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OVERVIEW:
A 350+ page document, with 1,000+ insightful charts
Detailed information on each market segment: forging, casting, hip machining, knee machining, spine & trauma machining, coating, instruments, ceramics, cases & trays, marking, packaging, sterilization...
Includes our latest research on Additive Manufacturing for Orthopaedics with market analysis, main users & suppliers, top selling products and 2024 forecasts
Detailed profiles of the Top 100 CMOs with their market share in each segment
THE WORLDWIDE ORTHOPAEDIC & SPINE CONTRACT MANUFACTURINGMARKET REPORT 2019-2024& TOP 100 SUPPLIER PROFILES
AVICENNE’S
UNIQUE WARRANTY
If you are not 100% satisfied with our
report, send it back to us with a letter indicating
the reasons and we will refund you in full!
PUBLISHED JUNE 2020 • 9TH EDITION
N E W• Covid-19 impact on orthopedics:
End-market & CMO side
• MDR: New European Regulation
impact on orthopaedics
• Jabil-Depuy deal analysis & forecasts
• Worldwide sport medicine market
• Robotics for knee and spine
• Additive manufacturing
update
WHY BUY THIS REPORT?
Get accurate data and strategic insights on the worldwide US$ 6.2 Bn Orthopaedic Contract Manufacturing market & players
For OEMs: obtain detailed information on the top 100 contract manufacturers in the USA, Europe and rest of the world with their background, owners, strengths and specialties. You will find out how big the latest manufacturing trends are (Additive Manufacturing, coating growth, navigation & robotics etc.)
For investors & private equity firms: identify the best companies and activities to invest in
www.avicenne.com/medical_reports_2.phpDownload the detailed table of contents
1"WHERE IS GROWTH ?" IN-DEPTH ANALYSIS COVERING 14 SEGMENTS / 62 SUB SEGMENTS ON THE US$ 6.2 BN WORLDWIDE CONTRACT MANUFACTURING MARKET
2 ASSESS YOUR CUSTOMERS' NEEDS WITH OUR DETAILED ANALYSIS OF THE DEMAND FOR OEM CONTRACT MANUFACTURING
Contract Manufacturing segmentation & raw materials usage: 14 segments & 62 sub-segments
For each of the following OEMs below, the following data is provided: Manufacturing strategy with underlying detailed volume and value data Facility locations for each product Outsourcing vs In-house % for implants, instruments, cases & trays, coating, ceramics, packaging In-house vs Contract Manufacturing volumes per product for forging, casting, machining, coating, instruments, cases & trays, etc.
All other Challengers
Source : Avicenne 2020
FORG
ING &
CAST
ING
HIP STEM
HIP CUP
TIBIAL KNEE
LF PLATES
LC PLATES
FEMORAL KNEE (SPECIAL
FORGING)
FEMORAL KNEE
TIBIAL KNEE
HIP CUP
HIP STEM
FORG
ING
CAST
ING
MACH
ININ
G
STEM
FEMORAL
CUP
TIBIAL
INSERT
HEAD
LINER
HIP M
ACHI
NING
KNEE
MAC
HINI
NG
SPINE LUMBAR & CAGES
SPINE CERVICAL PLATES
TRAUMA INTERNAL PLATES
TRAUMA SCREWS & OTHERS
SPINE CERVICAL &
CAGES
HIP
KNEE
SPINE
TRAUMA
HIP
KNEE
SPINE
TRAUMA
SPIN
E, TR
AUMA
MA
CHIN
ING
INST
RUME
NTS
MACH
ININ
GCA
SES &
TRAY
S
OTHE
R PRO
CESS
ES
HEAD
LINER
HIP
STEM
KNEE
CUP
SPINE
FEMORAL
TRAUMA
TIBIAL
CERA
MICS
MISC
ELLA
NEOU
SCO
ATIN
GMA
RKIN
G, PA
CKAG
ING &
STER
ILIZA
TION
RAW
MAT
ERIA
LS
HIP STEM FORGED
IMPLANTS
HIP STEM
KNEE FEMORAL CASTED
TRAUMA INTERNAL PLATE
INSTRUMENTS
HIP CUP
KNEE TIBIAL FORGED
CASES & TRAYS
TRAUMA LF & LC PLATE
HIP HEAD
KNEE TIBIAL
HIP CUP CASTED
HIP HEAD CASTED
HIP STEM CASTED
TRAUMA PLATE MACHINED
SPINE LUMBAR MACHINED
HIP CUP FORGED
TRAUMA LF & LC PLATE
SPINE MACHINED
KNEE FEMORAL FORGED
TRAUMA SCREWS, HOOKS
MACHINED
TITAN
IUM
CR-C
OST
AINL
ESS S
TEEL
Ali MADANIPhone: + 33(0) 144 551 [email protected]
1
Leveraging 25 years of high level contactsand market tracking & modelling
A 360° view ofOrthopaedics
OEM & Contract Manufacturer direct interviews with decision makers thanks to strong links with CEOs, R&D, Marketing, Sales...
Cross-checking of information thanks to our tried & tested operating models
25+ years of historical data on the Orthopaedics & Contract Manufacturing markets
Companies & markets; continuous tracking and detailed market and financial modelling
Highly detailed segmentation
Entire supply chain & all players: OEMs, Contract Manufacturers
All product types: implants, instruments, cases & trays, biologics, cements, ceramics
All manufacturing services: forging, casting, machining, coating, packaging, sterilization
Operating Models &Cross-checking of information
Implants
HipKnee Spine
ExtremitiesTrauma
Contract Manufacturing
Implants Cases trays
Worldwide coverage
Western Europe
Latin America, Middle East, Asia,..
Developed countries
BRICS countries
Other countries
Instruments Biologics
Secondary research
Primary research
Full value chain coverage
Instruments Cases & Trays Implants
Ali MADANI Phone: + 33 1 44 55 19 90 [email protected]
The Worldwide Orthopaedic & Spine Contract Manufacturing
market report 2019-2024
& Top 100 supplier profiles
STORY Orchid is a group of companies merged: Unique Instruments (founded 1977), Stealth Medical Technologies (1992) and Unique Design (2004). In 2005: Orchid Orthopedic Solutions is formed in which all the divisions adopted the ORCHID name. Orchid Orthopedic Solutions consists of eight divisions and five leading technologies 2012: Orchid acquired SANDVIK Medical Solutions 2017: New plasma coating equipment in USA 2017: January, Mike Miller Retires as Orchid’s CEO; Jerry Jurkiewicz Named Successor 2019: Nordic Capital Fund IX acquires Orchid
ACQUISITIONS
2001: Stealth Medical Technologies acquired Hyvac Medical Technologies 2003: Stealth Medical Tech. acquired the biomaterials division of Astro Met 2005 & 2006 : Orchid acquired Bio-Vac and Bio-Coat & Orchid acquired MACDEE 2007: Orchid acquired Anzon, Keller Engineering and Micro Precision Swiss 2008: Orchid acquired Azary Technologies September 2015: Orchid acquired Alhenia a coating provider based in Switzerland employing 60 people December 2015: Orchid completed the acquisition of Cam Bioceramics Coating facility in Suzhou – China March 2016: Expansion of coating capabilities in Suzhou plant: new Vacuum Titanium Plasma Spray coating services
MAIN SHAREHOLDERS 2011: Altor Fund III acquired Orchid from Churchill Equity 2019: January, Nordic Capital acquired a majority from Altor, which retains a significant minority holding
CONTACTS HQ Address: Holt – MI -USA Mr. Ted Bloomfield – Vice President, Innovation and Product Quality Ph: + 1 203 922 01 05 [email protected]
MAIN CUSTOMERS Stryker n°1, Zimmer Biomet n°2, Depuy Synthes n°3 Other challengers: Mathys, LIMA…
PRODUCTION PLANTS 13 production facilities:: USA 1. Holt-MI: HQ & forging and finishing 2. Arab-AL: complex instrumentation 3. Arcadia-CA: complex milling (spinal implants) 4. Bridgeport-MI: grinding, milling and cutting instruments 5. Chelsea-MI : plastic injection molding and machining 6. Farmington Hills – MI – coating & sterile packaging 7. Memphis-TN: porous/Ti-foam coating 8. Oregon City, OR: Investment casting (Co-Cr and stainless) 9. Santa Ana-CA: Swiss turning 10. Shelton – CT : Design , engineering, regulatory & cutting instruments EUROPE 11. Sheffield-UK: casting, forging, machining & finishing 12. Baden-Dättwil- CH : coating (near Zurich, former Alhenia plant) ASIA 13. Suzhou facility: coating (Former Cam Bioceramics plant)
• Pune-India: machining (closed) • Milford-CT: spinal implants (closed)
MAIN SERVICES All services one stop shopping for implants: Forging, casting, machining, finishing, coating, sterile packaging Strong cutting tools activity
MAIN PRODUCTS All types of implants and instruments (Cases & trays represent epsilon). Other: dental instruments & implants, endoscopy, neurosurgery, gynecology, disposable airway devices
NUMBER OF EMPLOYEES 2,140 employees
ACTIVITIES
DESIGN &
CONCEPTION
FORGING OR
CASTING MACHINING
FINISHING &
POLISHING
COATING & SURFACE
TREATMENT
CLEANING &
PACKAGING STERILIZATION
http://www.orchid-ortho.com/
Orchid Orthopedic Solutions
2019 TOTAL REVENUE RANGE (US$380M)
85%
15%
2019 ORTHOPAEDIC REVENUES (US$360M)
IMPLANTS
INSTRUMENTS
Source: Orchid Orthopedic Solutions 2018 & 2019 & 2020
2014 2015 2016 2017 2018 2019
264 275 289 315 331 360
20
Other
Orthopaedics
Whole Ortho manufacturing chain
Core Business
Instruments include cutting tools
Ali MADANIPhone: + 33 1 44 55 19 [email protected]
The Worldwide Orthopaedic & Spine Contract Manufacturing
market report 2019-2024
&Top 100 supplier profiles
1©AVICENNE- 2019
STORYOrchid is a fusion of a group of companies: Unique Instruments (founded 1977), Stealth Medical Technologies (1992) and Unique Design (2004). In 2005: Orchid Orthopedic Solutions is formed in which all the divisions adopted the ORCHID name. Orchid Orthopedic Solutions consists of eight divisions and five leading technologies2012: Orchid acquired SANDVIK Medical Solutions2017: New plasma coating equipment in USA2019: Nordic Capital Fund IX Acquires Orchid
ACQUISITIONS2001: Stealth Medical Technologies acquired Hyvac Medical Technologies2003: Stealth Medical Tech. acquired the biomaterials division of Astro Met2005 & 2006 : Orchid acquired Bio-Vac and Bio-Coat & Orchid acquired MACDEE2007: Orchid acquired Anzon, Keller Engineering and Micro Precision Swiss2008: Orchid acquired Azary TechnologiesSeptember 2015: Orchid acquired Alhenia a coating provider based in Switzerland and employing 60 peopleDecember 2015: Orchid completed the acquisition of Cam Bioceramics Coating facility in Suzhou – ChinaMarch 2016: Expansion of coating capabilities in Suzhou plant: new Vacuum Titanium Plasma Spray coating services
MAIN SHAREHOLDERS2011: Altor Fund III acquired Orchid from Churchill Equity2019: January, Nordic Capital acquired a majority from Altor, which will retain a significant minority holding
CONTACTSHQ Address: Holt-USAMr Ted Bloomfield – Vice President, Innovation and Product QualityPh: + 1 203 922 01 [email protected]
MAIN CUSTOMERSStryker n°1, Zimmer n°2, Depuy Synthes n°3Other challengers: Mathys, LIMA…
PRODUCTION PLANTS15 production facilities::1. Holt-MI: forging and finishing2. Bridgeport-MI: grinding, milling and cutting instruments3. Chelsea-MI : plastic injection molding and machining4. Oregon City, OR: Investment casting (Co-Cr and stainless)5. Arcadia-CA: complex milling (spinal implants)6. Santa Ana-CA: Swiss turning (dental drills)7. Memphis-TN: porous/Ti-foam coating design & development8. Arab-AL: complex instrumentation9. Milford-CT: spinal implants10. Shelton-CT: design regulatory11. Southfield-MI: Ha/TPS coating & sterile packaging12. Sheffield-UK: casting, forging, machining & finishing13. Pune-India: machining14. Baden-Dättwil: coating (near Zurich, former Alhenia plant)15. Suzhou facility: coating (Former Cam Bioceramics plant)In 2015, Orchid develops its coating capabilities by acquiring Alhenia and Cam Bioceramics China MAIN SERVICES
All services one stop shopping for implants. Instruments represent only a few %.
MAIN PRODUCTSAll types of implants and instruments (Cases & trays represent epsilon).Others: dental instruments & implants, endoscopy, neurosurgery cutting tools, gynecology, disposable airway devices
NUMBER OF EMPLOYEES2,000 employees in 2018
ACTIVITIES
DESIGN&
CONCEPTION
FORGING OR
CASTINGMACHINING
FINISHING&
POLISHING
COATING &SURFACE
TREATMENT
CLEANING&
PACKAGINGSTERILIZATION
http://www.orchid-ortho.com/
Orchid OrthopedicSolutions
2018 TOTAL REVENUES RANGE (326 MUS$)
64%36%
2018 ORTHOPAEDIC REVENUES (305 MUS$)
IMPLANTS
INSTRUMENTS
Source: Orchid Orthopedic Solutions 2018 & 2019
2014 2015 2016 2017 2018
244 263 287 295 30516 17 18 20 21
Others
Orthopaedics
Whole Ortho manufacturing chain
Core Business
AVICENNE provides four main data components : historical and forecast market size and current market shares on each product/manufacturing method tandem, market breakdown by In-house vs Contract Manufacturing and main OEM buyers, CMO’s main customers / OEM preferred suppliers.
• Implants: Tecomet, Orchid, Viant, Lisi, Avalign, NN, Marle, Norman Noble, PCC, etc. (70+ companies mentioned)
• Instruments: Tecomet, Viant, Intech, NN, Avalign, Autocam Medical, Norwood, Orchid, Lisi, Tegra, KLS, Intech, CoorsTek, etc. (45+)
• Cases & trays: Tecomet, NN, Viant, Avalign, Medin, Intech, Aesculap, RMS, Inomed, etc. (20+)
• Coating: Orchid, Eurocoating, Viant, DOT, APS Materials, Terolab, Medical Group, Medicoat, etc.
• Also main players data for forging, casting, machining Spine & Trauma, instruments manufacturing, cases & trays manufacturing, coating.
3POSITION YOUR OFFER WITH OUR PRICE DASHBOARDS, AVAILABLE FOR EACH PRODUCT BY MANUFACTURING METHOD
5IDENTIFY CONTRACT MANUFACTURING MARKET TRENDS WITH VALUE FORECASTS TO 2024
4UNDERSTAND COMPETITION DYNAMICS WITH MARKET SHARES & COMPANY DATA
6CONTRACT MANUFACTURING COMPANY RANKINGS & TOP 100 SUPPLIER PROFILES
For each product and its manufacturing method, the Average Selling Price (ASP) is provided, with the min/max spread.
The Contract Manufacturing market is growing by 7.6% per year, a higher rate than the general orthopaedic market.The main drivers are, firstly, challengers who outsource more taking market share away from the Majors and, secondly, gradual divestment by the Majors.
Avicenne is also the creator of IMPLANTS, a worldwide conference focusing on Strategy, Innovation & Regulatory in the orthopaedic world. The 2019 and 16th edition of IMPLANTS attracted more than 150 international decision-makers for 2 days of presentations, tutorials and business networking. The speakers highlighted how manufacturing techniques and purchasing strategies are evolving, how Robotics and Additive Manufacturing will alter the future landscape and how to cope with Regulatory burdens.Ali Madani’s tutorials have featured among the presentations most highly rated by participants. In this presentation you will hear about:• Orthopedic Market perspectives and main issues,• Orthopedic Contract Manufacturing Markets.
SURVEY METHODOLOGY BASED ON DIRECT INTERVIEWS AND 28 YEARS OF EXTENSIVE MODELLING
Example of profile:
M U
S$
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024
CAGR 2019-2024: 7.6%
CAGR 2012-2019: 7.2% CAGR 2019-2024
Implants:8.3%
Cases: 5.7%
Instrum: 6.8%
www.tutorials.implants-event.com
Forging Hip stems
Hip cups
Femoral knee (oxinium)
Knee tibial
Trauma LC plates
US$
Casting Knee tibial
Knee femoral
Hip cup
Hip Stem
US$
2 0 2 0International conference on innovation,
manufacturing and purchasing strategies in orthopedics
TUTORIAL SESSIONSHyatt Regency Orlando (Florida) Wednesday 25 March 2020 - 6:00 / 9:30 pm
PRODUCT OPTIONSPlease select:
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MAIN REPORTWorldwide Orthopaedic & Spine Contract Manufacturing Market Report 2019-2024 & Top 100 supplier profiles
NUMBER OF PAGESNUMBER OF EXHIBITS SINGLE-USER LICENSEPRODUCT OPTIONS
350+ pages
1,000+ exhibits€4,600
WORLDWIDE ORTHOPAEDIC & SPINE CONTRACT MANUFACTURING MARKET REPORT 2019-2024& TOP 100 SUPPLIER PROFILES PUBLISHED JUNE 2020 • 9TH EDITION
OTHER CONSULTING SERVICES: AD HOC STUDIES, VENDOR, COMMERCIAL & STRATEGIC DUE DILIGENCEAVICENNE was founded in 1992 by Ali Madani and has been operating on strategic and marketing studies in the medical sector since then. AVICENNE has advised major players in this industry (Medtronic, Stryker, Zimmer Biomet, Depuy Synthes, etc.) with their strategy development and implementation, technical and economic appraisals, mergers and acquisitions. AVICENNE has also advised many Private Equity firms on acquisitions and build-ups. AVICENNE has worked with mid-size companies on their entry strategy for new markets, adjacencies or new geographic territories as well as business model improvements and partnership strategies. Globally, AVICENNE has been involved in more than 320 projects for 100+ customers in the medical device industry. AVICENNE has published several annual surveys such as “European orthopaedic Market” and “Worldwide orthopaedic Contract Manufacturing market and top 100 supplier profiles”. AVICENNE’s Managing Partner, Ali Madani is a speaker at and chairman of several medical device conferences worldwide. He founded “IMPLANTS” a medical device industry conference and exhibition, focusing on manufacturing, innovation and buying strategies, which he has chaired ever since.
Contact Ali Madani Managing Partner of Avicenne
Phone: +33 1 44 55 19 90 Email: [email protected]
: www.avicenne.com/medical_reports_2.php