The Worldwide Orthopedic & Spine Contract Manufacturing Market Report 2023-2030 - 13th Edition
AVICENNE provides four main data components:
- Historical and forecast market size plus current market shares for each product
- Manufacturing method
- Market breakdown by In-house vs Contract Manufacturing and main OEM buyers
- CMOs' main customers / OEM preferred suppliers.
- Implants: Jabil, Tecomet, Orchid, Viant, Lisi, Avalign, Marle, Norman Noble, PCC, Paragon, Spitrex, etc. (70+ companies mentioned)
- Instruments: Jabil, Tecomet, Viant, Intech, Avalign, Autocam Medical, Norwood, Orchid, Lisi, Tegra, etc. (45+)
- Cases & trays: Tecomet, Paragon, Viant, Avalign, Medin, Intech, RMS, Inomed, etc. (20+)
- Coating: Orchid, Lincotek, Viant, DOT, APS Materials, Medical Group, Medicoat, etc.
- 3D printing: Stryker, Zimmer Biomet, Lima, Adler, Lincotek, Cretex, Avalign as well as Arcam, EOS, Concept Laser, SLM, 3D Systems.
- Also main players data for forging, casting, machining Spine, Trauma, Extremities & Shoulder, instruments manufacturing, cases & trays manufacturing, coating, ceramics, packaging.
- Player profiles for all the segme
- Purpose of the Survey and Methodology
- Synopsis & Executive summary
- Segmentation
- Worldwide Orthopedic market in 2023 : by product & by player
- Worldwide Orthopedic market in 2023 : Majors Vs challengers
- Worldwide Orthopedic market in 2023 : life cycle of orthopedic products and forecasts for 2030
- Orthopedic Contract Manufacturing value chain
- Contract Manufacturing market & trends: Forging
- Contract Manufacturing market & trends: Casting
- Contract Manufacturing market & trends: Instrument machining
- Contract Manufacturing market & trends: Instruments is a highly fragmented market
- Contract Manufacturing market & trends: Coating
- Contract Manufacturing market & trends: Cases & trays
- Contract Manufacturing market & trends: Ranking of top players
- Orthopedic Contract Manufacturing market & trends: Top20, Top 21-100 and top 101 -1 000 distribution of revenues
- Orthopedic Contract Manufacturing market & trends: consolidation by acquisition- Forecasts by service for 2030
- The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
- Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for hip, knee, knee, shoulder& trauma
- Orthopedic Contract Manufacturing market & trends: Additive Manufacturing for spine & Additive Manufacturing machines in 2023 and usage forecasts for 2030
- I- Orthopedic environment
- Contract Manufacturing market value chain
- Orthopedics Macro environment: Political, Economical, social/culture, technological, environment, legal & regulatory
- Market Drivers
- Global population growth 1950-2050 and people over 65
- The market drivers
- Demographic & Economic
- Orthopedics is generally risk-averse with few disruptive innovations, many small incremental innovations
- Innovation and new products pull the market
- Innovative surgeons are looking for new products, % of the surgeons by category in each type of country
- Product Mix pulls the market up
- The market limiters
- Regulatory & Certification
- Reimbursement and pricing regulation
- MDR (Medical Device Regulation): Impact in Europe
- A product’s CE marked under MDD will remain valid for about 5 years, which will necessitate a mandatory request for validation under MDR, backed up by
- clinical studies, before the MDD expiry date: details
- Hip Price trends in Europe show regular decrease
- Knee Price trends in Europe show regular decrease
- Reimbursement price decreases are not frequent, hence they have been manageable over the long term
- Hip ASP erosion in developed countries
- Hip average price trend in Europe 2003-2023 : France, Germany, UK, Italy, Average Europe
- Reimbursement HIP average price* trend in Europe (€), including country disparities
- Group purchasing in Germany, France and Italy
- The orthopedic sales channels
- II- Worldwide orthopedic & spine market; players, drivers & limiters and forecasts 2023 - 2030
- Orthopedics Ecosystem
- Worldwide orthopedic markets in 2023 by product
- The Worldwide orthopedics market: Growth 2000 - 2010 CAGR, 2010 - 2015 CAGR, 2015 - 2019 CAGR & 2015 - 2023 CAGR
- Worldwide implants market in 2023 by value (B$): Knee, hip, spine and by area, USA, Europe, Row
- Worldwide implants market knee, hip & spine in 2023 by value (BUS$)
- Worldwide implants market Trauma, shoulder & Extremities in 2023 by value (BUS$)
- Table of Contents of the worldwide orthopedic & spine Contract manufacturing Market 2023-2030 & Top 100 supplier profiles
- Published May- 13rd Edition
- Hip & Knee sales per area: USA, Europe, Japan, Australia, Korea & Row
- Ratio for 10,000 inhabitants & growth by area (2023 )
- Worldwide orthopedic market in 2023 : competition
- Worldwide competition by product in 2023 : Market share
- Three types of Challengers competing with the Majors
- The challengers gained market share continuously: 2016-2017-2018-2019-2020-2021-2023 and hip, knee, spine & trauma
- Challengers have continuously gained market share (2013-2023 ) except in 2020 due to Covid impact
- Top 4 vs. Challengers for hip & knee worldwide markets: Majors have no growth while challengers are growing fast
- Hip, knee & shoulder challengers are growing faster than the market average
- Spine challengers are grabbing market share from the Majors and emerging as top players with revenues ranging from US$0.5B - US$1B
- Spine: Worldwide market shares 2012-2023 : Majors limit market share losses by buying rivals
- Trauma: Worldwide player market shares, 2016-2023
- Hip Europe market share 2012-2023 : Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other
- Knee Europe market share 2012-2023 : Depuy Synthes, Zimmer Biomet, Stryker, Smith & Nephew & other
- Majors Vs Challengers : Revenues CAGR, market share
- Majors Vs Challengers: 2023 picture
- Challengers growing Vs majors
- Reasons why Challengers are growing faster than Majors (except during Covid crisis)
- Orthopedic is generally risk-averse with few disruptive innovations, many small incremental innovations, almost all of them coming from small players.
- Product Mix pulls the market: Total hip trends 2006-2026 (by volume) / Cemented, Cementless & Hybrid
- The revision driver: more and more people have more than one implant during their lifetime / Hip implant trends 2006-2026 (by volume)
- Bearing trends in Total hip market Europe example
- Dual mobility cups: Europe 2023 (by volume)
- Total knee market in 2023 (in volume): From fixed to mobile bearing and back to fixed, the pathways of innovation
- Knee: Europe implant market in 2023 (by value): Total Vs. Partial Vs. Revision
- Shoulder implant market: Europe 2023 (by volume): Standard Vs. Reversed
- Hip ASP erosion in developed countries 2012-2023
- Knee ASP erosion in developed countries 2012-2023
- Forecast Price erosion 2023 -2030 : USA, Australia, Japan, Europe
- Hip Europe market share 2012-2023
- Knee Europe market share 2012-2023
- The life cycle of orthopedic products: Growth forecasts by 2030 for hip, knee, spine, extremities
- Worldwide orthopedic market forecasts 2000-2030 for hip, knee, extremities, shoulder, trauma, spine, orthobiologics & Others
- Summary: Orthopedic market
- III- Worldwide orthopedic & spine Contract Manufacturing market, OEM strategies, Contract Manufacturers position, market share and forecasts to 2030
- Contract Manufacturing market value chain: Major OEMs have a different outsourcing strategy Vs Challengers. Challengers outsource almost all their products.
- Zimmer Biomet: main facilities details
- OEM contract manufacturing strategy: Zimmer Biomet
- OEM contract manufacturing strategy: Stryker
- OEM contract manufacturing strategy: Depuy Synthes
- OEM contract manufacturing strategy: Smith & Nephew
- OEM contract manufacturing needs: Medtronic
- OEM contract manufacturing needs: Challengers
- Contract Manufacturing process segmentation & raw materials: 14 segments & 70 sub-segments
- Forging Contract Manufacturing market 2023
- Forging Contract Manufacturing market 2012-2030 by product
- Forging Contract Manufacturing market share in 2023 : Tecomet, Marle, Orchid, Lisi, PMP, etc.
- Forging Contract Manufacturing market: OEMs relationships with their suppliers
- Casting Contract Manufacturing market 2023
- Casting Contract Manufacturing market 2012-2030 by product
- Casting Contract Manufacturing market share in 2023 : Orchid, PCC, Marle, Lincotek, Tecomet, etc.
- Casting Contract Manufacturing market: OEMs relationships with their suppliers
- Hip machining & finishing Contract Manufacturing market 2023
- Hip machining & finishing Contract Manufacturing market 2012-2030 by product
- Knee machining & finishing Contract Manufacturing market 2023
- Knee machining & finishing Contract Manufacturing market 2012-2030 by product
- Shoulder machining & finishing Contract Manufacturing market 2023
- Table of Contents of the worldwide orthopedic & spine Contract manufacturing Market 2023-2030 & Top 100 supplier profiles
- Published May- 13rd Edition
- Shoulder machining & finishing Contract Manufacturing market 2012-2030 by product
- Spine implants machining & finishing Contract Manufacturing market 2023
- Spine implants machining & finishing Contract Manufacturing market 2012-2030
- Trauma implants machining & finishing Contract Manufacturing market 2023
- Trauma implants machining & finishing Contract Manufacturing market 2012-2030
- Extremities implants machining & finishing Contract Manufacturing market 2023
- Extremities implants machining & finishing Contract Manufacturing market 2012-2030
- Spine, Trauma, Extremities & Shoulder Contract Manufacturing market 2023 -2030
- Player market shares: Spine, Trauma, Extremities & Shoulder contract manufacturing in 2023
- What are orthopedic instruments for knee, hip, spine, trauma, shoulder & extremities?
- Knee orthopedic instruments: functional segmentation
- Knee orthopedic instrument segmentation: 150 to 200 pieces
- Hip orthopedic instrument segmentation: 80 to 150 pieces
- Spine instruments: 30 to 50 pieces
- Spine orthopedic instruments - product segmentation
- Trauma instruments segmentation: 10 to 20 pieces
- The Major OEMs have a different outsourcing strategy Vs the challengers. The challengers outsource almost all their instruments
- Instruments life cycle: New OEM projects lead to instruments set manufacturing. When an OEM postpones the launch of its new projects (for example during
- the 2008 & 2011 crisis & during Covid 19), it also drastically reduces its instruments manufacturing
- Cutting tools: Single-use trend: Single-use is a pressing demand from surgeons
- Cutting tools: Single-use trend: Single-use is growing rapidly in the US and Europe
- Instruments Contract Manufacturing market 2023
- Instruments Contract Manufacturing market 2012-2030 by product
- Instruments Contract Manufacturing market share in 2023 : Tecomet, Intech, Jabil, Paragon, etc.
- Orthopedic robotic market in 2023 : MAKO from Stryker, ROSA from Zimmer Biomet, OMNIlife science-Corin, TANVI, Navio of Smith, Mazor from Medtronic and
- Velys from Depuy Synthes
- Mako’s acquisition by Stryker boosted the orthopedic robotic market and have a huge impact on instruments market
- Orthopedic robotics surgeries: Stryker open the mass market, Smith & Nephew, Zimmer Biomet, Depuy and many others have followed
- Robotic assisted surgeries: USA is by far the leading country for Robotics usage. 2014-2025 procedures by robotic systems
- What are orthopedic cases & trays?
- Cases & trays Contract Manufacturing market 2023
- Cases & trays Contract Manufacturing market 2012-2030 by product
- Cases & trays Contract Manufacturing top 15 market share in 2023 : Tecomet, VIANT, Paragon, Avalign, etc.
- Ceramics Contract Manufacturing market 2023
- Ceramics Contract Manufacturing market 2012-2030 by product
- Ceramics Contract Manufacturing market share in 2023 : Ceramtec, Coorstek, Kyocera, etc.
- Coating Contract Manufacturing
- Coating Contract Manufacturing market 2023
- Coating Contract Manufacturing market 2012-2030 by product
- Coating Contract Manufacturing market share in 2023 : Orchid, Lincotek, DOT, Viant, APS Materials, etc.
- MPS Contract Manufacturing market 2023
- Marking Packaging & Sterilization –MPS- Contract Manufacturing market 2012-2026 by product
- Contract Manufacturing market value chain
- Contract Manufacturers worldwide orthopedics revenues in 2023 (in MUS$)
- CMO top players: 2017-2023 main M&A activity
- Contract Manufacturing competitor ranking & dispersion
- Orthopedic Contract Manufacturing concentration by acquisition
- Contract Manufacturing industry needs more concentration
- More outsourcing is a heavy trend for all the orthopedic companies: Outsourcing rate
- Continuous trend: OEM facility disinvestments occur when there are opportunities to sell to a large and reliable player, who can guarantee supply security
- Depuy Synthes – Jabil: strategic deal to disinvest 14 facilities: initial road map
- JABIL Healthcare profile
- OEM facility disinvestments: huge impact of Depuy Synthes – Jabil deal for 2019-2020
- More outsourcing is a heavy trend for all the orthopedic companies
- The risk of moving to LLC by 2026
- Contract Manufacturing price range dashboard
- Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing
- Contract Manufacturing market is growing at a higher rate than the orthopedic market
- Contract Manufacturing market historical revenues & forecasts (MUS$): 2012-2030
- Table of Contents of the worldwide orthopedic & spine Contract manufacturing Market 2023-2030 & Top 100 supplier profiles
- Published May- 13rd Edition
- IV- 3D Printing in Orthopedics / Orthobiologics / Cobalt Chrome
- 3D Printing & Trabecular in Orthopedics
- 3D Printing history in Orthopedics
- Story of Zimmer and Trabecular Tantalum
- Zimmer, Trabecular Metal related implants
- 3D Printing Manufacturing: Technologies and major competitors, EOS, SLM Solutions, Concept Laser (GE), Arcam (GE), Others
- Arcam EBM installed base for orthopedic industry: Lima
- Beijing AK MEDICAL EBM Installed base
- Illustrative build-up speed and resolution of selected Metal 3D Printing systems: EBM Vs Selective Laser Melting
- Smith & Nephew usage of 3D Printing for customized cutting blocks
- Stryker’s History of 3D Printing: STRYKER, to build a 3D printing manufacturing facility for more than $400 million
- Stryker’s current products made by 3D printing: Knee, cages, other
- Depuy Spine usage of 3D Printing for prototyping of complex surgical tools
- Depuy Synthes has acquired 3D Printing technology from Tissue Regeneration Systems Inc.
- XILLOC invested usage for Cranio-Maxillofacial applications
- Equipment suppliers for Orthopedics, Installed base per customer and per supplier: EOS, ARCAM (GE), CONCEPT LASER (GE), SLM Solutions, 3D Systems, Trumpf
- and their customers
- Addressable market should increase with lower 3D Printing cost: cost and complexity curve linked with addressable market
- Additive Manufacturing is attractive for reconstructive implants
- Number of implants produced using 3D Printing: Zimmer Biomet, Lima, Exactech, Adler Ortho
- FDA clearance for medical devices using 3D Printing in USA
- 3D Printing in 2023
- 3D Printing impact on forging, casting & machining of implants
- Cages Raw Materials in the five main European countries: Peek, Titanium Vs 3D Printing
- Is 3D Printing the right option for the implant Contract Manufacturing business? Analysis for implants, standard cages, special cages and customized implants
- Is Additive Manufacturing the right option for the instruments Contract Manufacturing business? Analysis of customized cutting guides and complex
- instruments
- Analysis of one of the most advanced Contract Manufacturers in 3D Printing
- Lincotek 3D Printing activity details
- Major Contract Manufacturers: 3D Printing investments and strategies; Tecomet, Orchid, Lincotek, Marle, and many others
- 3D Printing for orthopedics: Executive summary
- Use of antibiotics for orthopedic cements: Need for cements with new antibiotics
- Synthetic or natural bone substitutes, allografts, must satisfy many needs: injectable substitutes or more abundant allografts
- Top bone grafts on the market: injectables and antibiotics are the main drivers
- Cobalt Chrome is today used in many orthopedic products: femoral part of the knee, the cup in dual mobility and some hip heads, etc.. In 2017, the European
- Union recommends the classification of Cobalt as Carcinogenic, Mutagenic and Reprotoxic (CMR). In May 2025, a new decision will be taken on the
- classification of Cobalt. Substitutes exist today and other projects are underway to develop alternative materials to Cobalt Chrome.
- V- Impact of Covid-19 & Inflation
- COVID-19: timeline of a Pandemic
- The impact of Covid-19 on the Orthopedics Market
- Bearing in mind that during the 2008 financial crisis, growth in orthopedics was merely slowed down implants and contract manufacturers largely held their
- ground
- The world economy will experience the worst recession with the Great Lockdown (2020) since the Great Depression (1930s) but the recovery was fortunately
- very quick.
- Growth projections: the COVID-19 health crisis will have a severe impact on economic activity in 2020
- Latest World Economic Outlook: the COVID-19 pandemic will severely impact growth across all regions - Update July 2021
- During the 2008 financial crisis, growth in orthopedics was merely slowed down implants and contract manufacturers largely held their ground
- What is the forecast for 2020 for the world economy and the orthopedic industry? Even the International Monetary Fund has said that forecasts have become
- very dicey and a grey area
- The world economy will experience the worst recession since the Great Depression (1930s)
- Growth projections: the COVID-19 health crisis will have a severe impact on economic activity in 2020
- Latest World Economic Outlook: the COVID-19 pandemic will severely impact growth across all regions
- The “Covid-19 effect”: orthopedic sales decline, Zimmer Biomet: Q1 2020 net sales decreased in %
- The “Covid-19 effect”: orthopedic sales decline, DEPUY SYNTHES Q1 2020 sales decrease: trauma is less impacted
- The “Covid-19 effect”: orthopedic sales decline, Medtronic Q4 (January-March) sales decrease mainly in USA
- The “Covid-19 effect”: orthopedic sales decline, STRYKER Q1 2020 April sales decreased in %
- The “Covid-19 effect”: orthopedic sales decline, Smith & Nephew Q1 2020 sales decreased in %
- Forecasts of the main players, % of loose of their 2020 revenues from orthopedics due to the impact of Covid-19
- Table of Contents of the worldwide orthopedic & spine Contract manufacturing Market 2023-2030 & Top 100 supplier profiles
- Published May- 13rd Edition
- Orthopedic activity in China recovered in April, while European and US activity collapsed.
- According to the forecasts of the main players, they will lose a small part of their 2020 revenues from orthopedics due to the impact of Covid-19: details
- The “Covid-19 effect”: orthopedic companies sales decline in 2020
- The “Covid-19 effect”: country impact for 2020 – USA & Europe
- Covid-19 impact on Orthopedic players
- The “Covid-19 effect” on the Contract manufacturing market in 2020
- Covid-19 impact on US Orthopedic players
- The Majors, which accounted for 65% of the market in 2020, have not all recovered the 2019 level by the first half of 2021. We believe that by the end of 2021,
- the Majors will not reach the 2019 level and the two years of lost growth.
- A part of the challengers (> $100M in revenue) have returned to double-digit growth, others continue to suffer
- Worldwide orthopedic market forecasts 2000-2026
- Contribution to year-on year CPI (Consumer Price Index) inflation in the G7 countries
- Impact of inflation on the end-user market and on contract manufacturing (1/2)
- Impact of inflation on the end-user market and on contract manufacturing (2/2)
- FX rate variation from January 2018 to September 2023 : The Euro has devalued by almost 20% Vs the US Dollar!
- Impact of exchange rate fluctuations on the major orthopedic companies: the Majors are impacted in terms of their revenues in Europe! Production will tend to
- relocate within Europe or to ROW
- Impact of exchange rate fluctuations on orthopedic contract manufacturers: Majors contract manufacturers are negatively impacted on their share of sales in
- Europe
- The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing 2000-2030
- The Orthopedics Contract Manufacturing market is growing faster than In-house manufacturing 2012-2023
- VI- Contract manufacturing competitor ranking, Top 100 profiles and SWOT analysis of the leaders
- Example of profiles:
- Appendices
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