1.1 General presentation and definition
A medical device ("MD", also known as medical equipment) is defined as "an instrument, apparatus, equipment or software intended by its manufacturer to be used for the diagnosis, prevention, control, treatment of disease, injury or other purposes". [ANSM]
MDs are very diverse, which means that a wide range of products are included in the scope of this product category. In fact, in France, there are between 800,000 and 2,000,000 product references depending on HAS Health . Generally speaking, medical devices can be segmented as follows, according to their use [Financière d'Uzès]:
- Medical devices for individual use (hospital equipment, anaesthesia or respiratory equipment);
- Equipment (non-active implants, dental equipment);
- In vitro diagnostics (pregnancy tests, glucose meters);
- E-health (real-time monitoring of physiological parameters at home).
With respect to the medical equipment rental It is available to health care professionals: hospitals, clinics, nursing homes, independent practices, social action centres, etc The main types of equipment leased these include durable equipment (hospital beds, patient lifts, wheelchairs, respiratory assistance equipment, etc.), electronic diagnostic equipment, equipment for home consultations, and surgical equipment.
1.2 A growing global market
World market for medical equipment World, ****-****, in billions of US dollars CAGR: +*,*% Source: ****
In ****, the global medical devices and equipment market was worth $***.* billion; this figure is expected to grow at an average of *.*% per year to reach $***.* billion by ****. Several factors are contributing to this growth, including an aging ...
1.3 The French market
According to a study by the SNITEM (***), which shows that the sector is highly internationalised. Using the turnover index given by INSEE for the medical and dental equipment sector, it is possible to estimate the market in **** at **.* billion euros.
Evolution of the medical device manufacturing market France, ****-****, in billions ...
2.1 Growing healthcare spending
Health care spending increased in France over the period ****-****, as illustrated by the data below.
Consumption of medical goods and care France, ****-****, in billions of euros Source: ****
Total health expenditure in **** amounted to ***.* billion euros. Since ****, this value has increased at an average annual growth rate of *.*%. A closer ...
2.2 Hospital demand
Hospital categories by sector France, ****, number of sites Source: ****
In ****, there were *,*** public establishments with ***,*** bed and **,*** places. Among the public establishments, there are regional and/or university hospital centres, hospital centres including former local hospitals, hospital centres specialising in psychiatry and other public establishments.
There were *** private non-profit institutions, with ...
2.3 Private practices
Private practices France, ****, number of practices Source: ****
In ****, there were **,*** nursing practices, **,*** physiotherapists' practices, **,*** doctors' offices, **,*** dental surgeon practices; **,*** chiropodist practices and *,*** midwifery practices.
The growing importance of group exercises
More and more doctors and medical auxiliaries are turning to group practice because it allows them to share and pool their ...
2.4 Home Care
Home care is intended for:
the assistance for dependent elderly people: wheelchairs, recliners, medical beds, lifts, shower and hygiene aids, walkers, etc. people suffering from chronic diseases, frail or with specific needs: infusion devices, aerosol therapy, nutrition pumps, insulin pumps, external electro-stimulators, oxygen concentrators, continuous positive airway pressure (***), ventilation devices for ...
2.5 Leasing as a means of optimizing costs
Renting is an alternative to buying material/equipment. Regardless of their expertise, not all health professionals (***) have their own equipment. Renting is therefore a way for them to optimize costs, but above all to be able to renew their medical equipment according to technological advances and thus to be able to ...
2.6 Reimbursement by the health insurance companies
The success of medical device leasing in France is highly dependent on the rate of reimbursement to which they are subject as well as the willingness to pay of medical institutions and patients.
The LPP is the list of products and services reimbursed by the Assurance Maladie. These include medical devices ...
3.1 Value chain
In France, the procedure for placing a medical device on the market (***) can be long and complex. From research to market launch, it takes between * and * years minimum [***].
The value chain for medical devices can be defined as follows:
Research and technological innovation: This is where the patent for a new ...
3.2 Rental offered by different structures
Manufacturers/suppliers may offer their products directly to their customers, either for sale or rent, but may also use an intermediary.
Different structures offer the rental of medical equipment
Banking institutions to finance the leasing of the equipment. The subsidiaries of the latter generally offer traditional loans, but also leasing. Some ...
3.3 Equipment manufacturers
The global medical equipment market is highly concentrated: the thirty largest companies account for **% of global sales. Moreover, this turnover is mainly concentrated in developed countries, and in particular in the United States. Some of the largest medical technology companies are: Medtronic, DePuySynthes, Thermo Fisher, Philips, with respective revenues of $**.* billion, ...
4.1 Type of equipment and price
We can distinguish the products of the medical equipment market according to the sectors of activity. Professionals, communities or individuals, the products targeted and the uses are not the same. On the other hand the diversity is made according to the speciality exercised.
Mobility and transfer: Verticalizer Lift Electric and manual ...
4.2 Different types of rental for professionals
The financial hire sets out the duration of the lease, the number, frequency and amount of rental payments. As a general rule, the contract specifies the insurance value of the leased property. The contract does not include a purchase option in favour of the lessee who, at the end ...
4.3 The offer to individuals
Home healthcare providers (***).
Among the PSADs that have received the label are: [***] (***)
Bastide Orkyn AADAIRC AGIR at home. alliance care proximed Healthlys Cheers
The PSADs offer a wider range of services than the rental or purchase of medical equipment. They provide personalized support, taking into account the specificities of the patient. ...
4.4 Financial actors
Leasing has become very popular with banks in recent years: the business has the advantage of consuming little equity capital, being secured by tangible assets and generating a satisfactory return on equity allocated to the activity.
Banks are very present in this sector, and the rental of computer equipment can be ...
In ****, the regulation regarding medical devices was amended in the European Union and plans to be progressively implemented within * years for DMs and within * years for IVDDs (***). This reform the new regulations concern manufacturers, notified bodies and all other players in the sector. Indeed, there will now be a reinforced specifications ...
- La vitrine médicale
- Distri club Medical
- Europe Medical Service
- Groupe Bastide le confort médical
- Harmonie medical service
- BVS Medical
- GO 2 Santé
- Vitaléa Médical
- AAC Medical
- Olinn FG (Holding Factum Group)
- Grenke Group France
- Rigby Capital France
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