The Medical Devices Sector in Greece
EMBASSY OF ISRAEL
SECTORIAL STUDY
THE MEDICAL DEVICES SECTOR IN GREECE
CONDUCTED BY:
ATHENS, FEBRUARY 2007
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The Medical Devices Sector in Greece
TABLE OF CONTENTS
0. INTRODUCTION - METHODOLOGICAL REMARKS ..................................................... 1
1. TOTAL MARKET SIZE ........................................................................................................ 2
1.1. GENERAL OVERVIEW ................................................................................................ 2
1.2. IMPORTS ........................................................................................................................ 3
3. EXPORTS .......................................................................................................................... 4
1.4. DOMESTIC PRODUCTION .......................................................................................... 5
2. DEMAND.............................................................................................................................. 6
2.1. STRUCTURE OF THE DEMAND ................................................................................ 6
2.2. DEMAND OF HIGH TECHNOLOGY DEVICES BY HEALTH
ESTABLISHMENTS ............................................................................................................. 7
2.3. DEMAND BY THE FINAL CONSUMER .................................................................... 8
2.4. FACTORS INFLUENCING THE DEMAND ................................................................ 8
3. SUPPLY ............................................................................................................................... 10
3.1. NUMBER OF ENTERPRISES ..................................................................................... 10
3.2. KEY PLAYERS ............................................................................................................ 10
3.2.1. Whole sector ........................................................................................................... 10
3.2.2. Some specific sectors.............................................................................................. 11
3.2.3. Local Manufacturers ............................................................................................... 12
4. REGULATORY ASPECTS ................................................................................................. 13
4.1. PRODUCTION AND MARKETING ........................................................................... 13
4.2. PUBLIC PROCUREMENT PROCEDURES ............................................................... 13
4.2.1. Existing legislation ................................................................................................. 13
4.2.1. Introduction of New Legislation regarding the procurement procedures ............... 14
5. PROBLEMS OF THE SECTOR AND PROSPECTS ......................................................... 15
5.1. MAJOR PROBLEMS OF THE SECTOR .................................................................... 15
5.2. TRENDS AND POTENTIALITY ................................................................................ 16
ANNEXES ............................................................................................................................... 17
ANNEX I .................................................................................................................................. 17
LIST OF THE BIGGER COMPANIES OF THE SECTOR ACCOMPANIED WITH
CONTACT DETAILS OF THE COMPANY AND OF THE PURCHASE MANAGER ...... 17
ANNEX II ................................................................................................................................ 28
ANNEX III ............................................................................................................................... 30
GOVERNMENT GAZETTE 518/19.4.2005 WITH THE MAXIMUM PRICES OF
MEDICAL DEVICES .............................................................................................................. 30
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The Medical Devices Sector in Greece
0. INTRODUCTION - METHODOLOGICAL REMARKS
The present study is submitted by European Profiles SA, to the Embassy of Israel in Greece in
accordance with the terms of the agreement signed on 13th December 2006 and presents an overview
of the medical devices market in Greece. The study covers “medical devices” in the sense of EU
Directive 93/42/EEC, as well as “active implantable medical devices” and “in-vitro diagnostics” in the
sense of EU Directives 90/385 and 09/79 respectively.
A key problem that the authors faced in conducting this study was the lack of homogeneity of the
available statistical data according to a common classificatory scheme, the reason been that the
Greek Standardisation Organisation (ELOT) has not yet adopted the International Classification
System regarding Health Care Technology1].
Data concerning the trade flows are presented following the Combined Nomenclature of External
Trade Flows of Intrastat 20042].
With regard to more detailed aspects of this study, and depending on the available data, we use a
more “functional” classificatory scheme as follows:
a) Demand related data, are presented for high technology appliances and installations used for
diagnostic and therapeutic purposes, permanently installed in hospitals;
b) b) Supply related data concerning the main sub-markets are defined by the classificatory scheme
employed by the Association of Suppliers of Scientific and Health Equipment, which distinguishes
the following categories:
- General equipment for chemical laboratories, analytic apparatus and apparatus for environment
control;
- Appliances and disposables for hospital laboratories (biochemical, haematology, microbiology,
immunology, etc);
- Surgery equipment, products of endoscopic diagnosis and treatment, and appliances for
intensive care units;
- Enterprises with main activity: Pacemakers – defibrillators, cardiac valves, other cardiology
implantables, orthopaedics implantables and hearing implantables;
- Imaging apparatus, lasers and their disposables;
- Enterprises with main activity: General use disposables;
- Hospitals furniture.
Data used for this study have been extracted from different sources:
- National Statistical Service of Greece,
- ICAP,
- Publications and professional websites,
- Interviews with sector opinion leaders.
1]
The new Bill for the Health Procurement Methods (discussed in chapter 4) will list all products subject to procurement procedure according to the
international standards terminology and coding system.
2]
Cf. Commission Regulation (EC) No 1549 / 2006.
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The Medical Devices Sector in Greece
1. TOTAL MARKET SIZE
1.1. GENERAL OVERVIEW
Aggregate data of the medical devices market in Greece are presented in the following Table 1. The
data refer to the whole sector of medical devices, and comprise:
 Imaging apparatus,
 Diagnostic and therapeutic devices using radiation,
 Disposable equipment,
 Dental instruments and appliances,
 Diagnostic reagents,
 General use equipment,
 Anaesthetics Machines and Monitors,
 Implantable (active, non active),
 Cardiologic instruments and appliances,
 Orthopaedic instruments and appliances,
 Nephrology instruments and appliances,
 Ophthalmic instruments and appliances,
 Urologic instruments and appliances,
 Laboratory equipment,
 Hospital Furniture,
 Home care devices,
 Other articles and appliances to compensate for a defect and disability (excluding implantables
and artificial parts of the body),
 In-vitro Diagnostics.
Table 1 - Market Size of Medical Devices (€ million)
Source: ICAP
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The Medical Devices Sector in Greece
Evolution of Market Size
1600
1400
1200
1000
800
600
400
200
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Comments
- The market is constantly increasing at an average annual rate of 12,7% (the decrease between
2004 and 2005, is exceptional, due to investments necessary for the Olympic games);
- The market is characterised by a predominance of imports over domestic production;
- There is a decrease of domestic production in the last five years
- There is a constant increase of exports (exports are higher than domestic production which
suggests that a certain part of imports is re-exported.
1.2. IMPORTS
Table 2 - Imports by main category of products
Category of products
Diagnostic instruments and appliances used in medical, surgical and dental
treatment including imaging apparatus (CN Codes: 90.18.11.00 - 90.18.90.85)
Mechanotherapy appliances (CN Codes: 90.19.10.10 - 90.19.20.00)
Orthopaedic appliances, artificial parts of body, carried or implanted in the body
(CN Codes: 90.21.10.10 - 90.21.90.90)
Radiological Equipment (CN Codes: 90.22.11 - 90.22.90.90)
In-vitro Diagnostics (CN Codes: 38.21.00 and 38.22.00)
Other (CN Codes: 30.05.10.00-30.05.90.99, 30.06.10.10 - 30.06.80.00,
37.01.10.10, 84.19.20.00, 90.25.11.91, 94.02.10.00, 94.02.90.00
TOTAL
2002
187.1
Value € million
2003
2004
273.8
365.1
2005
304.5
27.5
117.4
23.2
165.6
32.5
202.3
27.4
213.5
40.0
36.2
47.5
29.7
82.2
86.9
28.7
87.1
98.4
21.9
99.3
109.1
455.7
661.4
814.41
775.7
Table 3 - Imports by main country of origin (Value in € thousand)
Country
Germany
Netherlands
Cyprus*
Italy
United
Kingdom
Belgium
France
Other EU
Countries
2002
29.656,9
36.056,3
%
29%
12%
0%
11%
14%
2003
Value
%
111.491,3
25%
63.991,2
14%
0%
65.896,2
15%
50.946,5
11%
2004
Value
138.505,2
93.183,4
55.753,3
99.948,1
58.737,7
%
23%
15%
9%
17%
10%
2005
Value
138.539,9
90.970,9
67.545,5
59.494,3
55.312,8
%
24%
16%
12%
10%
10%
28.830,5
28.539,5
34.206,1
11%
11%
13%
44.836,0
46.366,7
59.564,0
37.004,5
47.236,6
73.821,4
6%
8%
12%
46.284,9
43.651,1
80.048,1
8%
8%
14%
Value
77.722,1
31.400,1
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10%
10%
13%
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The Medical Devices Sector in Greece
604.190,2
100,00%
581.847,5
100,00%
134.947,8
64,3%
109.641,4
56,6%
24.809,2
11,8%
31.609,4
16,3%
TOTAL EU
USA
Switzerland
266.411,5
113.899,1
23.511,4
100%
60,5%
12,5%
443.091,9
118.576,3
22.103,5
100,00%
54,3%
10,1%
Japan
China
Israel
Cyprus*
Other third
countries
14.351,0
5.636,0
4.019,5
14.574,9
26.876,6
7,6%
3,0%
2,1%
7,7%
14,3%
14.369,4
6.484,7
5.810,6
33.653,8
50.924,4
6,6%
3,0%
2,7%
15,4%
23,3%
13.299,7
10.782,8
5.634,4
20.464,1
6,3%
5,1%
2,7%
TOTAL
TOTAL EU &
OTHER
COUNTRIES
188.293,6
454.705,1
100,0%
218.268,9
661.360,8
100,0%
209.938,0
814.128,2
100,0%
10.777,6
11.713,9
5.771,9
24.359,2
9,7%
193.873,4
775.720,9
5,6%
6,0%
3,0%
12,6%
100,0%
*From 2004 is an EU member
EU is main supplier of imported medical devices, with over half € million. From the third countries, the
biggest supplier was USA with the 56,6% from the total.
3. EXPORTS
Table 4 - Exports by main category of products
Category of products
Diagnostic instruments and appliances used in medical, surgical and dental
treatment including imaging apparatus (CN Codes: 90.18.11.00 - 90.18.90.85)
Mechanotherapy appliances (CN Codes: 90.19.10.10 - 90.19.20.00)
Orthopaedic appliances, artificial parts of body, carried or implanted in the body
(CN Codes: 90.21.10.10 - 90.21.90.90)
Radiological Equipment (CN Codes: 90.22.11 - 90.22.90.90)
In-vitro Diagnostics (CN Codes: 38.21.00 and 38.22.00)
Other (CN Codes: 30.05.10.00-30.05.90.99, 30.06.10.10 - 30.06.80.00,
37.01.10.10, 84.19.20.00, 90.25.11.91, 94.02.10.00, 94.02.90.00
TOTAL
Country
Germany
Netherlands
2002
7.9
Value € million
2003
2004
11.3
8.1
2005
15.5
0.6
2.6
1.1
3.0
0.2
2.7
0.3
9.1
3.7
2.7
7.6
1.7
4.7
8.2
1.1
8.5
7.7
1.8
9.2
10.0
25.1
29.9
28.2
46.0
Table 5 - Exports by main country of destination
2002
2003
2004
Value
%
Value
%
Value
%
4.414,5
45,53%
4.240,0
27,33%
2.934,6
13,2%
887,6
9,16%
2.522,3
16,26%
4.402,4
19,7%
2005
Value
3.707,0
4.669,8
%
11,8%
14,8%
Cyprus*
Italy
United
Kingdom
0,0
758,9
961,7
0,00%
7,83%
9,92%
0,0
1.078,3
3.342,6
0,00%
6,95%
21,55%
5.401,0
1.386,0
2.316,5
24,2%
6,2%
10,4%
10.274,4
2.835,6
4.024,9
32,6%
9,0%
12,8%
France
Spain
Other EU
Countries
1.383,7
51,3
1.237,1
14,27%
0,53%
12,76%
2.426,5
538,8
1.364,0
15,64%
3,47%
8,79%
1.763,2
2.079,3
2.020,0
7,9%
9,3%
9,1%
2.484,7
443,2
3.037,8
7,9%
1,4%
9,7%
TOTAL EU
Romania
Albania
USA
9.694,8
3.213,7
597,4
979,4
100,00%
24,5%
4,6%
7,5%
15.512,5
2.945,0
484,5
653,4
100,00%
19,7%
3,2%
4,4%
22.303,0
1.823,7
371,1
156,0
100,0%
31,0%
6,3%
2,6%
31.477,4
2.711,0
1.798,0
1.642,9
100,0%
18,7%
12,4%
11,3%
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The Medical Devices Sector in Greece
244,0
4,1%
1.325,4
9,1%
399,0
6,8%
819,7
5,7%
186,6
3,2%
809,5
5,6%
51,6
0,9%
584,4
4,0%
Bulgaria
FYROM
Iran
Switzerland
449,6
286,4
70,2
461,6
3,4%
2,2%
0,5%
3,5%
336,8
395,5
110,0
1.453,8
2,3%
2,6%
0,7%
9,7%
Turkey
Other
TOTAL
TOTAL EU
& OTHER
COUNTRIES
23,2
7.036,9
13.118,4
0,2%
53,6%
100,0%
318,6
8.235,2
14.932,8
2,1%
55,1%
100,0%
355,2
2.302,9
5.890,1
6,0%
39,1%
100,0%
422,0
4.394,3
14.507,2
2,9%
30,3%
100,0%
-
30.445,3
-
28.193,1
-
45.984,6
-
22.813,2
*From 2004 is an EU member
The biggest foreign buyers from Greek medical devices’ companies are EU countries with almost
twofold value of exports comparing to third countries. The grater EU buyer for 2005 is Cyprus and from
the third countries is Romania.
1.4. DOMESTIC PRODUCTION
Local production concentrates mainly on the following categories:
- Cotton and medical gauzes,
- Syringes,
- Bandages,
- Orthopaedic appliances,
- Diagnostic chemicals,
- Surgery tables,
- Hospital furniture,
- Dental material (artificial teeth and prosthetics),
- Artificial kidney filters,
- Small injection pumps,
- Assembly of dentist appliances and physiotherapy equipment.
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The Medical Devices Sector in Greece
Table 6 - Domestic production and sales of some medical devices
2. DEMAND
2.1. STRUCTURE OF THE DEMAND
The main bulk of the demand of the medical devices stems from two main sources:
 Public health establishments, including Hospitals, Health Centres, Rural Dispensaries,
Emergency Pre-hospital Treatment Centres;
 Private health establishments, including Hospitals, Clinics, Diagnostic Centres, Special Treatment
Units, private practitioners;
 Individual consumers.
According to estimates produced by the Institution of Biometrical Technology public sector hospitals
account for about 80% of the total generated demand. According to anecdotal sources this high
percentage does not actually reflect real needs, but reflects rather a problematic management of
supplies from the part of public hospitals especially management of stocks of disposables.
Individual demand, directly from the final users covers a small but constantly increasing portion of the
total demand especially for home care devices and for articles and appliances that help to
compensate for a physical defect.
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The Medical Devices Sector in Greece
2.2. DEMAND OF HIGH TECHNOLOGY DEVICES BY HEALTH
ESTABLISHMENTS
The installed capacity high tech medical devices during the years 1996-2003, both in the public and
private sectors.
Table 7 - High tech medical devices installed in hospitals
In 2006, the public sector represented 65% on the average of the total installed capacity, and the
private 35%.
Higher demand is observed for artificial kidney apparatus, followed by laboratory automatic analysis
equipment and X-Ray diagnostic equipment. Highest growth rates are observed in the medical lasers,
electronic microscopes, CT Scanners and magnetic resonance imaging apparatus. A decrease is
observed in the ultrasound cardiac monitors.
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The Medical Devices Sector in Greece
Angiographic Apparatus
Distribution of high tech medical devices
X-Ray Diagnostic Equipment
CT Scanners
Laboratory Automated Analysis Equipment
Linear Accelerators
Gamma Radiation Cameras
Lithotripters
Magnetic Resonance imaging apparatus
1%
3%1% 3% 1%
3% 5%1%
6%
4%
15%
Artif icial Kidney Apparatus (blood transf usion
and f iltration devices)
Ultrasound Cardiac Monitors
1%
Ultrasound Tomography Scanners
4%
23%
Ultrasound Images
Cardiotomography Scanners
1%
0%
0%
1%
27%
Electronic Microscopes
Intravascular Catheters & cannulae
Electroencephalographs
Medical Lasers
Holder Apparatus
Radiotherapy Machines
Evolution of high tech Medical Devices
8000
6518
7000
6000
5000
4830
4873
5157
1996
1997
1998
5341
1999
7140
7388
2002
2003
5937
4000
3000
2000
1000
0
2000
2001
2.3. DEMAND BY THE FINAL CONSUMER
The Households Budget Survey conducted by the National Statistical Service of Greece, provides an
estimation of the demand in medical devices generated by the final consumer. The average monthly
spending per household was € 1.4 for the category of “other pharmaceutical products” and € 3.1 for
the category “therapeutic devices”1].
2.4. FACTORS INFLUENCING THE DEMAND
Apart from the typical factors i.e.: demographic, technological developments, insurance system,
household income), we present briefly below two main factors influencing the demand of medical
devices.
1]
Other pharmaceutical products: (bandages, gauzes, thermometers, syringes, hot-water bottles, kneecaps,
drugstores, alcohol, condoms and other contraception methods, sugar and cholesterol testing apparatus, etc.
Therapeutic devices: (myopia glasses, contact lens, hearing aids, artificial parts, orthopaedic shoes and others,
medical belts, trusses, corsets, bath chairs auto moving or not, special beds, manometers, massage medical
devices, x-ray tubes, artificial teeth, collars, services of therapeutic devices)
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The Medical Devices Sector in Greece
a) Capacity of the health care establishments
In 2003 in Greece operated 327 health institutions with 51.762 beds. Public hospitals with 35.814 beds
covered the 69,2% of the total beds while the private sector with 14.528 beds covered the 28,1%. The
breakdown by category of hospitals is shown in the following Table.
Table 8 - Number of hospitals and beds
Category of Hospital
Number
Hospitals
of
Number of Beds
General Hospitals
184
35.397
Anticancer Hospitals
4
1.212
Venereal Diseases Hospitals
2
167
Cardiologic Hospitals
2
42
Hospitals of Pestilent Diseases
1
100
Obstetric Hospitals
37
1.290
Neuropsychiatry
49
9693
Orthopaedics
5
366
Urologic
-
-
Ophthalmologic
4
80
Pathologic
10
502
Paediatrics
6
1.586
Hospitals for Phthisis
1
51
Surgery
5
245
Cosmetic surgery
-
-
Otolaryngology
2
52
Mixed
15
979
Total
327
51.762
Public sector hospital beds represent approximately 70% of the total bed capacity, and this share has
remained constant throughout the period 1996-2003.
Specialisation of the public sector hospitals does not seem to be a decisive factor influencing the
demand of specific categories of medical devices, since nearly all major hospitals operate all kinds of
clinics (cardiologic, pathology, surgery, orthopaedic, etc). In the absence of systematic planning
concerning the procurement of equipment by public hospitals, high technology equipment is
purchased on an ad-hoc basis, depending on the reputation of the specific clinic and its medical
director.
On the other hand private sector demand is expected to increase. There is an observed tendency of
establishment of increasing number of new private diagnostic centres, which compensate for the lack
of capacity of public sector hospitals to procure appropriate modern technology equipment. It is quite
characteristic to observe that (according to anecdotal sources) in 1980 the public hospitals accounted
for 67% of the total number of installed CT Scanners, while in 2006 public hospitals accounted only for
36%.
b) Regulatory aspects of public procurement
This is discussed in Chapter 4. It suffices here to state that the demand from the public sector
hospitals is negatively affected by the inherent rigidities of the public sector to respond in an efficient
way, on the basis of systematic planning, to real ascertained needs.
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The Medical Devices Sector in Greece
3. SUPPLY
3.1. NUMBER OF ENTERPRISES
The number of registered enterprises in Greece in the sector of medical devices, according to ICAP, is
291 in the year 2006.
This number comprises both importers and manufacturers (according to ICAP 78 companies were
registered as activated in the manufacturing of medical preparations 2]), but in terms of turnover the
sector is dominated by importers.
Moreover, it is worth noting that:
-
Manufacturing companies are also active as importers,
-
Manufacturing and marketing of medical devices is not an exclusive field of activity for the
great majority of registered companies.
The most active companies of the sector are registered with the Association of Suppliers of Scientific
and Health Equipment (currently, the Association has 123 members). According to the Association’s
classification of the products the following enterprises are activated in each field:
Table 9 - Enterprises by main sub-market
Field of activity
Number of enterprises
1. Analytic diagnostic apparatus, general equipment of chemists and environmental control
82
2. Machines and disposables of hospital laboratories
96
3. Surgery equipment, products of endoscopic and minimal invasive medicine and units of intensive care
28
4. Pacemakers – defibrillators and various cardiologic equipment, orthopaedics and hearing implantables.
16
5. Imaging apparatus, lasers and their disposables
14
6. Hospitals’ Furniture Equipment
4
It can be observed from the above table that a very high number of companies are active in the first
two segment markets. According to the experts in the fields, this situation reflects an overspending
from the public sector hospitals due to a rather inefficient management of stocks. Similarly, the number
of companies in segment 4, is considered to be rather high for the size of the Greek market, and this is
also explained by the very high prices paid by the national insurance system for this kind of devices.
3.2. KEY PLAYERS
3.2.1. Whole sector
Key players in the market are defined here as those companies with a annual turnover over € 20
million, and with the part of sales from medical devices over 50% (2005).
Table 10 - Key Players having as primary activity sales of medical devices
COMPANY
TYCO HEALTHCARE HELLAS SA
MEDISPES SA
ELECTROMEDICAL SA
DIOPHAR SA
GENERAL ELECTRIC MEDICAL SYSTEMS HELLAS SA
KARAYANNIS P.N. ORTHOPAEDICS SA
PLUS ORTHOPEDICS HELLAS SA
AMVIS HELLAS SA
IAMEX SA
BIOCHEM DIAGNOSTICS SA
PSIMITIS EL SA
Turnover in €
43,634,119
40,592,429
40,141,013
31,535,913
31,102,810
25,581,508
25,554,084
22,917,344
22,796,903
21,293,644
21,012,684
2]
Manufacturing companies mainly produce specific kinds of products such as disposable equipment, artificial
kidney apparatus, dental implantables, gauzes, reagents, hospital furniture equipment
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The Medical Devices Sector in Greece
The 10 most important companies in the sector accounted for about 28% of the market in 2005, while
the respective share in 2004 was 25,6%. This indicates that the sector is characterised by a rather low
concentration rate. For 2005 TYCO’s market share was 3,4%, MEDISPES’s 3,1%,
ELECTROMEDICAL 3,1%, GE MEDICAL SYSTEM 2,4%.
The average gross margin for the period 2001-2005 was 44, 29%, while the average net margin was
17,47% (these are to be compared with the average of the sector which were 43,05% and 11,49%
respectively).
- Highest gross margin: IAMEX SA with 68,87%, BIOCHEM DIAGNOSTICS SA with 51,48%,
CARAYANNIS ORTHOPEDICS (51,15%).
- Highest net margin: IAMEX SA with 30,92%, BIOCHEM DIAGNOSTICS SA with 30,92%,
ELECTROMEDICAL SA with 25,08%.
The average general liquidity of the total enterprises of the sector during the period 2001-2005 was
1,29 while the average specific liquidity was 1,05 and the cashier 0,07. The low liquidity ratios indicate
improper leverage or very unfavourable terms of transactions with the suppliers or the creditors.
In addition, there are 11 very big companies active in trading medical devices, but with their main part
of turnover coming from other neighbouring activities (pharmaceutical products, electric appliances).
These are presented in the table below (2005).
Table 11 - Big companies having medical devices as part of their activities
COMPANY
SIEMENS SA
ROCHE HELLAS SA
ASSOCIATION OF CHEMISTS OF SALLONICA
JOHNSON AND JOHNSON HELLAS SA
PHILIPS HELLAS SA
BAYER HELLAS SA
PHARMASERV LILLY SA
ABBOT LABORATORIES SA
SARANTIS SA
GEROLYMATOS SA
3M HELLAS LTD
Turnover in €
350,017,797
227,485,138
184,726,437
169,818,923
165,813,891
147,924,096
144,811,735
130,748,649
111,007,883
100,079,884
44,853,638
These companies have a significant share of the medical devices market. The share of JOHNSON &
JOHNSON HELLAS S.A is estimated at about 5,5% of the total market, while the share of SIEMENS
S.A and BAYER HELLAS S.A is estimated at about 2%-2,5% of the total market of medical devices.
3.2.2. Some specific sectors
We present below data for specific market products.
a) Active Implantable (pacemakers)
Table 12 - Key players in the category “active implantables” were:
COMPANY
Turnover in €
Manufacturer
ELECTROMEDICAL
40,141,013
BOSTON SCIENTIFIC (USA)
LADAKIS SA
18.631.403
SAINT JUDE MEDICAL (USA)
INTERTRONICS SA
13.160.698
BIOTRONICS (Germany)
MEDRONIC HELLAS SA
5.303.495
MEDRONIC MEDICAL (USA)
ALAN MEDICAL SA
4.937.741
SORIN (Italy)
b) CT Scanners
Table 13 - Sales of TC Scanners in 2006 by manufacturer
Manufacturer
Pieces sold
% Market share
SIEMENS
114
37.13
PHILIPS
84
27.36
GENERAL ELECTRIC
63
20.57
TOSHIBA
44
14.33
HITTACHI
1
0.1
© EUROPEAN PROFILES SA
11
NEWSOFT
1
The Medical Devices Sector in Greece
0.1
d) Magnetic Resonance Scanners
Table 14 - Sales of Magnetic Resonance Scanners in 2006 by manufacturer
Manufacturer
SIEMENS
PHILIPS
GENERAL ELECTRIC
TOSHIBA
Pieces sold
72
46
36
6
% Market share
45
28.75
22.5
3.75
3.2.3. Local Manufacturers
Locally manufactured devices concentrate mainly on the following categories:
- Cotton and medical gauzes,
- Syringes,
- Bandages,
- Orthopaedic appliances,
- Diagnostic chemicals,
- Surgery tables,
- Hospital furniture,
- Dental material (artificial teeth and prosthetics),
- Artificial kidney filters,
- Small injection pumps,
- Assembly of dentist appliances and physiotherapy equipment.
In 2003 78 companies manufacturing companies were registered with a total turnover € 1.698, 7
million. The most important local manufactures are presented below. Several of these companies are
also active in import of medical devices as well as in the manufacturing of other products. Their
turnover (2005) covers the all sales.
Table 15 - Key domestic manufacturers
COMPANY
Turnover in €
MEDISPES SA
40,592,429
VIOSER INDUSTRIES
23,184,344
FEIDAS SA
20,416,644
MEDICON HELLAS SA
14,301,033
KOUDOUNAS SA
8,351,272
SKOUTAS SA
7,738,655
VERMA DRUGS SA
7,304,011
DOCTUM PHARMACEUTICALS YOKARIS &Co SA
6,824,585
© EUROPEAN PROFILES SA
12
The Medical Devices Sector in Greece
4. REGULATORY ASPECTS
NB. The complete list of legal acts which regulate the medical equipment sector (national and EU
legislation is represented in Annex 1)
4.1. PRODUCTION AND MARKETING
Manufacturing and marketing of medical devices are regulated by three laws, fully transposing the
provisions of the relevant EU Directives, as shown below.
Device
Active Implantable Medical Devices
Medical Devices
In-Vintro Diagnostic
EU DIRECTIVE
Directive 90/385
Directive 93/42
Directive 98/79
GREEK LAW
Presidential Decree 2351, Government Gazette 639B/26.8.94
Presidential Decree 2480, Government Gazette 679B/13.9.94
Presidential Decree 3607, Government Gazette 1060B/10.8.01
The National Authority in charge for the implementation of this legislation is the National Drugs
Organisation. (In summary, marketing of medical devices is subject to third party certification,
according to the class of risk they represent. For economy of the text we do not analyse this legislation
which s well known to the manufacturers).
4.2. PUBLIC PROCUREMENT PROCEDURES
4.2.1. Existing legislation
Procurement of equipment in public hospitals are regulated by Law No 2955, and in accordance with
the provisions of Presidential Decree 394 of 4 December 1996, which lays down the procedural
aspects of public tenders, in accordance with the EU relevant legislation on public procurement.
The key points of the current legislation are as follows:
a) Contracting Authorities can be the Hospitals, the Regional Health Administrations, or the Ministry of
Health, depending on the size and kind of supplies. It is worth noting that Hospitals have a large
degree of autonomy concerning small supplies of consumables.
b) The hospitals and the Regional Health Administrations have the obligation to produce an annual
supplies programme and plan. It is questionable whether this is effectively followed, because
experience shows that in most cases supplies, especially for consumables, are ordered in a rather adhoc basis.
c) The kinds of medical devices and disposable equipment that can be procured, as necessary for the
unhindered and efficient operation of the hospitals and of health centres are defined by decision of the
Minister of Health and Social Care, and enter into a special registry, (positive list), under a special
code number. For every product in the list specifications are defined common for all the public
hospitals and the health centres. This registry will be gradually developed by decisions of the Minister
of Health and Social Care.
d) There is a specific category of medical devices, the so called “out of closed medical treatment”
where public procurement is done through direct negotiations with the suppliers on the basis of unit
prices (under the reasoning that it is not possible to foresee the necessary quantities). These concern:
- Artificial implantable bones,
- Jaw facial surgery,
- Pacemakers, defibrillators and electrodes, certain cardio-surgery equipment,
- Artificial kidney filters.
The maximum prices for such devices are fixed by Ministerial decisions on a regular basis. Experts in
the market consider that for several items the unit prices are rather high (for instance the authorised
price of a pacemaker, depending on the type, range from € 5.520 to € 10.400).
© EUROPEAN PROFILES SA
13
The Medical Devices Sector in Greece
The maximum prices per unit of medical devices (artificial implantable bones, jaw facial surgery,
pacemakers-defibrillators, electrodes and cardio surgery equipment and artificial kidney apparatus)
are presented at the Government Gazette 518/19.4.2005 which is annexed at the end of the Study.
4.2.1. Introduction of New Legislation regarding the procurement procedures
A new bill is in the pipeline of adoption concerning the procurement of supplies by the public hospitals
and public health centres, with the purpose to rationalize the current system.
The key issue under the new legislation is the “centralisation’ of procurement procedures through the
creation of a new independent Administrative Authority the “Central Committee of Health Supplies”,
which will unify some 9.000 tenders that are carried out annually by public hospitals.
The Committee will be assisted by other existing or new organisations to be created for this purpose,
with the aim to monitor and control the whole spectrum of supplies to public hospitals. .
The draft bill contains also provisions to prevent monopoly or oligopoly distortions of the market and
specific criteria for defining tender conditions.
© EUROPEAN PROFILES SA
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The Medical Devices Sector in Greece
5. PROBLEMS OF THE SECTOR AND PROSPECTS
5.1. MAJOR PROBLEMS OF THE SECTOR
The problems of the medical devices market can be summarised as follows:
a) High supplies cost, because of “sensitive payments”,
High supplies cost is observed to specific categories of medical devices, the final choice of which
depends on the physician (especially pacemakers, artificial kidneys). It is estimated that these kind
of payments for the pacemakers accounts for about 17% of the operational costs of supplier and
this cost is finally embodied to the price of the device charged to the health insurance fund.
This kind of dependency of supplier to the choice of the physician, is an established practice,
distorts conditions of competition in the market and creates a kind of “price fixing” to high levels in
order to compensate for these hidden costs.
The tendency of the Ministry of Health is to fix lower price limits for the “out of closed treatment”
devices (see Ch.4.2.1, d) and this will put a pressure on the companies to the extent that the
practice of dependency mentioned above might be difficult to eradicate.
b) Weakness of consumption control in public hospitals
It is a well known fact that the management system concerning control and monitoring of supplies
in the public hospitals, especially for disposals, is ineffective, thus creating an extra demand,
which in turn gives space for the existence of a rather high number of suppliers and a rather low
concentration ratio in the sector.
c) Delays in debt payments
While the delivery of ordered goods is direct - up to 30 days from the date of order, the settlement
of payment of payment is significantly delayed, and may reach 18 months as far as the public
hospitals are concerned. Until the end of 2004 the debt of the public hospitals towards suppliers of
medical equipment amounted to € 1, 4 billion, which contributed to negative effects on the
companies’ trade cycle and their liquidity. To this amount a new debt of € 400 million is added
during 2005. The debts are mainly accumulated by the malfunctioning of the insurance funds
which they fail to pay out the nursing expenses. Settlement of the dept accumulated till 2004,
through a discount offered to the pending invoices, is estimated to result to a loss of profit of € 50
million for the sector.
Overall, this results to problems of liquidity within the sector. The average general liquidity of the
total enterprises of the sector during the period 2001-2005 was 1,29 while the average specific
liquidity was 1,05 and the cashier 0,07. The low liquidity ratios reflect the unfavourable terms of
transactions.
d) Technical barriers
There seems to be a widespread practice among public hospitals to reject offers of products
based on an alleged issue with the security level of the product, despite the fact that the latter is
certified in conformity with the relevant EU Directives. The Commission considers that this practice
violates both Directives 93/36/EEC (public supply contracts) and 93/42/EEC (medical devices).
The Greek authorities do not contest this violation, but despite the measures that they have taken
since 2004, after the intervention of the Commission in this respect, to remedy this infringement,
the problems unfortunately still persist in many hospitals all around the country.
e) Imperfections of the existing legislation concerning procurement of supplies
Law 2955/2001 and its executing Ministerial Decrees, provide that medical supplies can be
procured directly, without a prior tender procedure, when the award concerns devices without
substitutes. It appears that an abuse is made of this provision due to lack of appropriated
compilation of the positive list of devices. The European Commission has decided to refer Greece
to the European Court of Justice, for breach of Directives 93/36/EEC and 2004/18 (public supply
contracts).
© EUROPEAN PROFILES SA
15
The Medical Devices Sector in Greece
5.2. TRENDS AND POTENTIALITY
We present below four main factors that to our opinion characterise the trends of the sector.
a) There is an unquestionable expansion of the private sector health care provision, which is
manifested in the increased number of private diagnostic centres and special treatment units, as well
as in new forms of health services (medical tourism). According to experts opinion in the field this
tendency will continue
b) Modernisation of the public hospitals infrastructure which started with financing under the 3rd
Community Support Framework (Measure 1.2 “Functional modernisation of hospital units”), will
continue also under the 4th Community Support Framework, through the Regional Entrepreneurial
Programmes.
c) It is expected that the modifications of the new bill concerning system of the public supply contracts
in the field of health will rationalise the circuitry of supplies, towards establishment of better
competition conditions in the market.
d) There is an observed tendency that the manufacturers come to reside in Greece and the
intermediates-importers tend to disappear. This has been a move of the parent companies in
response to the high profitability of the sector, as well as to the need of reducing extra costs. It is
estimated that about 50% of the parent companies have already been located in Greece and are
followed by others.
The contracts that the parent companies have with Greek representatives are valid for 2-3 years. This
gives the manufacturers the possibility to terminate their cooperation, after the expiring of their
contract. The usual practice is to offer the previous representative a compensation and then take over
his key personnel, thus securing the necessary know-how of the local market practices and the client
network.
Factors (a) and (b) above will undoubtedly contribute favourably to a continued development of the
sector of medical devices, and especially the liberalisation of the health services market which sets the
terms of entrepreneurial activity in an environment where traditionally the public sector shows
weakness in responding.
Based on these assumptions, experts in the field estimate that the rate of growth of the sector will be
approximately 7% in 2007.
Liquidity will remain for a certain period a key problem for the sector, and many companies despite the
large turnover present negative outcome.
The new bill concerning the public supplies contracts seems prominent to the sector and, if properly
applied, will deprive the sector of its major drawback. It might be argued on the other hand that the
expected rationalisation of the public supplies and the tighter control and management of the hospitals
stock of disposables might reduce the demand for this kind of products.
This factor, in combination with factor (d) above, might entail a restructuring of the supply towards a
higher concentration dominated by fewer companies and by the manufacturers themselves.
-----------
© EUROPEAN PROFILES SA
16
The Medical Devices Sector in Greece
ANNEXES
ANNEX I
LIST OF THE BIGGER COMPANIES OF THE SECTOR ACCOMPANIED WITH
CONTACT DETAILS OF THE COMPANY AND OF THE PURCHASE MANAGER
 At the following list are entailed all the companies with turnover over € 4 million.
 The comment n/a (not available) stands for companies that denied providing us the name of
their purchase manager.
© EUROPEAN PROFILES SA
17
The Medical Devices Sector in Greece
No
1
COMPANY'S NAME
TYCO HEALTHCARE
HELLAS S.A.
Turnover
(Year 2005)
43.634.119 €
2
MEDISPES S.A
40.592.429 €
3
ELECTROMEDICAL
S.A.
40.141.013 €
31.535.913 €
4
DIOPHAR S.A.
5
GE MEDICAL
SYSTEMS HELLAS
S.A.
6
ΑLCON
LABORATORIES
HELLAS S.A.
29.676.867 €
7
PLUS ORTHOPEDICS
HELLAS S.A.
25.554.084 €
8
CARAYANNIS P.N
ORTHOPEDICS S.A.
24.581.508 €
9
AMVIS HELLAS S.A.
22.917.344 €
10
IAMEX S.A.
© EUROPEAN PROFILES SA
31.102.810 €
22.796.903 €
Profile
Import & trade of medical devises
& disposables.
Representations, exclusive
imports & wholesale trade of
medical equipment. Production of
disposal supplies.
Representations, exclusive
imports & wholesale trade of
medical disposal supplies and
implants.
Representations, exclusive
imports & wholesale trade of
medical apparatus , tools and
disposable supplies, imlants,
laboratory instruments, hospital
equipment, beauty parlor's
machinery & cosmetics.
Representations, imports &
wholesale trade of medical
apparatus.
Representations, exclusive
imports & wholesale trade of
medical apparatus, instruments,
implants & disposable supplies,
machines and medicated
products.
Representations, exclusive
imports & wholesale trade of
surgical tools, orthopedic supplies,
implants and physiotherapy
machinery.
Representations, exclusive
imports & wholesale trade of
surgical tools, goods & implants.
Representations, exclusive
imports & wholesale trade of
opthalmology apparatus, tools,
intaocular lenses and opticals.
Representations, exclusive
imports & wholesale trade of
medical apparatus, orthopedics,
implantsand medical disposal
supplies. Rental of medical
Purchase
Manager
Mrs.
Nasopoulou
Magda
Telophone
email
address
website
2106127000
katerina.giannopoulou@emea.t
ycohealthcare.com
67 Pentelis str., 151
26, Marousi, Athens
www.tyco.com
www.medispes.gr
www.electromedical.gr
Mr.
Vassilopoulos
Th.
2106109090
info@medispes.gr
38 Sorou str.,
Marousi, 151 25,
Athens
Mr. Tzinis
Ioannis
2310326002
elmedcal@otenet.gr
50 Voulgari str., 524
29, Thessaloniki
Mr.
Kontovrakis
Panagiotis
2106849058
Mr. L.O.
Contucci
2109690990
368 Kifisias Ave &
Ithakis, 152 33,
Halandri, Athens
156 Kyprou & 91
Konstantinoupoleos,
164 51, Argyroupoli,
Athens
Mr.
Mpalinovits
Edward
2106810348
18 Kifisias Ave, 151
25, Marousi, Athens
Mrs. Alexiou
Angeliki
Mr.
Stozakoglou
Eyangelos
Mr. S.Mordoh
Mr. Mnimatidis
George
(Orthopedics)
Mr. Topis
Dimitris
info@diophar.gr
2109913190
info@endoplus.gr
8 Kleanthous str., 163
46, Ilioupoli, Athens
2109254900
iko@otenet.gr
10 Drosou str., 145
64, Kifisia, Athens
2106000400
postmaster@amvis.gr
160 Spaton Ave, 153
51, Pallini, Athens
iamex@iamex.gr
1 Evoias, 143 41,
Nea Filadelfeia,
Athens
2102513698
www.diophar.gr
www.gemedicalsystems.gr
www.iamex.gr
18
The Medical Devices Sector in Greece
No
COMPANY'S NAME
Turnover
(Year 2005)
11
IATRIKI EF ZIN S.A.
22.587.805 €
12
BIOCHEM
DIAGNOSTICS S.A
21.293.644 €
13
PSIMITIS EL. S.A.
21.012.684 €
14
IATRIKI TECHNIKI S.A.
20.731.121 €
Profile
apparatus.
Imports & wholesale trade of
medical apparatus and disposal
supplies.
Representations, exclusive
imports & wholesale trade of
laboratory and diagnostic
instruments, disposable supplies,
reagents,medicines and
biotechnological products.
Representations, exclusive
imports trade & regional agent of
medical supplies
16
LADAKIS S.A.
18.631.403 €
17
MEDICON HELLAS
S.A.
17.979.699 €
Wholesale trade of medical tools
& hospital disposable supplies.
Representations, exclusive
imports and whosale trade of
medical and hospital apparatus,
protective goods, disposable
supplies and implants.
Representations, exclusive
imports & wholesale trade of
medical apparatus, disposable
supplies and imlants.
Representations, exclusive
imports, production & wholesale
trade of reagents, laboratory
istruments, cosmetics &
medicated products.
17.885.613 €
Exclusive imports, wholesale trade
of medicines and medical
disposable supplies.
15
18
HOSPITAL LINE S.A
JASONPHARM S.A.
© EUROPEAN PROFILES SA
19.126.506 €
Purchase
Manager
(Medical
Products)
Telophone
email
address
website
contact details
from BOSTON
SCIENTIFIC
HELLAS
(IATRIKI EF
ZIN has
become
BOSTON
SCIENTIFIC
HELLAS
2109537890
efzin@efzin.gr
10 Athinas str., 176
73, Kallithea, Athens
www.efzin.gr
Mr.Vagenas
Ioannis
2109400861
unfo@biochem.gr
6 Zisimopoulou str.,
Palaio Faliro, Athens
www.biochem.gr
Mr. Parisi Efi
2107244562
cpsimitis@otenet
59 Andr.Dimitriou str.,
Kaisariani, Athens
www.psimitis.gr
Mrs. Kousieri
Agoritsa
2106234350
i.at-tec@otenet.gr
1 Kefalariou str., 145
62, Kifisia, Athens
www.iatriko.gr
Mr. Karellas
A.
2102510040
hospillin@hol.gr
36 K. Palama & 41
Petala, 143 43, Nea
Halkidona, Athens
Mr.
Pelikanakis
Konstantinos
2102723300
info@ladakis.gr
74 Lauriou str., 142
35, Nea Ionia, Athens
www.ladakis.gr
Mr. Bobolakis
Stauros
2106606000
medicon@mediconsa.com
5-7, Melitonos, G153
44, erakas, Athens
www.mediconsa.gr
jasonpharm@jasonpharm.gr
26 Ethnikis
Antistaseos,
Kaisariani
n/a
2107517608
19
The Medical Devices Sector in Greece
No
COMPANY'S NAME
19
ARITI S.A.
Turnover
(Year 2005)
17.257.298 €
Profile
Representations, exclusive
imports & wholesale trade of
haemodialysissolutions and filters,
hospital equipment, medical
apparatus, instruments &
disposable supplies.
17.038.524 €
Representations, imports &
wholesale trade of orthopedic
implants.
20
ORTHOMEDICAL S.A.
21
DADE BEHRING
HELLAS S.A.
22
PARAPHARM
INTERNATIONAL S.A.
15.887.354 €
23
PAPAPOSTOLOU N.A
LTD
15.308.748
(Year 2004)
24
OMIKRON MEDICAL
S.A.
15.303.593 €
25
BOSTON SCIENTIFIC
HELLAS S.A.
14.070.490 €
26
SELIDIS A.BROS
ANTISEL S.A.
13.850.144 €
27
ARTHROSIS SA
© EUROPEAN PROFILES SA
16.294.872 €
13.642.666 €
Representations, imports &
wholesale trade of dignostic
reagents and labatory apparatus.
Imports & wholesale trade of
medicated products, medicines,
cosmetics & medical disposal
supplies.
Representations, exclusive
imports & wholesale trade of
medical apparatus, tools and
disposable supplies, orthopedics,
imlants, scientific instruments,
hospital equipment.
Representations, exclusive
imports & wholesale trade of
hospital disposable supplies,
implants, dialyzers, reagents,
medical apparatus & instruments.
Exclusive imports & trade of
medical tools.
Representations, exclusive
imports & wholesale trade of
scientific and laboratory
instruments, medical apparatus,
reagents, medical and hospital
disposable supplies.
Representations, exclusive
imports & wholesale trade of
medicaldisposable supplies, tools,
instruments, orthopedics, implants
and hospital equipment.
Purchase
Manager
Telophone
email
Mr. Bousounis
Giorgos
2106204835
ariti@otenet.gr
Mrs. Gonata
Vicky
2108002331
info@orthomedical.gr
Mr.
Panagiotarako
s George
Mrs.
Lianoudaki
Angeliki
Mrs.
Panteloglou
Kyriaki
Mrs. Koulaxizi
Aspasia
Mr.
Eystathiadis
Epameinonda
s
Mr. Gatsos
Konstantinos
Mr. Karipidis
Nikolaos
address
246 Tatoiou Ave, 136
71, Aharnes, Athens
National Road
Athens-Lamia (17th
km), 145 64,Kifissia,
Athens
website
www.ariti.gr
2106560900
357-359 Messogeion
Ane, 15 31, Halandri,
Athens
2109651889
parapharm@internet.gr
56 Kyprou str.,
16451, Argyroupoli,
Athens
info@papapostolou.gr
4 Plateia Syntrivaniou
sqr., 54 621,
Thesallonici
www.papapostolou.gr
2109425166
omikron@omikron.gr
29 Tagm.Plessa str.
& 214 Sokratous, 176
74, Kallithea, Athens
www.omikron.gr
2109542300
bsh@bshellas.com.gr
336 Syngrou Ave,
Kalithea, Athens
2310322525
antisel@antisel.gr
6 Karatasiou str., 542
50, Thesallonici
www.antisel.gr
info@athrosis.gr
Athinon - Lamias Rd
(12th km), 144 52,
Metamorfosi, Athens
www.arthrosis.gr
2310233251
2102826045
www.dadebehring.com
20
The Medical Devices Sector in Greece
No
COMPANY'S NAME
28
MENARINI
DIAGNOSTICS SA
Turnover
(Year 2005)
13.332.506 €
29
INTERTRONICS
HELLAS S.A
13.160.698 €
30
BIOMERIEUX HELLAS
S.A
13.014.718 €
31
KYRIAKIDIS J.M SA
12.716.855 €
32
BECTON DICKINSON
HELLAS S.A
12.259.847 €
33
PROTON S.A.
12.035.640 €
34
MANTZARIS B & J S.A.
11.960.424 €
35
PETSIAVAS S.A.
36
METAXAS
DIAGNOSTICS
© EUROPEAN PROFILES SA
11.741.000 €
11.405.629 €
Profile
Representations, exclusive
imports & trade of laboratory
instruments, diagnostic apparatus
& reagents.
Representations, exclusive
imports & wholesale trade of
scientific and laboratory
instruments, medical apparatus,
reagents, medical and hospital
disposable supplies.
Exclusive imports & wholesale
trade of reagents, scientific
instruments & components
Exclusive imports & wholesale
trade of rlabatory instruments,
reagents anddisposal supplies.
Representations, imports,
wholesale trade and sales
promotion of medical instruments,
reagents and disposable supplies.
Exclusive imports & wholesale
trade of medical apparatus and
disposable supplies, hospital
equipment, scientific instruments
and special security systems.
Exclusive imports and whosale
trade of cardial implants and
pacemakers.
Representations, exclusive
imports & wholesale trade of
medical tools, implants and
disposal supplies, orthpedic
goods, labaroty instruments,
plastic raw materials, dyestuffs,
chemical products, medicines,
yarms, medicated products,
underwear, pyzamas, tights,
socks, swimming suitsand textil
machinery.
Exclusive imports and whosale
trade of medical apparatus, spare
parts and reagents. Technical
customer services.
Purchase
Manager
Mrs.
Anthopoulou
Marinela
Mr.
Kouskoutis
A.(Manager
Director)
Mrs.
Staurakopoulo
u Katerina
Mr. Kyriakidis
Ioannis
Mrs. Beza
Violeta-Eleni
Telophone
2109944950
2106420181
email
address
website
mendiagr@otenet.gr
575, Vouliagmenis
Ave, 164 51,
Argyroupoli, Athens
www.menarinidiagnostics.gr
jmksa@acci.gr
2 Oreivassiou str. &
Kon.Tsaldari 78, 114
76, Athens
70 Papanikoli str.,
152 35, Halandri,
Athens
1 Acherontos, 153
43, Agia Paraskevi,
Athns
magda-andria@europe.bd.com
5 Amfitheas Ave, 171
22, Nea Smyrni,
Athens
info@intertronics.gr
2108172400
2106004010
2109407741
Mrs. Messini
Roula
2102806200
admin@protoncy.gr
2 Ioulianou str., 144
51, Metamorfosi,
Athens
Mr. Tsakiris
Harris
2107706452
b-i-mantzaris@ath.forthnet.gr
2-4 Mesogeion Ave,
115 27, Athens
Mr.
Anastassopou
los Sotirios
2106202301
npsa@petsiavas.gr
21 Ag. Anargyron,
Kifissia, 145 64,
Athens
Mr.
Petropoulos
Konstantinos
2109213001
info@metaxas-diagnostics.gr
9a Leontiou, 11745,
Athens
www.intertronics.gr
www.biomerieux.gr
www.jkyriakidis.gr
www.proton-sa.gr
www.metaxas-diagnostics.gr
21
The Medical Devices Sector in Greece
No
COMPANY'S NAME
37
MEDICAL
INNOVATION S.A.
38
STERILE HELLAS S.A.
Turnover
(Year 2005)
10.786.513 €
10.510.393 €
10.170.357 €
39
BIOANALYTICA S.A.
40
VAMVAS CHR.I & CO
O.E
10.093.560 €
41
DEPUY HELLAS S.A.
10.023.946 €
42
NEXUS MEDICALS
S.A.
43
MAGEIRAS
DIAGNOSTICS S.A.
9.255.656 €
44
KARAYANNIS ATH.
MEDICAL PLUS S.A
9.085.045 €
45
HEALTHCARE
SOLUTIONS S.A.
8.648.061 €
46
PAPAELLINAS C.A
(HELLAS) S.A.
© EUROPEAN PROFILES SA
9.764.344 €
8.331.511 €
Profile
Imports and whosale trade of
medical & hospital disposal
supplies.
Exclusive imports and whosale
trade of hospital equipment,
medical tools, protective goods,
disposal supplies, and doctor's
garments.
Representations, exclusive
imports and whosale trade of
labatory instruments and
reagents.
Representations, exclusive
imports and whosale trade of
medical apparatusand tools,
orthopedic goods, impants,
hospital equipment, and disposal
supplies. Technical Support.
Representations, exclusive
imports and trade of orthopedic
implants.
Exclusive imports and trade of
opthalmic lenses, apparatus and
contat lense cleaning materials.
Representations, exclusive
imports and trade of labatory
instruments, reagents and medical
disposal supplies.
Representations, exclusive
imports and trade of medical
disposals supplies and implants.
Representations, exclusive
imports and trade of medical
apparatus spare parts and
disposal supplies.
Representations, exclusive
imports and trade of reagents,
bandages, surgical supplies,
medical apparatus, disinfectants,
detergents, cosmetics, medicated
produts, implants, insect
repellents and hair care products.
Purchase
Manager
Telophone
email
Mr. Vasileios
Pavlou
2102502029
medinnov@otenet.gr
address
41 Th. Petala, 143
43, Nea Halkidona,
Athens
2106836353
sterile@ath.fortnet.gr
13 Thisseos str., 152
32, Halandri, Attiki
www.sterilehellas.gr
2106400318
bioanalyt@hol.gr
3A-5 Illision str.,
11528, Athens
www.bioanalytica.gr
Mrs.
Kolokytha
Panagiota
Mrs.
Oikonomou
Xristina, Mrs.
Tsiokanou
Maya
Mrs. Tsitonaki
Lilian
Mr.Koutroulis
Haralambos
Mrs.
Papastavrou
Fotini
2106078400
info@vamvasmedicals.gr
2106233034
marketing@depuy-medec.gr
2106039791
info@nexusmedicals.gr
533 Messogeion Ave,
153 43, Agia
Paraskevi, Athens
Ag.Kyriakis 20 str.,
145 61, Kifisia,
Athens
Athinon - Lamias Rd
(12th km), 144 51,
Metamorfosi, Athens
website
www.vamvasmedicals.gr
Mrs.Maragkou
daki Eirini
2102856330
magiras-diagnostics@otenet.gr
Ag. Eirinis &
Yakinthon, 141
23,Likovrisi, Athens
Mr. Kouris
Diamandis
2108254070
kioannou@medicalplus.gr
32 Korinthou, 145 64,
Metemorfossi, Athens
www.medicalplus.gr
Mr. Kechagias
Mixalis
2106993040
healthcare@healthcaresolutions.gr
9 Katechaki, 115 25,
Athens
www.healthcare-solutions.gr
info@costaspapaellinas.com
Paianias Markopoulou Ave
(26th km), 194 00,
Athens
Mr.
Papaellinas
Thanasis
2106626210
22
The Medical Devices Sector in Greece
Turnover
(Year 2005)
No
COMPANY'S NAME
47
EBEDENT S.A
8.323.602 €
48
HOSPAL HELLAS
ΜΟΝΟΠΡΟΣΩΠΗ ΕΠΕ
8.233.726 €
49
BARD HELLAS
MEDICAL EQUΙPMENT
S.A.
7.873.525 €
50
UNIMED LTD
7.839.243 €
51
SKOUTAS S.A.
7.783.656 €
52
IAKOBIDIS HELLAS
S.A.
7.621.031 €
53
AKTIS IATRIKA S.A.
7.371.295 €
54
BIOKOSMOS S.A.
7.255.244 €
55
BIOMET HELLAS S.A
© EUROPEAN PROFILES SA
7.240.621 €
Profile
Representations, exclusive
imports and trade of dental and
denture making machinery, tools,
supplies, implants and medicines.
Imports & trade of haemodialysis
machiner and disposal supplies.
Representations, exclusive
imports and trade of medical
apparatus tools and disposal
supplies.
Representations, exclusive
imports and whosale trade of
orthopedc supplies, impants and
surgical tools.
Representations, exclusive
imports and trade of medical
apparatus, cosmetics, hospital,
physiotherapy, gymnasium and
beauty parlor equipment.
Representations, exclusive
imports and trade of medical
disposal supplies, tools, implants,
orthopedics and hospital
equipment.
Representations, imports and
whosale trade of medical disposal
supplies.
Representations, exclusive
imports and trade of radio
isotopes, reagents, medical
instruments and apparatus.
Production of reagents.
Representations, exclusive
imports and trade of implants,
orthopedics, surgical tools and
medichines.
Purchase
Manager
Telophone
email
Mr. Rekoutis
Panagiotis
2103829392
info@ebedent.gr
Mr. Prevalis
Xristos
2102836006
Mr.
Kontopoulos
Alexandos
2109690770
bard.hellas@cbard.com
4 Themistokleous
str., 106 78, Athens
114 Kymis Ave,
Maroussi, 151 23,
Athens
22 Alkiviadou & 72
Vouliagmenis Ave.,
16675, Glyfada,
Athens
n/a
2106728500
unimed@acci.gr
170 Kifissias Ave,
115 25, Athens
Mr. Skoutas
Panagiotis
2107795118
sales@skoutas.gr
28 Avlidos str., 115
27, Athens
www.skoutas.gr
210685687
info@msjacovides.com
24 Fillelinon str., 152
32, Halandi, Athens
www.msjacovides.com
2107470585
aktis@aktismed.gr
112 Vas. Sofias
str.,115 27, Athens
2292063900
info@biokosmos.gr
Panormos, 19500,
Lavrio, Athens
info@bh.ath.fothnet.gr
78 Sigrou Ave. & 4951 Botasari str.,
11742, Athens
Mrs. Tzortzi
Pegy
Mr.
Papanikolaou
Nikolaos
Mr. Pagonos
Aggelos
Mrs. Elazeb
Katerina
2109200600
address
website
www.ebedent.gr
www.cbard.gr
www.biokosmos.gr
23
The Medical Devices Sector in Greece
No
COMPANY'S NAME
56
BACACOS S.A.
57
GENERAL CHEMICAL
PRODUCTS S.A.
58
ST MEDICAL
PRODUCTS LTD
Turnover
(Year 2005)
7.199.579 €
7.015.015 €
6.649.840 €
6.606.861 €
59
DENTOFAIR S.A.
60
MEDICAL PRODUCTS
Ltd.
6.561.679 €
61
ENDOSCOPIKH S.A.
6.479.844 €
62
STRYKER HELLAS
LTD
6433072 €
(Year 2004)
63
Ε & Ε MEDICAL S.A
6.410.455 €
© EUROPEAN PROFILES SA
Profile
Representations, exclusive
imports and trade of chemical,
medicated and pharmaceutical
products, scientific and medical
instruments and tools, optical
goods, orthopedic equipment,
radiosotopes, reagents, medical
protective goods and disposal
supplies, hospital equipment,
cosmetics and baby foods.
Service of medical apparatus.
Representations, exclusive
imports and trade of chospital
equipment, medical apparatus and
clothing, disposal supplies and
orthopedic goods. Mfg of medical
disposal supplies and hospital
clothing.
Representations, exclusive
imports and trade of medical &
hospital disposable supplies,
tools, apparatus and implants.
Representations, exclusive
imports and trade of dental and
denture making apparatus, tools &
swupplies.
Representations, exclusive
imports and trade of medical
apparatus, tools and disposable
supplies, haemodialysis solutions,
orthopedic and vetinary
pharmaceuticals.
Imports and wholesale trade of
medical gases and hospital
equipment.
Representations, exclusive
imports and wholesale trade of
prthopedic implants and medical
apparatus.
Representations, exclusive
imports and wholesale trade of
hospital equipment, medical
apparatus, labatory instruments,
implants, reagents and disposable
supplies.
Purchase
Manager
Telophone
email
address
Mr. Bacacos
George
2105232631
pharmacy@bacacos.gr
34 Deligianni &
Maizonosstr., 104 38,
Athens
Mr.
Papadopoulos
Ioannis
2106203000
gcp@hol.gr
60 Avgis, Kifissia,
145 64,Athens
Mr.
Tsoutsouras
Spyros
2106927327
tsoutsouras@ath.forthnet.gr
9 Krimaias str. 115
26, Athens
Mr.
Papadimitriou
Gr.
2107789512
dentofair@otenet.gr
24 Tetrapoleos str.,
115 27, Athens
website
www.gcp.gr
www.dentofair.gr
n/a
2109647500
info@mediprod.gr
54 G. Gennimata,
16562, Glyfada,
Athens
Mr. Kaloglou
Th.
2107470090
info@endoscopiki.gr
12 Zagoras str.,
11527, Athens
www.endoscopiki.gr
455 Messogion Ave.
15343, Ag.
Paraskeyh, Athens
www.stryker.gr
64 L. Rinakourstr.,
11523 Athens
www.eement.gr
Mr. Kalimeris
Jhon
2106003222
Mr. Epifanis
Evaggelos
2106996191
info@eement.gr
24
The Medical Devices Sector in Greece
Turnover
(Year 2005)
No
COMPANY'S NAME
64
BIOMEDICA LIFE
SCIENCES S.A
65
TECHNOMEDICS
ASSETS SA
5.982.954 €
66
DIA MED HELLAS S.A
5.888.586 €
67
68
69
70
71
MESSER HELLAS SA
EDWARDS
LIFESCIENCES
HELLAS LTD
DIGAPHARM S.A.
NEPHROTECH A.E
HELLAMCO S.A
© EUROPEAN PROFILES SA
6.294.518 €
5.771.611 €
5.642.744 €
5.620.944 €
5.468.809 €
5.433.393 €
Profile
Exclusive imports and wholesale
trade of reagents, scientific
instruments, and components.
Representations, imports and
wholesale trade of medical
apparatus, hospitals equipment
and disposable supplies. Repairs
and maintenance service.
Representations, imports and
wholesale trade of medical
labaroty instruments and
reagents.
Exclusive imports and trade of
industrial, medical and special
gasses, medical apparatus,
bottles of gasses, gas network
andlabatory safety equipment.
Installation of gas distribution
systems. Special technicalstudies.
Prduction (on - site) of industrial
and medical gasses.
Representations, imports and
trade of medical apparatus,
disposable supplies and implants.
Representations, exclusive
imports and trade of medical and
labatory apparatus, instruments,
dsposable supplies, disinfects and
reagents.
Representations, exclusive
imports and trade of
haemodialysis materials and
solutions and medicines.
Representations, exclusive
imports and trade of scientific and
labatory instruments, apparatus
and equipment, reagents, gas
generators and electronic
weighing systems.
Purchase
Manager
Telophone
email
Mr. Drosos
Spyros
210 6899801
info@biomedica.gr
address
4 Papanikoli &
Possidonos, 152 32,
Halandri, Athens
Mr. Arvanitis
Konstandinos
2109690900
technomedics@technomedics.
gr
124 Saki Karagiorga
str., 165 61, Glyada,
Athens
n/a
2104819098
diamedel@otenet.gr
6-8 Hiou str., 18345,
Moschato, Athens
info@messer.gr
Ag. Varvaras &11
Aristidou, 175 63,
Palaio Faliro, Athens
website
www.biomedica.gr
Mr.
Apsotolelis
Apostolos
2109882579
Mr. Grioris
Krisos
2102854640
11 Velestinou, 141
22, Hrakleio, Athens
2310461667
grdinga@otenet.gr
Karaoli Dimitriou,
P.O. Box 60031,
57001,Themri,
Thessaloniki
www.dingas.gr
info@nephrotech.gr
Athinon Lamias Rd
(12 km), 144 52,
Athens
www.nephrotech.gr
info@hellamco.gr
7 Matathonos str.,
152 35, Halandri,
Athens
www.hellamco.com
n/a
Mr.
Kosmetatos
Efstathios
(orthopedics),
Mr. Vanos
Spyros
(pharmaceutic
als)
n/a
2102810528
2106895260
www.messer.gr
25
The Medical Devices Sector in Greece
No
COMPANY'S NAME
72
MEDICAL
DEVELOPMENT S.A.
Turnover
(Year 2005)
5.399.870 €
5.328.845 €
73
DELTA MEDICAL S.A.
74
MEDTRONIC HELLAS
S.A
5.303.495 €
5.228.071 €
76
ANALYTICAL
INSTRUMENTS A.E
"Dr. C.J.Vamvakas"
GROUP MEDICAL
PURCHASING
77
AGIORAMMA Ltd
5.207.703 €
78
D.P.C - "Ν.ΤSAKIRIS"
S.A.
80
PARPAS K.P HELLAS
S.A.
4.993.055 €
81
ASPIS MEDICAL LTD
4.988.686 €
82
BIODYNAMICS S.A.
4.960.777 €
75
© EUROPEAN PROFILES SA
5.210.093 €
5.148.235 €
Profile
Representations, exclusive
imports and trade of medical
disposable supplies, tools,
implants, orthopedics and hospital
equipment.
Representations, exclusive
imports and trade of medical
apparatus and instruments,
disposable supplies and vaccines.
Imports and wholesale trade of
medical apparatus and implants.
Representations, exclusive
imports and wholesale trade an
service of scinetific instruments,
medical apparatus, labatory
furniture, computers and
peripherals.
den to sikonan, xana
Exclusive distribution of medical
disposable supplies and
orhopedics.
Representations, exclusive
imports and trade of regeants and
labatory instruments.
Representations, exclusive
imports and whosale trade of
medical apparatus and disposable
supplies, cosmetics, beauty
parlor's machinery, spa
equipment, whirlpool units and
saunas. Maintenance service of
medical equipment.
Exclusive imports and whosale
trade of medical implants and
disposable supplies.
Representations, exclusive
imports and whosale trade of
labatory instruments, disposable
supplies and reagents.
Purchase
Manager
Telophone
email
address
Mr.
Anagnostakos
Nikos
2106400006
medev@ath.forthnet.gr
18-10 Tsocha str.,
115 21, Athens
deltamed@otenet.gr
48 Maratonos str.,
153 54, Glyka Nera,
Athens
n/a
2106046835
website
5 Ag. Varvaras str.,
15231, Halandri,
Athens
Mr. Karakasis
George
2106779099
Mr. Bartsokas
Nikos
2106748973-7
contact@analytical.gr
Mr. Ioannidis
Petros
2310846003
pioannides@the.forthnet.gr
Mr. Nikolaidis
Mihael
2310784713
dpcgr@otenet.gr
4 Katsimidou str., 546
39, Thessaloniki
Symmachiki Odos
Ionias - Oraiokastrou,
P.O. Box 238, 570
08, Ionia,
Thessaloniki.
9 Tzavela str., 152
31, Halandri, Athens
Mr.Parpas K.
2106840700
parpas@otenet.gr
21 Nikis str. & Zireias
str., 151 23,
Maroussi, Athens
Mr. Artouros
Frantzolini
2106811768
sigfrido@hol.gr
12 K. Varnali, 152 33,
Halandri, Athens
Mr. Botinis
Theodoros
2106449421
biodynamics.s.a.@biodynamics
.gr
L. Katsono, 114 71,
Athens
www.analytical.gr
www.parpashellas.com
26
The Medical Devices Sector in Greece
No
83
COMPANY'S NAME
ALAN MEDICAL S.A.
Turnover
(Year 2005)
4.937.741 €
84
SANTAIR S.A.
4.885.223 €
85
MEDIMEK S.A.
4.849.153 €
86
SARGENTIS Z, S.A.
4.651.001 €
4.579.718 €
88
PNOI S.A.
RISALKO TRADING
OF MEDICAL
PRODUCTS S.A.
89
ELETRON S.A.
4.288.717 €
90
MEDI SUP S.A.
4.233.410 €
91
DOURMOUSSOGLOU
S.A.
4.075.930 €
92
LYRITIS-BIOLINE S.A.
4.006.751 €
87
© EUROPEAN PROFILES SA
4.540.401 €
Profile
Representations, exclusive
imports and whosale trade of
medical tools, protective goods
and hospital disposable supplies.
Representations, exclusive
imports and whosale trade of
medical apparatus and hospital
disposable supplies.
Imports and whosale trade of
medical and hospital disposable
supplies and medical tools.
Exclusive imports and trade of
implants and orthopedics.
Representations, exclusive
imports and whosale trade of
medical apparatus, labatory
instruments and disposable
supplies.
Imports and trade of medical
disposable suppliesand
apparatus.
Exclusive imports and trade of
medical appparatus and
implantable devices.
Representations, exclusive
imports and wholseale trade of
medical disposable supplies.
Representations, exclusive
imports, production & wholesale
trade of gauze bandages,
orthopedics and medical
protective goods.
Representations, exclusive
imports, production & wholesale
trade of medical apparatus,
instruments, tools, reagents,
orhopedics and implants.
Purchase
Manager
Telophone
email
address
website
Mr.
Karaouzos
Aristotelis
2106998215
alanmed@otenet.gr
27 Geroulanou str.,
115 24, Athens
www.alanmedical.gr
www.santair.gr
Mr. Giannis
Kelopas
2109714444
info@santair.gr
41 Agamemnonos
str., 172 35, Dafni,
Athens
n/a
2821044119
health@medimeq.gr
10 N. Plastira str.,
731 34, Hania, Crete
Mr. Sargendis
Dionisis
2106017000
24 Hpeiroustr., 152
35, Vrilissia, Athens
Mr. Thodoros
Prineas
2106801663
info@pnoi.gr
40 Vas. Georgiou str.,
152 33 Halandri,
Athens
n/a
2107234804
risalkosa@ath.forthnet.gr
11-13 Ravine str.,
115 21, Athens
Mrs.
Daskalaki Kali
21077783861
eletron@eletron.gr
Mr. Dimeas
Nikos
2106000661
athens@medisup.gr
13 Feidippidou,
11526 Athens
7 Ag. Ioannou, 15342
Ag. Paraskevi,
Athens
Mr. Pappailiou
Nikos
2102447410
ducasco@otenet.gr
43 K. Katarastr.,
13671, Acharnes,
Athens
n/a
2108215930
bioline@hol.gr
50 Alexandras Ave,
114 73, Athens
www.eletron.gr
27
The Medical Devices Sector in Greece
ANNEX II
NATIONAL LEGISLATION
a. Laws
L.2286/95 (Government
Gazette 19A/1.2.1995)
Public Supplies and regulation of relevant issues
L.2522/97 (Government
Gazette 178A/8.9.1997)
Juridical Protection at the preceding stage of the conduction of
the contracts of public projects, public supplies and services
according to the Directive 89/665 E.C.C
L.2741/99 (Government
Gazette 199A/28.9.1999)
Hellenic Food Authority, other regulations of issues under the
auspices of the Ministry of Development and other stipulations
L.2955/01 (Government
Gazette 256A/2.11.2001)
Supplies of Hospitals and other Health Units of the Regional
Health System (PESY) and other stipulations
L3329/4.4.05 (Government
Gazette 91/A’ )
Structuring and Management of the National Health System
and Social Solidarity.
Government Gazette
518/19.4.2005
The maximum prices (without VAT) of artificial implantable
bones, jaw facial surgery, pacemakers-defibrillators,
electrodes and cardio surgery equipment and artificial kidney
apparatus
(Modification
of
Ministerial
Decree
8130/30.12.2003, Government Gazette 1952)
b. Presidential Decrees
P.D. 370/95 (Government
Gazette 199A/14.9.1995)
Adjustment of the Greek legislation regarding public supplies
to the Community legislation, mostly to the stipulations of the
Directive of the European Community Council 93/36/EU of the
14th June 1993 (E.U No. L199 of 9.8.1993, page 1) regarding
procedures coordination for the contract of public supplies.
P.D 82/96 (Government
Gazette 66/A.11.4.1996)
Registration of shares of Greek Joint Stock Companies that
participate to the procedures of projects undertaking or public
supplies or supplies of other public legal entities
P.D 394/96 (Government
Gazette 266A/4.12.1996)
Regulation of Public Supplies
P.D 105/00 (Government
Gazette 100/A/17.3.2000)
Adjustment of the Greek legislation regarding public supplies
to the Community Law and mostly to the stipulations of article
2 of the Directive 97/52/E.U of the European Council and the
council of the 13th October 1997 and modification of the P.D
370/1995 (A199)
c. Ministerial Decrees
No P1/214 (Government
Gazette 79B/2.2.2000
Supplies of important economic and technological value
No P1/7445 (Government
Gazette112B/31.1.2002)
Exclusion of supplies from their incorporation to the Unified
Supplies Programme
No P1/7446 (Government
Gazette 112/B/31.1.2002)
Application of the stipulations of Article 2 (paragraphs 5,12,13
& 16) of L.2286/95
COMMUNITY LEGISLATION
Directives
93/36/ECC/14.6.1993
Coordination of the procedures for the public supply contracts
93/42/EEC/14.6.1993
Medical Devices and its accessories
© EUROPEAN PROFILES SA
28
97/52/E.U/ 13.10.1997
The Medical Devices Sector in Greece
Modification of the Dierectives 92/50/ECC, 93/36/ECC and
93/37E.C.C regarding coordination of procedures of
contracting of public services, contracting of public supplies,
and contracting of public projects.
2001/78/EC/13.9.2001
Modification of the Annex IV of the Directive 93/96/E.C.C, of
the Annexes IV, V, VI of the Directive 93/37/E.C.C, of the
Annexes III & IV of the Directive 92/50/E.C.C as they were
modified by the Directive 97/52/E.C as well as the Annexes XII
up to XV, XVII and XVIII of the Directive 93/38/E.C.C as it was
modified by the Directive 98/4 E.C (Directive for the use of
standardised documents for the publication of Calls for public
Contracts.
2004/18/EC
Coordination of procedures for the award of the public works
contracts, public supply contracts, and public service contracts
© EUROPEAN PROFILES SA
29
The Medical Devices Sector in Greece
ANNEX III
GOVERNMENT GAZETTE 518/19.4.2005 WITH THE MAXIMUM PRICES OF
MEDICAL DEVICES
© EUROPEAN PROFILES SA
30