Friday, June 17th, 2016 - WiseGuyReports

The dialysis devices global market is expected to grow at a mid range single digit CAGR to reach $19,289 million by 2022. Dialysis is the treatment method for the patients with kidney failure, it replaces the function of kidneys by removing the wastes and excess fluid from the patient’s blood and thus the treatment helps to keep the patient body’s electrolytes such as sodium, potassium and chloride in balance. 
Increasing number of ESRD patients & substantial healthcare expenditure on the treatment of end-stage renal disease (ESRD), growing number of patients suffering from diabetes and hypertension, rise in aging population, rising adoption of dialysis procedures over renal transplants, technological advancements and new product launches are driving the market growth. 

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Risk and complications associated with dialysis, product recalls, limited reimbursements for dialysis in developing countries, reimbursement cuts for dialysis in North America and stringent regulatory policies for the approval of new dialysis devices. 
The dialysis devices global market by type is mainly segmented into hemodialysis and peritoneal dialysis. Hemodialysis market further segmented by products into machines and consumables, and by modalities into conventional long-term hemodialysis, short daily hemodialysis, and nocturnal hemodialysis. Hemodialysis machines sub-segmented into center-use hemodialysis machines and home-use hemodialysis machines whereas the hemodialysis consumables sub-segmented into dialyzers, access products, bloodlines, concentrates/dialysate, water treatment systems and other hemodialysis consumables. The dialyzers further segmented as cellulose-based and synthetic dialyzers based on material type, and high-flux and low-flux dialyzers based on flux type. Hemodialysis access products are further segmented as arteriovenous (AV) fistula, A-V Graft and central venous catheter (CVC). Hemodialysis water treatment systems mainly segmented as central water disinfection systems and portable water disinfection systems and these further segmented as chemical disinfection systems, heat disinfection systems and accessories individually. Peritoneal dialysis market segmented into peritoneal dialysis concentrate/dialysate, machines, catheters, transfer sets and others by-products, and continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD) by modality. 
The dialysis devices market by end-users is mainly segmented into In-Center dialysis and Home dialysis. The In-Centre dialysis further segmented into Hospital dialysis and Dialysis Centers whereas the Home dialysis is further segmented into Peritoneal Dialysis and Home Hemodialysis. 

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The dialysis devices global market by geography is divided into North America, Europe, Asia-Pacific and Rest of the World (RoW). Europe region commanded the largest market share. Increasing incidence of end-stage renal disease (ESRD), increasing hemodialysis facilities, increasing aging populations and increasing awareness of dialysis therapies are driving the European dialysis devices market growth. However, Asia-Pacific region is the fastest growing region due to growing number of ESRD patients, increasing healthcare expenditure, increasing awareness of healthcare, and refining healthcare infrastructure in the emerging countries, such as India and China. 
Major players in dialysis devices global market include are Asahi Kasei Corp. (Japan), B. Braun Melsungen AG (Germany), Baxter International, Inc. (U.S.), Fresenius SE & Co. KGaA (Germany), JMS Co. Ltd. (Japan), Kawasumi Laboratories (Japan), Nikkiso Co., Ltd. (Japan), Nipro Corporation (Japan), NxStage Medical Inc. (U.S.) and Toray Industries Inc. (Japan). 
The report provides an in-depth market analysis of the above-mentioned segments across the following regions: 
• North America 
• Europe 
• Asia-Pacific 
• Rest of the World (RoW)

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Table of content

1 EXECUTIVE SUMMARY 26 
2 INTRODUCTION 30 

    2.1 KEY TAKEAWAYS 30 
    2.2 REPORT DESCRIPTION 31 
    2.3 MARKETS COVERED 33 
    2.4 STAKEHOLDERS 35 
    2.5 RESEARCH METHODOLOGY 36 
      2.5.1 MARKET SIZE ESTIMATION 38 
      2.5.2 MARKET CRACKDOWN AND DATA TRIANGULATION 40 
      2.5.3 SECONDARY SOURCES 41 
      2.5.4 PRIMARY SOURCES 42 
      2.5.5 KEY DATA POINTS FROM SECONDARY SOURCES 42 
      2.5.6 KEY DATA POINTS FROM PRIMARY SOURCES 43 
      2.5.7 ASSUMPTIONS 43 
3 MARKET OVERVIEW 45 
    3.1 INTRODUCTION 45 
    3.2 MARKET SEGMENTATION 46 
    3.3 FACTORS INFLUENCING THE MARKET 48 
    3.4 MARKET DYNAMICS 49 
      3.4.1 DRIVERS 49 
          3.4.1.1 Growing number of patients suffering from diabetes and hypertension 49 
          3.4.1.2 Rise in aging population 49 
          3.4.1.3 Increasing number of esrd patients and substantial healthcare 
cost on the treatment of end-stage renal disease. 50 
          3.4.1.4 Rising adoption of dialysis procedures over renal transplants 50 
          3.4.1.5 Technological advancements and new product launches. 51 
      3.4.2 RESTRAINTS 51 
          3.4.2.1 Risks and complications associated with dialysis 51 
          3.4.2.2 Product recalls 52 
          3.4.2.3 Limited reimbursements for dialysis in developing countries 52 
          3.4.2.4 Reimbursement cuts for dialysis in North America 53 
          3.4.2.5 Stringent regulatory policies for the approval of new dialysis products 53 
      3.4.3 OPPORTUNTIES 54 
          3.4.3.1 Emerging markets offer lucrative growth opportunities 54 
          3.4.3.2 Evolution of user - friendly and low cost dialysis products. 54 
          3.4.3.3 Increasing number of dialysis centers 55 
          3.4.3.4 Growing adoption of home hemodialysis treatment 55 
      3.4.4 CHALLENGES 56 
          3.4.4.1 Benefits of renal transplantation versus dialysis 56 
          3.4.4.2 Sustainability of players in the market 56 
    3.5 REGULATORY AFFAIRS 57 
      3.5.1 U.S. 57 
      3.5.2 EUROPE 59 
      3.5.3 CHINA 60 
      3.5.4 INDIA 61 
      3.5.5 JAPAN 62 
    3.6 PORTER’S FIVE FORCE ANALYSIS 64 
      3.6.1 THREAT OF NEW ENTRANTS 65 
      3.6.2 THREAT OF SUBSTITUTES 65 
      3.6.3 BARGAINING POWER OF SUPPLIERS 65 
      3.6.4 BARGAINING POWER OF BUYERS 65 
      3.6.5 RIVALRY AMONG EXISTING COMPETITORS 66 
    3.7 MARKET SHARE ANALYSIS BY MAJOR PLAYERS 67 
    3.8 PATENT TRENDS 71 
    3.9 REIMBURSEMENT SCENARIO 73 
    3.10 CPT CODES 74 
    3.11 TECHNOLOGICAL ADVANCEMENTS 81 
      3.11.1 DIALYSIS MACHINES 81 
      3.11.2 DIALYZERS 81 
      3.11.3 WATER TREATMENT SYSTEMS 81 
      3.11.4 WEARABLE ARTIFICIAL KIDNEY 82 
      3.11.5 IMPLANTABLE ARTIFICIAL KIDNEY 82 
    3.12 UPCOMING TECHNOLOGIES 83 
    3.13 CLINICAL TRIALS 88 
4 DIALYSIS DEVICES GLOBAL MARKET, BY TYPE 97 
    4.1 INTRODUCTION 97 
    4.2 HEMODIALYSIS MARKET 102 
      4.2.1 HEMODIALYSIS MARKET, BY PRODUCTS 105 
          4.2.1.1 Hemodialysis machines 107 
              4.2.1.1.1 Centre-use hemodialysis machines 112 
              4.2.1.1.2 Home-use hemodialysis machines 115 
          4.2.1.2 Hemodialysis consumables 118 
              4.2.1.2.1 Dialyzers 122 
                4.2.1.2.1.1 Dialyzers market, by material type 124 
                4.2.1.2.1.1.1 Cellulose based dialyzers 126 
                4.2.1.2.1.1.2 Synthetic dialyzers 128 
                4.2.1.2.1.2 Dialyzers market, by flux type 130 
                4.2.1.2.1.2.1 High – flux dialyzers 131 
                4.2.1.2.1.2.2 Low – flux dialyzers 133 
              4.2.1.2.2 Hemodialysis access products 135 
                4.2.1.2.2.1 Arteriovenous (AV) fistula 137 
                4.2.1.2.2.2 A-V graft 139 
                4.2.1.2.2.3 Central venous catheter (CVC) 141 
              4.2.1.2.3 Bloodlines 143 
              4.2.1.2.4 Hemodialysis concentrates/dialysate 145 
              4.2.1.2.5 Other hemodialysis consumables 148 
                4.2.1.2.5.1 Water treatment systems 150 
                4.2.1.2.5.1.1 Central water disinfection systems 151 
                  4.2.1.2.5.1.1.1 Chemical disinfection systems 151 
                  4.2.1.2.5.1.1.2 Heat disinfection systems 152 
                  4.2.1.2.5.1.1.3 Accessories 153 
                4.2.1.2.5.1.2 Portable water disinfection systems 154 
                  4.2.1.2.5.1.2.1 Chemical disinfection systems 154 
                  4.2.1.2.5.1.2.2 Heat disinfection systems 155 
                  4.2.1.2.5.1.2.3 Accessories 156 
      4.2.2 HEMODIALYSIS MARKET, BY MODALITY 157 
          4.2.2.1 Conventional long-term hemodialysis 160 
          4.2.2.2 Short daily hemodialysis 162 
          4.2.2.3 Nocturnal hemodialysis 164 
    4.3 PERITONEAL DIALYSIS 166 
      4.3.1 PERITONEAL DIALYSIS, BY PRODUCTS 170 
          4.3.1.1 Peritoneal dialysis machines 172 
          4.3.1.2 Peritoneal dialysis consumables 174 
              4.3.1.2.1 Peritoneal dialysis concentrate/dialysate 177 
              4.3.1.2.2 Peritoneal dialysis catheters 179 
              4.3.1.2.3 Peritoneal dialysis transfer sets 181 
              4.3.1.2.4 Other peritoneal dialysis products 183 
      4.3.2 PERITONEAL DIALYSIS MARKET, BY MODALITY 184 
          4.3.2.1 Continuous Ambulatory Peritoneal Dialysis (CAPD) 186 
          4.3.2.2 Automated Peritoneal Dialysis (APD) 188 
5 DIALYSIS DEVICES GLOBAL MARKET, BY END-USERS 190 
    5.1 INTRODUCTION 190 
    5.2 IN-CENTRE DIALYSIS 193 
      5.2.1 HOSPITAL DIALYSIS 196 
      5.2.2 DIALYSIS CENTERS 198 
    5.3 HOME DIALYSIS 200 
      5.3.1 PERITONEAL DIALYSIS 204 
      5.3.2 HOME HEMODIALYSIS 206 
6 DIALYSIS DEVICES GLOBAL MARKET, BY REGION 208 
    6.1 INTRODUCTION 208 
    6.2 NORTH AMERICA 211 
    6.3 EUROPE 234 
    6.4 ASIA PACIFIC 257 
    6.5 REST OF THE WORLD 280 
7 COMPANY DEVELOPMENTS 303 
    7.1 INTRODUCTION 303 
    7.2 AGREEMENTS & EXPANSIONS 305 
    7.3 MERGERS & ACQUISITIONS 308 
    7.4 APPROVALS 310 
    7.5 NEW PRODUCT LAUNCHES 312 
8 MAJOR COMPANIES 315 
    8.1 ASAHI KASEI CORP. 315 
      8.1.1 OVERVIEW 315 
      8.1.2 FINANCIALS 316 
      8.1.3 PRODUCT PORTFOLIO 319 
      8.1.4 KEY DEVELOPMENTS 320 
      8.1.5 BUSINESS STRATEGY 320 
      8.1.6 SWOT ANALYSIS 321 
    8.2 B. BRAUN MELSUNGEN AG 322 
      8.2.1 OVERVIEW 322 
      8.2.2 FINANCIALS 323 
      8.2.3 PRODUCT PORTFOLIO 326 
      8.2.4 KEY DEVELOPMENTS 329 
      8.2.5 BUSINESS STRATEGY 330 
      8.2.6 SWOT ANALYSIS 331 
    8.3 BAXTER INTERNATIONAL, INC. 332 
      8.3.1 OVERVIEW 332 
      8.3.2 FINANCIALS 333 
      8.3.3 PRODUCT PORTFOLIO 336 
      8.3.4 KEY DEVELOPMENTS 339 
      8.3.5 BUSINESS STRATEGY 341 
      8.3.6 SWOT ANALYSIS 342 
    8.4 FRESENIUS SE & CO. KGAA 343 
      8.4.1 OVERVIEW 343 
      8.4.2 FINANCIALS 344 
      8.4.3 PRODUCT PORTFOLIO 348 
      8.4.4 KEY DEVELOPMENTS 350 
      8.4.5 BUSINESS STRATEGY 351 
      8.4.6 SWOT ANALYSIS 352 
    8.5 JMS CO., LTD. 353 
      8.5.1 OVERVIEW 353 
      8.5.2 FINANCIALS 354 
      8.5.3 PRODUCT PORTFOLIO 357 
      8.5.4 KEY DEVELOPMENTS 358 
      8.5.5 BUSINESS STRATEGY 359 
      8.5.6 SWOT ANALYSIS 360 
    8.6 KAWASUMI LABORATORIES, INC. 361 
      8.6.1 OVERVIEW 361 
      8.6.2 FINANCIALS 362 
      8.6.3 PRODUCT PORTFOLIO 364 
      8.6.4 KEY DEVELOPMENTS 365 
      8.6.5 BUSINESS STRATEGY 365 
      8.6.6 SWOT ANALYSIS 366 
    8.7 NIKKISO CO., LTD. 367 
      8.7.1 OVERVIEW 367 
      8.7.2 FINANCIALS 368 
      8.7.3 PRODUCT PORTFOLIO 371 
      8.7.4 KEY DEVELOPMENTS 372 
      8.7.5 BUSINESS STRATEGY 372 
      8.7.6 SWOT ANALYSIS 373 
    8.8 NIPRO CORPORATION 374 
      8.8.1 OVERVIEW 374 
      8.8.2 FINANCIALS 375 
      8.8.3 PRODUCT PORTFOLIO 378 
      8.8.4 KEY DEVELOPMENTS 380 
      8.8.5 BUSINESS STRATEGY 380 
      8.8.6 SWOT ANALYSIS 381 
    8.9 NXSTAGE MEDICAL, INC. 382 
      8.9.1 OVERVIEW 382 
      8.9.2 FINANCIALS 383 
      8.9.3 PRODUCT PORTFOLIO 385 
      8.9.4 KEY DEVELOPMENTS 386 
      8.9.5 BUSINESS STRATEGY 389 
      8.9.6 SWOT ANALYSIS 390 
    8.10 TORAY INDUSTRIES, INC. 391 
      8.10.1 OVERVIEW 391 
      8.10.2 FINANCIALS 392 
      8.10.3 PRODUCT PORTFOLIO 395 
      8.10.4 KEY DEVELOPMENTS 396 
      8.10.5 BUSINESS STRATEGY 396 
      8.10.6 SWOT ANALYSIS 397

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