Global Urological Catheters Industry

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Global Urological Catheters Industry
Published on September 2010

Report Summary

This report analyzes the worldwide markets for Urological Catheters in Thousand Units and US$ Million by the following product
segments: Dialysis Catheters (Hemodialysis, & Peritoneal), and Urinary Catheters (Foley, Intermittent, & External/Condom). The
report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America and Middle East.
Annual estimates and forecasts are provided for each region for the period 2007 through 2015. A seven-year historic analysis is also
provided for these markets. The report profiles 58 companies including many key and niche players such as Boston Scientific Corp.,
C R Bard, Inc., Bard Medical Division, Coloplast A/S, Cook Urological, Inc., Covidien Ltd., Hollister, Inc., and Rochester Medical
Corporation. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted
from URL research and reported select online sources.

Table of Content

UROLOGICAL CATHETERS MCP-3208
A GLOBAL STRATEGIC BUSINESS REPORT

CONTENTS

1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS 1
Study Reliability and Reporting Limitations 1
Disclaimers 2
Data Interpretation & Reporting Level 3
Quantitative Techniques & Analytics 3
Product Definitions and Scope of Study 3
Dialysis Catheters 4
Hemodialysis Catheters 4
Peritoneal Dialysis (PD) Catheters 4
Urinary Catheters 4
Foley Catheters 4
Intermittent Catheters 4
External/Condom Catheters 4

2. GLOBAL MARKET OVERVIEW & ANALYSIS 5
Urological Catheters - A Technology-Driven Market 5
Recession & Medical Device Industry 5
Market Highlights 6
Global Urological Catheters Market 7

Global Urological Catheters Industry (From Slideshare) Page 1/23


Urinary Catheters Take the Lead 7

3. TRENDS & ISSUES 8
Market Trends 8
Revolutionary Changes Sweep Global Urological Catheter Industry 8
Aging Population Drives Market Growth 8
Widespread Global Demand for Urological Catheters 8
New Materials Make Inroads 8
Home Hemodialysis Gains Preference 9

4. DIALYSIS MARKET OVERVIEW 10
A Rapidly Expanding ESRD Patient Population 10
Table 1: Number of ESRD Patients in the World (2004-2010)
(includes corresponding Graph/Chart) 10

Table 2: Global ESRD Patient Treatment Market (2009):
Percentage Share Breakdown of Number of Patients Treated with
Dialysis (Hemodialysis and Peritoneal Dialysis), and
Transplant (includes corresponding Graph/Chart) 11
Dialysis Industry: Undeterred by the Economic Meltdown 11
Table 3: Worldwide Dialysis Prevalence Rates (in Patients Per
Million Population) for 2006-2010E (includes corresponding
Graph/Chart) 12

Table 4: Global Dialysis Patient Population (2009):
Percentage Share Breakdown for US, Japan, European Union,
Asia-Pacific (excluding Japan), Latin America, and Rest of
World (includes corresponding Graph/Chart) 12
Factors Driving Dialysis Market 12
Hemodialysis - The Preferred Dialysis Therapy 13

5. WORLDWIDE CATHETER INDUSTRY: AN OVERVIEW 14
Structure, Consolidation, Competition, and Regulation 14
Catheter Industry - A Dominion of the US 14
Low Volume Urological and IV Catheters Vs High Value Coronary
Catheters 14
Urological Catheter Industry - Volume Intensive 15

6. URINARY INCONTINENCE: A REVIEW 16
Types of Urinary Incontinence 16
Stress Incontinence 16
Urge Incontinence 16
Overflow Incontinence 16
Reflex Incontinence 16
Functional Incontinence 17
Transient Incontinence 17
Treatment Modalities for Urinary Incontinence 17
Bladder Control Products and Incontinence Management 17
Bladder Control Products 17
Absorbent Materials 17



Female Incontinence and Bladder Control Products 18
Bladder Control Products and Male Incontinence 18
Other Incontinence Management Techniques 19
Bladder Training 19
Moisture Alarms 19
Electrical Stimulation 19
Surgical Treatment 19
Catheterization 19

7. PRODUCT OVERVIEW 20
Applications of Urological Catheters 20
Types of Urological Catheters 20
Dialysis Catheters 20
Temporary Catheters 20
Long-term Catheters 20
Dialysis Catheter Care 20
Exit Site Care 20
Temporary Catheters and Precautions 21
Hemodialysis Catheters 21
Process of Hemodialysis 21
Indications 21
Application of Hemodialysis Catheters 22
High-Flux Dialysis 22
Peritoneal Dialysis and Peritoneal Catheters 22
Purpose and Process 22
Catheter-Related Complications of PD Technique 23
Origins of PD Technique 24
Urinary Catheters 24
Foley Catheters 25
Problems of Foley Catheterization Requiring Reinsertion 25
Catheterization Procedure 26
Drainage Bag 26
Removal of the Catheter and Bag 27
Complications Arising from Foley Catheters 27
Intermittent Catheterization Method and Techniques 28
External/Condom Catheters 29
Operational Mechanism 29
Suprapubic Catheters 29
Care of Suprapubic Catheter 30
Latex Vs. Silastic Catheters 30
Urinary Catheters - Purchase Considerations 30
Evolution and Development of Urinary Catheters 31
Catheters of the Future 32

8. COMPLICATIONS OF CATHETERIZATION 33
Urinary Tract Infections (UTI) 33
Defining Bacteriuria and UTI 33
Risk Factors for Bacteriuria 33
Prevention of Urinary Catheter Related Infection in the



Critically Ill 33
Prevention Strategies 34
Nosocomial Urinary Tract Infections in Catheterized Patients-
Causative Factors, Preventive Strategies, and its
Justification 35
Prevention of Infection in Patients Using Indwelling
Catheterization 36
Treatment and Remedial Measures for Catheter-Related Infections 36
Fight Against Infection 37
Other Complications 38
Other Common Complaints of Catheter Usage 38
Obstruction 38
Leakage 39
Infection 39
New Technologies to Fight Infection 39
Silver Coating of Urethral Catheters 39
Antimicrobial Coated Catheter 40

9. RECENT INDUSTRY ACTIVITY 41
Gambro Acquires CHF Solutions 41
RSS ActivStyle Takes Over Advocate Medical Services 41
AngioDynamics Takes Over Assets of FlowMedica 41
Cortec Group Takes Over Majority Stake in 180 Medical 41
Spire Divests Stake in Hemodialysis Catheter Operations to
Bard Access 42
Quick-Med Inks Joint Development Deal with Foster 42

10. CORPORATE ACTIVITY IN RECENT PAST - A PERSPECTIVE BUILDER 43
ConvaTec Takes Over Unomedical 43
CardioTech International Sells Subsidiary CDT to TACPRO 43
Specialized Health Products International Merges with C.R.
Bard Subsidiary 43
Urodynamix Expands Distribution Deal with Laborie Medical 43
Laborie and T-DOC Ink Distribution Agreement 44
Covalon Inks Development Agreement for Antimicrobial Coating 44
Ash Access Technology & AngioDynamics Partner for Centros' 45
Rex Medical Signs Agreement with Angiotech Pharmaceuticals 45
Rochester and Hollister Enter into an Agreement 45
Rochester Wins Supply Contract from Premier 46
Merit Medical Completes Acquisition of the ProGuide Catheter
Products 46
Rochester Acquires Select Assets of Mentor and Coloplast 46
Coloplast Acquires Mentor's Urology Business 47
C. R. Bard Acquires Venetec International 48
SRS Medical Acquires Eutech's Proprietary Catheter Technologies 48
CR Bard Acquires Assets of Genyx Medical 48
Pala Marketing Forms Joint Venture with Haydn Health Care 48

11. PRODUCT INNOVATIONS/INTRODUCTIONS 49
AngioDynamics Launches Centros Split-Tip Dialysis Catheter 49



Urologix Unveils CTC Advance' Short Treatment Catheter 49
ProtekMed Launches New Tru-flo' Urinary Catheter Valve 49
AngioDynamics Introduces Total Abscession® Nephrostomy
Drainage Catheter 49
Rochester Medical Introduces StrataNF' and StrataSI' Advanced
Foley Catheters 50
Rochester Medical Launches Magic3' Intermittent Catheters Line 50
Merit Medical Gains FDA Approval for ProGuide' Dialysis Catheter 51

12. PRODUCT INTRODUCTIONS/INNOVATIONS IN RECENT PAST - A
PERSPECTIVE BUILDER 52
AngioDynamics Introduces New Centros' Hemodialysis Catheter 52
Angiotech Secures CE Mark Approval for Marketing HemoStream
Catheter 52
Rochester Medical Corporation Introduces Magic3 Range 52
Cook Medical Introduces Advance® 18LP Balloon Dialation
Catheter in North America 52
South Tees Hospital Launches BARDEX® I.C 53
Teleflex Medical Launches Arrow NextStep Hemo-Dialysis Catheter 53
Applied Catheter Technologies to Develop Drug-Coated Stents
and Catheters 53
IAPYX' Launches Catheter Stabilization Product Range 53
Urologix's CoolMax' Microwave Catheter Receives CE Mark 54
Bard Introduces Catheter to Prevent CAUTIs among Women 54
Spire's Silver-Coated Hemodialysis Catheters Receive FDA Approval 54
Spire Launches Catheter for Dialysis 55
Medline Unveils Silver-Coated Catheter 55
Health Canada Approves Covalon's Antimicrobial Silver Ion
Coating on the Surface of Foley Catheters 55

13. FOCUS ON SELECT PLAYERS 56
Boston Scientific Corp. (US) 56
C R Bard, Inc. (US) 56
Bard Medical Division (US) 57
Coloplast A/S (Denmark) 57
Cook Urological, Inc. (US) 58
Covidien Ltd. (US) 58
Hollister, Inc. (US) 58
Rochester Medical Corporation (US) 59

14. GLOBAL MARKET PERSPECTIVE 60
A.Unit Analytics 60
By Region/Country 60
Table 5: World Recent Past, Current and Future Analysis for
Urological Catheters by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and the Middle East Markets Independently Analyzed with
Annual Sales Figures in '000 Units for Years 2007 through
2015 (includes corresponding Graph/Chart) 60



Table 6: World Historic Review for Urological Catheters by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and the Middle East Markets
Independently Analyzed with Annual Sales Figures in '000
Units for Years 2000 through 2006 (includes corresponding
Graph/Chart) 61

Table 7: World 10-Year Perspective for Urological Catheters
by Geographic Region - Percentage Breakdown of Unit Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and the Middle East Markets for Years 2005,
2010 & 2015 (includes corresponding Graph/Chart) 62
By Product Category/Segment 63
Dialysis Catheters by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and the
Middle East Markets Independently Analyzed with Annual Sales
Figures in '000 Units for Years 2007 through 2015 (includes
corresponding Graph/Chart) 63

Table 9: World Historic Review for Dialysis Catheters by
Graph/Chart) 64

Table 10: World 10-Year Perspective for Dialysis Catheters by
Geographic Region - Percentage Breakdown of Unit Sales for

Dialysis Catheters by Product Segment- Hemodialysis and
Peritoneal Dialysis Catheter Markets Independently Analyzed
with Annual Sales Figures in '000 Units for Years 2007
through 2015 (includes corresponding Graph/Chart) 66

Table 12: World Historic Review Projections for Dialysis
Catheters by Product Segment- Hemodialysis and Peritoneal
Dialysis Catheter Markets Independently Analyzed with Annual
Sales Figures in '000 Units for Years 2000 through 2006
(includes corresponding Graph/Chart) 66

Product Segment - Percentage Breakdown of Unit Sales for
Hemodialysis and Peritoneal Catheter Markets for Years 2005,
2010 & 2015 67



Hemodialysis Catheters by Geographic Region - US, Canada,

Table 15: World Historic Review for Hemodialysis Catheters by
Graph/Chart) 69

Table 16: World 10-Year Perspective for Hemodialysis
Catheters by Geographic Region - Percentage Breakdown of Unit
Sales for US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and the Middle East Markets for Years
2005, 2010 & 2015 (includes corresponding Graph/Chart) 70

Peritoneal Dialysis Catheters by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and the Middle East Markets Independently Analyzed

Table 18: World Historic Review for Peritoneal Dialysis
Catheters by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and the Middle
East Markets Independently Analyzed with Annual Sales Figures
in '000 Units for Years 2000 through 2006 (includes

Table 19: World 10-Year Perspective for Peritoneal Dialysis

Urinary Catheters by Geographic Region - US, Canada, Japan,

Table 21: World Historic Preview for Urinary Catheters by



Graph/Chart) 75

Table 22: World 10-Year Perspective for Urinary Catheters by

Urinary Catheters by Product Segment - Foley Catheter,
Intermittent Catheter, External / Condom Catheter Markets
Graph/Chart) 77

Table 24: World Historic Review for Urinary Catheters by
Product Segment - Foley Catheter, Intermittent Catheter,
External / Condom Catheter Markets Independently Analyzed

Product Segment - Percentage Breakdown of Unit Sales for
Foley Catheter, Intermittent Catheter, External / Condom
Catheter Markets for Years 2005, 2010 & 2015 (includes

Foley Catheters by Geographic Region - US, Canada, Japan,

Table 27: World Historic Review for Foley Catheters by
Graph/Chart) 80

Table 28: World 10-Year Perspective for Foley Catheters by




Intermittent Catheters by Geographic Region - US, Canada,

Table 30: World Historic Review Projections for Intermittent

Table 31: World 10-Year Perspective for Intermittent

External/Condom Catheters by Geographic Region - US, Canada,

Table 33: World Historic Review for External/Condom Catheters
by Geographic Region - US, Canada, Japan, Europe,

Table 34: World 10-Year Perspective for External/Condom
B.Dollar Analytics 88
Urological Catheters by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan),Latin America
Annual Sales Figures in US$ Million for Years 2007 through

Table 36: World Historic Preview for Urological Catheters by
Independently Analyzed with Annual Sales Figures in US$



Million for Years 2000 through 2006 (includes corresponding
Graph/Chart) 89

Table 37: World 10-Year Perspective for Urological Catheters
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific (excluding
By Product Category/Segment 91
Dialysis Catheters by Geographic Region - US, Canada, Japan,
Figures in US$ Million for Years 2007 through 2015 (includes

Graph/Chart) 92

Geographic Region - Percentage Breakdown of Dollar Sales for

Dialysis Catheters by Product Segment- Hemodialysis and
Peritoneal Dialysis Catheter Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2007

Product Segment- Hemodialysis and Peritoneal Dialysis
Catheter Markets Independently Analyzed with Annual Sales

Product Segment - Percentage Breakdown of Dollar Sales for
Hemodialysis and Peritoneal Catheter Markets for Years 2005,
2010 & 2015 95

Hemodialysis Catheters by Geographic Region - US, Canada,




Table 45: World Historic Review for Hemodialysis Catheters by
Graph/Chart) 97

Table 46: World 10-Year Perspective for Hemodialysis
Catheters by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
for Years 2005, 2010 & 2015 (includes corresponding
Graph/Chart) 98

Peritoneal Dialysis Catheters by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and the Middle East Markets Independently Analyzed

Table 48: World Historical review for Peritoneal Dialysis
in US$ Million for Years 2000 through 2006 (includes

Table 49: World 10-Year Perspective for Peritoneal Dialysis
Graph/Chart) 101

Urinary Catheters by Geographic Region - US, Canada, Japan,




Graph/Chart) 103


Urinary Catheters by Product Segment - Foley Catheter,
Intermittent Catheter, External / Condom Catheter Markets
Graph/Chart) 105

Product Segment - Foley Catheter, Intermittent Catheter,
External / Condom Catheter Markets Independently Analyzed

Product Segment - Percentage Breakdown of Dollar Sales for
Foley Catheter, Intermittent Catheter, External / Condom
Catheter Markets for Years 2005, 2010 & 2015 (includes

Foley Catheters by Geographic Region - US, Canada, Japan,

Table 57: World Historic Review for Foley Catheters by
Graph/Chart) 109

Table 58: World 10-Year Perspective for Foley Catheters by

Intermittent Catheters by Geographic Region - US, Canada,




Table 60: World Historic Review for Intermittent Catheters by
Graph/Chart) 112

Table 61: World 10-Year Perspective for Intermittent
Graph/Chart) 113

External/Condom Catheters by Geographic Region - US, Canada,

Table 63: World Historical review for External/Condom
in US$ Million for Years 2000 through 2006 (includes

Table 64: World 10-Year Perspective for External/Condom
Graph/Chart) 116

15. THE UNITED STATES 117
A.Market Analysis 117
Outlook 117
Procedural Volume Growth Declines Due to Recession 117
Table 65: %Growth of Procedural Volume for Gynecological
and Urological Procedures in the US (Q4 2009 Vs Q4 2008) 118
Dialysis Market Scenario 118
Urinary Catheters Market 118
Foley Catheters 119
Innovations Address Shortcomings 119
Competitive and Distribution Structure 119



Contracts Purchasing Dominates 119
Table 66: Leading Players in the US Market for Foley
Catheters (2006): Percentage Share Breakdown of Dollar
Sales for Bard Urological, Kendall and Others (includes
Foley Catheters Still Hot with Researchers 120
Male External Catheters 120
Table 67: Leading Players in the US External Male
Catheter Market (2006E) - Percentage Breakdown of Dollar
Sales by Players - Coloplast, Hollister, Bard Urological,
Kendall and Others (includes corresponding Graph/Chart) 120
B.Market Analytics 121
a.Unit Analytics 121
Table 68: US Recent Past, Current and Future Analysis for
Urological Catheters by Product Category/Segment - Dialysis
Catheters (Hemodialysis Catheters, Peritoneal Catheters) and
Urinary Catheters (Foley Catheters, Intermittent Catheters,
External/Condom Catheters) Markets Independently Analyzed

Table 69: US Historic Review for Urological Catheters by
Product Category/Segment - Dialysis Catheters (Hemodialysis
Catheters, Peritoneal Catheters) and Urinary Catheters
(Foley Catheters, Intermittent Catheters, External/Condom
Catheters) Markets Independently Analyzed with Annual Sales

Table 70: US 10-Year Perspective for Urological Catheters by
Product Category/Segment - Percentage Breakdown of Unit
Sales for Dialysis Catheters (Hemodialysis Catheters,
Peritoneal Catheters) and Urinary Catheters (Foley
Catheters, Intermittent Catheters, External/Condom
Catheters) Markets for 2005, 2010 & 2015 (includes
b.Dollar Analytics 124
Table 71: US Recent Past, Current and Future Analysis for
Urological Catheters by Product Category/Segment - Dialysis
Catheters (Hemodialysis Catheters, Peritoneal Catheters) and
Urinary Catheters (Foley Catheters, Intermittent Catheters,
External/ Condom Catheters) Markets Independently Analyzed

Table 72: US Historic Review for Urological Catheters by
Product Category/Segment - Dialysis Catheters (Hemodialysis



Catheters) Markets Independently Analyzed with Annual Sales

Table 73: US 10-Year Perspective for Urological Catheters by
Product Category/Segment - Percentage Breakdown of Dollar
Sales for Dialysis Catheters (Hemodialysis Catheters,
Peritoneal Catheters) and Urinary Catheters (Foley
Catheters, Intermittent Catheters, External/Condom

16. CANADA 127
Market Analysis 127
Table 74: Canadian Recent Past, Current and Future Analysis
for Urological Catheters by Product Category/Segment -
Dialysis Catheters (Hemodialysis Catheters, Peritoneal
Catheters) and Urinary Catheters (Foley Catheters,
Intermittent Catheters, External/ Condom Catheters) Markets
Graph/Chart) 127

Table 75: Canadian Historic Review for Urological Catheters
by Product Category/Segment - Dialysis Catheters
(Hemodialysis Catheters, Peritoneal Catheters) and Urinary
Catheters (Foley Catheters, Intermittent Catheters,

Table 76: Canadian 10-Year Perspective for Urological
Catheters by Product Category/Segment - Percentage Breakdown
of Unit Sales for Dialysis Catheters (Hemodialysis
Table 77: Canadian Recent Past, Current and Future Analysis
Graph/Chart) 130

Table 78: Canadian Historic Review for Urological Catheters




Table 79: Canadian 10-Year Perspective for Urological
of Dollar Sales for Dialysis Catheters (Hemodialysis

17. JAPAN 133
Outlook 133
Dialysis Patient Population 133
Table 80: Japanese Recent Past, Current and Future Analysis
Graph/Chart) 134

Table 81: Japanese Historic Review for Urological Catheters

Table 82: Japanese 10-Year Perspective for Urological
(Foley Catheters, Intermittent Catheters, External/ Condom
Table 83: Japanese Recent Past, Current and Future Analysis



Intermittent Catheters, External/Condom Catheters) Markets
Graph/Chart) 137

Table 84: Japanese Historic Review for Urological Catheters

Table 85: Japanese 10-Year Perspective for Urological

18. EUROPE 140
Outlook 140
Urinary Incontinence Devices Market - An Overview 140
Dialysis Patient Population - An Insight 140
Table 86: Number of Dialysis Patients (2009): Percentage
Share Breakdown by Treatment Modality for Hemodialysis and
Peritoneal Dialysis (includes corresponding Graph/Chart) 141
a. Unit Analytics 142
Table 87: European Recent Past, Current and Future Analysis
for Urological Catheters by Geographic Region - France,
Germany, Italy, UK, and Rest of Europe Markets Independently
Analyzed with Annual Sales Figures in '000 Units for Years
2007 through 2015 (includes corresponding Graph/Chart) 142

Table 88: European Historic Review for Urological Catheters
by Geographic Region - France, Germany, Italy, UK, and Rest
of Europe Markets Independently Analyzed with Annual Sales

Table 89: European 10-Year Perspective for Urological
Unit Sales for France, Germany, Italy, UK, and Rest of
Europe Markets for Years 2005, 2010 & 2015 (includes




Graph/Chart) 145


(Foley Catheters, Intermittent Catheters, External/ Condom
b. Dollar Analytics 148
for Urological Catheters by Geographic Region - France,
Germany, Italy, UK, and Rest of Europe Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2007 through 2015 (includes corresponding Graph/Chart) 148

by Geographic Region - France, Germany, Italy, UK, and Rest
of Europe Markets Independently Analyzed with Annual Sales

Dollar Sales for France, Germany, Italy, UK, and Rest of
Europe Markets for Years 2005, 2010 & 2015 (includes

for Urological Catheters by Product Category/ Segment -
Graph/Chart) 151





18a. FRANCE 154
Market Analysis 154
Table 99: French Recent Past, Current and Future Analysis
Units for Years2007 through 2015 (includes corresponding
Graph/Chart) 154

Table 100: French Historic Review for Urological Catheters
External/Condom Catheters) Markets IndependentlyAnalyzed

Table 101: French 10-Year Perspective for Urological
Table 102: French Recent Past, Current and Future Analysis



Graph/Chart) 157

Table 103: French Historic Review for Urological Catheters

Table 104: French 10-Year Perspective for Urological

18b. GERMANY 160
Market Analysis 160
Table 105: German Recent Past, Current and Future Analysis
for Urological Catheters by Product Category/ Segment -
Graph/Chart) 160

Table 106: German Historic Review for Urological Catheters

Table 107: German 10-Year Perspective for Urological
Table 108: German Recent Past, Current and Future Analysis
for U



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