Medical Robotics and Computer-Assisted Surgery

Information technology plays a key role in an ever-widening range of human activities, including surgery. Computers, working in tandem with a variety of microprocessor-enabled equipment and instruments, support and facilitate the work of the surgeon and have brought a level of safety and precision to surgery that would have been inconceivable just a few years ago.

These computers, electronic equipment, and instruments are referred to collectively as medical robotics and computer assisted surgery (MRCAS) or, more dramatically, "the Operating Room of the Future." Their intended function is not to replace the surgeon, but to support the surgeon with enhanced dexterity, visual feedback, and information integration.

Scope Of Study

This report:

• Identifies and segments the main types of MRCAS devices commercialized to date.
• Analyzes the historical and current volume and value of these product segment shipments in specified applications and geographical markets.
• Identifies and evaluates the impact of demographic, economic and other factors that will drive future demand for MRCAS devices.
• Forecasts the U.S. volume and value of shipments of the product segments for the period 2006 through 2011
• Identifies promising new surgical procedures and products still in the development and testing stage, and assesses and forecasts their potential market size.
• Identifies leading manufacturers of the devices and analyzes the structure of the MRCAS industry (e.g., market shares, concentration, recent M&A activity).
• Assesses the long-term outlook for MRCAS equipment, taking into account market opportunities as well as technological, financial, and economic factors.

Report Highlights

• The U.S. market for medical robotics and computer-assisted surgical equipment was worth an estimated $564 million in 2005. The market is projected to reach $704 million in 2006 and $2.8 billion by 2011, an average annual growth rate (AAGR) of 31.4%.
• Surgical navigation systems were the largest product segment (53%) of the U.S. MRCAS market in 2005. However, surgical robots are the fastest growing U.S. market segment, with a projected AAGR of over 43% between 2006 and 2011.
• In terms of surgical applications, neurosurgical applications accounted for the bulk of the U.S. MRCAS market-approximately 40%-in 2005. Endoscopic surgical applications are the fastest-growing application segment, and are expected account for a market-leading 45% of the U.S. market by 2011.
• The total worldwide market for MRCAS devices and equipment is expected to be $1.3 billion in 2006 and $5.7 billion by 2011, an AAGR of 34.7%.

• Introduction
  • Medical Robotics And Computer Assisted Surgery
  • Study Goal And Objectives
  • Reasons For Doing The Study
  • Intended Audience
  • Scope And Format
  • Methodology And Information Sources
  • Analyst Credentials
  • Related BCC Research
  • BCC Online Services
  • Disclaimer
• Executive Summary
  • Summary Table: U.S. Forecast Of Mrcas Equipment Sales, Through 2011 ($ Millions)
  • Summary Figure: Trends In U.S. Sales Of Mrcas Equipment, 2005-2011 ($ Millions)
• Overview Of Medical Robotics And Computer Assisted Surgery
  • General Description And Definition Of Mrcas
  • History Of Medical Robotics And Computer Assisted Surgery
    • Surgical Imaging Technologies
    • Image Registration Techniques
    • Computer Image-Processing
    • Surgical Robots
    • "the Intelligent Operating Room"
    • Surgical Simulation
  • Technologies And Products
    • Stand-Alone Surgical Planners And Simulators
      • Technology
      • Modeling Of Organs And Deformations
      • Simulation Of Actions And Force Feedback Reactions
      • Emerging Technologies
      • Web-Based Surgical Simulators
      • Virtual Surgery Tables
      • Recent Patents
      • Advantages Of Surgical Planners And Simulators
    • Products
      • Barco Projection Systems
      • Virtual Surgery Table
      • Boston Dynamics
      • Surgical Simulator
      • Fifth Dimension Technologies
      • Bronchoscope And Gastroscope Training Simulators
      • Haptica
      • Promis
      • Immersion Medical
      • Accutouch
      • Integrated Surgical Systems
      • Orthodoc
      • Mentice Medical Simulation
      • Procedicus
      • Merge Healthcare
      • Cedara Orthoworks
      • Select-It
      • Vest
      • Simbionix
      • Mentor Simulator Series
      • Gi Mentor, Uro Mentor, Perc Mentor, Lap Mentor (SIMBIONIX)
      • Simsurgery
      • Simsurgery Education Platform
      • Surgical Science
      • Lapsim
    • Surgical Navigation Systems
      • Technologies
      • Imaging Technologies
      • Multi-Modal Imaging
      • Fluoroscopic Imaging
      • Video-Enhanced Imagery
      • Microscopic Imagery
      • Endoscopic Imagery
      • Dynamic (INTERVENTIONAL) Imaging
      • Compact Mri Scanners
      • Intraoperative Ct
      • Intraoperative Ultrasound
      • Tracking Technologies
      • Optical Tracking
      • Electromagnetic Tracking
      • Display Technologies
      • Multiplanar Displays
      • Three-Dimensional Displays
      • Stereoscopic Displays
      • Virtual And Augmented Reality
      • Heads-Up Displays
      • Recent Patents
      • Advantages Of Surgical Navigation Systems
      • Products
      • Image-Guided Surgical Navigation Systems
      • Boulder Innovation Group
      • Flashpoint 5500
      • Brainlab Ag
      • Vectorvision
      • Kolibri
      • Casurgica
      • Hipnav
      • Cbyon
      • Cbyon Suite (CBYON)
      • Ge Medical Systems
      • Instatrak
      • Other Surgical Navigation Products
      • Medtronic
      • Stealthstation
      • Orthosoft
      • Navitrack
      • Praxim
      • Medivision
      • Radionics
      • Omnisight Excel
      • Siemens Medical Solutions
      • Vislan (SIEMENS)
      • Stryker Corp.
      • Stryker Navigation System
      • Z-Kat
      • Voyage, Z-Box
      • Interventional Navigation Systems
      • B. Braun Aesculap
      • Orthopilot
      • Mison
      • Sonowand
      • Odin Medical Technologies
      • Polestar
      • Surgical Navigation Accessories And Add-Ons
      • Microvision
      • Nomad
      • Stryker
      • Optivu
      • Viking Stems
      • Endosite 3di System
      • 4navitec
      • Pointers, Trackers, Adapters And Other Accessories
    • Surgical Robots
      • Technology
      • Robotically-Assisted Micro-Manipulation
      • Steady-Hand Systems
      • Robotic "wrists" And Other Dexterity Enhancements
      • Pre-Programmed Robots
      • Constraint Robots
      • Voice Control
      • Other Emerging Technologies
      • New Robotic Arm Designs
      • Remote Surgery
      • Natural-Orifice Surgery
      • Microbots
      • Recent Patents
      • Advantages Of Robotics
      • Products
      • Armstrong Healthcare
      • Endoassist
      • Orthotrack
      • Endovia Medical
      • Laprotek
      • Viacath
      • Given Imaging
      • Given Imaging Diagnostic System
      • Hitachi Medical Systems
      • Mtlp-1
      • Integrated Surgical Systems
      • Robodoc
      • Neuromate
      • Intuitive Surgical
      • Da Vinci
      • Aesop
      • Mazor Surgical Technologies
      • Spineassst
      • Microdexterity
      • Microdex
      • Robotic Surgical Tech
      • Penelope
    • "digital Operating Rooms" And Equipment
      • Technologies
      • Data Routing
      • User Interface
      • Open System Architectures
      • Recent Patents
      • Advantages
      • Products
      • Stryker
      • Endosuite "operating Room Of The Future"
      • Karl Storz
      • Or 1
      • Smith & Nephew
      • Digital Operating Room
      • Intuitive Surgical
      • Hermes
      • Steris Corp.
      • Amsco, 3085 Sp Operating Table/Harmony Surgical Lighting System
      • Skytron Surgical
      • Stellar Surgical Lighting Systems (Skytron Surgical)
      • Berchtold Gmbh
      • Chromophare Surgical Lighting Systems
      • Valleylab
      • Force Fx Electrosurgical Generator
    • Principal Surgical Applications Of Mrcas
    • Orthopedic Applications
      • Hip Replacement
      • Knee Replacement
      • Trauma
      • Pedicle Screw Fixation And Other Spinal Procedures
    • Neurosurgical Applications
      • Stereotactic Biopsy
      • Craniotomy
      • Shunt
      • Implants
      • Deep Brain Stimulation
    • Ear, Nose And Throat (ENT) Applications
      • Functional Endoscopic Sinus Surgery
    • Cardiac Applications
      • Coronary Bypass Surgery
      • Heart Valve Repair And Replacement
    • Other Endoscopic Applications
  • Governmental Issues
    • Regulatory Approval Of Mis Equipment
    • Reimbursement
• The U.S. Market For Mrcas Equipment
  • Overall Market Size And Segmentation
    • Overall Market
    • Market By Equipment Segment
    • Market By Application Segment
  • Detailed Market Analysis And Projections
    • Surgical Planners And Simulators
      • Historical Sales
      • Projected Sales
      • Risk Factors
      • Surgical Navigation Systems
      • Historical Sales
      • Sales Projections
      • Risk Factors
      • Surgical Robots
      • Sales
      • Market Penetration
      • Projected Sales
      • Risk Factors
      • Intelligent Operating Room Solutions
      • Sales
      • Market Penetration
      • Projected Sales
      • Risk Factors
  • Industry Structure And Competition
    • Overall Market
    • Surgical Planners And Simulators
    • Surgical Navigation Systems
    • Surgical Robots
    • Intelligent Operating Room Solutions
  • Distribution Channels
  • Outlook For The U.S. Market
    • Demographic Trends
    • Trends In The Incidence Of Certain Diseases Or Conditions
      • Trends In Cardiac Disease
      • Trends In Hip And Knee Replacement
    • Technological Developments
      • Adaptation Of Minimally Invasive Techniques To New Types Of Surgical Procedures
      • New Products And Technologies
      • Development Of Lower-Cost Systems
      • Increasing Patient Access To Minimally Invasive Surgery
      • Facilitating Surgeon Awareness And Training In Minimally Invasive Procedures
      • Offsetting Manpower Constraints And Reducing Hospital Labor Costs
    • Changing Structure Of The U.S. Health Care Industry
      • Hospital Consolidation
      • Developments In Health Insurance
    • Conclusions
• International Markets For Mrcas
  • Market Size And Segmentation
    • Summary
    • U.S. Companies' Share Of Non-U.S. Markets
    • Foreign Regulatory Issues
      • European Union
      • Japan
• Vendor Profiles
  • Anamedic (Surgical Simulation Software)
  • Armstrong Healthcare Ltd. (ROBOTICS)
  • Barco Projection (Surgical Simulation)
  • Berchtold Gmbh (Intelligent Operating Room Equipment)
  • Boston Dynamics, Inc. (Surgical Simulators)
  • Boulder Innovaton Group
  • Brainlab Ag (Navigation Systems)
  • B. Braun Aesculap (Navigation Systems)
  • Casurgica, Inc. (Navigation Systems)
  • Cbyon Inc. (Navigation Systems)
  • Computer Motion, Inc. (ROBOTICS)
  • Conmed Corp. (Intelligent Operating Room Equipment)
  • Endovia Medical, Inc. (ROBOTICS)
  • Fifth Dimension Technologies
  • 4navitec Gmbh (Surgical Navigation Accessories)
  • Ge Medical Systems (Navigation Systems)
  • Given Imaging, Ltd. (ROBOTICS)
  • Haptica (Surgical Simulators)
  • Hitachi Medical Systems Division
  • Immersion Medical (Surgical Simulators)
  • Integrated Surgical Systems, Inc. (ROBOTICS)
  • Intuitive Surgical, Inc. (ROBOTICS)
  • Mazor Surgical Technologies Ltd.
  • Medtronic Inc. (Navigation Systems)
  • Mentice Medical Simulation Ab (Surgical Simulators)
  • Merge Healthcare
  • Microdexterity Systems, Inc. (ROBOTICS)
  • Microvision Inc. (Surgical Navigation Accessories)
  • Mison (Navigation Systems)
  • Musculographics, Inc. (Surgical Simulation Software)
  • Odin Medical Technologies
  • Orthosoft Inc. (Navigation Systems)
  • Praxim Medivision
  • Radionics Inc. (Navigation Systems)
  • Robotic Surgical Tech, Inc.
  • Select-It Vest Systems Ag
  • Siemens Medical Solutions (Navigation Systems)
  • Simbionix Usa Corp. (Surgical Simulators)
  • Simsurgery (Surgical Simulators)
  • Smith & Nephew Plc (Intelligent Operating Room)
  • Steris Corp. (Intelligent Operating Room Equipment)
  • Karl Storz Gmbh (Intelligent Operating Rooms)
  • Stryker Corp. (Navigation Systems, Intellligent Operating Rooms)
  • Surgical Science Ab (Surgical Simulators)
  • Verefi Technologies, Inc. (Surgical Simulation)
  • Viking Systems, Inc.
  • Z-Kat Inc. (Navigation Systems)
• List Of Figures
  • Summary Table: U.S. Forecast Of Mrcas Equipment Sales, Through 2011 ($ Millions)
  • Table 1 Stand-Alone Surgical Planners And Simulators
  • Table 2 Image-Guided Surgical Navigation Systems
  • Table 3 Image-Less Surgical Navigation Systems
  • Table 4 Comparison Of Non-Fluoroscopic Interventional Imaging Technologies
  • Table 5 Surgical Navigation Accessories And Add-Ons
  • Table 6 Surgical Robotics
  • Table 7 Intelligent Operating Room Solutions And Components
  • Table 8 Principal Surgical Applications Of Mrcas
  • Table 9 U.S. Forecast Of The Mrcas Equipment Market By Type, Through 2011 ($ Millions)
  • Table 10 U.S. Forecast Of The Mrcas Market By Application, Through 2011 ($ Millions)
  • Table 11 U.S. Sales Of Surgical Planners And Simulators, Through 2005 ($ Millions)
  • Table 12 U.S. Forecast Of Planners And Simulators Sales, Through 2011 ($ Millions)
  • Table 13 U.S. Sales Of Surgical Navigation Systems, Through 2005 ($ Millions)
  • Table 14 U.S. Forecast Of Surgical Navigation Systems Sales, Through 2011 ($ Millions)
  • Table 15 U.S. Sales Of Surgical Robots, Through 2005 (Units And $ Millions)
  • Table 16 U.S. Surgical Robot Market Penetration, 2005 (Units And Percent)
  • Table 17 U.S. Forecast Of Surgical Robots Sales, Through 2011 ($ Millions)
  • Table 18 U.S. Sales Of Intelligent Operating Room Solutions, Through 2005 (Units And $ Millions)
  • Table 19 U.S. Intelligent Operating Room Market Penetration, 2005 (Units And Percent)
  • Table 20 U.S. Forecast Sales Of Intelligent Operating Room Solutions, Through 2011 ($ Millions)
  • Table 21 Major Mrcas Vendors' U.S. Sales, 2005 ($ Millions And Percent)
  • Table 22 Trends In Number Of Americans Aged 55 And Older (THOUSANDS)
  • Table 23 Number Of U.S. Hip And Knee Replacements*, Through 2011 (Thousand Procedures)
  • Table 24 Forecast Of U.S. Vs. Non-U.S. Markets For Mrcas Devices And Equipment By Major Market Segment, Through 2011
  • Table 25 Intuitive Surgical, Inc., Financial Performance, Through 2005 ($ Millions)
• List Of Figures
  • Summary Figure: Trends In U.S. Sales Of Mrcas Equipment, 2005-2011 ($ Millions)
  • Figure 1 Medical Robotic And Computer-Assisted Surgical Systems
  • Figure 2 U.S. Sales Of Mrcas Equipment, 2005-2011 ($ Millions)
  • Figure 3 U.S. Mrcas Market Shares By Type Of Equipment, 2005 And 2011 (Percent Of Total Sales)
  • Figure 4 Major Mrcas Application Segments, 2005 And 2011 (Percent Of Total Sales)
  • Figure 5 U.S. Sales Of Surgical Planners And Simulators, 2000 And 2005 ($ Millions)
  • Figure 6 Historical Growth Of Surgical Navigation System Sales, 2000 And 2005 ($ Millions)
  • Figure 7 Historical Growth Of Surgical Robot Sales, 2000 And 2005 ($ Millions)*
  • Figure 8 Historical Growth Of Intelligent Operating Room Sales, 2000 And 2005 ($ Millions)
  • Figure 9 U.S. Overall Mrcas Market Leaders, 2005 (Percent Of Total Sales)
  • Figure 10 U.S. Surgical Planner And Simulator Market Leaders, 2005 (Percent Of Total Sales)
  • Figure 11 U.S. Surgical Navigation System Market Leaders, 2005 (Percent Of Total Sales
  • Figure 12 U.S. Surgical Robot Market Shares, 2005 (Percent Of Total Sales)
  • Figure 13 U.S. Integrated Operating Room Solutions Market Leaders, 2005 (Percent Of Total Sales)
  • Figure 14 U.S. Distribution Channels For Mrcas Equipment (Percent Of Total Sales Made Through Each Channel)
  • Figure 15 Trends In The Global Mrcas Market, 2005-2011 ($ Millions)