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The Medical Device Market: Italy
Published on October 2010

                                                                                                               Report Summary

Espicom's in-depth medical device market reports are ideal for executives wanting to understand the key drivers in medical markets
and have access to a wealth of statistical data. Each report opens with an outlook section that provides analysis of the market, 5-year
market forecasts, national data projections, market outlook and key developments such as regulation, health facilities and government
policy. The report also provides extensive background information, population trends, health status, health expenditure, organisation
& administration, hospital services, medical personnel, healthcare development, market access information, trade data and essential
industry contacts. Included with the report are 3 free quarterly updated outlook reports, enabling you to keep up to date with market
developments for a year.


The Italian medical device market is the third largest in Europe. Consumption of medical equipment and supplies is valued at US$8.0
billion in 2010, equal to US$133 per capita. Market growth is low with Italy expected to be one of Europe's slower growing medical
markets over the next five years.


The provision of healthcare in Italy, in common with other western European countries, is advanced, with universal access. Being
initially based on the NHS-model of the UK, the Italian health service is also facing similar scenarios, most notably efforts to restrain
rising costs.


A package of austerity measures launched in response to the recent economic downturn proposes to cut regional funding by 3.8
billion euros between 2011 and 2013, which will increase financial pressures in the healthcare sector.


The Ministry of Health has embarked on a programme of large-scale investment in the health service. Investment is being linked to
certain standards within healthcare provision; in particular is the new focus on preventative care. With the increased levels of
investment it is also hoped that there will be parity in provision throughout the regions and that by linking investment to certain
standards, disparity will be removed.


The re-establishment in December 2009 of a dedicated Ministry of Health is an indication of the higher priority being given to
healthcare in the wake of the swine flu epidemic and the ongoing financial problems in several regional health services. Recent
ministerial initiatives have included a law on palliative care and a new plan to tackle the persistent problem of long waiting lists for
treatment in many areas.


Long payment delays have long been a feature of supplying to the public hospital market. However, in recent months there have been
signs of improvement as a result of efforts to implement healthcare deficit recovery plans in the worst offending regions.


Italy has a sizeable medical manufacturing industry with a turnover in the region of 4 billion euros. Despite a strong industrial
presence in certain sectors, the overall medical device market remains reliant on imported goods, the value of which was US$6.3
billion in 2009.


Please note: Report sections are periodically updated and some sections may have been updated more recently than the publication
date given for the full report




The Medical Device Market: Italy                                                                                                    Page 1/8
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More Information...
MARKET OUTLOOK


Key national data projections
Current market size
Unique 5-year market projections
Market outlook
Market structure



Including statistical data on imports and exports


Market access



Including distribution and medical device regulation


Healthcare analysis



Including demographics, healthcare system, health expenditure, healthcare infrastructure and personnel



HEALTHCARE DATA
A comprehensive tabula review of the market, including economic indicators, demographics, health expenditure, hospital and primary
care data, and healthcare personnel.


DISTRIBUTORS
Details of the medical equipment distributors held in Espicom's database at the time of publication.




                                                                                                         Table of Content


Contents


EXECUTIVE SUMMARY .. 1
INTRODUCTION . 2
MEDICAL MARKET ANALYSIS .. 3
Size ... 3
Projections 5
Consumables .. 5
Diagnostic Imaging .. 5
Dental Products ... 6
Orthopaedic & Implantable Products .. 6
Outlook .. 7
Imports .. 10
Consumables 11


The Medical Device Market: Italy                                                                                          Page 2/8
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Diagnostic Imaging Apparatus .. 11
Dental Products . 11
Orthopaedic & Implantable Products 11
Others ... 11
Monthly Import Analysis 19
Domestic Manufacturing . 22
Domestic Production . 22
Trade Associations 26
Assobiomedica .. 26
FIFO ... 26
Local Manufacturers .. 26
Artsana .. 26
Bellco . 27
Castellini SpA 27
CID Vascular.. 27
Cosmed . 27
Esaote 28
ET Medical Devices / Remco Italia SpA. 28
Euronda . 29
IGEA .. 29
Internazionale Medico Scientifica (IMS) . 29
Lima ... 30
Major Prodotti Dentari SpA 30
Medel Italiana SRL 30
Menarini Diagnostics . 30
Sorin .. 30
Exports 32
Consumables 33
Diagnostic Imaging Apparatus .. 33
Dental Products . 33
Orthopaedic & Implantable Products 33
Others ... 33
Monthly Export Analysis 41
ACCESSING THE MARKET .. 44
Distribution .. 44
Procurement ... 44
Medical Device Regulations 45
Competent Authority .. 45
Notified Bodies .. 45
Trade Fairs .. 45
HEALTHCARE ANALYSIS 46
Demographics . 46
Population . 46
Birth Rate ... 46
Death Rate. 47
Infant Mortality ... 47
Life Expectancy at Birth . 47
Public Health . 47
Causes of Death 47
Incidence of Communicable Diseases ... 48


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HIV/AIDS ... 48
Incidence of Non-communicable Diseases 48
Cancer ... 49
Healthcare System .. 50
National Level 50
Regional Level ... 51
Local Level. 51
Private Health Insurance ... 52
Health System Reforms . 52
Health Expenditure . 53
Healthcare Infrastructure 55
Medical Equipment Installations ... 56
Inpatient Analysis .. 59
Ambulatory Care ... 61
Community Care ... 62
Healthcare Personnel . 63
DIRECTORY .. 65
MEDICAL OUTLOOK ITALY
Medical Outlook © espicom BUSINESS INTELLIGENCE
Quarter IV 2010 iii
Healthcare Organisations ... 65
Professional Bodies/Trade Associations .. 65
TRADE CODE CLASSIFICATIONS ... 66
METHODOLOGY .. 68
SOURCES . 68


List of Tables


Summary Key Data Projections, 2010-2015 .. 2
Summary of the Italian Medical Device Market, 2010 .. 3
Historic Market Estimates, 2004-08 (US$ millions) .. 4
Projected Medical Equipment Market, 2010-2015 5
Projected Medical Equipment Market by Category, 2009-2015 (US$ Millions) .. 6
Projected Medical Equipment Market by Category Per Capita, 2009-2015 (US$) . 6
Projected Medical Equipment Market by Category, 2009-2015 (%) 7
Espicom Analysis of the Italian Medical Market, 2010 8
SWOT Analysis of the Italian Medical Device Market, 2010 9
Imports by Product Area, 2005-2009 (Euros 000s) 12
Imports by Product Area, 2005-2009 (US$000s) . 12
Imports by Product Area, 2005-2009 (% of Total) .. 12
Imports by Product Area, 2005-2009 (% Change, Euro terms) . 13
Imports by Product Area, 2005-2009 (% Change, US$ terms)... 13
Leading Suppliers by Product Area, 2009 (Euros 000s) 14
Leading Suppliers by Product Area, 2009 (US$000s) 14
Leading Suppliers by Product Area, 2009 (% of Total) .. 14
Imports of Medical Equipment & Supplies, 2005-2009 (US$000s) 15
Medical Equipment Import Trends, 2009 16
Leading Suppliers, 2009 (US$000s). 17
Leading Suppliers by Category, 2009 (US$000s) ... 18
Monthly Medical Device Imports, June 2009 to May 2010 (euros 000s) ... 20


The Medical Device Market: Italy                                                                        Page 4/8
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Medical Device Imports in Euros, June 2009 to May 2010 (% change) 20
Monthly Medical Device Imports, June 2009 to May 2010 (US$000s) .. 21
Medical Device Imports in US$, June 2009 to May 2010 (% change) ... 21
Italian Medical Device Production by Broad Category, 2005-2009 (Euros 000s) 23
Italian Medical Device Production, 2005-2009 (Euros 000s) . 23
Italian Medical Device Production, 2005-2009 (US$000s).. 24
Italian Medical Device Production, 2005-2009 (% of Total) ... 25
Exports by Product Area, 2005-2009 (Euros 000s) 34
Exports by Product Area, 2005-2009 (US$000s) 34
Exports by Product Area, 2005-2009 (% of Total) .. 34
Exports by Product Area, 2005-2009 (% Change, Euro terms) . 35
Exports by Product Area, 2005-2009 (% Change, US$ terms) .. 35
Leading Destinations by Product Area, 2009 (Euros 000s)... 36
Leading Destinations by Product Area, 2009 (US$000s) ... 36
Leading Destinations by Product Area, 2009 (% of Total). 36
Exports of Medical Equipment & Supplies, 2005-2009 (US$000s) 37
Medical Equipment Export Trends, 2009 38
Leading Destinations, 2009 (US$000s) ... 39
Balance of Medical Trade, 2005-2009 (US$000s) ... 40
Monthly Medical Device Exports, June 2009 to May 2010 (euros 000s) .. 42
Medical Device Exports in Euros, June 2009 to May 2010 (% change) 42
Monthly Medical Device Exports, June 2009 to May 2010 (US$000s) .. 43
Medical Device Exports in US$, June 2009 to May 2010 (% change) ... 43
Average Delay in Payment to Suppliers in the Public Healthcare Sector 45
Summary of Demographic Data .. 46
Projected Population, 2010-2015 . 46
Deaths by Cause, 2007 . 47
Healthcare Expenditure, 2009 .. 53
Health Expenditure, 2002-2008 (Euros billion) ... 53
Public Health Expenditure by Type, 2005-2008 .. 54
Public Health Expenditure by Region, 2008 ... 54
Projected Health Expenditure, 2010-2015 ... 54
Hospitals & Beds, 2007 55
Hospital Bed Projections, 2010-2015 .. 55
Medical Equipment in Hospitals by Sector, 2007 ... 56
Medical Equipment in Ambulatory Facilities by Sector, 2007 ... 56
CT & MRI Scanners by Region, 2007... 57
Gamma Cameras & PET by Region, 2007 ... 57
Mammography & Ultrasound by Region, 2007 ... 58
Anaesthesia Apparatus & Patient Monitors by Region, 2007 ... 58
Hospital Activity, 2004-2008 . 59
Hospital Activity by Sector, 2008. 59
Top 30 Procedures Performed on Acute Hospital Inpatients, 2007 . 60
Top 20 Procedures Performed on Acute Hospital Day Cases, 2007 60
Primary Care Providers by Region, 2007 61
Ambulatories & Laboratories by Sector, 2002-2007 .. 62
Ambulatories & Laboratories by Region, 2007 .. 62
Registered Doctors and Dentists, 2000-2006 . 63
Projected Number of Physicians, 2010-2015 .. 63
SSN Healthcare Personnel, 2004-2007 63


The Medical Device Market: Italy                                                                           Page 5/8
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Registered Doctors by Specialty, 2005 ... 64
HS Trade Codes Used in This Report . 66
HS Trade Codes, Rearranged .. 67


List of Charts


Italian Medical Device Market by Category, 2010 (%) .. 3
CAGR of Medical Device Market by Product Area, 2004-2008 (%) . 4
Radar Graph of the Italian Medical Market, 2010 . 9
Medical Device Imports, 2000-2009 . 10
Change in Medical Device Imports, 2000-2009 (%) 10
Medical Imports by Product Area, 2009 (%) ... 12
CAGR of Medical Imports by Product Area, 2005-2009 (%) .. 13
Italian Monthly Medical Equipment Imports, January 2006 to May 2010 . 19
Italian Monthly Medical Equipment Imports, January 2007 to May 2010, % change .. 19
Change in Euro Value of Medical Device Imports, June 2009 to May 2010 (%)... 20
Change in US$ Value of Medical Device Imports, June 2009 to May 2010 (%) 21
Reported Medical Device Production by Category, 2009 (US$ Millions) . 22
Medical Device Exports, 2000-2009 . 32
Change in Medical Device Exports, 2000-2009 (%) 32
Medical Exports by Product Area, 2009 (%) ... 34
CAGR of Medical Exports by Product Area, 2005-2009 (%) .. 35
Italian Monthly Medical Equipment Exports, January 2006 to May 2010 . 41
Italian Monthly Medical Equipment Exports, January 2007 to May 2010, % change .. 41
Change in Euro Value of Medical Device Exports, June 2009 to May 2010 (%) .. 42
Change in US$ Value of Medical Device Exports, June 2009 to May 2010 (%) ... 43




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The Medical Device Market: Italy

  • 1. Find Industry reports, Company profiles ReportLinker and Market Statistics >> Get this Report Now by email! The Medical Device Market: Italy Published on October 2010 Report Summary Espicom's in-depth medical device market reports are ideal for executives wanting to understand the key drivers in medical markets and have access to a wealth of statistical data. Each report opens with an outlook section that provides analysis of the market, 5-year market forecasts, national data projections, market outlook and key developments such as regulation, health facilities and government policy. The report also provides extensive background information, population trends, health status, health expenditure, organisation & administration, hospital services, medical personnel, healthcare development, market access information, trade data and essential industry contacts. Included with the report are 3 free quarterly updated outlook reports, enabling you to keep up to date with market developments for a year. The Italian medical device market is the third largest in Europe. Consumption of medical equipment and supplies is valued at US$8.0 billion in 2010, equal to US$133 per capita. Market growth is low with Italy expected to be one of Europe's slower growing medical markets over the next five years. The provision of healthcare in Italy, in common with other western European countries, is advanced, with universal access. Being initially based on the NHS-model of the UK, the Italian health service is also facing similar scenarios, most notably efforts to restrain rising costs. A package of austerity measures launched in response to the recent economic downturn proposes to cut regional funding by 3.8 billion euros between 2011 and 2013, which will increase financial pressures in the healthcare sector. The Ministry of Health has embarked on a programme of large-scale investment in the health service. Investment is being linked to certain standards within healthcare provision; in particular is the new focus on preventative care. With the increased levels of investment it is also hoped that there will be parity in provision throughout the regions and that by linking investment to certain standards, disparity will be removed. The re-establishment in December 2009 of a dedicated Ministry of Health is an indication of the higher priority being given to healthcare in the wake of the swine flu epidemic and the ongoing financial problems in several regional health services. Recent ministerial initiatives have included a law on palliative care and a new plan to tackle the persistent problem of long waiting lists for treatment in many areas. Long payment delays have long been a feature of supplying to the public hospital market. However, in recent months there have been signs of improvement as a result of efforts to implement healthcare deficit recovery plans in the worst offending regions. Italy has a sizeable medical manufacturing industry with a turnover in the region of 4 billion euros. Despite a strong industrial presence in certain sectors, the overall medical device market remains reliant on imported goods, the value of which was US$6.3 billion in 2009. Please note: Report sections are periodically updated and some sections may have been updated more recently than the publication date given for the full report The Medical Device Market: Italy Page 1/8
  • 2. Find Industry reports, Company profiles ReportLinker and Market Statistics More Information... MARKET OUTLOOK Key national data projections Current market size Unique 5-year market projections Market outlook Market structure Including statistical data on imports and exports Market access Including distribution and medical device regulation Healthcare analysis Including demographics, healthcare system, health expenditure, healthcare infrastructure and personnel HEALTHCARE DATA A comprehensive tabula review of the market, including economic indicators, demographics, health expenditure, hospital and primary care data, and healthcare personnel. DISTRIBUTORS Details of the medical equipment distributors held in Espicom's database at the time of publication. Table of Content Contents EXECUTIVE SUMMARY .. 1 INTRODUCTION . 2 MEDICAL MARKET ANALYSIS .. 3 Size ... 3 Projections 5 Consumables .. 5 Diagnostic Imaging .. 5 Dental Products ... 6 Orthopaedic & Implantable Products .. 6 Outlook .. 7 Imports .. 10 Consumables 11 The Medical Device Market: Italy Page 2/8
  • 3. Find Industry reports, Company profiles ReportLinker and Market Statistics Diagnostic Imaging Apparatus .. 11 Dental Products . 11 Orthopaedic & Implantable Products 11 Others ... 11 Monthly Import Analysis 19 Domestic Manufacturing . 22 Domestic Production . 22 Trade Associations 26 Assobiomedica .. 26 FIFO ... 26 Local Manufacturers .. 26 Artsana .. 26 Bellco . 27 Castellini SpA 27 CID Vascular.. 27 Cosmed . 27 Esaote 28 ET Medical Devices / Remco Italia SpA. 28 Euronda . 29 IGEA .. 29 Internazionale Medico Scientifica (IMS) . 29 Lima ... 30 Major Prodotti Dentari SpA 30 Medel Italiana SRL 30 Menarini Diagnostics . 30 Sorin .. 30 Exports 32 Consumables 33 Diagnostic Imaging Apparatus .. 33 Dental Products . 33 Orthopaedic & Implantable Products 33 Others ... 33 Monthly Export Analysis 41 ACCESSING THE MARKET .. 44 Distribution .. 44 Procurement ... 44 Medical Device Regulations 45 Competent Authority .. 45 Notified Bodies .. 45 Trade Fairs .. 45 HEALTHCARE ANALYSIS 46 Demographics . 46 Population . 46 Birth Rate ... 46 Death Rate. 47 Infant Mortality ... 47 Life Expectancy at Birth . 47 Public Health . 47 Causes of Death 47 Incidence of Communicable Diseases ... 48 The Medical Device Market: Italy Page 3/8
  • 4. Find Industry reports, Company profiles ReportLinker and Market Statistics HIV/AIDS ... 48 Incidence of Non-communicable Diseases 48 Cancer ... 49 Healthcare System .. 50 National Level 50 Regional Level ... 51 Local Level. 51 Private Health Insurance ... 52 Health System Reforms . 52 Health Expenditure . 53 Healthcare Infrastructure 55 Medical Equipment Installations ... 56 Inpatient Analysis .. 59 Ambulatory Care ... 61 Community Care ... 62 Healthcare Personnel . 63 DIRECTORY .. 65 MEDICAL OUTLOOK ITALY Medical Outlook © espicom BUSINESS INTELLIGENCE Quarter IV 2010 iii Healthcare Organisations ... 65 Professional Bodies/Trade Associations .. 65 TRADE CODE CLASSIFICATIONS ... 66 METHODOLOGY .. 68 SOURCES . 68 List of Tables Summary Key Data Projections, 2010-2015 .. 2 Summary of the Italian Medical Device Market, 2010 .. 3 Historic Market Estimates, 2004-08 (US$ millions) .. 4 Projected Medical Equipment Market, 2010-2015 5 Projected Medical Equipment Market by Category, 2009-2015 (US$ Millions) .. 6 Projected Medical Equipment Market by Category Per Capita, 2009-2015 (US$) . 6 Projected Medical Equipment Market by Category, 2009-2015 (%) 7 Espicom Analysis of the Italian Medical Market, 2010 8 SWOT Analysis of the Italian Medical Device Market, 2010 9 Imports by Product Area, 2005-2009 (Euros 000s) 12 Imports by Product Area, 2005-2009 (US$000s) . 12 Imports by Product Area, 2005-2009 (% of Total) .. 12 Imports by Product Area, 2005-2009 (% Change, Euro terms) . 13 Imports by Product Area, 2005-2009 (% Change, US$ terms)... 13 Leading Suppliers by Product Area, 2009 (Euros 000s) 14 Leading Suppliers by Product Area, 2009 (US$000s) 14 Leading Suppliers by Product Area, 2009 (% of Total) .. 14 Imports of Medical Equipment & Supplies, 2005-2009 (US$000s) 15 Medical Equipment Import Trends, 2009 16 Leading Suppliers, 2009 (US$000s). 17 Leading Suppliers by Category, 2009 (US$000s) ... 18 Monthly Medical Device Imports, June 2009 to May 2010 (euros 000s) ... 20 The Medical Device Market: Italy Page 4/8
  • 5. Find Industry reports, Company profiles ReportLinker and Market Statistics Medical Device Imports in Euros, June 2009 to May 2010 (% change) 20 Monthly Medical Device Imports, June 2009 to May 2010 (US$000s) .. 21 Medical Device Imports in US$, June 2009 to May 2010 (% change) ... 21 Italian Medical Device Production by Broad Category, 2005-2009 (Euros 000s) 23 Italian Medical Device Production, 2005-2009 (Euros 000s) . 23 Italian Medical Device Production, 2005-2009 (US$000s).. 24 Italian Medical Device Production, 2005-2009 (% of Total) ... 25 Exports by Product Area, 2005-2009 (Euros 000s) 34 Exports by Product Area, 2005-2009 (US$000s) 34 Exports by Product Area, 2005-2009 (% of Total) .. 34 Exports by Product Area, 2005-2009 (% Change, Euro terms) . 35 Exports by Product Area, 2005-2009 (% Change, US$ terms) .. 35 Leading Destinations by Product Area, 2009 (Euros 000s)... 36 Leading Destinations by Product Area, 2009 (US$000s) ... 36 Leading Destinations by Product Area, 2009 (% of Total). 36 Exports of Medical Equipment & Supplies, 2005-2009 (US$000s) 37 Medical Equipment Export Trends, 2009 38 Leading Destinations, 2009 (US$000s) ... 39 Balance of Medical Trade, 2005-2009 (US$000s) ... 40 Monthly Medical Device Exports, June 2009 to May 2010 (euros 000s) .. 42 Medical Device Exports in Euros, June 2009 to May 2010 (% change) 42 Monthly Medical Device Exports, June 2009 to May 2010 (US$000s) .. 43 Medical Device Exports in US$, June 2009 to May 2010 (% change) ... 43 Average Delay in Payment to Suppliers in the Public Healthcare Sector 45 Summary of Demographic Data .. 46 Projected Population, 2010-2015 . 46 Deaths by Cause, 2007 . 47 Healthcare Expenditure, 2009 .. 53 Health Expenditure, 2002-2008 (Euros billion) ... 53 Public Health Expenditure by Type, 2005-2008 .. 54 Public Health Expenditure by Region, 2008 ... 54 Projected Health Expenditure, 2010-2015 ... 54 Hospitals & Beds, 2007 55 Hospital Bed Projections, 2010-2015 .. 55 Medical Equipment in Hospitals by Sector, 2007 ... 56 Medical Equipment in Ambulatory Facilities by Sector, 2007 ... 56 CT & MRI Scanners by Region, 2007... 57 Gamma Cameras & PET by Region, 2007 ... 57 Mammography & Ultrasound by Region, 2007 ... 58 Anaesthesia Apparatus & Patient Monitors by Region, 2007 ... 58 Hospital Activity, 2004-2008 . 59 Hospital Activity by Sector, 2008. 59 Top 30 Procedures Performed on Acute Hospital Inpatients, 2007 . 60 Top 20 Procedures Performed on Acute Hospital Day Cases, 2007 60 Primary Care Providers by Region, 2007 61 Ambulatories & Laboratories by Sector, 2002-2007 .. 62 Ambulatories & Laboratories by Region, 2007 .. 62 Registered Doctors and Dentists, 2000-2006 . 63 Projected Number of Physicians, 2010-2015 .. 63 SSN Healthcare Personnel, 2004-2007 63 The Medical Device Market: Italy Page 5/8
  • 6. Find Industry reports, Company profiles ReportLinker and Market Statistics Registered Doctors by Specialty, 2005 ... 64 HS Trade Codes Used in This Report . 66 HS Trade Codes, Rearranged .. 67 List of Charts Italian Medical Device Market by Category, 2010 (%) .. 3 CAGR of Medical Device Market by Product Area, 2004-2008 (%) . 4 Radar Graph of the Italian Medical Market, 2010 . 9 Medical Device Imports, 2000-2009 . 10 Change in Medical Device Imports, 2000-2009 (%) 10 Medical Imports by Product Area, 2009 (%) ... 12 CAGR of Medical Imports by Product Area, 2005-2009 (%) .. 13 Italian Monthly Medical Equipment Imports, January 2006 to May 2010 . 19 Italian Monthly Medical Equipment Imports, January 2007 to May 2010, % change .. 19 Change in Euro Value of Medical Device Imports, June 2009 to May 2010 (%)... 20 Change in US$ Value of Medical Device Imports, June 2009 to May 2010 (%) 21 Reported Medical Device Production by Category, 2009 (US$ Millions) . 22 Medical Device Exports, 2000-2009 . 32 Change in Medical Device Exports, 2000-2009 (%) 32 Medical Exports by Product Area, 2009 (%) ... 34 CAGR of Medical Exports by Product Area, 2005-2009 (%) .. 35 Italian Monthly Medical Equipment Exports, January 2006 to May 2010 . 41 Italian Monthly Medical Equipment Exports, January 2007 to May 2010, % change .. 41 Change in Euro Value of Medical Device Exports, June 2009 to May 2010 (%) .. 42 Change in US$ Value of Medical Device Exports, June 2009 to May 2010 (%) ... 43 The Medical Device Market: Italy Page 6/8
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