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SmartTRAK Publication Alert: Q118  Total Joints Market Recap

Posted by Lisa Mahan on 6/1/18 12:05 PM

SmartTRAK, the leading source of competitive life sciences intelligence used by the top ten global orthopedic & wound care companies, has published its Q118 Total Joints Market Recap.

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Topics: Orthopedics-Total Joints

SmartTRAK's 2017 Total Joints Market Recap Financial Results

Posted by Lisa Mahan on 3/15/18 6:50 PM

SmartTRAK, the leading source of competitive life sciences intelligence used by the top ten global orthopedic & wound care  companies, has published its 2017 Total Joints Market Recap and Financial Dashboard.

The Total Joints Market finished off a challenging year with accelerated growth in Q417, despite increasing pricing pressure. Hurricanes in Q3 and increased seasonality due to higher insurance deductibles pushed procedures into Q4 driving stronger sequential growth. Increasing penetration of robotics resulted in uptake of new products, including Stryker’s MAKO robotic TKA application for Triathlon knees.

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Topics: Orthopedics-Total Joints

Q317 Total Joints Market: More than the Usual Seasonality

Posted by Lisa Mahan on 3/1/18 10:00 AM

Hurricanes Harvey and Irma disrupted procedures in the US during Q3, slowing growth beyond the typical seasonality. In the US, Q317 Total Joints Market growth was virtually flat YoY compared to 1.6% growth in Q316. However, stronger performances OUS, despite the India price cuts, helped offset the US decline resulting in WW Market reported growth of ... Download Article

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Topics: Orthopedics-Total Joints

Catalyst OrthoScience Rethinks Total Shoulder Arthroplasty

Posted by Kristina Meyer on 12/21/17 5:48 PM

Catalyst OrthoScience speaks with SmartTRAK at the Orthopedic Summit Meeting (OSET) 2017 regarding the Company’s next generation total shoulder solution and its strategy for competing with the big players in this space

The Catalyst CSR Total Shoulder System is the result of the visionary insight of Steven Goldberg, MD, a fellowship-trained orthopedic surgeon and shoulder specialist, who devised the next generation, higher precision, less-invasive total shoulder solution with a greatly simplified method of implant placement. In 2011, Dr. Goldberg began development of the revolutionary implant with the new shape and created prototypes using a 3D printing service. Armed with two U.S. provisional patents and positive feedback from several prominent shoulder specialists, the Catalyst CSR Total Shoulder System was born.

Click on the video below to view SmartTRAK’s interview with Dr. Steven Goldberg, Founder & CMO, of Catalyst OrthoScience recorded live at the OSET meeting 2017.  (04:02 minutes)


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Topics: Orthopedics-Total Joints

SmartTRAK Publication Alert: Q317 Total Joints Quarterly Market Recap

Posted by Lisa Mahan on 12/18/17 2:31 PM

Q317 Total Joints Market: More than the Usual SeasonalityMajor hurricanes in the US lead to softness in the quarter  

By Lisa Mahan, VP, Content Development, Ortho

The Imperfect Storms

Hurricanes Harvey and Irma disrupted procedures in the US during Q3 slowing growth beyond the typical seasonality. In the US, Q317 Total Joints Market growth was virtually flat YoY.

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Topics: Orthopedics-Total Joints

Top 5 Trends in Joint Replacement

Posted by Lisa Mahan on 10/4/17 9:00 AM

Push Pull Trends in Joint Replacement Market Keep Growth Steady

Over the next twelve months, BioMedGPS projects the US Joint Replacement Market will grow in the low single digits at approximately 3%. This slow but steady growth is consistent with past years as the push pull of market trends keeps it in check. Gaining share in this era will require companies to navigate the changing political and economic landscape and to deliver solutions beyond launching the latest widget...

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Topics: Orthopedics-Total Joints

Q217 Total Joints Market: Differing Approaches to Cost Containment

Posted by Lisa Mahan on 9/18/17 3:07 PM

India spoke loud and clear with extreme pricing caps on total knee replacements, while CMS sends mixed messages on controlling costs in the US

Outside the US the Total Joints Market softened during Q217, offsetting stable to strengthening results in US Knees and Hips, with the WW Market (as reported) growing +0.7%. Countries such as India are working to reduce the cost burden of joint replacement surgery, while in the US, the Centers for Medicaid & Medicare Services (CMS) is sending mixed messages keeping reimbursement rates relatively flat while proposing reductions to its Comprehensive Care for Joint Replacement bundled payments initiative...

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Topics: Orthopedics-Total Joints

India's Cap on Knee implant Pricing May Slow Revenue Growth

Posted by Lisa Mahan on 9/5/17 11:41 AM

Max Retail Pricing for Knees in India Dropping up to 78%

The Indian Government enacted price controls for knee implants capping the price significantly below current market rates. According to a report in  IndiaToday , the move is the latest step in the government’s move to bring down the cost of medical devices and pharmaceuticals. The price controls for knee replacement implants caps the price of CoCr knees at ~$852 (54,720 rupees). Ananth Kumar, Minister of Chemicals and Fertilisers, stated current implants are priced at up to ~$3,895 (250K rupees) at Indian hospitals...

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Topics: Orthopedics-Total Joints

Another Showdown in the Hyaluronic Acid Market?

Posted by Sharon O'Reilly on 4/25/17 5:00 PM

AAOS Shifts Focus From Efficacy to Cost

The American Association of Orthopedic Surgeons (AAOS) has shifted their focus from efficacy to costs in their offensive against intra-articular hyaluronic acid therapy

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Topics: Orthopedics-Total Joints, Orthopedics-OrthoBio

Joint Fluid Market: New Players, New Products

Posted by Sharon O'Reilly on 5/28/16 10:00 AM

With few options available for treating OA pain, joint fluid injections have become a standard part of the treatment regimen for patients with painful arthritic knees. Even though it is not possible to predict which knee pain sufferers will respond to viscosupplementation therapy, commonly administered as a series of injections of hyaluronic acid, most patients seeking treatment will at least give it a “try” as an alternative to non-steroidal anti-inflammatory drugs (NSAIDs) and before resorting to joint replacement.

BioMedGPS estimates that nearly 2 million Americans will receive hyaluronic acid injections for knee OA this year resulting in a market valued at nearly $B in 2016. Robust growth is projected over the next 5 years as high-priced single injection products take hold; new companies enter the market —some with differentiated products used earlier in the treatment continuum; and longer-lasting combination products make their way through the FDA. By 2021, the market is projected to reach  over $1.2B in revenues, according to the recently published 2016  SmartTRAK US Joint Fluid Market Overview.

Shifts In Shares

Sanofi remained the market leader in the US Joint Fluid market but experienced a loss of share in 2014, according to SmartTRAK Financial Dashboard. The big winner was DePuy Synthes whose strategy of promoting MONOVISC without cannibalizing ORTHOVISC, led to strong gains in both the single and 3-injection segments.  Next in line in terms of overall share is Ferring followed by Bioventus; Fidia; and Zimmer Biomet.

Strong Uptake of Single Injection Products

New entrants in the single injection space with unique "J' codes, specifically J&J's DePuy Synthes Mitek division with MONOVISC and Zimmer Biomet which worked out its distribution challenges with Gel-One, propelled overall market expansion in 2015. With 75% of Synvisc sales attributed to Synvisc One, Sanofi, still controls the single injection segment with 71.4% share but lost ground to DePuy Synthes and Zimmer Biomet which posted solid gains in MONOVISC and Gel-One sales. DePuy Synthes' MONOVISC overtook Zimmer Biomet's Gel-One as the No. 2 player in this segment.

Competition Heats Up in 3-Injection Market

Still the largest US Joint Fluid segment is the 3-injection market accounting for 45% of total 2016 US revenues. With the launch of newly approved 3-injection products later this year, competition is expected to heat up as well-entrenched players, such as DePuy Synthes, Ferring and Sanofi, fight to maintain share.

In the competitive 3-injection arena, DePuy Synthes' experienced the greatest YoY increase; followed by Ferring and Sanofi according to SmartTRAK Financial Dashboard. Revenues in the 3-injection segment increased 3.8% in 2015.

With Bioventus, which struck a distribution deal with IBSA for GELSYN-3, and Seikagku with joining the 3-injection playing field with Visco-3 now distributed via Zimmer Biomet, the question that arises is how differentiated are these products? Also, not known is what happens if one of these newcomers decides to go “generic” particularly if there is little differentiation among products. What is certain is that the 3-injection market will expand at the demise of 5-injection products, now that both Fidia and Bioventus, the sole competitors, shift focus to the 2- and 3-injection segments. Even with the entry of OrthogenRx with GENVISC 850, a 5-injection product, BioMedGPS forecasts the 5-injection segment will decline in both procedures and dollars going forward. This shift along with increased competition will result in healthy growth in the 3-injection segment.

Emerging 2-Injection Segment

With recent PMA approval of Hymovis, a 2-injection viscoelastic gel, Fidia is poised to gain share in this unique segment of the market. Launched in March in 2016 via their US sales organization, Hymovis will boost Fidia's presence in the overall Joint Fluid market with a differentiated offering offsetting flat and/or declining sales of Hyalgan, its 5-injection product. Fidia is banking on Hymovis taking share from all segments of the joint fluid market. Effective April 1st, Hymovis was granted a "C" code by CMS allowing pass through status. The product will be reimbursed at ASP plus 6% for CY2016. Hymovis lists at $880 for a 2-syringe pack and will be sold at $932/pack to pharmacies and ASC's.

New Differentiated Injectables

There are 12 approved Joint Fluid products currently approved on the US market for knee OA and this does not include "Human Tissue” products (PRP, amniotic fluid or adipose tissue) also being injected into osteoarthritic joints to a largely self-pay patient population. While largely untested, these products are under increased scrutiny by the FDA since they may not fulfill the “homologous use” criteria put forth in regulatory guidelines. Companies such as MiMedx and Liventa have clinical studies in progress evaluating injections of amniotic fluid for OA.

In the US, Joint Fluid products are approved for use in the knee joint, however, Anika with partner DePuy Synthes commenced an IDE trial evaluating MONOVISC for hip OA potentially expanding the overall market.

Also, on the horizon are longer-acting combination products in various phases of Phase III trials expected to appear on the US market in the next 5 years. Among the companies with products in clinicals include: Carbylan with Hydros, a dual mode viscosupplement which houses a long-acting steroid inside hydrogel beads; Flexion with an intra-articular sustained release steroid for moderate to severe OA pain; and Anika with CINGAL, a single injection hyaluronic acid plus steroid product that could potentially be used in patients with mild-to-moderate OA.

Anika announced plans for selling CINGAL via its own sales network rather than via partner DePuy Synthes and have hired ex-Sanofi executives to lead its commercialization efforts.

However, establishing a distribution network to market a joint fluid product is complex as overtook Zimmer Biomet, the largest orthopedic company, found out when it ran into challenges with Gel-One . Today, most suppliers have direct sales forces focused almost exclusively on selling joint fluid products complemented by large wholesale distributors and specialty pharmacies. While several new entrants, Anika, Seikagku, OrthogenRx are setting up contract sales organizations to promote their products, tapping into specialty pharmacies and securing unique "J" codes for reimbursement takes time which may end up being the major differentiator among products.


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Topics: Orthopedics-Total Joints, Orthopedics-OrthoBio

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