Surgical securement market, Latin America

The securement market, encompassing fibrin sealants/glues, high strength glues (cyanoacrylates, others), hemostatic agents, sutures, staples, other mechanical closure and products for the prevention of post-surgical adhesion, in most segments reflects an advanced wound technologies market.  As is the cast with virtually all medtech markets, the dominant geographies driving securement revenues are the U.S., Europe and Asian countries like Japan and Korea.  However, considerable attention is being given to Latin America, based on the level of healthcare market development, the population and potential caseload, and the relative ease of distribution, particularly for U.S.-based manufacturers (although, not to overstate the opportunity, since by comparison to the well established western markets, Latin America is clearly less driven by high healthcare expenditure and utilization of advanced technologies).

By capitalizing on existing distribution networks, trade agreements and the simple proximity of geography for major U.S. manufacturers, the opportunity of Latin America has been a profitable consideration.

Source: MedMarket Diligence, LLC; report #S180.

The growing need for diabetes management globally

Population growth, trends in obesity prevalence, economic drivers and other forces are creating an enormous need for products in the management of diabetes.  In the aggregate, over the next twenty years, the prevalence of diabetes in the adult population (age 20-79) will increase from 285 million worldwide in 2010 to 438 million in 2030, an overall increase of 54%.

NAC: North America and Caribbean region; MENA: Middle East and North Africa region; SEA: South East Asia region; EUR: European region; SACA: South and Central America region; WP: Western Pacific region; AFR: Africa region.

Source: IDF Diabetes Atlas and MedMarket Diligence, LLC.


The greatest number of newly diagnosed diabetes mellitus patients are arising in South East Asia (SEA), Western Pacific (WP) and Middle East and North Africa (MENA), as illustrated below (figures in millions):

Source: IDF Diabetes Atlas and MedMarket Diligence, LLC.


Growth of the diabetes patient population in North America and Europe, with its well developed economies and healthcare system infrastructure, is occurring at a compound annual growth rate, from 2010 to 2030, of 1.8% in North America and 0.9% in Europe. These new patients will be readily integrated into the existing infrastructure of clinical management.  By contrast, however, the large numbers of patients arising from South East Asia, the Western Pacific and the Middle East and North Africa will demand development of infrastructure to manage these patients and supply the appropriate diagnostic and therapeutic products for management of their diabetes mellitus.

Data is drawn from the International Diabetes Federation and MedMarket Diligence Report #D510, "Worldwide Diabetes Management."

U.S. and Asia/Pacific diabetes markets differentiated

Due to a variety of factors in the manifestation and treatment of diabetes in different geographies, driven by  differences in incidence, associated pathologies, clinical practice patterns, local reimbursement rates, etc., the distribution of the sales in diabetes for different product types varies from one geography to the next.  However, the most significant distinction in comparing markets is aggregate size.  Below is illustrated the distribution of diabetes product sales ($millions) by type for the U.S. and for Asia/Pacific.  At the outset, the U.S. market, as with most medtech markets, dominates due to population (healthcare spending per capita GNP).  


But when viewed on a percentage of total market, the two markets, for all their geographic, cultural and other differences, are not remarkably different.

Source: MedMarket Diligence, LLC; Report #D510, "Worldwide Diabetes Management Market."

Sealants, glues, wound closure, anti-adhesion market segments by country

The global market for surgical sealants, glues, other wound closure and anti-adhesion products (collectively referred to as "securement "products) is, like many medtech markets, dominated by the U.S., followed by Europe.  But as one examines the performance of individual product segments in this market, it becomes clear that local markets have enough differences in their drivers to result in surprising variation from one another.

Below are illustrated the absolute size of the markets for products in securement by country and the relative contribution of revenues from each securement product type by country.  The differences stand out.

Source: Preliminary findings, Report #S180, "Worldwide Surgical Sealants, Glues, Wound Closure and Anti-Adhesion Markets, 2010-2015". (Publishing October 2010)

Continuous blood glucose monitors in diabetes

Continuous blood glucose monitors (CBGMs), which regularly report blood glucose levels and, more importantly, provide alarms for when levels approach critical highs and lows and, even further, advance warning of the trend toward such levels, are a major new area of market opportunity for technologies in diabetes.  On their own, they offer the ability to provide advance intervention for diabetics whose blood glucose is poised to drop to rise to unhealthy levels.  Further, their use in providing patients and their clinicians with data on patterns of blood glucose response to carbohydrate intake, insulin infusion, exercise and other important variables can move diabetics' care toward normalizing glucose levels and avoid the complications of hypo- and hyperglycemia.

Combined in in initially open loop and, eventually, closed loop systems integrated with insulin pumps and CBGMs, these systems represent the potential "artificial pancreas" that is a long sought-after goal in diabetes management.  The only remaining constraints (since open loop systems are already available) is the necessary algorithms and their FDA approval in an integrated device that does not require user input to relate glucose levels to insulin dosage.

The market potential for CBGMs varies by geography according to different local  adoption rates and other variables.  See below for relative growth rates for the market in CBGMs:

Source: MedMarket Diligence, LLC; Report #D510, "Diabetes Management: Products, Technologies, Markets and Opportunities Worldwide 2009-2018."

Diabetes Market, Major Segment Breakouts

It is illustrative to put the individual components of the global diabetes market into context.

Below is illustrated the global diabetes market segmented by geography, with further detail shown for the U.S. markets product segments.

The U.S. represents the single largest share of the global diabetes market, with insulin, glucose meter test strips (not including meters) and anti-diabetic drugs contributing the largest segments to the U.S. total.

Source: MedMarket Diligence, LLC; Report #D510.

Ablation Technologies Competing for Growing Patient Volume and Penetration of Clinical Practice, According to New MedMarket Diligence Report

Ablation technologies are a growth medtech field driven as much by physicians pursuing larger caseload as manufacturers developing innovative technologies, according to a new global report from MedMarket Diligence.

(PressMethod) – Surgical procedures focus on a wide range of clinical endpoints — the creation of a lesion to block aberrant cardiac rhythms, the destruction of cancerous tissue, the ligation of tissues with associated hemostasis, and many others — which has driven the development of an array of ablation technology types that are now competing aggressively with each other for a growing caseload of procedures. The ablation technologies with some of the most rapidly growing use rates are cryotherapy and radiofrequency ablation, followed by ultrasound, laser and, due to innovations in its implementation, radiotherapy. These are among the findings in a new medical technology report from MedMarket Diligence.

Although the applications of ablation devices include a number of aesthetic treatments, the majority of applications remain chronic disorders in areas which include cancer, cardiovascular, urology, gynecology and orthopedics. Many of these disorders are age-related, and the related device segments are driven by the aging of the global populations. Other market drivers include the Chinese government's push to modernize its healthcare facilities by building 400 hospitals per year, and developed country populations which are demanding anti-aging treatments, to which physicians are responding by purchasing equipment.

"Like the most successful medical technologies, ablation technologies have as their underlying driver for success the ability of physicians to capture greater caseload due to their ability to promote the clinical efficacy of ablation, faster healing times, fewer complications and many other benefits," says Patrick Driscoll, President of MedMarket Diligence. According to Driscoll, the top ablation technologies are growing at nearly 20% annually in manufacturer revenues. These include control systems, instrumentation and probes and other disposables used during the procedures.

The MedMarket Diligence report, "Ablation Technologies Worldwide Market, 2009-2019: Products, Technologies, Markets, Companies and Opportunities", describes alternative energy-based technologies and the nature of their effect on soft tissue, the underlying basis of the technology, the requisite systems for their use (including capital equipment, devices and disposables), and their strengths and weaknesses for specific clinical applications. The report details current and anticipated target applications and assesses the current and forecast caseload for each energy-based therapeutic considering competition from any and all alternative energy-based or other therapeutics, with current and worldwide market forecasts (2009-2019) segmented by technology type and specific clinical segment. The report provides segmentation of the worldwide ablation market by both ablation technology and region/country: Americas (USA, Canada, Mexico, Brazil), Europe (Germany, United Kingdom, France, Italy, Spain, BeNeLux), Asia/Pacific (Japan, China, India, Australia) and Rest of World. The report details the current and emerging products, technologies and markets for each energy-based therapy. The report profiles 76 key companies in this industry detailing their current products, current market position and products under development.

The report is described in detail, including table of contents and list of exhibits, at link. The report may purchased for immediate download at link.


New Technologies in Type 1 and Type 2 Diabetes Management

(See PRLog press release at link.)

As well established as the practices are for the management of types 1 and 2 diabetes, a raft of new technologies, from modest to radical, are steadily entering clinical practice and the industry, according to a new report from MedMarket Diligence.


PRLog (Press Release) – Aug 16, 2010 – The diagnosis, monitoring and management of both insulin-dependent diabetes mellitus (also known as Type 1) and non-insulin dependent diabetes mellitus (aka Type 2) is a well established practice of regulating blood glucose levels. Nonetheless, manufacturers have steadily developed new technologies that continue to improve the management of the disease by reducing burden on patients, reducing the incidence of diabetes-related complications and reducing the overall cost of the disease on healthcare systems.

“Without a doubt, the 10-year study known as Diabetes Control and Complications Trial, or DCCT, played an enormous role in validating the technologies that now routinely serve to improve the quality of life for diabetics,” says Patrick Driscoll, President of the medical technology business research firm MedMarket Diligence. “But the steady growth in diabetes prevalence worldwide, driven by increased prevalence of obesity, demographic trends and other forces, combined with persistent demand for ever less intrusive monitoring technologies and better long-term blood glucose management, creates an enormous opportunity for new technology development by diabetes product manufacturers.”

According to Driscoll, and detailed in the MedMarket Diligence report (see link), products in diabetes management represent an enormous $36 billion global market annually, encompassing insulin, blood glucose meters, lancets, test strips, insulin pumps, syringes (and other delivery devices), continuous blood glucose meters and a broad range of anti-diabetic drugs (oral hypoglycemic agents). Each of these product areas has many competitors offering and developing new products (even the area of insulin has a dozen competing companies), with a steady stream of innovations being introduced to the market and clinical practice. Moreover, aggressive research has continued to push for more advanced solutions to diabetes, including novel insulin delivery methods, pancreas transplants, islet cell transplants, stem cell approaches, antibody treatment, vaccines, novel drugs, new continuous blood glucose monitoring systems and the “holy grail” of diabetes management, a closed-loop blood glucose monitoring and insulin pump system (sometimes referred to as an “artificial pancreas”), which may be approved for marketing in the very near future.

Growth in the market for diabetes management products ranges globally from a low of about 11% annually in Europe to nearly 24% annually in Asia. Overall, the U.S. and Europe, with their advanced healthcare markets and payment systems, still represent an aggregate 68% of the global market. By product area, the segments driving the largest annual revenues are insulins and anti-diabetic drugs, comprising almost two thirds of the global sales of diabetes management products.

The MedMarket Diligence report #D510, “Products, Technologies, Markets and Opportunities in Diabetes Management Worldwide, 2009-2018,” details the worldwide incidence and prevalence by country/region of Type 1 and Type 2 diabetes and details the current and projected market for diagnostic and therapeutic products in the management of diabetes, including anti-diabetic drugs, alternative insulin types, blood glucose monitoring (including continuous monitoring devices), insulin pumps, and other established and emerging products in diabetes management. The report provides an emphasis of detail on the status of development of novel products including noninvasive monitoring, oral/inhaled/other insulin delivery. The report details the clinical and technology developments underlying this huge and evolving worldwide market, with data on products in development and on the market; market size and forecast; competitor market shares; competitor profiles; and market opportunity. Separate size, growth and competitor share data are presented for the U.S., European, Asia/Pacific and Rest of World. The report profiles active companies including detailed profile information on major competitors, brief profiles of companies with less sizeable current or potential positions in the market, plus additional profiles of companies with novel or advanced research activities in the market.

The report establishes the current worldwide market size for major technology segments as a baseline for and projecting growth in the market over a ten-year forecast. The report also assesses and projects the composition of the market as technologies gain or lose relative market performance over this period.

The report is described, with complete table of contents and list of exhibits at and may be accessed for immediate download via

Japanese Ablation Technologies Market

Asia-Pacific is a mix of a powerhouse country (Japan), a developing country with enormous market potential (China), a developing country with an arguably much smaller market potential (India), and a country that is more like the European Union in terms of healthcare spend (Australia).

Japan is the second largest market for medical devices after the US. In 2009, this market accounted for revenues of about $1.535.2 million. By 2019, Japan is predicted to have an ablation device market worth about $3.977.5 million, with an aggregate CAGR of 10.3%. Select ablation modalities in Japan — namely, cryotherapy and radiofrequency ablation — have higher than average growth rates due to adoption of these technologies and utilization in clinical practice.

Source: MedMarket Diligence, LLC; Report #A145, "Ablation Technologies Worldwide Market, 2009-2019: Products, Technologies, Markets, Companies and Opportunities."

Segmentation of global ablation market by geography and modality

The global market for ablation technologies is characterized, like many medtech markets, by a dominance of revenues in western economies.  There are nonetheless distinct patterns in the share of ablation by modality from one geography to the next.

Below is a simple representation of the global ablation market by major region and modality (aggregated from the detail by country in MMD report #S520):

Source: MedMarket Diligence, LLC; Report #S520, "Ablation Technologies Worldwide Market."