80_FR_37384 80 FR 37259 - Zimmer Holdings, Inc. and Biomet, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

80 FR 37259 - Zimmer Holdings, Inc. and Biomet, Inc.; Analysis of Proposed Consent Order To Aid Public Comment

FEDERAL TRADE COMMISSION

Federal Register Volume 80, Issue 125 (June 30, 2015)

Page Range37259-37263
FR Document2015-16081

The consent agreement in this matter settles alleged violations of federal law prohibiting 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.

Federal Register, Volume 80 Issue 125 (Tuesday, June 30, 2015)
[Federal Register Volume 80, Number 125 (Tuesday, June 30, 2015)]
[Notices]
[Pages 37259-37263]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-16081]


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FEDERAL TRADE COMMISSION

[File No. 141-0144]


Zimmer Holdings, Inc. and Biomet, Inc.; Analysis of Proposed 
Consent Order To Aid Public Comment

AGENCY: Federal Trade Commission.

[[Page 37260]]


ACTION: Proposed consent agreement.

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SUMMARY: The consent agreement in this matter settles alleged 
violations of federal law prohibiting 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 24, 2015.

ADDRESSES: Interested parties may file a comment at https://ftcpublic.commentworks.com/ftc/zimmerbiometconsent online or on paper, 
by following the instructions in the Request for Comment part of the 
SUPPLEMENTARY INFORMATION section below. Write ``Zimmer Holdings, Inc. 
and Biomet, Inc.--Consent Agreement; File No. 141-0144'' on your 
comment and file your comment online at https://ftcpublic.commentworks.com/ftc/zimmerbiometconsent by following the 
instructions on the web-based form. If you prefer to file your comment 
on paper, write ``Zimmer Holdings, Inc. and Biomet, Inc.--Consent 
Agreement; File No. 141-0144'' on your comment and on the envelope, and 
mail your comment to the following address: Federal Trade Commission, 
Office of the Secretary, 600 Pennsylvania Avenue NW., Suite CC-5610 
(Annex D), Washington, DC 20580, or deliver your comment to the 
following address: Federal Trade Commission, Office of the Secretary, 
Constitution Center, 400 7th Street SW., 5th Floor, Suite 5610 (Annex 
D), Washington, DC 20024.

FOR FURTHER INFORMATION CONTACT: Christine Tasso, Bureau of 
Competition, (202-326-2232), 600 Pennsylvania Avenue NW., Washington, 
DC 20580.

SUPPLEMENTARY INFORMATION: Pursuant to Section 6(f) of the Federal 
Trade Commission Act, 15 U.S.C. 46(f), and FTC Rule 2.34, 16 CFR 2.34, 
notice is hereby given that the above-captioned consent agreement 
containing 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 24, 2015), on the World Wide Web, at 
http://www.ftc.gov/os/actions.shtm.
    You can file a comment online or on paper. For the Commission to 
consider your comment, we must receive it on or before July 24, 2015. 
Write ``Zimmer Holdings, Inc. and Biomet, Inc.--Consent Agreement; File 
No. 141-0144'' 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 http://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 privileged or confidential,'' as discussed 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).
---------------------------------------------------------------------------

    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/zimmerbiometconsent by following the instructions on the web-based 
form. If this Notice appears at http://www.regulations.gov/#!home, you 
also may file a comment through that Web site.
    If you file your comment on paper, write ``Zimmer Holdings, Inc. 
and Biomet, Inc.--Consent Agreement; File No. 141-0144'' on your 
comment and on the envelope, and mail your comment to the following 
address: Federal Trade Commission, Office of the Secretary, 600 
Pennsylvania Avenue NW., Suite CC-5610 (Annex D), Washington, DC 20580, 
or deliver your comment to the following address: Federal Trade 
Commission, Office of the Secretary, Constitution Center, 400 7th 
Street SW., 5th Floor, Suite 5610 (Annex D), Washington, DC 20024. If 
possible, submit your paper comment to the Commission by courier or 
overnight service.
    Visit the Commission Web site at http://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 24, 2015. For information on the 
Commission's privacy policy, including routine uses permitted by the 
Privacy Act, see http://www.ftc.gov/ftc/privacy.htm.

Analysis of Agreement Containing Consent Order To Aid Public Comment

Introduction

    The Federal Trade Commission (``Commission'') has accepted from 
Zimmer Holdings, Inc. (``Zimmer''), subject to final approval, an 
Agreement Containing Consent Order (``Consent Agreement''), which is 
designed to remedy the anticompetitive effects likely to result from 
Zimmer's proposed acquisition of Biomet, Inc. (``Biomet''). Under the 
terms of the proposed Decision and Order (``Order'') contained in the 
Consent Agreement, Zimmer and Biomet must divest Zimmer's 
Unicompartmental High Flex Knee System (``ZUK'') business in the United 
States to Smith & Nephew, Inc. (``Smith & Nephew'') and divest Biomet's 
Discovery Elbow and Cobalt Bone Cement businesses in the United States 
to DJO Global, Inc. (``DJO'').
    The Consent Agreement has been placed on the public record for 30 
days to solicit comments from interested persons. Comments received 
during this period will become part of the public record. After 30 
days, the Commission

[[Page 37261]]

will again review the Consent Agreement and the comments received, and 
decide whether it should withdraw from the Consent Agreement, modify 
it, or make it final.
    Pursuant to an agreement signed on April 24, 2014, Zimmer plans to 
acquire Biomet for approximately $13.35 billion (the ``Proposed 
Acquisition''). 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 substantially lessening 
competition in the U.S. markets for: (1) Unicondylar knee implants; (2) 
total elbow implants; and (3) bone cement. The proposed Consent 
Agreement will remedy the alleged violations by preserving the 
competition that would otherwise be eliminated by the Proposed 
Acquisition.

The Parties

    Zimmer, headquartered in Warsaw, Indiana, is the third-largest 
musculoskeletal medical device company in the United States and 
worldwide, specializing in the design, development, manufacture, and 
marketing of orthopedic reconstructive products. In 2013, Zimmer 
generated U.S. revenues of $2.42 billion.
    Biomet, also headquartered in Warsaw, Indiana, is the fourth-
largest musculoskeletal medical device company in the United States and 
the fifth-largest globally. In 2013, Biomet generated U.S. revenues of 
$1.86 billion.

The Relevant Products and Market Structures

Unicondylar Knee Implants

    Unicondylar knee implants are medical devices that replace damaged 
bone and cartilage in only one of the knee's three condyles. The most 
common indication for a unicondylar knee implant is osteoarthritic 
damage in the medial condyle. In comparison to a total knee implant, 
which replaces all three condyles, a unicondylar knee implant requires 
less invasive surgery and allows a patient to have a more natural 
feeling knee upon recovery from surgery.
    Unicondylar knee implants vary in a number of ways; however, one of 
the most important differences among the implants is whether they have 
a fixed or mobile bearing. In a fixed bearing implant, a plastic piece 
is fixed permanently to the end of the tibia. In a mobile bearing knee, 
the plastic piece moves and glides over the tibia as the knee moves. 
The mobile bearing places less stress on the bearing surface and may 
extend the longevity of the implant. Despite these differences, fixed 
bearing and mobile bearing implants are in the same product market 
because surgeons regularly substitute between them as they achieve 
comparable functional outcomes for the same indications.
    The market for unicondylar knee implants is highly concentrated. 
Biomet, which markets the Oxford implant, is the market leader, with a 
share of at least 44%. Biomet's Oxford is the only mobile bearing knee 
implant currently on the market. Zimmer, the second-leading supplier of 
unicondylar knee implants, controls at least 23% of the market with its 
fixed bearing implant, ZUK. Stryker Corporation (``Stryker'') offers 
two unicondylar knee implants with fixed bearings: The Triathlon PKR 
and MAKOPlasty, a robotic-assisted surgery option. Stryker's market 
share is approximately 8%. Johnson & Johnson, through its DePuySynthes 
Companies (``J&J DePuy''), and Smith & Nephew both offer fixed bearing 
knee implants and are distant fourth and fifth competitors, maintaining 
approximately 6% and 3% shares of the market, respectively. 
Additionally, a number of small, fringe competitors each control a 
small share of the market, but individually and collectively have 
limited competitive significance. Absent a remedy, the Proposed 
Acquisition would produce a single firm controlling at least 67% of the 
unicondylar knee implant market and substantially increase market 
concentration.

Total Elbow Implants

    Total elbow implants are medical devices that replace damaged bone 
and cartilage in the elbow joint caused by osteoarthritis or a severe 
elbow fracture. Total elbow implants replace the elbow joint with a 
metal hinge that affixes to stems implanted into the humerus and the 
ulna. There are two types of total elbow implants: Linked and unlinked. 
Linked total elbow implants connect the humeral stem to the ulnar stem 
with a pin and locking device, providing extra stability where the 
ligaments surrounding the elbow joint are weak. Unlinked total elbow 
implants do not connect the humeral stem to the ulnar stem 
mechanically; instead, they use the patient's natural ligaments to 
secure the implant. Linked and unlinked total elbow implants are viewed 
as reasonably interchangeable by health care providers because they 
treat the same indications and are priced similarly.
    The market for total elbow implants is highly concentrated today, 
and the Proposed Acquisition would increase concentration in this 
market substantially. Zimmer and Biomet are the two largest suppliers 
of total elbow implants. Apart from the merging parties, Tornier, Inc. 
(``Tornier'') is the only other significant supplier of total elbow 
implants. Zimmer offers two products--the Coonrad/Morrey Total Elbow 
and the Nexel Total Elbow. The Coonrad/Morrey Total Elbow, developed at 
the Mayo Clinic, is a cemented, linked total elbow implant with twenty-
four years of clinical history. In late 2013, Zimmer launched the Nexel 
Total Elbow, which updated the Coonrad/Morrey Total Elbow with, among 
other things, a revised linkage system and instrumentation, and an 
improved bearing surface. Biomet's Discovery Total Elbow is also a 
cemented, linked implant supported by over ten years of clinical 
history. Tornier launched its Latitude EV implant, a cemented total 
elbow system capable of converting between a linked and unlinked 
prosthesis, in the United States in 2013.

Bone Cement

    Surgeons use bone cement in a wide variety of joint arthroplasties 
to affix implants to bones, including the vast majority of knee and 
elbow implants, as well as many hip and shoulder procedures. Bone 
cement is available in high, medium, and low viscosities and in non-
antibiotic and antibiotic formulations. Surgeons select bone cement 
based on its viscosity, whether it has an antibiotic component, 
supporting clinical data, and familiarity. Because surgeons generally 
use the more expensive antibiotic bone cement only for patients with a 
high risk of infection, it may be appropriate to analyze the Proposed 
Acquisition in separate relevant markets for antibiotic and non-
antibiotic bone cement. Most customers, however, purchase both types of 
bone cement through a single contract with a single vendor, and the 
market participants, competitive dynamics, and entry barriers are the 
same for both antibiotic and non-antibiotic bone cement. Thus, for 
convenience and efficiency, it is appropriate to analyze the impact of 
the Proposed Acquisition in a relevant market for all bone cement 
products.
    Four primary suppliers serve the U.S. bone cement market: Stryker, 
Zimmer, J&J DePuy, and Biomet, which together account for approximately 
98% of all bone cement sales in the United States. Stryker's Simplex is 
the market leader, with a share of approximately 40% of the market. 
Zimmer, the second-largest bone cement supplier, has a market share of 
approximately 30%. Zimmer

[[Page 37262]]

derives nearly all of its bone cement revenues from the sale of 
Palacos, which Zimmer distributes under license from Heraeus Holding. 
J&J DePuy takes approximately 18% of the market with its SmartSet bone 
cement, while Biomet's Cobalt has an approximate 10% market share. The 
Proposed Acquisition would reduce the number of major suppliers of bone 
cement in the United States from four to three and increase 
concentration in this market substantially.

The Relevant Geographic Market

    The United States is the relevant geographic market in which to 
analyze the effects of the Proposed Acquisition. Medical devices sold 
outside of the United States are not viable alternatives for U.S. 
consumers, as they cannot turn to these products even in the event of a 
price increase for products currently available in the United States. 
Further, the U.S. Food and Drug Administration (``FDA'') must approve 
any medical device before it is sold in the United States, a process 
that generally takes a significant amount of time. Thus, suppliers of 
medical devices outside the United States cannot shift their product 
into the U.S. market quickly enough to be considered current market 
participants.

Entry

    Entry or expansion into the markets for unicondylar knee implants, 
total elbow implants, and bone cement would not be timely, likely, or 
sufficient to counteract the likely anticompetitive effects of the 
Proposed Acquisition. To enter or effectively expand in any of these 
markets successfully, a supplier would need to design and manufacture 
an effective product, obtain FDA approval, and develop clinical history 
supporting the long-term efficacy of its product. The new entrant or 
putative expanding firm also would need to develop and foster product 
loyalty and establish a nationwide sales network capable of marketing 
the product and providing on-site service at hospitals throughout the 
country. Such development efforts are difficult, time-consuming, and 
expensive, and often fail to result in a competitive product reaching 
the market.

Effects of the Acquisition

    Zimmer's acquisition of Biomet would likely result in substantial 
anticompetitive effects in the unicondylar knee implant market by 
eliminating substantial head-to-head competition between the two most 
successful implants. Zimmer's ZUK and Biomet's Oxford are particularly 
close competitors because of their well-documented clinical success 
records. As close competitors, customers currently leverage the Oxford 
and ZUK against each other to obtain better pricing. Additionally, 
Zimmer and Biomet continually improve features of their unicondylar 
knee implants in order to win business from physicians. Therefore, 
absent a remedy, the Proposed Acquisition would likely result in 
unilateral price effects and reduced innovation.
    The Proposed Acquisition would also eliminate substantial 
competition between Zimmer and Biomet in the market for total elbow 
implants. Market participants indicate that Zimmer and Biomet total 
elbow implants are each other's next best alternative based upon design 
similarities and comparable clinical outcomes. As close substitutes, 
Zimmer and Biomet currently compete directly, including on price and 
service.
    Zimmer's Palacos and Biomet's Cobalt Bone Cement products are 
particularly close substitutes that currently compete aggressively 
against each other. Absent a remedy, the Proposed Acquisition would 
result in the loss of substantial price competition between Zimmer and 
Biomet for the sales of their products.

The Consent Agreement

    The Consent Agreement eliminates the competitive concerns raised by 
the Proposed Acquisition by requiring Zimmer and Biomet to divest all 
U.S. assets and rights related to Zimmer's ZUK unicondylar knee implant 
to Smith & Nephew and all U.S. assets and rights related to Biomet's 
Discovery Total Elbow implant and Cobalt Bone Cement to DJO. This 
divestiture will preserve the competition that currently exists in each 
of the relevant markets.
    Smith & Nephew is a global specialty pharmaceutical company 
headquartered in London, United Kingdom. Smith & Nephew employs more 
than 14,000 employees worldwide with approximately 6,225 employees in 
the United States. In 2014, Smith & Nephew generated worldwide revenues 
of approximately $5.8 billion, of which approximately $1.5 billion came 
from its orthopedic reconstruction business.
    DJO develops, manufactures, and distributes a wide range of medical 
devices, including orthopedic implants. Headquartered in Vista, 
California, DJO employs 5,200 people, and had revenues of approximately 
$1.2 billion in 2014. DJO's orthopedic implant business had 
approximately $100 million in 2014 revenues.
    Pursuant to the Order, Smith & Nephew will receive all U.S. assets 
and rights related to the ZUK unicondylar knee product, including 
intellectual property, manufacturing technology, and existing 
inventory. Zimmer is also required to waive any non-compete employment 
clauses and assist in facilitating employment interviews between key 
employees and sales representatives from Zimmer distributors who 
currently sell the ZUK. The Order further requires Zimmer to provide 
transitional services to Smith & Nephew to assist them in establishing 
their manufacturing capabilities and securing all necessary FDA 
approvals.
    The Order requires Biomet to divest all U.S. assets and rights 
necessary to enable DJO to become an independently viable and effective 
competitor in the total elbow implant and bone cement markets. Biomet 
is required to divest to DJO all of its U.S. assets and rights to 
research, develop, manufacture, market, and sell its total elbow 
implant and bone cement products, including all related intellectual 
property, manufacturing technology, and existing inventory. Biomet will 
also divest all U.S. assets and rights to its bone cement accessories, 
which consist of mixing and delivery systems that allow surgeons to 
control the bone cement ingredients to ensure a complete and consistent 
bone cement mixture and to apply cement onto an implant accurately. 
Hospitals and group purchasing organizations frequently purchase bone 
cement and bone cement accessories together. Further, the Order 
facilitates DJO's hiring of the Biomet sales representatives and 
employees whose responsibilities are related to bone cement and total 
elbow implants.
    The Order requires Zimmer and Biomet to divest their respective 
U.S. assets and rights to the divested products no later than ten days 
after the Proposed Acquisition is consummated or on the date the Order 
becomes final, whichever is earlier. If the Commission determines that 
Smith & Nephew or DJO is not an acceptable acquirer, or that the manner 
of the divestiture is not acceptable, the Order requires Zimmer and 
Biomet to unwind the sale and divest the products within six months of 
the date the Order becomes final to another Commission-approved 
acquirer or acquirers. In that circumstance, the Commission may appoint 
a trustee to accomplish the divestiture if the parties fail to divest 
the products.
    The Commission has agreed to appoint an interim monitor to ensure 
that Zimmer and Biomet comply with all of their obligations pursuant to 
the Consent Agreement and to keep the Commission informed about the 
status of the transfer of the assets and rights to Smith & Nephew and 
DJO.

[[Page 37263]]

    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 Order or to modify its terms in 
any way.

By direction of the Commission.
Donald S. Clark,
Secretary.
[FR Doc. 2015-16081 Filed 6-29-15; 8:45 am]
 BILLING CODE 6750-01-P



                                                                                   Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices                                                  37259

                                                       Section 96.17(d) requires that FSS                   innovation and investment in mobile                      Board of Governors of the Federal Reserve
                                                    Earth Station licensees register annually               broadband use in this spectrum while                   System, June 25, 2015.
                                                    with the SAS to receive interference                    protecting incumbent users. Without                    Michael J. Lewandowski,
                                                    protection.                                             this information, the Commission would                 Associate Secretary of the Board.
                                                       Section 96.21(a)(3) requires that                    not be able to carry out its statutory                 [FR Doc. 2015–16015 Filed 6–29–15; 8:45 am]
                                                    existing commercial wireless broadband                  responsibilities.                                      BILLING CODE 6210–01–P
                                                    licensees operating in the band register                  Federal Communications Commission.
                                                    in order to receive interference
                                                                                                            Gloria J. Miles,
                                                    protection.                                                                                                    FEDERAL RESERVE SYSTEM
                                                       Sections 96.23(b); 96.33(b); 96.39(a)(1)             Federal Register Liaison Officer, Office of the
                                                                                                            Secretary.                                             Change in Bank Control Notices;
                                                    and (c)–(e); 96.43(b); 96.45(d) require
                                                    that the Citizens Broadband Radio                       [FR Doc. 2015–15999 Filed 6–29–15; 8:45 am]            Acquisitions of Shares of a Bank or
                                                    Services Devices (CBSDs), which will                    BILLING CODE 6712–01–P                                 Bank Holding Company
                                                    operate on the Citizens Broadband                                                                                 The notificants listed below have
                                                    Radio Service, must be registered with                                                                         applied under the Change in Bank
                                                    an SAS before use, provide specified                                                                           Control Act (12 U.S.C. 1817(j)) and
                                                    information to the SAS, and adhere to                   FEDERAL RESERVE SYSTEM
                                                                                                                                                                   § 225.41 of the Board’s Regulation Y (12
                                                    certain operating parameters.                                                                                  CFR 225.41) to acquire shares of a bank
                                                                                                            Formations of, Acquisitions by, and
                                                       Section 96.35(e) requires that users                                                                        or bank holding company. The factors
                                                                                                            Mergers of Bank Holding Companies
                                                    operating Category B CBSDs must                                                                                that are considered in acting on the
                                                    coordinate among each other and                           The companies listed in this notice                  notices are set forth in paragraph 7 of
                                                    resolve interference through                            have applied to the Board for approval,                the Act (12 U.S.C. 1817(j)(7)).
                                                    technological solutions or other                        pursuant to the Bank Holding Company                      The notices are available for
                                                    agreements.                                             Act of 1956 (12 U.S.C. 1841 et seq.)                   immediate inspection at the Federal
                                                       Sections 96.39(a) and (b) require that                                                                      Reserve Bank indicated. The notices
                                                                                                            (BHC Act), Regulation Y (12 CFR part
                                                    CBSDs report their geographic                                                                                  also will be available for inspection at
                                                                                                            225), and all other applicable statutes
                                                    coordinates to an SAS automatically                                                                            the offices of the Board of Governors.
                                                                                                            and regulations to become a bank
                                                    through the device or by a professional                                                                        Interested persons may express their
                                                                                                            holding company and/or to acquire the
                                                    installer.                                                                                                     views in writing to the Reserve Bank
                                                                                                            assets or the ownership of, control of, or
                                                       Sections 96.39(f) and (g) require that                                                                      indicated for that notice or to the offices
                                                                                                            the power to vote shares of a bank or
                                                    CBSDs incorporate sufficient security                                                                          of the Board of Governors. Comments
                                                                                                            bank holding company and all of the
                                                    measures so that they are only able to                                                                         must be received not later than July 15,
                                                                                                            banks and nonbanking companies
                                                    communicate with the SAS and                                                                                   2015.
                                                                                                            owned by the bank holding company,
                                                    approved users and devices.                                                                                       A. Federal Reserve Bank of San
                                                       Section 96.41(d)(1) requires that                    including the companies listed below.
                                                                                                                                                                   Francisco (Gerald C. Tsai, Director,
                                                    licensees must report the use of an                       The applications listed below, as well
                                                                                                                                                                   Applications and Enforcement) 101
                                                    alternative Received Signal Strength                    as other related filings required by the
                                                                                                                                                                   Market Street, San Francisco, California
                                                    Limit (RSSL) to the SAS.                                Board, are available for immediate
                                                                                                                                                                   94105–1579:
                                                       Section 96.51 requires that                          inspection at the Federal Reserve Bank                    1. Irving Moore Feldkamp, III, The
                                                    manufacturers include a statement of                    indicated. The applications will also be               Irving M. Feldkamp and Pamela Jo
                                                    compliance with the Commission’s                        available for inspection at the offices of             Feldkamp Family Trust of 2003, both of
                                                    Radio Frequency (RF) safety rules with                  the Board of Governors. Interested                     Redlands, California, Irving M.
                                                    equipment authorization applications.                   persons may express their views in                     Feldkamp, IV, Paragold, LP, both of San
                                                       Sections 96.57(a)–(c); 96.59(a); 96.61               writing on the standards enumerated in                 Bernardino, California, and Burlington
                                                    require that the SAS be capable of                      the BHC Act (12 U.S.C. 1842(c)). If the                National Indemnity, Ltd., Grand
                                                    receiving registration and technical                    proposal also involves the acquisition of              Cayman, Cayman Island; to acquire
                                                    information from CBSDs, SASs, and                       a nonbanking company, the review also                  voting shares of Seacoast Commerce
                                                    ESCs, as well as employ secure                          includes whether the acquisition of the                Banc Holdings, and thereby indirectly
                                                    communication protocols.                                nonbanking company complies with the                   acquire voting shares of Seacoast
                                                       Section 96.63 requires that SAS                      standards in section 4 of the BHC Act                  Commerce Bank, both in San Diego,
                                                    Administrator applicants must                           (12 U.S.C. 1843). Unless otherwise                     California.
                                                    demonstrate to the Commission that                      noted, nonbanking activities will be                      Board of Governors of the Federal
                                                    they are qualified to manage an SAS.                    conducted throughout the United States.                Reserve System,
                                                       Section 96.67 requires that an                         Unless otherwise noted, comments
                                                    Environmental Sensing Capability                                                                                 June 25, 2015.
                                                                                                            regarding each of these applications
                                                    (ESC), used to protect federal radar                                                                           Michael J. Lewandowski,
                                                                                                            must be received at the Reserve Bank
                                                    systems from interference, may only                     indicated or the offices of the Board of
                                                                                                                                                                   Associate Secretary of the Board.
                                                    operate after receiving Commission                      Governors not later than July 24, 2015.                [FR Doc. 2015–16016 Filed 6–29–15; 8:45 am]
                                                    approval and be able to communicate                                                                            BILLING CODE 6210–01–P
                                                    information about the presence of a                       A. Federal Reserve Bank of St. Louis
                                                    federal system and maintain security of                 (Yvonne Sparks, Community
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    the detected signals.                                   Development Officer) P.O. Box 442, St.
                                                                                                                                                                   FEDERAL TRADE COMMISSION
                                                       These rules which contain                            Louis, Missouri 63166–2034:
                                                    information collection requirements are                   1. BankFirst Capital Corporation,                    [File No. 141–0144]
                                                    designed to provide for flexible use of                 Macon, Mississippi; to merge with
                                                                                                                                                                   Zimmer Holdings, Inc. and Biomet,
                                                    this spectrum, while managing three                     Newton County Bancorporation, Inc.,
                                                                                                                                                                   Inc.; Analysis of Proposed Consent
                                                    tiers of users in the band, and create a                and thereby indirectly acquire Newton
                                                                                                                                                                   Order To Aid Public Comment
                                                    low-cost entry point for a wide array of                County Bank, both in Newton,
                                                    users. The rules will encourage                         Mississippi.                                           AGENCY:   Federal Trade Commission.


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                                                    37260                          Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices

                                                    ACTION:   Proposed consent agreement.                   your comment, we must receive it on or                     instructions on the web-based form. If
                                                                                                            before July 24, 2015. Write ‘‘Zimmer                       this Notice appears at http://
                                                    SUMMARY:    The consent agreement in this               Holdings, Inc. and Biomet, Inc.—                           www.regulations.gov/#!home, you also
                                                    matter settles alleged violations of                    Consent Agreement; File No. 141–0144’’                     may file a comment through that Web
                                                    federal law prohibiting unfair methods                  on your comment. Your comment—                             site.
                                                    of competition. The attached Analysis to                including your name and your state—                           If you file your comment on paper,
                                                    Aid Public Comment describes both the                   will be placed on the public record of                     write ‘‘Zimmer Holdings, Inc. and
                                                    allegations in the draft complaint and                  this proceeding, including, to the extent                  Biomet, Inc.—Consent Agreement; File
                                                    the terms of the consent order—                         practicable, on the public Commission                      No. 141–0144’’ on your comment and
                                                    embodied in the consent agreement—                      Web site, at http://www.ftc.gov/os/                        on the envelope, and mail your
                                                    that would settle these allegations.                    publiccomments.shtm. As a matter of                        comment to the following address:
                                                    DATES: Comments must be received on                     discretion, the Commission tries to                        Federal Trade Commission, Office of the
                                                    or before July 24, 2015.                                remove individuals’ home contact                           Secretary, 600 Pennsylvania Avenue
                                                    ADDRESSES: Interested parties may file a                information from comments before                           NW., Suite CC–5610 (Annex D),
                                                    comment at https://                                     placing them on the Commission Web                         Washington, DC 20580, or deliver your
                                                    ftcpublic.commentworks.com/ftc/                         site.                                                      comment to the following address:
                                                    zimmerbiometconsent online or on                           Because your comment will be made                       Federal Trade Commission, Office of the
                                                    paper, by following the instructions in                 public, you are solely responsible for                     Secretary, Constitution Center, 400 7th
                                                    the Request for Comment part of the                     making sure that your comment does                         Street SW., 5th Floor, Suite 5610
                                                    SUPPLEMENTARY INFORMATION section                       not include any sensitive personal                         (Annex D), Washington, DC 20024. If
                                                    below. Write ‘‘Zimmer Holdings, Inc.                    information, like anyone’s Social                          possible, submit your paper comment to
                                                    and Biomet, Inc.—Consent Agreement;                     Security number, date of birth, driver’s                   the Commission by courier or overnight
                                                    File No. 141–0144’’ on your comment                     license number or other state                              service.
                                                    and file your comment online at                         identification number or foreign country                      Visit the Commission Web site at
                                                    https://ftcpublic.commentworks.com/                     equivalent, passport number, financial                     http://www.ftc.gov to read this Notice
                                                    ftc/zimmerbiometconsent by following                    account number, or credit or debit card                    and the news release describing it. The
                                                    the instructions on the web-based form.                 number. You are also solely responsible                    FTC Act and other laws that the
                                                    If you prefer to file your comment on                   for making sure that your comment does                     Commission administers permit the
                                                    paper, write ‘‘Zimmer Holdings, Inc.                    not include any sensitive health                           collection of public comments to
                                                    and Biomet, Inc.—Consent Agreement;                     information, like medical records or                       consider and use in this proceeding as
                                                    File No. 141–0144’’ on your comment                     other individually identifiable health                     appropriate. The Commission will
                                                    and on the envelope, and mail your                      information. In addition, do not include                   consider all timely and responsive
                                                    comment to the following address:                       any ‘‘[t]rade secret or any commercial or                  public comments that it receives on or
                                                    Federal Trade Commission, Office of the                 financial information which . . . is                       before July 24, 2015. For information on
                                                    Secretary, 600 Pennsylvania Avenue                      privileged or confidential,’’ as discussed                 the Commission’s privacy policy,
                                                    NW., Suite CC–5610 (Annex D),                           in Section 6(f) of the FTC Act, 15 U.S.C.                  including routine uses permitted by the
                                                    Washington, DC 20580, or deliver your                   46(f), and FTC Rule 4.10(a)(2), 16 CFR                     Privacy Act, see http://www.ftc.gov/ftc/
                                                    comment to the following address:                       4.10(a)(2). In particular, do not include                  privacy.htm.
                                                    Federal Trade Commission, Office of the                 competitively sensitive information
                                                                                                            such as costs, sales statistics,                           Analysis of Agreement Containing
                                                    Secretary, Constitution Center, 400 7th                                                                            Consent Order To Aid Public Comment
                                                    Street SW., 5th Floor, Suite 5610                       inventories, formulas, patterns, devices,
                                                    (Annex D), Washington, DC 20024.                        manufacturing processes, or customer                       Introduction
                                                                                                            names.
                                                    FOR FURTHER INFORMATION CONTACT:                           If you want the Commission to give                         The Federal Trade Commission
                                                    Christine Tasso, Bureau of Competition,                 your comment confidential treatment,                       (‘‘Commission’’) has accepted from
                                                    (202–326–2232), 600 Pennsylvania                        you must file it in paper form, with a                     Zimmer Holdings, Inc. (‘‘Zimmer’’),
                                                    Avenue NW., Washington, DC 20580.                       request for confidential treatment, and                    subject to final approval, an Agreement
                                                    SUPPLEMENTARY INFORMATION: Pursuant                     you have to follow the procedure                           Containing Consent Order (‘‘Consent
                                                    to Section 6(f) of the Federal Trade                    explained in FTC Rule 4.9(c), 16 CFR                       Agreement’’), which is designed to
                                                    Commission Act, 15 U.S.C. 46(f), and                    4.9(c).1 Your comment will be kept                         remedy the anticompetitive effects
                                                    FTC Rule 2.34, 16 CFR 2.34, notice is                   confidential only if the FTC General                       likely to result from Zimmer’s proposed
                                                    hereby given that the above-captioned                   Counsel, in his or her sole discretion,                    acquisition of Biomet, Inc. (‘‘Biomet’’).
                                                    consent agreement containing consent                    grants your request in accordance with                     Under the terms of the proposed
                                                    order to cease and desist, having been                  the law and the public interest.                           Decision and Order (‘‘Order’’) contained
                                                    filed with and accepted, subject to final                  Postal mail addressed to the                            in the Consent Agreement, Zimmer and
                                                    approval, by the Commission, has been                   Commission is subject to delay due to                      Biomet must divest Zimmer’s
                                                    placed on the public record for a period                heightened security screening. As a                        Unicompartmental High Flex Knee
                                                    of thirty (30) days. The following                      result, we encourage you to submit your                    System (‘‘ZUK’’) business in the United
                                                    Analysis to Aid Public Comment                          comments online. To make sure that the                     States to Smith & Nephew, Inc. (‘‘Smith
                                                    describes the terms of the consent                      Commission considers your online                           & Nephew’’) and divest Biomet’s
                                                    agreement, and the allegations in the                   comment, you must file it at https://                      Discovery Elbow and Cobalt Bone
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    complaint. An electronic copy of the                    ftcpublic.commentworks.com/ftc/                            Cement businesses in the United States
                                                    full text of the consent agreement                      zimmerbiometconsent by following the                       to DJO Global, Inc. (‘‘DJO’’).
                                                    package can be obtained from the FTC                                                                                  The Consent Agreement has been
                                                    Home Page (for June 24, 2015), on the                      1 In particular, the written request for confidential   placed on the public record for 30 days
                                                    World Wide Web, at http://www.ftc.gov/                  treatment that accompanies the comment must                to solicit comments from interested
                                                                                                            include the factual and legal basis for the request,
                                                    os/actions.shtm.                                        and must identify the specific portions of the
                                                                                                                                                                       persons. Comments received during this
                                                       You can file a comment online or on                  comment to be withheld from the public record. See         period will become part of the public
                                                    paper. For the Commission to consider                   FTC Rule 4.9(c), 16 CFR 4.9(c).                            record. After 30 days, the Commission


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                                                                                   Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices                                              37261

                                                    will again review the Consent                           less stress on the bearing surface and                 concentration in this market
                                                    Agreement and the comments received,                    may extend the longevity of the implant.               substantially. Zimmer and Biomet are
                                                    and decide whether it should withdraw                   Despite these differences, fixed bearing               the two largest suppliers of total elbow
                                                    from the Consent Agreement, modify it,                  and mobile bearing implants are in the                 implants. Apart from the merging
                                                    or make it final.                                       same product market because surgeons                   parties, Tornier, Inc. (‘‘Tornier’’) is the
                                                       Pursuant to an agreement signed on                   regularly substitute between them as                   only other significant supplier of total
                                                    April 24, 2014, Zimmer plans to acquire                 they achieve comparable functional                     elbow implants. Zimmer offers two
                                                    Biomet for approximately $13.35 billion                 outcomes for the same indications.                     products—the Coonrad/Morrey Total
                                                    (the ‘‘Proposed Acquisition’’). The                        The market for unicondylar knee                     Elbow and the Nexel Total Elbow. The
                                                    Commission’s Complaint alleges that                     implants is highly concentrated. Biomet,               Coonrad/Morrey Total Elbow,
                                                    the Proposed Acquisition, if                            which markets the Oxford implant, is                   developed at the Mayo Clinic, is a
                                                    consummated, would violate Section 7                    the market leader, with a share of at                  cemented, linked total elbow implant
                                                    of the Clayton Act, as amended, 15                      least 44%. Biomet’s Oxford is the only                 with twenty-four years of clinical
                                                    U.S.C. 18, and Section 5 of the Federal                 mobile bearing knee implant currently                  history. In late 2013, Zimmer launched
                                                    Trade Commission Act, as amended, 15                    on the market. Zimmer, the second-                     the Nexel Total Elbow, which updated
                                                    U.S.C. 45, by substantially lessening                   leading supplier of unicondylar knee                   the Coonrad/Morrey Total Elbow with,
                                                    competition in the U.S. markets for: (1)                implants, controls at least 23% of the                 among other things, a revised linkage
                                                    Unicondylar knee implants; (2) total                    market with its fixed bearing implant,                 system and instrumentation, and an
                                                    elbow implants; and (3) bone cement.                    ZUK. Stryker Corporation (‘‘Stryker’’)                 improved bearing surface. Biomet’s
                                                    The proposed Consent Agreement will                     offers two unicondylar knee implants                   Discovery Total Elbow is also a
                                                    remedy the alleged violations by                        with fixed bearings: The Triathlon PKR                 cemented, linked implant supported by
                                                    preserving the competition that would                   and MAKOPlasty, a robotic-assisted                     over ten years of clinical history.
                                                    otherwise be eliminated by the                          surgery option. Stryker’s market share is              Tornier launched its Latitude EV
                                                    Proposed Acquisition.                                   approximately 8%. Johnson & Johnson,                   implant, a cemented total elbow system
                                                                                                            through its DePuySynthes Companies                     capable of converting between a linked
                                                    The Parties                                             (‘‘J&J DePuy’’), and Smith & Nephew                    and unlinked prosthesis, in the United
                                                       Zimmer, headquartered in Warsaw,                     both offer fixed bearing knee implants                 States in 2013.
                                                    Indiana, is the third-largest                           and are distant fourth and fifth
                                                                                                            competitors, maintaining approximately                 Bone Cement
                                                    musculoskeletal medical device
                                                    company in the United States and                        6% and 3% shares of the market,                           Surgeons use bone cement in a wide
                                                    worldwide, specializing in the design,                  respectively. Additionally, a number of                variety of joint arthroplasties to affix
                                                    development, manufacture, and                           small, fringe competitors each control a               implants to bones, including the vast
                                                    marketing of orthopedic reconstructive                  small share of the market, but                         majority of knee and elbow implants, as
                                                    products. In 2013, Zimmer generated                     individually and collectively have                     well as many hip and shoulder
                                                    U.S. revenues of $2.42 billion.                         limited competitive significance. Absent               procedures. Bone cement is available in
                                                       Biomet, also headquartered in                        a remedy, the Proposed Acquisition                     high, medium, and low viscosities and
                                                    Warsaw, Indiana, is the fourth-largest                  would produce a single firm controlling                in non-antibiotic and antibiotic
                                                    musculoskeletal medical device                          at least 67% of the unicondylar knee                   formulations. Surgeons select bone
                                                    company in the United States and the                    implant market and substantially                       cement based on its viscosity, whether
                                                    fifth-largest globally. In 2013, Biomet                 increase market concentration.                         it has an antibiotic component,
                                                    generated U.S. revenues of $1.86 billion.                                                                      supporting clinical data, and familiarity.
                                                                                                            Total Elbow Implants                                   Because surgeons generally use the
                                                    The Relevant Products and Market                          Total elbow implants are medical                     more expensive antibiotic bone cement
                                                    Structures                                              devices that replace damaged bone and                  only for patients with a high risk of
                                                                                                            cartilage in the elbow joint caused by                 infection, it may be appropriate to
                                                    Unicondylar Knee Implants
                                                                                                            osteoarthritis or a severe elbow fracture.             analyze the Proposed Acquisition in
                                                      Unicondylar knee implants are                         Total elbow implants replace the elbow                 separate relevant markets for antibiotic
                                                    medical devices that replace damaged                    joint with a metal hinge that affixes to               and non-antibiotic bone cement. Most
                                                    bone and cartilage in only one of the                   stems implanted into the humerus and                   customers, however, purchase both
                                                    knee’s three condyles. The most                         the ulna. There are two types of total                 types of bone cement through a single
                                                    common indication for a unicondylar                     elbow implants: Linked and unlinked.                   contract with a single vendor, and the
                                                    knee implant is osteoarthritic damage in                Linked total elbow implants connect the                market participants, competitive
                                                    the medial condyle. In comparison to a                  humeral stem to the ulnar stem with a                  dynamics, and entry barriers are the
                                                    total knee implant, which replaces all                  pin and locking device, providing extra                same for both antibiotic and non-
                                                    three condyles, a unicondylar knee                      stability where the ligaments                          antibiotic bone cement. Thus, for
                                                    implant requires less invasive surgery                  surrounding the elbow joint are weak.                  convenience and efficiency, it is
                                                    and allows a patient to have a more                     Unlinked total elbow implants do not                   appropriate to analyze the impact of the
                                                    natural feeling knee upon recovery from                 connect the humeral stem to the ulnar                  Proposed Acquisition in a relevant
                                                    surgery.                                                stem mechanically; instead, they use the               market for all bone cement products.
                                                      Unicondylar knee implants vary in a                   patient’s natural ligaments to secure the                 Four primary suppliers serve the U.S.
                                                    number of ways; however, one of the                     implant. Linked and unlinked total                     bone cement market: Stryker, Zimmer,
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    most important differences among the                    elbow implants are viewed as                           J&J DePuy, and Biomet, which together
                                                    implants is whether they have a fixed or                reasonably interchangeable by health                   account for approximately 98% of all
                                                    mobile bearing. In a fixed bearing                      care providers because they treat the                  bone cement sales in the United States.
                                                    implant, a plastic piece is fixed                       same indications and are priced                        Stryker’s Simplex is the market leader,
                                                    permanently to the end of the tibia. In                 similarly.                                             with a share of approximately 40% of
                                                    a mobile bearing knee, the plastic piece                  The market for total elbow implants is               the market. Zimmer, the second-largest
                                                    moves and glides over the tibia as the                  highly concentrated today, and the                     bone cement supplier, has a market
                                                    knee moves. The mobile bearing places                   Proposed Acquisition would increase                    share of approximately 30%. Zimmer


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                                                    37262                          Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices

                                                    derives nearly all of its bone cement                   competitors because of their well-                     knee product, including intellectual
                                                    revenues from the sale of Palacos, which                documented clinical success records. As                property, manufacturing technology,
                                                    Zimmer distributes under license from                   close competitors, customers currently                 and existing inventory. Zimmer is also
                                                    Heraeus Holding. J&J DePuy takes                        leverage the Oxford and ZUK against                    required to waive any non-compete
                                                    approximately 18% of the market with                    each other to obtain better pricing.                   employment clauses and assist in
                                                    its SmartSet bone cement, while                         Additionally, Zimmer and Biomet                        facilitating employment interviews
                                                    Biomet’s Cobalt has an approximate                      continually improve features of their                  between key employees and sales
                                                    10% market share. The Proposed                          unicondylar knee implants in order to                  representatives from Zimmer
                                                    Acquisition would reduce the number                     win business from physicians.                          distributors who currently sell the ZUK.
                                                    of major suppliers of bone cement in the                Therefore, absent a remedy, the                        The Order further requires Zimmer to
                                                    United States from four to three and                    Proposed Acquisition would likely                      provide transitional services to Smith &
                                                    increase concentration in this market                   result in unilateral price effects and                 Nephew to assist them in establishing
                                                    substantially.                                          reduced innovation.                                    their manufacturing capabilities and
                                                                                                               The Proposed Acquisition would also                 securing all necessary FDA approvals.
                                                    The Relevant Geographic Market                          eliminate substantial competition                         The Order requires Biomet to divest
                                                       The United States is the relevant                    between Zimmer and Biomet in the                       all U.S. assets and rights necessary to
                                                    geographic market in which to analyze                   market for total elbow implants. Market                enable DJO to become an independently
                                                    the effects of the Proposed Acquisition.                participants indicate that Zimmer and                  viable and effective competitor in the
                                                    Medical devices sold outside of the                     Biomet total elbow implants are each                   total elbow implant and bone cement
                                                    United States are not viable alternatives               other’s next best alternative based upon               markets. Biomet is required to divest to
                                                    for U.S. consumers, as they cannot turn                 design similarities and comparable                     DJO all of its U.S. assets and rights to
                                                    to these products even in the event of                  clinical outcomes. As close substitutes,               research, develop, manufacture, market,
                                                    a price increase for products currently                 Zimmer and Biomet currently compete                    and sell its total elbow implant and
                                                    available in the United States. Further,                directly, including on price and service.              bone cement products, including all
                                                    the U.S. Food and Drug Administration                      Zimmer’s Palacos and Biomet’s Cobalt                related intellectual property,
                                                    (‘‘FDA’’) must approve any medical                      Bone Cement products are particularly                  manufacturing technology, and existing
                                                    device before it is sold in the United                  close substitutes that currently compete               inventory. Biomet will also divest all
                                                    States, a process that generally takes a                aggressively against each other. Absent                U.S. assets and rights to its bone cement
                                                    significant amount of time. Thus,                       a remedy, the Proposed Acquisition                     accessories, which consist of mixing
                                                    suppliers of medical devices outside the                would result in the loss of substantial                and delivery systems that allow
                                                    United States cannot shift their product                price competition between Zimmer and                   surgeons to control the bone cement
                                                    into the U.S. market quickly enough to                  Biomet for the sales of their products.                ingredients to ensure a complete and
                                                    be considered current market                                                                                   consistent bone cement mixture and to
                                                                                                            The Consent Agreement
                                                    participants.                                                                                                  apply cement onto an implant
                                                                                                               The Consent Agreement eliminates                    accurately. Hospitals and group
                                                    Entry                                                   the competitive concerns raised by the                 purchasing organizations frequently
                                                       Entry or expansion into the markets                  Proposed Acquisition by requiring                      purchase bone cement and bone cement
                                                    for unicondylar knee implants, total                    Zimmer and Biomet to divest all U.S.                   accessories together. Further, the Order
                                                    elbow implants, and bone cement                         assets and rights related to Zimmer’s                  facilitates DJO’s hiring of the Biomet
                                                    would not be timely, likely, or sufficient              ZUK unicondylar knee implant to Smith                  sales representatives and employees
                                                    to counteract the likely anticompetitive                & Nephew and all U.S. assets and rights                whose responsibilities are related to
                                                    effects of the Proposed Acquisition. To                 related to Biomet’s Discovery Total                    bone cement and total elbow implants.
                                                    enter or effectively expand in any of                   Elbow implant and Cobalt Bone Cement                      The Order requires Zimmer and
                                                    these markets successfully, a supplier                  to DJO. This divestiture will preserve                 Biomet to divest their respective U.S.
                                                    would need to design and manufacture                    the competition that currently exists in               assets and rights to the divested
                                                    an effective product, obtain FDA                        each of the relevant markets.                          products no later than ten days after the
                                                    approval, and develop clinical history                     Smith & Nephew is a global specialty                Proposed Acquisition is consummated
                                                    supporting the long-term efficacy of its                pharmaceutical company headquartered                   or on the date the Order becomes final,
                                                    product. The new entrant or putative                    in London, United Kingdom. Smith &                     whichever is earlier. If the Commission
                                                    expanding firm also would need to                       Nephew employs more than 14,000                        determines that Smith & Nephew or DJO
                                                    develop and foster product loyalty and                  employees worldwide with                               is not an acceptable acquirer, or that the
                                                    establish a nationwide sales network                    approximately 6,225 employees in the                   manner of the divestiture is not
                                                    capable of marketing the product and                    United States. In 2014, Smith & Nephew                 acceptable, the Order requires Zimmer
                                                    providing on-site service at hospitals                  generated worldwide revenues of                        and Biomet to unwind the sale and
                                                    throughout the country. Such                            approximately $5.8 billion, of which                   divest the products within six months of
                                                    development efforts are difficult, time-                approximately $1.5 billion came from                   the date the Order becomes final to
                                                    consuming, and expensive, and often                     its orthopedic reconstruction business.                another Commission-approved acquirer
                                                    fail to result in a competitive product                    DJO develops, manufactures, and                     or acquirers. In that circumstance, the
                                                    reaching the market.                                    distributes a wide range of medical                    Commission may appoint a trustee to
                                                                                                            devices, including orthopedic implants.                accomplish the divestiture if the parties
                                                    Effects of the Acquisition                              Headquartered in Vista, California, DJO                fail to divest the products.
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                       Zimmer’s acquisition of Biomet                       employs 5,200 people, and had                             The Commission has agreed to
                                                    would likely result in substantial                      revenues of approximately $1.2 billion                 appoint an interim monitor to ensure
                                                    anticompetitive effects in the                          in 2014. DJO’s orthopedic implant                      that Zimmer and Biomet comply with
                                                    unicondylar knee implant market by                      business had approximately $100                        all of their obligations pursuant to the
                                                    eliminating substantial head-to-head                    million in 2014 revenues.                              Consent Agreement and to keep the
                                                    competition between the two most                           Pursuant to the Order, Smith &                      Commission informed about the status
                                                    successful implants. Zimmer’s ZUK and                   Nephew will receive all U.S. assets and                of the transfer of the assets and rights to
                                                    Biomet’s Oxford are particularly close                  rights related to the ZUK unicondylar                  Smith & Nephew and DJO.


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                                                                                   Federal Register / Vol. 80, No. 125 / Tuesday, June 30, 2015 / Notices                                            37263

                                                      The purpose of this analysis is to                    DEPARTMENT OF HEALTH AND                               a final rule, advice on the scientific
                                                    facilitate public comment on the                        HUMAN SERVICES                                         validity and quality of dose estimation
                                                    proposed Consent Agreement, and it is                                                                          and reconstruction efforts being
                                                    not intended to constitute an official                  Centers for Disease Control and                        performed for purposes of the
                                                    interpretation of the proposed Order or                 Prevention                                             compensation program, and advice on
                                                    to modify its terms in any way.                                                                                petitions to add classes of workers to the
                                                                                                            Advisory Board on Radiation and                        Special Exposure Cohort (SEC).
                                                    By direction of the Commission.                         Worker Health (ABRWH or Advisory                          In December 2000, the President
                                                    Donald S. Clark,                                        Board), National Institute for                         delegated responsibility for funding,
                                                    Secretary.                                              Occupational Safety and Health                         staffing, and operating the Advisory
                                                    [FR Doc. 2015–16081 Filed 6–29–15; 8:45 am]             (NIOSH)                                                Board to HHS, which subsequently
                                                    BILLING CODE 6750–01–P
                                                                                                              In accordance with section 10(a)(2) of               delegated this authority to the CDC.
                                                                                                            the Federal Advisory Committee Act                     NIOSH implements this responsibility
                                                                                                            (Pub. L. 92–463), and pursuant to the                  for CDC. The charter was issued on
                                                                                                            requirements of 42 CFR 83.15(a), the                   August 3, 2001, renewed at appropriate
                                                    GENERAL SERVICES                                                                                               intervals, and will expire on August 3,
                                                                                                            Centers for Disease Control and
                                                    ADMINISTRATION                                                                                                 2015.
                                                                                                            Prevention (CDC), announces the
                                                                                                            following meeting of the                                  Purpose: This Advisory Board is
                                                    [Notice–CECANF–2015–06; Docket No.                      aforementioned committee:                              charged with (a) providing advice to the
                                                    2015–0006; Sequence No. 6]                                Times and Dates (All times are                       Secretary, HHS, on the development of
                                                                                                            Mountain Time):                                        guidelines under Executive Order
                                                    Commission To Eliminate Child Abuse                                                                            13179; (b) providing advice to the
                                                    and Neglect Fatalities; Cancellation of                 8:15 a.m.–5:30 p.m., Mountain Time,
                                                                                                                                                                   Secretary, HHS, on the scientific
                                                    Meeting                                                      July 23, 2015
                                                                                                                                                                   validity and quality of dose
                                                                                                            8:15 a.m.–12:00 p.m., Mountain Time,
                                                                                                                                                                   reconstruction efforts performed for this
                                                    AGENCY:  Commission to Eliminate Child                       July 24, 2015
                                                                                                                                                                   program; and (c) upon request by the
                                                    Abuse and Neglect Fatalities, General                     Public Comment Times and Dates (All                  Secretary, HHS, advising the Secretary
                                                    Services Administration.                                times are Mountain Time):                              on whether there is a class of employees
                                                                                                            5:30 p.m.–6:30 p.m.,* Mountain Time,                   at any Department of Energy facility
                                                    ACTION:   Meeting Cancellation.                              July 23, 2015                                     who were exposed to radiation but for
                                                                                                              *Please note that the public comment                 whom it is not feasible to estimate their
                                                    SUMMARY:   The Commission to Eliminate
                                                                                                            period may end before the time                         radiation dose, and on whether there is
                                                    Child Abuse and Neglect Fatalities
                                                                                                            indicated, following the last call for                 reasonable likelihood that such
                                                    (CECANF), a Federal Advisory
                                                                                                            comments. Members of the public who                    radiation doses may have endangered
                                                    Committee established by the Protect
                                                                                                            wish to provide public comments                        the health of members of this class.
                                                    Our Kids Act of 2012, published a
                                                                                                            should plan to attend the public                          Matters for Discussion: The agenda for
                                                    Federal Register notice at 80 FR 36340,
                                                                                                            comment session at the start time listed.              the Advisory Board meeting includes:
                                                    on June 24, 2015, announcing a meeting
                                                                                                              Place: Residence Inn by Marriott, 635                NIOSH Program Update; Department of
                                                    on July 1, 2015. The meeting has been
                                                                                                            West Broadway, Idaho Falls, Idaho                      Labor Program Update; Department of
                                                    cancelled.
                                                                                                            83402, Phone: 208–542–0000; Fax: 208–                  Energy Program Update; SEC Issues
                                                    DATES:   Effective: June 24, 2015.                      542–0021. Audio Conference Call via                    Work Group Report on ‘‘Sufficient
                                                                                                            FTS Conferencing. The USA toll-free,                   Accuracy/Co-Worker Dose Modeling’’;
                                                    FOR FURTHER INFORMATION CONTACT:   Visit
                                                                                                            dial-in number is 1–866–659–0537 with                  Report by the Dose Reconstruction
                                                    the CECANF Web site at https://
                                                                                                            a pass code of 9933701. Live Meeting                   Review Methods Work Group; SEC
                                                    eliminatechildabusefatalities.
                                                                                                            CONNECTION: https://                                   Petitions Update; SEC petitions for:
                                                    sites.usa.gov/ or contact Patricia
                                                                                                            www.livemeeting.com/cc/cdc/join?id                     Carborundum Company (1943–1976;
                                                    Brincefield, Communications Director,
                                                                                                            9RTB4M&role=attend&pw=ABRWH;                           Niagara Falls, New York), Rocky Flats
                                                    at 202–818–9596, U.S. General Services
                                                                                                            Meeting ID: 9RTB4M; Entry Code:                        Plant (1984–1989; Golden, Colorado),
                                                    Administration, 1800 F Street NW.,
                                                                                                            ABRWH.                                                 Idaho National Laboratory (1949–1970;
                                                    Room 7003D, Washington DC 20405,                          Status: Open to the public, limited
                                                    Attention: Tom Hodnett (CD) for                                                                                Scoville, Idaho), and Kansas City Plant
                                                                                                            only by the space available. The meeting               (1949–1993; Kansas City, Missouri); and
                                                    CECANF.                                                 space accommodates approximately 100                   Board Work Sessions.
                                                    SUPPLEMENTARY INFORMATION:       The                    people.                                                   The agenda is subject to change as
                                                    Commission to Eliminate Child Abuse                       Background: The Advisory Board was                   priorities dictate.
                                                    and Neglect Fatalities (CECANF)                         established under the Energy Employees                    In the event an individual cannot
                                                    published a Federal Register notice at                  Occupational Illness Compensation                      attend, written comments may be
                                                    80 FR 36340, on June 24, 2015,                          Program Act of 2000 to advise the                      submitted to the contact person below
                                                    announcing a public meeting on July 1,                  President on a variety of policy and                   well in advance of the meeting. Any
                                                    2015 in Washington, DC. The meeting                     technical functions required to                        written comments received will be
                                                    has been cancelled due to a lack of                     implement and effectively manage the                   provided at the meeting in accordance
                                                                                                            new compensation program. Key                          with the redaction policy provided
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    availability of invitees. At this time,
                                                    there are no plans to reschedule the                    functions of the Advisory Board include                below.
                                                    event.                                                  providing advice on the development of                    Policy on Redaction of Board Meeting
                                                                                                            probability of causation guidelines                    Transcripts (Public Comment): (1) If a
                                                     Dated: June 24, 2015.                                  which have been promulgated by the                     person making a comment gives his or
                                                    Amy Templeman,                                          Department of Health and Human                         her personal information, no attempt
                                                    Acting Executive Director.                              Services (HHS) as a final rule, advice on              will be made to redact the name;
                                                    [FR Doc. 2015–16040 Filed 6–29–15; 8:45 am]             methods of dose reconstruction which                   however, NIOSH will redact other
                                                    BILLING CODE 6820–34–P                                  have also been promulgated by HHS as                   personally identifiable information,


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Document Created: 2018-02-22 11:17:06
Document Modified: 2018-02-22 11:17:06
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionProposed consent agreement.
DatesComments must be received on or before July 24, 2015.
ContactChristine Tasso, Bureau of Competition, (202-326-2232), 600 Pennsylvania Avenue NW., Washington, DC 20580.
FR Citation80 FR 37259 

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