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India Refurbished Medical Imaging Equipment Market Analysis

February 2014 | 47 pages | ID: I02CEE663D3EN
Kuick Research

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Refurbishment is a well-established element of the global healthcare economy and has been there since long and is here to stay till the time there is a need for medical equipments. It is one of the pressing needs in today’s healthcare scenario where quality and cost effectiveness go hand in hand, where budgetary constraints dominate the purchase practices of healthcare providers.

Refurbishment comes across as a step towards increasing ecological consciousness in a recycling economy. Many original equipment manufacturers as well as standalone refurbishers’ have established their separate refurbishing units and have been delivering equipment across the healthcare sector. Much to amusement, refurbishing provides additional value to a new user and reducing the toxic and waste disposal burden.

Indian refurbished medical equipments market can grossly be divided into two kinds of manufacturers: the ones offering life support devices like ventilators and defibrillators and the ones offering the heavier medical imaging equipments like CT scanners, MRIs and the X-Rays. Most of these devices are imported, bought from OEMs and sold in India. A current shift in the ownership model has been observed where the OEMs prefer to set up their own refurbished goods base in emerging nations like India, than to tie up with third party vendors. Most of these third party owners usually act like brokers intending to just sell of the refurbished product; giving bad name and maligning the name of the original equipment manufacturer. Certain backhand knowledge and technical expertise is needed to ensure the refurbishment is carried out properly.

India so far has had no ban on imports of these medical equipments, whether they are high-quality equipments refurbished to the original manufacturer’s specifications or second-hand equipment of undefined quality. India has been quite vocal in introducing many healthcare reforms in order to meet its premium objective of “healthcare to all”. Refurbished medical devices have contributed significantly towards realization of this objective and have been the mainstay of private hospitals, charitable organizations and small scale diagnostics. The onus of promoting this industry is fairly driven by various hospital chains in the country, which are struggling to meet the cost of new imaging equipment despite budgetary constraints and long budget constraints and long budget approval process.

India Refurbished Medical Imagining Equipment Report Highlights:
  • Refurbished Medical Equipment Market Overview
  • Refurbished Medical Imaging Equipment Market Overview
  • Refurbished Medical Imaging Equipment Market by Segments
  • Supply Chain Analysis for Refurbished Medical Equipment
  • Regulatory & Policy Framework
  • Market Dynamics: Drivers, Challenges & Opportunities
  • Competitive Landscape

1. INDIA MEDICAL EQUIPMENT MARKET OVERVIEW

2. INDIA REFURBISHED MEDICAL EQUIPMENT MARKET OVERVIEW

3. INDIA REFURBISHED MEDICAL IMAGING EQUIPMENT MARKET

3.1 MRI
3.2 CT Scanner
3.3 Ultrasound
3.4 X-Ray
3.5 Mammography

4. SUPPLY CHAIN ANALYSIS FOR REFURBISHED MEDICAL IMAGING EQUIPMENT

5. REGULATORY & POLICY FRAMEWORK

6. REFURBISHED MEDICAL IMAGINING EQUIPMENT MARKET DYNAMICS

6.1 Market Drivers
6.2 Challenges to be Resolved
6.3 Future Growth Opportunities

7. COMPETITIVE LANDSCAPE

7.1 Biomex
7.2 Sanrad Medical Systems
7.3 GE - GoldSeal Refurbished System
7.4 Soma Tech
7.5 Zigma Meditech India
7.6 Masters Medical Equipments

LIST OF FIGURES

Figure 2-1: Medical Imaging Equipment Market (INR Crore/US$ Million), 2013-2018
Figure 3-1: Refurbished Medical Imaging Equipment Market (INR Crore/US$ Million), 2013-2018
Figure 3-2: Refurbished Medical Imaging Equipment Market by Segment (%), 2013 & 2018
Figure 3-3: Refurbished Medical Imaging Equipment Market by Region (%), 2013 & 2018
Figure 3-4: Refurbished Medical Imaging Equipment Market by Metro & Tier II Cities (%), 2013 & 2018
Figure 3-5: Refurbished MRI Equipment Market (INR Crore/US$ Million), 2013-2018
Figure 3-6: Refurbished MRI Equipment Market (Unit Sales), 2013-2018
Figure 3-7: Refurbished CT Scanner Market (INR Crore/US$ Million), 2013-2018
Figure 3-8: Refurbished CT Scanner Market (Unit Sales), 2013-2018
Figure 3-9: Refurbished Ultrasound Market (INR Crore/US$ Million), 2013-2018
Figure 3-10: Refurbished Ultrasound Market (Unit Sales), 2013-2018
Figure 3-11: Refurbished X-Ray Market (INR Crore/US$ Million), 2013-2018
Figure 3-12: Refurbished Mammography Equipment Market (INR Crore/US$ Million)
Figure 4-1: Medical Device Supply Chain

India  Refurbished  Medical  Imaging  Equipment Market

The industry outlook to refurbished medical equipment changed after the economic slump of 2008, when there were restrictions and budget constraints, around healthcare spending and  infrastructure,  which  led  to  buyers  exploring  opportunities  in  this  segment.  The medical  imaging  market  has  been  the  mainstay  of  healthcare  diagnostics  and  supports almost all functions of body part analysis. The use of capital intensive goods is now not limited  to  premier  tertiary  care  institutions  but  any  hospital  with  more  than  220  beds would prefer having them. 

India  has  been  the  mainstay  of  exploring  investment  opportunities  for  ramping  up  their production  capabilities  for  refurbished  medical  devices  in  India.  Many  multinational companies who started with need to outdo the local third party players have now created dedicated  sales  force  and  manufacturing  units  which  take  care  of  the  refurbished equipments.  This  offers  a  double  sided  sword  advantage,  by  generating  revenues  and keeps the brand image alive. GE is one such company which generates close to $500M from its refurbished business in the country. The company has set up its base in  Bangalore  to overhaul about 150 refurbished medical imaging units for sale in India. Similarly Siemens generates  about  5%  of  its  total  revenues  from  refurbished  medical  devices  in  India.  It refurbishes advanced and sophisticated medical equipment in Germany, while entry-level medical devices are overhauled and refurbished in India.  

The  major  medical  imaging  equipments  that  drive  this  market  are  CTs  scanners,  and ultrasound  machines.  All  of  these  are  capital  intensive  and  hence  technically  naïve instruments.  Global  giants  such  as  Philips,  GE  Healthcare  and  Siemens  have  made acquisitions  in  India  in  the  mid  to  low  end  product  segment  to  gain  market  share,  and provide products across a multiple price range. 

Refurbished Medical Imaging Equipment Market (INR Crore/US$ Million), 2013-2018
Refurbished Medical Imaging Equipment Market (INR Crore/US$ Million), 2013-2018 

Refurbished Medical Imagining Equipment Market Dynamics

The economic slump of 2008 has played a major role in shaping the market as it is now. Before the financial crunch, refurbished medical equipment was not even considered for installation in private hospitals and a series of processes were involved before they sought approval. Post 2008, there was a drastic cut down in the cost and budgetary constraints were present, forcing hospitals and bigger diagnostic labs reassessing their priorities for streamlining operational issues. 

Priorities also changed when a deep dive in the healthcare framework gave deeper insights about the changing business model; where a good diagnosis was an outcome of a technical sound staff coupled with a good diagnostic machine. They understood the significance of quality over contemporary diagnostic machine.  Technical hiccups further revealed that not all new models are durable, long lasting and easily operable. This has opened door for a fair value consideration now being offered to the refurbished medical equipments. 

Most of the refurbished medical imaging equipments are capital intensive and need a lot of corporate approval and budgetary planning. This adds to significant delays and patient waiting. Preference is now being given to refurbished medical equipments, which help the hospital stay afloat, while helping them in cost cutting. These are carefully chosen so as to make the downtime negligible, and provide good quality diagnosis and keeping at par with the  patient  expectations.  Carefully  studied  and  chosen  refurbished  medical  equipments can go a long way in creating a well equipped diagnostic lab and can support the backbone for charitable hospitals and diagnostics. Most diagnostic laboratories in the tier II and tier III cities survive on these procurement opportunities. 

India  has  witnessed  the  drift  from  communicable  to  lifestyle  or  non-communicable disorders  and  increase  in  the  percentage  of  population  suffering  from  one  or  many  of these  disorders.  The  population  has  also  become  health  conscious,  willing  to  spend  a fortune in order to gain a better insight and understanding of their ailments and health profile.  This  upsurge  has  been  the  major  driving  force  behind  the  mushrooming  ofboutique  diagnostic  laboratories.  The  refurbished  medical  equipment  market  has  been receiving  lots  of  attention  from  the  charitable  diagnostic  laboratories,  hospitals  in  the Tier-I  and  Tier  II  cities,  where  a  fine  balance  between  cost  of  the  equipment  and  the range of services it can offer, needs to viewed. So an equipment offering a parallel range of services to the new one available at a discounted cost of 40% will surely the overriding factor for many potential buyers.

These  diagnostics  are  budget  driven  health  service  providers  trying  to  provide  the  most cost effective solutions and give preference to refurbished medical equipments over new ones. Cost is the sole determining factor in most of these cases, since they are well aware of the technical specifications needed at their end. So while they look forward to having quality   output   and   detailed   diagnostic   insights,   they   also   plan   to   create   an armamentarium of medical equipments. This fine balance can only be developed when the costing  of  the  equipments  allows  them  enough  flexibility  to  own  more  number  of equipments serving different areas of diagnostics, rather than catering to single line. Here comes  the  need  of  buying  refurbished  medical  equipments,  which  without  much compromise on quality will cut down cost of buying equipments. They invest much of their capital  in  these  equipments,  which  are  thoroughly  analyzed  on  the  technical  front  and checked for their output in terms of quality. 

While decreasing in the overall costing, sometimes upto 40% may derive a lot of attention from the buyers, not everyone ends up buying the refurbished medical equipments. The reasons are not obvious. The cost effectiveness works out well only if has a follow up sales support meeting the quality and expectation of the buyer.



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