| As compared with other materials for medical device applications, polymers  are comparatively light weight, flexible and low cost. They offer ease of  processing, non-ferrous properties and superior biocompatibility, enabling the  next generation of implants, single-use/disposable devices and developments in packaging.  Some of the major trends that are impacting medical device growth. Rising incidence of Hospital Acquired Infections  (HAIs)
 Hospital acquired diseases/nosocomial infections/hospital associated  infections represent a segment in the healthcare industry that needs critical  focus. The market of hospital acquired disease testing, a market comprising  services and products associated with testing methods used to diagnose hospital  acquired diseases, has bloomed in the past few years due to many factors. Some  of these factors include the rising prevalence of such diseases in the  geriatric and neonatal population on the global front and a steady rise in  government initiatives for managing these conditions. Global  hospital acquired disease testing market,  which valued US$2.2 bln in 2012, could achieve growth at a healthy CAGR of  19.3% between 2013 and 2019 and value nearly US$7.5 bln by 2019, as per  Transparency Market Research. Hospital acquired urinary tract infection testing  acquired the majority percent revenue shares of the overall market in 2012 due  to high prevalence and morbidity rates associated with condition. This segment  of the global hospital acquired disease testing market is expected to grow at a  CAGR of 18.1% during the forecast period, and value nearly US$2,188.8 mln by  2019. Demand for diagnostic services for conditions such as pneumonia and  surgical site infections is also expected to remain high from lesser developed  countries in the Asia-Pacific regions. Market of this segment is expected to  grow at a CAGR of 20.1% during the forecast period. Some factors that led to a  blooming growth in these regions include strict implementation of healthcare  guidelines laid down by institutions such as the US Centers for Disease Control  and Prevention, and highly sophisticated healthcare infrastructure. Public  health systems in the European Union are encouraging the coordination between  medical practitioners and healthcare providers to cooperatively come up with  better, faster, and economic methods for the management and prevention of  nosocomial diseases. Countries in the Asia Pacific represent the markets with  huge growth potential for the global hospital acquired disease testing market  due to factors such as poor infrastructure, high population and lack of  adherence to sanitation practices.
 Popular disinfectants help control the spread of HAIs, but can damage  the polymer materials in medical devices and lead to pitting, cracking, color  changes, among others.
To counteract these negative effects, material suppliers are developing new  polymers with higher levels of chemical resistance specifically for medical  device applications.
 
 Strides in  designing and material properties as polymers replace metals
 New plastic resins, combined with scientific process  development and validation, are now making inroads in the medical industry, as  they lower costs, as well as offer more flexible designs and improved  single-use and reusable instruments. Some of these high-performance materials  offer similar mechanical properties to stainless steel, but are lighter and offer  more design freedom and lower processing costs. Soft-touch thermoplastic  elastomers (TPEs)  are increasingly being  used for handles of surgical instruments in place of machined metal or hard  plastic, as they offer a more comfortable, ergonomic feel and a more secure  grip. TPEs also allow for color coding, as well as OEM branding that can be  incorporated into the handle design. High performance polymers offers advantage of cost and  performance in medical devices. Engineering  plastics can rival metals when it comes to tensile strength, as well are  lighter, cheaper, more flexible, and easier to process. Plastics can be used to replace steel  devices by incorporating simple design modifications. Resources for designing  with plastics are expanding within the medical industry. Plastic material  suppliers are increasing their focus on the medical industry, and adding  resources to aid in plastic adoption and metal-to-plastic conversion.  Processors who traditionally have worked exclusively with metals are adopting  and generating expertise with plastic manufacturing methods. With steadily  increasing healthcare costs and vast technology improvements, designers across  the medical field are learning to increase performance and decrease costs  through the utilization of specialty plastics.
 
 Cost Cutting
 "Cost Cutting" is the new mantra for survival for medical device  companies  to continue to make money as prices  face continued pressure. The sector has always been challenged with increasingly  complex technologies and tough quality and regulatory hurdles, taxation  structure, payment reforms, globalization, etc. Healthcare providers are  responding by exploring opportunities to increase efficiencies and reduce costs.  Great attention is being paid to detailed design of the product in a bid to eliminate  excess cost wherever possible. Improvements in material offer benefits like  increased production rates and lower manufacturing costs. Suppliers are helping  device makers reduce expenses is by providing novel materials and processing  techniques to replace current approaches. Also medical device manufacturers are  scouting for reliable, compliant, and cost-efficient supplier  partners. Many medical device companies have been enticed by low-cost  operations in foreign markets for component sourcing, in an effort to reduce  total cost of ownership related to medical device manufacturing.
 
 Increase in home health care
 Medical providers' efforts to reduce costs by taking a more holistic  approach to healthcare will spur a doubling in the global market for home  health technologies in the coming years, according to IHS Technology. Worldwide  revenue for home healthcare devices and services will rise to US$12.6 bln in  2018, up from US$5.7 bln in 2013. The home healthcare market consists of six  distinct segments: independent living services, consumer medical devices,  telehealth, personal emergency response systems (PERS), wearable technologies  and health gaming.
 Healthcare providers are focusing on patient centered care to increase the  quality of medical treatment. With this, medical firms hope to attain lower  healthcare expenditures during the lifetime of patients. Home health  technologies will play an important role in the continuum of care and in the  concept of constantly managing patients' health. A major trend in the rise of  home health technologies is convergence. From a technology standpoint, the  market will experience device convergence, meaning that home health products  will become richer in features. The same phenomenon also will occur in services  where IHS expects convergence among independent living services, telehealth and  PERS. Meanwhile, the quantity of patient-generated data will grow exponentially  with the increasing use of home health technologies. Furthermore, there is a  trend of consumerism in healthcare, implying a renewed focus on the patient and  on patient needs. This not only is happening in the market for home health  technologies, but also in clinical care, healthcare information technology  (IT), and other parts of the medical sector.
 
 Growing use of biodegradable and bioresorbable polymers
 In recent  years, there has been growing interest for the use of sustainable biopolymers,  and  major developments in the use of  biopolymers for medical applications. Biodegradable polymers has been used in medical applications  such as tissue replacement, bone augmentation and fixation, as well as  controlled drug delivery.  Polylactide and polylactide-co-glycolide based  devices are used to fix bone fractures, suture materials and develop sheets to  prevent adhesion. They are also used for blood vessel prostheses and drug  delivery. These polymers are excellent candidates for applications in the  medical field because of their versatility, biocompatibility and ability to  degrade in vivo. Use of bioresorbable  polymers in medical devices has exploded over the past several years. By  using a resorbable polymer, costs to the patient and the risk of infection are  reduced since there is no need to retrieve the iplant with a second surgical  procedure. Medical implants made from bioresorbable polymers degrade completely  and are excreted from the body leaving no trace behind. They constantly find new  applications in medicine, particularly in the areas of drug delivery (drug-eluting  stents), bone augmentation and fixation (screws), and tissue regeneration and  replacement (scaffolds). They exceptional chemical and mechanical  properties and have a proven safety track record. In the body, these polymers do not evoke an inflammatory  response, they exhibit no toxicity and all of the degradation products are  completely metabolized. They can be easily processed into final product forms,  via extrusion and injection molding, yielding parts that exhibit a long shelf  life that can be terminally sterilized. Polymer  properties and the rate of degradation can be adapted to meet the most  stringent of applications by modifying the polymer composition and molecular  weight. By eliminating follow-up surgery to remove the implant, these devices  reduce both healthcare costs and infection risk for patients.
 
 Sustainability, Regulations and Environmental  Concerns
 Medical devices are subject to strict general controls and procedural  regulations. The development and use of standards is vital to ensuring the  safety and efficacy of medical devices. Numerous regulatory agencies  and standards organizations collaborate to establish the accepted standards for  medical equipment. Standard‐setting activities include the development of  performance characteristics, characterization and testing methodologies,  manufacturing practices, product standards, scientific protocols, compliance  criteria, ingredient specifications, labeling, or other technical or policy  criteria, as per http://depts.washington.edu. Knowledge of, and conformance to,  standards recognized by the FDA is key if you want the device to be approved  for sale in USA. Rules relating to the safety and  performance of medical devices were harmonised in the EU in the 1990s. The core legal framework onsists of 3 directives: Directive 90/385/EEC  regarding active implantable medical devices, Directive 93/42/EEC regarding medical devices and Directive 98/79/EC regarding in vitro diagnostic  medical devices. They aim at ensuring a high level of protection of human  health and safety and the good functioning of the Single Market. These 3 main  directives have been supplemented over time by several modifying and  implementing directives. Medical device companies are beginning to respond  to the public's growing awareness of, and interest in, environmental concerns.
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