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Medical Device
Manufacturing in Asia
Pacific Bridge Medical

2013 White Paper

www.pacificbridgemedical.com
Medical Device
Manufacturing in Asia
Pacific Bridge Medical

2013 White Paper

Copyright © 2013 Pacific Bridge Medical. All rights reserved. This content is protected
by US and International copyright laws and may not be copied, reprinted, published, translated, resold, hosted, or otherwise distributed by any means without explicit permission.
Disclaimer: the information contained in this report is the opinion of Pacific Bridge Medical, a subsidiary of Pacific Bridge, Inc. It is provided for general information purposes
only, and does not constitute professional advice. We believe the contents to be true and
accurate at the date of writing but can give no assurances or warranties regarding the accuracy, currency, or applicability of any of the contents in relation to specific situations and
particular circumstances.
Global Medical Device Market Trends
❖ Growing slowly in the West – US/EU
❖ Western device companies facing increasing cost
pressures
❖ More emphasis on cost-effective devices with fewer
bells and whistles for developing countries
❖ Growing quickly in developing countries with high
double digit growth
❖ BRIC really means China
❖ Developing world experiencing more Western
diseases as they eat more McDonald’s and
Kentucky Fried Chicken
❖ Cardiology, orthopedics and cancer growing
❖ Developing world needs more devices to manage
more Western diseases

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

3
Size and Growth of Global Medical
Device Markets
Region

Market Size

Growth
(since 2006)

North America

$105 billion

Western Europe

$65 billion

10%

Japan

$28 billion

12%

Asia Pacific
(excluding Japan)

$23 billion

28%

13%

Sources: Acmite Market Intelligence, and other PBM sources

2006

North America
Western Europe
Japan
Rest of Asia - Pacific

2012

Source: Acmite Market Intelligence

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

4
Asian Medical Market Size & Growth
Rate Higher than Global Growth Rate
❖ Cardiology: The growth in Asia is significantly
above the global average (3%). The CAGR for
cardiology surgery devices in Asia is predicted to
be 15% from 2009-2016
❖ Orthopedics: Asia will witness much faster growth
than the rest of the world (6%). The CAGR for
orthopedic devices in Asia is predicted to be 13.4%
from 2009-2014.

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

5
Medical Device Manufacturing
Moving to Asia (to reduce costs and
get closer to growing markets)
2005

US
EU
Japan
Other

2015

*Sources: Frost and Sullivan, Department of Commerce, and other PBM sources
**Asia is 90% of Other

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

6
Purchasing Trends
❖ As more device manufacturers set up operations in
Asia, more purchasing managers for medical device
components and medical devices are being hired
locally in Asia
❖ It is sometimes difficult for purchasing managers
located in the West to buy components for factories
in Asia
❖ Purchasing decisions for medical devices are now
oftentimes made in Asia, not in the West

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

7
Other Global Medical Device Trends
❖ Significantly tougher FDA, encouraging medical
device companies to launch overseas before the US
❖ Weaker dollar means easier to export medical
devices
❖ More local medical device manufacturing in
developing countries
❖ Local manufacturing companies in developing
world can now make more sophisticated, higher
quality medical devices than before

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

8
Asian Medical Device Market Trends
❖ Explosive demand for medical devices in the Asian
markets attracts Western and local medical device
companies
❖ Western medical device companies increasing sales
to Asia with basic models and lower costs of their
top of the line Western products (outsource)
❖ Many more local Asian medical device
manufacturers now in business making more
sophisticated products with components of better
quality as demand increases in the region and
globally

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

9
Main Asian Markets for Medical
Device Manufacturing
1. Japan – largest device market in Asia ($28
billion); quality is key
2. China – fastest growing device market; quality
rapidly growing
3. Korea – 3rd largest device market in Asia,
increasing exports
4. S.E. Asia – growing demand for devices with an
expanding middle class
Each medical device market is different. Local
staff is needed in each country for the project to be
successful.

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

10
Asia Medical Device
Manufacturing Trends
❖ Western medical device manufacturers are closing
Western facilities (especially in the EU) and
opening new facilities in Asia
♦ Smith and Nephew has been relocating device

manufacturing processes from England to
China

♦ Boston Scientific laid off 1,000 employees

worldwide in 2010 but is expected to hire
thousands of additional workers in China
by 2016

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

11
Western Medical Device
Manufacturers Setting Up
Facilities in Asia
❖ Medtronic
♦ Set up an R&D center in Shanghai in 2012 to

move towards local product development and
commercialization in China. The company
plans to hire 1,000 additional employees over
the next 5 years, many of whom will be placed
in the R&D center.

♦ Set up Asia and international headquarters in

Singapore in 2009 and invested $65 million on
a manufacturing plant in the country in 2011.
The new manufacturing facility was set up to
fulfill strong future growth of cardiac devices
in Asia.

♦ Launched a joint venture with Shandong

Weigao Group Medical Polymer Company in
China in 2007.

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

12
Western Medical Device
Manufacturers Setting Up
Facilities in Asia
❖ Boston Scientific to invest $150 million over the
next 4 years to expand manufacturing, training
and marketing facilities in China. In addition, the
number of R&D and clinical study employees in
China will increase from 200 to 1,200. Revenues
are expected to reach $500 million by 2016.
❖ Biomet set up $15 million manufacturing facilities
for orthopedic implants and medical devices in
Changzhou Export Processing Zone in China
❖ Smith & Nephew opened a 10,000 sq. feet
orthopedic manufacturing facility in Beijing, China
and expanded existing facilities in Suzhou, China

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

13
Western medical Device
Manufacturers Setting Up
Facilities in Asia
❖ Flextronics/Avail opened a 600,000 sq. feet
medical device manufacturing facility in Shenzhen,
China and a 180,000 sq. feet medical device
manufacturing facility in Malaysia to support rising
demands from medical OEMs
❖ Accellent opened a 65,000 sq. feet medical device
manufacturing facility in Penang, Malaysia

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

14
Chinese Drug Eluting Stent Market
❖ 5 years ago, foreign imported products accounted
for 75% of the DES market – Medtronic, Abbott,
Boston Scientific and JNJ. Local Chinese
manufacturers accounted for 25% of the market
❖ 5 years later, 75% of the DES market are local
Chinese DES manufacturing companies and now
only 25% of the market are foreign made products

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

15
Sample Manufacturing Facilities
near Shanghai
Industry Zone

Level

Location

From
Industry
DowntownShanghai

Companies

Caohejing Hi-Tech
Park

State

Shanghai

20 km

FMC Corporation, 86,114
Kerry Bio-Science sq feet
Co.,Ltd., Unilever,
GE, Philips

Minhang Econ. & State
Tech. Development
Zone

Shanghai

30 km

Minhang Econ. & State
Tech. Development
Zone

Shanghai

30 km

Suzhou Industrial
Park

State

Suzhou

70 km

Suzhou Industrial
Park

State

Suzhou

70 km

Suzhou Industrial
Park

State

Suzhou

70 km

Linang Nicheng
Industrial Park
Kunshan new &
hi-tech industrial
development zone

?

Shanghai

50 km

Province

Kunshan, 50 km
Jiangsu
province

Spark Development Municipality Shanghai
Zone

Information Technology,
New Materials,
Biotechnology &
Pharmaceuticals,
Aeronautics, Automotive
Accessories
Diversity of
manufacturing, Hi-Tech,
Logistics

Johnson &
Johnson, CocaCola, Pepsi,
Bristol-Myers
Squibb
Diversity of
Johnson &
manufacturing, Hi-Tech, Johnson, CocaLogistics
Cola, Pepsi,
Bristol-Myers
Squibb
IC, TFT-LCD, automotive Johnson &
and aeronautical parts,
Johnson, Pfizer,
software, outsourcing
Lilly, Nabisco,
services, pharmaceutical Baxter, Honeywell,
Emerson
IC, TFT-LCD, automotive Johnson &
and aeronautical parts,
Johnson, Pfizer,
software, outsourcing
Lilly, Nabisco,
services, pharmaceutical Baxter, Honeywell,
Emerson
IC, TFT-LCD, automotive Johnson &
and aeronautical parts,
Johnson, Pfizer,
software, outsourcing
Lilly , Nabisco,
services, pharmaceutical Baxter, Honeywell,
Emerson
Heavy-duty equipment,
Siemens, UPS,
international logistics
Philips, Volvo
Precision
GE, Apex
Machinery,Solar Energy
And Wind Energy, BIO
Pharmaceutical
Biomedicine, fine
DSM Vitamins,
chemical industry,
Xiaoxi
chemical fiber
Biotechnology,
Whyte Pioneer

50 km

Copyright © 2013 Pacific Bridge Medical

|

Size

72,400
sq feet

Rent
($/month)
55,385

34,142

106,146
sq feet

129,171
sq feet

33,230

129,171
sq feet

40,615

150,700
sq feet

34,462

100,000
21,400
sq feet
4 buildings, 25,520
81,163 sqf
each
90,549
sq feet

www.pacificbridgemedical.com

23,295

16
Map of Sample Manufacturing
Facilities near Shanghai

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

17
Summary of Cultural Issues in Asia
❖ For each Asian country you must know the local
traditions and unique cultural factors.
❖ Not all Asian countries share the same Asian
attitudes, values and mindset.
❖ Try and get to know about these countries’ histories,
culture, religion, the types of people there, etc.
❖ How do you write your emails to Asians?

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

18
Thank You!
Pacific Bridge Medical
Connect with us today.
7315 Wisconsin Avenue, Suite 609E
Bethesda, MD 20814
www.pacificbridgemedical.com
Click here to contact us about manufacturing
strategies for your medical device in Asia.

Copyright © 2013 Pacific Bridge Medical

|

www.pacificbridgemedical.com

19

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Medical Device Manufacturing in Asia

  • 1. Medical Device Manufacturing in Asia Pacific Bridge Medical 2013 White Paper www.pacificbridgemedical.com
  • 2. Medical Device Manufacturing in Asia Pacific Bridge Medical 2013 White Paper Copyright © 2013 Pacific Bridge Medical. All rights reserved. This content is protected by US and International copyright laws and may not be copied, reprinted, published, translated, resold, hosted, or otherwise distributed by any means without explicit permission. Disclaimer: the information contained in this report is the opinion of Pacific Bridge Medical, a subsidiary of Pacific Bridge, Inc. It is provided for general information purposes only, and does not constitute professional advice. We believe the contents to be true and accurate at the date of writing but can give no assurances or warranties regarding the accuracy, currency, or applicability of any of the contents in relation to specific situations and particular circumstances.
  • 3. Global Medical Device Market Trends ❖ Growing slowly in the West – US/EU ❖ Western device companies facing increasing cost pressures ❖ More emphasis on cost-effective devices with fewer bells and whistles for developing countries ❖ Growing quickly in developing countries with high double digit growth ❖ BRIC really means China ❖ Developing world experiencing more Western diseases as they eat more McDonald’s and Kentucky Fried Chicken ❖ Cardiology, orthopedics and cancer growing ❖ Developing world needs more devices to manage more Western diseases Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 3
  • 4. Size and Growth of Global Medical Device Markets Region Market Size Growth (since 2006) North America $105 billion Western Europe $65 billion 10% Japan $28 billion 12% Asia Pacific (excluding Japan) $23 billion 28% 13% Sources: Acmite Market Intelligence, and other PBM sources 2006 North America Western Europe Japan Rest of Asia - Pacific 2012 Source: Acmite Market Intelligence Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 4
  • 5. Asian Medical Market Size & Growth Rate Higher than Global Growth Rate ❖ Cardiology: The growth in Asia is significantly above the global average (3%). The CAGR for cardiology surgery devices in Asia is predicted to be 15% from 2009-2016 ❖ Orthopedics: Asia will witness much faster growth than the rest of the world (6%). The CAGR for orthopedic devices in Asia is predicted to be 13.4% from 2009-2014. Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 5
  • 6. Medical Device Manufacturing Moving to Asia (to reduce costs and get closer to growing markets) 2005 US EU Japan Other 2015 *Sources: Frost and Sullivan, Department of Commerce, and other PBM sources **Asia is 90% of Other Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 6
  • 7. Purchasing Trends ❖ As more device manufacturers set up operations in Asia, more purchasing managers for medical device components and medical devices are being hired locally in Asia ❖ It is sometimes difficult for purchasing managers located in the West to buy components for factories in Asia ❖ Purchasing decisions for medical devices are now oftentimes made in Asia, not in the West Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 7
  • 8. Other Global Medical Device Trends ❖ Significantly tougher FDA, encouraging medical device companies to launch overseas before the US ❖ Weaker dollar means easier to export medical devices ❖ More local medical device manufacturing in developing countries ❖ Local manufacturing companies in developing world can now make more sophisticated, higher quality medical devices than before Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 8
  • 9. Asian Medical Device Market Trends ❖ Explosive demand for medical devices in the Asian markets attracts Western and local medical device companies ❖ Western medical device companies increasing sales to Asia with basic models and lower costs of their top of the line Western products (outsource) ❖ Many more local Asian medical device manufacturers now in business making more sophisticated products with components of better quality as demand increases in the region and globally Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 9
  • 10. Main Asian Markets for Medical Device Manufacturing 1. Japan – largest device market in Asia ($28 billion); quality is key 2. China – fastest growing device market; quality rapidly growing 3. Korea – 3rd largest device market in Asia, increasing exports 4. S.E. Asia – growing demand for devices with an expanding middle class Each medical device market is different. Local staff is needed in each country for the project to be successful. Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 10
  • 11. Asia Medical Device Manufacturing Trends ❖ Western medical device manufacturers are closing Western facilities (especially in the EU) and opening new facilities in Asia ♦ Smith and Nephew has been relocating device manufacturing processes from England to China ♦ Boston Scientific laid off 1,000 employees worldwide in 2010 but is expected to hire thousands of additional workers in China by 2016 Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 11
  • 12. Western Medical Device Manufacturers Setting Up Facilities in Asia ❖ Medtronic ♦ Set up an R&D center in Shanghai in 2012 to move towards local product development and commercialization in China. The company plans to hire 1,000 additional employees over the next 5 years, many of whom will be placed in the R&D center. ♦ Set up Asia and international headquarters in Singapore in 2009 and invested $65 million on a manufacturing plant in the country in 2011. The new manufacturing facility was set up to fulfill strong future growth of cardiac devices in Asia. ♦ Launched a joint venture with Shandong Weigao Group Medical Polymer Company in China in 2007. Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 12
  • 13. Western Medical Device Manufacturers Setting Up Facilities in Asia ❖ Boston Scientific to invest $150 million over the next 4 years to expand manufacturing, training and marketing facilities in China. In addition, the number of R&D and clinical study employees in China will increase from 200 to 1,200. Revenues are expected to reach $500 million by 2016. ❖ Biomet set up $15 million manufacturing facilities for orthopedic implants and medical devices in Changzhou Export Processing Zone in China ❖ Smith & Nephew opened a 10,000 sq. feet orthopedic manufacturing facility in Beijing, China and expanded existing facilities in Suzhou, China Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 13
  • 14. Western medical Device Manufacturers Setting Up Facilities in Asia ❖ Flextronics/Avail opened a 600,000 sq. feet medical device manufacturing facility in Shenzhen, China and a 180,000 sq. feet medical device manufacturing facility in Malaysia to support rising demands from medical OEMs ❖ Accellent opened a 65,000 sq. feet medical device manufacturing facility in Penang, Malaysia Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 14
  • 15. Chinese Drug Eluting Stent Market ❖ 5 years ago, foreign imported products accounted for 75% of the DES market – Medtronic, Abbott, Boston Scientific and JNJ. Local Chinese manufacturers accounted for 25% of the market ❖ 5 years later, 75% of the DES market are local Chinese DES manufacturing companies and now only 25% of the market are foreign made products Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 15
  • 16. Sample Manufacturing Facilities near Shanghai Industry Zone Level Location From Industry DowntownShanghai Companies Caohejing Hi-Tech Park State Shanghai 20 km FMC Corporation, 86,114 Kerry Bio-Science sq feet Co.,Ltd., Unilever, GE, Philips Minhang Econ. & State Tech. Development Zone Shanghai 30 km Minhang Econ. & State Tech. Development Zone Shanghai 30 km Suzhou Industrial Park State Suzhou 70 km Suzhou Industrial Park State Suzhou 70 km Suzhou Industrial Park State Suzhou 70 km Linang Nicheng Industrial Park Kunshan new & hi-tech industrial development zone ? Shanghai 50 km Province Kunshan, 50 km Jiangsu province Spark Development Municipality Shanghai Zone Information Technology, New Materials, Biotechnology & Pharmaceuticals, Aeronautics, Automotive Accessories Diversity of manufacturing, Hi-Tech, Logistics Johnson & Johnson, CocaCola, Pepsi, Bristol-Myers Squibb Diversity of Johnson & manufacturing, Hi-Tech, Johnson, CocaLogistics Cola, Pepsi, Bristol-Myers Squibb IC, TFT-LCD, automotive Johnson & and aeronautical parts, Johnson, Pfizer, software, outsourcing Lilly, Nabisco, services, pharmaceutical Baxter, Honeywell, Emerson IC, TFT-LCD, automotive Johnson & and aeronautical parts, Johnson, Pfizer, software, outsourcing Lilly, Nabisco, services, pharmaceutical Baxter, Honeywell, Emerson IC, TFT-LCD, automotive Johnson & and aeronautical parts, Johnson, Pfizer, software, outsourcing Lilly , Nabisco, services, pharmaceutical Baxter, Honeywell, Emerson Heavy-duty equipment, Siemens, UPS, international logistics Philips, Volvo Precision GE, Apex Machinery,Solar Energy And Wind Energy, BIO Pharmaceutical Biomedicine, fine DSM Vitamins, chemical industry, Xiaoxi chemical fiber Biotechnology, Whyte Pioneer 50 km Copyright © 2013 Pacific Bridge Medical | Size 72,400 sq feet Rent ($/month) 55,385 34,142 106,146 sq feet 129,171 sq feet 33,230 129,171 sq feet 40,615 150,700 sq feet 34,462 100,000 21,400 sq feet 4 buildings, 25,520 81,163 sqf each 90,549 sq feet www.pacificbridgemedical.com 23,295 16
  • 17. Map of Sample Manufacturing Facilities near Shanghai Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 17
  • 18. Summary of Cultural Issues in Asia ❖ For each Asian country you must know the local traditions and unique cultural factors. ❖ Not all Asian countries share the same Asian attitudes, values and mindset. ❖ Try and get to know about these countries’ histories, culture, religion, the types of people there, etc. ❖ How do you write your emails to Asians? Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 18
  • 19. Thank You! Pacific Bridge Medical Connect with us today. 7315 Wisconsin Avenue, Suite 609E Bethesda, MD 20814 www.pacificbridgemedical.com Click here to contact us about manufacturing strategies for your medical device in Asia. Copyright © 2013 Pacific Bridge Medical | www.pacificbridgemedical.com 19