Medical Device Market Opportunities in Brazil, 2012 quantifies, analyzes, and forecasts the trends and opportunities in the Brazillian medical devices market. The report provides a complete roadmap and essential data for current and hopeful competitors selling medical devices and products in Brazil. Historical data covers 2007-2010, most recent actual year data is for 2011, and forecasts extend through 2014.
Coverage in This Report:
• Key Population Data, Trends, Indicators (2007-2014)
• Key Economic Data, Trends, Indicators (2007-2014)
• Key Healthcare Data, Trends, Indicators (2007-2014)
• Clinical Indicators & Statistics, by Segment (2007-2014)
• Disease Incidence & Prevalence Statistics, by Segment (2007-2014)
• Barriers to Entry for Medical Product Companies
• Regulatory Overview, Challenges and Path
• Channel Analysis & Potential Sales Models (Distributor, Direct, Hybrid, Other)
• Emerging Trends, Opportunities, and Market Outlook (2007-2014)
• Surgical Procedure Volumes, by Segment (2007-2014)
Questions Answered in This Report
• What are the key population, economic and healthcare data and trends that a medical device manufacturer needs to know to be competitive in Brazil?
• What are the disease incidence & prevalence data? What are the future trends? What do current and emerging patient caseloads look like? Where are the opportunities?
• Procedure volumes and growth differ dramatically within the different therapeutic areas in Brazil. What is the volume of surgical procedures currently being performed in each therapeutic area? What are the growth trends? Where are the procedures being performed?
• What is the regulatory path for getting a medical device approved in Brazil? What other market barriers or challenges exist?
• How does a medical product company access this market? What are the sales models -- distributor, direct sales force, hybrid, other?
• What other challenges and opportunities exist in Brazil for current and hopeful market participants?
1. EXECUTIVE SUMMARY 1.1 Population Overview & Economic Outlook 1.2 The Brazilian Market for Healthcare Technologies: Challenges & Opportunities 1.2.1 Challenges 1.2.2 Opportunities Exhibit 1-1: Population Trends in Brazil from 2007-2014 Exhibit 1-2: Surgical Procedure Volumes in Brazil by Type (Tabular),2007-2014 Exhibit 1-3: Surgical Procedure Volumes in Brazil (Graphical), 2007-2014 Exhibit 1-4: Key Challenges & Opportunities for Medical Technology Suppliers 2. COUNTRY HEALTHCARE OVERVIEW 2.1 Population Overview 2.2 Economic Outlook 2.3 Healthcare Overview 2.3.1 Development of the Healthcare System 2.3.2 Health Delivery and Resources 2.3.3 Key Trends 2.3.4 Leading Indicators by Clinical Segment 2.3.4.1 Aesthetic, Dermatological, and Plastic Surgery 2.3.4.2 Cardiothoracic & Interventional Cardiology 2.3.4.3 Otolaryngology (Ear, Nose, and Throat) 2.3.4.4 Digestive & General 2.3.4.5 Neurology 2.3.4.6 Obstetrics & Gynecology 2.3.4.7 Ophthalmology 2.3.4.8 Orthopedics 2.3.4.9 Spine 2.3.4.10 Urology 2.3.5 Challenges, Opportunities and Unmet Needs Exhibit 2-1: Population by Areas of Concentration, 2010 Exhibit 2-2: Population Diversity in Key Cities, 2010 Exhibit 2-3: Total Population, 2007-2014 Exhibit 2-4: Birth Rate 2007-2014 Exhibit 2-5: Major Markets as a Share (%) of Imports and Exports during 2010 Exhibit 2-6: Key Economic Indicators, 2009-2013 Exhibit 2-7: Labor Force Distribution, 2007 Exhibit 2-8: Labor Force Distribution, 2007 Exhibit 2-9: Annual Unemployment Rate in Brazil, 2007-2011 Exhibit 2-10: Evolution of the Unified Health System Exhibit 2-11: Health Expenditures: Ratios and Indicators Exhibit 2-12: SUS Hospital Admissions by Region in 2010 Exhibit 2-13: SUS Hospital Admissions by Type in 2010 Exhibit 2-14: Physician Concentrations by Specialty Exhibit 2-15: Medical Job Vacancies by Region Exhibit 2-16: Mortality Rates for Specific Conditions in 2008 Exhibit 2-17: Burn Injuries in Brazil (Tabular), 2007-2014 Exhibit 2-18: Burn Injuries in Brazil (Graphical), 2007-2014 Exhibit 2-19: Cleft Palate and Lip Cases in Brazil (Tabular), 2007-2014 Exhibit 2-20: Cleft Palate and Lip Cases in Brazil (Graphical), 2007-2014 Exhibit 2-21: New Skin Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-22: New Skin Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-23: Ischemic Heart Disease Cases in Brazil (Tabular), 2007-2014 Exhibit 2-24: Ischemic Heart Disease Cases in Brazil (Graphical), 2007-2014 Exhibit 2-25: Rheumatic Heart Disease Cases in Brazil (Tabular), 2007-2014 Exhibit 2-26: Rheumatic Heart Disease Cases in Brazil (Graphical), 2007-2014 Exhibit 2-27: Congenital Heart Disease Cases in Brazil (Tabular), 2007-2014 Exhibit 2-28: Congenital Heart Disease Cases in Brazil (Graphical), 2007-2014 Exhibit 2-29: Aortic Aneurysm Cases in Brazil (Tabular), 2007-2014 Exhibit 2-30: Aortic Aneurysm Cases in Brazil (Graphical), 2007-2014 Exhibit 2-31: Lung & Bronchus Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-32: Lung & Bronchus Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-33: Prevalence of Chronic Sinusitis in Brazil (Tabular), 2007-2014 Exhibit 2-34: Prevalence of Chronic Sinusitis in Brazil (Graphical), 2007-2014 Exhibit 2-35: Prevalence of Gall Stones in Brazil (Tabular), 2007-2014 Exhibit 2-36: Prevalence of Gall Stones in Brazil (Graphical), 2007-2014 Exhibit 2-37: Appendicitis Cases in Brazil (Tabular), 2007-2014 Exhibit 2-38: Appendicitis Cases in Brazil (Graphical), 2007-2014 Exhibit 2-39: New Hernia Cases Brazil (Tabular), 2007-2014 Exhibit 2-40: New Hernia Cases in Brazil (Graphical), 2007-2014 Exhibit 2-41: Traumatic Brain Injuries in Brazil (Tabular), 2007-2014 Exhibit 2-42: Traumatic Brain Injuries in Brazil (Graphical), 2007-2014 Exhibit 2-43: Hydrocephalus Cases by Type in Brazil (Tabular), 2007-2014 Exhibit 2-44: Hydrocephalus Cases by Type in Brazil (Graphical), 2007-2014 Exhibit 2-45: Subarachnoid Hemorrhage Cases in Brazil (Tabular), 2007-2014 Exhibit 2-46: Subarachnoid Hemorrhage Cases in Brazil (Graphical), 2007-2014 Exhibit 2-47: Pituitary Tumor Patients in Brazil (Tabular), 2007-2014 Exhibit 2-48: Pituitary & Other Primary CNS Tumor Patients (Graphical), 2007-2014 Exhibit 2-49: Epilepsy Cases in Brazil (Tabular), 2007-2014 Exhibit 2-50: Epilepsy Cases in Brazil (Graphical), 2007-2014 Exhibit 2-51: Female Population in Brazil (Tabular), 2007-2014 Exhibit 2-52: Female Population in Brazil (Graphical), 2007-2014 Exhibit 2-53: Annual Births in Brazil (Tabular), 2007-2014 Exhibit 2-54: Annual Births in Brazil (Graphical), 2007-2014 Exhibit 2-55: Incidence of Cervical Cancer in Brazil (Tabular), 2007-2014 Exhibit 2-56: Incidence of Cervical Cancer in Brazil (Graphical), 2007-2014 Exhibit 2-57: Incidence of Breast Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-58: Incidence of Breast Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-59: Incidence of Ovarian Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-60: Incidence of Ovarian Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-61: Blindness, by Cause, in Brazil (Tabular) from 2007-2014 Exhibit 2-62: Blindness, by Cause, in Brazil (Graphical) from 2007-2014 Exhibit 2-63: Population with Osteoporosis in Brazil (Tabular), 2007-2014 Exhibit 2-64: Population with Osteoporosis in Brazil (Graphical), 2007-2014 Exhibit 2-65: Spinal Fractures in Brazil (Tabular), 2007-2014 Exhibit 2-66: Spinal Fractures in Brazil (Graphical), 2007-2014 Exhibit 2-67: Scoliosis Cases in Brazil (Tabular), 2007-2014 Exhibit 2-68: Scoliosis Cases in Brazil (Graphical), 2007-2014 Exhibit 2-69: Kidney Stone Patients in Brazil (Tabular), 2007-2014 Exhibit 2-70: Kidney Stone Patients in Brazil (Graphical), 2007-2014 Exhibit 2-71: Benign Prostatic Hyperplasia (BPH) Cases in Brazil (Tabular), 2007-2014 Exhibit 2-72: Benign Prostatic Hyperplasia (BPH) Cases in Brazil (Graphical), 2007-2014 Exhibit 2-73: Prostate Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-74: Prostate Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-75: Kidney Cancer Cases in Brazil (Tabular), 2007-2014 Exhibit 2-76: Kidney Cancer Cases in Brazil (Graphical), 2007-2014 Exhibit 2-77: Challenges and Opportunities for Medical Device Manufacturers in Brazil 3. THE CURRENT STATE OF THE MARKET FOR HEALTHCARE TECHNOLOGIES 3.1 Regulatory Overview 3.2 Barriers to Entry 3.3 Channel Analysis 3.4 Emerging Trends and Opportunities Exhibit 3-1: Regulated Health and Medical Products Exhibit 3-2: Medical Device Registration Process Exhibit 3-3: Barriers to Entry for International Suppliers 4. PROCEDURE VOLUMES ANALYSIS - AESTHETIC, DERMATOLOGICAL, AND PLASTIC SURGERIES Exhibit 4-1: Aesthetic, Dermatological and Plastic Surgeries in Brazil by Type (Tabular), 2007-2014 Exhibit 4-2: Aesthetic, Dermatological and Plastic Surgeries in Brazil by Type (Graphical), 2007-2014 Exhibit 4-3: Plastic Surgeries for Burn Injuries in Brazil (Tabular) from 2007-2014 Exhibit 4-4: Plastic Surgeries for Burn Injuries in Brazil (Graphical) from 2007-2014 Exhibit 4-5: Aesthetic Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 4-6: Aesthetic Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 4-7: Aesthetic Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 4-8: Aesthetic Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 4-9: Surgeries for Cleft Palate and Lip in Brazil (Tabular) from 2007-2014 Exhibit 4-10: Surgeries for Cleft Palate and Lip in Brazil (Graphical) from 2007-2014 Exhibit 4-11: Surgeries for Cleft Palate and Lip by Patient Type in Brazil (Tabular), 2007-2014 Exhibit 4-12: Surgeries for Cleft Palate and Lip by Patient Type in Brazil (Graphical), 2007-2014 Exhibit 4-13: Surgeries for Skin Cancer in Brazil (Tabular) from 2007-2014 Exhibit 4-14: Surgeries for Skin Cancer in Brazil (Graphical), 2007-2014 Exhibit 4-15: Skin Cancer Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 4-16: Skin Cancer Surgeries by Type in Brazil (Graphical) from 2007-2014 Exhibit 4-17: Surgical Resections by Type: Surgeries with/without Lymph Node Dissections in Brazil (Tabular), 2007-2014 Exhibit 4-18: Surgical Resections by Type: Surgeries with/without Lymph Node Dissections in Brazil (Graphical), 2007-2014 Exhibit 4-19: Surgical Resections by Type: Skin Grafts, Flaps, and Simple Surgical Resections (Tabular), 2007-2014 Exhibit 4-20: Surgical Resections by Type: Skin Grafts, Flaps, and Simple Surgical Resections (Graphical), 2007-2014 5. PROCEDURE VOLUMES ANALYSIS - CARDIOTHORACIC & INTERVENTIONAL CARDIOLOGY Exhibit 5-1: Cardiothoracic Surgeries and Cardiac Catheterizations in Brazil by Type (Tabular), 2007-2014 Exhibit 5-2: Cardiothoracic Surgeries and Cardiac Catheterizations in Brazil by Type (Graphical), 2007-2014 Exhibit 5-3: Cardiothoracic Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 5-4: Cardiothoracic Surgeries in Brazil by Type (Graphical), 2007-2014 Exhibit 5-5: Cardiothoracic Surgeries in Brazil by Type of Access (Tabular) from 2007-2014 Exhibit 5-6: Cardiothoracic Surgeries by Type of Access (Graphical), 2007-2014 Exhibit 5-7: Coronary Artery Bypass Graft Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 5-8: Coronary Artery Bypass Graft Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 5-9: CABG Surgeries by Type in Brazil (Tabular) from 2007-2014 Exhibit 5-10: CABG Surgeries by Type in Brazil (Graphical) from 2007-2014 Exhibit 5-11: CABG Surgeries by Level of Access in Brazil (Tabular) from 2007-2014 Exhibit 5-12: CABG Surgeries by Level of Access in Brazil (Graphical) from 2007-2014 Exhibit 5-13: Valve Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 5-14: Valve Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 5-15: Valve Surgeries by Anatomical Location in Brazil (Tabular) from 2007-2014 Exhibit 5-16: Valve Surgeries by Anatomical Location in Brazil (Graphical) from 2007-2014 Exhibit 5-17: Valve Surgeries by Level of Access in Brazil (Tabular) from 2007-2014 Exhibit 5-18: Valve Surgeries by Level of Access in Brazil (Graphical), 2007-2014 Exhibit 5-19: Congenital Heart Disease Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 5-20: Congenital Heart Disease Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 5-21: CHD Surgeries by Anatomical Location in Brazil (Tabular), 2007-2014 Exhibit 5-22: CHD Surgeries by Anatomical Location in Brazil (Graphical) from 2007-2014 Exhibit 5-23: CHD Surgeries by Level of Access in Brazil (Tabular) from 2007-2014 Exhibit 5-24: CHD Surgeries by Level of Access in Brazil (Graphical) from 2007-2014 Exhibit 5-25: Aortic Aneurysm Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 5-26: Aortic Aneurysm Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 5-27: Other Cardiothoracic Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 5-28: Other Cardiothoracic Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 5-29: Cardiac Catheterizations in Brazil (Tabular) from 2007-2014 Exhibit 5-30: Cardiac Catheterizations in Brazil (Graphical) from 2007-2014 Exhibit 5-31: Cardiac Catheterizations by Type in Brazil (Tabular) from 2007-2014 Exhibit 5-32: Cardiac Catheterizations by Type in Brazil (Graphical) from 2007-2014 Exhibit 5-33: Coronary Interventions by Primary Approach in Brazil (Tabular) from 2007-2014 Exhibit 5-34: Coronary Interventions by Primary Approach in Brazil (Graphical) from 2007-2014 Exhibit 5-35: Stent Implantations in Brazil (Tabular) from 2007-2014 Exhibit 5-36: Stent Implantations in Brazil (Graphical) from 2007-2014 Exhibit 5-37: Heart Rhythm Procedures in Brazil (Tabular) from 2007-2014 Exhibit 5-38: Heart Rhythm Procedures in Brazil (Graphical) from 2007-2014 Exhibit 5-39: Heart Rhythm Procedures by Type in Brazil (Tabular) from 2007-2014 Exhibit 5-40: Heart Rhythm Procedures by Type in Brazil (Graphical) from 2007-2014 6. PROCEDURE VOLUMES ANALYSIS - EAR, NOSE, AND THROAT Exhibit 6-1: Ear, Nose, and Throat Procedures in Brazil (Tabular), 2007-2014 Exhibit 6-2: Ear, Nose, and Throat Procedures in Brazil (Graphical), 2007-2014 Exhibit 6-3: Ear, Nose, and Throat Procedures by Type (Tabular), 2007-2014 Exhibit 6-4: Ear, Nose, and Throat Procedures by Type (Graphical), 2007-2014 7. PROCEDURE VOLUMES ANALYSIS - GENERAL SURGERY Exhibit 7-1: General Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 7-2: General Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 7-3: General Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 7-4: General Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 7-5: General Surgeries in Brazil by Type of Access (Tabular) from 2007-2014 Exhibit 7-6: General Surgeries in Brazil by Type of Access (Graphical) from 2007-2014 Exhibit 7-7: Cholecystectomies in Brazil (Tabular) from 2007-2014 Exhibit 7-8: Cholecystectomies in Brazil (Graphical) from 2007-2014 Exhibit 7-9: Cholecystectomies in Brazil by Type (Tabular) from 2007-2014 Exhibit 7-10: Cholecystectomies in Brazil by Type (Graphical) from 2007-2014 Exhibit 7-11: Appendectomies in Brazil (Tabular) from 2007-2014 Exhibit 7-12: Appendectomies in Brazil (Graphical) from 2007-2014 Exhibit 7-13: Appendectomies in Brazil by Type (Tabular) from 2007-2014 Exhibit 7-14: Appendectomies in Brazil by Type (Graphical) from 2007-2014 Exhibit 7-15: Herniorrhaphies in Brazil (Tabular) from 2007-2014 Exhibit 7-16: Herniorrhaphies in Brazil (Graphical) from 2007-2014 Exhibit 7-17: Hernias in Brazil by Type (Tabular) from 2007-2014 Exhibit 7-18: Hernias in Brazil by Type (Graphical) from 2007-2014 Exhibit 7-19: Selected Endoscopic General & Colorectal Procedures in Brazil (Tabular) from 2007-2014 Exhibit 7-20: Selected Endoscopic General & Colorectal Procedures in Brazil (Graphical) from 2007-2014 Exhibit 7-21: Selected Endoscopic General & Colorectal Procedures in Brazil by Type (Tabular) from 2007-2014 Exhibit 7-22: Selected Endoscopic General & Colorectal Procedures in Brazil by Type (Graphical) from 2007-2014 Exhibit 7-23: Other General Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 7-24: Other General Surgeries in Brazil (Graphical) from 2007-2014 8. PROCEDURE VOLUMES ANALYSIS - NEUROSURGERY Exhibit 8-1: Neurosurgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-2: Neurosurgeries in Brazil (Graphical) from 2007-2014 Exhibit 8-3: Neurosurgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 8-4: Neurosurgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 8-5: Neurosurgeries in Brazil by Level of Access (Tabular), 2007-2014 Exhibit 8-6: Neurosurgeries in Brazil by Level of Access (Graphical), 2007-2014 Exhibit 8-7: Surgeries for Traumatic Brain Injuries in Brazil (Tabular),2007-2014 Exhibit 8-8: Surgeries for Traumatic Brain Injuries (Graphical),2007-2014 Exhibit 8-9: Ventricular Operations & Shunt Insertions (Tabular), 2007-2014 Exhibit 8-10: Ventricular Operations & Shunt Insertions (Graphical), 2007-2014 Exhibit 8-11: Hydrocephalus Cases in Brazil by Type (Tabular) from 2007-2014 Exhibit 8-12: Hydrocephalus Cases in Brazil by Type (Graphical), 2007-2014 Exhibit 8-13: Ventricular & Shunt Surgeries by Type (Tabular), 2007-2014 Exhibit 8-14: Ventricular & Shunt Surgeries by Type (Graphical), 2007-2014 Exhibit 8-15: Surgeries for Vascular Lesions in Brazil (Tabular) from 2007-2014 Exhibit 8-16: Surgeries for Vascular Lesions in Brazil (Graphical), 2007-2014 Exhibit 8-17: Cranial Tumor Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-18: Cranial Tumor Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 8-19: Pituitary Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-20: Pituitary Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 8-21: Skull Base Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-22: Skull Base Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 8-23: Functional Neurosurgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-24: Functional Neurosurgeries in Brazil (Graphical) from 2007-2014 Exhibit 8-25: Other Neurosurgeries in Brazil (Tabular) from 2007-2014 Exhibit 8-26: Other Neurosurgeries in Brazil (Graphical) from 2007-2014 9. PROCEDURE VOLUMES ANALYSIS - OBSTETRICS AND GYNECOLOGY Exhibit 9-1: Obstetrical and Gynecological Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-2: Obstetrical and Gynecological Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-3: Obstetrical and Gynecological Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 9-4: Obstetrical and Gynecological Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 9-5: Obstetrical Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-6: Obstetrical Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-7: Obstetrical Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 9-8: Obstetrical Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 9-9: Cesarean Sections in Brazil (Tabular) from 2007-2014 Exhibit 9-10: Cesarean Sections in Brazil (Graphical) from 2007-2014 Exhibit 9-11: Episiotomies in Brazil (Tabular) from 2007-2014 Exhibit 9-12: Episiotomies in Brazil (Graphical) from 2007-2014 Exhibit 9-13: Destructive Operations in Brazil (Tabular) from 2007-2014 Exhibit 9-14: Destructive Operations in Brazil (Graphical) from 2007-2014 Exhibit 9-15: Other Obstetrical Procedures in Brazil (Tabular) from 2007-2014 Exhibit 9-16: Other Obstetrical Procedures in Brazil (Graphical) from 2007-2014 Exhibit 9-17: Gynecological Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-18: Gynecological Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-19: Gynecological Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 9-20: Gynecological Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 9-21: Cervical Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-22: Cervical Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-23: Cervical Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 9-24: Cervical Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 9-25: Breast Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-26: Breast Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-27: Breast Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 9-28: Breast Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 9-29: Ovarian Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-30: Ovarian Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 9-31: Other Gynecological Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 9-32: Other Gynecological Surgeries in Brazil (Graphical) from 2007-2014 10. PROCEDURE VOLUMES ANALYSIS - OPHTHALMOLOGY Exhibit 10-1: Ophthalmological Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 10-2: Ophthalmological Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 10-3: Ophthalmological Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 10-4: Ophthalmological Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 10-5: Blindness by Cause in Brazil (Tabular) from 2007-2014 Exhibit 10-6: Blindness by Cause in Brazil (Graphical) from 2007-2014 Exhibit 10-7: Cataract Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 10-8: Cataract Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 10-9: Cataract Surgeries in Brazil, with and without Intraocular Lens Implantations (Tabular), from 2007-2014 Exhibit 10-10: Cataract Surgeries in Brazil, with and without Intraocular Lens Implantations (Graphical), from 2007-2014 Exhibit 10-11: Cataract Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 10-12: Cataract Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 10-13: Other Ophthalmological Surgeries in Brazil (Tabular),2007-2014 Exhibit 10-14: Other Ophthalmological Surgeries (Graphical), 2007-2014 11. PROCEDURE VOLUMES ANALYSIS - ORTHOPEDICS Exhibit 11-1: Orthopedic Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 11-2: Orthopedic Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 11-3: Orthopedic Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 11-4: Orthopedic Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 11-5: Hip Arthroplasties in Brazil (Tabular) from 2007-2014 Exhibit 11-6: Hip Arthroplasties in Brazil (Graphical) from 2007-2014 Exhibit 11-7: Partial and Total Primary Hip Replacements in Brazil (Tabular) from 2007-2014 Exhibit 11-8: Partial and Total Hip Replacements in Brazil (Graphical) from 2007-2014 Exhibit 11-9: Primary and Revision Hip Replacements in Brazil (Tabular) from 2007-2014 Exhibit 11-10: Primary and Revision Hip Replacements in Brazil (Graphical) from 2007-2014 Exhibit 11-11: Knee Arthroplasties in Brazil (Tabular) from 2007-2014 Exhibit 11-12: Knee Arthroplasties in Brazil (Graphical) from 2007-2014 Exhibit 11-13: Partial & Total Primary Knee Replacements (Tabular), 2007-2014 Exhibit 11-14: Partial & Total Primary Knee Replacements (Graphic) 2007-2014 Exhibit 11-15: Primary & Revision Knee Replacements (Tabular), 2007-2014 Exhibit 11-16: Primary & Revision Knee Replacements (Graphical), 2007-2014 Exhibit 11-17: Internal Fixation Procedures in Brazil by Type (Tabular) from 2007-2014 Exhibit 11-18: Internal Fixation Procedures in Brazil by Type (Graphical) from 2007-2014 Exhibit 11-19: Lower Extremity Internal Fixations in Brazil by Type (Tabular) from 2007-2014 Exhibit 11-20: Lower Extremity Internal Fixations in Brazil by Type (Graphical) from 2007-2014 Exhibit 11-21: Sports Medicine Procedures in Brazil (Tabular) from 2007-2014 Exhibit 11-22: Sports Medicine Procedures in Brazil (Graphical) from 2007-2014 Exhibit 11-23: Sports Medicine Procedures by Type (Tabular), 2007-2014 Exhibit 11-24: Sports Medicine Procedures by Type (Graphical), 2007-2014 Exhibit 11-25: Sports Medicine Procedures by Type of Access (Tabular) 2007-2014 Exhibit 11-26: Sports Medicine Procedures in Brazil by Type of Access (Graphical) from 2007-2014 Exhibit 11-27: Arthroscopies in Brazil by Type (Tabular) from 2007-2014 Exhibit 11-28: Arthroscopies in Brazil by Type (Graphical) from 2007-2014 Exhibit 11-29: Other Joint Replacements in Brazil (Tabular) from 2007-2014 Exhibit 11-30: Other Joint Replacements in Brazil (Graphical) from 2007-2014 12. PROCEDURE VOLUMES ANALYSIS - SPINE Exhibit 12-1: Spinal Procedures in Brazil (Tabular) from 2007-2014 Exhibit 12-2: Spinal Procedures in Brazil (Graphical) from 2007-2014 Exhibit 12-3: Spinal Procedures in Brazil by Type (Tabular) from 2007-2014 Exhibit 12-4: Spinal Procedures in Brazil by Type (Graphical) from 2007-2014 Exhibit 12-5: Spinal Surgeries by Anatomical Region in Brazil (Tabular) from 2007-2014 Exhibit 12-6: Spinal Surgeries by Anatomical Region in Brazil (Graphical) from 2007-2014 Exhibit 12-7: Thoracic Spinal Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 12-8: Thoracic Spinal Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 12-9: Cervical Spine Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 12-10: Cervical Spine Surgeries by Type (Graphical), 2007-2014 Exhibit 12-11: Cervical Decompressions & Fusions (Tabular), 2007-2014 Exhibit 12-12: Cervical Decompressions & Fusions (Graphical), 2007-2014 Exhibit 12-13: Lumbar Spine Surgeries in Brazil by Type (Tabular), 2007-2014 Exhibit 12-14: Lumbar Spine Surgeries in Brazil by Type (Graphical), 2007-2014 Exhibit 12-15: Lumbar Decompressions & Fusions (Tabular), 2007-2014 Exhibit 12-16: Lumbar Decompressions & Fusions (Graphical), 2007-2014 Exhibit 12-17: Spinal Surgeries in Brazil by Type (Tabular) from 2007-2014 Exhibit 12-18: Spinal Surgeries in Brazil by Type (Graphical) from 2007-2014 Exhibit 12-19: Spinal Surgeries by Level of Access (Tabular), 2007-2014 Exhibit 12-20: Spinal Surgeries by Level of Access (Graphical), 2007-2014 Exhibit 12-21: Procedures for Vertebral Compression Fractures in Brazil (Tabular) from 2007-2014 Exhibit 12-22: Procedures for Vertebral Compression Fractures in Brazil (Graphical) from 2007-2014 Exhibit 12-23: Procedures for Vertebral Compression Fractures in Brazil by Type (Tabular), 2007-2014 Exhibit 12-24: Procedures for Vertebral Compression Fractures in Brazil by Type (Graphical), 2007-2014 13. PROCEDURE VOLUMES ANALYSIS - STEREOTACTIC RADIOSURGERY Exhibit 13-1: Stereotactic Radiosurgery in Brazil (Tabular) from 2007-2014 Exhibit 13-2: Stereotactic Radiosurgery in Brazil (Graphical) from 2007-2014 Exhibit 13-3: Stereotactic Radiosurgery in Brazil by Type (Tabular), 2007-2014 Exhibit 13-4: Stereotactic Radiosurgery in Brazil by Type (Graphical), 2007-2014 Exhibit 13-5: Intracranial SRS Procedures in Brazil (Tabular) from 2007-2014 Exhibit 13-6: Intracranial SRS Procedures in Brazil (Graphical) from 2007-2014 Exhibit 13-7: Extracranial SRS Procedures in Brazil (Tabular) from 2007-2014 Exhibit 13-8: Extracranial SRS Procedures in Brazil (Graphical) from 2007-2014 Exhibit 13-9: Extracranial SRS Patients in Brazil by Type (Tabular), 2007-2014 Exhibit 13-10: Extracranial SRS Patients by Type (Graphical) 2007-2014 Exhibit 13-11: Extracranial SRS Procedures in Brazil by Patient Type (Tabular) from 2007-2014 Exhibit 13-12: Extracranial SRS Procedures in Brazil by Patient Type (Graphical) from 2007-2014 14. PROCEDURE VOLUMES ANALYSIS - UROLOGY Exhibit 14-1: Urological Surgeries in Brazil (Tabular) from 2007-2014 Exhibit 14-2: Urological Surgeries in Brazil (Graphical) from 2007-2014 Exhibit 14-3: Urological Surgeries by Type in Brazil (Tabular) from 2007-2014 Exhibit 14-4: Urological Surgeries by Type in Brazil (Graphical) from 2007-2014 Exhibit 14-5: Kidney Stone Procedures in Brazil (Tabular) from 2007-2014 Exhibit 14-6: Kidney Stone Procedures in Brazil (Graphical) from 2007-2014 Exhibit 14-7: Kidney Stone Procedures in Brazil by Type (Tabular) from 2007-2014 Exhibit 14-8: Kidney Stone Procedures in Brazil by Type (Graphical) from 2007-2014 Exhibit 14-9: Surgeries for Benign Prostatic Hyperplasia in Brazil (Tabular) from 2007-2014 Exhibit 14-10: Surgeries for Benign Prostatic Hyperplasia in Brazil (Graphical) from 2007-2014 Exhibit 14-11: Surgeries for Benign Prostatic Hyperplasia in Brazil by Type (Tabular) from 2007-2014 Exhibit 14-12: Surgeries for Benign Prostatic Hyperplasia in Brazil by Type (Graphical) from 2007-2014 Exhibit 14-13: Prostatectomies in Brazil (Tabular) from 2007-2014 Exhibit 14-14: Prostatectomies in Brazil (Graphical) from 2007-2014 Exhibit 14-15: Nephrectomies in Brazil (Tabular) from 2007-2014 Exhibit 14-16: Nephrectomies in Brazil (Graphical) from 2007-2014 Exhibit 14-17: Nephrectomies in Brazil by Type (Tabular) from 2007-2014 Exhibit 14-18: Nephrectomies in Brazil by Type (Graphical) from 2007-2014