Espicom


The Medical Device Market: Estonia

Published 24 September 2014

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The Medical Device Market: Estonia

BMI Industry View:   The medical device market is set to grow at a higher CAGR between 201 3 and 201 8 than was recorded for the 2008-2013 period. However, the small size of the market limits scope for the purchase of more expensive items. The medical device market is largely supplied by imports, principally from Western suppliers. The balance of trade has been positive since 2011, due to export growth . There is a small domestic production sector but this tends to concentrate on exports to Western Europe and former Soviet countries .

Headline Industry Forecasts

  • The medical device market is valued at US$150.0mn in 2013, equivalent to US$116.6 per capita. The market is projected to grow at a CAGR of 4.3% over the forecast period, reaching US$184.9mn in 2018, equal to US$145.7 per capita.

  • Medical device imports supply around 80% of the medical device market. Imports grew at a CAGR of 1.8% in US dollar terms and 4.0% in euro terms between 2008 and 2013. The running annual total reached US$129.8mn in the 12 months to July 2014, representing y-o-y growth of 8.8%.

  • Medical device exports grew at a CAGR of 9.0% in US dollar terms and 11.3% in euro terms between 2008 and 2013. Due to export growth since 2011, the balance of trade amounted to a surplus of US$7.9mn in 2013. The running annual export total reached US$129.6mn in the 12 months to July 2014, representing a y-o-y decrease of 4.1%. 

  • Domestic medical device production is estimated to be over US$150mn. The industry has particular strengths in endoscopic apparatus, fixation devices, therapy apparatus and hearing aids.

Headline Industry Risk/Reward Rating

  • Estonia is the ninth most attractive market in Central and Eastern Europe (CEE) in which to commercialise a medical device in Q115, one ranking down from Q414, according to BMI's Medical Device Risk/Reward Ratings (RRRs). The country's overall score is 57.2 out of 100 in Q115, a score it has maintained since Q414. This compares to a...

Table of Contents

Espicom Industry View
7
SWOT
9
Medical Device Market
9
Political
10
Economic
11
Business Environment
12
Industry Forecast
13
Medical Device Market Forecast
13
2008-2013 Performance
13
2013-2018 Performance
14
Table: Projected Medical Device Market, 2013-2018
15
Table: Detailed Medical Device Market By Product Area, 2008-2018 (US$mn)
16
Consumables Market Forecast
19
Bandages & Dressings
19
Suturing Materials
19
Syringes, Needles & Catheters
19
Other Consumables
20
Table: Consumables Market, 2008-2018 (US$mn)
20
Table: Consumables Market, 2009-2018 (US$mn % Change)
21
Diagnostic Imaging Market Forecast
22
Electrodiagnostic Apparatus
22
Radiation Apparatus
23
Imaging Parts & Accessories
23
Table: Diagnostic Imaging Market, 2008-2018 (US$mn)
23
Table: Diagnostic Imaging Market, 2009-2018 (US$mn % Change)
25
Dental Products Market Forecast
26
Capital Equipment
26
Instruments & Supplies
27
Table: Dental Products Market, 2008-2018 (US$mn)
27
Table: Dental Products Market, 2009-2018 (US$mn % Change)
28
Orthopaedics & Prosthetics Market Forecast
29
Fixation Devices
29
Artificial Joints
30
Other Artificial Body Parts
30
Table: Orthopaedics & Prosthetics Market, 2008-2018 (US$mn)
30
Table: Orthopaedics & Prosthetics Market, 2009-2018 (US$mn % Change)
31
Patient Aids Market Forecast
32
Portable Aids
32
Therapeutic Appliances
32
Table: Patient Aids Market, 2008-2018 (US$mn)
32
Table: Patient Aids Market, 2009-2018 (US$mn % Change)
33
Other Medical Devices Market Forecast
34
Table: Other Medical Devices Market, 2008-2018 (US$mn)
35
Table: Other Medical Devices Market, 2009-2018 (US$mn % Change)
35
Annual Medical Device Imports
37
Table: Medical Device Imports By Product Area, 2009-2013 (US$000s)
41
Table: Medical Device Imports By Product Area, 2009-2013 (US$000s % Change)
42
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s)
43
Table: Medical Device Imports By Product Area, 2009-2013 (Local Currency 000s % Change)
44
Table: Top 20 Medical Device Suppliers, 2013 (US$000s)
46
Table: Detailed Medical Device Imports By Product Area, 2009-2013 (US$000s)
47
Table: Detailed Medical Device Import Trends By Product Area, 2013
50
Table: Detailed Leading Medical Device Suppliers By Product Area, 2013 (US$000s)
53
Monthly Medical Device Imports
57
Table: Monthly Medical Device Imports By Product Area, May 2011-June 2014 (US$mn)
57
Annual Medical Device Exports
59
Table: Medical Device Exports By Product Area, 2009-2013 (US$000s)
63
Table: Medical Device Exports By Product Area, 2009-2013 (US$000s % Change)
64
Table: Medical Device Exports By Product Area, 2009-2013 (Local Currency 000s)
65
Table: Medical Device Exports By Product Area, 2009-2013 (Local Currency 000s % Change)
66
Table: Top 20 Medical Device Destinations, 2013 (US$000s)
68
Table: Detailed Medical Device Exports By Product Area, 2009-2013 (US$000s)
69
Table: Detailed Medical Device Export Trends By Product Area, 2013
72
Table: Detailed Leading Medical Device Destinations By Product Area, 2013 (US$000s)
75
Table: Detailed Medical Device Balance Of Trade, 2009-2013 (US$000s)
78
Monthly Medical Device Exports
81
Table: Monthly Medical Device Exports By Product Area, May 2011-June 2014 (US$mn)
82
Macroeconomic Forecasts
84
Economic Analysis
84
Table: GDP By Expenditure (Estonia 2011-2018)
90
Industry Risk Reward Ratings
92
Table: CEE Medical Device Risk/Reward Ratings, Q414
93
Market Overview
94
Medical Device Market Overview
94
Table: Medical Device Market, Key Ratios, 2013
95
Table: Medical Device Market By Product Area, 2013
96
Healthcare Overview
96
Health Status
96
Healthcare System
97
Healthcare Funding
99
Healthcare Resources
100
Table: Medical Device Technology By Type, 2005-2012 (Units)
100
Table: Medical Device Technology By Type, 2005-2012 (Rate/mn population)
101
Healthcare Activity
102
Healthcare Personnel
103
Key Healthcare Data
103
Table: Key Healthcare Data, 2008-2013
103
Industry Trends And Developments
106
Industry Trends & Developments
106
Regulatory Development
108
Medical Device Regulations
108
EU Medical Device Regulations
108
Designated Authorities
108
Existing Regulations
108
Proposed Regulatory Changes
109
Implications For The Industry
111
Competitive Landscape
114
Domestic Medical Device Production
114
Table: Medical Device Production By Detailed Product Area, 2009-2013 (EURmn)
114
Table: Medical Device Production By Detailed Product Area, 2009-2013 (US$mn)
117
Table: Medical Device Production By Detailed Product Area, 2009-2013 (% Distribution)
121
National Medical Device Manufacturers
124
Multinational Medical Device Manufacturers
125
Multinational Market Activity
125
Table: Multinational Market Activity, 2014
125
Medical Device Market Access
127
Market Environment
127
Distribution
127
Methodology
128
Medical Device Market Methodology
128
Trade Code Classifications
129
Table: Used HS Trade Codes, 2014
129
Table: Rearranged HS Trade Codes, 2014
131
Risk/Reward Ratings Methodology
134
Table: Medical Devices Risk/Reward Ratings Indicators, 2014
135
Sources
136
Contact
137
OVERVIEW OF THE MEDICAL MARKET IN ESTONIA

Funding for healthcare in Estonia is principally through a national health insurance system, which came into effect in the 1990s. Healthcare is supposed to be available free under it, but funding has never matched demand, and patient payments for services remain common.

In 2013, the Estonian market for medical equipment and supplies is estimated at US$152.9 million, or US $114.2 per capita. The small size of the market limits scope for the purchase of more expensive items. The market is projected to grow at a CAGR of 4.1% over the forecast period, reaching US$186.6 million in 2018, equal to US$140.0 per capita.

Nearly 80% of the medical device market is supplied by imports, principally from western suppliers. There is a small domestic production sector, but this tends to concentrate on exports, to Western Europe and the former USSR.

Medical device imports experienced growth of 3.7% in 2012 in US dollar terms, reaching US$107.7 million. The 2007-2012 CAGR was 2.6%. A fall of 12.0% was registered in 2009, when the economic crisis took its toll, with patient aids, dental products and diagnostic equipment especially hard hit. The leading product area in 2012 was consumables, valued at US$21.1 million, a decrease of 10.0% compared with the previous year and equivalent to 19.6% of total imports.

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