Reference price 338 yuan?

Medical Network News on August 20th, the
　collection is coming soon, and the information collection has been launched on August 17.
On
August 17, the Chongqing Medical Insurance Bureau issued the "On the development of the production of endoscopic cutting staples and venous indwelling needles related production enterprises and product information collection work notice ", will be carried out endoscopic cutting stapler and intravenous catheter with a volume of more than Federation of Municipalities and procurement
.
The document is clear, and the collection time is from August 17 to August 23
.
Collect objects cutting stapler and components (except electric stapler) for the 2020 July 1 to June 30, 2021 sales of mirrors, intravenous catheter domestic production enterprises and the country's total imports of goods agency business
.
Gathering content includes national health insurance classification and product information, the number of sales history, the history of the sales amount, the national minimum sale price, the lowest bid / price of hanging on and so on
.
The statistical time of historical sales volume and historical sales amount is from July 1, 2020 to June 30, 2021
.
The national minimum selling price is the national minimum selling price (terminal price)
.
The national minimum online price is the lowest price among the provincial-level winning bids/network prices that are currently being implemented across the country
.
Previously, staplers and indwelling needles have been purchased in many provinces, among which most of the staplers are at the provincial level, and the indwelling needles are mainly at the municipal level
.
Information collection was officially launched, and the prelude to the collection of endoscopic staplers and indwelling needles in the Chongqing Multi-provincial Union has opened
.

Collective procurement "does not escape", endoscopic stapler divides the price-rolled
stapler into open stapler and endoscopic stapler
.
Previously, it was collected in Chongqing, Guizhou, Yunyu Alliance, Jiangsu, Shanxi and other places.
The types of staplers were all open staplers.
Among them, the two thousand yuan linear staplers were reduced to one in the collection of stapler production in Jiangsu Province.
A hemorrhoid stapler costing more than one hundred yuan and four to five thousand yuan fell to two to three hundred yuan, with an average drop of 83.
93% and the highest drop of 96.
29%
.
Although the bargaining price is fierce, the use of open staplers in the stapler market in 2019 is only about 40%.
According to industry insiders, the endoscopic stapler is the current mainstream stapler, so in the face of normalized centralized procurement, endoscopic anastomosis The device is also doomed
.
The first centralized procurement of laparoscopic staplers was in Hunan Province.
From the "Selected Results of the Centralized Procurement of Some Medical Consumables in Medical Institutions in Hunan Province in 2020" issued by Hunan Province on August 13, it can be seen that the laparoscopic staplers are in Hunan's centralized procurement officially entered the thousand yuan era, and the lowest winning bid was 338 yuan
.

　
In the collection of information collected by the Chongqing Multi-provincial Alliance, enterprises are required to provide the lowest bid-winning/listed online price in the country.
According to previous centralized procurement rules, companies are generally required to offer no higher than the lowest bid-winning/listed online price in the country
.
In other words, the bid price won by the centralized procurement in Hunan Province may become the ceiling price, and the price of the endoscopic stapler will also face a cliff-like decline
.
Although the price of centralized procurement has fallen, it is also good for leading domestic enterprises
.
It is understood that the market size of endoscopic staplers is about 6 billion, and the domestic market share is only 30%.
Under the influence of the centralized procurement policy, the penetration rate of clinical use of domestic products will inevitably be greatly expanded
.
In addition, there are many domestic manufacturers of endoscopic staplers, but the quality of their products is uneven.
Centralized procurement forces industry integration, which is beneficial to large-scale leading enterprises with innovative capabilities
.

　　Electric stapler, the next blue ocean market
Endoscopic stapler is divided into manual endoscope stapler and electric endoscope stapler according to different power modes
.
The manual endoscopic stapler is controlled manually to activate the staple cartridge assembly to suture the tissue.
During use, it is necessary to manually hold the firing handle several times, and the staple cartridge assembly is closed and formed by the mechanical traditional mechanism of the stapler.
Improper operation can easily cause the suture of the tissue.
Pull and tear
.
The electric endoscope stapler is combined by a DC motor, a circuit board and a traditional mechanical structure, and all the action functions of the endoscope stapler are fully realized under electric control, and the operation method is simple
.
Compared Manual endoscopic stapler, an electric stapler obvious advantages, it can be achieved by operation of automatic control physician standard operation, standard output, reducing the physician learning curve, while increasing the accuracy of minimally invasive surgery
.
As the manual endoscopic stapler enters the centralized procurement of Chongqing Union, it is likely to be included in the centralized procurement of other provinces in the future, and the manual endoscopic stapler will subsequently enter the Red Sea market
.
It is worth mentioning that this Chongqing information collection specifically mentioned that electric staplers are not included in the collection
.
Therefore, there are higher technical barriers, greater operational advantages, and electric staplers that have not yet been included in centralized procurement will become the next blue ocean
.
According to the forecast of Kaiyuan Securities, the amount of domestic minimally invasive surgery will reach 26 million in 2024, the penetration rate of endoscopic staplers in minimally invasive surgery will reach 21%, and the amount of endoscopic staplers will be about 5.
46 million, of which electric endoscopic staplers Sales in 2024 will exceed 700,000 units
.
At present, Johnson & Johnson, Medtronic and other import companies have launched electric staplers.
Among them, Johnson & Johnson’s latest research report stated that Johnson & Johnson has a unique gripping surface technology (Griping Surface Technology) GST’s Echelon electric stapler.
The incidence of related complications is lower
.
There are also many domestic companies that have deployed the electric stapler field, such as the full range of electric staplers from Intracom, the electric endoscopic stapler of Wilkadi, the disposable all-electric endoscopic stapler of Fenghe Medical, and the disposable of Yisi Medical And reusable electric stapler, Imax Medical's disposable all-electric endoscopic stapler, etc.

.
Compared with imported enterprises, domestically produced products started late and there is still a certain gap in technology.
However, with the advancement of domestically produced technology and the country's support for domestically produced alternative policies, domestically produced electric endoscopic staplers will usher in a better development in the future Opportunity
.