TABLE OF CONTENTS
1 INTRODUCTION 13
1.1 OBJECTIVES OF THE STUDY 13
1.2 MARKET DEFINITION 13
1.3 OVERVIEW OF THE MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET 13
1.4 CURRENCY AND PRICING 15
1.5 LIMITATIONS 15
1.6 MARKETS COVERED 15
2 MARKET SEGMENTATION 17
2.1 MARKETS COVERED 17
2.2 GEOGRAPHICAL SCOPE 18
2.3 YEARS CONSIDERED FOR THE STUDY 18
2.4 DBMR TRIPOD DATA VALIDATION MODEL 19
2.5 PRIMARY INTERVIEWS WITH KEY OPINION LEADERS 22
2.6 MULTIVARIATE MODELLING 23
2.7 PRODUCT LIFELINE CURVE 23
2.8 DBMR MARKET POSITION GRID 24
2.9 MARKET END-USER COVERAGE GRID 25
2.10 SECONDARY SOURCES 26
2.11 ASSUMPTIONS 26
3 EXECUTIVE SUMMARY 27
4 PREMIUM INSIGHT 30
4.1 PESTEL ANALYSIS 31
4.2 PORTERS FIVE FORCES 32
5 REGULATIONS 33
5.1 MIDDLE EAST AND AFRICA 33
6 MARKET OVERVIEW 35
6.1 DRIVERS 37
6.1.1 INCREASING USAGE OF STERNAL CLOSURES IN OBESE PATIENTS 37
6.1.2 INCREASING PREVALENCE OF TARGET PATIENT POPULATION WITH THE SUBSEQUENT RISE IN THE NUMBER OF SURGICAL PROCEDURES 37
6.1.3 INCREASING PREVALENCE OF CHRONIC DISEASES WITH THE GROWING GERIATRIC POPULATION 38
6.2 RESTRAINTS 38
6.2.1 STRINGENT REGULATIONS FOR STERNAL CLOSURE SYSTEMS 38
6.2.2 PROCEDURAL RISKS ASSOCIATED WITH STERNAL CLOSURE 38
6.3 OPPORTUNITIES 39
6.3.1 RISING TECHNOLOGICAL ADVANCEMENTS IN STERNOTOMY DEVICES 39
6.3.2 INCREASING RESEARCH ACTIVITIES FOR STERNAL CLOSURE PROCEDURES 39
6.4 CHALLENGES 40
6.4.1 LIMITED AWARENESS AMONG HEALTHCARE PROVIDERS ABOUT OTHER RELEVANT PROCEDURES 40
6.4.2 LACK OF SKILLED SURGEONS AND PHYSICIANS 40
7 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY PRODUCT 41
7.1 OVERVIEW 42
7.2 CLOSURE DEVICES 45
7.2.1 WIRES 45
7.2.2 PLATES & SCREWS 45
7.2.3 CABLES 45
7.2.4 CLIPS 46
7.3 BONE CEMENT 46
8 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY MATERIAL 47
8.1 OVERVIEW 48
8.2 STAINLESS STEEL 51
8.3 TITANIUM 51
8.4 PEEK 52
8.5 OTHERS 52
9 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY FIXATION TECHNIQUES 53
9.1 OVERVIEW 54
9.2 WIRING FIXATION TECHNIQUES 57
9.3 PLATE-SCREW SYSTEMS 57
9.4 INTERLOCKING SYSTEMS 57
9.5 CEMENTING 58
9.6 VACCUM ASSISTED CLOSURE 58
10 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY PROCEDURE 59
10.1 OVERVIEW 60
10.2 MEDIAN STERNOTOMY 63
10.3 HEMISTERNOTOMY 63
10.4 BILATERAL THORACOSTERNOTOMY 64
10.5 OTHERS 64
11 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY END USER 65
11.1 OVERVIEW 66
11.2 HOSPITALS 69
11.3 SPECIALIZED SURGICAL CENTERS 69
12 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET, BY DISTRIBUTION CHANNEL 70
12.1 OVERVIEW 71
12.2 DIRECT TENDER 74
12.3 RETAIL SALES 74
13 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET 75
13.1 MIDDLE EAST AND AFRICA 75
13.1.1 SOUTH AFRICA 80
13.1.2 SAUDI ARABIA 82
13.1.3 U.A.E 84
13.1.4 ISRAEL 86
13.1.5 EGYPT 88
13.1.6 REST OF MIDDLE EAST AND AFRICA 90
14 MIDDLE EAST AND AFRICA STERNAL CLOSURE SYSTEMS MARKET: COMPANY LANDSCAPE 91
14.1 COMPANY SHARE ANALYSIS: MIDDLE EAST AND AFRICA 91
15 SWOT ANALYSIS 92
16 COMPANY PROFILE 93
16.1 ZIMMER BIOMET 93
16.1.1 COMPANY SNAPSHOT 93
16.1.2 REVENUE ANALYSIS 94
16.1.3 PRODUCT PORTFOLIO 94
16.1.4 RECENT DEVELOPMENTS 95
16.2 B. BRAUN MELSUNGEN AG 96
16.2.1 COMPANY SNAPSHOT 96
16.2.2 REVENUE ANALYSIS 96
16.2.3 PRODUCT PORTFOLIO 97
16.2.4 RECENT DEVELOPMENTS 97
16.3 JOHNSON & JOHNSON SERVICES, INC. 98
16.3.1 COMPANY SNAPSHOT 98
16.3.2 REVENUE ANALYSIS 98
16.3.3 PRODUCT PORTFOLIO 99
16.3.4 RECENT DEVELOPMENT 99
16.4 STRYKER 100
16.4.1 COMPANY SNAPSHOT 100
16.4.2 REVENUE ANALYSIS 100
16.4.3 PRODUCT PORTFOLIO 101
16.4.4 RECENT DEVELOPMENT 101
16.5 PTERS SURGICAL 102
16.5.1 COMPANY SNAPSHOT 102
16.5.2 PRODUCT PORTFOLIO 102
16.5.3 RECENT DEVELOPMENT 102
16.6 AUXEIN MEDICAL PRIVATE LIMITED 103
16.6.1 COMPANY SNAPSHOT 103
16.6.2 PRODUCT PORTFOLIO 103
16.6.3 RECENT DEVELOPMENT 103
16.7 CHANGZHOU WASTON MEDICAL APPLIANCE CO., LTD. 104
16.7.1 COMPANY SNAPSHOT 104
16.7.2 PRODUCT PORTFOLIO 104
16.7.3 RECENT DEVELOPMENT 104
16.8 GRIFFITHS AND NIELSEN 105
16.8.1 COMPANY SNAPSHOT 105
16.8.2 PRODUCT PORTFOLIO 105
16.8.3 RECENT DEVELOPMENT 105
16.9 INNOVASIS INC. 106
16.9.1 COMPANY SNAPSHOT 106
16.9.2 PRODUCT PORTFOLIO 106
16.9.3 RECENT DEVELOPMENT 106
16.10 KLS MARTIN GROUP 107
16.10.1 COMPANY SNAPSHOT 107
16.10.2 PRODUCT PORTFOLIO 107
16.10.3 RECENT DEVELOPMENTS 107
17 QUESTIONNAIRE 108
18 RELATED REPORTS 111

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