1 Table of Contents 2
1.1 List of Tables 9
1.2 List of Figures 12
2 Introduction 14
2.1 What Is This Report About? 14
3 Definitions of Markets Covered in the Report 15
3.1.1 Wound Care Management 15
3.1.2 Advanced Wound Management 15
3.1.2.1 Alginates 15
3.1.2.2 Collagens 15
3.1.2.3 Foams 15
3.1.2.4 Hydrocolloids 15
3.1.2.5 Hydrofibres 15
3.1.2.6 Hydrogels 15
3.1.2.7 Semi-Permeable Films 15
3.1.3 Compression Therapy 15
3.1.3.1 Compression Bandages 16
3.1.3.2 Dynamic Compression Therapy 16
3.1.3.3 Segmental Pumps 16
3.1.4 Ostomy Drainage Bags 16
3.1.4.1 Colostomy 16
3.1.4.2 Ileostomy 16
3.1.4.3 Urostomy 16
3.1.5 Pressure Relief Devices 17
3.1.5.1 Mattress Overlays 17
3.1.5.2 Mattresses 17
3.1.5.3 Speciality Beds 17
3.1.6 Traditional Wound Management 17
3.1.7 Wound Closure Devices 17
3.1.7.1 Hemostats 17
3.1.7.2 Ligating Clips 17
3.1.7.3 Mechanical Stapling Devices 17
3.1.7.4 Tissue Sealants 18
3.1.7.5 Wound Closure Strips 18
4 Executive Summary 19
5 Healthcare Sector Review 20
5.1 Healthcare Sector 20
5.2 Healthcare Expenditure 20
5.3 Healthcare Infrastructure 23
5.3.1 Healthcare Personnel Data 23
5.3.2 Healthcare Facilities Data 25
5.4 Healthcare Policy 30
6 Regulation System 31
6.1 Regulation System 31
6.2 Medical Equipment Approval Process 31
6.2.1 Classification of Medical Devices 31
6.3 Conformity Assessment Process 40
6.3.1 Class I devices 40
6.3.2 Class IIa devices 41
6.3.3 Class IIb devices 42
6.3.4 Class III devices 43
6.4 Post Market Surveillance 44
7 Pricing and Reimbursement 45
7.1 SHI 45
7.1.1 Private Health Insurance 45
7.1.2 Diagnosis Related Groups (DRG) 45
8 Distribution Structure 46
9 Wound Care Management in Germany 47
9.1 Wound Care Management, Germany, Category Volume (Units), 2000-2015 51
9.2 Wound Care Management, Germany, Overall Revenue ($ m), 2000-2015 55
9.3 Wound Care Management Market Dynamics 57
9.3.1 Market Drivers 57
9.3.2 Market Restraints 57
9.4 Wound Care Management, Germany, Company Share (2007-2008) 58
10 Advanced Wound Management in Germany 59
10.1 Advanced Wound Management Overall Revenue (2000-2015) 59
10.2 Advanced Wound Management Overall Volume (2000-2015) 62
10.3 Advanced Wound Management Average Price (2000-2015) 66
10.4 Advanced Wound Care Market Dynamics 67
10.4.1 Market Drivers 67
10.4.2 Market Restraints 67
10.5 Advanced Wound Management Distribution Share (2007-2008) 68
10.6 Advanced Wound Management, Germany, Company Share (2007-2008) 69
11 Compression Therapy in Germany 70
11.1 Compression Therapy Overall Revenue (2000-2015) 70
11.1.1 Dynamic Compression Therapy Revenue (2000-2015) 72
11.2 Compression Therapy Overall Volume (2000-2015) 74
11.2.1 Dynamic Compression Therapy Volume (2000-2008) 75
11.3 Compression Therapy Average Price (2000-2015) 77
11.4 Compression Therapy Market Dynamics 78
11.4.1 Market Drivers 78
11.4.2 Market Restraints 78
11.5 Compression Therapy Distribution Share (2007-2008) 78
11.6 Compression Therapy, Germany, Company Share (2007-2008) 79
12 Negative Pressure Wound Therapy (NPWT) in Germany 80
12.1 Negative Pressure Wound Therapy (NPWT) Overall Revenue (2000-2015) 80
12.2 Negative Pressure Wound Therapy (NPWT) Overall Volume (2000-2015) 82
12.3 Negative Pressure Wound Therapy (NPWT) Average Price (2000-2015) 84
12.4 NPWT Market Dynamics 85
12.4.1 Market Drivers 85
12.4.2 Market Restraints 85
12.5 Negative Pressure Wound Therapy (NPWT) Distribution Share (2007-2008) 85
12.6 Negative Pressure Wound Therapy (NPWT), Germany, Company Share (2007-2008) 86
13 Ostomy Drainage Bags in Germany 87
13.1 Ostomy Drainage Bags Overall Revenue (2000-2015) 87
13.2 Ostomy Drainage Bags Overall Volume (2000-2015) 90
13.3 Ostomy Drainage Bags Average Price (2000-2015) 92
13.4 Ostomy Market Dynamics 93
13.4.1 Market Drivers 93
13.4.2 Market Restraints 93
13.5 Ostomy Drainage Bags Distribution Share (2007-2008) 93
13.6 Ostomy Drainage Bags, Germany, Company Share (2007-2008) 94
14 Pressure Relief Devices in Germany 95
14.1 Pressure Relief Devices Overall Revenue (2000-2015) 95
14.2 Pressure Relief Devices Overall Volume (2000-2015) 97
14.3 Pressure Relief Devices Average Price (2000-2015) 98
14.4 Pressure Relief Devices Market Dynamics 99
14.4.1 Market Drivers 99
14.4.2 Market Restraints 99
14.5 Pressure Relief Devices Distribution Share (2007-2008) 99
14.6 Pressure Relief Devices, Germany, Company Share (2007-2008) 100
15 Traditional Wound Management in Germany 101
15.1 Traditional Wound Management Overall Revenue (2000-2015) 101
15.2 Traditional Wound Management Overall Volume (2000-2015) 103
15.3 Traditional Wound Management Average Price (2000-2015) 105
15.4 Traditional Wound Management Market Dynamics 106
15.4.1 Market Drivers 106
15.4.2 Market Restraints 106
15.5 Traditional Wound Management Distribution Share (2007-2008) 106
15.6 Traditional Wound Management, Germany, Company Share (2007-2008) 107
16 Wound Closure Devices in Germany 108
16.1 Wound Closure Devices Overall Revenue (2000-2015) 108
16.2 Wound Closure Devices Overall Volume (2000-2015) 111
16.3 Wound Closure Devices Average Price (2000-2015) 113
16.4 Wound Closure Devices Market Trends 114
16.4.1 Market Drivers 114
16.4.2 Market Restraints 114
16.5 Wound Closure Devices Distribution Share (2007-2008) 115
16.6 Wound Closure Devices, Germany, Company Share (2007-2008) 116
17 Overview of Key Companies in Germany Wound Care Management Market 117
17.1 Smith & Nephew Plc 117
17.1.1 Company Overview 117
17.1.2 Smith & Nephew Plc Pipeline Products 118
17.1.2.1 Smith & Nephew Plc Pipeline Products By Equipment Type 118
17.1.2.2 Smith & Nephew Plc Pipeline Products By Development Stage 119
17.1.2.3 Smith & Nephew Plc Pipeline Products By Therapy Area 120
17.1.2.4 Smith & Nephew Plc Pipeline Products By News Summary 120
17.2 Kinetic Concepts, Inc. 121
17.2.1 Company Overview 121
17.2.2 Kinetic Concepts, Inc. Pipeline Products 121
17.2.2.1 Kinetic Concepts, Inc. Pipeline Products By Equipment Type 121
17.2.2.2 Kinetic Concepts, Inc. Pipeline Products By Development Stage 122
17.2.2.3 Kinetic Concepts, Inc. Pipeline Products By Therapy Area 122
17.2.2.4 Kinetic Concepts, Inc. Pipeline Products By Clinical Trials 122
17.2.2.5 Kinetic Concepts, Inc. Pipeline Products By News Summary 122
17.3 Johnson & Johnson 123
17.3.1 Company Overview 123
17.4 HARTMANN GROUP 124
17.4.1 Company Overview 124
17.5 ConvaTec 124
17.5.1 Company Overview 124
17.6 Coloplast A/S 125
17.6.1 Company Overview 125
17.7 BSN medical GmbH 125
17.7.1 Company Overview 125
18 Financial Deals Landscape 126
18.1 Financial Deal Analysis Deal Type 126
18.2 Financial Deal Analysis Deal Value and Volume 127
18.3 Acquisition 128
18.3.1 Montagu Private Equity Terminates The Sale Of BSN medical 128
19 Recent Developments 129
19.1 Financial Announcements 129
19.1.1 Mar 24, 2009: B. Braun Increases Sales By 6% To Reach EUR3.79 Billion For 2008 Fiscal Year 129
19.2 Legal and Regulatory 130
19.2.1 Jun 07, 2009: Poly Medicure Announces Appeal Decision In Patent Litigation With B. Braun 130
19.3 Product News 131
19.3.1 Aug 06, 2008: New Sternal Closure Device Provides Improved Stability And Reduced Pain For Heart Patients 131
19.4 Other Significant Developments 132
19.4.1 May 27, 2009: B. Braun Selects Honeywell To Provide Process Control Solutions For Plant In Melsungen, Germany 132
20 Appendix 133
20.1 Research Methodology 134
20.2 Secondary Research 135
20.3 Primary Research 135
20.4 Models 136
20.5 Forecasts 136
20.6 Expert Panels 136
20.7 GlobalData Consulting 137
20.8 Contact Us 137
20.9 Disclaimer 137

1.1 List of Tables
Table 1: Healthcare Expenditure in Germany, (€m), 2000 – 2006 20
Table 2: Healthcare Personnel by Region in Germany, 2007 23
Table 3: Doctors by Specialty in Germany, 2000-2004 24
Table 4: Hospitals by Region in Germany, 2004 25
Table 5: Hospitals and Beds by Region in Germany, 2007 26
Table 6: Rehabilitation Centers by Region in Germany, 2004 27
Table 7: Rehabilitation Center Beds by Region in Germany, 2004 28
Table 8: Discharges by Diagnosis in Germany, 2004 29
Table 9: Wound Care Management, Germany, Overall Revenue ($ m), Historic, 2000-2008 48
Table 10: Wound Care Management, Germany, Overall Revenue ($ m), Forecast, 2008-2015 50
Table 11: Wound Care Management, Germany, Category Volume (Units), Historic, 2000-2008 52
Table 12: Wound Care Management, Germany, Category Volume (Units), Forecast, 2008-2015 54
Table 13: Wound Care Management, Germany, Cross-Category Analysis, 2000-2015 55
Table 14: Wound Care Management, Germany, Company Share by Revenue ($ m), 2007-2008 58
Table 15: Advanced Wound Management, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 60
Table 16: Advanced Wound Management, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 61
Table 17: Advanced Wound Management, Germany, Volume (Units) by Segment, Historic, 2000-2008 63
Table 18: Advanced Wound Management, Germany, Volume (Units) by Segment, Forecast, 2008-2015 65
Table 19: Advanced Wound Management, Germany, Average Price ($), Historic, 2000-2008 66
Table 20: Advanced Wound Management, Germany, Average Price ($), Forecast, 2008-2015 66
Table 21: Advanced Wound Management, Germany, Distribution Share by Revenue ($ m), 2007-2008 68
Table 22: Advanced Wound Management, Germany, Company Share by Revenue ($ m), 2007-2008 69
Table 23: Compression Therapy, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 70
Table 24: Compression Therapy, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 71
Table 25: Dynamic Compression Therapy, Germany, Revenue ($ mn) by Sub-Segment, Historic, 2000-2008 72
Table 26: Dynamic Compression Therapy, Germany, Revenue ($ m) by Sub-Segment, Forecast, 2008-2015 73
Table 27: Compression Therapy, Germany, Volume (Units) by Segment, Historic, 2000-2008 74
Table 28: Compression Therapy, Germany, Volume (Units) by Segment, Forecast, 2008-2015 74
Table 29: Dynamic Compression Therapy, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 75
Table 30: Dynamic Compression Therapy, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 76
Table 31: Compression Therapy, Germany, Average Price ($), Historic, 2000-2008 77
Table 32: Compression Therapy, Germany, Average Price ($), Forecast, 2008-2015 77
Table 33: Compression Therapy, Germany, Distribution Share by Revenue ($ m), 2007-2008 78
Table 34: Compression Therapy, Germany, Company Share by Revenue ($ m), 2007-2008 79
Table 35: Negative Pressure Wound Therapy (NPWT), Germany, Revenue ($ m) by Segment, Historic, 2000-2008 80
Table 36: Negative Pressure Wound Therapy (NPWT), Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 81
Table 37: Negative Pressure Wound Therapy (NPWT), Germany, Volume (Units) by Segment, Historic, 2000-2008 82
Table 38: Negative Pressure Wound Therapy (NPWT), Germany, Volume (Units) by Segment, Forecast, 2008-2015 83
Table 39: Negative Pressure Wound Therapy (NPWT), Germany, Average Price ($), Historic, 2000-2008 84
Table 40: Negative Pressure Wound Therapy (NPWT), Germany, Average Price ($), Forecast, 2008-2015 84
Table 41: Negative Pressure Wound Therapy (NPWT), Germany, Distribution Share by Revenue ($ m), 2007-2008 85
Table 42: Negative Pressure Wound Therapy (NPWT), Germany, Company Share by Revenue ($ m), 2007-2008 86
Table 43: Ostomy Drainage Bags, Germany, Revenue ($ n) by Segment, Historic, 2000-2008 87
Table 44: Ostomy Drainage Bags, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 89
Table 45: Ostomy Drainage Bags, Germany, Volume (Units) by Segment, Historic, 2000-2008 90
Table 46: Ostomy Drainage Bags, Germany, Volume (Units) by Segment, Forecast, 2008-2015 91
Table 47: Ostomy Drainage Bags, Germany, Average Price ($), Historic, 2000-2008 92
Table 48: Ostomy Drainage Bags, Germany, Average Price ($), Forecast, 2008-2015 92
Table 49: Ostomy Drainage Bags, Germany, Distribution Share by Revenue ($ m), 2007-2008 93
Table 50: Ostomy Drainage Bags, Germany, Company Share by Revenue ($ m), 2007-2008 94
Table 51: Pressure Relief Devices, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 95
Table 52: Pressure Relief Devices, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 96
Table 53: Pressure Relief Devices, Germany, Volume (Units) by Segment, Historic, 2000-2008 97
Table 54: Pressure Relief Devices, Germany, Volume (Units) by Segment, Forecast, 2008-2015 97
Table 55: Pressure Relief Devices, Germany, Average Price ($), Historic, 2000-2008 98
Table 56: Pressure Relief Devices, Germany, Average Price ($), Forecast, 2008-2015 98
Table 57: Pressure Relief Devices, Germany, Distribution Share by Revenue ($ m), 2007-2008 99
Table 58: Pressure Relief Devices, Germany, Company Share by Revenue ($ m), 2007-2008 100
Table 59: Traditional Wound Management, Germany, Revenue ($ m), Historic, 2000-2008 101
Table 60: Traditional Wound Management, Germany, Revenue ($ mn), Forecast, 2008-2015 102
Table 61: Traditional Wound Management, Germany, Volume (Units), Historic, 2000-2008 103
Table 62: Traditional Wound Management, Germany, Volume (Units), Forecast, 2008-2015 104
Table 63: Traditional Wound Management, Germany, Average Price ($), Historic, 2000-2008 105
Table 64: Traditional Wound Management, Germany, Average Price ($), Forecast, 2008-2015 105
Table 65: Traditional Wound Management, Germany, Distribution Share by Revenue ($ m), 2007-2008 106
Table 66: Traditional Wound Management, Germany, Company Share by Revenue ($ m), 2007-2008 107
Table 67: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Historic, 2000-2008 109
Table 68: Wound Closure Devices, Germany, Revenue ($ mn) by Segment, Forecast, 2008-2015 110
Table 69: Wound Closure Devices, Germany, Volume (Units) by Segment, Historic, 2000-2008 111
Table 70: Wound Closure Devices, Germany, Volume (Units) by Segment, Forecast, 2008-2015 112
Table 71: Wound Closure Devices, Germany, Average Price ($), Historic, 2000-2008 113
Table 72: Wound Closure Devices, Germany, Average Price ($), Forecast, 2008-2015 113
Table 73: Wound Closure Devices, Germany, Distribution Share by Revenue ($ m), 2007-2008 115
Table 74: Wound Closure Devices, Germany, Company Share by Revenue ($ m), 2007-2008 116
Table 75: Smith & Nephew Plc Pipeline Products by Equipment Type 118
Table 76: Smith & Nephew Plc Pipeline Products By Development Stage 119
Table 77: Smith & Nephew Plc Pipeline Products By Therapy Area 120
Table 78: Smith & Nephew Plc Pipeline Products By News Summary 120
Table 79: Kinetic Concepts, Inc. Pipeline Products By Equipment Type 121
Table 80: Kinetic Concepts, Inc. Pipeline Products By Development Stage 122
Table 81: Kinetic Concepts, Inc. Pipeline Products By Therapy Area 122
Table 82: Kinetic Concepts, Inc. Pipeline Products By Clinical Trials 122
Table 83: Kinetic Concepts, Inc. Pipeline Products By News Summary 122
Table 84: Montagu Private Equity Terminates The Sale Of BSN medical 128

1.2 List of Figures
Figure 1: Healthcare Expenditure Sources in Germany, 2006 21
Figure 2: Healthcare Financing Framework in Germany, 2007 22
Figure 3: Flowchart for Classification of Non-invasive Devices in Germany, 2007 32
Figure 4: Flowchart for Classification of Invasive Devices in Germany, 2007 33
Figure 5: Flowchart for Classification of Invasive Devices in Germany, 2007 34
Figure 6: Classification of Invasive Devices in Germany, 2007 35
Figure 7: Classification of Invasive Devices in Germany, 2007 36
Figure 8: Flowchart for Classification of Active Devices in Germany, 2007 37
Figure 9: Flowchart for Classification of Active Devices in Germany, 2007 38
Figure 10: Flowchart for Classification of Devices except Non-invasive, Invasive and Active Devices in Germany, 2007 39
Figure 11: Conformity Assessment of Class-I Medical Devices in Germany, 2007 40
Figure 12: Conformity Assessment of Class-IIa Medical Devices in Germany, 2007 41
Figure 13: Conformity Assessment of Class-IIb Medical Devices in Germany, 2007 42
Figure 14: Conformity Assessment of Class-III Medical Devices in Germany, 2007 43
Figure 15: Wound Care Management, Germany, Overall Revenue ($ m), Historic, 2000-2008 47
Figure 16: Wound Care Management, Germany, Overall Revenue ($ m), Forecast, 2008-2015 49
Figure 17: Wound Care Management, Germany, Category Volume (Units), Historic, 2000-2008 51
Figure 18: Wound Care Management, Germany, Category Volume (Units), Forecast, 2008-2015 53
Figure 19: Wound Care Management, Germany, Cross-Category Analysis, 2000-2015 55
Figure 20: Wound Care Management, Germany, Company Share (%), 2008 58
Figure 21: Advanced Wound Management, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 59
Figure 22: Advanced Wound Management, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 61
Figure 23: Advanced Wound Management, Germany, Volume (Units) by Segment, Historic, 2000-2008 62
Figure 24: Advanced Wound Management, Germany, Volume (Units) by Segment, Forecast, 2008-2015 64
Figure 25: Advanced Wound Management, Germany, Company Share (%), 2008 69
Figure 26: Compression Therapy, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 70
Figure 27: Compression Therapy, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 71
Figure 28: Dynamic Compression Therapy, Germany, Revenue ($ m) by Sub-Segment, Historic, 2000-2008 72
Figure 29: Dynamic Compression Therapy, Germany, Revenue ($ m) by Sub-Segment, Forecast, 2008-2015 73
Figure 30: Dynamic Compression Therapy, Germany, Volume (Units) by Sub-Segment, Historic, 2000-2008 75
Figure 31: Dynamic Compression Therapy, Germany, Volume (Units) by Sub-Segment, Forecast, 2008-2015 76
Figure 32: Compression Therapy, Germany, Company Share (%), 2008 79
Figure 33: Negative Pressure Wound Therapy (NPWT), Germany, Revenue ($ m) by Segment, Historic, 2000-2008 80
Figure 34: Negative Pressure Wound Therapy (NPWT), Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 81
Figure 35: Negative Pressure Wound Therapy (NPWT), Germany, Volume (Units) by Segment, Historic, 2000-2008 82
Figure 36: Negative Pressure Wound Therapy (NPWT), Germany, Volume (Units) by Segment, Forecast, 2008-2015 83
Figure 37: Negative Pressure Wound Therapy (NPWT), Germany, Company Share (%), 2008 86
Figure 38: Ostomy Drainage Bags, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 87
Figure 39: Ostomy Drainage Bags, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 89
Figure 40: Ostomy Drainage Bags, Germany, Volume (Units) by Segment, Historic, 2000-2008 90
Figure 41: Ostomy Drainage Bags, Germany, Volume (Units) by Segment, Forecast, 2008-2015 91
Figure 42: Ostomy Drainage Bags, Germany, Company Share (%), 2008 94
Figure 43: Pressure Relief Devices, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 95
Figure 44: Pressure Relief Devices, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 96
Figure 45: Pressure Relief Devices, Germany, Company Share (%), 2008 100
Figure 46: Traditional Wound Management, Germany, Revenue ($ m), Historic, 2000-2008 101
Figure 47: Traditional Wound Management, Germany, Revenue ($ m), Forecast, 2008-2015 102
Figure 48: Traditional Wound Management, Germany, Volume (Units), Historic, 2000-2008 103
Figure 49: Traditional Wound Management, Germany, Volume (Units), Forecast, 2008-2015 104
Figure 50: Traditional Wound Management, Germany, Company Share (%), 2008 107
Figure 51: Wound Closure Devices, Germany, Revenue ($ m) by Segment, Historic, 2000-2008 108
Figure 52: Wound Closure Devices, Germany, Revenue ($ m) by Segment, Forecast, 2008-2015 110
Figure 53: Wound Closure Devices, Germany, Volume (Units) by Segment, Historic, 2000-2008 111
Figure 54: Wound Closure Devices, Germany, Volume (Units) by Segment, Forecast, 2008-2015 112
Figure 55: Wound Closure Devices, Germany, Company Share (%), 2008 116
Figure 57: Wound Care Management Europe, Deal Type 126
Figure 58: Wound Care Management Europe, Deal Value and Volume 127
Figure 60: GlobalData Methodology 134