Summary of our market study

The Spanish medical equipment market has shown significant growth and development between 2020 and 2022. Exports of medical equipment slightly increased by 8.1% to $762 million in 2022, while imports saw a more substantial rise of 38.5%, reaching $3060 million, leading to a growing trade deficit. The United States remained the leading source of imports, whereas Portugal was the top destination for Spain's exports. The domestic market also expanded, with sales in the radiation, electromedical, and electrotherapeutic equipment manufacturing sector growing by 41.8% to €428.250 million. Additionally, the medical and dental instruments and supplies sector saw a 15.1% increase in sales. Employment in the industry rose in both sectors, suggesting sector consolidation and expansion. Overall, the European medical equipment market, where Spain is a player, is growing steadily, with an annual rate of 4.8%, reaching a value of €150 billion in 2021. The Spanish healthcare system's expenditure climbed by 15.79% to €115.458 billion between 2015 and 2019, reflecting higher demand for medical services and equipment. Demographically, the population over 65 is growing, projected to reach 30.4% by 2050, further driving the market. Despite Spain's inflation of 8.9% in 2022, the price index for the medical sector only rose by two and a half points between January 2022 and May 2023, indicating modest price increases for medical equipment. New EU regulations aim to ensure the safety and quality of medical equipment, impacting market dynamics. Major Spanish companies within the sector reported significant sales figures in 2021, with Sociedad Española De Electromedicina Y Calidad SA and BECTON DICKINSON SAU leading their respective categories. The market is characterized by competitiveness, with both national and international players such as Johnson & Johnson and Medtronic having substantial roles..**Trends and Dynamics in the Spanish Medical Equipment Market** The Spanish medical equipment market has shown several notable trends and dynamics based on the data provided for the years leading up to 2022. Exports of medical equipment from Spain witnessed a moderate growth of about 8.1%, moving from around $705 million to approximately $762 million. On the other hand, imports showcased a more pronounced increase of 38.5%, surging from roughly $2209 million to approximately $3060 million. This has led to a widening trade deficit, which scaled up by an alarming 52.8%. Portugal emerged as the key importer of Spanish medical devices, constituting close to a quarter of exports, while the USA was Spain's primary source for imports in this sector, accounting for more than a fifth of the total imports. The global market landscape seems well dominated by American companies, with the USA holding about 43.5% of the market share, while European nations contribute to 27.3%. The overall value of the global medical devices market stood at an impressive $488.98 billion, with projections indicating a growth to around $720.7 billion. Chronic diseases, aging populations, and the rising demand for surgical interventions are some key growth drivers. Within Spain, the landscape is dotted with a variety of businesses spread across distinct medical manufacturing sectors. Single-use medical devices, in-vitro diagnostics, electromedicine, and others like dental care and orthopedics form part of the diverse segments that make up the industry. The industry also witnessed a varying number of companies and employees in different sectors. Looking at the domestic Spanish market, particularly the radiation equipment, electromedical equipment, and electrotherapeutic equipment manufacturing sectors, there is visible growth with sales figures showing an uptick of about 41.8%. However, the picture for the manufacture of medical and dental instruments shows a contrasting trend with a slight fall in the number of companies alongside an increase in employee numbers, hinting at market consolidation. In terms of healthcare expenses, Spain has been on an upward trajectory with public system spending growing by nearly 14.71% and private system expenditure by about 18.48%. Personal healthcare expenditure demonstrates a gender-specific trend, with a starker increase for women compared to men—an indication of potentially differentiated market demands. An aging population is another salient feature of the Spanish market. Seniors above the age of 65 have increased by around 19.5%, laying the groundwork for an increased demand for medical equipment tailored to the needs of.### Key Players Shaping the Spanish Medical Equipment Landscape The Spanish medical equipment market is a dynamic mix of both national powerhouses and influential international players that cater to the intricacies of healthcare requirements in Spain. The contributions of these entities are pivotal in providing the necessary tools and innovation for the delivery of effective healthcare services. Here we spotlight some of the prime movers within both realms, illustrating the diversity and strength of the industry. #### Top National Contributors **Sociedad Española De Electromedicina Y Calidad Sa** stands out as a significant Spanish entity focused on delivering high-quality electromedical solutions. They have carved out a niche in manufacturing radiation, electromedical, and electrotherapeutic equipment, becoming a staple in the Spanish healthcare tech scene. **INDIBA SAU** distinguishes itself with specialized offerings that emphasize innovation in the electromedical field. Their products and services are engineered to meet the rigorous demands of modern healthcare. **KEYLAB SL** has solidified its position by providing reliable radiological solutions. Their expertise in crafting sophisticated imaging equipment meets the critical needs of diagnostics and patient care. **RADIOLOGIA SA** offers cutting-edge radiological equipment. Their commitment to integrating technology with healthcare needs makes them a vital player in the medical imaging sector. **NAMROL MEDICAL S.L.** contributes to the sector through medical devices that blend functionality with user-centric design, aiding practitioners in delivering efficient patient care. #### Leading Spanish Companies in Medical and Dental Instruments and Supplies **BECTON DICKINSON SAU** is renowned for their vast array of medical and dental instruments and supplies. Their commitment to innovation ensures that medical professionals are equipped with the best tools for patient care. **B Braun Surgical Sa** is another major influencer, primarily focused on surgical instruments that are an integral part of the operating room and critical medical procedures. **PRIM, SA** makes an impact with its comprehensive range of products catering to various medical specialties, setting a benchmark in quality and reliability. **SIEGFRIED BARBERA S.L.** and **DENTAID SL** both lend their expertise to the dental sector. Their contributions have been crucial in advancing dental care technology and product availability in Spain. #### Global Titans in the Medical Equipment Arena **Johnson & Johnson** is a household name extending its reach into the medical equipment market, demonstrating a broad portfolio that addresses numerous healthcare challenges. **Medtronic** remains a leader with a focus on medical device innovation. Their global presence is strongly felt within the Spanish
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Summary and extracts

1 Market overview

1.1 Definition and presentation of the medical equipment market

The medical equipment market encompasses a wide range of medical devices, equipment and supplies used in hospitals, clinics, care centers and doctors' surgeries.

Spain boasts a strong healthcare system and advanced medical infrastructure, contributing to the growing demand for high-quality medical equipment. National and international manufacturers such as Medtronic, Siemens Healthineers and COMEPA Industries play a major role in the Spanish market, offering innovative solutions for healthcare professionals.

The medical equipment market in Spain is diversified and covers many fields, such as medical imaging, surgery, cardiology, neurology, diagnostics, rehabilitation and many others. Medical equipment such as scanners, endoscopy equipment, patient monitoring devices, surgical instruments and medical consumables form an integral part of this market.

Demand for medical equipment in Spain is driven by several factors:

  • demographic growth ;
  • an aging population: Spain's aging population requires more advanced healthcare, which increases demand for medical devices for the diagnosis, treatment and management of chronic diseases;
  • technological advances.

In addition, technological advances in the medical field are having a significant impact on the medical equipment market in Spain. New technologies such as artificial intelligence, 3D printing and wearable devices are enabling the development of more precise, effective and easy-to-use medical devices. These innovations improve patient care and the efficiency of medical procedures. In 2020, the market size of the medical technology sector in Spain was around US$1,500 million[Statista].

The medical device market in Spain is also influenced by healthcare policies and regulations. Medical devices must comply with strict safety and quality standards set by Spanish and European health authorities. Medical device manufacturers must comply with these regulations to market their products in Spain.

1.2 A dynamic global market dominated by American companies

Global medical devices market World, ****-****, in billions of dollars CAGR: +*.*% Source: ****

In ****, the value of the global medical devices and equipment market stood at $***.** billion; this figure is expected to grow at an average annual rate of *.*%, reaching $***.* billion in ****. Several factors are contributing to this growth, including an aging population and an increase in chronic diseases. In addition, increased demand for surgical procedures and operations is also driving growth in the sector.

The global medical equipment market is largely dominated by the United States (***)[***].

Medical devices market share World, ****, in Source : Medtech Europe The global medical equipment market is highly concentrated: the thirty largest companies account for **% of global sales. What's more, these sales are mainly concentrated in developed countries, particularly the USA. The chart below shows the world's largest medical equipment companies, a significant proportion of which are American.

Leading medical technology companies World, ****, billions of dollars Source: ****

The European medical equipment market has grown at an annual rate of *.*% over the past ** years. In ****, the sector is expected to grow by *.*% to *** billion euros[***].

Market shares in the medical devices sector Europe, ****, in Source: ****

1.3 The domestic market

The INE (***) defines a number of activities relating to medical equipment within two CNAE codes:

CNAE code ****: "Manufacture of radiation equipment, electromedical equipment and electrotherapeutic equipment". CNAE code ****: "Manufacture of medical and dental instruments and supplies".

The manufacturing sector for radiation devices, electromedical devices and electrotherapeutic devices in Spain has thus seen significant growth between **** and ****. Sales rose from ***.*** million in **** to ***.*** million in ****. This represents an overall increase in sales of **.*% over the five-year period.

Sales trends for CNAE code ****: "Manufacture of radiation equipment, electromedical equipment and electrotherapeutic equipment" Spain, ****-****, millions of euros Source: ****

The medical and dental instruments and supplies manufacturing sector also saw overall sales growth between **** and ****. In ****, sales stood at *.*** billion euros, before gradually rising to *.*** billion euros in ****, *.*** billion euros in **** and *.*** billion euros in ****. In ****, despite a slight decline, sales still stood at *.*** billion euros. Overall sales growth over this period is around **.*%.

Sales trend for CNAE code ****: "Manufacture of medical and dental instruments and supplies" Spain, ****-****, billions of euros Source: ****

Adding these two CNAE codes together, we obtain the following sales figures for the entire ****-**** period. This represents an overall increase of **.*% over the entire period.

Sales in the medical ...

1.4 Imports and exports

Between **** and ****, Spanish exports of medical equipment rose slightly by *.*%, from $*** million in **** to $*** million in ****. At the same time, imports rose more significantly, by **.*%, from $**** million in **** to $**** million in ****. As a result, the trade balance deteriorated, with the deficit increasing by **.*%, from -$**** million in **** to -$**** million in ****.

Evolución del comercio exterior español : Código **** de la ONU. España, ****-****, millones de euros Fuente : UNcometrade

In ****, Spanish exports of medical equipment were distributed as follows. Portugal was the main importer with **.**% of exports, followed by Belgium with **.**% and the United States with *.**%. France accounted for *.**% of exports, the Netherlands *.**%, Germany *.**% and the UK *.**%. The rest of the world accounted for **.**% of Spanish medical device exports.

Destinations of Spanish medical device exports Spain, ****, % of total Source: ****

In ****, Spanish imports of medical equipment came mainly from the USA, which accounted for **.**% of total imports, followed by the Netherlands with **.**%, Germany with **.**% and France with *.**%. China, Italy and Mexico also contributed significantly to imports, with *.**%, *.**% and *.**% respectively. The rest of the world accounted for **.**% of Spanish medical device imports.

Origins of Spanish medical equipment imports Spain and the World, ****, % (***) Source: ****

2 Demand analysis

2.1 Health expenses

Between **** and ****, healthcare system spending in Spain saw an overall increase. Spending on the public system rose from **.*** billion euros in **** to **.*** billion euros in ****, an increase of **.**%. Expenditure on the private system rose from **.*** billion euros in **** to **.*** billion euros in ****, representing growth of **.**%. Total expenditure for both systems also rose, from **.*** billion euros in **** to ***.*** billion euros in ****, an increase of **.**% over this period.

Spanish healthcare system expenditure Spain, ****-****, billions of euros Source: ****

As for personal healthcare expenditure, there are different trends depending on the gender of the individual. For men, spending rose from €*** in **** to €***.* in ****, an increase of *.*%. For women, spending rose more sharply, from €***.* in **** to €***.* in ****, an increase of **.*%. On average, Spaniards' personal healthcare expenditure rose by *.*% over this period, from €***.* in **** to €*** in ****. Personal healthcare expenditure (***) Spain, ****-**** Source: ****

2.2 Demographics

Between **** and ****, the Spanish population aged over ** will increase significantly. In ****, the number of people in this age bracket was *.** million, while in **** it will have reached *.** million. This represents an increase of **.*% over the entire period. This increase in the number of elderly people represents both a challenge for the Spanish healthcare system and an opportunity for the medical equipment sector. As we age, health-related risks increase, necessitating adaptation of the healthcare system.

Evolution of the population over ** Spain, ****-****, in millions Source: ****

Furthermore, the proportion of the Spanish population aged over ** is set to rise steadily over the coming decades. In ****, it is estimated at **% of the population, rising to **.*% in ****, **.*% in **** and **.*% in ****. This growth continues with **.*% in ****, reaching a peak of **.*% in ****. Thereafter, the proportion stabilizes slightly, rising to **.*% in ****, **.*% in **** and **.*% in ****, finally settling at **.*% in ****.

Projection of the population aged over **. Spain, ****-****, % Source: ****

2.3 Breakdown of demand: Hospital and clinic

In ****, the Spanish healthcare system included a total of *,*** health centers, **,*** consultorias locales (***), *** public hospitals and *** private hospitals.

Structure of the Spanish healthcare system Spain, ****, number of entities Source: ****

Of Spain's *** hospitals, Catalonia, Andalusia and the Community of Madrid are the * Autonomous Communities with the most hospitals, with **%, **.**% and **.**% of the total number of hospitals respectively.

During the day, the hospital presents a varied distribution of medical needs for its patients. General medicine accounts for **.*% of requirements, followed by surgery with **.*%. Psychiatry accounts for **.*% of medical needs, while geriatrics represents **.*%. This breakdown thus indirectly represents the medical equipment needs of the Spanish healthcare system.

Hospital day shifts Spain, ****, % Source: ****

The rate at which Spanish hospitals are equipped with medical technology varies between the public and private systems. For every million inhabitants, the public system has **.* computerized axial tomography (***) units, *.* MRI units, *.* mammography units and *.* linear gas pedals and tele-cobalt therapy units. The private system has *.* CCT, *.* MRI, *.* mammography and *.* linear gas pedals and tele-cobalt therapy. Combining the two systems, Spain has a total of **.* TAC, **.* MRI, **.* mammography and *.* linear gas pedal and tele-cobalt therapy facilities per million inhabitants.

Equipment rate of the Spanish healthcare system Spain, ****, rate per million inhabitants Source: ...

3 Market structure

3.1 Market typology

In ****, according to a survey carried out by FENIM (***).

Medical technology manufacturing sectors Spain, ****, % of total Source: ****

Companies in Spain's medical equipment sector can also be divided according to the destination of their products. **% are manufacturers of sanitary products, **% are manufacturers of sanitary products and hospital equipment, **% are manufacturers of hospital equipment only, and the remaining *% belong to other sector categories.

Distribution of companies in the medical sector, by consumption destination Spain, ****, % of total Source: ****

In ****, micro-businesses accounted for **% of companies in this sector, while small businesses made up **%. Medium-sized companies accounted for **% of the market, and large companies for **%.

Distribution of companies by size Spain, ****, % of total Source: ****

Finally, according to the nationality criterion, in ****, **% of companies were national manufacturers with production in Spain, while *% were non-Spanish multinationals with production in the country. A further **% were Spanish multinationals, while **% fell into other categories.

Breakdown of companies by national and international characteristics Spain, ****, % of total Source: ****

In terms of geography, companies are concentrated in the Catalan (***) communities.

3.2 Production

Between **** and ****, the number of companies in the radiation equipment, electromedical equipment and electrotherapeutic equipment manufacturing sector in Spain saw an overall increase of *.**%. In ****, there were *** companies, then *** in ****, *** in ****, *** in **** and finally *** in ****.

Trend in the number of companies in CNAE code ****: "Manufacture of radiation equipment, electromedical equipment and electrotherapeutic equipment" Spain, ****-****, number of companies Source: ****

At the same time, the number of employees in this same sector increased by **.*% over the entire ****-**** period. The increase in the number of employees, as well as in the number of companies over the same period, shows an expansion of this medical equipment branch.

Trend in the number of employees in CNAE code ****: "Manufacture of radiation equipment, electromedical equipment and electrotherapeutic equipment" Spain, ****-****, number of employees Source: ****

With regard to companies manufacturing medical and dental instruments and supplies, there is a *.*% decrease in the number of companies over the period ****-****. This decline is also a trend, with the number of companies falling each year over the same period.

Trend in the number of companies in CNAE code ****: "Manufacture of medical and dental instruments and supplies" Spain, ****-****, number of companies Source: ****

This decrease, however, is associated with an ...

4 Offer analysis

4.1 A wide range of products

There are * classes of medical devices in Europe. Each class has its own compliance requirements.

Class III (***) - Examples: breast implants, coated stents, intervertebral cages, hip prostheses; Class IIb (***) - Examples: condoms, lens disinfectants, blood bags, implantable plates; Class IIa (***) - Examples: ultrasound equipment, dental crowns, syringes, X-ray equipment, tracheostomy tubes; Class I (***) - Examples: corrective spectacles, vehicles for the disabled, crutches, bandages, wheelchairs, scalpels, medical beds, stethoscopes.

We can distinguish medical equipment market products by sector of activity. Whether for professionals, local authorities or private individuals, the products targeted and the uses are not the same. On the other hand, diversity is based on the specialty practiced.

Mobility and transfer : Verticaliser Patient lifts Electric and manual wheelchairs Canes Walkers

Community and homecare : Healthcare beds (***) Alzheimer beds Seat shell armchairs Serum carriers Infusion pumps Aerosol Humidifier Home enteral nutrition package with pump Weighing equipment (***).

Maternity : Fetal Doppler Cradle Electronic baby scale Breast pump Neuro-stimulator

This list is not exhaustive, as many other medical specialties are offered equipment, such as physiotherapy, with massage tables.massage tables, dental chairs, air polishers, scalers and equipment for homecare nurses.

- Mobility and well-being (***)

Medical bed Wheelchairs Compressors for air mattresses Electro-stimulator Bracket Breast pump Infusion ...

4.2 Prices

The following graph shows the evolution of prices in the Spanish healthcare sector between January **** and May ****, based on the average of price indices expressed during the year ****. It can be seen that, despite the *.*% inflation in Spain in ****, the medical technology sector was only a minor contributor to the latter. The price index rose by only two and a half points between January **** and May ****.

Price index for the medical sector in Spain Spain, ****-****, index base *** average year ****. Source: ****

5 Regulations

5.1 Regulations

The new European Regulation (***) ****/*** applicable since **** on sanitary products aims to ensure the availability on the market of effective, high-quality and safe sanitary products.

This regulation, whose application was delayed by a year due to the COVID-** pandemic, aims to address concerns about the safety of sanitary products and to establish a regulation that guarantees the availability of effective, high-quality and safe sanitary products.this regulation, whose implementation was delayed for a year due to the COVID-** pandemic, aims to address concerns about the safety of sanitary products, and to establish regulations to ensure the availability of safe and effective sanitary products on the market. Its main objective is to provide a legal framework for sanitary products to ensure a high level of quality, safety and health protection, while supporting innovation.

Here are some of the new features introduced by Regulation ****/***:

Creation of a new database called EUDAMED, guaranteeing transparency and providing access for authorities, industry, healthcare professionals and the general public to information on sanitary products available on the European market. Improved traceability of healthcare products through the introduction of a unique identification number (***). Reinforcement of the designation and monitoring process for notified bodies. Stricter requirements for the pre-clinical and ...

6 Positioning the players

6.1

  • Johnson & Johnson
  • Medtronic
  • Baxter International
  • Siemens Healthineers
  • DENTAID SL
  • SIEGFRIED BARBERA S.L.
  • P Prim SA
  • BBraun
  • BECTON DICKINSON SAU
  • NAMROL MEDICAL S.L.
  • RADIOLOGIA SA
  • KEYLAB SL
  • INDIBA SAU
  • Sociedad Española De Electromedicina Y Calidad Sa

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