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as private insurance and CMS reimbursements become more restrictive and margin
dollars are squeezed all around. Instrument
stock and logistics is even higher in markets
outside the U.S. and E.U. and especially in
emerging markets where accounting for reusable instruments and devices is difficult.
The market for single-use or disposable
medical supplies and instrumentation is
growing at over 6% per year. Disposable
instrument kits and O.R. supplies will
account for 16% or $32 billion of the $200
billion market by 2016. The use of precision,
single-use, torque-limiting and fixed-driv-
er surgical instruments common in CRM,
CV, and Neuro implants is being adopted
by orthopedic implant OEMs. This change
is occurring as technology has evolved to
serve the specialized torque, robust design,
and ergonomic requirements associated with
complicated and high torque ortho implant
procedures as well as delicate small bone and
CMF surgeries. U.S. and E.U. instrument and
kit companies with strong design capabilities,
product brands, and industry leading quality
management systems will be preferred over
off shore firms in order to mitigate opera-
tional risks and quality concerns.
Use of turnkey procedural kits provides
the ultimate solution by pairing medical
device implants with customized disposable instrument kits. They offer convenient,
sterile, and robust solutions for surgeons and
O.R. personnel while hospitals and ASCs
enjoy sustained cost savings, operational efficiencies, smaller carbon footprints, improved
inventory, reduced surgical site infections,
and lower operating costs. The conversion to
single-use, torque-limiting instruments and
kits will expand rapidly over the next decade.
We can expect to see hybrid applications
combining reusable and single-use instru-
ments and products over the next few years
with exclusive disposable solutions winning
out where they add distinct and sustainable
clinical and economic value.
For more information, visit
1 Global Information Inc. ( www.giiresearch.
com), November 15, 2012 study and report on
World Disposable Medical Supplies.
2 Freedonia Industry Study ( www.freedoni-agroup.com), Disposable Medical Supplies,
March 2012. Study #2853.
3 Schultz, J.; Nino, J. Currie, M. ECA Medical
Instruments, Orthopaedic Implant OEMs,
Hospitals and ASCs Gain Sustained Benefit with Introduction of Single-Procedure
Torque-Limiting Instruments and Kits.
White Paper, ECA Medical Instruments,
October 2012 ( www.ecamedical.com/white-paper.php).
4 Conway, Karen, executive director GHX.
Industry’s Achilles Heel: The Supply Chain.
BoneZone magazine (Orthoworld, Inc.)
Disposable instrument kits
and O.R. supplies will
account for 16% or $32
billion of the $200 billion
market by 2016.