The mature European CRM device market will remain flat through 2026, as a result of flat generator unit sales, rising ICM procedure volumes, and price erosion. Adoption of premium-priced devices such as MRI-conditional devices, leadless pacemakers, and S-ICDs will help mitigate price erosion to a small extent.

This Medtech 360 Report provides comprehensive data and analysis on the current state of the European cardiac rhythm management device market across a 10-year period.


The mature CRM device market is saturated and will remain relatively flat through 2026.

How do epidemiological trends and new technology influence growth in different pulse generator product segments? How are these trends different compared to the rapidly expanding ICM market?

What factors will create pricing pressures, and to what extent will price erosion impact market growth?

Premium-priced device adoption will be limited in most European countries because reimbursement of these devices is not well defined. 

How is reimbursement impacting adoption of premium-priced devices like leadless pacemakers, S-ICDs, and ICMs?

How does the adoption of these devices vary in different European countries?  

MRI-conditionality and other incremental device improvements affect ASPs and the competitiveness of a company's CRM device portfolio.

How much price premium is earned for MRI-conditional across device segments ?

How will incremental improvements like remote monitoring and extended battery life provide a competitive edge?

Adoption of novel devices will offset waning revenue for traditional devices in the European CRM device market.

What is the predicted uptake of novel devices such as leadless pacemakers and S-ICDs? Will leadless pacemakers and S-ICDs become the standard-of-care?

To what extent does the uptake of leadless pacemakers offset declining revenues for traditional pacemakers and ICDs?

How has uptake of next-generation devices such as miniature ICMs affected competition in this space? 

Countries with better economic conditions and reimbursement will drive the overall CRM market.

Which countries will drive growth in the overall European CRM device market?

How will differences in economic conditions and reimbursement impact the CRM device market in specific countries?

Table of contents

  • Europe
    • Abstract
    • Executive Summary
      • Market Highlights
      • Competitive Highlights
      • Market Developments
      • Key Report Updates
      • End-User Insights
      • Geographies Covered
      • Procedures Covered
      • Products Covered
    • Version History
    • Cardiac Rhythm Management Device Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
        • France
        • Germany
        • Italy
        • Spain
        • UK
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
        • Product Improvements and Innovations
        • Local Marketing Strategies
        • Clinical Data
        • Distribution and Sales Network
        • Physician Training and Marketing
        • Product Portfolio Management
        • Negative Press
        • Mergers, Acquisitions, and Partnerships
      • Market Developments
    • Pacemaker Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Implantable Cardioverter Defibrillator Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Cardiac Resynchronization Therapy Device Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Lead Market
      • Market Definitions
      • Market Forecast Data
      • Market Shares
    • Lead Extraction Device Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Insertable Cardiac Monitor Market
      • Market Highlights
      • Market Definitions
      • Market Forecast Data
      • Competitive Highlights
      • Market Shares
      • Competitive Factors and Strategies
    • Appendix
      • Abbreviations
      • Bibliography

Author(s): Swarnadip Dutta, MBA

Swarnadip Dutta is a team lead within the Orthopedics, Dental, and Aesthetics Medtech Insights team at Decision Resources Group, specializing in the fields of dental implants, joint reconstruction, and craniomaxillofacial devices. Swarnadip holds a Master's degree in Bioinformatics and Biotechnology from SRM University, an MBA in Operations Management, and a Six Sigma Green Belt certification from the Indian Statistical Institute. Follow Swarnadip on Twitter: @Swarnadip_DRG.


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