Wound Care, 3rd. Edition, Vol. III: Surgical and Trauma Wounds

There are millions of surgical procedures performed annually worldwide and the market for wound care products and techniques is significant. In the United States alone, there are over 100,000 surgeries performed daily. Surgical and trauma wounds are, by far, the most common types of wounds addressed in the wound care area. Enjoying market success depends on several factors. Manufacturers must develop a formidable strategy, which involves matching internal capabilities with external opportunities. By choosing to implement such strategies, providers are able to achieve high levels of clinical success while controlling use and costs. Manufacturers are continuing to create well-rounded and advanced products to provide a wider variety of choices. The aging of the population and continued advances in biotechnology drive the wound care industry. The aging world population created increased demand for all types of surgical intervention, particularly cardiovascular, orthopedic, urological and dermatological procedures. The emerging generation of wound care products and technologies are well-positioned to capitalize on this growth. Besides the always-improving synthetic dressing materials, newer technologies in wound treatment include the xenogeneic tissue scaffold, bilayered human dermal substitutes, recombinant growth factors, endoscopic subfascial ligation of venous perforators, and endovascular arterial repair techniques. New wound care products and devices are entering the market with lightening speed, all striving for the best clinical outcomes.

Wound Care, 3rd. Edition, Vol. III: Surgical and Trauma Wounds details total manufacturers' revenues from the following product categories:

• Wound Closure
• Sutures
• Staples
• Tissue adhesives, sealants and glues
• Anti-infectives
• Surgical and trauma wound management
• Wound cleaners
• Debridement
• Tapes
• Dry dressings
• Moist Dressings
• Alginates
• Films
• Foams
• Hydrocolloids
• Hydrogels
• Biological Dressings
• Artificial Skin
• Collagen
• Growth Factors
• Miscellaneous Treatments

The information and analysis presented in this report are based on an extensive survey of senior management in the prescription women's health drug industry. Background information was obtained from a comprehensive search of published literature and reports obtained from various government, business, medical trade, and international journals. Key information from published literature was used to conduct interviews with industry executives and product managers to validate and obtain expert opinion on current and future trends in the women's health industry.

Interviews were also used to confirm and/or adjust market size and market share estimates, as well as in formulating market projections. All market data pertains to the U.S. market at the manufacturers' level. Revenues in the report are based on sales at the manufacturers' level for the following markets:

• Wound Closure
• Anti-infectives
• Surgical and Trauma Wound Management
• Moist Dressings
• Biological Dressings
• Miscellaneous Surgical Wound and Trauma Treatments

The market is varied in terms of both product offerings and product maturity. Several of the segments are mature such as anti-infectives, wound management, and sutures and staples of the wound closure market, while others such as biological dressings, some moist dressings, and sealants, adhesives, and glues of the wound closure segment are in the infant stages of development.

Thus some segments within the market are slowing in growth rates while others are driving growth. As identified in the report, conventional, mature products continue to generate the majority of sales; however, their growth rate is slow and limited by the maturity of the product and the competition. Advancements in technology are expected to drive growth during the forecast period.

Product Managers, Marketing Directors in the wound care industry as well as financial and consulting executives are among those that will find this a useful resource.

• Chapter One: Executive Summary
  • Introduction
  • Scope and Methodology
  • Size and Growth of the Market
  • Trends Affecting the Market
  • Competitive Outlook
• Chapter Two: Introduction And Overview
  • Surgical Wounds
  • Trauma Wounds
  • Normal Integument
  • Epidermis
  • Dermis
  • Subcutaneous Tissue
  • Functions of Skin
  • Effects of Aging on the Integumentary System
  • Types of Wound Healing
  • Defense Against Injury
  • Mononuclear Phagocyte System
  • Inflammatory Response
  • Wound Healing Process
  • Primary Intention
  • Secondary Intention
  • Tertiary Intention
  • Delays of Wound Healing
  • Complications of Wound Healing
  • Hypertrophic Scars and Keloid Formation
  • Contracture
  • Dehiscence
  • Excess Granulation Tissue
  • Adhesions
• Chapter Three: Surgical Dressings
• Chapter Four: Treatments
  • Overview
  • Wound Closure
  • Overview and Products
  • Sutures
  • Absorbable
  • Surgical Gut
  • Synthetic Absorbable Polymers
  • Nonabsorbable
  • Surgical Silk
  • Surgical Cotton
  • Linen
  • Surgical Stainless Steel
  • Synthetic Nonabsorbable Polymers
  • Staplers and Staples
  • Tissue Adhesives, Sealants and Glues
  • Fibrin-based
  • Collagen-based
  • Vascular Closing Devices
  • Polymeric Sealants
  • Synthetic Adhesives/Glues
  • Market Segment Conclusion
  • Anti-Infectives
  • Overview and Products
  • Market Segment Conclusion
  • Surgical and Trauma Wound Management
  • Overview and Products
  • Cleansing
  • Debridement
  • Tapes
  • Dry Dressings
  • Market Segment Conclusion
  • Moist Dressings
  • Overview and Products
  • Alginates
  • Hydrocolloids
  • Hydrogels
  • Films
  • Foams
  • Market Segment Conclusion
  • Biological Dressings
  • Overview and Products
  • Artificial Skin
  • Collagen
  • Growth Factors
  • Market Segment Conclusion
  • Miscellaneous Surgical Wound and Trauma Treatments
  • Overview and Products
  • Market Segment Conclusion
• Chapter Five: Market Size And Forecast Summary
• Chapter Six: Competitive Analysis
  • Total Surgical and Trauma Wound Market
  • Competitive Market Share by Segment
  • Wound Closure
  • Anti-Infectives
  • Surgical and Trauma Wound Management
  • Moist Dressings
  • Biological Dressings
  • Miscellaneous Treatments
• Chapter Seven: Industry Developments
  • Product Categorization
  • New Products
  • Reimbursement
  • Novel Treatments
  • Miscellaneous Treatments
  • Honey Treatment
  • Battle-ready Bandage Treatment
  • Silverlon
  • Low Intensity Laser Therapy
  • In Development
  • Merrem IV
  • OrCel
  • Allox
  • Thymosin Beta 4
  • Encelle E Matrix
  • KGF-2
  • BioFoam
  • CoFoam Polyurethne Composite
  • LyphoDerm
  • KGF-2
  • Demegen
  • HB50
  • Other Miscellaneous Developments
  • Psychosocial Factors in Wound Healing
  • Scar Treatment
  • Keloid Scars
  • Hypertrophic Scars
  • Hormones and Wound Healing
  • Surgical Infection
  • Demographics and Epidemiology
• Chapter Eight: Company Profiles
  • Abbott Vascular Devices
  • Baxter BioScience
  • Bertek Pharmaceuticals, Inc.
  • Carrington Laboratories, Inc.
  • ConvaTec, Ltd.
  • Datascope Corporation
  • Ethicon, Inc.
  • GlaxoSmithKline Plc
  • Healthpoint, Ltd.
  • Johnson & Johnson
  • Kinetic Concepts, Inc.
  • Pfizer, Inc.
  • Smith & Nephew, plc
  • St. Jude Medical, Inc.
  • United States Surgical
• Appendix: Company Directory
• List Of Exhibits
  • Figure 1-1: Worldwide Surgical and Trauma Wound Product Revenues by Segment 1999-2009 5
  • Table 4-1: Selected Absorbable Sutures by Manufacturers and Products 32
  • Table 4-2: Selected Nonabsorbable Sutures by Manufacturers and Products 36
  • Table 4-3: Selected Staplers and Staples Manufacturers and Products 40
  • Table 4-4: Selected Tissue Adhesives, Sealants, and Glues Manufacturers and Products 46
  • Table 4-5: World Market for Wound Closure Products by Type (Sutures; Staplers and Staples; Tissue Adhesives, Sealants, and Glues) 1999-2009 47
  • Table 4-7: Selected Topical Brand Name Anti-Infectives 49
  • Table 4-8: The World Market for Anti-Infectives for Surgical and Trauma Wounds 1999-2009 50
  • Table 4-9: Toxicity Index for Selected Wound Cleansers 52
  • Table 4-10: Selected Cleansing Agents Currently on the Market 53
  • Table 4-11: Selected Debridement Agents Currently Available 55
  • Table 4-12: Selected Adhesive Strips and Tapes Currently on the Market 58
  • Table 4-13: Selected Dry Dressing (Woven and Nonwoven) Currently on the Market 60
  • Table 4-14: World Market for Wound Management Products for Surgical and Trauma Wounds Revenues by Segment (Cleansing, Debridement, Tapes, Dry Dressings) 1999-2009 61
  • Table 4-15: Selected Alginate Products Currently on the Market 63
  • Table 4-16: Selected Hydrocolloid Products Currently on the Market 68
  • Table 4-17: Selected Hydrogel Products Currently on the Market 71
  • Table 4-18: Selected Films Currently on the Market 76
  • Table 4-19: Selected Foam Products Currently on the Market 79
  • Table 4-20: Moist Dressings for Surgical and Trauma Wounds, Revenues by Segment (Alginates, Hydrocolloids, Hydrogels, Films,Foams) 1999-2009 83
  • Table 4-21: Selected Artificial Skin Products Currently on the Market 87
  • Table 4-22: Selected Collagen Products Currently on the Market
  • Table 4-23: World Market for Biological Dressings for Surgical and Trauma Wounds, Revenues by Segment (Artificial Skins, Collagen Products, Other Products) 1999-2009 93
  • Table 4-24: Selected Miscellaneous Surgical Wound and Trauma Treatment Manufacturers and Products 98
  • Table 4-25: World Market for Miscellaneous Surgical and Trauma Wound Treatments 1999-2009: 99 CHAPTER FIVE: MARKET SIZE AND FORECAST SUMMARY
  • Table 5-1: World Surgical and Trauma Wound Product Revenues by Segment 1999-2009 102 Figure 5-1: Surgical and Trauma Wound Care Revenues by Segment 1999-2009 103
  • Table 5-2: Surgical and Trauma Wound Care Share by Segment 1999-2009 104 Figure 5-2: Surgical and Trauma Wound Care Market Share by Segment 2004 vs 2009 105 CHAPTER SIX: COMPETITIVE ANALYSIS
  • Table 6-1: Major Competitors and Segments of Participation 2004 109-112
  • Table 6-2: The World Surgical and Trauma Wound Care Market Revenues and Market Share by Leading Supplier 2004 113 Figure 6-1: Surgical and Trauma Wound Care Market Share by Leading Supplier 2004 114
  • Table 6-3: Surgical and Trauma Wound Closure Revenues and Market Share by Leading Supplier 2004 115
  • Table 6-4: Anti-Infectives for Surgical and Trauma Wounds Revenues and Market Share by Leading Supplier 2004 116
  • Table 6-5: Surgical and Trauma Wound Management Revenues and Market Share by Leading Supplier 2004 117
  • Table 6-6: Moist Dressings for Surgical and Trauma Wounds Revenues and Market Share by Leading Supplier 2004 118
  • Table 6-7: Biological Dressings for Surgical and Trauma Wounds Revenues and Market Share by Leading Supplier 2004 119
  • Table 6-8: Miscellaneous Surgical and Trauma Wound Treatments Revenues and Market Share by Leading Supplier 2004 120 CHAPTER SEVEN: INDUSTRY DEVELOPMENTS
  • Table 7-1: Global and U.S. Population by Age Group and Sex 1999, 2004, and 2009 145 Figure 7-1: U.S. Population by Age Group, 1999, 2004, and 2009 146 Figure 7-2: Global Population by Age Group, 1999, 2004, and 2009 146
  • Table 7-2: Global and U.S. Yearly Incidence of Surgical and Trauma Wounds by Type 147