Medical Robotics and Computer-Assisted Surgery: The Global Market

NEW YORK, Nov. 22, 2011 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:

Medical Robotics and Computer-Assisted Surgery: The Global Market

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REPORT SCOPE

INTRODUCTION

STUDY BACKGROUND

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." MRCAS is used in a growing number of operating rooms around the world, largely as a result of the growing popularity of minimally invasive surgical (MIS) techniques. Minimally invasive, or "keyhole" surgery is an alternative to traditional open-incision surgery in a growing number of procedures. MIS utilizes special instruments that can be inserted and manipulated through small incisions (sometimes no more than a few millimeters long) under remote optical or video guidance, greatly reducing patient trauma and recovery times.

The need to perform delicate surgical procedures safely in tight spaces where the surgeon cannot see directly has created a growing market for devices that act as extensions of the surgeon's eyes and hands: remote imaging, data processing and feedback, and robotics. Meanwhile, MRCAS technology has been evolving, as have the medical and economic environments in which it is used. Populations are aging, increasing demand for a wide range of age-related surgical procedures such as heart and orthopedic surgery. Technological advances have expanded the range of surgical procedures that can be performed using minimally invasive techniques, making them accessible to even more people.

The structure of the hospital industry, the main user of MRCAS, is also changing as hospitals consolidate and other health care options such as walk-in surgical clinics become available to consumers. Private and government health insurers around the world are becoming more cost-conscious, forcing hospitals to re-evaluate their capital spending plans but strengthening the case for technologies that can reduce the cost of surgical procedures. Medical malpractice suits continue to be common in markets like the United States, so technologies that increase the precision and accuracy of surgery have obvious appeal.

In such a fast-moving field, there is a pressing need to develop and maintain an up-to-date base of market information in order to better understand the dynamics of the market for MRCAS devices and equipment.

GOALS AND OBJECTIVES

This report is an updated and expanded version of an earlier (2009) BCC Research analysis of U.S. and global markets for MRCAS equipment. The updated report is based on the most recent market information available, and analyzes technological, economic, and regulatory developments that may have a long-term impact on the size and structure of the MRCAS market. The new report also contains a more in-depth and detailed analysis of selected foreign markets than its predecessor.

More specific objectives of this report are to:

* Identify and segment the main types of MRCAS devices that have been commercialized to date.

* Analyze the historical and current volume and value of shipments of each of these product segments in specified applications and geographical markets.

* Identify and evaluate the impact of demographic, economic, and other factors that will drive future demand for MRCAS devices.

* Forecast the volume and value of product shipments by equipment type and application and by probabilities that future demand will be higher or lower than the baseline forecast.

* Identify promising new surgical procedures and products still in the development and testing stage and assess the probability that they will be commercialized successfully within the next 5 years,

* Forecast the potential market for these developmental procedures and products, taking into account the estimated probability that they will be commercialized.

* Identify leading manufacturers of the devices and analyze the structure of the MRCAS industry (e.g., market shares, concentration, and recent M&A activity).

* Assess the long-term outlook for MRCAS equipment, taking into account market opportunities as well as technological, financial, and economic factors.

INTENDED AUDIENCE

This report has been written for the entire MRCAS interest community, especially those in:

* The medical and surgical devices industry

* Medical research institutions

* Investors

* The financial and analyst community

Although the report is structured around specific technologies, it is largely non-technical in nature. That is, it is concerned less with theory and jargon than with what works, how much of the latter the market is likely to purchase, and at what price.

As such, the report's main audience is executive management and marketing and financial analysts. It is not written specifically for scientists and technologists, (although findings which concern the markets for their work, including the availability of government and corporate research funding for different technologies and applications) should interest them as well.

SCOPE AND FORMAT

This report is an analytical business tool with the primary purpose of describing the MRCAS equipment industry and the global market for these devices. MRCAS equipment is defined as computer- or microprocessor-enabled devices and accessories that are physically situated in the operating room and directly assist the surgeon in planning and carrying out surgical procedures. Thus, the scope of the study does not include:

* Devices that provide images and other information but are not an integral part of the MRCAS system, such as preoperative imaging (e.g., CT, MRI) equipment, laboratory and other analytical devices.

* Computerized medical records systems.

* Electronic operating room equipment such as heart monitors that enable the surgical team to monitor the patient's condition but do not assist the surgeon directly in carrying out the operation.

* Other nonelectronic operating room equipment.

The format of the study is organized around the following topics:

* Major types and applications of MRCAS

* Industry structure

* Market size and segmentation, including historical data on sales by application, product type, and geographical market

* Market drivers

* Detailed market projections through 2016

* Competition and market shares

* Observations and conclusions regarding the future of the MRCAS market

METHODOLOGY AND INFORMATION SOURCES

Both primary and secondary research methodologies were used in preparing this report. The findings and conclusions of this report are based on information gathered from manufacturers and users of MRCAS and other informed sources. Interview data was combined with information gathered through an extensive review of secondary sources such as trade publications, trade associations, company literature, and online databases to produce the baseline market estimates contained in this report.

The base year for analysis and projection is 2010. With 2010 as a baseline, market projections were developed for 2011 to 2016. The market projections are "consensus" projections, obtained by averaging market scenarios obtained from industry and other sources or developed independently by BCC. The analytical methodologies BCC used to generate the market estimates are described in detail in the section on detailed market projections.

All dollar projections presented in this report are in 2010 constant dollars.

CHAPTER ONE: INTRODUCTION 1

STUDY BACKGROUND 1

GOALS AND OBJECTIVES ... 2

INTENDED AUDIENCE 2

SCOPE AND FORMAT .. 3

METHODOLOGY AND INFORMATION SOURCES ... 4

ANALYST CREDENTIALS 4

RELATED BCC RESEARCH . 4

BCC ONLINE SERVICES .. 5

DISCLAIMER . 5

CHAPTER TWO: EXECUTIVE SUMMARY ... 6

SUMMARY TABLE GLOBAL SALES OF MRCAS EQUIPMENT,

THROUGH 2016 ($ MILLIONS) . 6

SUMMARY FIGURE TRENDS IN GLOBAL SALES OF MRCAS

EQUIPMENT, 2010-2016 ($ MILLIONS) .. 6

EXECUTIVE SUMMARY (CONTINUED) 7

CHAPTER THREE: OVERVIEW 8

GENERAL DESCRIPTION AND DEFINITION OF MRCAS .. 8

GENERAL DESCRIPTION (CONTINUED)... 9

FIGURE 1 MEDICAL ROBOTIC AND COMPUTER-ASSISTED

SURGICAL SYSTEMS .. 10

HISTORY OF MEDICAL ROBOTICS AND COMPUTER-ASSISTED

SURGERY 10

SURGICAL IMAGING TECHNOLOGIES ... 10

Surgical Imaging Technologies (Continued) .. 11

IMAGE REGISTRATION TECHNIQUES 12

COMPUTER IMAGE PROCESSING 13

SURGICAL ROBOTS . 14

"THE INTELLIGENT OPERATING ROOM" ... 15

SURGICAL SIMULATION 15

TECHNOLOGIES AND PRODUCTS .. 16

STANDALONE SURGICAL PLANNERS AND SIMULATORS . 16

Technology ... 16

Modeling of Organs and Deformations 16

Modeling of Organs …(Continued) ... 17

Simulation of Actions and Force Feedback

Reactions .. 18

Emerging Technologies . 19

Web-Based Surgical Simulators ... 19

Virtual Reality Simulators 20

Recent Patents .. 21

Advantages of Surgical Planners and Simulators . 22

Products ... 23

TABLE 1 STANDALONE SURGICAL PLANNERS AND SIMULATORS 23

Fifth Dimension Technologies .. 24

Haptica .. 24

CAE Healthcare 24

Mentice Medical Simulation . 24

Merge Healthcare . 25

Simbionix ... 25

SimQuest ... 26

SimSurgery ... 26

Surgical Science 26

VirtaMed ... 27

VOXEL-MAN 27

VRmagic 28

SURGICAL NAVIGATION SYSTEMS . 28

Technologies . 28

Imaging Technologies ... 28

Multimodal Imaging .. 28

Fluoroscopic Imaging . 29

Video-Enhanced Imagery .. 30

Microscopic Imagery .. 31

Endoscopic Imagery ... 32

Dynamic (Interventional) Imaging ... 33

Compact MRI Scanners . 33

Intraoperative CT .. 34

Intraoperative Ultrasound 35

Tracking Technologies .. 35

Optical Tracking . 35

Electromagnetic Tracking . 35

Display Technologies 36

Multiplanar Displays . 36

Three-Dimensional Displays . 36

Stereoscopic Displays . 37

Virtual and Augmented Reality 37

Heads-Up Displays 37

Recent Patents .. 38

Recent Patents (Continued) .. 39

Recent Patents (Continued) .. 40

Advantages of Surgical Navigation Systems .. 41

Products ... 41

Image-Guided Surgical Navigation Systems ... 42

TABLE 2 IMAGE-GUIDED SURGICAL NAVIGATION SYSTEMS .. 42

Boulder Innovation Group 43

FlashPoint 5500 .. 43

BrainLAB AG . 43

VectorVision 43

Kolibri .. 44

Med Surgical Services 44

CBYON Suite (CBYON) . 44

Medtronic 45

StealthStation . 45

Praxim/Orthopaedic Synergy 45

Nano-Station ... 45

Siemens Healthcare ... 46

NaviLink.. 46

Smith & Nephew 46

Dash . 46

Stryker Corp. .. 46

Stryker Navigation System II ... 46

ENlite ... 46

NavSuite .. 46

Zimmer 47

ORTHOsoft .. 47

Interventional Navigation Systems . 47

TABLE 3 INTERVENTIONAL SURGICAL NAVIGATION SYSTEMS . 47

TABLE 4 COMPARISON OF NONFLUOROSCOPIC

INTERVENTIONAL IMAGING TECHNOLOGIES ... 48

B. Braun Aesculap . 49

OrthoPilot 49

Kinamed.. 49

NaviPro 49

SONOWAND .. 49

SonoWand Invite 49

Odin/Medtronic .. 50

Polestar 50

Smith & Nephew 51

PiGalileo .. 51

Surgical Navigation Accessories and Add-Ons 51

TABLE 5 SURGICAL NAVIGATION ACCESSORIES AND ADD-ONS 52

Ascension Technology 52

Viking Stems .. 52

3D-HD Personal Head Display and

Infomatix 52

4navitec ... 53

Pointers, Trackers, Adapters, and

Other Accessories .. 53

SURGICAL ROBOTS . 53

Technology ... 53

Robotically Assisted Micromanipulation . 54

Steady-Hand Systems ... 55

Robotic "Wrists" and Other Dexterity

Enhancements . 55

Preprogrammed Robots 56

Constraint Robots . 57

Voice Control . 58

Other Emerging Technologies . 58

New Robotic Arm Designs 58

Remote Surgery. 59

Natural-Orifice Surgery ... 60

Microbots ... 61

Recent Patents . 61

Recent Patents (Continued) .. 62

Recent Patents (Continued) .. 63

Advantages of Robotics 64

Products ... 65

TABLE 6 SURGICAL ROBOTICS 65

TABLE 6 (CONTINUED) 66

Acrobot ... 66

Sculptor ... 66

Biobot Surgical .. 66

Mona Lisa ... 66

Corindus 67

CorPath 200 67

Curexo Technology 67

ROBODOC.. 67

Freehand ... 67

FreeHand 67

Given Imaging ... 68

Given Imaging Diagnostic System ... 68

Hansen Medical 68

Sensei .. 68

Hitachi Medical Systems .. 68

Magnetic Resonance Image-Guided Surgical

Robotic System . 68

Intuitive Surgical Systems ... 69

Da Vinci .. 69

MAKO Surgical . 70

RIO .. 70

Mazor Surgical Technologies 71

Renaissance 71

MicroDexterity .. 71

MicroDex . 71

Prosurgics .. 71

EndoAssist .. 71

PathFinder .. 72

Robotic Systems and Technologies ... 72

Penelope CS 72

Schaerer Mayfield . 73

NeuroMate .. 73

SOFAR ... 73

ALF-X .. 73

Titan Medical 74

Amadeus . 74

DIGITAL OPERATING ROOMS AND EQUIPMENT . 74

Technologies . 75

Data Routing . 75

User Interface ... 76

Open System Architectures .. 76

Recent Patents .. 77

Advantages .. 78

Products ... 78

TABLE 7 INTELLIGENT OPERATING ROOM SOLUTIONS AND

COMPONENTS . 79

Stryker ... 79

iSuite Operating Room of the Future ... 79

SIDNE . 80

Karl Storz .. 80

OR 1 . 80

Smith & Nephew ... 81

Digital Operating Room. 81

Intuitive Surgical .. 81

HERMES 81

Steris Corp. ... 82

3085 SP Operating Table/Harmony Surgical

Lighting System ... 82

Skytron Surgical ... 82

Stellar Surgical Lighting Systems (Skytron

Surgical) 82

Berchtold ... 82

CHROMOPHARE Surgical Lighting Systems 82

Valleylab 82

Force FX Electrosurgical Generator . 82

PRINCIPAL SURGICAL APPLICATIONS OF MRCAS . 83

TABLE 8 PRINCIPAL SURGICAL APPLICATIONS OF MRCAS . 83

ORTHOPEDIC APPLICATIONS .. 83

Hip Replacement . 84

Knee Replacement ... 85

Trauma . 85

Pedicle Screw Fixation and Other Spinal Procedures ... 86

NEUROSURGICAL APPLICATIONS .. 87

Stereotactic Biopsy .. 87

Craniotomy .. 88

Shunt 88

Implants ... 89

Deep Brain Stimulation .. 89

EAR, NOSE, AND THROAT (ENT) APPLICATIONS . 90

Functional Endoscopic Sinus Surgery 90

CARDIAC APPLICATIONS .. 90

Coronary Bypass Surgery ... 90

Heart Valve Repair and Replacement 91

Percutaneous Coronary Intervention . 91

OTHER ENDOSCOPIC APPLICATIONS 92

CHAPTER FOUR: THE GLOBAL MARKET FOR MRCAS EQUIPMENT 93

GLOBAL MRCAS MARKET 93

FIGURE 2 TRENDS IN THE GLOBAL MRCAS MARKET, 2010-2016 ($

MILLIONS) 93

MARKET BY COUNTRY/REGION . 93

TABLE 9 MAJOR INTERNATIONAL MARKETS FOR MRCAS

DEVICES AND EQUIPMENT, THROUGH 2016 ($ MILLIONS) . 94

FIGURE 3 GLOBAL MRCAS MARKET SHARES BY

COUNTRY/REGION, 2010 VERSUS 2016 (PERCENT OF TOTAL

SALES) ... 94

FIGURE 3 (CONTINUED) . 95

MARKET BY TYPE OF EQUIPMENT 95

TABLE 10 GLOBAL MRCAS MARKET BY TYPE OF EQUIPMENT,

THROUGH 2016 ($ MILLIONS) ... 96

FIGURE 4 GLOBAL MRCAS MARKET SHARES BY EQUIPMENT

SEGMENT, 2010 VERSUS 2016 (PERCENT OF TOTAL SALES) ... 96

FIGURE 4 (CONTINUED) . 97

MARKET BY TYPE OF APPLICATION . 97

TABLE 11 GLOBAL MRCAS MARKET BY TYPE OF APPLICATION,

THROUGH 2016 ($ MILLIONS) .. 98

FIGURE 5 GLOBAL MRCAS MARKET SHARES BY APPLICATION

SEGMENT, 2010 VERSUS 2016 (PERCENT OF TOTAL SALES) ... 98

FIGURE 5 (CONTINUED) . 99

INDUSTRY STRUCTURE AND COMPETITION .. 99

OVERALL MARKET LEADERS ... 99

FIGURE 6 U.S. OVERALL MRCAS MARKET LEADERS, 2010

(PERCENT OF TOTAL SALES) . 100

TABLE 12 MAJOR MRCAS VENDORS' MARKET SHARES, 2010 100

SURGICAL PLANNERS AND SIMULATORS .. 101

FIGURE 7 GLOBAL SURGICAL PLANNER AND SIMULATOR

MARKET LEADERS, 2010 (PERCENT OF TOTAL SALES) .. 101

SURGICAL NAVIGATION SYSTEMS ... 102

FIGURE 8 GLOBAL SURGICAL NAVIGATION SYSTEM MARKET

LEADERS, 2010 (PERCENT OF TOTAL SALES . 102

SURGICAL ROBOTS ... 102

FIGURE 9 GLOBAL SURGICAL ROBOT MARKET SHARES, 2010

(PERCENT OF TOTAL SALES) . 103

INTELLIGENT OPERATING ROOM SOLUTIONS . 103

FIGURE 10 GLOBAL INTEGRATED OPERATING ROOM SOLUTIONS

MARKET LEADERS, 2010 (PERCENT OF TOTAL SALES) ... 104

CHAPTER FIVE: THE U.S. MARKET FOR MRCAS EQUIPMENT 105

MARKET ENVIRONMENT ... 105

DEMOGRAPHIC TRENDS . 105

TABLE 13 TRENDS IN NUMBER OF AMERICANS AGE 55 AND

OLDER, THROUGH 2016 (MILLIONS) ... 105

TRENDS IN THE INCIDENCE OF CERTAIN DISEASES OR

CONDITIONS . 105

Trends in Cardiac Disease 105

Trends in Hip and Knee Replacement .. 106

TABLE 14 PROJECTED TRENDS IN MINIMALLY INVASIVE HIP AND

KNEE REPLACEMENT PROCEDURES, THROUGH 2016 (NUMBER

OF PROCEDURES) . 107

ECONOMIC TRENDS . 107

TECHNOLOGICAL DEVELOPMENTS . 107

Adaptation of Minimally Invasive Techniques to New

Types of Surgical Procedures ... 108

New Products and Technologies ... 108

Development of Lower-Cost Systems . 109

Increasing Patient Access to Minimally Invasive

Surgery ... 109

Facilitating Surgeon Awareness and Training in

Minimally Invasive Procedures 109

Offsetting Manpower Constraints and Reducing

Hospital Labor Costs . 109

CHANGING STRUCTURE OF THE U.S. HEALTH CARE

INDUSTRY.. 110

Hospital Consolidation .. 110

Developments in Health Insurance .. 111

Distribution Channels ... 111

FIGURE 11 U.S. DISTRIBUTION CHANNELS FOR MRCAS

EQUIPMENT (PERCENT OF TOTAL SALES MADE THROUGH

EACH CHANNEL) ... 112

LAWS AND REGULATIONS .. 113

FDA Regulations ... 113

FDA Regulations (Continued) 114

FDA Regulations (Continued) 115

Patient Protection and Affordable Care Act . 116

CONCLUSIONS ... 117

MARKET SIZE AND SEGMENTATION .. 117

OVERALL MARKET 117

FIGURE 12 U.S. SALES OF MRCAS EQUIPMENT, 2010-2016 ($

MILLIONS) .. 118

MARKET BY EQUIPMENT SEGMENT 118

TABLE 15 U.S. MRCAS MARKET BY TYPE OF EQUIPMENT,

THROUGH 2016 ($ MILLIONS) . 118

FIGURE 13 U.S. MRCAS MARKET SHARES BY TYPE OF

EQUIPMENT, 2010 VERSUS 2016 (PERCENT OF TOTAL SALES) 119

FIGURE 13 (CONTINUED) . 120

MARKET BY APPLICATION SEGMENT .. 120

TABLE 16 U.S. MRCAS MARKET BY TYPE OF APPLICATION,

THROUGH 2016 ($ MILLIONS) 121

FIGURE 14 MAJOR MRCAS APPLICATION SEGMENTS, 2010

VERSUS 2016 (PERCENT OF TOTAL SALES) 122

FIGURE 14 (CONTINUED) . 123

DETAILED MARKET ANALYSIS AND PROJECTIONS 123

SURGICAL PLANNERS AND SIMULATORS .. 124

Historical Sales .. 124

TABLE 17 U.S. SALES OF SURGICAL PLANNERS AND

SIMULATORS, THROUGH 2010 ($ MILLIONS) 124

FIGURE 15 U.S. SALES OF SURGICAL PLANNERS AND

SIMULATORS, 2000-2010 ($ MILLIONS) . 124

Projected Sales ... 125

TABLE 18 PROJECTED U.S. SALES OF PLANNERS AND

SIMULATORS, THROUGH 2016 ($ MILLIONS) 125

Risk Factors ... 126

SURGICAL NAVIGATION SYSTEMS ... 126

Historical Sales .. 126

TABLE 19 U.S. SALES OF SURGICAL NAVIGATION SYSTEMS,

THROUGH 2010 ($ MILLIONS) . 126

FIGURE 16 HISTORICAL GROWTH OF SURGICAL NAVIGATION

SYSTEM SALES, 2000-2010 ($ MILLIONS) 127

Sales Projections 127

TABLE 20 PROJECTED U.S. SALES OF SURGICAL NAVIGATION

SYSTEMS, THROUGH 2016 ($ MILLIONS) 128

Risk Factors ... 128

SURGICAL ROBOTS ... 129

Sales ... 129

TABLE 21 U.S. SALES OF SURGICAL ROBOTS, THROUGH 2010 ($

MILLIONS) .. 129

FIGURE 17 HISTORICAL GROWTH OF SURGICAL ROBOT SALES,

2000-2010 ($ MILLIONS) 129

Market Penetration ... 130

TABLE 22 U.S. SURGICAL ROBOT MARKET PENETRATION, 2010 .. 130

Projected Sales ... 131

TABLE 23 PROJECTED U.S. SALES OF SURGICAL ROBOTS,

THROUGH 2016 ($ MILLIONS) . 131

Risk Factors ... 132

INTELLIGENT OPERATING ROOM SOLUTIONS . 133

Sales ... 133

TABLE 24 U.S. SALES OF INTELLIGENT OPERATING ROOM

SOLUTIONS, THROUGH 2010 . 133

FIGURE 18 HISTORICAL GROWTH OF INTELLIGENT OPERATING

ROOM SALES, 2000-2010 ($ MILLIONS) 134

Market Penetration ... 134

TABLE 25 U.S. INTELLIGENT OPERATING ROOM MARKET

PENETRATION, 2010 . 134

Projected Sales ... 135

TABLE 26 PROJECTED U.S. SALES OF INTELLIGENT OPERATING

ROOM SOLUTIONS, THROUGH 2016 ($ MILLIONS) 135

Risk Factors ... 136

CHAPTER SIX: OTHER NORTH AND SOUTH AMERICAN MARKETS

FOR MRCAS EQUIPMENT 137

MARKET ENVIRONMENT ... 137

DEMOGRAPHICS 137

TABLE 27 OTHER NORTH AND SOUTH AMERICAN MARKET

DEMOGRAPHIC INDICATORS, 2010 ... 137

ECONOMICS ... 138

TABLE 28 OTHER NORTH AND SOUTH AMERICAN MARKET

ECONOMIC INDICATORS, 2010 ... 138

REGULATORY ENVIRONMENT ... 138

Canada ... 138

Brazil .. 139

Mexico 139

Argentina ... 140

MARKET SIZE AND SEGMENTATION .. 140

OVERALL MARKET 140

FIGURE 19 OTHER NORTH AND SOUTH AMERICAN MARKETS

FOR MRCAS, 2010-2016 ($ MILLIONS) 141

MARKET BY COUNTRY . 141

TABLE 29 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET BY COUNTRY, THROUGH 2016 ($ MILLIONS) . 142

FIGURE 20 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET SHARES BY INDIVIDUAL COUNTRY, 2010 AND 2016 (%

OF TOTAL MARKET) . 142

FIGURE 20 (CONTINUED) . 143

MARKET BY EQUIPMENT SEGMENT 143

TABLE 30 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET BY TYPE OF EQUIPMENT, THROUGH 2016 ($

MILLIONS) .. 144

FIGURE 21 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET EQUIPMENT SHARES, 2010 AND 2016 (% OF TOTAL

MARKET) . 144

FIGURE 21 (CONTINUED) . 145

MARKET BY APPLICATION SEGMENT .. 145

TABLE 31 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET BY TYPE OF APPLICATION, THROUGH 2016 ($

MILLIONS) .. 146

FIGURE 22 OTHER NORTH AND SOUTH AMERICAN MRCAS

MARKET APPLICATION SHARES, 2010 AND 2016 (% OF TOTAL

MARKET) . 146

FIGURE 22 (CONTINUED) . 147

CHAPTER SEVEN: EUROPEAN MARKETS FOR MRCAS EQUIPMENT . 148

MARKET ENVIRONMENT ... 148

DEMOGRAPHICS 148

TABLE 32 EUROPEAN MARKET DEMOGRAPHIC INDICATORS, 2010 . 148

ECONOMICS ... 149

TABLE 33 EUROPEAN MARKET ECONOMIC INDICATORS, 2010 . 149

REGULATORY ENVIRONMENT ... 149

European Union . 149

European Union (Continued) . 150

MARKET SIZE AND SEGMENTATION .. 151

OVERALL MARKET 151

MARKET BY COUNTRY . 151

TABLE 34 EUROPEAN MRCAS MARKET BY COUNTRY, THROUGH

2016 ($ MILLIONS) . 152

FIGURE 23 EUROPEAN MARKET FOR MRCAS ($ MILLIONS) ... 152

FIGURE 24 EUROPEAN MRCAS MARKET INDIVIDUAL COUNTRY

SHARES, 2010 AND 2016 (PERCENT OF TOTAL MARKET) 153

MARKET BY EQUIPMENT SEGMENT 154

TABLE 35 EUROPEAN MRCAS MARKET BY TYPE OF EQUIPMENT,

THROUGH 2016 ($ MILLIONS) . 154

FIGURE 25 EUROPEAN MRCAS MARKET EQUIPMENT SHARES,

2010 AND 2016 (PERCENT OF TOTAL MARKET) .. 155

MARKET BY APPLICATION SEGMENT .. 156

TABLE 36 EUROPEAN MRCAS MARKET BY TYPE OF APPLICATION,

THROUGH 2016 ($ MILLIONS) . 156

FIGURE 26 EUROPEAN MRCAS MARKET APPLICATION SHARES,

2010 AND 2016 (% OF TOTAL MARKET) . 156

FIGURE 26 (CONTINUED) . 157

CHAPTER EIGHT: ASIA-PACIFIC AND REST-OF-WORLD MARKETS

FOR MRCAS EQUIPMENT 158

ASIA-PACIFIC 158

MARKET ENVIRONMENT 158

Demographics 158

TABLE 37 ASIA-PACIFIC MARKET DEMOGRAPHIC INDICATORS,

2010 .. 158

Economics .. 159

TABLE 38 ASIA-PACIFIC MARKET ECONOMIC INDICATORS, 2010 . 159

Regulatory Environment ... 160

Japan ... 160

China ... 161

India 162

Australia .. 162

New Zealand ... 163

MARKET SIZE AND SEGMENTATION 163

Overall Market .. 163

FIGURE 27 ASIA-PACIFIC REGION SALES OF MRCAS EQUIPMENT,

2010-2016 ($ MILLIONS) 163

Market by Country 164

TABLE 39 ASIA-PACIFIC MRCAS MARKET BY COUNTRY, THROUGH

2016 ($ MILLIONS) . 164

FIGURE 28 ASIA-PACIFIC MRCAS MARKET SHARES BY COUNTRY,

2010 VERSUS 2016 (PERCENT OF TOTAL SALES) ... 165

Market by Equipment Segment 166

TABLE 40 ASIA-PACIFIC MRCAS MARKET BY TYPE OF

EQUIPMENT, THROUGH 2016 ($ MILLIONS) .. 166

FIGURE 29 ASIA-PACIFIC MRCAS MARKET SHARES BY

EQUIPMENT SEGMENT, 2010 VERSUS 2016 (PERCENT OF TOTAL

SALES) . 167

Market by Application Segment ... 168

TABLE 41 ASIA-PACIFIC MRCAS MARKET BY TYPE OF

APPLICATION, THROUGH 2016 ($ MILLIONS) 168

FIGURE 30 ASIA-PACIFIC MRCAS MARKET SHARES BY

APPLICATION SEGMENT, 2010 VERSUS 2016 (PERCENT OF

TOTAL SALES) ... 169

CHAPTER NINE: MIDDLE EASTERN AND AFRICAN MARKET FOR

MRCAS EQUIPMENT . 170

MARKET ENVIRONMENT ... 170

DEMOGRAPHICS 170

TABLE 42 MIDDLE EASTERN AND AFRICAN MARKET

DEMOGRAPHIC INDICATORS, 2010 .. 170

ECONOMICS ... 170

TABLE 43 MIDDLE EASTERN AND AFRICAN MARKET ECONOMIC

INDICATORS, 2010 . 171

REGULATORY ENVIRONMENT ... 171

Saudi Arabia .. 171

Turkey 171

MARKET SIZE AND SEGMENTATION .. 172

OVERALL MARKET 172

FIGURE 31 MIDDLE EASTERN AND AFRICAN MARKET FOR MRCAS

EQUIPMENT, 2010 THROUGH 2016 ($ MILLIONS) .. 172

MARKET BY COUNTRY . 172

TABLE 44 MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY

COUNTRY, THROUGH 2016 ($ MILLIONS) ... 173

FIGURE 32 MIDDLE EASTERN AND AFRICAN MRCAS MARKET,

COUNTRY SHARES, 2010 VERSUS 2016 (PERCENT OF TOTAL

SALES) . 173

FIGURE 32 (CONTINUED) . 174

MARKET BY EQUIPMENT SEGMENT 174

TABLE 45 MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY

TYPE OF EQUIPMENT, THROUGH 2016 ($ MILLIONS) .. 175

FIGURE 33 MIDDLE EASTERN AND AFRICAN MRCAS MARKET

EQUIPMENT SHARES, 2010 VERSUS 2016 (PERCENT OF TOTAL

SALES) . 175

FIGURE 33 (CONTINUED) . 176

MARKET BY APPLICATION SEGMENT .. 176

TABLE 46 MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY

TYPE OF APPLICATION, THROUGH 2016 ($ MILLIONS) ... 177

FIGURE 34 MIDDLE EASTERN AND AFRICAN MRCAS MARKET

APPLICATION SHARES, 2010 VERSUS 2016 (PERCENT OF TOTAL

SALES) . 177

FIGURE 34 (CONTINUED) . 178

CHAPTER TEN: VENDOR PROFILES .. 179

ANAMEDIC . 179

BERCHTOLD GMBH . 179

BOULDER INNOVATION GROUP ... 180

BRAINLAB AG ... 180

B. BRAUN AESCULAP .. 181

CAE HEALTHCARE .. 181

CONMED CORP. 182

CUREXO TECHNOLOGY CORP. . 182

FIFTH DIMENSION TECHNOLOGIES ... 183

4NAVITEC GMBH .. 183

GE HEALTHCARE . 184

GIVEN IMAGING, LTD. 184

HANSEN MEDICAL (ROBOTICS) 185

HAPTICA 185

HITACHI MEDICAL CORP. .. 186

IMMERSION CORP. .. 186

INTEGRA RADIONICS, INC. 187

INTUITIVE SURGICAL, INC. ... 187

TABLE 47 INTUITIVE SURGICAL, INC., FINANCIAL

PERFORMANCE, THROUGH 2010 ($ MILLIONS) 188

KINAMED, INC. . 188

MAKO SURGICAL CORP. . 189

MAZOR SURGICAL TECHNOLOGIES, LTD. . 189

MED-SURGICAL SERVICES INC. ... 189

MEDTRONIC, INC. 190

MENTICE MEDICAL SIMULATION AB . 190

MERGE HEALTHCARE 191

MICRODEXTERITY SYSTEMS, INC. .. 191

MUSCULOGRAPHICS, INC. . 192

ODIN MEDICAL TECHNOLOGIES . 192

PRAXIM MEDIVISION .. 193

PROSURGICS, LTD. .. 193

ROBOTIC SURGICAL TECH, INC. .. 194

SCHAERER MAYFIELD NEUROMATE AG 194

SIEMENS HEALTHCARE . 195

SIMBIONIX USA CORP. 195

SIMSURGERY 196

SMITH & NEPHEW PLC ... 196

SONOWAND ... 197

STERIS CORP. 197

KARL STORZ GMBH . 198

STRYKER CORP. ... 198

SURGICAL SCIENCE AB .. 199

TITAN MEDICAL INC. .. 199

VIKING SYSTEMS, INC. ... 199

ZIMMER, INC. 200

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Surgical Equipment Industry: Medical Robotics and Computer-Assisted Surgery: The Global Market

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