The mature Japanese CRM device market will remain flat through 2029, characterized by low generator unit volume growth, rising ICM procedure volumes, and price erosion. The uptake of premium-priced devices such as CRT devices, leadless pacemakers, and S-ICDs will help mitigate the downward pressure of reimbursement cuts over the forecast period. However, the COVID-19 global pandemic will have a negative impact on the Japan CRM device market, resulting in lost procedure volumes in the short term followed by a period of recovery.

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

Adoption of novel devices will offset waning revenue for traditional devices in the Japanese CRM 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 like Medtronic's Micra and Boston Scientific's EMBLEM S-ICDs offset declining revenue in other markets?

New-generation miniature ICMs like Medtronic's Reveal LINQ have experienced strong uptake, how does this affect competitive standings? Have other ICM competitors met Medtronic's challenge? How does the availability of this device affect sales of other CRM devices?

The COVID-19 global pandemic will have a negative impact on the CRM market in the short-term.

To what extent will the CRM market, which is made up of largely essential procedures, experience reduced procedure volumes? How will this differ from the nonessential ICM segment? 

How will ongoing and planned clinical trials be affected by a strained health care system?

The mature CRM device market will remain highly saturated, which leads competitors to find innovations to achieve growth.

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?

How can individual competitors realize growth in this large but fairly mature market?

The MHLW's biennial reimbursement revisions are having a significant impact on pricing trends.

How are the MHLW's biennial reimbursement revisions different between device segments? What 2018 revisions will affect market growth?

How are the ASP trends for novel devices different compared to those for more established devices?

Table of contents

  • Cardiac Rhythm Management Devices - Market Insights - Japan
    • Abstract
    • Executive Summary
      • COVID-19 Updates
        • Market Highlights
          • Factors Impacting the CRM Device Market, by Product Type, Japan
          • CRM Device Market, by Product Type, Japan (USD), 2019–2029
          • CRM Device Market Landscape, Japan (USD), 2019 and 2029
        • Competitive Highlights
          • Competitive Factors and Strategies, by Product Type, Japan
          • CRM Device Revenue Market Share Rankings, by Product Type, Japan, 2017 (list displayed is from the previous iteration of the report)
          • Companies Mentioned
        • Market Developments
          • Recent Events in the CRM Device Market, Japan
          • Emerging Products for the CRM Device Market, Japan
        • Average Currency Exchange Rates
          • Procedures Covered
            • CRM Procedures Covered, Japan
          • Products Covered
            • CRM Devices Covered, Japan
        • Key Report Updates
          • COVID-19 Analysis
            • Market Impact
              • COVID-19 Impact Assessment Summary, Cardiac Rhythm Management Device Market, Japan
            • Guidance and Recommendations
              • Guidance and Recommendations for Cardiac Rhythm Management Device Procedures
            • Major Market Forecast Changes and Assumptions
              • CRM Device Market, by Product Type, Japan (USD), 2019–2029 (Excluding COVID-19 Impact)
              • CRM Device Market, by Product Type, Japan (USD), 2019–2029 (Including COVID-19 Impact)
            • Competitive Impact
              • COVID-19 Competitive Factors and Strategies, Cardiac Rhythm Management Device Market, Japan
              • COVID-19 Impact by Competitor, Cardiac Rhythm Management Device Market, Japan
          • Cardiac Rhythm Management Device Market
            • Market Highlights
              • Factors Impacting the CRM Device Market, by Product Type, Japan
              • CRM Device Market, by Product Type, Japan (USD), 2019–2029
            • Market Definitions
              • Market Forecast Data
                • CRM Device Procedures, by Product Type, Japan, 2019–2029
                • CRM Device Market, by Product Type, Japan (USD), 2019–2029
                • CRM Device Market Growth, by Product Type, Japan, 2020–2029
                • Pulse Generator Procedures, by Product Type, Japan, 2019–2029
                • Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                • Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                • S-ICD Market, by Product Type, Japan (USD), 2019–2029
              • Competitive Highlights
                • Market Shares
                  • CRM Device Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                  • CRM Device Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                  • Pulse Generator Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                • Competitive Factors and Strategies
                  • Competitive Factors and Strategies, by Product Type, Japan
                • Market Developments
                  • Recent Events in the CRM Device Market, Japan
                  • Emerging Products for the CRM Device Market, Japan
              • Pacemaker Market
                • Market Highlights
                  • Pacemaker Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                • Market Definitions
                  • Market Forecast Data
                    • Pacemaker Procedures, by Procedure Type, Japan, 2019–2029
                    • Single-Chamber Pacemaker Procedures, by Procedure Type, Japan, 2019–2029
                    • Dual-Chamber Pacemaker Procedures, by Procedure Type, Japan, 2019–2029
                    • Pacemaker Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                    • Pacemaker Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                    • Single-Chamber Pacemaker Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                    • Single-Chamber Pacemaker Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                  • Competitive Highlights
                    • Market Shares
                      • Pacemaker Pulse Generator Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                      • Pacemaker Pulse Generator Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                    • Competitive Factors and Strategies
                      • Competitive Factors and Strategies, by Product Type, Japan
                  • Implantable Cardioverter Defibrillator Market
                    • Market Highlights
                      • ICD Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                    • Market Definitions
                      • Market Forecast Data
                        • ICD Procedures, by Procedure Type, Japan, 2019–2029
                        • Single-Chamber ICD Procedures, by Procedure Type, Japan, 2019–2029
                        • Dual-Chamber ICD Procedures, by Procedure Type, Japan, 2019–2029
                        • ICD Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                        • ICD Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                        • Single-Chamber ICD Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                        • Single-Chamber ICD Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                      • Competitive Highlights
                        • Market Shares
                          • ICD Pulse Generator Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                          • ICD Pulse Generator Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                          • Single-Chamber ICD ​Pulse Generator Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                        • Competitive Factors and Strategies
                          • Competitive Factors and Strategies, by Product Type, Japan
                      • Cardiac Resynchronization Therapy Device Market
                        • Market Highlights
                          • CRT Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                        • Market Definitions
                          • Market Forecast Data
                            • CRT Procedures, by Procedure Type, Japan, 2019–2029
                            • CRT-P Procedures, by Procedure Type, Japan, 2019–2029
                            • CRT-D Procedures, by Procedure Type, Japan, 2019–2029
                            • CRT Pulse Generator Market, by Product Type, Japan (USD), 2019–2029
                            • CRT Pulse Generator Market Growth, by Product Type, Japan, 2020–2029
                          • Competitive Highlights
                            • Market Shares
                              • CRT Pulse Generator Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                              • CRT Pulse Generator Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                            • Competitive Factors and Strategies
                              • Competitive Factors and Strategies, by Product Type, Japan
                          • Lead Market
                            • Market Definitions
                              • Market Forecast Data
                                • Lead Market, by Product Type, Japan (USD), 2019–2029
                                • Lead Market, by Product Type, Japan (USD), 2019–2029
                                • Lead Market Growth, by Product Type, Japan, 2020–2029
                                • Defibrillator Lead Market, by Product Type, Japan (USD), 2019–2029
                                • Defibrillator Lead Market Growth, by Product Type, Japan, 2020–2029
                              • Market Shares
                                • Lead Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                • Lead Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                • Traditional Defibrillator Lead Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                            • Lead Extraction Device Market
                              • Market Highlights
                                • Lead Extraction Device Market, by Product Type, Japan (USD), 2019–2029
                              • Market Definitions
                                • Market Forecast Data
                                  • Lead Extraction Procedures, by Procedure Type, Japan, 2019–2029
                                  • Lead Extraction Device Market, by Product Type, Japan (USD), 2019–2029
                                  • Lead Extraction Device Market Growth, by Product Type, Japan, 2020–2029
                                • Competitive Highlights
                                  • Market Shares
                                    • Lead Extraction Device Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                    • Lead Extraction Device Revenue Market Shares, by Product Type, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                  • Competitive Factors and Strategies
                                    • Competitive Factors and Strategies, by Product Type, Japan
                                • Insertable Cardiac Monitor Device Market
                                  • Market Highlights
                                    • ICM Device Market, Japan (USD), 2019–2029
                                  • Market Definitions
                                    • Market Forecast Data
                                      • ICM Device Market, Japan (USD), 2019–2029
                                      • ICM Device Market Growth, Japan, 2020–2029
                                    • Competitive Highlights
                                      • Market Shares
                                        • ICM Device Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                        • ICM Device Revenue Market Shares, Japan, 2017 (shares displayed are from the previous iteration of the report)
                                      • Competitive Factors and Strategies
                                        • Competitive Factors and Strategies, Japan
                                    • Appendix
                                      • Abbreviations
                                        • Bibliography

                                      Author(s): Suraj Nair, Masters in Bioprocess Technology

                                      Suraj Nair is a Research Associate within the Cardiovascular Medtech Insights team at Decision Resources Group, specializing in the Electrophysiology Mapping and Ablation Devices Market. Suraj holds a Master’s degree in Bioprocess Technology from the Institute of Chemical Technology, Mumbai and has a prior experience of working in the biopharmaceutical industry for two years and in the market research industry for medical devices for a year.