Feature

Published: November 21, 2011
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A Look at Medical Device Numbers in 2011

The medical device market is facing a number of hurdles, which are having a negative influence on job growth, the funding climate, and the industry’s overall prognosis.


 

The life sciences investment split for the third quarter of 2011 favored biotech.
Source: PwC: Reaching for Growth

 

The device industry now employs roughly two million people in the United States.
Source: AdvaMed: Sustain U.S. Leadership in Medical Technology

 

The annual growth rate of the industry is slowing as concerns about funding and the regulatory process mount.
Source: Accenture: Reinventing Medical Technology for a Dramatically Different Future

 

The proportion of new job growth in the medtech sector is expected is expected to largely shift overseas.
Source: AdvaMed: Sustain U.S. Leadership in Medical Technology

 

Technologies requiring the PMA pathway in the United States take, on average, almost four years longer to receive than similar products do to obtain the CE Mark.
Source: AdvaMed: Sustain U.S. Leadership in Medical Technology

 

The average amount of time to obtain 510(k) clearance has climbed.
Source: Ernst & Young: Pulse of the Industry Report

 

510(k) and CE Mark Regulatory Timelines

PMA and CE Mark
Regulatory Timelines

FDA reported
510(k) Review time
(Office of Device
Evaluation, Annual
Performance
Report, 2009)
US companies’
Experience with
510(k) Review
US Companies’
Experience in
Europe (CE)
FDA Reported PMA
Review Time
(Office of Device
Evaluation, Annual
Performance
Report, 2009)
US companies’
experience with
PMA review
US companies’
experience in
Europe (CE)
3 months
“average total
elapsed time
from receipt to
final decision”
10 months from
first filing to
clearance
31 months from
first communication
to clearance
7 months
from first
communication
to certificate
9 months
“average total
elapsed time
from filing to
approval for all
original PMAs”
54 months
from first
communication
to approval (or
to present)
11 months
from first
communication
to certificate

Source: FDA Impact on U.S. Medical Technology Innovation

 

The time typically need to obtain a PMA has also increased.

Source: Ernst & Young: Pulse of the Industry Report

 

The number of PMA approvals granted by FDA has declined.
Source: Ernst & Young: Pulse of the Industry Report

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What is a Correlation and What is a Cause and Effect?

The linear decline in the growth rate of the medtech industry from 2004 to 2010 is disconcerting to say the least. In the little box associated with the 15.3-to-3.5% graph is the statement, "The annual growth rate of the industry is slowing as concerns about funding and the regulatory environment mount." Later on are the bleak FDA approval times and numbers, and so, one wonders if one causes the other, or, are the two things simply happening in parallel? There are some very loud voices who lay all of the blame on the FDA. I'm just not one of them. As a scientist, I know a correlation when I see one.

What about "funding"? Is cash really a problem? Who has the cash out there? Also in today's MD+DI Online Newsletter is the feature article titled, "Mergers and Acquisitions: Medtech Buyers and Sellers Win" by Clyde A. Burkhardt, illustrating a major focus on mergers and acquisitions. From the article, it can be seen that this past year, all the big companies are doing them. This contracture of the industry has been happening for quite some time, so I wonder if the drive towards mergers and acquisitions might be THE major cause of slowed growth. With such amazing amounts of cash going for simply buying and selling what already exists, what is left for growth?

After all the money has changed hands, someone has to pay, and it's usually the employees of one or both of the buyer or the sold. "Efficiencies" must be made, "costs" and "operations" must be streamlined, and that means 1,000 people here, and 2,000 people there, gone........and R&D budgets getting ever so smaller...................and reports of real innovations becoming fewer and farther between. When it comes to a slowdown in growth, I know cause and effect when I see it.

Paul Stein