in US$ Million for Years 2005 through 2015
        (includes corresponding Graph/Chart)                            III-25

        Table 26: European 10-Year Perspective for Bariatric
        Surgical Devices by Segment - Percentage Breakdown of Annual
        Revenues for Adjustable Gastric Banding, Gastric Bypass
        Devices, and Intragastric Balloon Devices Markets for Years
        2006, 2009 & 2015 (includes corresponding Graph/Chart)          III-26

  2a. FRANCE                                                            III-27
      A.Market Analysis                                                 III-27
        Outlook                                                         III-27
        Obesity - A Major Health Concern                                III-27
        Key Players                                                     III-27
         Cousin Biotech                                                 III-27
         Helioscopie SA                                                 III-27
         Medical Innovation Development Company                         III-28
         Surgical IOC                                                   III-28
      B.Market Analytics                                                III-29
        Table 27: French Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Adjustable Gastric
        Banding, Gastric Bypass Devices, and Intragastric Balloon
        Devices Markets Independently Analyzed with Annual
        Revenuesin US$ Million for Years 2005 through 2015 (includes
        corresponding  Graph/Chart)                                     III-29

        Table 28: French 10-Year Perspective for Bariatric Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets for Years 2006, 2009 &
        2015 (includes corresponding Graph/Chart)                       III-30

  2b. GERMANY                                                           III-31
      A.Market Analysis                                                 III-31
        Outlook                                                         III-31
        Overview                                                        III-31
        Bariatric Solutions GmbH - A Key Player                         III-31
      B.Market Analytics                                                III-32
        Table 29: German Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Adjustable Gastric
        Banding, Gastric Bypass Devices, and Intragastric Balloon
        Devices Markets Independently Analyzed with Annual Revenues
        in US$ Million for Years 2005 through 2015 (includes
        corresponding Graph/Chart)                                      III-32

        Table 30: German 10-Year Perspective for Bariatric  Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets for Years 2006, 2009 &
        2015 (includes corresponding Graph/Chart)                       III-33

  2c. ITALY                                                             III-34
       Market Analysis                                                  III-34
        Table 31: Italian Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Adjustable Gastric
        Banding, Gastric Bypass Devices, and Intragastric Balloon
        Devices Markets Independently Analyzed with Annual Revenues
        in US$ Million for Years 2005 through 2015 (includes
        corresponding Graph/Chart)                                      III-34

        Table 32: Italian 10-Year Perspective for Bariatric Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets for Years 2006, 2009 &
        2015 (includes corresponding Graph/Chart)                       III-35

  2d. UNITED KINGDOM                                                    III-36
      A.Market Analysis                                                 III-36
        Outlook                                                         III-36
        Overview                                                        III-36
      B.Market Analytics                                                III-37
        Table 33: UK Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Adjustable Gastric
        Banding, Gastric Bypass Devices, and  Intragastric Balloon
        Devices Markets Independently Analyzed with Annual Revenues
        in US$ Million for Years 2005 through 2015 (includes
        corresponding Graph/Chart)                                      III-37

        Table 34: UK 10-Year Perspective for Bariatric Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets for Years 2006, 2009 &
        2015 (includes corresponding Graph/Chart)                       III-38

  2e. SPAIN                                                             III-39
       Market Analysis                                                  III-39
        Table 35: Spanish Recent Past, Current & Future Analysis for
        Bariatric Surgical Devices by Segment - Adjustable Gastric
        Banding, Gastric Bypass Devices, and Intragastric Balloon
        Devices Markets Independently Analyzed with Annual Revenues
        in US$ Million for Years 2005 through 2015 (includes
        corresponding Graph/Chart)                                      III-39

        Table 36: Spanish 10-Year Perspective for Bariatric Surgical
        Devices by Segment - Percentage Breakdown of Annual Revenues
        for Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets for Years 2006, 2009 &
        2015 (includes corresponding Graph/Chart)                       III-40

  2f. REST OF EUROPE                                                    III-41
      A.Market Analysis                                                 III-41
        Overview                                                        III-41
        Gastric Banding Market Gains Strength                           III-41
        Belgium                                                         III-41
        The Netherlands                                                 III-41
         Juvenile Obesity - A Major Cause of Concern                    III-41
        Finland                                                         III-42
        Sweden                                                          III-42
        Strategic Corporate Developments                                III-42
        New2DM S.A (Luxembourg) - A Major Player                        III-42
      B.Market Analytics                                                III-43
        Table 37: Rest of Europe Recent Past, Current & Future
        Analysis for Bariatric Surgical Devices by Segment -
        Adjustable Gastric Banding, Gastric Bypass Devices, and
        Intragastric Balloon Devices Markets Independently Analyzed
        with Annual Revenues in US$ Million for Years 2005 through
        2015 (includes corresponding Graph/Chart)                       III-43

        Table 38: Rest of Europe 10-Year Perspective for Bariatric
        Surgical Devices by Segment - Percentage Breakdown of Annual
        Revenues for Adjustable Gastric Banding, Gastric Bypass
        Devices, and Intragastric Balloon Devices Markets for Years
        2006, 2009 & 2015 (includes corresponding Graph/Chart)          III-44


 IV. COMPETITIVE LANDSCAPE

  Total Companies Profiled: 49 (including Divisions/Subsidiaries - 64)

  ------------------------------------------
  Region/Country                     Players
  ------------------------------------------
  The United States                    35
  Canada                                2
  Japan                                 2
  Europe                               25 
     France                             4
     Germany                           12
     The United Kingdom                 2
     Rest of Europe                     7
  ------------------------------------------


Additional Information

Number of Pages: 284

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