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June 24, 2008 20:49 ET

Key Challenges and Issues facing the World Cardiac Pacemakers Market

LONDON, UNITED KINGDOM--(Marketwire - June 24, 2008) - Reportlinker.com announces that a new market research report related to the Cardiovascular diseases industry is available in its catalogue.

World Cardiac Pacemakers Market

http://www.reportlinker.com/p090663/World-Cardiac-Pacemakers-Market.html

This report analyzes the worldwide markets for Cardiac Pacemakers in US$ Million and Units. The major product segments analyzed are Implantable Pacemakers (Single-Chamber Pacemakers, & Dual-Chamber Pacemakers) and External Pacemakers. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual forecasts are provided for each region for the period of 2000 through 2015. The report profiles 24 companies including many key and niche players worldwide such as Biotronik GmbH & Co., KG, Boston Scientific Corporation, Medtronic, Inc., Vitatron, Sorin Group, St. Jude Medical, Inc., and Zoll Medical Corporation. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.


CARDIAC PACEMAKERS MCP-3350 
A GLOBAL STRATEGIC BUSINESS REPORT 


CONTENTS 

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS 

Study Reliability and Reporting Limitations I-1 
Disclaimers I-2 
Data Interpretation & Reporting Level I-2 
Quantitative Techniques & Analytics I-3 
Product Definitions and Scope of Study I-3 
Implantable Pacemakers I-3 
Single-Chamber Pacemakers I-3 
Dual-Chamber Pacemakers I-4 
External Pacemakers I-4 


II. EXECUTIVE SUMMARY 

1. Introduction II-1 
Market Restraints II-1 
Decline in Average Selling Price II-1 
Recalls and Safety Alerts II-2 
Threat form CRT-D Devices II-2 
Growth Drivers II-2 
Pacemakers Ensure Effective Management of Non-Systolic Heart 
Failures II-2 
Advent of Cardiac Resynchronization Therapy (CRT) II-3 
Leading Players and CRT Pacemakers II-3 
Innovations Spark Growth II-4 
Technologically Advanced Compact Models Hold Growth Potential II-4 
Remote Monitoring Capabilities Expand Cardiac Pacemaker 
Applications II-4 
Demographics Drive Demand for Cardiological Devices II-4 
Growing Proportion of Obese Population II-5 

2. Current and Future Analysis II-6 
Regional Markets II-6 
Product Groups/Segments II-6 
Table 1: Number of Pacemaker Implants by Country: 2005 E (Per 
Million Population) (includes corresponding Graph/Chart) II-6 

3. Market Trends & Issues II-7 
Cardiac Rhythm Management Market II-7 
Need for Improving Patient & Practitioner Awareness II-8 
Future Batteries for Pacemakers II-8 
Advent of Digital Pacemakers II-8 
Submicrometer CMOS Technologies to Improve Performance of 
Cardiac Pacemakers II-9 
Genetic Advances to Yield Replacement for Pacemakers II-9 

4. Pacemakers: A Profile II-10 
Shock the Heart to Life ... II-10 
Types of Pacemaker Systems II-10 
External Pacemakers II-10 
Internal Pacemakers II-10 
Types of Internal/Implantable Pacemakers II-10 
Single-Chamber Pacemakers II-11 
Dual-Chamber Pacemakers II-11 
Minimize Risk from Atrial Fibrillation II-11 
Types of Pacing II-12 
Fixed Rate Pacemakers II-12 
Demand Pacemakers II-12 
Rate-Responsive Pacemaker II-12 
Types of Cardiac Pacemakers II-13 
The ACC/AHA/NASPE Guidelines on Pacemakers II-13 
Indications for Pacing II-14 
Permanent Pacing II-14 
Use of Pacemakers for Elders II-15 
The Future II-15 
Advancements to be Incremental in Nature II-15 
Newer Indications Treated II-15 
Pacing Therapies for Two Forms of Cardiomyopathy II-15 
Implantable Device Applications Enters Diversified Fields II-16 
Pacemaker Therapy for Treating Epilepsy II-16 
Electronic Interferences by Mobile Phones II-16 
MRI-Compatible Cardiac Pacemakers II-16 
The Exploration Continues ... II-17 
Research Findings II-17 

5. Cardiac Circulation and Conduction: A Brief Review II-18 
Working of a Healthy Heart II-18 
Pacemakers are used to treat.... II-18 
Heart Blocks II-18 
Sick Sinus Syndrome II-19 
Pacemakers Control Sleep Apnea II-19 
Cardiac Rhythm Disorders II-19 
Types of Arrhythmias II-19 
Atrial Fibrillation is a Common Arrhythmia II-19 
More in Women... II-20 
Treatment needs to be Pursued Further II-20 
Treatment Modes II-21 
Drug Therapy II-21 
Electrical Cardioversion II-21 
Pacemaker II-21 
Atrial Defibrillators II-21 
Radiofrequency Ablation II-21 
Maze Procedure II-21 
Research Developments in Atrial Fibrillation II-22 
Approaches to Atrial Fibrillation Therapy II-22 
Erratic Heart Rhythms II-22 
A Bane to Life... II-22 
Treatment is the Only Way Out II-23 
The Aftermath... II-23 
Bradycardia II-23 
Cardiomyopathy II-23 
A Categorization ... II-23 
Bradycardia Pacemakers for Treating Cardiomyopathy II-24 

6. Pacemakers: An in-Depth Evaluation II-25 
A Historical Review of Pacemaker Origin II-25 
Pros and Cons of Implantable Pacemakers II-27 
Pacemaker Failure - An Unavoidable Risk II-27 
Working of an Artificial Cardiac Pacemaker II-27 
Implantation Procedure II-28 
Complex Functions of Pacemaker II-29 
Information Storage in Pacemakers II-30 
Pacing Modes... II-30 
Working of Pulse Generators... II-30 
Sensors: An Important Component of Pacemakers II-31 
Application Specific ICs II-32 
Implantable Device Microprocessor II-32 
Power Consumption II-33 
Precautions II-33 
Preparation II-33 
Aftercare II-34 
Threats II-34 
Life with an Artificial Cardiac Pacemaker II-34 

7. Competitive Scenario II-35 
Medtronic: The Undisputed Leader II-35 
A Diverse Mix of Products ... II-35 
Table 2: Leading Players in Cardiac Pacemakers Market 
Worldwide (2004-2006)- Percentage Breakdown by Value Sales 
for Medtronic, St. Jude Medical, Guidant/ oston Scientific 
and Others (includes corresponding Graph/Chart) II-36 

Table 3: Leading Players in the Single & Dual Chamber Cardiac 
Pacemakers Market Worldwide (2004-2006): Percentage Breakdown 
by Value Sales for Medtronic, St. Jude, Guidant and Others 
(includes corresponding Graph/Chart) II-36 

Table 4: Leading Players in Tri-Chamber (CRT-P) Cardiac 
Pacemakers Market Worldwide (2005 - 2006): Percentage 
Breakdown by Value Sales Medtronic, Guidant/Boston 
Scientific, and St. Jude (includes corresponding Graph/Chart) II-37 

8. Technological Developments II-38 
The Road to Success II-38 
Other Significant Technological Developments II-38 
Mode Switching II-38 
Fully Automatic Pacemakers II-38 
Minute Ventilation Offers Efficient Pacing II-38 
Implantable Devices Facilitate Automated Diagnosis II-39 
Brain Pacemaker II-39 
Cardiac Pacemaker - A Personal Computer for Future II-39 

9. Selected Historical Pacemaker Medical Research Developments II-40 
Successful Implantation of a Pacemaker and ICD in a Patient II-40 
Digital Cell Phone Signals can Cause Irregularities in Pacemakers II-40 

10. Product Innovations/Introductions II-41 
BIOTRONIK's Cylos 990 Pacemaker Gains CE Approval II-41 
Iranian Researchers Develop Innovative Batteries for Pacemakers II-41 
US Researchers Develop Heart Pacemaker Lead System II-41 
Sorin Group Introduces REPLY(TM) Pacemakers in Europe II-41 
Zephyr(TM) Pacemakers Gain FDA & CE Mark Approvals II-42 
St. Jude's OptiSense(TM) Lead Gains EU Approval II-42 
Belgian and Dutch Researchers Develop Enhanced Pacemaker II-42 
French Researchers Build New Cardiac Pacemaker II-42 
Medtronic Launches New Portfolio of Automatic Pacemakers II-42 
St. Jude Obtains CE Market and FDA Approvals for Tendril ST 
Pacemaker Lead II-43 
St. Jude Obtains FDA Approval to Market Victory(R) Pacemakers II-43 
BIOTRONIK Introduces New Talos Pacemaker System with Setrox S 
Lead II-43 
Vitatron Introduces Vitatron C-Series, A3 Models of Digital 
Pacemaker II-44 
Biotronik Unveils Stratos(R) LV-T Pacemaker System II-44 
ELA Medical Offers SYMPHONYO AAIsafeRTM 2 Pacing System II-44 
Medtronic Launches Dual-Chamber EnRhythm(TM) Pacemaker in the US II-44 
Guidant Announces U.S. Launch of Cardiac Resynchronization 
Therapy Pacemaker II-44 
Getz Bros Introduces St. Jude Medical' Identity Series Cardiac 
Pacemaker II-45 
Vitatron Releases Vitatron T-Series Pacemaker in the US II-45 
Medtronic Introduces EnPulse(TM) System in the US II-45 
Vitatron Uncovers Vitatron C-Series Digital Pacemakers II-45 
Guidant Launches INSIGNIA Entra Pacemaker II-45 
Guidant Announces European Market Launch of its Most Advanced 
Pacemaker Line II-46 
Biotronik Unveils Stratos LV-T Pacemakers II-46 
Getz Bros. Rolls Out New Integrity µ Pacemaker II-46 
Guidant Launches FLEXTEND(TM) Pacing Lead in the US and Europe II-46 
Biotronik Introduces Intelligent Cardiac Pacemaker II-46 
Zoll Rolls Out Defibrillator Monitor Pacemaker II-47 

11. Recent Industry Activity II-48 
Medtronic Obtains FDA Consent for Clinical Trials II-48 
Medtronic Acquires Biophan's MRI Safety Patent Portfolio II-48 
Boston Scientific Acquires Guidant Corporation II-48 
AMI and IRM Enter Into Technology Agreement for Implantable 
Pacemakers & Defibrillators II-49 
Wilson Greatbatch Signs Binding Purchase Order with Cardiac 
Pacemakers and Guidant II-49 
Guidant Collaborates with Columbia University Medical Center 
and Stony Brook University II-49 
Medtronic Wins FDA Approval of Automatic Pacemaker II-49 
St. Jude Receives US Approval for Frontier II Bi- Ventricular 
Pacemaker II-49 
Medtronic Unveils Internet-Based Medtronic CareLink(R) Network II-50 

12. Strategic Corporate Developments (2001-2003) II-51 

13. Focus on Select Global Players II-54 
Biotronik GmbH & Co., KG (Germany) II-54 
Boston Scientific Corporation (US) II-54 
Medtronic, Inc. (US) II-54 
Vitatron (Netherlands) II-55 
Sorin Group (Italy) II-55 
St. Jude Medical, Inc. (US) II-56 
Zoll Medical Corporation (US) II-56 

14. Global Market Perspective II-57 
Unit Analytics II-57 
Table 5: World Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Geographic Region - US, Canada, Japan, 
Europe, Asia-Pacific, Latin America and Rest of World Markets 
Independently Analyzed with Annual Sales Figures in Thousand 
Units for Years 2000 through 2010 (includes corresponding 
Graph/Chart) II-57 

Table 6: World Long-term Projections for Cardiac Pacemakers by 
Geographic Region - USA, Canada, Japan, Europe, Asia-Pacific 
(excluding Japan), Latin America and Rest of World Markets 
Independently Analyzed with Annual Sales Figures in Thousand 
Units for Years 2011 through 2015 II-58 

Table 7: World 10-Year Perspective for Cardiac Pacemakers by 
Geographic Region - Percentage Breakdown of Volume Sales for 
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan), 
Latin America and Rest of World Markets for Years 2003, 2008 & 
2012 (includes corresponding Graph/Chart) II-59 

Table 8: World Recent Past, Current & Future Analysis for 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific (excluding Japan), Latin America 
and Rest of World American Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2000 through 
2010 (includes corresponding Graph/Chart) II-60 

Table 9: World Long-term Projections for Implantable 
Pacemakers by Geographic Region - USA, Canada, Japan, Europe, 
Asia-Pacific (excluding Japan), Latin America and Rest of 
World Markets Independently Analyzed with Annual Sales Figures 
in Thousand Units for Years 2011 through 2015 (includes 
corresponding Graph/Chart) II-61 

Table 10: World Recent Past, Current & Future Analysis for 
Implantable Pacemakers by Product Segment - Single-Chamber 
Pacemakers, and Dual-Chamber Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for Years 
2000 through 2010 (includes corresponding Graph/Chart) II-62 

Table 11: World Long-term Projections for Cardiac Pacemakers 
by Product Segment - Single-Chamber Pacemakers, and 
Dual-Chamber Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 through 
2015 (includes corresponding Graph/Chart) II-62 

Table 12: World 10-Year Perspective for Implantable Pacemakers 
by Geographic Region - Percentage Breakdown of Volume Sales 
for US, Canada, Japan, Europe, Asia-Pacific, Latin America and 
Rest of World Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) II-63 

Table 13: World 10-Year Perspective for Implantable Pacemakers 
by Product Segment - Percentage Breakdown of Value Sales for 
Single-Chamber Pacemakers, and Dual-Chamber Pacemakers Markets 
for Years 2003, 2008 & 2012 II-63 

Table 14: World Recent Past, Current & Future Analysis for 
Single-Chamber Implantable Pacemakers by Geographic Region - 
US, Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets Independently Analyzed with Annual Sales 
Figures in Thousand Units for Years 2000 through 2010 
(includes corresponding Graph/Chart) II-64 

Table 15: World Long-term Projections for Single-Chamber 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific and Latin American and Rest of 
World Markets Independently Analyzed with Annual Sales Figures 
in Thousand Units for Years 2011 through 2015 (includes 
corresponding Graph/Chart) II-65 

Table 16: World 10-Year Perspective for Single- Chamber 
Implantable Pacemakers by Geographic Region - Percentage 
Breakdown of Volume Sales for US, Canada, Japan, Europe, 
Asia-Pacific and Latin American and Rest of WorldMarkets for 
Years 2003, 2008 & 2012 (includes corresponding Graph/Chart) II-66 

Table 17: World Recent Past, Current & Future Analysis for 
Dual-Chamber Implantable Pacemakers by Geographic Region - US, 
Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets Independently Analyzed with Annual Sales 
Figures in Thousand Units for Years 2000 through 2010 
(includes corresponding Graph/Chart) II-67 

Table 18: World Long-term Projections for Dual-Chamber 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific and Latin American and Rest of 
World Markets Independently Analyzed with Annual Sales Figures 
in Thousand Units for Years 2011 through 2015 (includes 
corresponding Graph/Chart) II-68 

Table 19: World 10-Year Perspective for Dual-Chamber 
Implantable Pacemakers by Geographic Region - Percentage 
Breakdown of Volume Sales for US, Canada, Japan, Europe, 
Asia-Pacific and Latin American and Rest of World Markets for 
Years 2003, 2008 & 2012 (includes corresponding Graph/Chart) II-69 

Table 20: World Recent Past, Current & Future Analysis for 
External Pacemakers by Geographic Region - US, Canada, Japan, 
Europe, Asia-Pacific and Latin American and Rest of World 
Markets Independently Analyzed with Annual Sales Figures in 
Thousand Units for Years 2000 through 2010 (includes 
corresponding Graph/Chart) II-70 

Table 21: World Long-term Projections for External Pacemakers 
by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific 
and Latin American and Rest of World Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for Years 
2011 through 2015 (includes corresponding Graph/Chart) II-71 

Table 22: World 10-Year Perspective for External Pacemakers by 
Geographic Region - Percentage Breakdown of Volume Sales for 
US, Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) II-72 
Value Analytics II-73 
Table 23: World Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Geographic Region - US, Canada, Japan, 
Europe, Asia-Pacific, Latin America and Rest of World Markets 
Independently Analyzed with Annual Sales Figuresin US$ Million 
for Years 2000 through 2010 (includes corresponding 
Graph/Chart) II-73 

Table 24: World Long-term Projections for Cardiac Pacemakers 
by Geographic Region - US, Canada, Japan, Europe, 
Asia-Pacific, Latin America and Rest of World Markets 
Independently Analyzed with Annual Sales Figures in US$ 
Million for Years 2011 through 2015 (includes corresponding 
Graph/Chart) II-74 

Table 25: World 10-Year Perspective for Cardiac Pacemakers by 
Geographic Region - Percentage Breakdown of Value Sales for 
US, Canada, Japan, Europe, Asia-Pacific, Latin America and 
Rest of World Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) II-75 

Table 26: World Recent Past, Current & Future Analysis for 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific, Latin America and Rest of World 
Markets Independently Analyzed with Annual Sales Figures in 
US$ Million for Years 2000 through 2010 (includes 
corresponding Graph/Chart) II-76 

Table 27: World Long-term Projections for Implantable 
Pacemakers by Geographic Region - US, Canada, Japan, Europe, 
Asia-Pacific, Latin America and Rest of World Markets 
Independently Analyzed with Annual Sales Figures in US$ 
Million for Years 2011 through 2015 (includes corresponding 
Graph/Chart) II-77 

Table 28: World Recent Past, Current & Future Analysis for 
Implantable Pacemakers by Product Segment - Single-Chamber 
Pacemakers, and Dual-Chamber Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includescorresponding Graph/Chart) II-78 

Table 29: World Long-term Projections for Implantable 
Pacemakers by Product Segment - Single-Chamber Pacemakers, and 
Dual-Chamber Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) II-78 

Table 30: World 10-Year Perspective for Implantable Pacemakers 
by Geographic Region - Percentage Breakdown of Value Sales for 
US, Canada, Japan, Europe, Asia-Pacific, Latin America and 
Rest of World Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) II-79 

Table 31: World 10-Year Perspective for Implantable Pacemakers 
by Product Segment - Percentage Breakdown of Value Sales for 
Single-Chamber Pacemakers, and Dual-Chamber Pacemakers Markets 
for Years 2003, 2008 & 2012 II-79 

Table 32: World Recent Past, Current & Future Analysis for 
Single-Chamber Implantable Pacemakers by Geographic Region - 
US, Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets Independently Analyzed with Annual Sales 
Figures in US$ Million for Years 2000 through 2010 (includes 
corresponding Graph/Chart) II-80 

Table 33: World Long-term Projections for Single-Chamber 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific and Latin America and Rest of 
World Markets Independently Analyzed with Annual Sales Figures 
in US$ Million for Years 2011 through 2015 (includes 
corresponding Graph/Chart) II-81 

Table 34: World 10-Year Perspective for Single-Chamber 
Implantable Pacemakers by Geographic Region - Percentage 
Breakdown of Value Sales for US, Canada, Japan, Europe, 
Asia-Pacific and Latin American and Rest of World Markets for 
2003, 2008 & 2012 (includes corresponding Graph/Chart) II-82 

Table 35: World Recent Past, Current & Future Analysis for 
Dual-Chamber Implantable Pacemakers by Geographic Region - US, 
Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets Independently Analyzed with Annual Sales 
Figures in US$ Million for Years 2000 through 2010 (includes 
corresponding Graph/Chart) II-83 

Table 36: World Long-term Projections for Dual-Chamber 
Implantable Pacemakers by Geographic Region - US, Canada, 
Japan, Europe, Asia-Pacific and Latin America and Rest of 
World Markets Independently Analyzed with Annual Sales Figures 
in US$ Million for Years 2011 through 2015 (includes 
corresponding Graph/Chart) II-84 

Table 37: World 10-Year Perspective for Dual-Chamber 
Implantable Pacemakers by Geographic Region - Percentage 
Breakdown of Value Sales for US, Canada, Japan, Europe, 
Asia-Pacific and Latin American and Rest of World Markets for 
Years 2003, 2008 & 2012 (includes corresponding Graph/Chart) II-85 

Table 38: World Recent Past, Current & Future Analysis for 
External Pacemakers by Geographic Region - US, Canada, Japan, 
Europe, Asia-Pacific and Latin American and Rest of World 
Markets Independently Analyzed with Annual Sales Figures in 
US$ Million for Years 2000 through 2010 (includes 
corresponding Graph/Chart) II-86 

Table 39: World Long-term Projections for External Pacemakers 
by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific 
and Latin America and Rest of World Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2011 through 2015 (includes corresponding Graph/Chart) II-87 

Table 40: World 10-Year Perspective for External Pacemakers by 
Geographic Region - Percentage Breakdown of Value Sales for 
US, Canada, Japan, Europe, Asia-Pacific and Latin American and 
Rest of World Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) II-88 

Table 41: World Recent Past, Current & Future Analysis for CRT 
with pacemaker backup (CRT-P) Devices by Geographic Region - 
US and Rest of World Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2004 through 
2010 (includes corresponding Graph/Chart) II-89 

Table 42: World 7-Year Perspective for CRT with Pacemaker 
Backup (CRT-P) Devices by Geographic Region - Percentage 
Breakdown of Value Sales for US and Rest of World Markets for 
Years 2004, 2006, 2008 & 2012 (includes corresponding 
Graph/Chart) II-89 


III. MARKET 

1. The United States III-1 
A.Market Analysis III-1 
Current and Future Analysis III-1 
Factors Restraining Growth III-1 
Market Saturation, Declining Prices Stifle Growth III-1 
Multiple Capabilities of CRT-D Devices Threaten Pacemaker 
Demand III-1 
Product Recalls Adversely Affect Manufacturer Margins III-2 
Growth Sustaining Factors III-2 
Aided by New Applications III-2 
CRT-P Devices Pace Market Revenues III-2 
Remote Monitoring Capabilities Expand Cardiac Pacemaker 
Applications III-2 
Technologically Advanced Compact Models Hold Growth Potential III-3 
Malfunctioning Replacement Rate Higher in ICDs III-3 
The ACC/AHA/NASPE Guidelines on Pacemakers III-3 
Reimbursements III-4 
Implanted Pacemakers - Medicare Slashes Reimbursement Rates III-4 
Table 43: Medicare Reimbursement Rates for Cardiac 
Pacemakers III-5 
Payment Hiked for Outpatient Pacemaker Procedures on 
Elderly Patients III-5 
Implantable Cardioverter Defibrillators (ICDs) III-5 
Table 44: Medicare Reimbursement Rates for Implantable 
Cardioverter Defibrillators (ICDs) III-6 
Key Statistics III-6 
Statistics for Cardiovascular Diseases III-6 
Table 45: Prevalence of Cardiovascular Diseases in Adult 
Population (Over 18 Years) by US Ethnic Communities (2003) III-6 

Table 46: Deaths due to Cardiovascular Diseases in the US 
(2004): Percentage Breakdown for Coronary Heart Diseases, 
Stroke, Heart Failure, High Blood Pressure, Arterial 
Diseases, and Others (includes corresponding Graph/Chart) III-7 

Table 47: Estimated Direct and Indirect Costs of 
Cardiovascular Diseases (2006): Percentage Breakdown for 
Coronary Heart Diseases, Hypersensitive Diseases, Stroke, 
Heart Failure, and Others (includes corresponding 
Graph/Chart) III-7 

Table 48: Pacemaker or Pacemaker Lead Procedures in the US 
(2003): Number of Hospitalizations By Age Group for Each 
10,000 Population (includes corresponding Graph/Chart) III-8 
An Overview of the Cardiovascular Devices Market III-8 
Implantable Cardiac Defibrillator Market III-8 
Competition III-9 
Table 49: Leading Players in the US Cardiac Rhythm 
Management Devices Market (2005: Percentage Breakdown by 
Value Sales for Medtronic, Guidant/ Boston Scientific, St. 
Jude Medical and Others (includes corresponding 
Graph/Chart) III-9 

Table 50: Leading Players in the US Cardiac Pacemakers 
Market (2006): Percentage Breakdown by Value Sales for 
Medtronic, St. Jude, Guidant/Boston Scientific, and Others 
(includes corresponding Graph/Chart) III-9 

Table 51: Leading Players in the US Core Single & Dual 
Chamber Cardiac Pacemakers Market (2004 - 2006): Percentage 
Breakdown by Value Sales for Medtronic, St. Jude, 
Guidant/Boston Scientific and Others (includes 
corresponding Graph/Chart) III-10 

Table 52: Leading Players in the US Tri-Chamber (CRT-P) 
Cardiac Pacemakers Market (2005 -2006): Percentage 
Breakdown by Value Sales for Medtronic, Guidant/Boston 
Scientific, and St. Jude (includes corresponding 
Graph/Chart) III-10 

Table 53: Leading Players in the US Cardiac Remote 
Monitoring (CRM) Systems Market (2004 & 2005E): Percentage 
Breakdown by Volume Sales for Medtronic, St. Jude, 
Biotronik and Others (includes corresponding Graph/Chart) III-11 
Product Launches III-11 
Strategic Corporate Developments III-14 
Key US Players III-18 
Boston Scientific Corporation III-18 
Medtronic, Inc. III-18 
St. Jude Medical, Inc. III-19 
Zoll Medical Corporation III-19 
B.Market Analytics III-20 
Unit Analytics III-20 
Table 54: US Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-20 

Table 55: US Long-term Projections for Cardiac Pacemakers 
by Product Segment - Implantable Pacemakers (Single-Chamber 
Pacemakers and Dual-Chamber Pacemakers) and External 
Pacemakers Markets Independently Analyzed with Annual Sales 
Figures in Thousand Units for Years 2011 through 2015 
(includes corresponding Graph/Chart) III-20 

Table 56: US 10-Year Perspective for Cardiac Pacemakers by 
Product Segment - Percentage Breakdown of Volume Sales for 
Implantable Pacemakers (Single-Chamber Pacemaker and 
Dual-Chamber Pacemaker) and Externa Pacemakers Markets for 
2003, 2008 & 2012 (includes corresponding Graph/Chart) III-21 
Value Analytics III-22 
Table 57: US Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includes corresponding Graph/Chart) III-22 

Table 58: US Long-term Projections for Cardiac Pacemakers 
by Product Segment - Implantable Pacemakers (Single-Chamber 
Pacemakers and Dual-Chamber Pacemakers) and External 
Pacemakers Markets Independently Analyzed with Annual Sales 
Figures in US$ Million for Years 2011 through 2015 
(includes corresponding Graph/Chart) III-22 

Table 59: US 10-Year Perspective for Cardiac Pacemakers by 
Product Segment - Percentage Breakdown of Value Sales for 
Implantable Pacemakers (Single-Chamber Pacemaker and 
Dual-Chamber Pacemaker) and External Pacemakers Markets for 
2003, 2008 & 2012 (includes corresponding Graph/Chart) III-23 

Table 60: US Recent Past, Current & Future Analysis for CRT 
with Pacemaker Backup (CRT-P) Devices with Annual Sales 
Figures in US$ Million for Years 2004 through 2010 
(includes corresponding Graph/Chart) III-23 

2. Canada III-24 
A.Market Analysis III-24 
Current and Future Analysis III-24 
Table 61: Canadian Pacemaker Exports (2005): Percentage 
Breakdown by Export Value for Ireland, The Netherlands, 
United Kingdom, United States, Italy, Iceland, and Germany 
(includes corresponding Graph/Chart) III-24 

Table 62: Canadian Pacemaker Imports (2005): Percentage 
Breakdown by Import Value for Switzerland, the United 
States, Ireland, Sweden, Netherlands, and Others (includes 
corresponding Graph/Chart) III-24 
B.Market Analytics III-25 
Unit Analytics III-25 
Table 63: Canadian Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-25 

Table 64: Canadian Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-25 

Table 65: Canadian 10-Year Perspective for Cardiac 
Pacemakers by Product Segment -Percentage Breakdown of 
Volume Sales for Implantable Pacemakers(Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2000, 2008 & 2010 (includes 
corresponding Graph/Chart) III-26 
Value Analytics III-27 
Table 66: Canadian Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includes corresponding Graph/Chart) III-27 

Table 67: Canadian Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-27 

Table 68: Canadian 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Value Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-28 

3. Japan III-29 
A.Market Analysis III-29 
Current and Future Analysis III-29 
Pacemakers Market Scenario III-29 
Leading Players ... III-29 
Table 69: Leading Players in Japanese Cardiac Pacemakers 
Market (2004 & 2005E): Percentage Breakdown by Value Sales 
for Medtronic Japan, Japan Lifeline and Others (includes 
corresponding Graph/Chart) III-30 

Table 70: Pacemaker Imports in Japan (2004 &2005) - 
Percentage Breakdown by Imports Value for Switzerland, US, 
Sweden, Ireland, Germany and Others (includes 
corresponding Graph/Chart) III-30 
Product Launch III-31 
Focus on Select Players III-32 
Fukuda Denshi Co., Ltd. III-32 
Japan Lifeline Co., Ltd. III-32 
B.Market Analytics III-33 
Unit Analytics III-33 
Table 71: Japanese Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-33 

Table 72: Japanese Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-33 

Table 73: Japanese 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Volume Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-34 
Value Analytics III-35 
Table 74: Japanese Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includes corresponding Graph/Chart) III-35 

Table 75: Japanese Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-35 

Table 76: Japanese 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Value Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-36 

4. Europe III-37 
A.Market Analysis III-37 
Current and Future Analysis III-37 
European Medical Devices Market III-37 
CRM Market Generates Higher Revenues III-37 
Major CRM Markets III-37 
Maturity Hits European Pacemakers Market III-38 
Table 77: European Pacemaker Systems Market (2005 & 2006): 
Percentage Breakdown of Dollar Sales by Company for 
Medtronic, St. Jude Medical, Guidant/Boston Scientific, 
Sorin Group, Biotronic GmbH & Co. KG, and Others (includes 
corresponding Graph/Chart) III-38 
Product Launches III-39 
B.Market Analytics III-40 
Unit Analytics III-40 
Table 78: European Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Geographic Region - France, 
Germany, Italy, UK and Rest of Europe Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-40 

Table 79: European Long-term Projections for Cardiac 
Pacemakers by Geographic Region - France, Germany, Italy, 
UK and Rest of Europe Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-40 

Table 80: European Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-41 

Table 81: European Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-41 

Table 82: European 10-Year Perspective for Cardiac 
Pacemakers by Geographic Region - Percentage Breakdown of 
Volume Sales for France, Germany,Italy, UK and Rest of 
Europe Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-42 

Table 83: European 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Volume Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-42 
Value Analytics III-43 
Table 84: European Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Geographic Region - France, 
Germany, Italy, UK and Rest of Europe Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includes corresponding Graph/Chart) III-43 

Table 85: European Long-term Projections for Cardiac 
Pacemakers by Geographic Region - France, Germany, Italy, 
UK and Rest of Europe Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-43 

Table 86: European Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010 (includes corresponding Graph/Chart) III-44 

Table 87: European Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-44 

Table 88: European 10-Year Perspective for Cardiac 
Pacemakers by Geographic Region - Percentage Breakdown of 
Value Sales for France, Germany, Italy UK, and Rest of 
Europe Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-45 

Table 89: European 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Value Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for Years 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-45 

Table 90: Europe Recent Past, Current & Future Analysis for 
CRT with Pacemaker Backup (CRT-P) Devices with Annual Sales 
Figures in US$ Million for Years 2002 through 2010 
(includes corresponding Graph/Chart) III-46 

4a. France III-47 
A.Market Analysis III-47 
Current and Future Analysis III-47 
Product Developments/Launches III-47 
B.Market Analytics III-48 
Unit Analytics III-48 
Table 91: French Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-48 

Table 92: French Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-48 

Table 93: French 10-Year Perspective for Cardiac Pacemakers 
by Product Segment - Percentage Breakdown of Volume Sales 
for Implantable Pacemakers (Single-Chamber Pacemaker and 
Dual-Chamber Pacemaker) and External Pacemakers Markets for 
2003, 2008 & 2012 (includes corresponding Graph/Chart) III-49 
Value Analytics III-50 
Table 94: French Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single- Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010(includes corresponding Graph/Chart) III-50 

Table 95: French Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-50 

Table 96: French 10-Year Perspective for Cardiac Pacemakers 
by Product Segment - Percentage Breakdown of Value Sales 
for Implantable Pacemakers (Single-Chamber Pacemaker and 
Dual-Chamber Pacemaker) and External Pacemakers Markets 
for2003, 2008 & 2012 (includes corresponding Graph/Chart) III-51 

4b. Germany III-52 
A.Market Analysis III-52 
Current and Future Analysis III-52 
Product Launches III-52 
Biotronik GmbH & Co., KG - A Key Player III-53 
B.Market Analytics III-54 
Unit Analytics III-54 
Table 97: German Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single- Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-54 

Table 98: German Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-55 

Table 99: German 10-Year Perspective for Cardiac Pacemakers 
by Product Segment - Percentage Breakdown of Volume Sales 
for Implantable Pacemakers (Single-Chamber Pacemaker and 
Dual-Chamber Pacemaker) and External Pacemakers Markets for 
2003, 2008 & 2012 (includes corresponding Graph/Chart) III-55 
Value Analytics III-56 
Table 100: German Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for 
Years2000 through 2010(includes corresponding Graph/Chart) III-56 

Table 101: German Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-56 

Table 102: German 10-Year Perspective for Cardiac 
Pacemakers by Product Segment -Percentage Breakdown of 
Value Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-57 

4c. Italy III-58 
Market Analysis III-58 
Current and Future Analysis III-58 
Sorin Group - A Key Player III-58 
Unit Analytics III-59 
Table 103: Italian Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-59 

Table 104: Italian Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in Thousand Units for Years 2011 
through 2015 (includes corresponding Graph/Chart) III-59 

Table 105: Italian 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Volume Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-60 
Value Analytics III-61 
Table 106: Italian Recent Past, Current & Future Analysis 
for Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single- Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in US$ Million for Years 
2000 through 2010(includes corresponding Graph/Chart) III-61 

Table 107: Italian Long-term Projections for Cardiac 
Pacemakers by Product Segment - Implantable Pacemakers 
(Single-Chamber Pacemakers and Dual-Chamber Pacemakers) and 
External Pacemakers Markets Independently Analyzed with 
Annual Sales Figures in US$ Million for Years 2011 through 
2015 (includes corresponding Graph/Chart) III-61 

Table 108: Italian 10-Year Perspective for Cardiac 
Pacemakers by Product Segment - Percentage Breakdown of 
Value Sales for Implantable Pacemakers (Single-Chamber 
Pacemaker and Dual-Chamber Pacemaker) and External 
Pacemakers Markets for 2003, 2008 & 2012 (includes 
corresponding Graph/Chart) III-62 

4d. The United Kingdom III-63 
A.Market Analysis III-63 
Current and Future Analysis III-63 
Cardiac Rhythm Management Devices Market Overview III-63 
Regulatory Environment III-63 
Pacing Guidelines in the UK III-63 
BPEG Specifications on Modes of Pacing III-64 
Key Statistics III-64 
B.Market Analytics III-64 
Unit Analytics III-64 
Table 109: UK Recent Past, Current & Future Analysis for 
Cardiac Pacemakers by Product Segment - Implantable 
Pacemakers (Single-Chamber Pacemakers and Dual-Chamber 
Pacemakers) and External Pacemakers Markets Independently 
Analyzed with Annual Sales Figures in Thousand Units for 
Years 2000 through 2010 (includes corresponding 
Graph/Chart) III-64 

Table 110: UK Long-term Projections for Cardiac Pacemakers 
by Product Segment - Implantable Pacemakers (Single-Chamber 
Pacemakers and Dual-Chamber Pacem

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