Trends in the Noninvasive and Minimally Invasive Medical Device Market

Publication Date	June 2006
Publisher	BCC Research
Product Type	Report
Pages	146
ISBN Number
Product Code	BCC00104

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Summary

Minimally invasive surgery is performed without making a major incision or opening, resulting in less trauma for the patient and yielding significant cost savings. These result from shorter hospitalization times and reduced therapy requirements. Other benefits of minimally invasive surgery are less pain, less need for postsurgical pain medication, less scarring, and less likelihood of complications related to the incision.

Thus, minimally invasive surgery is defined either as based on the operative procedure (e.g., small incisions) or the outcome (reduced surgical complications or costs). However, minimally invasive is not the same as minor surgery. Some "minimally invasive" procedures, e.g., coronary artery bypass surgery, still are major operations requiring a hospital stay.

In minimally invasive surgery, a miniature camera is introduced into the body through a small incision. It transmits images to a video monitor, enabling the physician to diagnose and, if necessary, treat a variety of conditions. To do this, the physician inserts surgical instruments and auxiliary devices, such as irrigation and drainage devices, through one or more small incisions.

Scope Of Study

This report:

Identifies and segments the main types of minimally invasive devices and instruments that have been commercialized to date,
Analyzes the historical and current volume and value of shipments of each of these product segments in specified end-user and geographical markets,
Evaluates the impact of demographic, economic and other factors that will drive future demand for minimally invasive devices,
Forecasts the volume and value of shipments of the product segments,
Assesses promising surgical procedures and products in development, and forecasts their potential market,
Identifies leading manufacturers of the devices and analyzes the structure of the minimally invasive surgical devices industry,
Assesses the long-term outlook for the industry.

Report Highlights

The global market for minimally invasive surgery (MIS) devices and instruments was worth an estimated $12 billion in 2005, and is expected to reach $12.9 billion in 2006 and $18.5 billion by 2011, an average annual growth rate (AAGR) of 7.5% between 2006 and 2011. (These figures include catheters, balloons, stents and other devices used in minimally invasive angioplasty.)
The U.S. accounted for about 60% of the world market, or $7.2 billion in 2005, and is growing at an AAGR of 7.2%. The U.S. market should reach $7.7 billion in 2006 and $11.0 billion by 2011.
Surgical devices (e.g, stents, catheters, guidewires) are the largest product segment of the U.S. minimally invasive surgery market, of which they accounted for about a 69% share in 2005. Monitoring and visualization systems were the second largest segment of the U.S. market in 2005, with an 11% market share, followed by endosurgical instruments (10%), electrosurgical equipment (8%), and robotics (2%). Surgical robots are the fastest-growing equipment /device segment, with an AAGR of 12% between 2006 and 2011, followed by surgical devices, with an AAGR of 8%.

Content

Introduction
- Minimally Invasive Surgery
  - Minimally Invasive Vs. Ambulatory Surgery
  - Minimally Invasive Vs. Noninvasive Surgery
- Study Background
- Study Goals And Objectives
- Intended Audience
- Scope And Format
- Methodology And Information Sources
- Analyst Credentials
- Related BCC Research Studies
- BCC Online Services
- Disclaimer
Executive Summary
- Summary Table: Global Market For Mis Devices And Equipment, Through 2011 ($ Billions)
- Summary Figure: Global Market For Mis Devices And Equipment, 2005-2011 ($ Billions)
Overview Of Minimally Invasive Surgical Devices And Instruments
- General Description
- History Of Minimally Invasive Surgery
  - Endoscopy
  - Insufflation
  - Specialized Surgical Instruments
  - Minimally Invasive Surgical Procedures
  - Surgical Robotics
- Surgical Trends And The Growing Importance Of Minimally Invasive Surgery
- Principal Applications Of Minimally Invasive Surgery
  - Gastrointestinal Surgery
    - Gallbladder Removal (CHOLECYSTECTOMY)
    - Nissen Fundoplication (Antireflux Operation)
    - Adhesiolysis (Removal Of Abdominal Scar Tissue)
    - Appendectomy
    - Gastric Bypass
    - Colon Resection
    - Hernia Repair
  - Gynecology
    - Hysterectomies
    - Myomectomy
    - Endometrial Ablation
    - Pelvic Floor Reconstruction
    - Adnexectomy (Removal Of Adnexal Structures)
  - Urology
    - Nephrectomy
    - Cystocele/Rectocele Repair
    - Pediatric Urology
    - Adrenalectomy
    - Radical Prostatectomy
  - Cosmetic Surgery
    - Breast Augmentation
    - Face And Forehead Lifts
  - Thoracic Surgery
    - Lung Biopsies
    - Lung Resection
    - Endoscopic Thoracic Sympathectomy
  - Cardiothoracic Surgery
    - Angioplasty And Other Catheterization Types
    - Coronary Artery Bypass
    - Heart Valve Repair And Replacement
    - Congenital Heart Defect Surgery
  - Noncardiac Vascular Surgery
    - Saphenous Vein Harvest
    - Peripheral Vascular Bypass
    - Aortoiliofemoral Bypass
    - Abdominal Aortic Aneurism Repair
    - Lower Extremity Angioplasty
  - Orthopedic Surgery
    - Joint Surgery
    - Arthroscopic Surgery
    - Arthroplasty
    - Damaged Or Diseased Spinal Disk Surgery
    - Microendoscopic Diskectomy
    - Intradiscal Electrothermal Annuloplasty
    - Vertebroplasty And Kyphoplasty
- Product Types
  - Monitoring/Visualization Equipment
  - Robotically-Assisted Surgical Systems
  - Electrosurgical Equipment
  - Mechanical Instruments
  - Auxiliary Equipment
  - Surgical Devices
- Regulatory Status Of Mis Equipment
  - United States
  - European Union (EU)
  - Japan
- End-User Segments
  - Hospital Surgical Departments
  - Outpatient Surgery Centers
  - Group Practices
  - Individual Surgeons
  - Medical Schools
Market For Mis Devices And Equipment By Type, Application Segments And User Segments
- Overall Market Size And Segmentation
  - Geographic Segments
  - Application Segments
  - Device And Equipment Segments
  - End-User Segments
- Detailed Market Analysis
  - Minimally Invasive Gastrointestinal Surgery
    - Current Status
    - Market Drivers
    - Demographic Trends
    - Trends In Obesity Surgery
    - Projected Market Trends
  - Minimally Invasive Gynecological Surgery
    - Current Status
    - Market Drivers
    - Demographic Trends
    - Introduction Of Robotic Gynecological Surgery
    - Projected Market Trends
  - Minimally Invasive Urological Surgery
    - Current Status
    - Market Drivers
    - Trends In The Incidence Of Certain Cancers
    - Demographic Trends
    - Technological Trends
    - Projected Market Trends
  - Minimally Invasive Cosmetic Surgery
    - Current Status
    - Market Drivers
    - Projected Market Trends
  - Minimally Invasive Thoracic Surgical Procedures
    - Current Status
    - Market Drivers
    - Incidence Of Lung Cancer
    - Sympathectomy Trends
    - Projected Market Trends
  - Minimally Invasive Cardiac Surgery
    - Current Status
    - Market Drivers
    - Demographic Trends
    - Trends In The Occurrence Of Cardiovascular Disease
    - Trends In Numbers Of Cardiovascular Surgeons
    - Development Of New Mis Techniques
    - Transcatheter Cardiac Surgery
    - Transcatheter Dmr
    - Transcatheter Hole Closure
    - Increasing Access To Cardiac Repair
    - Robot-Assisted Cardiac Surgery
    - Projected Market Trends
  - Minimally Invasive Noncardiac Vascular Surgery
    - Current Status
    - Market Drivers
    - Projected Market Trends
  - Minimally Invasive Orthopedic Surgery
    - Current Status
    - Market Drivers
    - Arthroscopy Procedures
    - Joint Replacements
    - Spinal Disc Surgery
    - Vertebroplasty/Kyphoplasty
    - Projected Market Trends
- Market By Type Of Device And Equipment
Industry Structure, Competition And Market Shares
- Industry Structure
- Competition And Market Shares
  - Monitoring/ Visualization Equipment
- Robotics/ Computer-Assisted Surgery
- Electrosurgical Equipment
- Surgical Instruments
- Surgical Devices
Conclusions: The Outlook For Minimally Invasive Surgical Devices And Instruments
- Major Developments That Will Influence The Minimally Invasive Surgical Devices And Instruments Industry
  - Technological Developments
    - Adaptation Of Minimally Invasive Techniques To New Types Of Surgical Procedures
    - New Technologies
    - Nonvisual Imaging Techniques
    - Optical Imaging Technologies
    - Nonoptical Imaging Technologies
    - "hybrid" Optical/Nonoptical Systems
    - Robotics
    - Computer-Assisted Surgery
    - Transcatheter Surgery
    - Percutaneous Ablation
    - Transcatheter Methods
    - Radio Frequency Ablation
    - Microwave Ablation
  - Demographic And Economic Trends
    - Aging Populations Worldwide
    - Income Growth In Emerging Markets
  - Changing Structure Of The Health Care Industry
    - Hospital Consolidation
    - Health Insurance Developments
- Long-Term Outlook For Minimally Invasive Surgical Devices And Instruments
Appendix
- Minimally Invasive Surgical Procedures
  - Abdominal Surgery
  - Cardiac Surgery
  - Endocrine Surgery
  - Gynecology
  - Neurosurgery
  - Orthopaedic Surgery
  - Pediatrics
  - Plastic Surgery
  - Thoracic
  - Urology
  - Vascular
- Vendor Profiles
  - Acueity, Inc.
  - Acmi Corp.
  - Arthrocare Corp.
  - Biosearch Medical Products, Inc.
  - Boston Scientific
  - B. Braun Aesculap
  - Clarus Medical Llc
  - Conmed Corp.
  - Cooper Surgical, Inc.
  - C.R. Bard, Inc.
  - Encision, Inc.
  - Endovia Medical, Inc.
  - Ethicon Endo-Surgery, Inc.
  - Fujinon Photo Optical Co., Ltd.
  - Guidant Corp.
  - Gyrus Medical, Inc.
  - Integra Life Sciences Holdings
  - Integrated Endoscopy
  - Intuitive Surgical, Inc.
    - Natural Instrument Movements
    - Endowrist Instruments
    - More Precise Movements And Reduced Tremors
    - Immersive 3-D Visualization
    - Easy To Learn And Perform
    - Multispecialty Surgical Platform
  - Jarit Surgical Instruments
  - Medtronic, Inc.
  - Medtronic Xomed, Inc.
  - Mentice Medical Simulation Ab
  - Mgb Endoscopy, Ltd.
  - Microdexterity Systems, Inc.
  - Olympus Optical Co., Ltd.
  - Pentax Corp.
  - Pilling Surgical
  - Rema Medizintechnik Gmbh
  - Smith & Nephew Plc
  - Karl Storz Endoskope Berlin Gmbh & Co.
  - Stryker Corp.
  - Surgical Innovation Group Plc
  - United States Surgical Corp.
  - Urs Universal Robot Systems
  - Valleylab
  - Vision Sciences, Inc.
  - Richard Wolf Gmbh
- Industry And Professional Organizations
  - American Association Of Gynecological Laparoscopists
  - American College Of Surgeons
  - American Medical Association
  - American Society For Gastrointestinal Endoscopy
  - Association For The Advancement Of Medical Instrumentation
  - European Association For Endoscopic Surgery
  - The International Society For Minimally Invasive Cardiac Surgery
  - Society Of American Gastrointestinal Endoscopic Surgeons
  - Society Of Laparoendoscopic Surgeons
List Of Figures
- Summary Table: Global Market For Mis Devices And Equipment, Through 2011 ($ Billions)
- Table 1 Surgical Procedures Commonly Performed In The U.S. Using A Minimally Invasive Approach, 2005
- Table 2 Principal Types Of Monitoring/Visualization Equipment
- Table 3 Principal Types Of Surgical Robotic Systems
- Table 4 Electrosurgical Equipment
- Table 5 Principal Types Of Mechanical Instruments
- Table 6 Principal Types Of Auxiliary Equipment Used For Minimally Invasive Surgery
- Table 7 Minimally Invasive Surgical Devices
- Table 8 U.S. Surgical Specialties, 2005 (Number And % Of All U.S. Surgeons)
- Table 9 Global Sales Of Mis Devices And Equipment, Through 2011 ($ Billions)
- Table 10 Market For Mis Devices And Equipment Sales By Region, Through 2011 ($ Millions)
- Table 11 U.S. Forecast For Mis Devices And Equipment Market Sales By Application, Through 2011 ($ Millions)
- Table 12 U.S. Forecast For Mis Sales By Equipment Type, Through 2011 ($ Millions)
- Table 13 U.S. Markets For Mis Devices And Equipment Sales By End-User Type, Through 2011 ($ Millions)
- Table 14 Projected Number Of Persons 18 Years And Older In The U.S., Through 2011 (Millions Of Persons)
- Table 15 Projected Trends In Minimally Invasive Gastrointestinal Procedures, Through 2011 (Number Of Procedures)
- Table 16 U.S. Forecast Demand For Mis Devices And Equipment Used For Gastrointestinal Surgery, Through 2011 ($ Millions)
- Table 17 U.S. Forecast Of The Number Of Women Ages 40 To 54, Through 2011 (MILLIONS)
- Table 18 Projected Trends In Minimally Invasive Gynecological Procedures, Through 2011 (Number Of Procedures)
- Table 19 U.S. Forecast For Mis Devices And Equipment Used For Gynecological Surgery, Through 2011 ($ Millions)
- Table 20 Number Of New Cases Of Selected Cancers, Through 2005 ('000)
- Table 21 U.S. Forecast Of Women Over 45, Through 2011 (MILLIONS)
- Table 22 U.S. Forecast Of Boys Under Five, Through 2011 (MILLIONS)
- Table 23 U.S. Forecast Trends In Minimally Invasive Urological Procedures, Through 2011 (Number Of Procedures)
- Table 24 U.S. Forecast For Mis Devices And Equipment Demand Used For Urological Surgery, Through 2011 ($ Millions)
- Table 25 Number Of U.S. Cosmetic Surgery Procedures, Through 2005 (Thousands Of Procedures)
- Table 26 U.S. Forecast Of Trends In Minimally Invasive Cosmetic Surgical Procedures, Through 2011 (Number Of Procedures)
- Table 27 Projected U.S. Demand For Mis Devices And Equipment Used For Cosmetic Surgery, Through 2011 ($ Millions)
- Table 28 U.S. Lung Cancer Trends, 1990-2005 (Thousands Of New Cases)
- Table 29 Forecast Of U.S. Trends In Minimally Invasive Thoracic Procedures, Through 2011 (Number Of Procedures)
- Table 30 U.S. Forecast For Mis Devices And Equipment Demand Used For Thoracic Surgery, Through 2011 ($ Millions)
- Table 31 U.S. Forecast For Mis Devices And Equipment Demand Used In Cardiac Surgery, Through 2011 ($ Millions)
- Table 32 U.S. Forecast For Mis Devices And Equipment Demand Used In Vascular Surgery, Through 2011 ($ Millions)
- Table 33 Projected Trends In Minimally Invasive Orthopedic Procedures, Through 2011 (Number Of Procedures)
- Table 34 U.S. Forecast For Mis Devices And Equipment Demand Used In Orthopedic Surgery, Through 2011 ($ Millions)
- Table 35 U.S. Forecast Of Mis Market Device/Equipment Segments By Application, Through 2011 ($ Millions)
- Table 36 U.S. Medical And Surgical Equipment Manufacturers By Employment Size And Sales Category
- Table 37 Global Monitoring/Visualization Market Shares, 2005
- Table 38 Global Robotics/Computer-Assisted Surgery Market Shares, 2005
- Table 39 Electrosurgical And Auxiliary Equipment Market Shares, 2005
- Table 40 Global Endosurgical Instrument Market Shares, 2005
- Table 41 Global Coronary Stent Market Shares, 2005
- Table 42 Trends In Age Composition Of The World's Population, Through 2011 (MILLIONS)
- Table 43 Projected Trends In Per Capita Real Gdp Growth By Region (Annual Average Percentage Change)
- Table 44 Arthrocare Corp. Financial Performance, Through 2005 ($ Millions)
- Table 45 Boston Scientific Financial Performance, Through 2005 ($ Millions)
- Table 46 Conmed Corp. Financial Performance, Through 2005 ($ Millions)
- Table 47 C.R. Bard Financial Performance, Through 2005 ($ Millions)
- Table 48 Encision Financial Performance, Through 2005 ($ Millions)
- Table 49 Intuitive Surgical Financial Performance, Through 2005 ($ Millions)
- Table 50 Vision Sciences Financial Performance, 2003-2005 ($ Millions)
List Of Figures
- Summary Figure: Global Market For Mis Devices And Equipment, 2005-2011 ($ Billions)
- Figure 1 Mis Procedures As A Percent Of All Inpatient Surgical Procedures Performed In The U.S., 2005
- Figure 2 Mis Procedures As A Percentage Of Selected Types Of Surgical Measures In The U.S., 2005 (%)
- Figure 3 Surgical Procedures Performed In The U.S. Using All Mis Approaches, 2005 (% Of All Mis Procedures)
- Figure 4 U.S. Hospitals With Surgery Departments, 2005 (Number Of Hospitals)
- Figure 5 U.S. Surgical Specialties, 2005 (% Of All U.S. Surgeons)
- Figure 6 Trends In Global Sales Of Mis Devices And Equipment, 2005-2011 ($ Billions)
- Figure 7 Major Mis Geographic Segments 2005 And 2011 (% Of Total Sales)
- Figure 8 Major U.S. Mis Application Segments, 2005 And 2011 (% Of Total Sales)
- Figure 9 Major U.S. Mis Equipment Segments, 2005 And 2011 (% Of Total Sales)
- Figure 10 Major U.S. Mis End-User Segments, 2005 And 2011 (% Of Total Sales)
- Figure 11 U.S. Market For Mis Devices And Equipment Used In Gastrointestinal Surgery, 2005 (% Of Total Sales)
- Figure 12 U.S. Market For Mis Devices And Equipment Used For Gynecological Surgery, 2005 (% Of Total Sales)
- Figure 13 U.S. Market For Mis Devices And Equipment Used For Urological Surgery, 2005 (% Of Total Sales)
- Figure 14 U.S. Market For Mis Devices And Equipment Used In Cosmetic Surgery, 2005 (% Of Total Sales)
- Figure 15 Trends In Selected U.S. Cosmetic Surgery Procedures, 2000-2005 (Thousands Of Procedures)
- Figure 16 U.S. Market For Mis Devices And Equipment Used In Thoracic Surgery, 2005 (% Of Total Sales)
- Figure 17 U.S. Market For Mis Devices And Equipment Used For Cardiac Surgery, 2005 (% Of Total Sales)
- Figure 18 U.S. Market For Mis Devices And Equipment Used In Noncardiacvascular Surgery, 2005 (% Of Total Sales)
- Figure 19 U.S. Market For Mis Devices And Equipment Used In Orthopedic Surgery, 2005 (% Of Total Sales)
- Figure 20 Employee Numbers And Sales Distribution Of U.S. Medical And Surgical Equipment Manufacturers (% Of All Establishments)
- Figure 21 Monitoring/ Visualization Equipment Market Leaders, 2005 (% Of Total Segment Sales)
- Figure 22 Robotics/ Computer-Assisted Surgery Market Leaders, 2005 (% Of Total Sales)
- Figure 23 Global Electrosurgical And Auxiliary Equipment Market Leaders, 2005 (% Of Total Sales)
- Figure 24 Endosurgical Instrument Market Leaders, 2005 (% Of Total Sales)
- Figure 25 Coronary Stent Market Leaders, 2005 (% Of Total Sales)