Bariatric Surgery: Global Markets for Services and Devices - KHGI-TV/KWNB-TV/KHGI-CD-Grand Island, Kearney, Hastings

Bariatric Surgery: Global Markets for Services and Devices

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NEW YORK, June 3, 2014 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

Bariatric Surgery: Global Markets for Services and Devices

http://www.reportlinker.com/p01923024/Bariatric-Surgery-Global-Markets-for-Services-and-Devices.html

BARIATRIC SURGERY

Bariatric surgery or weight loss surgery is a generic term commonly used for the variety of processes that deal with the surgical treatment of obesity. These procedures could be invasive or less/noninvasive (endoluminal) and performed in both open and laparoscopic types. Bariatric surgery helps to accomplish continuous weight loss by either reducing the size of the stomach to reduce food intake with an implanted medical device (gastric band or intragastric balloon) or through removal of a portion of the stomach (sleeve gastrectomy) or by resecting and rerouting the small intestines to a small stomach pouch to reduce nutrient absorption (Roux-en-Y gastric bypass or biliopancreatic diversion with duodenal switch). Bariatric surgery is more effective for achieving weight loss than nonsurgical management in people with a body mass index (BMI) of more than 30 kg/m2 as well as those with more severe obesity and weight loss is more likely to be maintained in the longer term. Bariatric surgery is not only limited to patients with severe obesity, but it is considered an appropriate treatment for people with type 2 diabetes and obesity as well those who are not achieving recommended treatment targets with medical therapies, especially when there are other major comorbidities.

According to the BCC estimates, more than 350,000 procedures have been performed worldwide. Gastric bypass, sleeve gastrectomy, intragastric balloons and gastric banding are the common procedures performed globally.

STUDY BACKGROUND

With a rapid increase in the population suffering from the problem of obesity and related comorbidities, there is a critical and growing need for new and improved treatments for obesity. Obesity also represents a tremendous cost burden to health care systems around the world. Due to this rapid increase in the obese population, the number of bariatric surgeries carried out on a global scale is also increasing continuously, and this increase has created a multimillion market for the specialized devices and instruments used for these bariatric procedures. They typically include stapling devices, trocars, gastric bands, gastric balloons, and other surgical instruments and accessories.

Because the acceptance of bariatric surgery is increasing so rapidly, there is a pressing need to develop an up-to-date base of market information to better understand the dynamics of the bariatric surgery market for services and devices.

This report is the first edition to cover the bariatric surgery market, key growth areas and quantitative market projections for services and devices. The increasing incidence of obesity and rising concern of people toward their health is boosting the bariatric surgery market, but on the other hand, limited insurance coverage and the elective nature of bariatric surgery limits the growth prospects. This study provides management readers the information and analysis they need to deal with these challenges.

STUDY GOALS AND OBJECTIVES

This study meets these needs by analyzing global markets for bariatric surgery devices (see SCOPE OF THE REPORT below for a definition of these devices) in light of the most recent available information. In addition to looking at current and future markets, the study will analyze technological, demographic and economic developments that may have a long-term impact on the size and structure of the bariatric surgery market for services and devices.
This report also provides an analysis of the bariatric surgery market for services and devices by type of surgical procedure and region. The future of bariatric surgery also will be discussed, with forecasts for consumption of specific product segments.

More specific objectives are to:
• Identify and segment the main types of bariatric procedures and relevant device types that have been commercialized to date.
• Analyze the historical and current procedure volume and value of devices consumed in procedures by geographic markets.
• Identify and evaluate the impact of demographic, economic and other factors that will drive future demand for the bariatric surgery market for services and devices.
• Forecast the volume and value of procedure types by the probabilities that future demand will be higher or lower than the baseline forecast.
• Identify promising new surgical procedures and products still in the development and testing stage, and assess the probability they will be commercialized successfully in the next five years.
• Forecast the potential market for these developmental procedures and products, taking into account the estimated probability they will be commercialized.
• Identify leading device manufacturers and analyze the structure of the bariatric surgery devices industry (e.g., market shares, concentration, and recent merger and acquisition activity).
• Assess the long-term outlook for bariatric surgery devices, taking into account market opportunities, as well as technological, financial and economic factors.

INTENDED AUDIENCE

The report has been written for the bariatric surgery interest community, but is especially tailored for readers with an interest in the marketing and management dimensions of bariatric surgery services and devices. This especially includes readers in:
• The medical and surgical devices industry.
• Medical research institutions.
• The investment community.
• The financial and analyst community.

SCOPE OF THE REPORT

This report is an analytical business tool with the primary purpose of describing the bariatric surgery and the global market for services and devices. The format of the study is organized around the following topics.
• Detailed study around diseases like obesity and diabetes.
• Major types of bariatric procedures (gastric bypass, gastric banding and sleeve gastrectomy), complications and relevant devices (e.g., implanted devices, gastric removal devices and gastric bypass devices).
• Procedure trends and cost estimates (one-time procedure cost excluding follow-up outpatient monitoring cost).
• Regulatory structure.
• Market characterization, unmet need, market size and segmentation, including historical data on sales by application, product type, end-user group and geographical market.
• Market drivers and restraints.
• Detailed market projections through 2018.
• Competition and market shares.
• Reimbursement.
• Marketed and pipeline (R&D) products along with description, regulatory status and clinical trials.
• Observations and conclusions regarding the future of bariatric surgery market for services and devices.
• Profiles of market participants and associations.

METHODOLOGY AND INFORMATION SOURCES

The findings and conclusions of this report are based on information gathered from manufacturers and users of bariatric surgery devices, as well as other informed sources. Interview data were combined with information gathered from an extensive review of secondary sources, such as trade publications, trade associations, company literature and online databases, to produce the market estimates contained in this report.

The base year for analysis and projection is 2012. At the time this report was prepared (early 2013), year-end data for 2012 were not yet universally available. Where necessary, market estimates for 2012 were developed using interim (partial) data for 2012, combined with historical data for 2011.

With 2012 as a baseline, market projections were developed for 2013 to 2018. These projections are based on a consensus of primary contacts combined with BCC Research's understanding of the key market drivers and their impact from a historical and analytical perspective. The analytical methodologies used to generate the market estimates are described in the section on Detailed Market Projections.
All dollar projections presented in this report are in 2012 constant dollars.

ANALYST CREDENTIALS

Dr. Ritu Thakur Dangi is the author of this report. She is an independent consultant based in New Delhi, the capital of India. She has prior work experience with Panasonic (Healthcare Division) and GlobalData (U.K.-based market research firm). In her previous assignments, she has written many reports on pharmaceutical, medical devices and biotechnology areas.

REPORT HIGHLIGHTS

The global market for bariatric surgery devices was worth nearly $1.1 billion in 2012. The market is expected to reach nearly $1.2 billion in 2013 and almost $1.9 billion by 2018, with a compound annual growth rate (CAGR) of 9.6% between 2013 and 2018.

This report provides:
• An overview of the global market for services and devices in the bariatric surgery sector.
• Analyses of global market trends, with data from 2012, estimates for 2013, and projections of compound annual growth rates (CAGRs) for the period 2013 and 2018.
• Discussion on types of obesity, etiology and pathophysiology, risk factors, economic burden, epidemiology, and obesity treatment and management.
• An examination of the types and the criteria for bariatric surgeries, along with common complications and the average cost associated with post-surgical complications.
• A historical perspective on and the current scenario for bariatric surgery procedure.
• An evaluation of the current clinical challenges, unmet needs, and future outlook.

TABLE OF CONTENTS

CHAPTER 1 INTRODUCTION 2

BARIATRIC SURGERY 2
STUDY BACKGROUND 2
STUDY GOALS AND OBJECTIVES 3
INTENDED AUDIENCE 3
SCOPE OF THE REPORT 4
METHODOLOGY AND INFORMATION SOURCES 4
ANALYST CREDENTIALS 5
RELATED BCC RESEARCH STUDIES 5
BCC RESEARCH ONLINE SERVICES 5
DISCLAIMER 5

CHAPTER 2 EXECUTIVE SUMMARY 7

EXECUTIVE SUMMARY 7
SUMMARY TABLE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION,
THROUGH 2018 ($ MILLIONS) 7
SUMMARY FIGURE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION,
2011-2018 ($ MILLIONS) 7

CHAPTER 3 OVERVIEW OF OBESITY 10

DISEASE OVERVIEW 10
COMMON TOOLS TO DIAGNOSE OBESITY 10
BMI 10
TABLE 1 BMI CALCULATION 10
Waist Circumference 10
TYPES OF OBESITY 11
TABLE 2 BMI CATEGORIES BASED ON INCREASING HEALTH RISKS 11
ETIOLOGY AND PATHOPHYSIOLOGY 11
FIGURE 1 ENERGY BALANCE, 2011 12
RISK FACTORS 13
ECONOMIC BURDEN 14
EPIDEMIOLOGY 15
TABLE 3 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION VS
GENERAL POPULATION, THROUGH 2012 (MILLIONS) 16
FIGURE 2 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION, 2008
AND 2012 (% OF GLOBAL GENERAL POPULATION) 16
TABLE 4 U.S. OBESITY AND SEVERE OBESITY VS GENERAL POPULATION, THROUGH
2012 (MILLIONS) 17
OBESITY TREATMENT AND MANAGEMENT 18
GOALS OF WEIGHT LOSS AND MANAGEMENT 18
WEIGHT MANAGEMENT 18
DIETARY THERAPY 19
PHYSICAL ACTIVITY 19
BEHAVIORAL THERAPY 20
COMBINED THERAPY 20
PHARMACOTHERAPY 20
BARIATRIC SURGERY (WEIGHT-LOSS SURGERY) 21

CHAPTER 4 OBESITY AND DIABETES TYPE 2 23

OBESITY AND DIABETES 23
DIABETES MELLITUS (DM) 23
GESTATIONAL DIABETES 23
LATENT AUTOIMMUNE DIABETES IN ADULTS (LADA) 23
FIGURE 3 GLOBAL DIABETES TYPES (% OF TOTAL DIABETES) 24
TYPE 2 DIABETES: ETIOLOGY AND PATHOPHYSIOLOGY 24
DISEASE SYMPTOMS AND RISK FACTORS 25
EPIDEMIOLOGY 26
TABLE 5 GLOBAL DIABETES PREVALENCE, 2012 AND 2030 27
TREATMENT AND MANAGEMENT OPTIONS 27
LIFESTYLE CHANGES 27
ANTIOBESITY MEASURES (PHARMACOLOGIC AGENTS) 28
DIABETES MEDICATIONS AND INSULIN THERAPY 28
BARIATRIC SURGERY 29
MARKET BURDEN 29

CHAPTER 5 OVERVIEW OF BARIATRIC PROCEDURES 32

GENERAL OVERVIEW 32
CRITERIA FOR BARIATRIC SURGERY 32
LAPAROSCOPIC SURGERY VS. OPEN SURGERY 32
FIGURE 4 GLOBAL OPEN VS. LAPAROSCOPIC BARIATRIC SURGERY OCCURRENCE,
2012 (% OF TOTAL BARIATRIC PROCEDURES) 34
BARIATRIC SURGERY PREPARATION 34
DIET MONITORING 34
DIET CONSULTATION 35
PSYCHOLOGICAL CONSULTATION 35
SCREENING BLOOD TESTS 35
INSURANCE COVERAGE 35
TYPES OF BARIATRIC SURGERIES 35
TABLE 6 TYPES OF BARIATRIC SURGERIES 36
MALABSORPTIVE 36
Biliopancreatic Diversion (BPD) 36
Advantages 37
Disadvantages 37
Biliopancreatic Diversion with a Duodenal Switch (BPD-DS) 37
Extended (Distal) Roux-en-Y Gastric Bypass (RYGBP-E) 38
Mini Gastric Bypass 38
Advantages of Malabsorptive Procedures 38
Disadvantages of Malabsorptive Procedures 38
RESTRICTIVE PROCEDURES 39
Sleeve Gastrectomy (SG) 39
Vertical Sleeve Gastrectomy (VSG) 39
Adjustable Gastric Banding (AGB) 40
Gastric Balloons 40
Advantages of Restrictive Procedures 40
Disadvantages of Restrictive Procedures 41
COMBINED RESTRICTIVE/MALABSORPTIVE 42
Gastric Bypass 42
Roux-en-Y Gastric Bypass (RYGB) 43
Advantages of Gastric Bypass 43
Disadvantages of Gastric Bypass 44
NEW BARIATRIC PROCEDURES 44
PRIMARY OBESITY SURGERY ENDOLUMINAL (POSE) PROCEDURE 44
Procedure Design 45
Clinical Trials 46
RESTORATIVE OBESITY SURGERY ENDOSCOPIC (ROSE) PROCEDURE 46
Procedure 46
Clinical Trials 47
Advantages of ROSE Procedure 47
ROSE Procedure: Procedure Cost 47
BENEFITS OF BARIATRIC SURGERY 47
RISKS AND COMPLICATIONS OF BARIATRIC SURGERY 51
PULMONARY EMBOLISM 51
GASTROINTESTINAL TRACT LEAK 52
BOWEL OBSTRUCTION (BLOCKAGES) 52
STRICTURE 52
BLEEDING 53
ULCER 53
GALLSTONES 53
INFECTIONS 53
CHRONIC NUTRITIONAL PROBLEMS 54
CONVERSION TO OPEN PROCEDURE 55
FAILURE OF WEIGHT LOSS 55
TOO MUCH WEIGHT LOSS 55
BODY IMAGE, EMOTIONAL LOSS AND DEPRESSION 56
NEUROPATHY 56
HYPOGLYCEMIA (LOW BLOOD SUGARS) 56
KIDNEY FAILURE/STONES 57
COMPLICATIONS FROM ANESTHESIA 57
DEATH 57
OTHER COMPLICATIONS 57
BARIATRIC PROCEDURE HISTORIC AND CURRENT TRENDS 58
GLOBAL 58
TABLE 7 GLOBAL BARIATRIC PROCEDURES, THROUGH 2012 58
FIGURE 5 GLOBAL BARIATRIC PROCEDURE TYPES, 2012 (% OF ALL BARIATRIC
PROCEDURES) 58
FIGURE 6 GLOBAL BARIATRIC PROCEDURE BY REGION, 2012 (% OF GLOBAL
PROCEDURES) 59
NORTH AMERICA 60
TABLE 8 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH
2012 61
FIGURE 7 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2012 (% OF
ALL BARIATRIC PROCEDURES) 61
AVERAGE PROCEDURE COST OF BARIATRIC SURGERY 61
TABLE 9 AVERAGE COST OF BARIATRIC SURGERY BY PROCEDURE TYPE ($) 62
FACTORS AFFECTING BARIATRIC SURGERY COST 62
BARIATRIC SURGERY: COMPARATIVE ANALYSIS 63
TABLE 10 BARIATRIC SURGERY, COMPARATIVE ANALYSIS 63
HISTORY OF BARIATRIC SURGERY 64
JAW WIRING 65
JEJUNOILEAL BYPASS 65
GASTRIC PARTITIONING 65
VERTICAL BAND GASTROPLASTY (VBG) 66
GASTRIC BALLOONS 66

CHAPTER 6 OVERVIEW OF BARIATRIC SURGERY DEVICES 68

BARIATRIC SURGERY DEVICES 68
GASTRIC BYPASS 68
GASTRIC REMOVAL DEVICES 68
IMPLANTED GASTRIC DEVICES 68
Gastric Bands 68
Intragastric Balloons (IGB) 68
TABLE 11 PRINCIPAL TYPES OF BARIATRIC SURGERY DEVICES 69
REGULATORY STATUS OF BARIATRIC SURGERY DEVICES 70
UNITED STATES 70
EUROPEAN UNION (EU) 73
JAPAN 74
OTHER ASIA 75
China 75
Hong Kong 75
Taiwan 76
India 76
END-USER SEGMENTS 76

CHAPTER 7 UNMET NEED FOR OBESITY AND DIABETES TYPE 2 78

CHAPTER 8 BARIATRIC SURGERY MARKET ASSESSMENT 81

BARIATRIC PROCEDURES AND SERVICES MARKET 81
GLOBAL 81
TABLE 12 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPES, THROUGH
2018 81
FIGURE 8 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPE, 2012 AND 2018
(% OF TOTAL BARIATRIC SURGERY) 82
TABLE 13 BARIATRIC PROCEDURE OCCURRENCE BY REGION, THROUGH 2018 83
FIGURE 9 BARIATRIC PROCEDURE OCCURRENCE BY REGION, 2012 AND 2018 (%
OF TOTAL BARIATRIC SURGERY) 83
NORTH AMERICA 84
TABLE 14 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH
2018 84
FIGURE 10 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2012 AND
2018 (% OF TOTAL BARIATRIC SURGERY) 84
EUROPE 85
TABLE 15 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, THROUGH 2018 86
FIGURE 11 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, 2012 AND 2018 (%
OF TOTAL BARIATRIC SURGERY) 86
ASIA 87
TABLE 16 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, THROUGH 2018 87
FIGURE 12 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, 2012 AND 2018 (% OF
TOTAL BARIATRIC SURGERY) 87
PROJECTED TRENDS IN BARIATRIC SURGERY 89
BARIATRIC SURGERY DEVICES MARKET 89
GLOBAL BARIATRIC SURGERY DEVICE MARKET BY GEOGRAPHY 89
TABLE 17 BARIATRIC SURGERY BY REGION, THROUGH 2018 ($ MILLIONS) 90
FIGURE 13 BARIATRIC SURGERY BY REGION, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 90
GLOBAL BARIATRIC SURGERY DEVICES MARKET BY PROCEDURE TYPE 91
North America 91
TABLE 18 NORTH AMERICA BARIATRIC SURGERY BY DEVICE, THROUGH 2018 ($
MILLIONS) 91
FIGURE 14 NORTH AMERICA BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (%
OF TOTAL BARIATRIC SURGERY) 92
Asia 92
TABLE 19 ASIA BARIATRIC SURGERY BY TYPE, THROUGH 2018 ($ MILLIONS) 93
FIGURE 15 ASIA BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 94
Europe 95
TABLE 20 EUROPE BARIATRIC SURGERY BY DEVICE, THROUGH 2018 ($ MILLIONS) 95
FIGURE 16 EUROPE BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 95
GLOBAL IMPLANTED BARIATRIC SURGERY DEVICES MARKET 97
TABLE 21 GLOBAL IMPLANTED DEVICES, THROUGH 2018 ($ MILLIONS) 97
MARKET GROWTH DRIVERS AND RESTRAINTS 97
GROWTH DRIVERS 97
Global Obesity Epidemic 97
Diabetes Prevalence 98
Less Invasive/Noninvasive Procedures 98
Western Food Habits and Sedentary Lifestyles 98
Reimbursement 98
Increasing Awareness in Developed Nations 98
Medical Tourism 99
GROWTH RESTRAINTS 99
Lack of Awareness, Availability and Affordability in Developing
Nations 99
High Cost of Bariatric Surgery 99
Long Wait Time 99
Short-Term and Long-Term Complications 99

CHAPTER 9 COMPETITION AND MARKET SHARES 101

TABLE 22 GLOBAL BARIATRIC SURGERY MARKET SHARES BY COMPANY, 2012 ($
MILLIONS/$) 101
FIGURE 17 GLOBAL BARIATRIC SURGERY MARKET LEADERS, 2012 (% OF TOTAL
MARKET) 101

CHAPTER 10 MARKETED, ABANDONED AND PIPELINE PRODUCTS 104

MARKETED PRODUCTS 104
TABLE 23 BARIATRIC SURGERY DEVICES, KEY MARKETED PRODUCTS (1/2) 104
TABLE 24 BARIATRIC SURGERY DEVICES, KEY MARKETED PRODUCTS (2/2) 105
LAP-BAND ADJUSTABLE GASTRIC BANDING SYSTEM 106
REALIZE ADJUSTABLE GASTRIC BAND 106
ORBERA WEIGHT MANAGEMENT SYSTEM 106
ENSEAL 107
PERI-STRIPS DRY WITH VERITAS 107
ENDOPATH XCEL TROCAR 107
ECHELON FLEX POWERED ARTICULATING ENDOSCOPIC LINEAR CUTTERS 108
HARMONIC ACE SHEARS + ADAPTIVE TISSUE TECHNOLOGY 108
ENDO GIA RADIAL RELOAD WITH TRI-STAPLE TECHNOLOGY 109
Endo GIA Reload 109
ENDO STITCH ENDOSCOPIC SUTURING DEVICE 110
ENDOGASTRIC SOLUTIONS STOMAPHYX DELIVERY DEVICE, FASTENERS
AND ACCESSORIES 110
HELIOSPHERE BAG 111
HELIOGAST 111
Heliogast HAGE 111
Heliogast HAGA 111
ENDOCINCH 112
ENDOSURGICAL OPERATING SYSTEM (EOS) 112
ABANDONED PRODUCTS 113
GARREN-EDWARDS GASTRIC BUBBLE (GEGB) 113
TABLE 25 BARIATRIC SURGERY DEVICES, KEY ABANDONED/ DISCONTINUED
PRODUCTS 113
EASYBAND 113
PIPELINE PRODUCTS 114
ENDOBARRIER 114
General Description 114
Procedure 114
Clinical Trials 114
TABLE 26 ENDOBARRIER, CLINICAL TRIALS 115
Advantages 117
Disadvantages 117
EndoBarrier: Procedure Cost 117
TABLE 27 BARIATRIC SURGERY DEVICES, KEY PIPELINE PRODUCTS (1/2) 118
TABLE 28 BARIATRIC SURGERY DEVICES, KEY PIPELINE PRODUCTS (2/2) 119
VALENTX 120
General Description 120
Clinical Trials 120
TABLE 29 VALENTX, CLINICAL TRIALS 120
Advantages 121
ASPIREASSIST 122
General Description 122
Clinical Trials 122
TABLE 30 ASPIREASSIST, CLINICAL TRIAL 123
Procedure 123
TANTALUS SYSTEM 123
General Description 123
Clinical Trials 124
TABLE 31 TANTALUS SYSTEM, CLINICAL TRIAL 125
Procedure 126
DEEP BRAIN STIMULATION SYSTEM/TRIGEMINAL NERVE STIMULATION
(TNS)-OBESITY 127
General Description 127
Clinical Trials 127
TABLE 32 TRIGEMINAL NERVE STIMULATION (TNS), CLINICAL TRIAL 128
ENDORETICS DEVICE 128
General Description 128
Procedure 128
ATTIVA 129
INTRA GASTRIC IMPLANT 129
VBLOC THERAPY/MAESTRO RC SYSTEM 129
General Description 129
Clinical Trials 130
TABLE 33 VBLOC THERAPY/MAESTRO RC SYSTEM, CLINICAL TRIALS 130
Procedure 131
NOBESE DEVICE 131
General Description 131
Procedure 131
SATISPHERE 132
General Description 132
Clinical Trials 132
Procedure 132
SILIMED GASTRIC BALLOON 133
General Description 133
Procedure 133
Clinical Trial 133
TABLE 34 SILIMED GASTRIC BALLOON, CLINICAL TRIAL 133
TRANSPYLORIC SHUTTLE 134
General Description 134
Clinical Trials 134
TABLE 35 TRANSPYLORIC SHUTTLE DEVICE, CLINICAL TRIAL 134
Procedure 134
TOGA SYSTEM 135
General Description 135
Clinical Trials 135
TABLE 36 TOGA SYSTEM, CLINICAL TRIALS 135
Procedure 135
SENSATE ANCHORED GASTRIC DEVICE 136
General Description 136
Procedure 136
Clinical Trial 136
TABLE 37 SENSATE ANCHORED GASTRIC DEVICE, CLINICAL TRIALS 136
ABILITI 137
General Description 137
Clinical Trials 137
TABLE 38 ABILITI SYSTEM, CLINICAL TRIALS 138

CHAPTER 11 REIMBURSEMENT 140

GENERAL REIMBURSEMENT CRITERIA 140
UNITED STATES 140
ICD-9-CM 141
TABLE 39 BARIATRIC SURGERY, INTERNATIONAL CLASSIFICATION OF DISEASES,
NINTH REVISION (ICD-9) CODES 141
TABLE 40 COVERED INPATIENT FACILITY ICD-9-CM PROCEDURE CODES 141
ICD-10 142
EUROPE 142
JAPAN 143
OTHER ASIA 144

CHAPTER 12 CONCLUSIONS: THE OUTLOOK FOR BARIATRIC SURGERY DEVICES 146

MAJOR DEVELOPMENTS THAT WILL INFLUENCE THE BARIATRIC SURGERY
MARKET 146
TECHNOLOGICAL DEVELOPMENTS 146
Adaptation of Minimally Invasive Techniques to New Types of
Surgical Procedures 146
Endoluminal Procedures 147
Gastric Stimulators 147
New Designs of Gastric Balloons 148
DEMOGRAPHIC AND ECONOMIC TRENDS 148
Growing Obesity Populations Worldwide 148
TABLE 41 TRENDS IN OBESITY COMPOSITION OF THE WORLD'S POPULATION,
THROUGH 2018 (MILLIONS) 149
TABLE 42 U.S. OBESITY AND SEVERE OBESITY VS GENERAL POPULATION,
THROUGH 2018 (MILLIONS) 149
Income Growth in Developing Markets 149
TABLE 43 PROJECTED TRENDS IN PER CAPITA REAL GDP GROWTH BY REGION,
2012–2015 (ANNUAL AVERAGE PERCENTAGE CHANGE) 150
CHANGING STRUCTURE OF THE HEALTH CARE INDUSTRY 150
Hospital Consolidation 150
Medical Tourism 151
Health Insurance Developments 151
LONG-TERM OUTLOOK FOR BARIATRIC SURGERY DEVICES AND SERVICES 151

CHAPTER 13 APPENDIX A: ABBREVIATION(S) 154

CHAPTER 14 APPENDIX B: VENDOR PROFILES 157

ALLERGAN 157
APPLIED MEDICAL 157
ASPIRE BARIATRICS 158
BARONOVA 158
BAROSENSE 159
BETA-STIM 159
C.R. BARD 160
COOK GROUP 160
COVIDIEN 161
ENDOGASTRIC SOLUTIONS 161
ENDORETICS 162
ENDOSPHERE 162
ENTEROMEDICS 163
ETHICON ENDO-SURGERY/JOHNSON & JOHNSON 163
GELESIS 164
GI DYNAMICS 164
HELIOSCOPIE 165
INTRAPACE, INC. 165
MEDTRONIC 166
METACURE 167
NEUROSIGMA 167
RESHAPE MEDICAL 168
SATIETY 168
SENSATE 169
SILHOUETTE MEDICAL 169
SLIMEDICS 169
SYNOVIS SURGICAL 170
USGI MEDICAL 170
VALENTX 171
W. L. GORE 171

CHAPTER 15 APPENDIX C: INDUSTRY AND PROFESSIONAL ORGANIZATIONS 173

THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS) 173
EUROPEAN ASSOCIATION FOR ENDOSCOPIC SURGERY (EAES) 173
INTERNATIONAL ASSOCIATION FOR THE STUDY OF OBESITY 173
INTERNATIONAL DIABETES FEDERATION (IDF) 174
INTERNATIONAL FEDERATION FOR THE SURGERY OF OBESITY AND METABOLIC
DISORDERS 174
INTERNATIONAL OBESITY TASK FORCE (IOTF) 174
OBESITY IN AMERICA 175
THE OBESITY SOCIETY 175
SOCIETY OF AMERICAN GASTROINTESTINAL ENDOSCOPIC SURGEONS (SAGES) 175
SOCIETY OF LAPAROENDOSCOPIC SURGEONS (SLS) 175

LIST OF TABLES

SUMMARY TABLE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION, THROUGH
2018 ($ MILLIONS) 7
TABLE 1 BMI CALCULATION 10
TABLE 2 BMI CATEGORIES BASED ON INCREASING HEALTH RISKS 11
TABLE 3 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION VS
GENERAL POPULATION, THROUGH 2012 (MILLIONS) 16
TABLE 4 U.S. OBESITY AND SEVERE OBESITY VS GENERAL POPULATION, THROUGH
2012 (MILLIONS) 17
TABLE 5 GLOBAL DIABETES PREVALENCE, 2012 AND 2030 27
TABLE 6 TYPES OF BARIATRIC SURGERIES 36
TABLE 7 GLOBAL BARIATRIC PROCEDURES, THROUGH 2012 58
TABLE 8 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH 2012 61
TABLE 9 AVERAGE COST OF BARIATRIC SURGERY BY PROCEDURE TYPE ($) 62
TABLE 10 BARIATRIC SURGERY, COMPARATIVE ANALYSIS 63
TABLE 11 PRINCIPAL TYPES OF BARIATRIC SURGERY DEVICES 69
TABLE 12 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPES, THROUGH 2018 81
TABLE 13 BARIATRIC PROCEDURE OCCURRENCE BY REGION, THROUGH 2018 83
TABLE 14 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, THROUGH
2018 84
TABLE 15 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, THROUGH 2018 86
TABLE 16 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, THROUGH 2018 87
TABLE 17 BARIATRIC SURGERY BY REGION, THROUGH 2018 ($ MILLIONS) 90
TABLE 18 NORTH AMERICA BARIATRIC SURGERY BY DEVICE, THROUGH 2018 ($
MILLIONS) 91
TABLE 19 ASIA BARIATRIC SURGERY BY TYPE, THROUGH 2018 ($ MILLIONS) 93
TABLE 20 EUROPE BARIATRIC SURGERY BY DEVICE, THROUGH 2018 ($ MILLIONS) 95
TABLE 21 GLOBAL IMPLANTED DEVICES, THROUGH 2018 ($ MILLIONS) 97
TABLE 22 GLOBAL BARIATRIC SURGERY MARKET SHARES BY COMPANY, 2012 ($
MILLIONS/$) 101
TABLE 23 BARIATRIC SURGERY DEVICES, KEY MARKETED PRODUCTS (1/2) 104
TABLE 24 BARIATRIC SURGERY DEVICES, KEY MARKETED PRODUCTS (2/2) 105
TABLE 25 BARIATRIC SURGERY DEVICES, KEY ABANDONED/ DISCONTINUED
PRODUCTS 113
TABLE 26 ENDOBARRIER, CLINICAL TRIALS 115
TABLE 27 BARIATRIC SURGERY DEVICES, KEY PIPELINE PRODUCTS (1/2) 118
TABLE 28 BARIATRIC SURGERY DEVICES, KEY PIPELINE PRODUCTS (2/2) 119
TABLE 29 VALENTX, CLINICAL TRIALS 120
TABLE 30 ASPIREASSIST, CLINICAL TRIAL 123
TABLE 31 TANTALUS SYSTEM, CLINICAL TRIAL 125
TABLE 32 TRIGEMINAL NERVE STIMULATION (TNS), CLINICAL TRIAL 128
TABLE 33 VBLOC THERAPY/MAESTRO RC SYSTEM, CLINICAL TRIALS 130
TABLE 34 SILIMED GASTRIC BALLOON, CLINICAL TRIAL 133
TABLE 35 TRANSPYLORIC SHUTTLE DEVICE, CLINICAL TRIAL 134
TABLE 36 TOGA SYSTEM, CLINICAL TRIALS 135
TABLE 37 SENSATE ANCHORED GASTRIC DEVICE, CLINICAL TRIALS 136
TABLE 38 ABILITI SYSTEM, CLINICAL TRIALS 138
TABLE 39 BARIATRIC SURGERY, INTERNATIONAL CLASSIFICATION OF DISEASES,
NINTH REVISION (ICD-9) CODES 141
TABLE 40 COVERED INPATIENT FACILITY ICD-9-CM PROCEDURE CODES 141
TABLE 41 TRENDS IN OBESITY COMPOSITION OF THE WORLD'S POPULATION,
THROUGH 2018 (MILLIONS) 149
TABLE 42 U.S. OBESITY AND SEVERE OBESITY VS GENERAL POPULATION, THROUGH
2018 (MILLIONS) 149
TABLE 43 PROJECTED TRENDS IN PER CAPITA REAL GDP GROWTH BY REGION,
2012–2015 (ANNUAL AVERAGE PERCENTAGE CHANGE) 150

LIST OF FIGURES

SUMMARY FIGURE GLOBAL MARKET FOR BARIATRIC SURGERY BY REGION,
2011-2018 ($ MILLIONS) 7
FIGURE 1 ENERGY BALANCE, 2011 12
FIGURE 2 GLOBAL OBESE POPULATION AND SEVERE OBESE POPULATION, 2008 AND
2012 (% OF GLOBAL GENERAL POPULATION) 16
FIGURE 3 GLOBAL DIABETES TYPES (% OF TOTAL DIABETES) 24
FIGURE 4 GLOBAL OPEN VS. LAPAROSCOPIC BARIATRIC SURGERY OCCURRENCE,
2012 (% OF TOTAL BARIATRIC PROCEDURES) 34
FIGURE 5 GLOBAL BARIATRIC PROCEDURE TYPES, 2012 (% OF ALL BARIATRIC
PROCEDURES) 58
FIGURE 6 GLOBAL BARIATRIC PROCEDURE BY REGION, 2012 (% OF GLOBAL
PROCEDURES) 59
FIGURE 7 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2012 (% OF
ALL BARIATRIC PROCEDURES) 61
FIGURE 8 GLOBAL BARIATRIC PROCEDURE OCCURRENCE BY TYPE, 2012 AND 2018
(% OF TOTAL BARIATRIC SURGERY) 82
FIGURE 9 BARIATRIC PROCEDURE OCCURRENCE BY REGION, 2012 AND 2018 (% OF
TOTAL BARIATRIC SURGERY) 83
FIGURE 10 BARIATRIC PROCEDURE OCCURRENCE IN NORTH AMERICA, 2012 AND
2018 (% OF TOTAL BARIATRIC SURGERY) 84
FIGURE 11 BARIATRIC PROCEDURE OCCURRENCE IN EUROPE, 2012 AND 2018 (%
OF TOTAL BARIATRIC SURGERY) 86
FIGURE 12 BARIATRIC PROCEDURE OCCURRENCE IN ASIA, 2012 AND 2018 (% OF
TOTAL BARIATRIC SURGERY) 87
FIGURE 13 BARIATRIC SURGERY BY REGION, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 90
FIGURE 14 NORTH AMERICA BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (% OF
TOTAL BARIATRIC SURGERY) 92
FIGURE 15 ASIA BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 94
FIGURE 16 EUROPE BARIATRIC SURGERY BY DEVICE, 2012 AND 2018 (% OF TOTAL
BARIATRIC SURGERY) 95
FIGURE 17 GLOBAL BARIATRIC SURGERY MARKET LEADERS, 2012 (% OF TOTAL
MARKET) 101

To order this report: Bariatric Surgery: Global Markets for Services and Devices
http://www.reportlinker.com/p01923024/Bariatric-Surgery-Global-Markets-for-Services-and-Devices.html

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