- 1. Introduction 11
- 1.1 Statement of Report 11
- 1.2 About this Report 11
- 1.3 Scope of the Report 11
- 1.4 Objectives 12
- 1.5 Methodology 13
- 1.6 Executive Summary 14
- 2. Disposable Syringe Markets 16
- 2.1 Overview 16
- 2.2 Infection Control and Safety 17
- 2.2.1 Needlestick Injuries 17
- 2.2.2 Availability of Safety Syringes in the U.S. Healthcare Facilities 19
- 2.3 Cost of Safety Syringe 19
- 2.4 Market Expansion 20
- 2.5 Unsafe Injection Practices 20
- 2.6 Hospital Consolidations Pressure Companies to Reduce Prices 20
- 2.7 Strategic Alliance of Needleless Injector Manufacturers 21
- 2.8 Technological Advancements in Disposable Syringes 21
- 2.8.1 Reconstitution inside Sterile Syringes 21
- 2.8.2 Plungerless Prefilled Syringes 22
- 2.8.3 The Disposable UniJect 22
- 2.9 Award Winning Syringes 22
- 2.9.1 Episure AutoDetect Epidural Syringe 23
- 2.9.2 ConfiDose Disposable Autoinjector 23
- 2.9.3 Humatrope Reconstitution Device 24
- 2.9.4 Vasceze Plungerless Syringe 24
- 3. Disposable Syringe Market Segments 25
- 3.1 Overview 25
- 3.1.1 World Market for Disposable Syringes 25
- 3.1.2 U.S. Market for Disposable Syringes 27
- 3.1.3 Disposable Syringe Market in India 29
- 4. Insulin Syringes 32
- 4.1 Insulin Strengths: U-40 and U-100 32
- 4.2 Market for Insulin Pen 33
- 4.3 Shelf Life of Insulin Pen Cartridges 34
- 4.4 An Update on Insulin Injection Devices 35
- 4.4.1 Insulin Injection Devices Currently Available in the U.S. 35
- 4.4.2 Disposable Pens 36
- 4.4.3 Refillable Pens 36
- 4.4.4 Pen Needles 36
- 4.4.5 Benefits and Patient Preferences 37
- 4.4.6 Disadvantages of Pen Syringes 37
- 4.4.7 Insulin Pens and the Hospital Bills 38
- 4.5 Insulin Pens for Indian Market from IDC 38
- 4.6 Expansion of Facilities for Insulin Pens by Eli Lilly and Rexam 39
- 4.7 Major Players in Insulin Pens and Syringes 39
- 4.7.1 Sanofi-Aventis 39
- 4.7.1.1 Sanofi-Aventis' Business in Diabetes Care Segment 39
- 4.7.2 Novo Nordisk 41
- 4.7.2.1 Novo Nordisk's Diabetes Care Business in North America 41
- 4.7.2.2 Novo Nordisk's International Operations 42
- 4.7.2.3 Novo Nordisk's Business in Diabetes Care in Europe 42
- 4.7.3 Eli Lilly & Co. 43
- 4.7.3.1 Byetta 43
- 4.7.3.2 Humulin 44
- 4.7.3.3 Humalog 45
- 5. Safety Syringes 46
- 5.1 Available Safety Syringe Technologies 46
- 5.1.1 Retrofitted Syringes 46
- 5.1.2 Automatically Retractable Syringes 46
- 5.1.3 Manually Retractable Syringes 46
- 5.2 Safety Syringe Market 47
- 5.3 Drivers of Safety Syringes 47
- 6. Prefilled Syringes 48
- 6.1 Types of Prefilled Syringes (PFS) 48
- 6.2 Market for Prefilled Syringes 48
- 6.3 The Rise of Prefilled Syringes 49
- 6.4 Needle Safety for Prefilled Syringes 50
- 6.4.1 V-OVS NS® 51
- 6.4.2 Preventis 51
- 6.4.3 UltraSafe Passive® Delivery System/ERYPROSafe and NUFILSafe 51
- 6.5 Sterility Maintenance of Prefilled Syringes 52
- 6.6 Compatibility of Drugs with the Components of Prefilled Syringes 52
- 6.7 Some of the Drugs Available in Prefilled Syringes 53
- 6.7.1 Ovidrel® PreFilled Syringe 53
- 6.7.2 Enbrel Prefilled Syringes 53
- 6.7.3 Biocon's Prefilled Safety Syringes 53
- 6.7.4 Relistor® Prefilled Syringes 54
- 6.7.5 PEGASYS® 54
- 6.7.6 Afluria® 54
- 6.7.7 Enzira® 55
- 6.7.8 FluZone® Prefilled Syringe for Children 55
- 6.7.9 Novolin® N FlexPen Prefilled Insulin Syringe 55
- 6.7.10 NovoLog® Insulin Prefilled Syringe 55
- 6.7.11 GlaxoSmithKline's Vaccines in Prefilled Syringes 56
- 6.8 U.S. Production of Unilife's Prefilled Syringes 56
- 6.9 Some of the Major Providers of Syringe-Prefilling Services and Products 57
- 6.9.1 Althea Technologies, Inc. 57
- 6.9.1.1 Althea's Clinical Manufacturing 57
- 6.9.1.2 Althea's Fill/Finish Services 58
- 6.9.1.3 Althea's Contract Manufacturing 58
- 6.9.2 Baxter International, Inc. 59
- 6.9.2.1 Baxter's Contract Manufacturing 60
- 6.9.2.2 Baxter's Fill and Finish Capabilities 60
- 6.9.2.3 Baxter's Prefilled Syringes Capability 60
- 6.9.2.4 Baxter's Vials 61
- 6.9.2.5 Baxter's Cartridges 61
- 6.9.3 Becton, Dickinson and Company 61
- 6.9.3.1 BD's Prefilled Syringe Services 62
- 6.9.3.2 BD Hypak SCF Glass Prefillable Syringes 62
- 6.9.3.3 BD Sterifill SCF Plastic Prefillable Syringe Systems 63
- 6.9.3.4 BD Physioject Disposable AutoInjector 63
- 6.9.3.5 BD MicroInfusor Automatic Injection System 64
- 6.9.3.6 BD Liquid Dry Injector Disposable Pen Injector 64
- 6.9.3.7 BD Pens Customized Self-Injection Systems 65
- 6.9.3.8 BD Soluvia Prefillable Microinjection System 65
- 6.9.3.9 BD Preventis Shielding System for Prefilled Syringes 66
- 6.9.4 Catalent Pharma Solutions, Inc. 68
- 6.9.4.1 The Protector Safety Shield System 69
- 6.9.4.2 The ASI Autoinjector and Ultra-Compact ASI Mini Autoinjector 69
- 6.9.5 Hyaluron Contract Manufacturing (HCM) 69
- 6.9.5.1 Hyaluron's Syringe Filling 69
- 6.9.6 Vetter Pharma Fertigung GmbH 70
- 6.10 Features of Prefilled Syringes 71
- 6.10.1 Dual Chamber Prefilled Syringes 71
- 7. Pen Syringes 72
- 7.1 Pen Devices for Insulin Delivery 73
- 7.2 Technical Advances in Insulin Pens 73
- 7.3 Pen Types and Styles 74
- 7.4 Prefilled Pens 74
- 7.5 Reusable Pens 74
- 7.6 Prefilled Autoinjecting Disposable Syringes 74
- 7.7 Uniject Injection Device 75
- 8. Microneedle 76
- 8.1 Electronic Mosquito 76
- 9. Needle-free Injectors 77
- 9.1 Needle-free Delivery of Liquids 77
- 9.2 Needle-free Delivery of Solid Formulations 78
- 9.3 Needleless Injector from Injex 79
- 9.4 Jet Syringe from Injex 79
- 9.5 Syrijet 79
- 9.6 PenJet 80
- 9.7 Needle-free Injector for Human Growth Hormone 80
- 10. Needle and Syringe Market Trends 81
- 10.1 Market Segments 81
- 10.2 Customer Needs 82
- 10.3 Competitor Analysis 82
- 10.3.1 Automatic Safety Syringes 82
- 10.3.2 Manually Locking Safety Syringes 83
- 10.4 Third Party Reimbursement 84
- 10.5 Regulation 84
- 10.6 Drug Discovery Trends 85
- 10.7 Demographic Shifts 85
- 10.8 Growth in Home Healthcare 85
- 11. Technological Developments 87
- 11.1 Auto-Disable Syringes 87
- 11.1.1 AD Syringes with Needle Retraction/Disposal Feature 88
- 11.1.2 AD Syringe with No Needle Retraction Feature 88
- 11.1.3 Needlestick Prevention Syringes 88
- 11.1.4 Automatic Needlestick Prevention Feature 89
- 11.1.4.1 UltraSafe®Passive Delivery System 89
- 11.1.4.2 Sterimatic Sleeve® 89
- 11.1.4.3 K3 Safety Cap 89
- 11.2 Manual Needlestick Prevention Feature 90
- 11.2.1 Safety Lok Syringe 90
- 11.2.2 Monoject®Magellan 90
- 12. Business Trends 91
- 12.1 Market Drivers 91
- 12.2 Market Prospects 92
- 12.3 Marketing and Distribution 93
- 12.4 Competitive Landscape 93
- 12.5 Future Technologies 94
- 12.5.1 Glide Solid Dose Injector (SDI) 94
- 12.5.2 BD Physioject 94
- 13. Regulatory Measures 95
- 13.1 Safety Syringes in Europe 95
- 14. Company Profiles 96
- 14.1 Abbott Laboratories 96
- 14.1.1 HUMIRA® Prefilled Syringe 96
- 14.1.2 HUMIRA® Pen 97
- 14.1.3 Precision Sure-Dose® Insulin Syringes 97
- 14.2 Albert David Limited 98
- 14.3 Alshifa Medical Syringes Manufacturing Company Ltd. 99
- 14.4 Althea Technologies, Inc. 99
- 14.5 Avitro, Inc. 100
- 14.6 Baxter International, Inc. 100
- 14.6.1 Baxter's Medication Delivery 100
- 14.6.2 Baxter's IV Therapies 101
- 14.6.3 Baxter's Global Injectables 101
- 14.6.4 Baxter's Infusion Systems 102
- 14.6.5 Baxter's IV Infusion Pumps and Infusion Sets 103
- 14.6.6 Baxter's Pharma Partnering 103
- 14.7 Becton, Dickinson and Company (BD) 103
- 14.7.1 BD's Role in Designing Devices for Safe and Effective Injections and Infusions 103
- 14.7.2 BD's Products 103
- 14.8 Boston Scientific Corporation 113
- 14.9 B. Braun 113
- 14.9.1 The Hospital Care Division 113
- 14.9.2 The Aesculap Division 114
- 14.9.3 The Out Patient Market (OPM) Division 114
- 14.9.4 The B. Braun Avitum Division 115
- 14.9.5 B. Braun's Syringe Products 116
- 14.10 Bioject Medical Technologies, Inc. 122
- 14.10.1 Biojector® 2000 124
- 14.10.2 Drug Reconstitution System 125
- 14.10.3 Vitajet® 125
- 14.10.4 Cool.click 125
- 14.10.5 SeroJet 126
- 14.11 Catalent Pharma Solutions, Inc. 126
- 14.11.1 Catalent's Oral Technologies Segment 127
- 14.11.2 Catalent's Sterile Technologies Segment 128
- 14.11.3 Catalent's Packaging Services Segment 129
- 14.11.4 Catalent's Manufacturing Capabilities 130
- 14.11.5 Catalent's Employee Strength 130
- 14.11.6 Catalent's Syringes 131
- 14.12 C.R. Bard, Inc. 131
- 14.12.1 Bard's Vascular Business 131
- 14.12.2 Bard's Urology Business 132
- 14.12.3 Bard's Oncology Business 133
- 14.12.4 Bard's Business in Surgical Specialties 134
- 14.12.5 Bard's Overseas Expansion 134
- 14.12.6 Bard's Bulb Syringes and Trays 135
- 14.12.7 Bard's Piston Syringes and Trays 135
- 14.13 Coeur, Inc. 136
- 14.13.1 Angiographic Syringes from Coeur, Inc. 136
- 14.13.2 CT Syringes from Coeur, Inc. 137
- 14.14 Covidien Ltd. 137
- 14.14.1 Covidien's Medical Devices Segment 138
- 14.14.2 Covidien's R&D 139
- 14.14.3 Covidien's Competitors in Medical Devices 139
- 14.14.4 Covidien's Syringes 140
- 14.15 Henke-Sass, Wolf GmbH 144
- 14.15.1 Two-Part Disposable Syringes 1-50(60) ml 144
- 14.15.2 Three-Part Disposable Syringes 1-30 ml 144
- 14.15.3 Disposable Needles HSW FINE-JECT® 145
- 14.16 Hindustan Syringes & Medical Devices, Ltd. (HMD) 145
- 14.16.1 Insulin Syringes from HMD 145
- 14.16.2 HMD's Single Use Needles 146
- 14.16.3 HMD's Single Use Syringes 147
- 14.17 Hi-Tech Medical Products Ltd. 147
- 14.18 Hyaluron Contract Manufacturing 148
- 14.18.1 HCM's Major Markets 148
- 14.18.2 HCM's Facility 148
- 14.19 International Medication System Ltd. 149
- 14.19.1 Delivery Systems from IMS 149
- 14.19.2 PCA Products from IMS 151
- 14.19.3 Phytonadione Injection USP 151
- 14.19.4 Lidocaine HCl Jelly, USP 2% (Preservative-free) 152
- 14.20 Life-Shield Products, Inc. 152
- 14.21 Merit Medical Systems, Inc. 154
- 14.21.1 Merit's Products 154
- 14.21.2 Merit's Vascular Access Products 154
- 14.21.3 Merit's Business in the U.S. 155
- 14.21.4 Merit's International Business 156
- 14.21.5 Merit's Customers 156
- 14.21.6 Merit's R&D 156
- 14.21.7 Merit's Manufacturing Facilities 157
- 14.22 Milestone Scientific 157
- 14.22.1 Milestone Scientific's Product Platform 158
- 14.22.2 Milestone Scientific's Investment in R&D 159
- 14.22.3 Milestone Scientific's Business Performance 160
- 14.23 Novo Nordisk A/S 161
- 14.23.1 Novo Nordisk's Business in Diabetes Care Segment 161
- 14.23.2 Novo Nordisk's Modern Insulins, Human Insulins and Insulin-related Products 162
- 14.23.3 Novo Nordisk's Geographic Performance in Diabetes Care Products 163
- 14.23.4 Pipeline Progress in Nova Nordisk 163
- 14.23.5 Novo Nordisk's Modern Insulin Portfolio 164
- 14.24 Owen Mumford Ltd. 166
- 14.24.1 Owen Mumford's Global Locations 166
- 14.24.2 Owen Mumford's Products 168
- 14.25 Plas-Pak Industries, Inc. 170
- 14.25.1 Dial-A-Dose® Disposable Veterinary Syringes 170
- 14.25.2 Dual Syringe and Dental Syringe from Plas-Pak 170
- 14.25.3 Mini Dual Syringe 170
- 14.25.4 Manual Dual Syringes 171
- 14.26 Retractable Technologies, Inc. 172
- 14.26.1 Retractable Technologies' Principal Products 173
- 14.26.2 Retractable Technologies' Principal Markets 173
- 14.26.3 Retractable Technologies' R&D 174
- 14.26.4 Retractable Technologies' VanishPoint Products 175
- 14.27 Revolutions Medical Corporation 176
- 14.27.1 Rev Vac Safety Syringe 177
- 14.28 Safety Syringes, Inc. 177
- 14.28.1 Custom Engineering from Safety Syringes, Inc. 178
- 14.28.2 Syringe Products from Safety Syringes, Inc. 178
- 14.29 Smiths Medical International/Medex, Inc. 180
- 14.29.1 Smiths Medical's Markets 180
- 14.29.2 Smiths Medical's Medication Delivery Segment 181
- 14.29.3 Smiths Medical's Vital Care Segment 182
- 14.29.4 Smiths Medical's Safety Devices Segment 182
- 14.29.5 Smiths Medical's Business Performance 182
- 14.29.6 Smiths Medical's Business Performance on Geographic Basis 182
- 14.29.7 Smiths Medical's R&D 183
- 14.29.8 Syringes from Smiths Medicals 183
- 14.30 Specialized Health Products International, Inc. 188
- 14.30.1 SHPI's Products and Services 189
- 14.30.2 SHPI's Licensed Products 190
- 14.31 Star Syringe Ltd. 190
- 14.31.1 Star Alliances 191
- 14.31.2 Preoducts from Star Syringe Ltd. 192
- 14.32 Terumo's Medical Corporation 193
- 14.32.1 Terumo's General Hospital Products 193
- 14.32.2 Terumo's Diabetes Care Products 194
- 14.32.3 Terumo's Syringe Products 195
- 14.33 UltiMed, Inc. 203
- 14.33.1 UltiCare Insulin Syringes 204
- 14.33.2 UltiCare Pen Needles 204
- 14.34 Unilife Medical Solutions, Ltd. 205
- 14.34.1 Pharmaceutical Market for Unilife's Prefilled Syringes 205
- 14.34.2 Unilife Partnership with Sanofi-Aventis 205
- 14.34.3 Unilife's Licensing Agreement with Sanofi-Aventis 206
- 14.34.4 Unilife's Partnership with Gerresheimer Bünde 206
- 14.34.5 Unilife's Portfolio of Safety Syringes 207
- 14.34.6 Unilife's Prefilled Syringes 207
- 14.34.7 Unilife's Contract Manufacturing Activities 207
- 14.34.8 Unilife's Performance in Syringe Market 208
- 14.35 Vetter Pharma-Fertigung GmbH & Co., KG 208
- 14.35.1 Vetter Services and Solutions 208
- 14.35.2 Dual-Chamber Technology 209
- 14.36 Vita Needle Company, Inc. 209
- 14.36.1 Disposable Stainless Steel Needle Blunts from Vita Needle 209
- 14.36.2 Teflon® Dispensing Needles 210
- 14.36.3 Vita Needle's Polypropylene Needles 210
- 14.36.4 Vita Needle's Taper Tip Needles 211
- 14.37 West Pharmaceutical Services, Inc. 211
- 14.37.1 West's Pharmaceutical Systems Segment 211
- 14.37.2 West's Tech Group Segment 212
- 14.37.3 West's R&D Activities 213
- 14.37.4 West's Syringe Products 214
- 14.38 Wuxi Yushou Medical Appliances Co., Ltd. 217
- 14.39 Ypsomed Holding AG 217
- 14.39.1 Ypsomed's Injection Systems 218
- 14.39.2 Ypsomed's Insulin Delivery Systems 218
- 14.39.3 Additional Indication Areas for Pen Systems 218
- 14.39.4 Ypsomed's Innovative Injection Systems at a Glance 219
- 14.39.5 Ypsomed's Complete Product Range for Insulin Suppliers 219
- 14.39.6 Ypsomed's New Dual-Chamber Injecting Systems 220
- 14.39.7 Ypsomed's ServoPen 220
- 14.39.8 Growth of Ypsomed's Pen Needles 220
- 14.39.9 Ypsomed's Performance in 2008/2009 222
- 14.39.10 Ypsomed's R&D 223
- 14.40 The Medical House PLC (TMH) 224
- 14.40.1 TMH's Products 224
- Appendix 1: U.S. Healthcare Expenditure Projections, 2008-2018 228
- Appendix 2: Syringe Needle Terminology 234
- Appendix 3: Medication Errors and Syringe Safety 236
- Appendix 3.1: Injectable Medication Errors 236
- Appendix 3.2: Frequency of Syringe Usage 236
- Appendix 3.3: Labeling Injectable Medications 236
- Appendix 3.4: Challenges of Labeling 236
- Appendix 3.5: Benefits of a Write-On Stripe 236
- Appendix 3.6: Nurses Influence on Selection of Sharp Devices 237
- Appendix 3.7: Needlestick Injuries 237
- Appendix 3.8: Prevention of Needlestick Injuries 237
- Appendix 3.9: Protection from Needlestick Injuries 238
- INDEX OF FIGURES
- Figure 2.1: Principal Causes of Needlestick Injuries 17
- Figure 2.2: Availability of Safety Syringes in the U.S. Healthcare Facilities, 2008 19
- Figure 3.1: Worldwide Unit Market for Syringes and Needles, 2004-2012 26
- Figure 3.2: Global Syringe Market, 2009 26
- Figure 3.3: Worldwide Market for Disposable Syringes and Needles, 2004-2012 27
- Figure 3.4: U.S. Market for Disposable Syringes and Needles, 2006-2013 28
- Figure 3.5: Market Segments of the U.S. Syringe Market, 2009 28
- Figure 3.6: E.U. Market for Syringes, Needles and Catheters, 2007 and 2008 29
- Figure 3.7: Worldwide Market Share for Hypodermic Syringes, 2009 29
- Figure 3.8: Disposable Syringe Market in India, 2008-2012 30
- Figure 3.9: Market Share for Disposable Syringes in India, 2008 30
- Figure 3.10: Market Share for Disposable Needles in India, 2008 31
- Figure 4.1: Market Growth for Insulin Pen, 2007-2014 33
- Figure 4.2: Market Growth for Insulin Pens in Europe, 2007-2014 34
- Figure 4.3: Global Sales Performance of Sanofi-Aventis' Lantus, 2007 and 2008 40
- Figure 4.4: Global Sales Performance of Sanofi-Aventis' Amaryl, 2007 and 2008 40
- Figure 4.5: Sales Performance of Sanofi-Aventis' Lantus by Geography, 2008 41
- Figure 4.6: Novo Nordisk's Business Performance in Diabetes Care by Geography, 2008 41
- Figure 4.7: Novo Nordisk's Performance in Diabetes Care, 2004-2008 42
- Figure 4.8: Eli Lilly's Business Performance in Byetta, 2006 and 2007 43
- Figure 4.9: Eli Lilly's Business Performance in Humulin, 2006-2008 44
- Figure 4.10: Eli Lilly's Sales Performance in Humalog, 2006-2008 45
- Figure 5.1: Growth of Safety Syringe Market, 2008-2012 47
- Figure 6.1: Market Growth for Prefilled Syringes, 2009-2013 48
- Figure 6.2: Growth of Prefilled Syringes Market in E.U., 2008-2012 49
- Figure 10.1: Breakdown of U.S. Syringe Market, 2009 81
- Figure 10.2: U.S. Home Healthcare Products Market, 2007-2012 85
- Figure 14.1: Abbott's Global Business Performance by Country, 2008 96
- Figure 14.2: Abbott's Global Business Performance, 2004-2008 98
- Figure 14.3: Baxter's
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