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Artificial Implants - Market Analysis, Trends, and Forecasts

  • ID: 2228006
  • Report
  • February 2020
  • Region: Global
  • 173 Pages
  • Global Industry Analysts, Inc
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Artificial Implants market worldwide is projected to grow by US$29.5 Billion, driven by a compounded growth of 5.8%. Cardiac Implants, one of the segments analyzed and sized in this study, displays the potential to grow at over 6.9%. The shifting dynamics supporting this growth makes it critical for businesses in this space to keep abreast of the changing pulse of the market. Poised to reach over US$41.5 Billion by the year 2025, Cardiac Implants will bring in healthy gains adding significant momentum to global growth.

Representing the developed world, the United States will maintain a 4.3% growth momentum. Within Europe, which continues to remain an important element in the world economy, Germany will add over US$1 Billion to the region's size and clout in the next 5 to 6 years. Over US$812.2 Million worth of projected demand in the region will come from Rest of Europe markets. In Japan, Cardiac Implants will reach a market size of US$1.9 Billion by the close of the analysis period. As the world’s second largest economy and the new game changer in global markets, China exhibits the potential to grow at 9.4% over the next couple of years and add approximately US$9.1 Billion in terms of addressable opportunity for the picking by aspiring businesses and their astute leaders. Presented in visually rich graphics are these and many more need-to-know quantitative data important in ensuring quality of strategy decisions, be it entry into new markets or allocation of resources within a portfolio. Several macroeconomic factors and internal market forces will shape growth and development of demand patterns in emerging countries in Asia-Pacific, Latin America and the Middle East. All research viewpoints presented are based on validated engagements from influencers in the market, whose opinions supersede all other research methodologies.

Competitors identified in this market include, among others,
  • Abiomed, Inc.
  • Bicon, LLC
  • Biotronik SE & Co. KG
  • Boston Scientific Corporation
  • Cochlear Limited
  • Dentsply Sirona
  • DePuy Synthes Companies
  • Exactech Inc.
  • GS Medical LLC
  • Institut Straumann AG
  • Integra Lifesciences Holdings Corporation
  • Japan Medical Dynamic Marketing Inc.
  • MED-EL Medical Electronics
  • Medtronic plc
  • Nobel Biocare Services AG
  • RTI Surgical, Inc.
  • Showa Ika Kohgyo Co., Ltd
  • Smith & Nephew Plc
  • St. Jude Medical, Inc.
  • Sonova Holding AG
  • Stryker Corporation
  • TTK Healthcare, Ltd.
  • Terumo Corporation
  • Wright Medical Group N.V.
  • Zimmer Biomet Holdings, Inc.
Note: Product cover images may vary from those shown
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I. INTRODUCTION, METHODOLOGY & REPORT SCOPE

II. EXECUTIVE SUMMARY

1. MARKET OVERVIEW

Artificial Implants on High Growth Trajectory

Recent Market Activity

Current & Future Analysis

Spinal Implant Market

Spine Implants & Biologics Market - An Overview

Cost of Implants - Determining Factors

Cardiac Pacemakers Market - An Overview

Demand Determinants

Developed Markets Stabilize

Emerging Markets to the Fore

Aging Population - A Perennial Driver of Growth

Growing Life Expectancy

Global Obesity Epidemic: Important Opportunity Indicator

Hip and Knee Implants Market

Global Competitor Market Shares

Artificial Implants Competitor Market Share Scenario Worldwide (in %): 2020 & 2029

2. FOCUS ON SELECT PLAYERS

Abiomed, Inc. (USA)

Bicon, LLC (USA)

Biotronik SE & Co. KG (Germany)

Boston Scientific Corporation (USA)

Cochlear Limited (Australia)

Dentsply Sirona (USA)

DePuy Synthes Companies (USA)

Exactech Inc. (USA)

GS Medical LLC (USA)

Institut Straumann AG (Switzerland)

Integra Lifesciences Holdings Corporation (USA)

Japan Medical Dynamic Marketing Inc. (Japan)

MED-EL Medical Electronics (Austria)

Medtronic plc (Ireland)

Nobel Biocare Services AG (Sweden)

RTI Surgical, Inc. (USA)

Showa Ika Kohgyo Co., Ltd (Japan)

Smith & Nephew Plc (UK)

St. Jude Medical, Inc. (USA)

Sonova Holding AG (Switzerland)

Advanced Bionics Corporation (USA)

Stryker Corporation (USA)

TTK Healthcare, Ltd. (India)

Terumo Corporation (Japan)

Wright Medical Group N.V. (Netherlands)

Zimmer Biomet Holdings, Inc. (USA)

Biomet 3i, Inc. (USA)

3. MARKET TRENDS & DRIVERS

Advanced Materials & Technologies Foster Orthopedic Implants Growth

Revision Procedures Buoy Growth in Orthopedic Implants Market

Reduced Post-Surgical Complications Drive Hip and Knee Replacements

Demand for Premium Implants Continues

Gender-Specific Orthopedic Devices Gain Momentum

Concerns Regarding Metal-on-Metal Hip Implants

Future of Reconstructive Sector

Competition in the Orthopedic Implants Market - Largely Stagnant

Growing Presence of Mid-Tier Firms & Start-Ups in Spinal Segment

Competition Intensifies in the Global Spinal Implant Market

Increasing Incidence of Knee/Hip Replacement Surgeries in Developed Nations

Technological Advancements Encourage Young Patients to Opt for Surgeries

Cementless Procedures Gain Ground

Fully Integrated Prosthetic Limbs & Bionic Implants: Future Trend

Key Technology Advancements in Spinal Implants

Future Materials for Spinal Implants

Innovations in Bio-Friendly Orthopedic Implants

Biologically-Compatible Implants to Treat Fractured Bones

Biomedical Textiles for Orthopedic Implants

Biodegradable Magnesium - Future Material for Orthopedic Implants

'Smart' Orthopedic Implants

Rising Popularity of Aesthetic & Cosmetic Dentistry to Spur Opportunities for Implants

Implant Benefits Lead to Increased Consumer Acceptance

Spurt in Dental Tourism Offers Growth Opportunities

Dental Implant - A Small Segment in the Tooth Replacement Market

Regional Prospects for Dental Implants in a Nutshell

Europe Ahead in Dental Implants

Emerging Markets to Drive Dental Implants Market

Implants to be a Preferred Choice in Tooth Replacement in Future

Lower Penetration and Economic Recovery to Drive Future Growth

Developed Countries Still Far Off from Market Maturity

Penetration Rates Determine Future Growth Prospects

Lack of Insurance Coverage - A Growth Deterrent

Battle Intensifies between Premium, Value and Discount Implant Brands

Technological Advancements Drive Growth of Dental Implants Market

Digitalization Trend & CAD/CAM Technology

Innovation to Strengthen Market Share of Leading Players

Innovation to Further Strengthen the Market Shares of Leading Players

Replacements to Drive the Growth of ICDs

Implantable Cardioverter Defibrillators (ICDs)

ICDs in Pediatric Care Show Promise

New Generation ICDs Feature Superior Benefits

ICD Lead Failure Demands Immediate Attention

Regulatory Developments Ensure Greater Device Reliability

Market Shapes Up After the Recall Shock

Pacemakers Ensure Effective Management of Non-Systolic Heart Failures

Decline in Average Selling Price

Threat form CRT-D Devices

Breathing Disorders in Patients Implanted with Pacemakers: A Cause for Concern

Innovations Spark Growth

Technologically Advanced Compact Models Hold Growth Potential

Remote Monitoring Capabilities Expand Cardiac Pacemaker Applications

Advent of Digital Pacemakers

Submicrometer CMOS Technologies to Improve Performance of Cardiac Pacemakers

Transcatheter Heart Valves Market Poised for Growth

Tissue Valves Prevail Over Mechanical Valves

Under-Treated Population Spike Potential

Destination Therapy - A Potential Opportunity in Ventricular Assist Devices

Demographic Factors Drive Demand for Cardiological Devices

Alarming Cardiovascular Disease Statistics Spell Opportunity for Cardiac Implants

Cochlear Implants Gain Visibility

Adoption Still Low for Cochlear Implants

Overcoming Social Stigma - Critical to Boost Penetration for Cochlear Implants

Researchers Investigate Potential Cochlear Implant Devoid of External Hardware

Encouraging Efforts to Achieve Natural Hearing Using Implants

Major Advancements in Cochlear Implant Services and Technology

Innovative Speech Recognition Materials

Enhanced Surgical Techniques

Automatic Scene Classification

Implants for Single-Sided Deafness

Bilateral Cochlear Implantation

Dual Microphone Directional Technology

Wireless Technology & Signal Processing Algorithms

Early Intervention for Congenital Hearing Loss

Electroacoustic Stimulation

4. GLOBAL MARKET PERSPECTIVE

TABLE 1: Artificial Implants Global Market Estimates and Forecasts in US$ Million by Region/Country: 2018-2025

TABLE 2: Artificial Implants Global Retrospective Market Scenario in US$ Million by Region/Country: 2009-2017

TABLE 3: Artificial Implants Market Share Shift across Key Geographies Worldwide: 2009 VS 2019 VS 2025

TABLE 4: Cardiac Implants (Product Type) World Market by Region/Country in US$ Million: 2018 to 2025

TABLE 5: Cardiac Implants (Product Type) Historic Market Analysis by Region/Country in US$ Million: 2009 to 2017

TABLE 6: Cardiac Implants (Product Type) Market Share Breakdown of Worldwide Sales by Region/Country: 2009 VS 2019 VS 2025

TABLE 7: Spinal Implants (Product Type) Potential Growth Markets Worldwide in US$ Million: 2018 to 2025

TABLE 8: Spinal Implants (Product Type) Historic Market Perspective by Region/Country in US$ Million: 2009 to 2017

TABLE 9: Spinal Implants (Product Type) Market Sales Breakdown by Region/Country in Percentage: 2009 VS 2019 VS 2025

TABLE 10: Knee Implants (Product Type) Geographic Market Spread Worldwide in US$ Million: 2018 to 2025

TABLE 11: Knee Implants (Product Type) Region Wise Breakdown of Global Historic Demand in US$ Million: 2009 to 2017

TABLE 12: Knee Implants (Product Type) Market Share Distribution in Percentage by Region/Country: 2009 VS 2019 VS 2025

TABLE 13: Hip Implants (Product Type) World Market Estimates and Forecasts by Region/Country in US$ Million: 2018 to 2025

TABLE 14: Hip Implants (Product Type) Market Historic Review by Region/Country in US$ Million: 2009 to 2017

TABLE 15: Hip Implants (Product Type) Market Share Breakdown by Region/Country: 2009 VS 2019 VS 2025

TABLE 16: Dental Implants (Product Type) World Market by Region/Country in US$ Million: 2018 to 2025

TABLE 17: Dental Implants (Product Type) Historic Market Analysis by Region/Country in US$ Million: 2009 to 2017

TABLE 18: Dental Implants (Product Type) Market Share Distribution in Percentage by Region/Country: 2009 VS 2019 VS 2025

TABLE 19: Cochlear Implants (Product Type) World Market Estimates and Forecasts in US$ Million by Region/Country: 2018 to 2025

TABLE 20: Cochlear Implants (Product Type) Market Worldwide Historic Review by Region/Country in US$ Million: 2009 to 2017

TABLE 21: Cochlear Implants (Product Type) Market Percentage Share Distribution by Region/Country: 2009 VS 2019 VS 2025

TABLE 22: Extremities Implants (Product Type) Market Opportunity Analysis Worldwide in US$ Million by Region/Country: 2018 to 2025

TABLE 23: Extremities Implants (Product Type) Global Historic Demand in US$ Million by Region/Country: 2009 to 2017

TABLE 24: Extremities Implants (Product Type) Market Share Distribution in Percentage by Region/Country: 2009 VS 2019 VS 2025

III. MARKET ANALYSIS

GEOGRAPHIC MARKET ANALYSIS

UNITED STATES

Market Facts & Figures

US Artificial Implants Market Share (in %) by Company: 2020 & 2025

Market Analytics

TABLE 25: United States Artificial Implants Market Estimates and Projections in US$ Million by Product Type: 2018 to 2025

TABLE 26: Artificial Implants Market in the United States by Product Type: A Historic Review in US$ Million for 2009-2017

TABLE 27: United States Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

CANADA

TABLE 28: Canadian Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018 to 2025

TABLE 29: Canadian Artificial Implants Historic Market Review by Product Type in US$ Million: 2009-2017

TABLE 30: Artificial Implants Market in Canada: Percentage Share Breakdown of Sales by Product Type for 2009, 2019, and 2025

JAPAN

TABLE 31: Japanese Market for Artificial Implants: Annual Sales Estimates and Projections in US$ Million by Product Type for the Period 2018-2025

TABLE 32: Artificial Implants Market in Japan: Historic Sales Analysis in US$ Million by Product Type for the Period 2009-2017

TABLE 33: Japanese Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

CHINA

TABLE 34: Chinese Artificial Implants Market Growth Prospects in US$ Million by Product Type for the Period 2018-2025

TABLE 35: Artificial Implants Historic Market Analysis in China in US$ Million by Product Type: 2009-2017

TABLE 36: Chinese Artificial Implants Market by Product Type: Percentage Breakdown of Sales for 2009, 2019, and 2025

EUROPE

Market Facts & Figures

European Artificial Implants Market: Competitor Market Share Scenario (in %) for 2020 & 2025

Market Analytics

TABLE 37: European Artificial Implants Market Demand Scenario in US$ Million by Region/Country: 2018-2025

TABLE 38: Artificial Implants Market in Europe: A Historic Market Perspective in US$ Million by Region/Country for the Period 2009-2017

TABLE 39: European Artificial Implants Market Share Shift by Region/Country: 2009 VS 2019 VS 2025

TABLE 40: European Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018-2025

TABLE 41: Artificial Implants Market in Europe in US$ Million by Product Type: A Historic Review for the Period 2009-2017

TABLE 42: European Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

FRANCE

TABLE 43: Artificial Implants Market in France by Product Type: Estimates and Projections in US$ Million for the Period 2018-2025

TABLE 44: French Artificial Implants Historic Market Scenario in US$ Million by Product Type: 2009-2017

TABLE 45: French Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

GERMANY

TABLE 46: Artificial Implants Market in Germany: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 47: German Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 48: German Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

ITALY

TABLE 49: Italian Artificial Implants Market Growth Prospects in US$ Million by Product Type for the Period 2018-2025

TABLE 50: Artificial Implants Historic Market Analysis in Italy in US$ Million by Product Type: 2009-2017

TABLE 51: Italian Artificial Implants Market by Product Type: Percentage Breakdown of Sales for 2009, 2019, and 2025

UNITED KINGDOM

TABLE 52: United Kingdom Market for Artificial Implants: Annual Sales Estimates and Projections in US$ Million by Product Type for the Period 2018-2025

TABLE 53: Artificial Implants Market in the United Kingdom: Historic Sales Analysis in US$ Million by Product Type for the Period 2009-2017

TABLE 54: United Kingdom Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

SPAIN

TABLE 55: Spanish Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018 to 2025

TABLE 56: Spanish Artificial Implants Historic Market Review by Product Type in US$ Million: 2009-2017

TABLE 57: Artificial Implants Market in Spain: Percentage Share Breakdown of Sales by Product Type for 2009, 2019, and 2025

RUSSIA

TABLE 58: Russian Artificial Implants Market Estimates and Projections in US$ Million by Product Type: 2018 to 2025

TABLE 59: Artificial Implants Market in Russia by Product Type: A Historic Review in US$ Million for 2009-2017

TABLE 60: Russian Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

REST OF EUROPE

TABLE 61: Rest of Europe Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018-2025

TABLE 62: Artificial Implants Market in Rest of Europe in US$ Million by Product Type: A Historic Review for the Period 2009-2017

TABLE 63: Rest of Europe Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

ASIA-PACIFIC

TABLE 64: Asia-Pacific Artificial Implants Market Estimates and Forecasts in US$ Million by Region/Country: 2018-2025

TABLE 65: Artificial Implants Market in Asia-Pacific: Historic Market Analysis in US$ Million by Region/Country for the Period 2009-2017

TABLE 66: Asia-Pacific Artificial Implants Market Share Analysis by Region/Country: 2009 VS 2019 VS 2025

TABLE 67: Artificial Implants Market in Asia-Pacific by Product Type: Estimates and Projections in US$ Million for the Period 2018-2025

TABLE 68: Asia-Pacific Artificial Implants Historic Market Scenario in US$ Million by Product Type: 2009-2017

TABLE 69: Asia-Pacific Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

AUSTRALIA

TABLE 70: Artificial Implants Market in Australia: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 71: Australian Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 72: Australian Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

INDIA

TABLE 73: Indian Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018 to 2025

TABLE 74: Indian Artificial Implants Historic Market Review by Product Type in US$ Million: 2009-2017

TABLE 75: Artificial Implants Market in India: Percentage Share Breakdown of Sales by Product Type for 2009, 2019, and 2025

SOUTH KOREA

TABLE 76: Artificial Implants Market in South Korea: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 77: South Korean Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 78: Artificial Implants Market Share Distribution in South Korea by Product Type: 2009 VS 2019 VS 2025

REST OF ASIA-PACIFIC

TABLE 79: Rest of Asia-Pacific Market for Artificial Implants: Annual Sales Estimates and Projections in US$ Million by Product Type for the Period 2018-2025

TABLE 80: Artificial Implants Market in Rest of Asia-Pacific: Historic Sales Analysis in US$ Million by Product Type for the Period 2009-2017

TABLE 81: Rest of Asia-Pacific Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

LATIN AMERICA

TABLE 82: Latin American Artificial Implants Market Trends by Region/Country in US$ Million: 2018-2025

TABLE 83: Artificial Implants Market in Latin America in US$ Million by Region/Country: A Historic Perspective for the Period 2009-2017

TABLE 84: Latin American Artificial Implants Market Percentage Breakdown of Sales by Region/Country: 2009, 2019, and 2025

TABLE 85: Latin American Artificial Implants Market Growth Prospects in US$ Million by Product Type for the Period 2018-2025

TABLE 86: Artificial Implants Historic Market Analysis in Latin America in US$ Million by Product Type: 2009-2017

TABLE 87: Latin American Artificial Implants Market by Product Type: Percentage Breakdown of Sales for 2009, 2019, and 2025

ARGENTINA

TABLE 88: Argentinean Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018-2025

TABLE 89: Artificial Implants Market in Argentina in US$ Million by Product Type: A Historic Review for the Period 2009-2017

TABLE 90: Argentinean Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

BRAZIL

TABLE 91: Artificial Implants Market in Brazil by Product Type: Estimates and Projections in US$ Million for the Period 2018-2025

TABLE 92: Brazilian Artificial Implants Historic Market Scenario in US$ Million by Product Type: 2009-2017

TABLE 93: Brazilian Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

MEXICO

TABLE 94: Artificial Implants Market in Mexico: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 95: Mexican Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 96: Mexican Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

REST OF LATIN AMERICA

TABLE 97: Rest of Latin America Artificial Implants Market Estimates and Projections in US$ Million by Product Type: 2018 to 2025

TABLE 98: Artificial Implants Market in Rest of Latin America by Product Type: A Historic Review in US$ Million for 2009-2017

TABLE 99: Rest of Latin America Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

MIDDLE EAST

TABLE 100: The Middle East Artificial Implants Market Estimates and Forecasts in US$ Million by Region/Country: 2018-2025

TABLE 101: Artificial Implants Market in the Middle East by Region/Country in US$ Million: 2009-2017

TABLE 102: The Middle East Artificial Implants Market Share Breakdown by Region/Country: 2009, 2019, and 2025

TABLE 103: The Middle East Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018 to 2025

TABLE 104: The Middle East Artificial Implants Historic Market by Product Type in US$ Million: 2009-2017

TABLE 105: Artificial Implants Market in the Middle East: Percentage Share Breakdown of Sales by Product Type for 2009, 2019, and 2025

IRAN

TABLE 106: Iranian Market for Artificial Implants: Annual Sales Estimates and Projections in US$ Million by Product Type for the Period 2018-2025

TABLE 107: Artificial Implants Market in Iran: Historic Sales Analysis in US$ Million by Product Type for the Period 2009-2017

TABLE 108: Iranian Artificial Implants Market Share Analysis by Product Type: 2009 VS 2019 VS 2025

ISRAEL

TABLE 109: Israeli Artificial Implants Market Estimates and Forecasts in US$ Million by Product Type: 2018-2025

TABLE 110: Artificial Implants Market in Israel in US$ Million by Product Type: A Historic Review for the Period 2009-2017

TABLE 111: Israeli Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

SAUDI ARABIA

TABLE 112: Saudi Arabian Artificial Implants Market Growth Prospects in US$ Million by Product Type for the Period 2018-2025

TABLE 113: Artificial Implants Historic Market Analysis in Saudi Arabia in US$ Million by Product Type: 2009-2017

TABLE 114: Saudi Arabian Artificial Implants Market by Product Type: Percentage Breakdown of Sales for 2009, 2019, and 2025

UNITED ARAB EMIRATES

TABLE 115: Artificial Implants Market in the United Arab Emirates: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 116: United Arab Emirates Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 117: Artificial Implants Market Share Distribution in United Arab Emirates by Product Type: 2009 VS 2019 VS 2025

REST OF MIDDLE EAST

TABLE 118: Artificial Implants Market in Rest of Middle East: Recent Past, Current and Future Analysis in US$ Million by Product Type for the Period 2018-2025

TABLE 119: Rest of Middle East Artificial Implants Historic Market Analysis in US$ Million by Product Type: 2009-2017

TABLE 120: Rest of Middle East Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

AFRICA

TABLE 121: African Artificial Implants Market Estimates and Projections in US$ Million by Product Type: 2018 to 2025

TABLE 122: Artificial Implants Market in Africa by Product Type: A Historic Review in US$ Million for 2009-2017

TABLE 123: African Artificial Implants Market Share Breakdown by Product Type: 2009 VS 2019 VS 2025

IV. COMPETITION

Total Companies Profiled: 242

Note: Product cover images may vary from those shown
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