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Medical Devices Market – India
August 2010
Executive Summary
                Medical devices market in India is pegged at INR XX bn in 20-- and is expected to grow to INR YY
   Market       bn at the end of 20-- with diagnostic equipments being the leading segment
                Growing hospital infrastructure and healthcare spending is fostering the need for high-end
                devices for accurate and fast treatment




                                  LE
                Drivers:                                                Challenges:
                    Increasing hospital infrastructure                          Various summits and seminars



                                 P
  Drivers &         Increasing healthcare spending                              Initiatives for consumer awareness
                    Changing demographics and Growing Target                    Public private partnerships
 Challenges

                                M
                    consumer group



                               A
                    Increasing lifestyle diseases and therapies



                              S
                    Increasing Medical tourism in India
                Outsourcing/Relocating of manufacturing facilities
   Trends       Increasing joint ventures and tie-ups
                Various exhibitions and trade fairs
                Govt. bodies and associations like A1, A2 and A3 are aiming to provide medical devices in India a
Govt. Bodies,   regulatory structure in order to promote indigenous production
Regulations &   A2 has laid down registration and license regulations to regularize imports of drugs
  Initiatives   Govt. has provided tax reliefs, import duty relaxations and has implemented major initiatives to
                boost the sector in India
                The industry has a huge influx of foreign players who have consolidated their operations in India
                either through establishing subsidiaries or tying up with Indian distributors
Competition
                Players in India are also increasing their manufacturing capacities and are looking at diversifying
                their product quality and portfolio

                                     MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                         2
•Introduction
•Market Overview
•Drivers & Challenges
•Trends
•Government Involvement
  Government Bodies
  Government Regulations
  Government Initiatives
•Competition
•Key Developments

       MEDICAL DEVICES MARKET IN INDIA 2010.PPT   3
Medical Devices are classified as per the risk level and their
intended use

                                              PLE
•Medical devices under the meaning of Section 3 (b) (iv) of the L refers to:


                                             M
     Any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software,
     material or other similar or related article which is:


                                            A
      – intended by the manufacturer to be used alone or in combination for human beings for one or more specific purposes of diagnosis,


                                           S
        prevention, monitoring, treatment or alleviation of disease and,
      – which does not achieve its primary intended action in or on the human body by pharmacological, immunological or metabolic
        means, but which may be assisted in its intended function by such means

    Medical Devices in India are classified as per their risk levels and intended use . They are divided into classes and the classification
                               is carried out in accordance with Annex IX of Schedule M-III provided by A1

          Class A                               Class B                               Class C                              Class D

         Low Risk                       Low-moderate Risk                     Moderate-high Risk                          High Risk

• Contains devices like P1,         • Contains devices like               • Contains devices like               • Contains devices like
  P2, P3 and P4                       PB1, PB2, PB3 and PB4                 PC1, PC2, PC3 and PC4                 PD1, PD2, PD3 and PD4
• Cannot commence                   • Can commence clinical               • Can commence clinical               • Can commence clinical
  clinical investigations             investigations                        investigations                        investigations
  immediately after the               immediately after the                 immediately after the                 immediately after the
  date of information and             date of information and               date of information and               date of information and
  submission to A2                    submission to A2                      submission to A3                      submission to A4

        If a manufacturer desires to reclassify a device to a lower class, it must submit justification to A2 for evaluation that the
                    movement to the lesser stringent class will assure sufficient safety & effectiveness of the device


                                                   MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                                    4
India's medical device market is currently the T largest
 market in Asia and ranks among the world’s top P
 Market Overview                                                                  Market Size and Growth
 • Good healthcare infrastructure, population rise and
                                                                                     INR bn
   growing economy are fueling growth in the medical
   equipment market                                                              100                              a%        YY
 • There are some 700 medical devices makers in India                             80



                    LE
          Most of them make low-value products such as needles,                                      XX
                                                                                  60
          syringes, catheters, blood collection tubes, medical
                                                                                  40


                   P
          electronics and implants
          High-end specialist products are catered by foreign firms               20



                 AM
 • India requires major foreign participation, especially
   in high-tech devices that account for roughly 45-55%


                S
   of the entire market
          Currently, most of the reputed Indian healthcare institutes
          use foreign medical equipments for the purpose of
                                                                                   0
                                                                                                    2009
                                                                                  Segmentation of Market
                                                                                                                          2010e



          surgery, diagnosis of cancer and imaging                                                  s5%                Segment 1
 • Currently, according to the new guidance, all                                              s4%                      Segment 2
   medical devices sold in India must carry the ICAC                                                        s1%        Segment 3
   mark (Indian Conformity Assessment Certificate) to                                                                  Segment 4
   indicate their conformity with the provisions of this                                                               Segment 5
   schedule to enable them to move freely within the                                      s3%
   country
                                                                                                      s2%

Source:

                                                        MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                   5
Drivers & Challenges – Summary




  Drivers

  Increasing hospital infrastructure
                                                                       Challenges
  Increasing healthcare spending                                       High dependency on exports

  Changing demographics and Growing
  Target consumer group                                                Lack of standard regulatory structure

  Increasing lifestyle diseases and
  therapies

  Increasing Medical tourism in India




                                        MEDICAL DEVICES MARKET IN INDIA 2010.PPT                               6
Trends – Summary



                                Outsourcing/Relocating of
                                 manufacturing facilities




                                             Key
                                            Trends


     Various exhibitions and                                              Increasing joint ventures
           trade fairs                                                           and tie-ups




                               MEDICAL DEVICES MARKET IN INDIA 2010.PPT                               7
•Introduction
•Market Overview
•Drivers & Challenges
•Trends
•Government Involvement
  Government Bodies
  Government Regulations
  Government Initiatives
•Competition
•Key Developments

       MEDICAL DEVICES MARKET IN INDIA 2010.PPT   8
The efforts of A2 have provided areas of improvement in
 medical devices sector of India
                                  A2                                                                             A3

                                                                                              Serves as the main regulatory body for
 • It is the authority regulating medical devices in India                                   medical devices that will classify medical
                                                                                             devices, and any manufacturer seeking a




                                                 LE
   under A1
                                                                                           less stringent classification must justify it to
     • It lays down rules, standards and approves import and                                                   the A2



                                                P
       manufacturing of T1, T2, T3 and T4
     • Establishes standards and regulations for R1, R2, R3, R4, R5, R6



                                               M
       and R7
                                                                                                 Act and Regulatory status of A2


                                              A
 • Companies must register all their products with the A2


                                             S
   before its products can be introduced into the Indian
   market
 • It issued a Gazette Notification S.O. 14-- (20--) that
   declared L categories of sterile devices to be considered
                                                                                                                 A4

                                                                                             Regulates the import, manufacture, sale,
   as drugs under Section 3 (b) (iv) of the Q Act                                           distribution of X medical devices classified
 • In late 20--, A3 (DCGI) prepared an expanded list of                                     as drugs and also provides licenses which
                                                                                              are compulsory for the importers and
   medical devices which require registration                                               manufacturers to deal in the said devices
     • The list now includes over X medical devices
 • Currently working on a road map to include current
                                                                                        A2 has also adopted and recognized BIS YY or its
   status review as well as guiding principles of medical
                                                                                        revisions & ISO KK in respect of the specifications
   devices and a regulatory process implementation phases                                   to be followed for quality in order for the
   to make it an all inclusive process                                                  manufacturer to demonstrate conformity with the
                                                                                                relevant regulatory requirements
Source:

                                                      MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                                9
Segmentation of Players (1/2)
                                                                            Electronic
                            Diagnostic          Surgical          Imaging
             Players                                                        treatment    Others
                            Equipment          Equipment          Devices
                                                                              Devices
                                 Domestic Players

 Player 1

 Player 2
 Player 3
 Player 4
 Player 5
 Player 6
 Player 7
 Player 8
 Player 9
 Player 10
 Player 11
 Player 12
 Player 13
 Player 14
 Player 15
Source:

                       MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                   10
Major Domestic Players (1/12)

 Company Snapshot: Company 1
Corporate Information                                                 Financial Performance
                                                                                                 Revenue
 Headquarters     XX                                                  Revenue                                                 Profit
                                                                       INR mn                    Profit / Loss               INR mn
 Founded          19--                                               600        R1
                                                                                                                     R4
                                                                                                                                  40
                                                                                         R2                 R3
                                                                                                                                  30
                                                                     400
 Products         Product 1, Product 2 and Product 3                                                                              20
                                                                     200
                                                                                                                                  10
 Key People       NA                                                   0                                                          0
                                                                             2005-06   2006-07           2007-08   2008-09

  Business Highlights
 • It provides products and services in information technology and healthcare sectors in India




                                         PLE
 • Its healthcare division provides medical equipments to critical care, trauma, and operation theatre areas in the
   hospitals; develops specialty critical care/trauma care ambulances; manufactures and supplies of mobile medical
   units for diagnostics; and undertakes turnkey projects for providing customized solutions for construction of modular

 • Operates as a subsidiary of Company K


                                      S M
   operation theatres, surgical pendants, and intensive care units


                                       A
 • Its customer base includes major corporates, defense establishments, software technology parks, MNC's and Super-
   specialty hospitals

Source:

                                            MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                                   11
Thank you for the attention
The Medical Devices Market report is part of Research on India’s Healthcare Industry Series.
For more detailed information or customized research requirements please contact:

Gagan Uppal                                                                    Gaurav Kumar
Phone:         +91 22 4098 7530                                                Phone:          +91 33 4064 6214
E-Mail:        gagan.uppal@netscribes.com                                      E-Mail:         gaurav.kumar@netscribes.com
Research on India is a product of Netscribes (India) Pvt. Ltd. Research on India is dedicated to disseminating information and providing quick
insights on “hot” industries in India and other emerging markets. Track our new releases and major updates in these industries on




About Netscribes
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                                                    MEDICAL DEVICES MARKET IN INDIA 2010.PPT                                                 12

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Medical Devices Market in India 2010

  • 1. Medical Devices Market – India August 2010
  • 2. Executive Summary Medical devices market in India is pegged at INR XX bn in 20-- and is expected to grow to INR YY Market bn at the end of 20-- with diagnostic equipments being the leading segment Growing hospital infrastructure and healthcare spending is fostering the need for high-end devices for accurate and fast treatment LE Drivers: Challenges: Increasing hospital infrastructure Various summits and seminars P Drivers & Increasing healthcare spending Initiatives for consumer awareness Changing demographics and Growing Target Public private partnerships Challenges M consumer group A Increasing lifestyle diseases and therapies S Increasing Medical tourism in India Outsourcing/Relocating of manufacturing facilities Trends Increasing joint ventures and tie-ups Various exhibitions and trade fairs Govt. bodies and associations like A1, A2 and A3 are aiming to provide medical devices in India a Govt. Bodies, regulatory structure in order to promote indigenous production Regulations & A2 has laid down registration and license regulations to regularize imports of drugs Initiatives Govt. has provided tax reliefs, import duty relaxations and has implemented major initiatives to boost the sector in India The industry has a huge influx of foreign players who have consolidated their operations in India either through establishing subsidiaries or tying up with Indian distributors Competition Players in India are also increasing their manufacturing capacities and are looking at diversifying their product quality and portfolio MEDICAL DEVICES MARKET IN INDIA 2010.PPT 2
  • 3. •Introduction •Market Overview •Drivers & Challenges •Trends •Government Involvement Government Bodies Government Regulations Government Initiatives •Competition •Key Developments MEDICAL DEVICES MARKET IN INDIA 2010.PPT 3
  • 4. Medical Devices are classified as per the risk level and their intended use PLE •Medical devices under the meaning of Section 3 (b) (iv) of the L refers to: M Any instrument, apparatus, implement, machine, appliance, implant, in vitro reagent or calibrator, software, material or other similar or related article which is: A – intended by the manufacturer to be used alone or in combination for human beings for one or more specific purposes of diagnosis, S prevention, monitoring, treatment or alleviation of disease and, – which does not achieve its primary intended action in or on the human body by pharmacological, immunological or metabolic means, but which may be assisted in its intended function by such means Medical Devices in India are classified as per their risk levels and intended use . They are divided into classes and the classification is carried out in accordance with Annex IX of Schedule M-III provided by A1 Class A Class B Class C Class D Low Risk Low-moderate Risk Moderate-high Risk High Risk • Contains devices like P1, • Contains devices like • Contains devices like • Contains devices like P2, P3 and P4 PB1, PB2, PB3 and PB4 PC1, PC2, PC3 and PC4 PD1, PD2, PD3 and PD4 • Cannot commence • Can commence clinical • Can commence clinical • Can commence clinical clinical investigations investigations investigations investigations immediately after the immediately after the immediately after the immediately after the date of information and date of information and date of information and date of information and submission to A2 submission to A2 submission to A3 submission to A4 If a manufacturer desires to reclassify a device to a lower class, it must submit justification to A2 for evaluation that the movement to the lesser stringent class will assure sufficient safety & effectiveness of the device MEDICAL DEVICES MARKET IN INDIA 2010.PPT 4
  • 5. India's medical device market is currently the T largest market in Asia and ranks among the world’s top P Market Overview Market Size and Growth • Good healthcare infrastructure, population rise and INR bn growing economy are fueling growth in the medical equipment market 100 a% YY • There are some 700 medical devices makers in India 80 LE Most of them make low-value products such as needles, XX 60 syringes, catheters, blood collection tubes, medical 40 P electronics and implants High-end specialist products are catered by foreign firms 20 AM • India requires major foreign participation, especially in high-tech devices that account for roughly 45-55% S of the entire market Currently, most of the reputed Indian healthcare institutes use foreign medical equipments for the purpose of 0 2009 Segmentation of Market 2010e surgery, diagnosis of cancer and imaging s5% Segment 1 • Currently, according to the new guidance, all s4% Segment 2 medical devices sold in India must carry the ICAC s1% Segment 3 mark (Indian Conformity Assessment Certificate) to Segment 4 indicate their conformity with the provisions of this Segment 5 schedule to enable them to move freely within the s3% country s2% Source: MEDICAL DEVICES MARKET IN INDIA 2010.PPT 5
  • 6. Drivers & Challenges – Summary Drivers Increasing hospital infrastructure Challenges Increasing healthcare spending High dependency on exports Changing demographics and Growing Target consumer group Lack of standard regulatory structure Increasing lifestyle diseases and therapies Increasing Medical tourism in India MEDICAL DEVICES MARKET IN INDIA 2010.PPT 6
  • 7. Trends – Summary Outsourcing/Relocating of manufacturing facilities Key Trends Various exhibitions and Increasing joint ventures trade fairs and tie-ups MEDICAL DEVICES MARKET IN INDIA 2010.PPT 7
  • 8. •Introduction •Market Overview •Drivers & Challenges •Trends •Government Involvement Government Bodies Government Regulations Government Initiatives •Competition •Key Developments MEDICAL DEVICES MARKET IN INDIA 2010.PPT 8
  • 9. The efforts of A2 have provided areas of improvement in medical devices sector of India A2 A3 Serves as the main regulatory body for • It is the authority regulating medical devices in India medical devices that will classify medical devices, and any manufacturer seeking a LE under A1 less stringent classification must justify it to • It lays down rules, standards and approves import and the A2 P manufacturing of T1, T2, T3 and T4 • Establishes standards and regulations for R1, R2, R3, R4, R5, R6 M and R7 Act and Regulatory status of A2 A • Companies must register all their products with the A2 S before its products can be introduced into the Indian market • It issued a Gazette Notification S.O. 14-- (20--) that declared L categories of sterile devices to be considered A4 Regulates the import, manufacture, sale, as drugs under Section 3 (b) (iv) of the Q Act distribution of X medical devices classified • In late 20--, A3 (DCGI) prepared an expanded list of as drugs and also provides licenses which are compulsory for the importers and medical devices which require registration manufacturers to deal in the said devices • The list now includes over X medical devices • Currently working on a road map to include current A2 has also adopted and recognized BIS YY or its status review as well as guiding principles of medical revisions & ISO KK in respect of the specifications devices and a regulatory process implementation phases to be followed for quality in order for the to make it an all inclusive process manufacturer to demonstrate conformity with the relevant regulatory requirements Source: MEDICAL DEVICES MARKET IN INDIA 2010.PPT 9
  • 10. Segmentation of Players (1/2) Electronic Diagnostic Surgical Imaging Players treatment Others Equipment Equipment Devices Devices Domestic Players Player 1 Player 2 Player 3 Player 4 Player 5 Player 6 Player 7 Player 8 Player 9 Player 10 Player 11 Player 12 Player 13 Player 14 Player 15 Source: MEDICAL DEVICES MARKET IN INDIA 2010.PPT 10
  • 11. Major Domestic Players (1/12) Company Snapshot: Company 1 Corporate Information Financial Performance Revenue Headquarters XX Revenue Profit INR mn Profit / Loss INR mn Founded 19-- 600 R1 R4 40 R2 R3 30 400 Products Product 1, Product 2 and Product 3 20 200 10 Key People NA 0 0 2005-06 2006-07 2007-08 2008-09 Business Highlights • It provides products and services in information technology and healthcare sectors in India PLE • Its healthcare division provides medical equipments to critical care, trauma, and operation theatre areas in the hospitals; develops specialty critical care/trauma care ambulances; manufactures and supplies of mobile medical units for diagnostics; and undertakes turnkey projects for providing customized solutions for construction of modular • Operates as a subsidiary of Company K S M operation theatres, surgical pendants, and intensive care units A • Its customer base includes major corporates, defense establishments, software technology parks, MNC's and Super- specialty hospitals Source: MEDICAL DEVICES MARKET IN INDIA 2010.PPT 11
  • 12. Thank you for the attention The Medical Devices Market report is part of Research on India’s Healthcare Industry Series. For more detailed information or customized research requirements please contact: Gagan Uppal Gaurav Kumar Phone: +91 22 4098 7530 Phone: +91 33 4064 6214 E-Mail: gagan.uppal@netscribes.com E-Mail: gaurav.kumar@netscribes.com Research on India is a product of Netscribes (India) Pvt. Ltd. Research on India is dedicated to disseminating information and providing quick insights on “hot” industries in India and other emerging markets. Track our new releases and major updates in these industries on About Netscribes Netscribes is a knowledge-consulting and solutions firm with clientele across the globe. The company’s expertise spans areas of investment & business research, business & corporate intelligence, content-management services, and knowledge-software services. At its core lies a true value proposition that draws upon a vast knowledge base. Netscribes is a one-stop shop designed to fulfil clients’ profitability and growth objectives. Disclaimer: This report is published for general information only. Although high standards have been used the preparation, Research on India, Netscribes (India) Pvt. Ltd. or “Netscribes” is not responsible for any loss or damage arising from use of this document. This document is the sole property of Netscribes (India) Pvt. Ltd. and prior permission is required for guidelines on reproduction. MEDICAL DEVICES MARKET IN INDIA 2010.PPT 12