Design of modern highrise reinforced concrete structures - Hiroyuki Aoyama
Koki Aoyama, Managing Executive Officer, Medical Systems ...
18
Strategy for Medical Systems Business Koki Aoyama, Managing Executive Officer, Medical Systems Division General Manager September 16, 2021
Transcript of Koki Aoyama, Managing Executive Officer, Medical Systems ...
Strategy for Medical Systems BusinessKoki Aoyama, Managing
Executive Officer, Medical Systems Division General Manager
September 16, 2021
Sources of market data: Shimadzu estimates based on IHS market data, F&S market data, and other sources
Diagnostic X-Ray System Market by Region (Excluding CCD, CR, and retrofits)
Other
2017 2018 2019 2020 2021 2022
Global market for diagnostic imaging systems is about 3 trillion yen with strong growth. Of that, global market size for diagnostic X-ray systems is about 700 billion yen (in 2019).
Globally, Shimadzu is the fourth largest (with a 7 % market share), after the three major non-Japanese manufacturers.
The most important regions are the United States, China, and Japan, which have large domestic markets.
In 2020, due to the COVID-19 pandemic, demand for mobile X-ray systems increased significantly, but demand for large medical systems, such as R/F systems and angiography systems decreased significantly.
Current Status of Business Overview of Diagnostic Imaging System Market
Diagnostic X-Ray System Market Share by Model (2019, excluding CCD, CR, and retrofits)
General radiography
system 29%
R/F system
Angiography system
Fujifilm
Canon
Shimadzu
Other
Diagnostic X-Ray System Market Share (2019, excluding CCD, CR, and retrofits)
2
3
Medical Systems Business Results Net sales Operating income Operating margin
C on
so lid
at ed
N et
S al
es /C
on so
lid at
n
Consolidated Net Sales: Decreased last year due to changes in standards used to recognize profit and due to market changes associated with the COVID-19 pandemic
During the four years of growth maintained until FY 2019, net sales increased by 5.6 billion yen (8.7 % increase at a 2.1 % CAGR). Consolidated Operating Income: Improved significantly, increasing by 3.3 billion yen during a five-year period (420 % increase at a
33.1 % CAGR)
General Radiography
Radiotherapy System
Fluoroscopy System
Angiography System
Product General Radiography System Mobile X-Ray System Fluoroscopy System PET System C
lin ic
al V
al ue
powered operation and addresses infectious diseases
Fe at
ur es
Enables examinations even in confined spaces. Freely flexible operability
Supports examinations for many purposes. AI-assisted bone mineral density measurement Assists artificial joint replacement surgery.
High-resolution PET images show detailed pathological changes.
Clinical Value of Products—Expanding/Improving Diagnostic Capabilities
Source: Sixth NDB Open Data Japan Source: Sixth NDB Open Data Japan
General radiography system
This year is 60th anniversary of first remotely-operated diagnostic X-ray system!
Dynamic fluoroscopic imaging enables rapid diagnoses
0
1,000
2,000
3,000
Number of Diagnostic Imaging Cases (within Japan during FY 2019)
Early detection of breast cancer
Head PET examination
lin ic
al V
al ue
Fe at
ur es
reduces X-ray dose levels. Suitable for small and confined
operating rooms
Tumor-tracking function helps irradiate tumors with pinpoint accuracy in organs subject to movement.
Clinical Value of Products—Improving Procedure Support Functionality
Source: Sixth NDB Open Data Japan
Current Status of Radiation Therapy Procedures (Japan)
M ed
ic al
C om
pe ns
at io
n (1
00 M
illi on
Y en
Automatically selects radiography orientation that avoids the gantry head.
Broad whole-body movement range supports interventional procedures anywhere in the body.
High image quality with low X-ray dose levels
1
2016
2017
2018
2019
()
()
988.112631
1001.155086
1110.683692
1149.961887
85
69,325,148
58,926,375,800
E001
170000410
85
29,116,379
24,748,922,150
E001
170000410
43
3,270
1,389,750
170000910
43
1,165
495,125
170000910
85
816,633
694,138,050
170001250
85
167,078
142,016,300
170001250
43
3,296
1,400,800
170001650
43
974
413,950
170001650
0
3,469
0
170021550
0
20,279
0
170021550
0
0
170021650
0
0
170022730
43
9,980
4,241,500
170022730
43
131,242
55,777,850
170022830
0
969
0
170023750
0
427
0
170024250
0
0
170024250
308
740
2,279,200
170005630
308
42
129,360
170002110
308
0
170006930
356
0
170005530
308
0
170002510
356
38
135,280
170005630
308
38
117,040
170005630
308
591
1,820,280
170005630
308
41
126,280
170007030
308
11
33,880
170007530
308
331
1,019,480
170006530
356
0
170006530
308
870
2,679,600
170005630
308
1,007
3,101,560
170005630
308
52
160,160
170006530
356
0
170007530
356
24
85,440
170006930
308
0
170007630
308
9,179
28,271,320
170008230
308
0
170007630
308
430
1,324,400
170007030
308
0
170007530
308
0
170006930
356
46
163,760
170008430
356
53
188,680
170007530
308
629
1,937,320
170008330
308
0
170006930
308
0
170007630
308
5,537
17,053,960
170008530
308
0
170007630
308
7,209
22,203,720
170008430
178
14
24,920
170007030
308
12
36,960
170007530
356
215
765,400
170011650
308
0
170011430
178
11
19,580
170011650
308
1,343
4,136,440
170008530
308
0
170012710
1,140
894
10,191,600
170008230
1,140
795
9,063,000
170012710
1,140
269
3,066,600
170012710
1,140
888
10,123,200
170007630
308
12,406
38,210,480
170008430
438
0
170008330
438
0
170020710
308
0
170012710
1,140
196
2,234,400
170020710
178
22
39,160
170019430
438
0
170021150
308
0
170021150
1,140
1,030
11,742,000
170021750
1,140
276
3,146,400
170021970
0
4,304
0
170028110
178
16
28,480
170019330
516
0
170023950
438
0
170023950
438
0
170027010
1,140
324
3,693,600
170020710
486
0
170021150
438
0
170021750
318
10,045
31,943,100
170029030
318
1,582
5,030,760
170020710
318
142
451,560
170029230
318
21
66,780
170021850
366
4,680
17,128,800
170028410
318
1,960
6,232,800
170029430
318
40
127,200
170023950
318
9,193
29,233,740
170028930
366
1,267
4,637,220
170028310
318
1,575
5,008,500
170029530
366
1,662
6,082,920
170029030
318
1,478
4,700,040
170028410
318
0
170029730
318
69
219,420
170029130
366
670
2,452,200
170028930
318
0
170029730
366
2,470
9,040,200
170029330
366
1,359
4,973,940
170029030
318
9,962
31,679,160
170029330
318
8,673
27,580,140
170028110
318
2,686
8,541,480
170029430
318
100
318,000
170029130
318
51
162,180
170030030
318
28,221
89,742,780
170030130
366
545
1,994,700
170029530
366
0
170029230
318
96
305,280
170029530
366
532
1,947,120
170029730
366
178
651,480
170029330
318
20
63,600
170028410
318
22,101
70,281,180
170029930
366
873
3,195,180
170029430
318
1,812
5,762,160
170029930
183
195
356,850
170028930
318
1,595
5,072,100
170030130
366
12
43,920
170030030
318
7,120
22,641,600
170029530
318
7,735
24,597,300
170030530
318
630
2,003,400
170030830
501
0
170029030
318
8,714
27,710,520
170029130
366
0
170030130
366
0
170029730
183
17
31,110
170030930
534
13
69,420
170029130
318
12
38,160
170030330
366
3,565
13,047,900
170030230
366
0
170029930
501
0
170031030
453
40
181,200
170029230
318
116
368,880
170029330
366
6,139
22,468,740
170030430
366
1,231
4,505,460
170030030
318
24,924
79,258,320
170030530
318
23
73,140
170030930
534
0
170031750
318
89
283,020
170030530
318
538
1,710,840
170030530
318
13
41,340
170030130
582
0
170031030
453
80
362,400
170031850
318
2,031
6,458,580
170029530
534
0
170030830
501
0
170030230
501
0
170031750
453
41
185,730
170030930
534
0
170030330
534
0
170031850
318
0
170029930
453
18
81,540
170030430
453
28
126,840
170031950
318
9,507
30,232,260
170031450
318
623
1,981,140
170031350
501
0
170031450
318
32,470
103,254,600
170030230
534
0
170031550
447
19
84,930
170012410
453
55
249,150
170031750
386
0
170012610
318
26
82,680
170031950
399
18
71,820
170012810
183
147
269,010
170032050
318
625
1,987,500
170030730
582
0
170032250
183
26
47,580
170030830
501
0
170032350
501
0
170030930
534
16
85,440
170035330
447
0
170032250
453
63
285,390
170031030
453
30
135,900
170035530
399
13
51,870
170032350
399
0
170032050
447
12
53,640
170012410
399
24
95,760
170012610
447
23
102,810
170032250
399
11
43,890
170032350
98
67
170027110
97
892
170027550
1,200
89
170017850
120
1,115
170027550
1,200
78
E004
170021550
49
14,467
170028510
98
28
170027110
97
1,830
170027550
1,200
170034410
49
98
170028510
1,330
9,777,284
130,037,877,200
170034910
1,600
1,319,052
21,104,832,000
9,616,851
89,937,752,500
170033410
1,620
250,830
4,063,446,000
E201
170016210
2,000
2,176
43,520,000
170034910
1,330
1,868,744
24,854,295,200
E201
170016210
2,000
1,071
21,420,000
E202
1,600
319,156
5,106,496,000
E202
1,620
39,754
644,014,800
170020110
2,520
7,701
160215650
4,200
1,097
160211210
2,520
74,809
D0063
2,520
608
160211310
2,520
1,398
160211410
2,100
10,442
160216050
2,100
3,355
160001050
79
16,481
160041010
32
72,926
160042210
79
3,040
160041510
53
29,594
160042310
79
9,583
160041610
79
9,477
160042410
79
12,987
160041710
79
5,649
160042510
79
1,222
160041810
79
8,183
160042610
79
48,513
160041910
79
23,315
160042710
79
2,442
160042010
79
3,807
160042810
79
1,330
160042110
79
23,842
160042910
79
7,329
160042210
79
5,959
160043010
79
597
160042310
79
5,028
160043110
79
483
160042410
79
1,649
160043210
79
1,438
160042510
79
1,894
160043310
79
76
160042610
79
1,773
160043410
79
74
160042710
79
2,447
160043510
79
81
160042810
79
36
160043710
93
20,812
160043510
79
9,057
160042910
79
26
160043810
85
40,361
160043710
93
10,726
160043410
79
14,722
160043010
79
30
160044010
80
43,317
160043810
85
36,197
160043510
79
5,943
160043110
79
7,640
160044110
β
130
4,704,434
160044010
80
2,390
160043710
93
20,229
160043410
79
233
160043210
79
3,532
160044210
180
23,835
160044110
β
130
86,231
160043810
85
40,877
160043510
79
4,067
160043310
79
1,410
160044710
142
9,861
160044210
180
3,593
160043910
100
160043710
93
10,401
160045210
177
40,498
160044810
206
64
160043710
93
21,413
160043410
79
768
160044810
206
60
160044710
142
3,553
160044010
80
30,976
160043810
85
36,945
160045710
210
160044910
300
160043810
85
40,895
160043510
79
6,179
160045210
173
45,255
160044810
206
67
160044110
β
134
4,560,296
160044010
80
1,675
160045810
210
160045210
177
33,675
160044010
80
48,209
160043710
93
11,059
160046010
140
160121450
220
7,796
160148810
140
148
160121510
140
257
160151950
179
18,101
160151350
95
9,993
160121450
220
9,112
160118210
600
488
160143550
160
14
160142550
140
2,194
160152450
272
181,119
160151950
179
24,703
160121510
79
44,142
160173650
116
25,062
160164350
170
1,488
160162750
180
43,973
160172750
60
654,124
160172450
79
6,313
160167350
79
50,774
160173650
116
17,515
160173650
116
119,447
160172750
60
16,413
160188850
194
17,645
160177150
79
42,985
160173450
291
9,381
160188950
79
7,456
160174950
79
5,940
160193610
15
181,047
160193510
15
239
160172750
60
569,063
160172450
79
47,380
160173650
116
21,244
160193610
15
184,821
160188950
79
6,939
160193810
29
27,861
160193610
15
43,828
160193710
26
203
160193510
350
10,957,577
160072750
160073510
50
1,075,268
268,679
714,258,200
160213010
160073510
50
1,207,907
160170410
350
912,093
160073850
50
1,233
160073310
160073510
50
1,724,021
160186710
160073510
50
2,073,495
160073310
160073510
50
1,144,735
160147310
160073510
160073510
50
1,877,131
160159350
100
18
160166050
150
13
160073410
150
2,205
D219
160147410
160073510
130
160073850
130
389
160102510
50
7,957
160102650
150
53,058
D225
160074010
150
313,314
160074210
130
11,425
D226
160074310
50
10,505
160074410
130
139,330
D228
160074750
100
289
160074210
50
289,738
D229
100
2,932
160153350
100
659
160080710
45
54,213
160172150
250
1,277
160172150
250
3,572
160079610
160089810
160089810
160089810
160089810
160089810
160089810
160089810
16
1,422
160144810
160089810
350
146
160089950
16
91
D2982
160187510
720
29,569
160091610
350
D3002
160160910
500
197,820
D410
500
27,251
160183810
H3104R0203 K
H3004H3103 K
H3004H3103 K
H2904H3003 K
H2904H3003 K
H2804H2903 K
H2804H2903 K
7,170
25
150284010
8,600
14
150,284,010
8,600
14
150284010
7,170
23
150284010
2,000
7,844
150383310
7,170
342
150,383,410
2,400
7,292
150,383,310
8,600
399
150383410
2,400
7,504
150383310
8,600
332
150383410
2,000
7,791
150383310
7,170
356
150391350
2,000
15,481
150,391,350
1,250
150,383,410
2,400
16,301
150391350
2,400
15,715
150391350
2,000
16,361
150391750
470
37
150,391,350
1,250
150391750
8,600
150391750
850
150,391,750
470
150391950
1,320
150,391,850
850
150393050
1,250
150,391,950
1,320
16
K0002
150306910
1,250
6,546
150391950
470
150,392,550
1,250
13
150307010
1,400
2,480
150392550
1,250
6,607
150392750
1,250
6,955
K0002
150306910
1,250
416
150,393,050
850
150,392,650
1,680
150307110
2,220
267
150392650
1,400
2,629
150392850
1,400
2,845
150307010
1,400
311
K0002
150,306,910
1,250
6,349
150,392,850
2,400
150307210
1,850
278
150393050
1,850
332
150307110
1,850
193
150,307,010
1,400
2,394
150,393,050
850
150307310
450
63,919
150410250
1,250
403
150307210
2,220
225
150,410,050
500
13,651
K0002
150306910
1,250
397
150307310
450
64,099
150307010
1,400
311
150307310
450
64,591
150307310
450
349
150,307,210
3,430
19
150,410,250
950
1,010
150307010
1,400
269
150307410
500
13,663
150307110
1,850
173
150307410
500
14,099
150307410
500
176
150,307,310
450
62,844
K0002
150,306,910
1,250
325
150307610
2,220
201
150307510
950
1,053
150307210
950
1,074
150307510
950
62
150,307,410
500
13,451
150,307,010
1,400
292
150393650
450
150307210
450
338
150307610
950
961
150,307,110
2,220
172
150394050
450
381
150341150
500
166
150393250
1,250
150393350
1,400
150,307,610
1,740
79
150,307,210
3,430
103
150394150
1,400
150307410
500
154
150393650
450
150307510
950
90
150394050
500
150,341,150
450
378
150394450
950
60
150394050
450
150,307,410
500
190
K001
150001810
1,250
150,307,510
950
57
150001910
500
K001
150001810
500
150002010
450
150,307,610
1,740
25
150002010
1,250
K001
150001810
500
150,341,150
450
150001910
3,480
7,597
150,002,410
9,180
432
K003
3,480
1,147
150260810
17,810
35
150,002,610
9,180
679
150283710
2,110
2,069
150,283,610
17,810
415
K005
4,070
360
K004
2,110
212
150003210
11,370
47
150,260,810
4,070
249
150272410
11,370
253
K006
4,510
6,964
150006610
13,720
365
150006710
22,310
25
K0132
150333710
150008810
3,760
7,415
K0142
3,760
7,596
K015
3,760
7,824
K014
11,440
346
150343410
11,440
364
150007910
11,440
3,541
K015
4,510
7,433
K014
22,310
26
150343510
22,310
35
150008010
22,310
1,542
150,007,910
13,720
406
K0142
150008810
3,760
7,663
K016
150008810
150008810
22,310
16
150,343,310
11,440
3,363
150009010
150,008,810
80,000
K021
150009310
22,310
1,396
K017
150008810
4,510
8,068
K022
150371910
13,720
3,518
150372010
4,510
7,945
K021
150009310
22,310
1,439
13,720
3,469
150308410
150,008,810
22,310
1,461
K0212
150290310
150008810
18,460
109
K017
18,460
3,083
150010910
18,780
76
150,012,010
18,780
856
150017210
13,120
13
150,018,810
12,100
150019810
3,620
2,721
150,289,210
12,100
150294810
12,100
11
150,352,210
12,100
150019610
12,100
150261110
13,120
150022010
12,100
150352210
12,100
150352510
3,620
2,338
150025010
12,100
151
150025210
12,100
185
150024210
12,100
352
150025510
12,100
372
150025010
12,100
105
150,027,810
12,100
120
K051
150024110
12,100
309
150,261,510
12,100
319
150024910
29,370
150,023,210
16,390
150,023,310
21,050
10
150,024,110
21,050
11
150024110
21,050
13
150024810
21,050
18
150025750
4,510
150025950
2,950
100
150,029,110
7,930
150,289,810
29,370
368
150310810
16,390
125
150311010
39,720
110
150038550
21,050
14,328
150038650
39,720
83
150037910
21,050
14,179
K0662
150310210
24,370
115
150311610
21,050
12,669
150311910
3,150
150,042,810
3,150
150,043,010
4,510
150,043,110
24,370
74
150,043,310
21,050
11,849
150,043,410
3,150
K0732
150,353,710
3,150
150,354,010
4,510
K074
150,043,710
3,150
150,313,410
4,510
150,313,510
2,950
61
150045010
2,770
618
150,311,510
7,410
1,071
150,311,710
150,061,210
4,510
552
150,042,810
3,150
150,042,910
4,510
12
150,043,010
150061010
3,150
K073
150042610
3,150
150042710
4,510
226
150042810
3,150
150042910
4,510
15
150043010
37,240
150,353,310
32,890
10
150,353,410
41,160
150,353,610
24,260
150,353,710
150061010
3,150
150041210
3,150
150041310
4,510
22
K072
150041710
3,150
150041810
150061010
3,150
150312710
4,510
150041910
3,150
150312810
4,510
150042010
4,510
15
150313010
3,150
K068
150040910
9,200
86
K164
4,510
K0682
150313110
15,090
24,811
K1642
150,248,250
2,770
252
K255
150085810
11,610
16
K085
150052110
7,410
2,453
K257
150086010
8,300
11
150052310
150,061,010
3,150
43
K302
150093810
13,140
K119
150060210
24,320
35
K300
150093610
690
353,909
K109
3,150
21
K304
4,510
2,513
K305
150094110
24,490
74
K1202
150017950
1,580
K302
150093810
10,950
K1102
150058710
10,790
3,597
K312
150094910
3,020
489
150057210
3,150
K308
150094410
1,420
23
K121
150060410
2,570
187
K303
150093910
20,600
K112
150058810
4,670
99
K318
150096010
18,100
1,108
K103
3,150
49
K3082
150094550
1,420
43
K124
150060810
15,760
146
K304
4,510
189
K309
150061010
3,150
47
K3082
150094550
1,420
62
K117
150059510
2,570
89
K330
150097210
820
22
K105
3,150
34
K309
3,150
K317
150095910
42,440
150061210
4,510
1,167
K311
150094810
1,580
3,652
K1173
150059750
2,570
19
K3312
150097450
900
18,007
K106
150058210
35,610
27
K335
150,098,110
3,280
150,341,850
3,150
K318
150096010
18,100
917
150061310
3,150
11
K312
150094910
3,020
527
K118
4,510
K319
150398510
3,150
43
K314
150095210
3,150
150398610
4,510
136
K317
150095910
35,370
K120
150060310
7,890
21
K3332
150097850
1,640
30
K109
3,150
K320
4,510
10
150096350
32,140
150306050
3,150
K327
150255010
23,250
150306150
4,510
K3283
150368750
1,840
150341750
3,150
K329
150097110
620
58
K1242
150384510
43,790
649
K335
150098110
2,740
K113
150058910
11,600
130
K339
150,099,010
3,550
613
K1262
150,369,550
4,510
112
K329
150097110
620
32
150341850
3,150
K330
150097210
820
31
K125
4,510
K331
150097310
900
139,382
K126
150061010
3,150
66
K3353
150098250
2,740
150059410
17,170
104
K3403
3,150
K3312
150097450
900
19,797
150061110
3,150
40
K336
150098610
690
32,455
K117
150059510
2,570
150
K3404
3,150
K3313
4,510
760
K337
150098710
4,150
109
K1172
150059650
2,570
29
K3405
150,373,510
24,910
3,885
K133
150,062,910
28,730
896
K3313
4,510
K333
150097710
2,130
3,385
150061310
3,150
K338
150098810
4,510
K3332
150097850
1,640
32
150061410
3,150
62
150344610
4,510
95
K339
150099010
2,960
531
K119
150060210
24,320
34
K342
150,099,310
15,200
184
150,063,210
3,150
K3405
150373510
24,500
2,521
K124
150060810
15,760
139
K347
150,100,110
8,230
1,523
150,314,410
3,150
K3406
4,510
K341
150099210
1,510
295
K125
3,150
K342
150099310
14,110
189
K126
150061010
3,150
47
K3474
150,385,310
4,510
K343
150099410
3,150
42
K3475
150,385,410
3,150
K344
150099710
26,530
2,720
150061210
4,510
881
K3476
150,385,510
4,510
K346
150099910
3,150
K3477
150,385,610
3,150
56
K352
150,100,710
7,990
K138
150,064,410
4,510
85
K3522
150,100,850
3,330
17
150,064,510
150373510
24,500
2,871
K1312
150314210
17,300
5,050
K3474
150373510
24,910
3,248
150064010
90,470
93
K3406
38,670
47
K344
150099710
30,460
3,060
150064510
37,240
7,981
K346
150099910
32,890
22,083
K347
150100110
8,230
1,529
K140
150064710
36,990
111
K3472
150292010
16,390
25
150314410
41,160
31,158
K3472
150292010
16,390
41
K141
150064810
28,220
61
K3473
66,590
5,244
K3473
13,310
26,665
K3474
24,260
42,000
K3475
25,880
51
K422
150113110
33,010
14
150344410
25,880
56
K423
150113310
21,570
47
K435
150115310
6,660
10
K1782
150273510
39,780
1,445
K450
150,117,210
21,570
50
K451
150,117,410
7,140
14
150,273,610
15,680
K188
150,073,110
52,820
K192
150,073,410
106,460
125
150120210
13,710
K1906
150398310
33,790
K1902
150383150
150316710
53,560
K192
150073410
106,460
117
K5013
150316710
53,560
K194
150073610
18,400
31
150,083,410
23,110
36
K256
150,085,910
2,650
27
K610
18,620
52
K257
150,086,010
8,300
18
150276010
20,040
K259
150,086,210
54,800
2,874
K6103
150151150
18,080
9,006
K252
23,110
23
K254
150085710
18,620
45
150344510
20,040
43
K255
150085810
10,010
56
K6173
23,110
23
150335910
23,110
34
K266
18,620
38
150356010
18,620
33
150295810
30,800
150263410
20,040
15
150373010
20,040
K268
150087510
5,200
7,833
K303
150,093,910
24,720
12
150251210
18,810
K299
150253110
150,373,510
24,910
29,076
322
37,524,500
K338
150098810
150373510
24,910
27,877
K7152
150389510
14,660
K3404
150373510
24,500
26,304
150181010
150373510
24,500
25,706
K737
150,186,510
2,610
953
K347
150,100,110
8,230
11,835
K7142
150271550
20,650
K342
150099310
15,200
1,747
K721
150183110
150183110
5,190
7,634
K358
150,101,610
11,310
114
K729
150184810
6,520
11,122
K361
150,101,910
12,630
50
K731
150402210
5,190
7,519
150103610
6,520
10,410
150257250
150,108,110
150108110
150108110
150108110
1,650
36
150,274,510
4,630
29
K451
150,117,410
7,140
187
K866
150216010
990
143,151
K4442
150356710
4,320
K452
150,117,510
7,180
97
K8662
150216150
990
1,597
150356810
8,920
K453
150,117,610
9,640
820
K867
1,650
45
K447
150267410
3,860
25
K448
150117010
820
17
K895
4,320
K449
150117110
900
47
K896
1,650
40
K448
150117010
820
15
150,223,510
8,200
K450
150117210
3,860
27
K449
150117110
900
53
150,223,710
4,320
K450
150117210
8,200
150117310
15,680
2,725
K888
150270010
33,790
218
K890
1,650
36
K462
4,630
28
K4622
4,320
K463
150119410
8,920
150119510
33,790
340
K464
33,790
546
150,121,210
33,790
288
K465
52,820
70
150404810
150,316,610
49,120
1,149
K475
150121410
6,040
387
150121810
53,560
497
150405810
150316610
49,120
825
150292310
7,350
681
150,123,310
53,560
315
K4763
150316610
49,120
904
K483
53,560
258
150,296,210
12,120
57
150292310
7,350
774
K477
150122210
700
66
K4764
150316610
49,120
825
K478
53,560
317
150122410
7,460
37
K478
105,000
63
150357710
122,540
931
K526
150253510
122,540
1,486
K529
150135110
122,540
1,800
150,135,310
125,240
435
150336810
122,540
1,113
K5322
125,240
157
150136710
80,060
18
150375310
100,200
23
150375410
150319610
115,750
31
K5574
150319610
115,750
39
K5553
150,399,910
150,319,610
115,750
38
K555
150141410
187,370
73
136,780,100
150381650
187,370
50
93,685,000
150,245,210
210,790
40
84,316,000
150381750
210,790
33
69,560,700
150,264,810
150319610
115,750
43
150381850
187,370
92
172,380,400
150320210
210,790
49
103,287,100
K569
192,920
16
150147510
18,400
460
150149110
23,110
7,685
K611
18,620
23,796
130,008,070
20,040
44,484
130,008,170
23,110
7,421
K6162
150157150
10,800
130,010,250
18,620
23,960
K6163
20,040
40,965
K6164
23,110
7,663
130010350
18,620
22,439
K612
150400610
20,040
29,292
150400710
23,110
7,641
K623
18,620
22,345
150154810
20,040
34,408
150154910
5,200
14,099
K647
69,840
27
K668
150177210
28,210
80
150,409,950
150177210
28,210
121
K6972
150378210
150,177,210
30,940
60
K695
150362610
150177210
30,940
91
K7082
150179550
18,810
25
K7092
52,730
345
K6976
83,810
386
K7002
150389110
26,100
82
K7152
150389510
14,660
46
150297310
150183110
150183110
150,183,110
150183110
5,190
33,873
150407410
6,520
15,873
K742
150187710
5,190
33,684
K763
150193810
27,550
12
K766
150194310
13,000
302
K747
6,520
16,164
K766
150194310
13,000
330
K769
150194610
35,880
249
K748
150,190,710
1,650
20,662
K867
3,860
15,759
K8672
150,002,150
470
K864
150214910
4,320
6,779
K8673
8,200
1,262
K8674
150,216,650
3,330
1,950
K865
150215110
1,650
18,691
K899
150222310
3,220
150,278,510
3,860
16,069
K900
150222410
1,240
K8722
4,320
6,384
K9002
150222550
1,240
K8723
8,200
1,190
K901
150222610
2,460
6,244
150,294,310
4,730
13,963
K867
1,650
19,433
K889
4,630
14,778
K890
4,320
5,873
K8902
150282050
46,410
2,510
150,221,910
8,920
1,134
K8903
150366110
46,410
481
K897
1,650
19,074
K902
150,222,710
2,350
8,028
150221710
4,630
15,803
K903
150,222,810
4,320
5,960
150,222,910
8,920
1,174
150,223,010
H3104R0203 M 1010110
H3104R0203 M 1010110
H3004H3103 M 1010110
H3004H3103 M 1010110
H2904H3003 M 10101
H2904H3003 M 10101
H2804H2903 M 10101
H2804H2903 M 10101
5,000
23,986
1,199,300,000
180031710
5,000
17,908
895,400,000
180031710
Rebuild businesses while responding to changing business conditions Expand added value by strengthening software
functionality, such as with image processing and AI technologies.
Expansion in North America: Increase penetration of hospital networks and strengthen direct sales/service capabilities.
Performance Targets for Year Ending March 2023
Consolidated Net Sales: 72.0 billion yen (103 % increase from year ending March 2020)
Expand Profitability by Constantly Offering New Added Value
Strengthen Software
Deploy AI technologies. Automate expert operating methods. Increase image quality and decrease
X-ray dose levels.
Reduce artifacts
X-ray image
hospital visits
Use smartphone app to enter information for hospital visits
Sold by: Shimadzu Corporation Category: Medical Compatibility: Android 7.0 (Nougat) or later (Android 10 or later
recommended) and iOS 11.0 or later Language: Japanese Price: Free
Deploy subscription business and expand added value by strengthening software functionality, such as with image processing and AI technologies.
9
Enter patient information, basic symptom
information, and answer preliminary questions
Check in Display QR code Enter details
Home Hospital Entrance Hospital Reception Department Reception Examination Room
Download patient information, basic
preliminary questions
responses
10
Jointly establish radiological technologist teaching/training facility in partnership with Midwestern State University (United States).
Sales Subsidiary Shimadzu Medical
Development Subsidiary Shimadzu Software
Regional Headquarters
April 2020: Integrated Washington state and three neighboring states as territory covered by Northwest Regional Office.
Study the potential of further expanding direct sales/service regions.
Strengthen sales activities to regional hospital groups.
11
Medium-Term Management Plan Strengthening Businesses in the North America Strengthen sales expansion of new products with modest sales
growth due to the COVID-19 pandemic. FLUOROspeed X1 Patient-Side R/F System
Offer an ultimate multipurpose X-ray examination room. High quality digital system equipped with FPD and state-of-
the-art X-ray dose level reduction functionality Patient-side operability demanded in the U.S. Also include features for examining elderly and obese
patients, in addition to regular examinations.
SONIALVISION G4 Remote-Controlled R/F System Strengthen digital radiography functionality and include chest exam capability. FLUOROspeed X1
RADspeed Pro General Radiography System Add new diagnostic functionality to general radiography systems by adding dynamic imaging with kinetic analysis capability. Lung function visualization, breathing function assessment, and
postoperative follow-up observation
Service Businesses Target sales for year ending March 2023:
10 % increase versus year ending March 2019 At least 30 % service-to-sales ratio
Utilize customer support centers. Strengthen support for users of diagnostic/treatment support systems. Offer 24-hour on-site service and periodic inspections on holidays
and closed days. Deploy in China. (Scheduled to open in October 2021)
Expand service coverage area. (U.S. and Japan: April 2020) Strengthen direct service capabilities, expand sales,
and increase profitability.
Medium-Term Management Plan Strengthening Aftermarket Business
13
Two years since startup of new facilities (new building and combination sheet metal processing equipment) → Significantly improve productivity. Promote cost reductions, such as by moving processes
in-house, consolidating simple tasks, and reducing labor hours.
During FY 2020, ensured production capacity for satisfying increased demand for mobile X-ray systems (about 200 % year-on-year increase).
During FY 2021, continue production by flexibly sourcing parts and materials that are difficult to obtain globally.
New building
Production Quantity of Mobile X-Ray Systems
14
Responding to Changing Business Conditions Sales of Digital Mobile X-Ray Systems Importance of mobile X-ray systems recognized due to pandemic
⇒ Offer user-friendly operability. Offer new value with rapid diagnostic imaging for patient rooms, emergency medicine, and operating rooms.
For a Wide Variety of Customer Applications Image Processing, Security, and Other Software Upgrades
Large monitor enables rapid on-the-spot diagnosis: Integrated DR model Freely selectable FPD makes introduction easier: DR neutral Expand aftermarket business by selling service contracts and optional products for existing mobile X-ray systems.
Integrated DR Model with Large Monitor
For Customers with Existing DR Systems
Normal Mode
15
Responding to Changing Business Conditions Sales of AutoAmpTM Genetic Analyzer
Responding to Changing Business Conditions Taking on the Challenge of Early Detection/Treatment of Alzheimer’s Disease
Percent of Dementia Cases by Disease Type
Frontotemporal dementia
Other 0.4%
Alzheimer’s dementia
Source: Addressing Dementia Morbidity and Functional Impairment in Urban Areas—Comprehensive Report on Research from 2011 to 2012 (Japanese Ministry of Health, Labour and Welfare Funded Scientific Research on Dementia Countermeasures)
U ltr
a- Ea
BresTome TOF-PET System (for medical personnel)
fNIRS
Predicting Amyloid-Beta Plaque Levels in the Brain from a Blood Test
Shimadzu is developing technology for predicting the amount of amyloid- beta plaques accumulated in the brain based on results from using mass spectrometry to measure amyloid-beta quantities in a few drops of blood (about 0.5 mL).
Using PET to Visualize Amyloid-Beta Plaque Levels in the Brain
High-performance PET scanning can be used to visualize amyloid- beta plaques in the brain (not covered by Japanese national health insurance). Shimadzu will use it to contribute to future dementia or drug discovery research.
Evaluating Cognitive Function by Optical Brain Function Imaging
Functional near-infrared spectroscopy (fNIRS) can measure cognitive brain activities while the body is positioned similarly to everyday life.
16
17
technologies to provide new diagnostic value
Early screening of colon cancer
Rapid pathological diagnostic support system
Development support for Alzheimer’s disease drug
discovery
Support for photoimmunotherapy
sampling location X-ray diagnostic
Quantitative analysis of
hormones in blood
Contributing to Society through Science and Technology Realizing Our Wishes for the Well-being of Mankind and the Earth
Future result values indicated in this presentation document are projections of the future based on information available at the time the document was released and include potential risks and uncertainties. Consequently, due to a wide variety of factors, actual results may differ significantly from the projections indicated in this document.
18
Current Status of BusinessOverview of Diagnostic Imaging System Market
Current Status of BusinessMedical Systems Business Results
Product Line and Direction for Increasing Competitiveness
Clinical Value of Products—Expanding/Improving Diagnostic Capabilities
Clinical Value of Products—Improving Procedure Support Functionality
Medium-Term Management PlanOverview of New Medium-Term Management Plan
Medium-Term Management PlanStrengthening Software Functionality
“Hospital Essentials” Digital Patient Interview Service
Medium-Term Management PlanStrengthening Businesses in the North America
Medium-Term Management PlanStrengthening Businesses in the North America
Medium-Term Management PlanStrengthening Aftermarket Business
Medium-Term Management PlanImproving Productivity(Strengthen Shimane Shimadzu, Manufacturing Location in Japan)
Responding to Changing Business ConditionsSales of Digital Mobile X-Ray Systems
Responding to Changing Business ConditionsSales of AutoAmpTM Genetic Analyzer
Responding to Changing Business ConditionsTaking on the Challenge of Early Detection/Treatment of Alzheimer’s Disease
Responding to Changing Business ConditionsAdvanced Healthcare Measures
18
September 16, 2021
Sources of market data: Shimadzu estimates based on IHS market data, F&S market data, and other sources
Diagnostic X-Ray System Market by Region (Excluding CCD, CR, and retrofits)
Other
2017 2018 2019 2020 2021 2022
Global market for diagnostic imaging systems is about 3 trillion yen with strong growth. Of that, global market size for diagnostic X-ray systems is about 700 billion yen (in 2019).
Globally, Shimadzu is the fourth largest (with a 7 % market share), after the three major non-Japanese manufacturers.
The most important regions are the United States, China, and Japan, which have large domestic markets.
In 2020, due to the COVID-19 pandemic, demand for mobile X-ray systems increased significantly, but demand for large medical systems, such as R/F systems and angiography systems decreased significantly.
Current Status of Business Overview of Diagnostic Imaging System Market
Diagnostic X-Ray System Market Share by Model (2019, excluding CCD, CR, and retrofits)
General radiography
system 29%
R/F system
Angiography system
Fujifilm
Canon
Shimadzu
Other
Diagnostic X-Ray System Market Share (2019, excluding CCD, CR, and retrofits)
2
3
Medical Systems Business Results Net sales Operating income Operating margin
C on
so lid
at ed
N et
S al
es /C
on so
lid at
n
Consolidated Net Sales: Decreased last year due to changes in standards used to recognize profit and due to market changes associated with the COVID-19 pandemic
During the four years of growth maintained until FY 2019, net sales increased by 5.6 billion yen (8.7 % increase at a 2.1 % CAGR). Consolidated Operating Income: Improved significantly, increasing by 3.3 billion yen during a five-year period (420 % increase at a
33.1 % CAGR)
General Radiography
Radiotherapy System
Fluoroscopy System
Angiography System
Product General Radiography System Mobile X-Ray System Fluoroscopy System PET System C
lin ic
al V
al ue
powered operation and addresses infectious diseases
Fe at
ur es
Enables examinations even in confined spaces. Freely flexible operability
Supports examinations for many purposes. AI-assisted bone mineral density measurement Assists artificial joint replacement surgery.
High-resolution PET images show detailed pathological changes.
Clinical Value of Products—Expanding/Improving Diagnostic Capabilities
Source: Sixth NDB Open Data Japan Source: Sixth NDB Open Data Japan
General radiography system
This year is 60th anniversary of first remotely-operated diagnostic X-ray system!
Dynamic fluoroscopic imaging enables rapid diagnoses
0
1,000
2,000
3,000
Number of Diagnostic Imaging Cases (within Japan during FY 2019)
Early detection of breast cancer
Head PET examination
lin ic
al V
al ue
Fe at
ur es
reduces X-ray dose levels. Suitable for small and confined
operating rooms
Tumor-tracking function helps irradiate tumors with pinpoint accuracy in organs subject to movement.
Clinical Value of Products—Improving Procedure Support Functionality
Source: Sixth NDB Open Data Japan
Current Status of Radiation Therapy Procedures (Japan)
M ed
ic al
C om
pe ns
at io
n (1
00 M
illi on
Y en
Automatically selects radiography orientation that avoids the gantry head.
Broad whole-body movement range supports interventional procedures anywhere in the body.
High image quality with low X-ray dose levels
1
2016
2017
2018
2019
()
()
988.112631
1001.155086
1110.683692
1149.961887
85
69,325,148
58,926,375,800
E001
170000410
85
29,116,379
24,748,922,150
E001
170000410
43
3,270
1,389,750
170000910
43
1,165
495,125
170000910
85
816,633
694,138,050
170001250
85
167,078
142,016,300
170001250
43
3,296
1,400,800
170001650
43
974
413,950
170001650
0
3,469
0
170021550
0
20,279
0
170021550
0
0
170021650
0
0
170022730
43
9,980
4,241,500
170022730
43
131,242
55,777,850
170022830
0
969
0
170023750
0
427
0
170024250
0
0
170024250
308
740
2,279,200
170005630
308
42
129,360
170002110
308
0
170006930
356
0
170005530
308
0
170002510
356
38
135,280
170005630
308
38
117,040
170005630
308
591
1,820,280
170005630
308
41
126,280
170007030
308
11
33,880
170007530
308
331
1,019,480
170006530
356
0
170006530
308
870
2,679,600
170005630
308
1,007
3,101,560
170005630
308
52
160,160
170006530
356
0
170007530
356
24
85,440
170006930
308
0
170007630
308
9,179
28,271,320
170008230
308
0
170007630
308
430
1,324,400
170007030
308
0
170007530
308
0
170006930
356
46
163,760
170008430
356
53
188,680
170007530
308
629
1,937,320
170008330
308
0
170006930
308
0
170007630
308
5,537
17,053,960
170008530
308
0
170007630
308
7,209
22,203,720
170008430
178
14
24,920
170007030
308
12
36,960
170007530
356
215
765,400
170011650
308
0
170011430
178
11
19,580
170011650
308
1,343
4,136,440
170008530
308
0
170012710
1,140
894
10,191,600
170008230
1,140
795
9,063,000
170012710
1,140
269
3,066,600
170012710
1,140
888
10,123,200
170007630
308
12,406
38,210,480
170008430
438
0
170008330
438
0
170020710
308
0
170012710
1,140
196
2,234,400
170020710
178
22
39,160
170019430
438
0
170021150
308
0
170021150
1,140
1,030
11,742,000
170021750
1,140
276
3,146,400
170021970
0
4,304
0
170028110
178
16
28,480
170019330
516
0
170023950
438
0
170023950
438
0
170027010
1,140
324
3,693,600
170020710
486
0
170021150
438
0
170021750
318
10,045
31,943,100
170029030
318
1,582
5,030,760
170020710
318
142
451,560
170029230
318
21
66,780
170021850
366
4,680
17,128,800
170028410
318
1,960
6,232,800
170029430
318
40
127,200
170023950
318
9,193
29,233,740
170028930
366
1,267
4,637,220
170028310
318
1,575
5,008,500
170029530
366
1,662
6,082,920
170029030
318
1,478
4,700,040
170028410
318
0
170029730
318
69
219,420
170029130
366
670
2,452,200
170028930
318
0
170029730
366
2,470
9,040,200
170029330
366
1,359
4,973,940
170029030
318
9,962
31,679,160
170029330
318
8,673
27,580,140
170028110
318
2,686
8,541,480
170029430
318
100
318,000
170029130
318
51
162,180
170030030
318
28,221
89,742,780
170030130
366
545
1,994,700
170029530
366
0
170029230
318
96
305,280
170029530
366
532
1,947,120
170029730
366
178
651,480
170029330
318
20
63,600
170028410
318
22,101
70,281,180
170029930
366
873
3,195,180
170029430
318
1,812
5,762,160
170029930
183
195
356,850
170028930
318
1,595
5,072,100
170030130
366
12
43,920
170030030
318
7,120
22,641,600
170029530
318
7,735
24,597,300
170030530
318
630
2,003,400
170030830
501
0
170029030
318
8,714
27,710,520
170029130
366
0
170030130
366
0
170029730
183
17
31,110
170030930
534
13
69,420
170029130
318
12
38,160
170030330
366
3,565
13,047,900
170030230
366
0
170029930
501
0
170031030
453
40
181,200
170029230
318
116
368,880
170029330
366
6,139
22,468,740
170030430
366
1,231
4,505,460
170030030
318
24,924
79,258,320
170030530
318
23
73,140
170030930
534
0
170031750
318
89
283,020
170030530
318
538
1,710,840
170030530
318
13
41,340
170030130
582
0
170031030
453
80
362,400
170031850
318
2,031
6,458,580
170029530
534
0
170030830
501
0
170030230
501
0
170031750
453
41
185,730
170030930
534
0
170030330
534
0
170031850
318
0
170029930
453
18
81,540
170030430
453
28
126,840
170031950
318
9,507
30,232,260
170031450
318
623
1,981,140
170031350
501
0
170031450
318
32,470
103,254,600
170030230
534
0
170031550
447
19
84,930
170012410
453
55
249,150
170031750
386
0
170012610
318
26
82,680
170031950
399
18
71,820
170012810
183
147
269,010
170032050
318
625
1,987,500
170030730
582
0
170032250
183
26
47,580
170030830
501
0
170032350
501
0
170030930
534
16
85,440
170035330
447
0
170032250
453
63
285,390
170031030
453
30
135,900
170035530
399
13
51,870
170032350
399
0
170032050
447
12
53,640
170012410
399
24
95,760
170012610
447
23
102,810
170032250
399
11
43,890
170032350
98
67
170027110
97
892
170027550
1,200
89
170017850
120
1,115
170027550
1,200
78
E004
170021550
49
14,467
170028510
98
28
170027110
97
1,830
170027550
1,200
170034410
49
98
170028510
1,330
9,777,284
130,037,877,200
170034910
1,600
1,319,052
21,104,832,000
9,616,851
89,937,752,500
170033410
1,620
250,830
4,063,446,000
E201
170016210
2,000
2,176
43,520,000
170034910
1,330
1,868,744
24,854,295,200
E201
170016210
2,000
1,071
21,420,000
E202
1,600
319,156
5,106,496,000
E202
1,620
39,754
644,014,800
170020110
2,520
7,701
160215650
4,200
1,097
160211210
2,520
74,809
D0063
2,520
608
160211310
2,520
1,398
160211410
2,100
10,442
160216050
2,100
3,355
160001050
79
16,481
160041010
32
72,926
160042210
79
3,040
160041510
53
29,594
160042310
79
9,583
160041610
79
9,477
160042410
79
12,987
160041710
79
5,649
160042510
79
1,222
160041810
79
8,183
160042610
79
48,513
160041910
79
23,315
160042710
79
2,442
160042010
79
3,807
160042810
79
1,330
160042110
79
23,842
160042910
79
7,329
160042210
79
5,959
160043010
79
597
160042310
79
5,028
160043110
79
483
160042410
79
1,649
160043210
79
1,438
160042510
79
1,894
160043310
79
76
160042610
79
1,773
160043410
79
74
160042710
79
2,447
160043510
79
81
160042810
79
36
160043710
93
20,812
160043510
79
9,057
160042910
79
26
160043810
85
40,361
160043710
93
10,726
160043410
79
14,722
160043010
79
30
160044010
80
43,317
160043810
85
36,197
160043510
79
5,943
160043110
79
7,640
160044110
β
130
4,704,434
160044010
80
2,390
160043710
93
20,229
160043410
79
233
160043210
79
3,532
160044210
180
23,835
160044110
β
130
86,231
160043810
85
40,877
160043510
79
4,067
160043310
79
1,410
160044710
142
9,861
160044210
180
3,593
160043910
100
160043710
93
10,401
160045210
177
40,498
160044810
206
64
160043710
93
21,413
160043410
79
768
160044810
206
60
160044710
142
3,553
160044010
80
30,976
160043810
85
36,945
160045710
210
160044910
300
160043810
85
40,895
160043510
79
6,179
160045210
173
45,255
160044810
206
67
160044110
β
134
4,560,296
160044010
80
1,675
160045810
210
160045210
177
33,675
160044010
80
48,209
160043710
93
11,059
160046010
140
160121450
220
7,796
160148810
140
148
160121510
140
257
160151950
179
18,101
160151350
95
9,993
160121450
220
9,112
160118210
600
488
160143550
160
14
160142550
140
2,194
160152450
272
181,119
160151950
179
24,703
160121510
79
44,142
160173650
116
25,062
160164350
170
1,488
160162750
180
43,973
160172750
60
654,124
160172450
79
6,313
160167350
79
50,774
160173650
116
17,515
160173650
116
119,447
160172750
60
16,413
160188850
194
17,645
160177150
79
42,985
160173450
291
9,381
160188950
79
7,456
160174950
79
5,940
160193610
15
181,047
160193510
15
239
160172750
60
569,063
160172450
79
47,380
160173650
116
21,244
160193610
15
184,821
160188950
79
6,939
160193810
29
27,861
160193610
15
43,828
160193710
26
203
160193510
350
10,957,577
160072750
160073510
50
1,075,268
268,679
714,258,200
160213010
160073510
50
1,207,907
160170410
350
912,093
160073850
50
1,233
160073310
160073510
50
1,724,021
160186710
160073510
50
2,073,495
160073310
160073510
50
1,144,735
160147310
160073510
160073510
50
1,877,131
160159350
100
18
160166050
150
13
160073410
150
2,205
D219
160147410
160073510
130
160073850
130
389
160102510
50
7,957
160102650
150
53,058
D225
160074010
150
313,314
160074210
130
11,425
D226
160074310
50
10,505
160074410
130
139,330
D228
160074750
100
289
160074210
50
289,738
D229
100
2,932
160153350
100
659
160080710
45
54,213
160172150
250
1,277
160172150
250
3,572
160079610
160089810
160089810
160089810
160089810
160089810
160089810
160089810
16
1,422
160144810
160089810
350
146
160089950
16
91
D2982
160187510
720
29,569
160091610
350
D3002
160160910
500
197,820
D410
500
27,251
160183810
H3104R0203 K
H3004H3103 K
H3004H3103 K
H2904H3003 K
H2904H3003 K
H2804H2903 K
H2804H2903 K
7,170
25
150284010
8,600
14
150,284,010
8,600
14
150284010
7,170
23
150284010
2,000
7,844
150383310
7,170
342
150,383,410
2,400
7,292
150,383,310
8,600
399
150383410
2,400
7,504
150383310
8,600
332
150383410
2,000
7,791
150383310
7,170
356
150391350
2,000
15,481
150,391,350
1,250
150,383,410
2,400
16,301
150391350
2,400
15,715
150391350
2,000
16,361
150391750
470
37
150,391,350
1,250
150391750
8,600
150391750
850
150,391,750
470
150391950
1,320
150,391,850
850
150393050
1,250
150,391,950
1,320
16
K0002
150306910
1,250
6,546
150391950
470
150,392,550
1,250
13
150307010
1,400
2,480
150392550
1,250
6,607
150392750
1,250
6,955
K0002
150306910
1,250
416
150,393,050
850
150,392,650
1,680
150307110
2,220
267
150392650
1,400
2,629
150392850
1,400
2,845
150307010
1,400
311
K0002
150,306,910
1,250
6,349
150,392,850
2,400
150307210
1,850
278
150393050
1,850
332
150307110
1,850
193
150,307,010
1,400
2,394
150,393,050
850
150307310
450
63,919
150410250
1,250
403
150307210
2,220
225
150,410,050
500
13,651
K0002
150306910
1,250
397
150307310
450
64,099
150307010
1,400
311
150307310
450
64,591
150307310
450
349
150,307,210
3,430
19
150,410,250
950
1,010
150307010
1,400
269
150307410
500
13,663
150307110
1,850
173
150307410
500
14,099
150307410
500
176
150,307,310
450
62,844
K0002
150,306,910
1,250
325
150307610
2,220
201
150307510
950
1,053
150307210
950
1,074
150307510
950
62
150,307,410
500
13,451
150,307,010
1,400
292
150393650
450
150307210
450
338
150307610
950
961
150,307,110
2,220
172
150394050
450
381
150341150
500
166
150393250
1,250
150393350
1,400
150,307,610
1,740
79
150,307,210
3,430
103
150394150
1,400
150307410
500
154
150393650
450
150307510
950
90
150394050
500
150,341,150
450
378
150394450
950
60
150394050
450
150,307,410
500
190
K001
150001810
1,250
150,307,510
950
57
150001910
500
K001
150001810
500
150002010
450
150,307,610
1,740
25
150002010
1,250
K001
150001810
500
150,341,150
450
150001910
3,480
7,597
150,002,410
9,180
432
K003
3,480
1,147
150260810
17,810
35
150,002,610
9,180
679
150283710
2,110
2,069
150,283,610
17,810
415
K005
4,070
360
K004
2,110
212
150003210
11,370
47
150,260,810
4,070
249
150272410
11,370
253
K006
4,510
6,964
150006610
13,720
365
150006710
22,310
25
K0132
150333710
150008810
3,760
7,415
K0142
3,760
7,596
K015
3,760
7,824
K014
11,440
346
150343410
11,440
364
150007910
11,440
3,541
K015
4,510
7,433
K014
22,310
26
150343510
22,310
35
150008010
22,310
1,542
150,007,910
13,720
406
K0142
150008810
3,760
7,663
K016
150008810
150008810
22,310
16
150,343,310
11,440
3,363
150009010
150,008,810
80,000
K021
150009310
22,310
1,396
K017
150008810
4,510
8,068
K022
150371910
13,720
3,518
150372010
4,510
7,945
K021
150009310
22,310
1,439
13,720
3,469
150308410
150,008,810
22,310
1,461
K0212
150290310
150008810
18,460
109
K017
18,460
3,083
150010910
18,780
76
150,012,010
18,780
856
150017210
13,120
13
150,018,810
12,100
150019810
3,620
2,721
150,289,210
12,100
150294810
12,100
11
150,352,210
12,100
150019610
12,100
150261110
13,120
150022010
12,100
150352210
12,100
150352510
3,620
2,338
150025010
12,100
151
150025210
12,100
185
150024210
12,100
352
150025510
12,100
372
150025010
12,100
105
150,027,810
12,100
120
K051
150024110
12,100
309
150,261,510
12,100
319
150024910
29,370
150,023,210
16,390
150,023,310
21,050
10
150,024,110
21,050
11
150024110
21,050
13
150024810
21,050
18
150025750
4,510
150025950
2,950
100
150,029,110
7,930
150,289,810
29,370
368
150310810
16,390
125
150311010
39,720
110
150038550
21,050
14,328
150038650
39,720
83
150037910
21,050
14,179
K0662
150310210
24,370
115
150311610
21,050
12,669
150311910
3,150
150,042,810
3,150
150,043,010
4,510
150,043,110
24,370
74
150,043,310
21,050
11,849
150,043,410
3,150
K0732
150,353,710
3,150
150,354,010
4,510
K074
150,043,710
3,150
150,313,410
4,510
150,313,510
2,950
61
150045010
2,770
618
150,311,510
7,410
1,071
150,311,710
150,061,210
4,510
552
150,042,810
3,150
150,042,910
4,510
12
150,043,010
150061010
3,150
K073
150042610
3,150
150042710
4,510
226
150042810
3,150
150042910
4,510
15
150043010
37,240
150,353,310
32,890
10
150,353,410
41,160
150,353,610
24,260
150,353,710
150061010
3,150
150041210
3,150
150041310
4,510
22
K072
150041710
3,150
150041810
150061010
3,150
150312710
4,510
150041910
3,150
150312810
4,510
150042010
4,510
15
150313010
3,150
K068
150040910
9,200
86
K164
4,510
K0682
150313110
15,090
24,811
K1642
150,248,250
2,770
252
K255
150085810
11,610
16
K085
150052110
7,410
2,453
K257
150086010
8,300
11
150052310
150,061,010
3,150
43
K302
150093810
13,140
K119
150060210
24,320
35
K300
150093610
690
353,909
K109
3,150
21
K304
4,510
2,513
K305
150094110
24,490
74
K1202
150017950
1,580
K302
150093810
10,950
K1102
150058710
10,790
3,597
K312
150094910
3,020
489
150057210
3,150
K308
150094410
1,420
23
K121
150060410
2,570
187
K303
150093910
20,600
K112
150058810
4,670
99
K318
150096010
18,100
1,108
K103
3,150
49
K3082
150094550
1,420
43
K124
150060810
15,760
146
K304
4,510
189
K309
150061010
3,150
47
K3082
150094550
1,420
62
K117
150059510
2,570
89
K330
150097210
820
22
K105
3,150
34
K309
3,150
K317
150095910
42,440
150061210
4,510
1,167
K311
150094810
1,580
3,652
K1173
150059750
2,570
19
K3312
150097450
900
18,007
K106
150058210
35,610
27
K335
150,098,110
3,280
150,341,850
3,150
K318
150096010
18,100
917
150061310
3,150
11
K312
150094910
3,020
527
K118
4,510
K319
150398510
3,150
43
K314
150095210
3,150
150398610
4,510
136
K317
150095910
35,370
K120
150060310
7,890
21
K3332
150097850
1,640
30
K109
3,150
K320
4,510
10
150096350
32,140
150306050
3,150
K327
150255010
23,250
150306150
4,510
K3283
150368750
1,840
150341750
3,150
K329
150097110
620
58
K1242
150384510
43,790
649
K335
150098110
2,740
K113
150058910
11,600
130
K339
150,099,010
3,550
613
K1262
150,369,550
4,510
112
K329
150097110
620
32
150341850
3,150
K330
150097210
820
31
K125
4,510
K331
150097310
900
139,382
K126
150061010
3,150
66
K3353
150098250
2,740
150059410
17,170
104
K3403
3,150
K3312
150097450
900
19,797
150061110
3,150
40
K336
150098610
690
32,455
K117
150059510
2,570
150
K3404
3,150
K3313
4,510
760
K337
150098710
4,150
109
K1172
150059650
2,570
29
K3405
150,373,510
24,910
3,885
K133
150,062,910
28,730
896
K3313
4,510
K333
150097710
2,130
3,385
150061310
3,150
K338
150098810
4,510
K3332
150097850
1,640
32
150061410
3,150
62
150344610
4,510
95
K339
150099010
2,960
531
K119
150060210
24,320
34
K342
150,099,310
15,200
184
150,063,210
3,150
K3405
150373510
24,500
2,521
K124
150060810
15,760
139
K347
150,100,110
8,230
1,523
150,314,410
3,150
K3406
4,510
K341
150099210
1,510
295
K125
3,150
K342
150099310
14,110
189
K126
150061010
3,150
47
K3474
150,385,310
4,510
K343
150099410
3,150
42
K3475
150,385,410
3,150
K344
150099710
26,530
2,720
150061210
4,510
881
K3476
150,385,510
4,510
K346
150099910
3,150
K3477
150,385,610
3,150
56
K352
150,100,710
7,990
K138
150,064,410
4,510
85
K3522
150,100,850
3,330
17
150,064,510
150373510
24,500
2,871
K1312
150314210
17,300
5,050
K3474
150373510
24,910
3,248
150064010
90,470
93
K3406
38,670
47
K344
150099710
30,460
3,060
150064510
37,240
7,981
K346
150099910
32,890
22,083
K347
150100110
8,230
1,529
K140
150064710
36,990
111
K3472
150292010
16,390
25
150314410
41,160
31,158
K3472
150292010
16,390
41
K141
150064810
28,220
61
K3473
66,590
5,244
K3473
13,310
26,665
K3474
24,260
42,000
K3475
25,880
51
K422
150113110
33,010
14
150344410
25,880
56
K423
150113310
21,570
47
K435
150115310
6,660
10
K1782
150273510
39,780
1,445
K450
150,117,210
21,570
50
K451
150,117,410
7,140
14
150,273,610
15,680
K188
150,073,110
52,820
K192
150,073,410
106,460
125
150120210
13,710
K1906
150398310
33,790
K1902
150383150
150316710
53,560
K192
150073410
106,460
117
K5013
150316710
53,560
K194
150073610
18,400
31
150,083,410
23,110
36
K256
150,085,910
2,650
27
K610
18,620
52
K257
150,086,010
8,300
18
150276010
20,040
K259
150,086,210
54,800
2,874
K6103
150151150
18,080
9,006
K252
23,110
23
K254
150085710
18,620
45
150344510
20,040
43
K255
150085810
10,010
56
K6173
23,110
23
150335910
23,110
34
K266
18,620
38
150356010
18,620
33
150295810
30,800
150263410
20,040
15
150373010
20,040
K268
150087510
5,200
7,833
K303
150,093,910
24,720
12
150251210
18,810
K299
150253110
150,373,510
24,910
29,076
322
37,524,500
K338
150098810
150373510
24,910
27,877
K7152
150389510
14,660
K3404
150373510
24,500
26,304
150181010
150373510
24,500
25,706
K737
150,186,510
2,610
953
K347
150,100,110
8,230
11,835
K7142
150271550
20,650
K342
150099310
15,200
1,747
K721
150183110
150183110
5,190
7,634
K358
150,101,610
11,310
114
K729
150184810
6,520
11,122
K361
150,101,910
12,630
50
K731
150402210
5,190
7,519
150103610
6,520
10,410
150257250
150,108,110
150108110
150108110
150108110
1,650
36
150,274,510
4,630
29
K451
150,117,410
7,140
187
K866
150216010
990
143,151
K4442
150356710
4,320
K452
150,117,510
7,180
97
K8662
150216150
990
1,597
150356810
8,920
K453
150,117,610
9,640
820
K867
1,650
45
K447
150267410
3,860
25
K448
150117010
820
17
K895
4,320
K449
150117110
900
47
K896
1,650
40
K448
150117010
820
15
150,223,510
8,200
K450
150117210
3,860
27
K449
150117110
900
53
150,223,710
4,320
K450
150117210
8,200
150117310
15,680
2,725
K888
150270010
33,790
218
K890
1,650
36
K462
4,630
28
K4622
4,320
K463
150119410
8,920
150119510
33,790
340
K464
33,790
546
150,121,210
33,790
288
K465
52,820
70
150404810
150,316,610
49,120
1,149
K475
150121410
6,040
387
150121810
53,560
497
150405810
150316610
49,120
825
150292310
7,350
681
150,123,310
53,560
315
K4763
150316610
49,120
904
K483
53,560
258
150,296,210
12,120
57
150292310
7,350
774
K477
150122210
700
66
K4764
150316610
49,120
825
K478
53,560
317
150122410
7,460
37
K478
105,000
63
150357710
122,540
931
K526
150253510
122,540
1,486
K529
150135110
122,540
1,800
150,135,310
125,240
435
150336810
122,540
1,113
K5322
125,240
157
150136710
80,060
18
150375310
100,200
23
150375410
150319610
115,750
31
K5574
150319610
115,750
39
K5553
150,399,910
150,319,610
115,750
38
K555
150141410
187,370
73
136,780,100
150381650
187,370
50
93,685,000
150,245,210
210,790
40
84,316,000
150381750
210,790
33
69,560,700
150,264,810
150319610
115,750
43
150381850
187,370
92
172,380,400
150320210
210,790
49
103,287,100
K569
192,920
16
150147510
18,400
460
150149110
23,110
7,685
K611
18,620
23,796
130,008,070
20,040
44,484
130,008,170
23,110
7,421
K6162
150157150
10,800
130,010,250
18,620
23,960
K6163
20,040
40,965
K6164
23,110
7,663
130010350
18,620
22,439
K612
150400610
20,040
29,292
150400710
23,110
7,641
K623
18,620
22,345
150154810
20,040
34,408
150154910
5,200
14,099
K647
69,840
27
K668
150177210
28,210
80
150,409,950
150177210
28,210
121
K6972
150378210
150,177,210
30,940
60
K695
150362610
150177210
30,940
91
K7082
150179550
18,810
25
K7092
52,730
345
K6976
83,810
386
K7002
150389110
26,100
82
K7152
150389510
14,660
46
150297310
150183110
150183110
150,183,110
150183110
5,190
33,873
150407410
6,520
15,873
K742
150187710
5,190
33,684
K763
150193810
27,550
12
K766
150194310
13,000
302
K747
6,520
16,164
K766
150194310
13,000
330
K769
150194610
35,880
249
K748
150,190,710
1,650
20,662
K867
3,860
15,759
K8672
150,002,150
470
K864
150214910
4,320
6,779
K8673
8,200
1,262
K8674
150,216,650
3,330
1,950
K865
150215110
1,650
18,691
K899
150222310
3,220
150,278,510
3,860
16,069
K900
150222410
1,240
K8722
4,320
6,384
K9002
150222550
1,240
K8723
8,200
1,190
K901
150222610
2,460
6,244
150,294,310
4,730
13,963
K867
1,650
19,433
K889
4,630
14,778
K890
4,320
5,873
K8902
150282050
46,410
2,510
150,221,910
8,920
1,134
K8903
150366110
46,410
481
K897
1,650
19,074
K902
150,222,710
2,350
8,028
150221710
4,630
15,803
K903
150,222,810
4,320
5,960
150,222,910
8,920
1,174
150,223,010
H3104R0203 M 1010110
H3104R0203 M 1010110
H3004H3103 M 1010110
H3004H3103 M 1010110
H2904H3003 M 10101
H2904H3003 M 10101
H2804H2903 M 10101
H2804H2903 M 10101
5,000
23,986
1,199,300,000
180031710
5,000
17,908
895,400,000
180031710
Rebuild businesses while responding to changing business conditions Expand added value by strengthening software
functionality, such as with image processing and AI technologies.
Expansion in North America: Increase penetration of hospital networks and strengthen direct sales/service capabilities.
Performance Targets for Year Ending March 2023
Consolidated Net Sales: 72.0 billion yen (103 % increase from year ending March 2020)
Expand Profitability by Constantly Offering New Added Value
Strengthen Software
Deploy AI technologies. Automate expert operating methods. Increase image quality and decrease
X-ray dose levels.
Reduce artifacts
X-ray image
hospital visits
Use smartphone app to enter information for hospital visits
Sold by: Shimadzu Corporation Category: Medical Compatibility: Android 7.0 (Nougat) or later (Android 10 or later
recommended) and iOS 11.0 or later Language: Japanese Price: Free
Deploy subscription business and expand added value by strengthening software functionality, such as with image processing and AI technologies.
9
Enter patient information, basic symptom
information, and answer preliminary questions
Check in Display QR code Enter details
Home Hospital Entrance Hospital Reception Department Reception Examination Room
Download patient information, basic
preliminary questions
responses
10
Jointly establish radiological technologist teaching/training facility in partnership with Midwestern State University (United States).
Sales Subsidiary Shimadzu Medical
Development Subsidiary Shimadzu Software
Regional Headquarters
April 2020: Integrated Washington state and three neighboring states as territory covered by Northwest Regional Office.
Study the potential of further expanding direct sales/service regions.
Strengthen sales activities to regional hospital groups.
11
Medium-Term Management Plan Strengthening Businesses in the North America Strengthen sales expansion of new products with modest sales
growth due to the COVID-19 pandemic. FLUOROspeed X1 Patient-Side R/F System
Offer an ultimate multipurpose X-ray examination room. High quality digital system equipped with FPD and state-of-
the-art X-ray dose level reduction functionality Patient-side operability demanded in the U.S. Also include features for examining elderly and obese
patients, in addition to regular examinations.
SONIALVISION G4 Remote-Controlled R/F System Strengthen digital radiography functionality and include chest exam capability. FLUOROspeed X1
RADspeed Pro General Radiography System Add new diagnostic functionality to general radiography systems by adding dynamic imaging with kinetic analysis capability. Lung function visualization, breathing function assessment, and
postoperative follow-up observation
Service Businesses Target sales for year ending March 2023:
10 % increase versus year ending March 2019 At least 30 % service-to-sales ratio
Utilize customer support centers. Strengthen support for users of diagnostic/treatment support systems. Offer 24-hour on-site service and periodic inspections on holidays
and closed days. Deploy in China. (Scheduled to open in October 2021)
Expand service coverage area. (U.S. and Japan: April 2020) Strengthen direct service capabilities, expand sales,
and increase profitability.
Medium-Term Management Plan Strengthening Aftermarket Business
13
Two years since startup of new facilities (new building and combination sheet metal processing equipment) → Significantly improve productivity. Promote cost reductions, such as by moving processes
in-house, consolidating simple tasks, and reducing labor hours.
During FY 2020, ensured production capacity for satisfying increased demand for mobile X-ray systems (about 200 % year-on-year increase).
During FY 2021, continue production by flexibly sourcing parts and materials that are difficult to obtain globally.
New building
Production Quantity of Mobile X-Ray Systems
14
Responding to Changing Business Conditions Sales of Digital Mobile X-Ray Systems Importance of mobile X-ray systems recognized due to pandemic
⇒ Offer user-friendly operability. Offer new value with rapid diagnostic imaging for patient rooms, emergency medicine, and operating rooms.
For a Wide Variety of Customer Applications Image Processing, Security, and Other Software Upgrades
Large monitor enables rapid on-the-spot diagnosis: Integrated DR model Freely selectable FPD makes introduction easier: DR neutral Expand aftermarket business by selling service contracts and optional products for existing mobile X-ray systems.
Integrated DR Model with Large Monitor
For Customers with Existing DR Systems
Normal Mode
15
Responding to Changing Business Conditions Sales of AutoAmpTM Genetic Analyzer
Responding to Changing Business Conditions Taking on the Challenge of Early Detection/Treatment of Alzheimer’s Disease
Percent of Dementia Cases by Disease Type
Frontotemporal dementia
Other 0.4%
Alzheimer’s dementia
Source: Addressing Dementia Morbidity and Functional Impairment in Urban Areas—Comprehensive Report on Research from 2011 to 2012 (Japanese Ministry of Health, Labour and Welfare Funded Scientific Research on Dementia Countermeasures)
U ltr
a- Ea
BresTome TOF-PET System (for medical personnel)
fNIRS
Predicting Amyloid-Beta Plaque Levels in the Brain from a Blood Test
Shimadzu is developing technology for predicting the amount of amyloid- beta plaques accumulated in the brain based on results from using mass spectrometry to measure amyloid-beta quantities in a few drops of blood (about 0.5 mL).
Using PET to Visualize Amyloid-Beta Plaque Levels in the Brain
High-performance PET scanning can be used to visualize amyloid- beta plaques in the brain (not covered by Japanese national health insurance). Shimadzu will use it to contribute to future dementia or drug discovery research.
Evaluating Cognitive Function by Optical Brain Function Imaging
Functional near-infrared spectroscopy (fNIRS) can measure cognitive brain activities while the body is positioned similarly to everyday life.
16
17
technologies to provide new diagnostic value
Early screening of colon cancer
Rapid pathological diagnostic support system
Development support for Alzheimer’s disease drug
discovery
Support for photoimmunotherapy
sampling location X-ray diagnostic
Quantitative analysis of
hormones in blood
Contributing to Society through Science and Technology Realizing Our Wishes for the Well-being of Mankind and the Earth
Future result values indicated in this presentation document are projections of the future based on information available at the time the document was released and include potential risks and uncertainties. Consequently, due to a wide variety of factors, actual results may differ significantly from the projections indicated in this document.
18
Current Status of BusinessOverview of Diagnostic Imaging System Market
Current Status of BusinessMedical Systems Business Results
Product Line and Direction for Increasing Competitiveness
Clinical Value of Products—Expanding/Improving Diagnostic Capabilities
Clinical Value of Products—Improving Procedure Support Functionality
Medium-Term Management PlanOverview of New Medium-Term Management Plan
Medium-Term Management PlanStrengthening Software Functionality
“Hospital Essentials” Digital Patient Interview Service
Medium-Term Management PlanStrengthening Businesses in the North America
Medium-Term Management PlanStrengthening Businesses in the North America
Medium-Term Management PlanStrengthening Aftermarket Business
Medium-Term Management PlanImproving Productivity(Strengthen Shimane Shimadzu, Manufacturing Location in Japan)
Responding to Changing Business ConditionsSales of Digital Mobile X-Ray Systems
Responding to Changing Business ConditionsSales of AutoAmpTM Genetic Analyzer
Responding to Changing Business ConditionsTaking on the Challenge of Early Detection/Treatment of Alzheimer’s Disease
Responding to Changing Business ConditionsAdvanced Healthcare Measures
18
