The length of time a technology has been in use in healthcare correlates pretty strongly with a geographic continuum from well developed, Western-style economies to less well developed economies to, at the extreme, Third World economies. This is not an extraordinary revelation, since new technologies tend to be, obviously, more expensive and well developed economies are in a better position to afford them. As time passes, the increased competition for providing advanced technologies creates downward pressure on prices, making each technology more affordable. Concurrently, as manufacturers face greater competition in existing markets, the natural next step is to then expand presence to other markets, where margins may be lower, but will nonetheless result in additional cash flows.
There are a couple ways to show this. In one case, we show below the distribution of wound securement technologies that include the more advanced "post surgical adhesion prevention" products as well as the less well advanced "tapes" for wound closure in Japan versus the rest of Asia/Pacific in 2011.
Source: MedMarket Diligence, LLC; Report #S190, "Worldwide Market for Sealants, Glues, Wound Closure and Anti-Adhesion, 2010-2017."
In another example, we look at a relatively new technology, in this case kyphoplasty used in spine surgery, and illustrate the USA's share of the worldwide market over time.
Source: MedMarket Diligence, LLC; Report #M520, "Worldwide Spine Surgery Markets, 2010-2020."