Johnson & Johnson and Synthes, Inc.; Analysis of Agreement Containing Consent Orders to Aid Public Comment, 35978-35981 [2012-14660]
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35978
Federal Register / Vol. 77, No. 116 / Friday, June 15, 2012 / Notices
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srobinson on DSK4SPTVN1PROD with NOTICES
II. Public Comments
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Dated: June 8, 2012.
Edward J. DeMarco,
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[FR Doc. 2012–14590 Filed 6–14–12; 8:45 am]
BILLING CODE 8070–01–P
FEDERAL TRADE COMMISSION
[File No. 111 0160]
Johnson & Johnson and Synthes, Inc.;
Analysis of Agreement Containing
Consent Orders to Aid Public
Comment
Federal Trade Commission.
Proposed consent agreement.
AGENCY:
ACTION:
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Alaska.
Hawaii.
Hawaii.
Idaho.
Montana.
Montana.
Montana.
Montana.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Oregon.
Utah.
Utah.
Utah.
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Utah.
Utah.
Utah.
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Washington.
Washington.
Washington.
Washington.
Washington.
Washington.
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Washington.
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Washington.
Washington.
Washington.
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Wyoming.
Wyoming.
The consent agreement in this
matter settles alleged violations of
federal law prohibiting unfair or
deceptive acts or practices or unfair
methods of competition. The attached
Analysis to Aid Public Comment
describes both the allegations in the
draft complaint and the terms of the
consent order—embodied in the consent
agreement—that would settle these
allegations.
DATES: Comments must be received on
or before July 12, 2012.
ADDRESSES: Interested parties may file a
comment online or on paper, by
following the instructions in the
Request for Comment part of the
SUPPLEMENTARY INFORMATION section
below. Write ‘‘Johnson & Johnson, File
No. 111 0160’’ on your comment, and
file your comment online at https://
ftcpublic.commentworks.com/ftc/
j&jsynthesconsent, by following the
instructions on the Web-based form. If
you prefer to file your comment on
SUMMARY:
E:\FR\FM\15JNN1.SGM
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srobinson on DSK4SPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 116 / Friday, June 15, 2012 / Notices
paper, mail or deliver your comment to
the following address: Federal Trade
Commission, Office of the Secretary,
Room H–113 (Annex D), 600
Pennsylvania Avenue NW., Washington,
DC 20580.
FOR FURTHER INFORMATION CONTACT:
Mark D. Seidman (202–326–3296), FTC,
Bureau of Competition, 600
Pennsylvania Avenue NW., Washington,
DC 20580.
SUPPLEMENTARY INFORMATION: Pursuant
to section 6(f) of the Federal Trade
Commission Act, 38 Stat. 721, 15 U.S.C.
46(f), and § 2.34 the Commission Rules
of Practice, 16 CFR 2.34, notice is
hereby given that the above-captioned
consent agreement containing a consent
order to cease and desist, having been
filed with and accepted, subject to final
approval, by the Commission, has been
placed on the public record for a period
of thirty (30) days. The following
Analysis to Aid Public Comment
describes the terms of the consent
agreement, and the allegations in the
complaint. An electronic copy of the
full text of the consent agreement
package can be obtained from the FTC
Home Page (for June 11, 2012), on the
World Wide Web, at https://www.ftc.gov/
os/actions.shtm. A paper copy can be
obtained from the FTC Public Reference
Room, Room 130–H, 600 Pennsylvania
Avenue NW., Washington, DC 20580,
either in person or by calling (202) 326–
2222.
You can file a comment online or on
paper. For the Commission to consider
your comment, we must receive it on or
before July 12, 2012. Write ‘‘Johnson &
Johnson, File No. 111 0160’’ on your
comment. Your comment—including
your name and your state—will be
placed on the public record of this
proceeding, including, to the extent
practicable, on the public Commission
Web site, at https://www.ftc.gov/os/
publiccomments.shtm. As a matter of
discretion, the Commission tries to
remove individuals’ home contact
information from comments before
placing them on the Commission Web
site.
Because your comment will be made
public, you are solely responsible for
making sure that your comment does
not include any sensitive personal
information, like anyone’s Social
Security number, date of birth, driver’s
license number or other state
identification number or foreign country
equivalent, passport number, financial
account number, or credit or debit card
number. You are also solely responsible
for making sure that your comment does
not include any sensitive health
information, like medical records or
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other individually identifiable health
information. In addition, do not include
any ‘‘[t]rade secret or any commercial or
financial information which is obtained
from any person and which is privileged
or confidential,’’ as provided in Section
6(f) of the FTC Act, 15 U.S.C. 46(f), and
FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2).
In particular, do not include
competitively sensitive information
such as costs, sales statistics,
inventories, formulas, patterns, devices,
manufacturing processes, or customer
names.
If you want the Commission to give
your comment confidential treatment,
you must file it in paper form, with a
request for confidential treatment, and
you have to follow the procedure
explained in FTC Rule 4.9(c), 16 CFR
4.9(c).1 Your comment will be kept
confidential only if the FTC General
Counsel, in his or her sole discretion,
grants your request in accordance with
the law and the public interest.
Postal mail addressed to the
Commission is subject to delay due to
heightened security screening. As a
result, we encourage you to submit your
comments online. To make sure that the
Commission considers your online
comment, you must file it at https://
ftcpublic.commentworks.com/ftc/
j&jsynthesconsent by following the
instructions on the web-based form. If
this Notice appears at https://
www.regulations.gov/#!home, you also
may file a comment through that Web
site.
If you file your comment on paper,
write ‘‘Jonhson & Johnson, File No. 111
0160’’ on your comment and on the
envelope, and mail or deliver it to the
following address: Federal Trade
Commission, Office of the Secretary,
Room H–113 (Annex D), 600
Pennsylvania Avenue NW, Washington,
DC 20580. If possible, submit your
paper comment to the Commission by
courier or overnight service.
Visit the Commission Web site at
https://www.ftc.gov to read this Notice
and the news release describing it. The
FTC Act and other laws that the
Commission administers permit the
collection of public comments to
consider and use in this proceeding as
appropriate. The Commission will
consider all timely and responsive
public comments that it receives on or
before July 12, 2012. You can find more
information, including routine uses
permitted by the Privacy Act, in the
1 In particular, the written request for confidential
treatment that accompanies the comment must
include the factual and legal basis for the request,
and must identify the specific portions of the
comment to be withheld from the public record. See
FTC Rule 4.9(c), 16 CFR 4.9(c).
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35979
Commission’s privacy policy, at https://
www.ftc.gov/ftc/privacy.htm.
Analysis of Agreement Containing
Consent Order to Aid Public Comment
I. Introduction
The Federal Trade Commission
(‘‘Commission’’) has accepted, subject to
final approval, an Agreement
Containing Consent Orders (‘‘Consent
Agreement’’) from Johnson & Johnson
(‘‘J&J’’). The purpose of the proposed
Consent Agreement is to remedy the
anticompetitive effects that would
otherwise result from J&J’s acquisition
of the volar distal radius plating system
assets of Synthes, Inc. (‘‘Synthes’’).
Under the terms of the proposed
Consent Agreement, J&J is required to
divest all assets (including intellectual
property) related to its ‘‘DVR’’ volar
distal radius plating system business to
a third party, enabling that third party
to make and sell the DVR for the
treatment of distal radius wrist
fractures.
The proposed Consent Agreement has
been placed on the public record for
thirty days to solicit comments from
interested persons. Comments received
during this period will become part of
the public record. After thirty days, the
Commission will again review the
proposed Consent Agreement and the
comments received, and will decide
whether it should withdraw from the
proposed Consent Agreement or make it
final.
Pursuant to an Agreement and Plan of
Merger dated April 26, 2011, J&J
proposes to acquire Synthes in exchange
for cash and voting securities in a
transaction valued at approximately
$21.3 billion. The Commission’s
complaint alleges that the proposed
acquisition, if consummated, would
violate Section 7 of the Clayton Act, as
amended, 15 U.S.C. 18, and Section 5 of
the Federal Trade Commission Act, as
amended, 15 U.S.C. 45, by combining
the two largest competitors in the U.S.
market for volar distal radius plating
systems. The proposed Consent
Agreement would remedy the alleged
violations by replacing the competition
that otherwise would be lost in these
markets as a result of the acquisition.
II. The Parties
J&J is a comprehensive and broadbased manufacturer of products related
to all aspects of human health care. In
2011, J&J generated global sales of $65
billion and U.S. sales of $28.9 billion.
J&J is divided into three business
segments: Consumer, Pharmaceutical,
and Medical Devices and Diagnostics.
The products impacted by the proposed
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Federal Register / Vol. 77, No. 116 / Friday, June 15, 2012 / Notices
srobinson on DSK4SPTVN1PROD with NOTICES
transaction, volar distal radius plating
systems, fall within J&J’s Medical
Devices and Diagnostics segment.
Synthes is a medical device company
that manufactures products in five main
product groups: trauma, spine, craniomaxillofacial, biomaterials, and power
tools. In 2011, Synthes generated global
sales of $3.97 billion worldwide and
U.S. sales of $2.14 billion. Synthes’s
volar distal radius plating system sales
are part of its trauma unit.
III. Volar Distal Radius Plating Systems
Volar distal radius plates are internal
fixation devices that are implanted
surgically from the underside of the
wrist to achieve and maintain proper
alignment of the radius bone following
a fracture. Distal radius fractures, which
are fractures of the portion of the radius
bone closest to the wrist, are among the
most common fractures in the human
body. Distal radius fractures generally
occur as a result of an individual
bracing for a fall, whether it is a routine
slip and fall by an elderly patient with
a weak bone structure or a high-energy
fall by a young, active patient engaged
in sporting activities.
Most patients who experience distal
radius fractures do not require surgical
intervention and can be treated with
simple casting. If the radius bone is
displaced, however, it is almost always
necessary to realign the fracture
surgically. Volar distal radius plating
systems are the primary option for
treating displaced distal radius fractures
in the United States. They are favored
by surgeons because they provide solid
fracture alignment, are easy to implant,
and enable greater patient post-surgical
freedom of movement and shorter
patient recovery times. Other options
exist to treat displaced distal radius
fractures, but those alternative methods
are typically used only in specialized
cases. For the large percentage of
displaced distal radius fractures, the
clinical benefits of volar distal radius
plating systems cannot be matched by
the alternative products available on the
market, and doctors and their patients
would not switch to using products
other than volar distal radius plating
systems in response to a small but
significant increase in the price of these
systems.
The U.S. market for volar distal radius
plating systems is highly concentrated,
with J&J and Synthes controlling over 70
percent of the market as measured by
2010 revenue. The design of the DVR
incorporates unique, clinically relevant
features that are protected by
intellectual property rights. Many
surgeons still consider the DVR to be the
best volar distal radius plating system
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17:05 Jun 14, 2012
Jkt 226001
on the market, and it accounted for
approximately 29 percent of U.S. volar
distal radius sales in 2010. Synthes is
the leading manufacturer of volar distal
radius plating systems in the United
States, and accounted for approximately
42 percent of the market by 2010
revenue. Synthes’s success selling distal
radius plating systems derives in part
from its leading position and strong
clinical reputation in the overall trauma
field. The next closest competitors to J&J
and Synthes—Stryker and Acumed—
would each be less than one-sixth the
size of the combined firm.
The relevant geographic market for
volar distal radius plating systems is the
United States. Volar distal radius
plating systems are medical devices that
are regulated by the United States Food
and Drug Administration (‘‘FDA’’).
Volar distal radius plating systems sold
outside the United States, but not
approved for sale in the United States,
are not viable competitive alternatives
for U.S. consumers and hence are not in
the relevant market.
IV. Competitive Effects and Entry
Conditions
The acquisition would cause
significant competitive harm in the
market for volar distal radius plating
systems. J&J and Synthes are the leading
suppliers of volar distal radius plating
systems and each other’s most
significant competitors. J&J and Synthes
have responded directly to competition
from each other with lower prices and
improved products. Although there are
a number of other suppliers of volar
distal radius plates, they have not
gained significant traction among
surgeons and have substantially smaller
market shares than the merging parties.
By eliminating its closest competitor,
the acquisition would allow J&J to
unilaterally raise prices in the market
for volar distal radius plating systems.
Entry would not be timely, likely, or
sufficient in magnitude, character, and
scope to deter or counteract the
anticompetitive effects of the
acquisition. Both J&J and Synthes
employ patented technology in their
volar distal radius plating systems. The
patents owned by the two companies
have prevented competitors from
developing products that surgeons
consider to be equally effective.
Manufacturer product reputation and
effective distribution also are important
to surgeons and hospitals. Many fringe
competitors are limited by their lack of
a strong distribution system, and it
would take a significant amount of time
for one or more current fringe
competitors to develop a sufficient
reputation for quality, service, and
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Fmt 4703
Sfmt 4703
consistency. Therefore, timely and
sufficient entry in response to a small
but significant price increase is
unlikely.
V. The Proposed Consent Agreement
The proposed Decision and Order
resolves the competitive concerns raised
by J&J’s proposed acquisition of Synthes
by requiring the divestiture of J&J’s U.S.
DVR assets to a qualified buyer no later
than ten (10) days after the acquisition
is consummated. The parties have
selected Biomet, Inc. (‘‘Biomet’’) as the
buyer for the assets to be divested.
Although the Commission’s competitive
concerns are limited to the manufacture
and sale of volar distal radius plating
systems, the parties elected to divest the
entire J&J trauma portfolio, including
the volar distal radius plating systems,
to Biomet. Biomet is a successful
orthopedics company with a recognized
brand name, an extensive nationwide
sales force, and existing service
relationships with surgeons and
hospitals, but it currently has no
meaningful presence in the volar distal
radius plating or trauma product
markets. Biomet is thus well positioned
to replace the competition that will be
eliminated as a result of the proposed
transaction. A divestiture of J&J’s volar
distal radius assets will ensure that
Biomet has a recognized high-quality
volar distal radius plating system
offering, enabling it to compete
immediately with the merged entity.
The Commission’s merger remedies
are intended to maintain or to restore
the competitive status quo. Based on the
evidence gathered in the investigation,
the Commission has determined that the
divestiture of J&J’s volar distal radius
plating system assets to Biomet should
replicate the competitive conditions for
volar distal radius plating systems that
existed prior to the proposed transaction
between J&J and Synthes.
The proposed Consent Agreement
contains a provision that allows the
Commission to appoint an interim
monitor to oversee J&J’s compliance
with all of its obligations and
performance of its responsibilities
pursuant to the Commission’s Decision
and Order. The interim monitor is
required to file periodic reports with the
Commission to ensure that the
Commission remains informed about
the status of the divestitures, about the
efforts being made to accomplish the
divestitures, and about the provision of
services and assistance during the
transition period to ensure the success
of the DVR divestiture.
Finally, the proposed Consent
Agreement contains provisions that
allow the Commission to appoint a
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Federal Register / Vol. 77, No. 116 / Friday, June 15, 2012 / Notices
divestiture trustee if any or all of the
above remedies are not accomplished
within the time frames required by the
Consent Agreement.
The purpose of this analysis is to
facilitate public comment on the
proposed Consent Agreement, and it is
not intended to constitute an official
interpretation of the proposed Decision
and Order or to modify its terms in any
way.
By direction of the Commission.
Donald S. Clark,
Secretary.
[FR Doc. 2012–14660 Filed 6–14–12; 8:45 am]
BILLING CODE 6750–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Notice of Intent To Award Affordable
Care Act (ACA) Funding, HM10–1001
Notice of Intent to award Affordable
Care Act (ACA) funding to the
Association of Public Health
Laboratories (APHL) to educate public
health laboratories about the
Environmental Public Tracking Network
as a potential data tool for laboratories.
This award was proposed in the
grantee’s Fiscal Year (FY) 2012 NonCompeting Continuation applications
under funding opportunity Cooperative
Agreement HM10–1001, ‘‘APHL–CDC
Partnership for Quality Laboratory
Practice.’’
AGENCY: Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice.
This notice provides public
announcement of CDC’s intent to award
Affordable Care Act (ACA)
appropriations to the Association of
Public Health Laboratories. These
activities are proposed by the abovementioned grantee in their FY 2012
applications submitted under funding
opportunity HM10–1001, ‘‘APHL–CDC
Partnership for Quality Laboratory
Practice,’’ Catalogue of Federal
Domestic Assistance Number (CFDA):
93.065.
Approximately $20,076 in ACA
funding will be awarded to the grantee
for communication and education
activities designed to raise awareness
among public health laboratories about
the Environmental Public Health
Tracking Network. Funding is
appropriated under the Affordable Care
Act (Pub. L. 111–148), Section 4002
srobinson on DSK4SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:05 Jun 14, 2012
Jkt 226001
[42 U.S.C. 300u–11]; (Prevention and
Public Health Fund).
Accordingly, CDC adds the following
information to the previously published
funding opportunity announcement of
HM10–1001:
—Authority: Section 317(k)(2) of the
Public Health Service Act, [42 U.S.C.
247b(k)(2)], as amended, and the
Patient Protection and Affordable
Care Act (ACA), Section 4002
[42 U.S.C. 300u–11].
—CFDA #: 93.538 Affordable Care
Act—National Environmental Public
Health Tracking Program-Network
Implementation.
Award Information: Type of Award:
Non-Competing Continuation
Cooperative Agreement.
Approximate Total Current Fiscal
Year ACA Funding: $20,076.
Anticipated Number of Awards: 1.
Fiscal Year Funds: 2012.
Anticipated Award Date: July 2, 2012.
Application Selection Process:
Funding will be awarded to applicant
based on results from the technical
review recommendation.
Funding Authority: CDC will add the
ACA Authority to that which is
reflected in the published Funding
Opportunity CDC–RFA–HM10–1001.
The revised funding authority language
will read:
—This program is authorized under
Section 317(k)(2) of the Public Health
Service Act, [42 U.S.C. 247b], as
amended, and the Patient Protection
and Affordable Care Act (ACA),
Section 4002 [42 U.S.C. 300u–11].
DATES: The effective date for this action
is the date of publication of this Notice
and remains in effect until the
expiration of the project period of the
ACA funded applications.
FOR FURTHER INFORMATION CONTACT:
Annie Harrison-Camacho, Centers for
Disease Control and Prevention, 2920
Brandywine Road, Atlanta, GA 30341,
telephone (770) 488–2098, email
Annie.HarrisonCamacho@cdc.gov.
SUPPLEMENTARY INFORMATION: On March
23, 2010, the President signed into law
the Affordable Care Act (ACA), Public
Law 111–148. The ACA is designed to
improve and expand the scope of health
care coverage for Americans. Cost
savings through disease prevention is an
important element of this legislation
and the ACA has established a
Prevention and Public Health Fund
(PPHF) for this purpose. Specifically,
the legislation states in Section 4002
that the PPHF is to ‘‘provide for
expanded and sustained national
investment in prevention and public
health programs to improve health and
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35981
help restrain the rate of growth in
private and public sector health care
costs.’’ The ACA and the Prevention and
Public Health Fund make improving
public health a priority with
investments to improve public health.
The PPHF states that the Secretary
shall transfer amounts in the Fund to
accounts within the Department of
Health and Human Services to increase
funding, over the fiscal year 2008 level,
for programs authorized by the Public
Health Service Act, for prevention,
wellness and public health activities
including prevention research and
health screenings, such as the
Community Transformation Grant
Program, the Education and Outreach
Campaign for Preventative Benefits, and
Immunization Programs.
The ACA legislation affords an
important opportunity to advance
public health across the lifespan and to
improve public health by supporting the
Tracking Network. This network builds
on ongoing efforts within the public
health and environmental sectors to
improve health tracking, hazard
monitoring and response capacity.
Therefore, increasing funding available
to applicants under this FOA using the
PPHF will allow them to expand and
sustain their existing tracking networks,
utilize tracking data available on
networks for potential public health
assessments which is consistent with
the purpose of the PPHF, as stated
above, and to provide for an expanded
and sustained national investment in
prevention and public health programs.
Further, the Secretary allocated funds to
CDC, pursuant to the PPHF, for the
types of activities this FOA is designed
to carry out.
Dated: June 6, 2012.
Alan A. Kotch,
Director, Procurement and Grants Office,
Centers for Disease Control and Prevention.
[FR Doc. 2012–14688 Filed 6–14–12; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10028]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
AGENCY:
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Agencies
[Federal Register Volume 77, Number 116 (Friday, June 15, 2012)]
[Notices]
[Pages 35978-35981]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-14660]
=======================================================================
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FEDERAL TRADE COMMISSION
[File No. 111 0160]
Johnson & Johnson and Synthes, Inc.; Analysis of Agreement
Containing Consent Orders to Aid Public Comment
AGENCY: Federal Trade Commission.
ACTION: Proposed consent agreement.
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SUMMARY: The consent agreement in this matter settles alleged
violations of federal law prohibiting unfair or deceptive acts or
practices or unfair methods of competition. The attached Analysis to
Aid Public Comment describes both the allegations in the draft
complaint and the terms of the consent order--embodied in the consent
agreement--that would settle these allegations.
DATES: Comments must be received on or before July 12, 2012.
ADDRESSES: Interested parties may file a comment online or on paper, by
following the instructions in the Request for Comment part of the
SUPPLEMENTARY INFORMATION section below. Write ``Johnson & Johnson,
File No. 111 0160'' on your comment, and file your comment online at
https://ftcpublic.commentworks.com/ftc/j&jsynthesconsent, by following
the instructions on the Web-based form. If you prefer to file your
comment on
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paper, mail or deliver your comment to the following address: Federal
Trade Commission, Office of the Secretary, Room H-113 (Annex D), 600
Pennsylvania Avenue NW., Washington, DC 20580.
FOR FURTHER INFORMATION CONTACT: Mark D. Seidman (202-326-3296), FTC,
Bureau of Competition, 600 Pennsylvania Avenue NW., Washington, DC
20580.
SUPPLEMENTARY INFORMATION: Pursuant to section 6(f) of the Federal
Trade Commission Act, 38 Stat. 721, 15 U.S.C. 46(f), and Sec. 2.34 the
Commission Rules of Practice, 16 CFR 2.34, notice is hereby given that
the above-captioned consent agreement containing a consent order to
cease and desist, having been filed with and accepted, subject to final
approval, by the Commission, has been placed on the public record for a
period of thirty (30) days. The following Analysis to Aid Public
Comment describes the terms of the consent agreement, and the
allegations in the complaint. An electronic copy of the full text of
the consent agreement package can be obtained from the FTC Home Page
(for June 11, 2012), on the World Wide Web, at https://www.ftc.gov/os/actions.shtm. A paper copy can be obtained from the FTC Public
Reference Room, Room 130-H, 600 Pennsylvania Avenue NW., Washington, DC
20580, either in person or by calling (202) 326-2222.
You can file a comment online or on paper. For the Commission to
consider your comment, we must receive it on or before July 12, 2012.
Write ``Johnson & Johnson, File No. 111 0160'' on your comment. Your
comment--including your name and your state--will be placed on the
public record of this proceeding, including, to the extent practicable,
on the public Commission Web site, at https://www.ftc.gov/os/publiccomments.shtm. As a matter of discretion, the Commission tries to
remove individuals' home contact information from comments before
placing them on the Commission Web site.
Because your comment will be made public, you are solely
responsible for making sure that your comment does not include any
sensitive personal information, like anyone's Social Security number,
date of birth, driver's license number or other state identification
number or foreign country equivalent, passport number, financial
account number, or credit or debit card number. You are also solely
responsible for making sure that your comment does not include any
sensitive health information, like medical records or other
individually identifiable health information. In addition, do not
include any ``[t]rade secret or any commercial or financial information
which is obtained from any person and which is privileged or
confidential,'' as provided in Section 6(f) of the FTC Act, 15 U.S.C.
46(f), and FTC Rule 4.10(a)(2), 16 CFR 4.10(a)(2). In particular, do
not include competitively sensitive information such as costs, sales
statistics, inventories, formulas, patterns, devices, manufacturing
processes, or customer names.
If you want the Commission to give your comment confidential
treatment, you must file it in paper form, with a request for
confidential treatment, and you have to follow the procedure explained
in FTC Rule 4.9(c), 16 CFR 4.9(c).\1\ Your comment will be kept
confidential only if the FTC General Counsel, in his or her sole
discretion, grants your request in accordance with the law and the
public interest.
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\1\ In particular, the written request for confidential
treatment that accompanies the comment must include the factual and
legal basis for the request, and must identify the specific portions
of the comment to be withheld from the public record. See FTC Rule
4.9(c), 16 CFR 4.9(c).
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Postal mail addressed to the Commission is subject to delay due to
heightened security screening. As a result, we encourage you to submit
your comments online. To make sure that the Commission considers your
online comment, you must file it at https://ftcpublic.commentworks.com/ftc/j&jsynthesconsent by following the instructions on the web-based
form. If this Notice appears at https://www.regulations.gov/#!home, you
also may file a comment through that Web site.
If you file your comment on paper, write ``Jonhson & Johnson, File
No. 111 0160'' on your comment and on the envelope, and mail or deliver
it to the following address: Federal Trade Commission, Office of the
Secretary, Room H-113 (Annex D), 600 Pennsylvania Avenue NW,
Washington, DC 20580. If possible, submit your paper comment to the
Commission by courier or overnight service.
Visit the Commission Web site at https://www.ftc.gov to read this
Notice and the news release describing it. The FTC Act and other laws
that the Commission administers permit the collection of public
comments to consider and use in this proceeding as appropriate. The
Commission will consider all timely and responsive public comments that
it receives on or before July 12, 2012. You can find more information,
including routine uses permitted by the Privacy Act, in the
Commission's privacy policy, at https://www.ftc.gov/ftc/privacy.htm.
Analysis of Agreement Containing Consent Order to Aid Public Comment
I. Introduction
The Federal Trade Commission (``Commission'') has accepted, subject
to final approval, an Agreement Containing Consent Orders (``Consent
Agreement'') from Johnson & Johnson (``J&J''). The purpose of the
proposed Consent Agreement is to remedy the anticompetitive effects
that would otherwise result from J&J's acquisition of the volar distal
radius plating system assets of Synthes, Inc. (``Synthes''). Under the
terms of the proposed Consent Agreement, J&J is required to divest all
assets (including intellectual property) related to its ``DVR'' volar
distal radius plating system business to a third party, enabling that
third party to make and sell the DVR for the treatment of distal radius
wrist fractures.
The proposed Consent Agreement has been placed on the public record
for thirty days to solicit comments from interested persons. Comments
received during this period will become part of the public record.
After thirty days, the Commission will again review the proposed
Consent Agreement and the comments received, and will decide whether it
should withdraw from the proposed Consent Agreement or make it final.
Pursuant to an Agreement and Plan of Merger dated April 26, 2011,
J&J proposes to acquire Synthes in exchange for cash and voting
securities in a transaction valued at approximately $21.3 billion. The
Commission's complaint alleges that the proposed acquisition, if
consummated, would violate Section 7 of the Clayton Act, as amended, 15
U.S.C. 18, and Section 5 of the Federal Trade Commission Act, as
amended, 15 U.S.C. 45, by combining the two largest competitors in the
U.S. market for volar distal radius plating systems. The proposed
Consent Agreement would remedy the alleged violations by replacing the
competition that otherwise would be lost in these markets as a result
of the acquisition.
II. The Parties
J&J is a comprehensive and broad-based manufacturer of products
related to all aspects of human health care. In 2011, J&J generated
global sales of $65 billion and U.S. sales of $28.9 billion. J&J is
divided into three business segments: Consumer, Pharmaceutical, and
Medical Devices and Diagnostics. The products impacted by the proposed
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transaction, volar distal radius plating systems, fall within J&J's
Medical Devices and Diagnostics segment.
Synthes is a medical device company that manufactures products in
five main product groups: trauma, spine, cranio-maxillofacial,
biomaterials, and power tools. In 2011, Synthes generated global sales
of $3.97 billion worldwide and U.S. sales of $2.14 billion. Synthes's
volar distal radius plating system sales are part of its trauma unit.
III. Volar Distal Radius Plating Systems
Volar distal radius plates are internal fixation devices that are
implanted surgically from the underside of the wrist to achieve and
maintain proper alignment of the radius bone following a fracture.
Distal radius fractures, which are fractures of the portion of the
radius bone closest to the wrist, are among the most common fractures
in the human body. Distal radius fractures generally occur as a result
of an individual bracing for a fall, whether it is a routine slip and
fall by an elderly patient with a weak bone structure or a high-energy
fall by a young, active patient engaged in sporting activities.
Most patients who experience distal radius fractures do not require
surgical intervention and can be treated with simple casting. If the
radius bone is displaced, however, it is almost always necessary to
realign the fracture surgically. Volar distal radius plating systems
are the primary option for treating displaced distal radius fractures
in the United States. They are favored by surgeons because they provide
solid fracture alignment, are easy to implant, and enable greater
patient post-surgical freedom of movement and shorter patient recovery
times. Other options exist to treat displaced distal radius fractures,
but those alternative methods are typically used only in specialized
cases. For the large percentage of displaced distal radius fractures,
the clinical benefits of volar distal radius plating systems cannot be
matched by the alternative products available on the market, and
doctors and their patients would not switch to using products other
than volar distal radius plating systems in response to a small but
significant increase in the price of these systems.
The U.S. market for volar distal radius plating systems is highly
concentrated, with J&J and Synthes controlling over 70 percent of the
market as measured by 2010 revenue. The design of the DVR incorporates
unique, clinically relevant features that are protected by intellectual
property rights. Many surgeons still consider the DVR to be the best
volar distal radius plating system on the market, and it accounted for
approximately 29 percent of U.S. volar distal radius sales in 2010.
Synthes is the leading manufacturer of volar distal radius plating
systems in the United States, and accounted for approximately 42
percent of the market by 2010 revenue. Synthes's success selling distal
radius plating systems derives in part from its leading position and
strong clinical reputation in the overall trauma field. The next
closest competitors to J&J and Synthes--Stryker and Acumed--would each
be less than one-sixth the size of the combined firm.
The relevant geographic market for volar distal radius plating
systems is the United States. Volar distal radius plating systems are
medical devices that are regulated by the United States Food and Drug
Administration (``FDA''). Volar distal radius plating systems sold
outside the United States, but not approved for sale in the United
States, are not viable competitive alternatives for U.S. consumers and
hence are not in the relevant market.
IV. Competitive Effects and Entry Conditions
The acquisition would cause significant competitive harm in the
market for volar distal radius plating systems. J&J and Synthes are the
leading suppliers of volar distal radius plating systems and each
other's most significant competitors. J&J and Synthes have responded
directly to competition from each other with lower prices and improved
products. Although there are a number of other suppliers of volar
distal radius plates, they have not gained significant traction among
surgeons and have substantially smaller market shares than the merging
parties. By eliminating its closest competitor, the acquisition would
allow J&J to unilaterally raise prices in the market for volar distal
radius plating systems.
Entry would not be timely, likely, or sufficient in magnitude,
character, and scope to deter or counteract the anticompetitive effects
of the acquisition. Both J&J and Synthes employ patented technology in
their volar distal radius plating systems. The patents owned by the two
companies have prevented competitors from developing products that
surgeons consider to be equally effective. Manufacturer product
reputation and effective distribution also are important to surgeons
and hospitals. Many fringe competitors are limited by their lack of a
strong distribution system, and it would take a significant amount of
time for one or more current fringe competitors to develop a sufficient
reputation for quality, service, and consistency. Therefore, timely and
sufficient entry in response to a small but significant price increase
is unlikely.
V. The Proposed Consent Agreement
The proposed Decision and Order resolves the competitive concerns
raised by J&J's proposed acquisition of Synthes by requiring the
divestiture of J&J's U.S. DVR assets to a qualified buyer no later than
ten (10) days after the acquisition is consummated. The parties have
selected Biomet, Inc. (``Biomet'') as the buyer for the assets to be
divested. Although the Commission's competitive concerns are limited to
the manufacture and sale of volar distal radius plating systems, the
parties elected to divest the entire J&J trauma portfolio, including
the volar distal radius plating systems, to Biomet. Biomet is a
successful orthopedics company with a recognized brand name, an
extensive nationwide sales force, and existing service relationships
with surgeons and hospitals, but it currently has no meaningful
presence in the volar distal radius plating or trauma product markets.
Biomet is thus well positioned to replace the competition that will be
eliminated as a result of the proposed transaction. A divestiture of
J&J's volar distal radius assets will ensure that Biomet has a
recognized high-quality volar distal radius plating system offering,
enabling it to compete immediately with the merged entity.
The Commission's merger remedies are intended to maintain or to
restore the competitive status quo. Based on the evidence gathered in
the investigation, the Commission has determined that the divestiture
of J&J's volar distal radius plating system assets to Biomet should
replicate the competitive conditions for volar distal radius plating
systems that existed prior to the proposed transaction between J&J and
Synthes.
The proposed Consent Agreement contains a provision that allows the
Commission to appoint an interim monitor to oversee J&J's compliance
with all of its obligations and performance of its responsibilities
pursuant to the Commission's Decision and Order. The interim monitor is
required to file periodic reports with the Commission to ensure that
the Commission remains informed about the status of the divestitures,
about the efforts being made to accomplish the divestitures, and about
the provision of services and assistance during the transition period
to ensure the success of the DVR divestiture.
Finally, the proposed Consent Agreement contains provisions that
allow the Commission to appoint a
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divestiture trustee if any or all of the above remedies are not
accomplished within the time frames required by the Consent Agreement.
The purpose of this analysis is to facilitate public comment on the
proposed Consent Agreement, and it is not intended to constitute an
official interpretation of the proposed Decision and Order or to modify
its terms in any way.
By direction of the Commission.
Donald S. Clark,
Secretary.
[FR Doc. 2012-14660 Filed 6-14-12; 8:45 am]
BILLING CODE 6750-01-P