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Reusable Medical Devices and Instruments
November 1, 2008
Reusable medical instruments and devices are products that are sterilized or cleaned
for reuse. Advances in medical sciences and, in particular, minimally invasive surgical
and diagnostic procedures, have stimulated the development of new and improved
medical devices. This is due to developments in engineering and material sciences. The
design for reusability is important in an effort to provide cost effective healthcare. This
Kalorama Information Report, Reusable Medical Devices and Instruments contains the
following information:
Market Size and Forecast for Each Category of Devices(Cardiovascular,
ENT, Neurosurgery, GI, Orthopedic, Urological, Plastic Surgery,
Ophthamalic, General Surgical)
Discussion of Issues and Trends
Drivers of Reusable Device Making
Competitive Analysis
Medical Waste Costs and Regulations State by State
Incidence of Relevant Diseases
Surgical Procedure Volumes
Issues and trends explored in this study include
U.S. Demographics
Increasing Life Expectancy
Growing Incidence of Disease
Number of Hospitals/Clinics etc.
Number of Surgeries
Regulatory Environment
Environmental Concerns
There are hundreds of manufacturers of reusable instruments and devices. This study
focuses on some that have specific devices or instruments that stand out from the
others, which are often used in everyday procedures. A list of key manufacturers
profiled in this study include:
Aesculap
Arthrocare

2. Cardinal Health
Conmed
Genesee Biomedical
Integra Life Sciences
Jarit
Kapp Surgical
Karl Storz
Kinamed Inc.
Mediflex
Medtronic/Xomed
Stryker
Surgical Specialties
Vision Sciences
Wallach Surgical Devices
TABLE OF CONTENTS
CHAPTER ONE: EXECUTIVE SUMMARY
Overview
Scope and Methodology
Size and Growth of the Market
Issues and Trends
Leading Competitor
CHAPTER TWO: INTRODUCTION
Overview of Reusable Medical Instruments and Devices
Demographics
Population Over Age 65
Life Expectancy
Incidence of Diseases
Healthcare Facilities
Regulatory Overview
Environmental Concerns
CHAPTER THREE: CARDIOVASCULAR SURGICAL PRODUCTS
Overview and Product Description
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary

3. CHAPTER FOUR: EAR, NOSE, AND THROAT SURGICAL PRODUCTS
Overview and Product Description
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary
CHAPTER FIVE: NEUROSURGICAL PRODUCTS
Overview
Key Manufacturers and Products
Procedure Volumes
Market Summary
CHAPTER SIX: ORTHOPEDIC SURGICAL PRODUCTS
Overview
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary
CHAPTER SEVEN: UROLOGICAL AND GYNECOLOGICAL SURGICAL PRODUCTS
Overview
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary
CHAPTER EIGHT: PLASTIC, COSMETIC AND RECONSTRUCTIVE SURGICAL
PRODUCTS
Overview
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary
CHAPTER NINE: OPHTHAMALIC SURGICAL PRODUCTS
Overview
Key Manufacturers and Products
Procedure Volumes
Leading Competitors

4. Market Summary
CHAPTER TEN: GENERAL SURGICAL PRODUCTS
Overview
o Upper Digestive Tract Procedures
o Lower Digestive Tract Procedures
Key Manufacturers and Products
Procedure Volumes
Leading Competitors
Market Summary
CHAPTER ELEVEN: ISSUES AND TRENDS
Overview
Environmental Issues
o OSHA Regulations
o US EPA Regulations
o DOT Regulations
Sterilizing Issues and Trends
CHAPTER TWELVE: TOTAL MARKET SIZE AND FORECAST
Summary
Market Analysis by Discipline
CHAPTER THIRTEEN: CORPORATE PROFILES
Aesculap
ArthroCare Corporation
Cardinal Health Inc.
Conmed Corporation
Covidien Ltd.
Integra Life Sciences, Inc.
Karl Storz GmbH & Co. KG
Kinamed Incorporated
Mediflex Surgical Products
Medtronic, Inc
Stryker Corporation
Vision Sciences Inc
REGULATORY AUTHORITIES AND ORGANIZATIONS
LIST OF KEY COMPANIES
TABLE OF EXHIBITS

5. CHAPTER ONE: EXECUTIVE SUMMARY
Table 1-1: Total U.S. Market for Reusable Medical Instruments and Devices,
2005-2012
Figure 1-1: Total U.S. Market for Reusable Medical Instruments and Devices,
2005-2012
CHAPTER TWO: INTRODUCTION
Table 2-1: The U.S. Population, 1980-202
Figure 2-1: The US Population, 1980-2020
Figure 2-2: Estimated Population by Age Group, 2000 and 2050
Table 2-3: Average U.S. Life Expectancy in Years 1980, 2004 and 2006
Figure 2-3: Average U.S. Life Expectancy in Years 1980 and 2006
Table 2-4: U.S. Prevalence of Selected Medical Conditions
Figure 2-4: U.S. Prevalence of Selected Medical Conditions
Table 2-5: U.S. Registered Hospitals by Type, 2006
Table 2-6: Physicians in the US by Specialty, 1970-2000
CHAPTER THREE: CARDIOVASCULAR SURGICAL PRODUCTS
Table 3-1: U.S. Procedure Volumes for Cardiovascular Surgery*
Table 3-2: Leading Cardiovascular Instrument and Device Manufacturers, 2007
Table 3-3: Reusable Medical Instrument and Device Market for Cardiovascular
Surgery, 2005-2012
Figure 3-1: Reusable Medical Instrument and Device Market for Cardiovascular
Surgery, 2005-2012
CHAPTER FOUR: EAR, NOSE, AND THROAT SURGICAL PRODUCT
Table 4-1: U.S. Procedure Volumes for ENT
Table 4-2: Leading Ear, Nose and Throat Instrument Manufacturers, 2007
Table 4-3: Reusable Medial Instruments and Devices for ENT Procedures, 2005-
2012
Figure 4-1: Reusable Medial Instruments and Devices for ENT Procedures,
2005-2012
CHAPTER FIVE: NEUROSURGICAL PRODUCTS
Table 5-1: U.S. Procedure Volumes for Neurosurgery*
Table 5-2: Leading Neurological manufacturers, 2007
Table 5-3: Reusable Medical Instrument and Device Market for Neurosurgery,
2005-2012
Figure 5-1: Reusable Medical Instrument and Device Market for Neurosurgery,
2005-2012

6. CHAPTER SIX: ORTHOPEDIC SURGICAL PRODUCTS
Table 6-1: U.S. Procedure Volumes for Orthopedic Surgery*
Table 6-2: Leading Orthopedic Manufacturers, 2007
Table 6-3: Reusable Medical Instruments and Devices for Orthopedic
Procedures, 2005-2012
Figure 6-1: Reusable Medical Instruments and Devices for Orthopedic
Procedures, 2005-2012
CHAPTER SEVEN: UROLOGICAL AND GYNECOLOGICAL SURGICAL PRODUCTS
Table 7-1: U.S. Procedure Volumes for Urological and Gynecological*
Table 7-2: Leading Urological and Gynecological Manufacturers, 2007
Table 7-3: Reusable Medical Instruments and Devices for Urological and
Gynecological Surgical Procedures, 2005-2012
Figure 7-1: Reusable Medical Instruments and Devices for Urological and
Gynecological Surgical Procedures, 2005-2012
CHAPTER EIGHT: PLASTIC, COSMETIC AND RECONSTRUCTIVE SURGICAL
PRODUCTS
Table 8-1: U.S. Procedure Volumes for Plastic, Cosmetic and Reconstructive
Surgery
Table 8-2: U.S. Procedure Volumes by year for Plastic, Cosmetic and
Reconstructive from 1997-2007
Table 8-3: Leading Plastic, Cosmetic and Reconstructive Reusable Medical
Instruments and Devices Manufacturers, 2007
Table 8-4: Reusable Medical Instruments and Devices for Plastic, Cosmetic, and
Reconstructive Surgical Procedures, 2005-2012
Figure 8-1: Reusable Medical Instruments and Devices for Plastic, Cosmetic, and
Reconstructive Surgical Procedures, 2005-2012 CHAPTER NINE:
OPHTHAMALIC SURGICAL PRODUCTS
Table 9-1: Prevalence of Cataract, Age-Related Macular Degeneration, and
Open-Angle Glaucoma in Adults 40 Years and Older in the United States, 2004
Table 9-2: Prevalence of Diabetic Retinopathy in Adults, 2004
Table 9-3: Prevalence of Blindness and Low Vision in Adults 40 Years and Older
in the United States, 2004
Table 9-4: Estimated Prevalence of Myopia and Hyperopia, 2004
Table 9-5: U.S. Procedure Volumes for Ophthalmic Surgery
Table 9-6: Leading Ophthalmalic Manufacturers, 2007
Table 9-7: Reusable Medical Instruments and Devices for Ophthalmic Surgical
Procedures
Figure 9-1: Reusable Medical Instruments and Devices for Ophthalmic Surgical
Procedures
CHAPTER TEN: GENERAL SURGICAL PRODUCTS

7. Table 10-1: U.S. Volumes for General Surgery
Table 10-2: Leading General Surgery Manufacturers, 2007
Table 10-3: Reusable Medical Instruments and Devices for General Surgery,
2005-2012
Figure 10-1: Reusable Medical Instruments and Devices for General Surgery,
2005-2012
CHAPTER ELEVEN: ISSUES AND TRENDS
Table 11-1: U.S. Totals of Regulated Medical Waste in Hospitals and other
Medical Facilities
Table 11-2: Hospital Regulated Medical Waste in the U.S.
Table 11-3: U.S. Hospital/Medical Infectious Waste Incinerator Use Timeline
Table 11-4: State Comparison of Regulated Medical Waste Environment
Table 11-5: Levels of Disinfections in US*
Table 11-6: Commonly Used Steam Sterilization Cycles
Table 11-7: Commonly Used Ethylene Oxide (EtO) Sterilization Cycles
Table 11-8: Commonly Used Liquid Chemical Sterilants
Table 11-9: Commonly Used Chemical Sterilant Gases
CHAPTER TWELVE: TOTAL MARKET SIZE AND FORECAST
Table 12-1: Total U.S. Market for Reusable Medical Instruments and Devices,
2005-2012
Figure 12-1: Total U.S. Market for Reusable Medical Instruments and Devices,
2005-2012
Figure 12-2: Reusable Medical Instruments and Devices by Discipline, 2007
Figure 12-3: Reusable Medical Instruments and Devices by Discipline, 2012
Available immediately for Online Download at
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