Forecast and Prospect of the hottest medical equip

2018 medical equipment industry forecast and outlook

according to the data of the State Food and drug administration, the medical device market in 2017 continued the high growth trend in recent years. The annual average compound growth rate of the income of China's medical technology and medical device industry in was as high as 20.7%, much higher than the global average compound growth rate of about 3%. In 2016, the market scale of medical devices in China was about 370billion yuan. It is estimated that the market scale will reach about 600billion in 2019. Among them, imaging equipment, in vitro diagnosis and high-value consumables account for the top three parts of the medical device market, accounting for 19%, 16% and 13% of the total market size respectively

policy, market and new technology are still the three main factors affecting the development of China's medical device industry. The full implementation of graded diagnosis and treatment brings more opportunities for domestic medical equipment. The implementation of the two ticket system will further promote the M & a transformation in the industry, the continuous upgrading of industrial structure, the development of medical device products towards customization and high added value, and the competition in the medical device market will further intensify in 2018. The development of early screening technology, artificial intelligence, 3D printing, medical robots, graphene and other new material technologies has brought a disruptive revolution to the medical market

from the perspective of per capita medical expenses, China's current per capita medical expenses are only $6, while the developed countries' per capita medical expenses are more than $100. China's medical technology and device market has huge growth space. In addition, China has entered the era of population aging since 2015, and the proportion of people over 65 years old has increased year by year. With the improvement of people's living standards and the social attention to medical health, the total number of diagnosis and treatment in China has increased by about 35% in the past five years. Therefore, China's medical device market will continue to maintain explosive growth in terms of diagnosis and treatment methodology and consumption level. In this issue, we invited many experts in the medical industry and enterprise management to analyze the development trends and hot trends of the medical device industry in the next few years

segment industry scale and hot spot forecast

"based on the data of 120 leading companies in the medical industry, by 2018, the global sales of medical technology will reach US $440billion, with a growth rate of 4.4% (CAGR)."—— Evaluatemedtech

in vitro diagnostic products will become the largest category in the field of medical technology in 2018, with sales reaching $54.5 billion, surpassing heart disease products and diagnostic imaging products; The category with the fastest growth rate is neurology products, with an annual growth rate of 6.1% (CAGR), and the total sales volume is expected to reach US $7.3 billion in 2018; Orthopaedics is the category with the slowest growth, with an annual growth rate of 3.1% (CAGR)

evaluatemedtech predicts that Medtronic will still be the company with the largest sales in the field of medical technology in 2018; Roche will become the leader in the in vitro diagnosis market, with an annual sales volume of 9.9 billion US dollars and a market share of 18%; Medtronic will still maintain the first position in the world of heart products, with global sales of US $10.4 billion and a market share of 21%; It is expected that Johnson & Johnson will become the leader of the orthopedic market in 2018, with a market share of 30%; Siemens will continue to be the leader of the global diagnostic imaging company, with global sales of US $11.9 billion, accounting for 26% of the market share; Novartis will become the leader of ophthalmic companies, with global sales of US $9.2 billion. The French company Essilor will rank second, with sales of US $9 billion. The growth rate of the ophthalmic market will reach a record 5.7% (CAGR)

the medical plastic market is expanding, and high-performance plastics will further replace metals.

"breakthroughs in material technology are constantly refreshing people's understanding of plastic materials. It is estimated that by 2025, the global medical plastic market revenue is expected to reach 336billion US dollars."—— American market research company grand view research

nowadays, in addition to traditional disposable consumables and other medical plastic products, more and more surgical instruments, implant products, medical equipment, etc. have also begun to use or partially use plastics as raw materials. Although traditional metal products are still dominant in medical devices, their performance and user experience are inferior to plastic products. 2017 is a brilliant year for medical plastics. In the future, more high-performance plastics are bound to further replace metals

as early as 2013, direct flow medical in the United States developed all plastic heart surgery instruments with excellent performance. For those patients with severe aortic stenosis who cannot afford cardiopulmonary bypass heart surgery, doctors often adopt transcatheter aortic valve replacement (TAVR) when replacing the aortic valve. But this kind of operation may lead to aortic regurgitation (AR), also known as aortic insufficiency. AR is a kind of leakage of cardiac aortic valve, which will lead to the wrong direction of blood flow, and then serious complications. The all plastic appliance of direct flow medical can minimize the risk of ar. because the metal parts of this appliance have been replaced by polymer materials, the gold standard design of heart valves is possible

"we studied countless different chemical materials, and finally selected a water-soluble epoxy resin framework, adding an organic restrictive iodine additive to make the radiation impervious. And the polymer framework is 30 times safer than the traditional metal framework." Randolph Chitwood, director of surgery at direct flow medical, explained, "the real breakthrough is to find the right amine mixture so that we can develop products that meet all characteristics."

Figure 1 (Mr. Jeff Hrivnak, global business manager of Solvay healthcare)

Mr. Jeff Hrivnak, global business manager of Solvay healthcare, said in an interview: "There are two major trends in the future of medical plastics. The first is that the test of medical materials is becoming more and more strict. With the increasing risk of cross infection and the gradual strengthening of regulations and supervision, hospitals will disinfect equipment and instruments more frequently, and the disinfection capacity of disinfectants is also increasing, so the requirements for the chemical resistance of materials will be correspondingly improved. This is the advantage of special materials. We are helping device manufacturers to upgrade from And improve the product quality and service life of the device; Another trend is design innovation. At present, many medical devices are still made of metal, and plastic is bound to replace bulky metal materials in many fields. Compared with the old-fashioned and standardized design of metal products, plastic parts greatly improve their design freedom and product aesthetics. The material itself has rigidity comparable to metal, with a more beautiful appearance, a variety of colors, multi-functional and lightweight plastic devices, It can bring doctors a better experience. The most important thing is that in general, the cost of materials through mass injection molding is also reduced a lot, benefiting patients. This is also a huge advantage of plastic materials used in medical devices. "

speaking of the benefits of plastic replacing metal, Jeff gave some specific cases: "For example, the surgical instrument box and tray produced by our radel PPSU can be fully designed into a snap in cover with very light and high toughness materials, which are easy to clean and will not rust, thus causing bacterial nourishment. The whole can be repeatedly steam sterilized, still maintaining the original mechanical properties, and there are a variety of transparent colors for surgical differentiation. Another example, the metal materials currently used in joint implants, first of all, the strength of the metal It is very high, far higher than the human body's own bone, so the weight load of the body depends on metal support, and the self bone around the implant will not be stressed. Over time, bone loss will cause problems such as prosthesis loosening. The academic name is stress shielding, but if zeniva PEEK material is used, its material is close to the human body's bone modulus, and the bone needs to bear weight. If there is an opportunity to exercise, the function will not be lost. In addition, compared with metal materials, zeniva peek materials have natural biological inertia, better wear resistance and fatigue resistance, so as to improve the service life and improve the quality of life for patients. "

the hemodialysis market has a market space of 150 billion

&e the second is the environmental protection treatment of garbage MSP; "In 2016, the health and Family Planning Commission approved the independent establishment of hemodialysis centers for the first time as an independent legal entity, and proposed to encourage the development of hemodialysis centers to chain and collectivize, and open them to private capital. In 2018, private hemodialysis centers may bloom."—— Liu Zongyu, executive director of eggshell Research Institute

at present, the number of dialysis patients registered in China is estimated to be about 330000, including about 300000 hemodialysis patients. In China, only 300000 ESRD patients with 2million underwent hemodialysis. The actual annual dialysis cost is 75000 yuan. At present, the market size of hemodialysis in China is about 22.5 billion. However, 2 materials resistant to high temperature up to 220 ℃ are needed, and 100 million ESRD patients are treated with hemodialysis. Based on the annual treatment cost of 75000 yuan, the hemodialysis center has a theoretical market space of 150billion yuan. Even if the treatment rate is 90%, there is nearly five times the market growth space

Figure 2 (dialysis filter cartridge and diaphragm)

at present, there are 3637 hemodialysis centers in China, mainly concentrated in large public hospitals. After the expansion of medical insurance coverage for serious diseases, the number of hemodialysis patients with ESRD will increase significantly. More than 3000 hemodialysis centers are seriously in short supply for China's huge patient population. It is estimated that China needs 30000 hemodialysis centers. The huge gap cannot be met by the continuous expansion of hemodialysis centers in public hospitals. A large amount of remaining market space will be occupied by private institutions, and this part of the market is still in a wild era, which needs to be explored urgently

&em is planning to build a graphene raw material production line with an annual output of 100 tons sp; In addition, the massive expansion of hemodialysis center is also conducive to the full dialysis industry chain of dialysis machines, dialyzers, dialysis consumables, dialysis drugs and so on. Although dialysis machines are mainly occupied by foreign brands such as Fresenius, the localization rate of other hemodialysis consumables and drugs is gradually increasing

however, the policy liberalization of hemodialysis centers cannot reduce the control of safety risks. The state has made strict requirements for safety and infection prevention and control in the basic standards and management specifications of hemodialysis centers (Trial)

3d printing begins to enter the market stage

"in the next three to five years, 3D printing will enter the explosion period of industrialization, and industrial (metal) 3D printing and biomedical 3D printing are the final development direction."—— Luo Jun, CEO of World 3D printing technology industry association and executive director of China 3D printing industry alliance, 3D printing technology has entered the market stage after several years of precipitation and development from the beginning. In terms of medical treatment, the dental industry has begun to use 3D printing in batches to produce crowns, implants, movable stents and other products. In the future, it will enter the aerospace field and participate in the mass production of more medical devices

at present, the main technologies of 3D printing include: slot light curing technology, material extrusion technology, powder bed melting technology, material spraying technology, adhesive spraying technology, stacking technology, and direct energy curing technology. The hot spot of domestic development is powder bed melting technology. Medical 3D printing materials are mainly engineering plastics and metal materials. For example, concept laser, which entered the Chinese market in 2011, currently has about 90 printers in Chinese Mainland, covering many industries such as dentistry, mold, automobile, etc. More than 60 printers serve the dental industry. Concept laser is driven by the patented lasercusing process. Metal laser melting technology based on powder bed opens up a new free space for configuring components, and can realize small