lemoncasinonodepositbonus| Every time a reporter visits, continuous procurement of artificial joints: 61 companies bid on-site, with domestic submissions accounting for 72%

Every reporter Li Xuanzhang, every editor Chen Xu

On May 21, the bid for continuous procurement of artificial joints was opened in Tianjin at the expiration of the agreement on centralized procurement of artificial joints.

The products of this follow-up purchase are medical consumables of artificial joints, and the product range is the same as that of the first round of national organization of artificial joints, including the primary total hip arthroplasty for the treatment of primary or secondary hip osteoarthritis and avascular necrosis of the femoral head, and the primary total knee arthroplasty for the treatment of various types of knee arthritis and other knee joint diseases.

Compared with the results of the first round of collection, the selected price in this successive purchase has dropped steadily, with an average decrease of about 6%. In addition, the proportion of domestic reports reached 72%, an increase of about 20 percentage points over the first round.

A reporter from the Daily Economic News learned at the bid opening site that the scene began to receive application materials from enterprises at 08:30 on the same day, and the declaration information was made public at 10:00 in the morning. Although the product range of this successive purchase is the same as that of the first round, the procurement cycle has been extended from the previous 2 years to 3 years.

It is understood that in this round of follow-up procurement, a total of 61 enterprises participated in on-site bidding, including multinational enterprises such as Johnson and Xerohui, as well as domestic enterprises such as Aikang Medical, Vegor Orthopaedics, and Mindray Medical. In addition to these "old players", the reporter noticed that this follow-up procurement site also came to a lot of "new players", that is, enterprises that participated in artificial joint collection for the first time.

Two comparisons: the dosage of knee joint increased significantly.

Comparing the two documents of the first collection and subsequent procurement, a reporter from the Daily Economic News found that the overall demand for subsequent procurement was higher than that for the first collection, and showed a decline in demand for hip joints and an increase in demand for knee joints.

Specifically, the demand for continuous purchase of hip joints is 28.Lemoncasinonodepositbonus.60 million sets, while the demand for the first collection is 32.Lemoncasinonodepositbonus.50,000 setsLemoncasinonodepositbonusThe demand for continuous purchase of knee joints is 296000 sets, while the initial collection is 250000 sets.

In response to this change, Lin Jianhao, director of the Orthopaedic Department of the people's Hospital of Peking University, said in an interview with the Daily Economic News and other media at the scene that 70% to 80% of the groups for knee replacement are senile osteoarthritis patients, considering that at presentLemoncasinonodepositbonusWith the continuous development of the trend of aging population in China, the overall quantity of related products is bound to increase. Hip replacement is mainly aimed at fractures and congenital diseases, which can be prevented, so its quantity will not change much, "so what we see this time is that the amount of knee joint is increasing." and the range of changes before and after is greater than that of the hip joint. "

Lin Jianhao believes that the dosage of knee joints will be further increased in the future. From an international point of view, at present, the ratio of knee joint to hip joint can reach 8 / 9 / 9, and our country will develop in this direction in the future, mainly because of the change of disease spectrum.

In addition to the aging factor, Cao Yiping, an industry insider, believed in a written interview with the Daily Economic News that the rising obesity rate was also one of the important reasons. He said that the volume of successive purchases showed a trend of steady growth, in which the demand for hip joint procurement decreased compared with the first batch of collection, while the knee joint increased. This change is caused by the superposition of many factors, such as the aging population and the rising obesity rate. For example, in recent years, the obesity rate of Chinese residents is on the rise, and the hip joint has a larger stress area and a more stable structure. Therefore, the effect of obesity on knee joint is greater than that on hip joint.

Future trend: domestic substitution is becoming more and more obvious

In the process of continuous procurement, the domestic report volume has increased significantly and occupied a dominant position has become a major focus. According to the data, when collecting for the first time, the domestic reported volume was 280835, accounting for 52%, while in the subsequent purchase, the domestic reported volume was 417863, accounting for 72%, an increase of 20 percentage points.

In order to understand why the domestic reporting volume has increased significantly, a reporter from the Daily Economic News interviewed a number of enterprise representatives or industry experts at the scene.

Beijing Ansong Technology Co., Ltd. is the first domestic enterprise to participate in the collection of artificial joints. According to the official Wechat account of Zhongguancun Science City, the company's zirconia ceramic hip prosthesis won the first prize in the Creator Group of the eighth Beijing small and medium-sized Enterprises Innovation Competition in 2023. It has multiple advantages in performance, quality, price and cost. At present, it has passed the special examination and approval of innovative medical devices. Get the Green pass qualification.

Hou Shuqiang, the company's sales director, said in an interview with the Daily Economic News at the scene that the sharp increase in domestic reports is not surprising, because domestic substitution is an inevitable trend, such as spine and trauma in other areas. the proportion is higher.

Hou Shuqiang believes that after years of development, domestic enterprise artificial joint products have made great breakthroughs in technology, materials, and other aspects. at the same time, domestic enterprises pay more and more attention to scientific research and innovation, and the designed prosthesis shape is more in line with the skeletal shape of the Chinese people. Therefore, localization substitution has become the only way for an enterprise to mature.

Aikang Medical, as a leader in the field of artificial joints in China, has a high market share in China. According to the Southwest Securities Research report, Aikang Medical accounts for 14% of Tao's hip joint and Tao's hip joint, and 16% of knee joints (40% more than the first year of collection).

After the announcement of the results, Aikang Medical participated in the procurement of all the products selected. Zhao Xiaohong, executive director and vice president of Aikang Medical Holdings Co., Ltd., and general manager of Beijing Aikang Yicheng Medical equipment Co., Ltd. said in an interview with the Daily Economic News that before collection, the prices of domestic and imported products are not in the same dimension. generally speaking, the price of imported products is about two to three times that of domestic brands, which is formed by the pattern of competition in early history. However, after 20 or 30 years of catch-up, there is no big difference between domestic brands and imported brands in terms of product quality, and the quality is comparable.

Zhao Xiaohong believes that domestic replacement of imported products is a relatively slow process, but collection is equivalent to giving domestic enterprises an opportunity to replace imported products more quickly, which can be seen as accelerating the process.

In addition to the improvement of the quality of domestic brands, a representative of a leading artificial joint company who declined to be named told reporters that domestic companies 'better service awareness and clinical support are also one of the important reasons. He believes that for multinational companies, they participate in global supply, and China is only one market. Therefore, multinational companies will choose strategies based on differences in profits in different markets. For domestic brands, the domestic market accounts for the vast majority, so they must go all out to provide better services and clinical support. This is also an important reason why domestic brands have been increasingly competitive in recent years.

Lin Jianhao has been in medicine for more than 20 years, and long-term follow-up of the efficacy of artificial joint replacement is one of his key research directions. He said that as far as the situation of Peking University People's Hospital is concerned, the overall data is slightly more used, but the general trend is that the use of domestic brands is increasing, and the use of imported products is gradually decreasing. This is different from the previous use of imported products. Great changes have taken place, which also shows that it is currently in a transition period for development. As the quality of domestic brands improves, it will gradually transition to domestic brands occupying most of the market share in the future.

Cao Yiping believes that this continuous procurement is an opportunity for domestic brands. During the continuous procurement cycle in the next three years, with the implementation of the results, domestic brands will rely on their stable product performance and quality, flexible channel circulation policies and high cost performance, will accelerate the process of import substitution in the field of artificial joints. As the market share of domestic artificial joints continues to increase, market acceptance and market recognition will be further boosted in the future.

A reporter from "Daily Business News" tried to interview representatives of importing companies such as Johnson & Johnson, Smith Nephew and other companies on the same topic, but was rejected by the other party on the grounds that it was inconvenient to interview.

translation

search

replication

Cover photo source: Photo by every reporter Li Xuanzhang