“We can build satellites. Why can't we produce artificial joints and screws?” Chen Zhongqiang, dean of the Third Hospital of Peking University, was recently held at the Seminar organized by the Jiusan Society and hosted by the Beijing Wangsanwang Concern Foundation. The questioning is quite representative. The experts from many medical institutions and domestic medical device manufacturers agreed that vigorously developing the orthopedic medical device industry in China can reduce the public's medical expenses, promote the popularization of advanced medical technology to the grassroots, and promote the improvement of medical quality. It also helps to promote The implementation of our new medical reform strategy.

Bacheng high-end equipment is foreign goods

In 2008, the size of the medical device market in China was 90 billion yuan, accounting for 4% to 5% of the global market. In 2010, the market size reached 120 billion yuan, and the growth rate was as high as 23%. The average annual compound growth rate of sales revenue from 2005 to 2009 was 27.7%. Some experts predict that in the next five years, China's medical device sales revenue will double, and it may exceed Japan, becoming the second largest market for medical devices worldwide.

Academician of the Chinese Academy of Engineering and Professor Qiu Guixing of Beijing Union Hospital presented the statistics of a group of statistics: Over 80% of high-end medical devices in China are monopolized by foreign multinationals; the share of foreign medical devices in large hospitals in China exceeds 70%; sales Among the top 10 companies in revenue, there are 7 foreign companies and joint ventures. Among the top 50 companies, the sales income and total profits of foreign capital and joint venture companies exceed 50%. Foreign capital and joint venture companies have become the main force in the domestic medical device market. Imported products have formed a monopoly in the sales market in China.

He pointed out that multinational corporations that have focused on high-end medical devices in the past have started to pay attention to the research and development of low-end and middle-end products, and have successively laid out production and sales of low-end and mid-range products. At the same time, the monopoly of imported products in terms of academic ideas cannot be ignored. For example, the global giant orthopedics company, Cindy Syndicate, has joined forces with the most influential research institute of internal fixation (AO) in the international traumatic bone science community to implement strategic cooperation between device products and academic theories, and set up clinical treatment training centers in the global orthopedics field. Promote the popularization of AO trauma concept so that hospitals around the world can directly enjoy the most advanced international medical achievements and medical products to achieve a win-win result. Nowadays, as long as it involves trauma, the orthopedic surgery community will apply AO's concept of trauma and will naturally apply the products of Cindy's designed and researched based on the AO philosophy.

Orthopedists have foreign brands in their heads

Orthopedic diseases are common diseases in the elderly population. China has a large population base and an obvious aging trend. The treatment of orthopedic surgery can effectively improve the quality of life of many older people. At the same time, patients suffering from bone trauma caused by sports and traffic accidents in China are also increasing every year. The demand for orthopedic internal fixation systems and other devices required for treatment is increasing day by day. According to incomplete statistics, at present, there are nearly 20 million people who need surgical treatment for orthopedic diseases every year in China.

Orthopedic surgery mainly focuses on the fixation of fractures, joint replacements, and orthopedic procedures. These types of operations require basic orthopaedic medical devices. Therefore, orthopaedic devices are very important for orthopedic treatment. According to statistics, in 2010, sales of imported orthopaedic equipment in China accounted for 67% of total sales, and domestic sales of equipment accounted for 33% of total sales. Foreign products dominate the domestic market.

Orthopedic instruments are mainly divided into three major market segments: trauma, spine and joints. Statistics show that at present, the three major market segments in China account for 43%, 22% and 35% respectively. The three major US market segments account for 30%, 30% and 40% respectively. Domestic enterprises are mainly involved in the trauma and spine fields. Due to the high technical and manufacturing requirements, there is less involvement in the joint market.

The great contrast between social needs and market structure has made clinical doctors in the front line have to sigh. In large hospitals, when patients need to undergo orthopedic surgery, the orthopedic surgeon first think of and use the brand: Johnson, pivot law, Stryker, GM, Cindy, Snake card ... ... and both are "foreign brands." A clinical medical expert once said with emotion at the Shanghai International Medical Device Industry Development Forum in 2009: “The major domestic hospitals are doing routine orthopaedic surgery. The size equipment is mostly foreign goods. The local medical products are only infusion tubes, syringes, etc. Disposable supplies, this is a bit sad!"

Call for Chinese patients' instruments

The harm of foreign-funded products to the monopoly of China's equipment market not only aggravated the burden of medical care for the general public. From the perspective of economics, the high prices of imported products have caused the outflow of funds from our country. On the other hand, foreign devices do not necessarily adapt to the physiology of the Chinese people. According to Professor Jiang Baoguo, deputy director of Peking University's medical department and director of the trauma department of the People's Hospital, most of the foreign orthopaedic medical devices currently used in clinical practice are designed according to European and American races. There is an anatomic shape that does not match the bones of the Chinese people in clinical applications, and the operation is more difficult. Prolonging the operation time increases the risk for doctors and patients. However, because there are no high-quality orthopaedic devices in the country, passively selecting devices that cannot be completely suitable for patients will affect the effect of clinical treatment to some extent.

“Why does foreign medical equipment sell so expensively and patients choose to sell iron in a pot?” Academician Han Qide, vice chairman of the NPC Standing Committee and chairman of the Jiusan Society, pointed out at the seminar that because of the special nature of medical devices, the people are willing to buy the best Therefore, the product quality must be excellent. At the same time, it is very important to establish a new type of industrial alliance. The industrial alliance must have innovation, and it must have the participation of research institutions and universities.

Experts at the meeting suggested strengthening government support and support, such as setting up key national research projects; formulating policies to encourage other related industries to enter; inclining policies for independently developed products for clinical use; strengthening multidisciplinary cooperation and strengthening the production of hospitals and medical equipment. The training of composite talents in business and trade; Encourage clinicians to directly participate in product research and development to make products conform to the characteristics of Chinese people and diseases; Strengthen the protection of intellectual property rights to ensure that independent brands are not harmed; Build "aircraft carrier" for research and production of medical equipment and consumables. The ability to compete with multinational corporations.