The concept, classification, application and development of 1. stapler

The concept of stapler

A stapler is a medical device used to replace manual suturing in surgery. The working principle is to use titanium nails to sever or anastomose tissue, similar to a stapler. Compared with the traditional manual suture, the stapler has the following advantages:

The suture is fast, the operation is simple, and the operation time is saved;

Single use, to avoid cross infection;

By selecting the appropriate height of the nail leg and using the stapler correctly, the suture can be tight and the blood supply can be ensured;

Less side effects and fewer surgical complications.

Classification of staplers

According to the structure, function and application of the stapler, the stapler can be divided into the following categories:

Linear stapler: used to suture two parallel incisions together, commonly used in the anastomosis of intestinal, stomach, esophagus and other organs;

Linear cutting stapler: in the suture at the same time to remove the excess tissue, commonly used in intestinal, stomach, esophagus and other organs of the resection and anastomosis;

Circular stapler: used to suture two circular incisions together, often used for anastomosis of intestinal, stomach, esophagus and other organs;

Tube-type stapler: used to suture two tubular organs together, commonly used in blood vessels, bile ducts, urinary ducts and other organs of the anastomosis;

Pockets stapler: used to suture a circular incision into a small hole, often used in the stomach, intestines, gallbladder and other organs of the resection and anastomosis;

Skin stapler: used to suture the skin incision together, commonly used in trauma, burns, plastic surgery and other skin suture;

Refill: Used to replace the titanium nail on the stapler so that the stapler can be used multiple times.

Application of stapler

The use of stapler in surgery is very common, is widely used in cardiothoracic surgery, gastrointestinal surgery, hepatobiliary surgery, urology and other surgical fields, a total of about 30 kinds of operation (no difference between open and minimally invasive surgery). The following are the main procedures and stapling applications in various fields:

Cardiothoracic surgery: lobectomy, segmentectomy, three incisions, Ivor-Lewis radical resection of esophageal cancer, coronary artery bypass grafting, aortic aneurysm resection, etc. Commonly used linear stapler, circular stapler, tube type stapler, etc;

Gastrointestinal surgery: total gastrectomy, proximal gastrectomy, distal gastrectomy, right hemicolectomy, low anterior resection of rectum, PPH hemorrhoidectomy, sleeve gastrectomy, etc. Commonly used linear stapler, linear cutting stapler, circular stapler, purse string stapler, etc;

Hepatobiliary surgery: pancreaticoduodenectomy, hepatectomy, cholecystectomy, bile duct exploration, etc. Commonly used linear stapler, linear cutting stapler, tube type stapler, etc;

Urology: prostatectomy, total cystectomy, nephrectomy, ureterotomy, etc. Commonly used linear stapler, linear cutting stapler, tube type stapler, etc;

Other surgical procedures: thyroidectomy, mastectomy, resection of brain tumors, craniotomy, etc. Commonly used linear stapler, skin stapler and so on.

The development course of stapler

The invention of the stapler can be traced back to 1908, when the German doctor Hultl made the first mechanical stapler for the intestinal anastomosis. Since then, the design and function of staplers have been continuously improved, and various types and brands of staplers have appeared. The following is the main development of stapler:

In 1908, Hultl made the first mechanical stapler for the anastomosis of the intestine;

In 1921, Murphy invented the first circular stapler for the anastomosis of the gastrointestinal tract;

In 1934, Payr invented the first tube stapler for vascular anastomosis;

In 1952, Markov invented the first linear stapler for intestinal anastomosis;

In 1967, Akopov and Grigoriev of USSR invented the first linear cutting stapler for intestinal resection and anastomosis;

In 1970, Johnson & Johnson introduced the first commercial linear cutting stapler, named TA stapler;

In 1977, Johnson & Johnson introduced the first commercial circular stapler, named EEA stapler;

In 1988, Johnson & Johnson introduced the first commercial endoscopic stapler.

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In 1988, Johnson & Johnson introduced the first commercial endoscopic stapler, named ETS stapler;

In 1992, Johnson & Johnson introduced the first commercial purse-string stapler, named PPH stapler;

In 1995, Johnson & Johnson introduced the first commercial skin stapler, named Dermabond stapler;

In 2000, Johnson & Johnson introduced the first commercial refill stapler, named Reload stapler;

In 2008, Johnson & Johnson introduced the first commercial ultrasonic cutting stapler, named Harmonic stapler;

In 2012, Johnson & Johnson launched the first commercial minimally invasive linear cutting stapler, named ECHELON FLEX stapler;

In 2016, Johnson & Johnson launched the first commercial intelligent stapler, named Ethicon Endo-Surgery Curved Intraluminal Stapler (ECRIS) stapler.

2. anastomosisdevice industryThe current market situation, development trend, competitive landscape and major enterprises.

Market Status of the Stapler Industry

The stapler industry is a highly specialized, technology-intensive, innovation-driven industry with an expanding market size and growing market demand. In 2019, the global stapler market reached $4.16 billion billion, up 7.2 percent year-on-year. In 2020, the size of the global stapler market declined to $3.98 billion billion, down 4.3 percent year-on-year, due to the new crown epidemic. In 2021, with the relief of the epidemic and the resumption of surgery, the global stapler market size returned to growth, reaching 4.32 billion billion US dollars, up 8.5 percent year-on-year.

In terms of geographical distribution, North America is the largest region in the global stapler market, accounting for about 40% of the global market, followed by Europe, accounting for about 30% of the global market. The Asia-Pacific region is the fastest growing region in the global stapler market, accounting for about 20% of the global market, and other regions account for about 10% of the global market.

In terms of product types, linear cutting staplers are the largest segment of the global stapler market, accounting for about 50% of the global market, followed by circular staplers, accounting for about 20% of the global market, and other types of staplers. About 30% of the global market.

In terms of application areas, gastrointestinal surgery is the largest application area of the global stapler market, accounting for about 40% of the global market, followed by cardiothoracic surgery, accounting for about 20% of the global market, and other surgeries accounting for about 40% of the global market.

Development trend of stapler industry

The development trend of the stapler industry is mainly affected by the following factors:

The development of surgery: with the progress of surgery, the application scope and demand of stapler are increasing, especially in minimally invasive surgery, robotic surgery, personalized surgery, etc., the role of stapler is becoming more and more important;

Innovation of medical devices: With the innovation of medical devices, the performance and functions of staplers continue to improve, especially in the aspects of intelligence, precision, safety, degradability, etc., the advantages of staplers are becoming more and more obvious;

Competition in the medical market: With the competition in the medical market, the price and quality of staplers are continuously optimized, especially in emerging markets, the market potential of staplers is increasing;

Adjustment of medical policy: With the adjustment of medical policy, the access and supervision of staplers are constantly changing, especially in terms of medical insurance, approval, standards, etc., the market environment of staplers is becoming more and more complex.

In summary, the development trend of the stapler industry can be summarized as follows:

The market size continues to grow. It is estimated that by 2025, the global stapler market size will reach 6 billion billion US dollars, with an average annual compound growth rate of 7%;

The market structure continues to optimize. It is expected that by 2025, the Asia-Pacific region will become the fastest growing region in the global stapler market, accounting for about 25% of the global market. North America and Europe are still the main regions of the global stapler market, accounting for about 35% and 30% of the global market respectively;

Product types continue to innovate. It is estimated that by 2025, linear cutting stapler will still be the leading product in the global stapler market, accounting for about 45% of the global market. Circular stapler and other types of stapler will account for about 20% and 35% of the global market respectively. Among them, new stapler such as intelligent stapler, ultrasonic cutting stapler and degradable stapler will have rapid development;

The application field continues to expand. It is estimated that by 2025, gastrointestinal surgery will still be the largest application field of the global stapler market, accounting for about 35% of the global market. Cardiothoracic surgery and other surgery will account for about 25% and 40% of the global market respectively. Among them, urology, hepatobiliary surgery, plastic surgery and other emerging fields will have greater growth.

Competitive landscape and major players in the stapler industry

The stapler industry is a highly concentrated industry, the market share is mainly concentrated in the hands of several multinational companies, and the competition is fierce. According to 2019 data, the top five companies in the global stapler market are Johnson & Johnson, Medtronic, Boston Scientific, B.Braun and Medtronic, accounting for 40%, 20%, 10%, 8% and 7% of the global market, respectively. The following is a brief description of these enterprises:

Johnson & Johnson: Johnson & Johnson is the world's largest medical device company, headquartered in New Jersey, USA. Founded in 1886, it has Ethicon, Covidien, DePuy Synthes and other subsidiaries, involving various medical fields. Johnson & Johnson occupies an absolute leading position in the stapler market. It has various types and brands of stapler, such as TA, EEA, ETS, PPH, Reload, Harmonic, ECHELON FLEX, ECRIS, etc., covering various surgical fields and procedures, and has strong technical advantages and market influence;

Medtronic Corporation: Medtronic Corporation is the world's second largest medical device company, headquartered in Minnesota, USA, founded in 1949, mainly engaged in cardiovascular, neurological, diabetes, surgical and other fields of medical products and services. Medtronic occupies an important position in the stapler market, with a variety of types and brands of stapler, such as Endo GIA, Tri-Staple, Signia, Gastrointestinal, LigaSure, etc., mainly used in gastrointestinal surgery, urology, cardiothoracic surgery and other fields, with a high brand awareness and market share;

Boston Scientific Corporation: Boston Scientific Corporation is the world's third largest medical device company, headquartered in Massachusetts, USA, founded in 1979, mainly engaged in cardiovascular, endoscopic, urinary, neurological and other fields of medical products and services. Boston Scientific Company occupies a certain position in the stapler market, with a variety of types and brands of stapler, such as Resolution Clip, Hemoclip, Microvasive, Endo Clip, etc., mainly used in endoscopic surgery and minimally invasive surgery, with strong innovation and market competitiveness;

B.Braun Company: B.Braun Company is the world's fourth largest medical device company, headquartered in North Rhine-Westphalia, Germany, founded in 1839, is a family business, mainly engaged in injection, infusion, surgery, anesthesia, kidney and other fields of medical products and services. B.Braun company occupies a certain position in the stapler market, with various types and brands of stapler, such as EEA, GIA, TA, Vascular, LigaSure, etc., mainly used in cardiothoracic surgery, gastrointestinal surgery, vascular surgery and other fields, with high quality and safety;

Medtronic: Medtronic is the world's fifth largest medical device company, headquartered in Dublin, Ireland, was founded in 1949, mainly engaged in cardiovascular, neurological, diabetes, surgical and other fields of medical products and services. Medtronic company occupies a certain position in the stapler market, with a variety of types and brands of stapler, such as Endo GIA, Tri-Staple, Signia, Gastrointestinal, LigaSure, etc., mainly used in gastrointestinal surgery, urology, cardiothoracic surgery and other fields, with a high brand awareness and market share.

In addition to the above five multinational companies, there are some other stapler companies, such as Olympus, Conmed, Reach Surgical, Danone Medical Devices, Minimally Invasive Medical Devices, etc., which also have certain influence and competitiveness in their respective market segments.

3. anastomosisdevice industryThe purpose, content, methods and steps of market research.

Aim of market research in the stapler industry

Market research is an activity that collects, analyzes and interprets market-related information in order to provide a basis for market decision-making. The purpose of market research is to understand the current situation of the market, development trends, competitive landscape, customer needs, product characteristics, market opportunities, market risks, etc., in order to provide effective information support for strategic planning, product development, market expansion, investment cooperation, etc.

For the stapler industry, the purpose of market research is mainly the following:

Understand the market size, growth rate, regional distribution, product structure, application fields, etc. of the stapler industry in order to evaluate the market potential and attractiveness;

Understand the market demand, user preferences, purchase behavior, usage habits, satisfaction, etc. of the stapler industry in order to meet the needs and expectations of users;

Understand the market competition, main competitors, competitive strategies, competitive advantages, competitive disadvantages, etc. of the stapler industry in order to formulate effective competitive countermeasures and differentiation strategies;

Understand the market environment, policies and regulations, technological development, social and cultural, economic factors, etc. of the stapler industry in order to grasp the opportunities and risks of the market.

Content of market research for the stapler industry

The content of market research refers to the information to be collected, analyzed and interpreted by market research, which usually includes the following aspects:

Market overview: including the definition, classification, characteristics, history, current situation and development trend of the market;

Market demand: including total market demand, sub-demand, potential demand, effective demand, etc;

Market supply: including total market supply, sub-supply, capacity, output, inventory, import and export, etc;

Market competition: including the degree of competition in the market, competitive structure, competitors, competitive strategies, competitive advantages, competitive disadvantages, etc;

Market segmentation: including market segmentation criteria, segmentation methods, segmentation results, segmentation characteristics, segmentation needs, segmentation strategies, etc;

Market positioning: including the target market, target users, target products, target prices, target channels, target promotions, etc;

Market environment: including market policies and regulations, technological development, social and cultural factors, economic factors, natural factors, etc;

Market problems: including the main problems of the market, the cause of the problem, the impact of the problem, the solution of the problem, etc.

Methods of market research for the stapler industry

The method of market research refers to the technology and means used in market research to collect, analyze and interpret information, usually including the following:

Literature survey: by consulting a variety of existing literature, such as books, newspapers, periodicals, papers, reports, statistical data, etc., to obtain market-related information;

Observation and investigation: Obtain market-related information by directly or indirectly observing market phenomena, such as user behavior, product use, competitor dynamics, market changes, etc;

Interviews and surveys: through market-related personnel, such as users, experts, competitors, distributors, government officials, etc., face-to-face or telephone or network communication, to obtain market-related information;

Questionnaire survey: collect market-related information from market-related personnel, such as users, experts, competitors, distributors, government officials, etc., by designing and distributing a series of questions, such as single-choice questions, multiple-choice questions, fill-in questions, scoring questions, sorting questions, open questions, etc;

Experimental investigation: To obtain market-related information by manipulating and observing market-related variables, such as product characteristics, price levels, promotion methods, channel selection, etc., under controlled or simulated conditions.

The steps of market research refer to the procedures to be followed in market research, which usually include the following steps:

Determine the purpose and scope of the market survey: clarify the problems and objectives to be solved by the market survey, as well as the market, products, users, competitors, etc. to be involved in the market survey;

Design market research programs and tools: select appropriate market research methods and techniques, design the content and structure of market research, and produce market research tools, such as literature lists, observation tables, interview guides, questionnaire samples, experimental programs, etc;

Collect market research data and information: according to market research programs and tools, obtain market-related data and information from various channels and sources, such as literature, observation records, interview records, questionnaire recovery, experimental results, etc;

Analysis of market research data and information: according to the purpose and scope of market research, the use of various statistical and analytical methods and techniques, the market-related data and information to organize, summarize, compare, calculate, infer, explain, etc., to draw market-related conclusions and recommendations;

Preparation of market research reports and presentations: According to the analysis results of market research, writing market research reports, including the background, purpose, methods, process, results, conclusions, recommendations, etc. of market research, as well as the production of market research presentations, including market research summaries, charts, cases, highlights, etc.

4. Champ Consulting Company in the anastomosis.device industryPractical experience and results of market research

Shangpu Consulting Company is a company specializing in market research and consulting in the medical device industry. Founded in 2008 and headquartered in Beijing, it has a team of experts and consultants in the fields of medicine, engineering, statistics, and management. Provide high-quality market research and consulting services to enterprises, investment institutions, and government departments in the medical device industry.

Shangpu Consulting Co., Ltd. has rich practical experience and achievements in market research in the stapler industry. It has provided market research and consulting services in the stapler industry for many domestic and foreign stapler enterprises to help them understand the market status, development trend, competition pattern, customer demand, product characteristics, market opportunities, market risks and so on of the stapler industry, it provides effective information support for their strategic planning, product development, market expansion, investment cooperation, etc. Here are some examples of market research by Champu Consulting in the stapler industry:

Case 1: provided market research and consulting services for an American stapler company on the Chinese stapler market, helping them understand the scale, growth rate, regional distribution, product structure, application field, market demand, user preference, purchase behavior, usage habits, satisfaction, etc. of the Chinese stapler market, providing effective information support for their entry and expansion of the Chinese market;

Case 2: provided market research and consulting services for a Chinese stapler company on the global stapler market, helping them understand the current situation, development trend, competition pattern, main competitors, competitive strategies, competitive advantages, competitive disadvantages, etc. of the global stapler market, providing effective information support for their competition and cooperation in the global market;

Case 3: Provide market research and consulting services for a Chinese investment institution in the stapler industry to help them understand the market potential and attractiveness of the stapler industry, market opportunities and risks, market environment and policies, technological development and innovation, Market problems and solutions, etc., provide effective information support for their investment decisions in the stapler industry.