Medical Robotics and Computer-Assisted Surgery: The Global Market

NEW YORK, Dec. 19, 2012 /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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INTRODUCTION

STUDY BACKGROUND

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 directly see 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

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 five 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

The medical and surgical devices industry.Medical research institutions.Investing.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 its findings insofar as 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 or 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 2017.

Competition and market shares.

Observations and conclusions regarding the future of the MRCAS market.

METHODOLOGY AND INFORMATION SOURCES

The base year for analysis and projection is 2011. With 2011 as a baseline, market projections were developed for 2012 to 2017. 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 2011 constant dollars.

ANALYST CREDENTIALS Andrew McWilliams Boston TABLE OF CONTENTS

STUDY BACKGROUND 1

GOALS AND OBJECTIVES 1

INTENDED AUDIENCE 2

SCOPE AND FORMAT 2

METHODOLOGY AND INFORMATION SOURCES 3

ANALYST CREDENTIALS 3

RELATED BCC RESEARCH 3

BCC ONLINE SERVICES 4

DISCLAIMER 4

CHAPTER 2 EXECUTIVE SUMMARY 6

SUMMARY TABLE GLOBAL SALES OF MRCAS EQUIPMENT, THROUGH 2017 ($ MILLIONS) 6

SUMMARY FIGURE TRENDS IN GLOBAL SALES OF MRCAS EQUIPMENT 2011-2017 ($

MILLIONS) 6

CHAPTER 3 OVERVIEW 9

GENERAL DESCRIPTION AND DEFINITION OF MRCAS 9

FIGURE 1 MEDICAL ROBOTIC AND COMPUTER-ASSISTED SURGICAL SYSTEMS 10

HISTORY OF MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY 10

SURGICAL IMAGING TECHNOLOGIES 10

IMAGE REGISTRATION TECHNIQUES 12

COMPUTER IMAGE PROCESSING 13

SURGICAL ROBOTS 13

"THE INTELLIGENT OPERATING ROOM" 14

SURGICAL SIMULATION 14

TECHNOLOGIES AND PRODUCTS 14

STANDALONE SURGICAL PLANNERS AND SIMULATORS 14

Technology 15

Modeling of Organs and Deformations 15

Simulation of Actions and Force Feedback Reactions 16

Emerging Technologies 17

Web-Based Surgical Simulators 17

Virtual Reality Simulators 18

Recent Patents 18

Advantages of Surgical Planners and Simulators 19

Products 20

TABLE 1 STANDALONE SURGICAL PLANNERS AND SIMULATORS 21

CAE Healthcare 22

Fifth Dimension Technologies 22

Haptica (acquired by CAE Healthcare in 2011) 22

Intuitive Surgical 22

Mentice Medical Simulation 22

Merge Healthcare 23

Simbionix 23

SimQuest 24

SimSurgery 24

Surgical Science 24

VirtaMed 25

VOXEL-MAN 25

VRmagic 25

SURGICAL NAVIGATION SYSTEMS 25

Technologies 25

Imaging Technologies 25

Multimodal Imaging 25

Fluoroscopic Imaging 26

Video-Enhanced Imagery 27

Microscopic Imagery 28

Endoscopic Imagery 28

Dynamic (Interventional) Imaging 29

Compact MRI Scanners 29

Intraoperative CT 30

Intraoperative Ultrasound 30

Tracking Technologies 30

Optical Tracking 31

Electromagnetic Tracking 31

Display Technologies 31

Multiplanar Displays 31

Three-Dimensional Displays 31

Stereoscopic Displays 32

Virtual and Augmented Reality 32

Heads-Up Displays 32

Recent Patents 32

Advantages of Surgical Navigation Systems 34

Products 35

Image-Guided Surgical Navigation Systems 35

TABLE 2 IMAGE-GUIDED SURGICAL NAVIGATION SYSTEMS 35

Boulder Innovation Group 36

FlashPoint 5500 36

Brainlab AG 36

VectorVision 36

Kolibri 37

Curve 37

Med Surgical Services 37

CBYON Suite (CBYON) 37

Medtronic 38

StealthStation 38

Praxim/Orthopaedic Synergy 38

Nano-Station 38

Siemens Healthcare 38

NaviLink 38

NaviVision 38

Smith & Nephew 39

Dash 39

Stryker Corp. 39

Stryker Navigation System 39

Zimmer 39

ORTHOsoft 39

Interventional Navigation Systems 39

TABLE 3 INTERVENTIONAL SURGICAL NAVIGATION SYSTEMS 40

TABLE 4 COMPARISON OF NONFLUOROSCOPIC INTERVENTIONAL IMAGING

TECHNOLOGIES 40

B. Braun Aesculap 41

OrthoPilot 41

Kinamed 42

NaviPro 42

SONOWAND 42

SonoWand Invite 42

Medtronic 42

PoleStar 42

Smith & Nephew 43

PiGalileo 43

Surgical Navigation Accessories and Add-Ons 43

TABLE 5 SURGICAL NAVIGATION ACCESSORIES AND ADD-ONS 44

Ascension Technology 44

Viking Stems 44

3-D-HD Visualization System and Infomatix 44

4navitec 44

Pointers, Trackers, Adapters, and Other Accessories 44

SURGICAL ROBOTS 45

Technology 45

Robotically Assisted Micromanipulation 45

Steady-Hand Systems 46

Robotic "Wrists" and Other Dexterity Enhancements 46

Preprogrammed Robots 47

Constraint Robots 47

Voice Control 48

Other Emerging Technologies 49

New Robotic Arm Designs 49

Remote Surgery 49

Natural-Orifice Surgery 50

Microbots 51

Recent Patents 51

Advantages of Robotics 53

Products 54

TABLE 6 SURGICAL ROBOTICS 54

Biobot Surgical 55

Mona Lisa 55

Corindus 55

CorPath 200 55

Curexo Technology 55

ROBODOC 55

Freehand 55

FreeHand 55

Given Imaging 56

Given Imaging Diagnostic System 56

Hansen Medical 56

Magellan 56

Sensei 56

Hitachi Medical Systems 56

Magnetic Resonance Image-Guided Surgical Robotic System 56

IMRIS 57

NeuroArm 57

Intuitive Surgical Systems 57

da Vinci 57

MAKO Surgical 58

RIO 58

Mazor Surgical Technologies 59

Renaissance 59

MicroDexterity 59

MicroDex 59

Robotic Systems and Technologies 59

Penelope CS 59

Schaerer Mayfield 60

NeuroMate 60

SOFAR 60

ALF-X 60

Titan Medical 60

Amadeus 60

DIGITAL OPERATING ROOMS AND EQUIPMENT 61

Technologies 61

Data Routing 61

User Interface 62

Open System Architectures 62

Recent Patents 63

Advantages 63

Products 64

TABLE 7 INTELLIGENT OPERATING ROOM SOLUTIONS AND COMPONENTS 64

Stryker 64

iSuite Operating Room of the Future 64

SIDNE 65

Karl Storz 65

OR 1 NEO 65

Smith & Nephew 65

Digital Operating Room 65

Intuitive Surgical 66

HERMES 66

Steris Corp. 66

3085 SP Operating Table/Harmony Surgical Lighting System 66

Skytron Surgical 66

Stellar Surgical Lighting Systems (Skytron Surgical) 66

Berchtold 67

CHROMOPHARE Surgical Lighting Systems 67

Covidien 67

Force FX Electrosurgical Generator 67

PRINCIPAL SURGICAL APPLICATIONS OF MRCAS 67

TABLE 8 PRINCIPAL SURGICAL APPLICATIONS OF MRCAS 67

ORTHOPEDIC APPLICATIONS 68

Hip Replacement 68

Knee Replacement 69

Trauma 69

Pedicle Screw Fixation and Other Spinal Procedures 70

NEUROSURGICAL APPLICATIONS 70

Stereotactic Biopsy 71

Craniotomy 71

Shunt 71

Implants 72

Deep Brain Stimulation 72

EAR, NOSE, AND THROAT (ENT) APPLICATIONS 72

Functional Endoscopic Sinus Surgery 72

CARDIAC APPLICATIONS 73

Coronary Bypass Surgery 73

Heart Valve Repair and Replacement 73

Percutaneous Coronary Intervention 73

OTHER ENDOSCOPIC APPLICATIONS 74

CHAPTER 4 THE GLOBAL MARKET FOR MRCAS EQUIPMENT 76

GLOBAL MRCAS MARKET 76

FIGURE 2 TRENDS IN THE GLOBAL MRCAS MARKET, 2011-2017 ($ MILLIONS) 76

MARKET BY COUNTRY/REGION 76

TABLE 9 MAJOR INTERNATIONAL MARKETS FOR MRCAS DEVICES AND EQUIPMENT,

THROUGH 2017 ($ MILLIONS) 77

FIGURE 3 GLOBAL MRCAS MARKET SHARES BY COUNTRY/REGION, 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 77

MARKET BY TYPE OF EQUIPMENT 78

TABLE 10 GLOBAL MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2017 ($ MILLIONS) 78

FIGURE 4 GLOBAL MRCAS MARKET SHARES BY EQUIPMENT SEGMENT, 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 78

MARKET BY TYPE OF APPLICATION 79

TABLE 11 GLOBAL MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($ MILLIONS) 80

FIGURE 5 GLOBAL MRCAS MARKET SHARES BY APPLICATION SEGMENT 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 80

INDUSTRY STRUCTURE AND COMPETITION 81

OVERALL MARKET LEADERS 81

TABLE 12 MAJOR MRCAS VENDORS' MARKET SHARES, 2010 ($ MILLIONS) 81

FIGURE 6 U.S. OVERALL MRCAS MARKET LEADERS, 2011 (PERCENT OF TOTAL SALES) 81

SURGICAL PLANNERS AND SIMULATORS 82

FIGURE 7 GLOBAL SURGICAL PLANNER AND SIMULATOR MARKET LEADERS, 2011

(PERCENT OF TOTAL SALES) 82

SURGICAL NAVIGATION SYSTEMS 83

FIGURE 8 GLOBAL SURGICAL NAVIGATION SYSTEM MARKET LEADERS, 2011 (PERCENT OF

TOTAL SALES) 83

SURGICAL ROBOTS 84

FIGURE 9 GLOBAL SURGICAL ROBOT MARKET SHARES, 2011 (PERCENT OF TOTAL SALES) 84

INTELLIGENT OPERATING ROOM SOLUTIONS 84

FIGURE 10 GLOBAL INTEGRATED OPERATING ROOM SOLUTIONS MARKET LEADERS, 2011

(PERCENT OF TOTAL SALES) 84

CHAPTER 5 THE U.S. MARKET FOR MRCAS EQUIPMENT 87

MARKET ENVIRONMENT 87

DEMOGRAPHIC TRENDS 87

TABLE 13 TRENDS IN NUMBER OF AMERICANS AGE 55 AND OLDER THROUGH 2017

(MILLIONS) 87

TRENDS IN THE INCIDENCE OF CERTAIN DISEASES OR CONDITIONS 87

Trends in Cardiac Disease 87

Trends in Hip and Knee Replacement 88

TABLE 14 PROJECTED TRENDS IN MINIMALLY INVASIVE HIP AND KNEE REPLACEMENT

PROCEDURES, THROUGH 2017 (NUMBER OF PROCEDURES) 88

ECONOMIC TRENDS 88

TECHNOLOGICAL DEVELOPMENTS 89

Adaptation of Minimally Invasive Techniques to New Types of Surgical Procedures 89

New Products and Technologies 89

Development of Lower-Cost Systems 90

Increasing Patient Access to Minimally Invasive Surgery 90

Facilitating Surgeon Awareness and Training in Minimally Invasive Procedures 90

Offsetting Manpower Constraints and Reducing Hospital Labor Costs 90

CHANGING STRUCTURE OF THE U.S. HEALTH CARE INDUSTRY 91

Hospital Consolidation 91

Developments in Health Insurance 91

Distribution Channels 92

FIGURE 11 U.S. DISTRIBUTION CHANNELS FOR MRCAS EQUIPMENT (PERCENT OF TOTAL

SALES MADE THROUGH EACH CHANNEL) 93

LAWS AND REGULATIONS 93

FDA Regulations 93

Patient Protection and Affordable Care Act 96

CONCLUSIONS 96

MARKET SIZE AND SEGMENTATION 96

OVERALL MARKET 96

FIGURE 12 U.S. SALES OF MRCAS EQUIPMENT, 2011-2017 ($ MILLIONS) 96

MARKET BY EQUIPMENT SEGMENT 97

TABLE 15 U.S. MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2017 ($ MILLIONS) 97

FIGURE 13 U.S. MRCAS MARKET SHARES BY TYPE OF EQUIPMENT 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 98

MARKET BY APPLICATION SEGMENT 98

TABLE 16 U.S. MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($ MILLIONS) 99

FIGURE 14 MAJOR MRCAS APPLICATION SEGMENTS 2011 VERSUS 2017 (PERCENT OF

TOTAL SALES) 99

DETAILED MARKET ANALYSIS AND PROJECTIONS 100

SURGICAL PLANNERS AND SIMULATORS 101

Historical Sales 101

TABLE 17 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS THROUGH 2011 ($

MILLIONS) 101

FIGURE 15 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS 2000-2011 ($ MILLIONS) 101

Projected Sales 101

TABLE 18 PROJECTED U.S. SALES OF PLANNERS AND SIMULATORS THROUGH 2017 ($

MILLIONS) 102

Risk Factors 102

SURGICAL NAVIGATION SYSTEMS 103

Historical Sales 103

TABLE 19 U.S. SALES OF SURGICAL NAVIGATION SYSTEMS, THROUGH 2011 ($ MILLIONS) 103

FIGURE 16 HISTORICAL GROWTH OF SURGICAL NAVIGATION SYSTEM SALES, 2000-2011 ($

MILLIONS) 103

Sales Projections 103

TABLE 20 PROJECTED U.S. SALES OF SURGICAL NAVIGATION SYSTEMS THROUGH 2017 ($

MILLIONS) 104

Risk Factors 104

SURGICAL ROBOTS 105

Sales 105

TABLE 21 U.S. SALES OF SURGICAL ROBOTS, THROUGH 2011 ($ MILLIONS) 105

FIGURE 17 HISTORICAL GROWTH OF SURGICAL ROBOT SALES, 2000-2011 ($ MILLIONS) 105

Market Penetration 106

TABLE 22 U.S. SURGICAL ROBOT MARKET PENETRATION, 2011 106

Projected Sales 107

TABLE 23 PROJECTED U.S. SALES OF SURGICAL ROBOTS THROUGH 2017 ($ MILLIONS) 107

Risk Factors 108

INTELLIGENT OPERATING ROOM SOLUTIONS 108

Sales 108

TABLE 24 U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS, THROUGH 2011 108

FIGURE 18 HISTORICAL GROWTH OF INTELLIGENT OPERATING ROOM SALES, 2000-2011 ($

MILLIONS) 108

Market Penetration 109

TABLE 25 U.S. INTELLIGENT OPERATING ROOM MARKET PENETRATION, 2011 109

Projected Sales 109

TABLE 26 PROJECTED U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS,

THROUGH 2017 ($ MILLIONS) 110

Risk Factors 110

CHAPTER 6 OTHER NORTH AND SOUTH AMERICAN MARKETS FOR MRCAS EQUIPMENT 112

MARKET ENVIRONMENT 112

DEMOGRAPHICS 112

TABLE 27 OTHER NORTH AND SOUTH AMERICAN MARKET DEMOGRAPHIC INDICATORS,

2011 112

ECONOMICS 112

TABLE 28 OTHER NORTH AND SOUTH AMERICAN MARKET ECONOMIC INDICATORS, 2010 113

REGULATORY ENVIRONMENT 113

Canada 113

Brazil 113

Mexico 114

Argentina 114

MARKET SIZE AND SEGMENTATION 114

OVERALL MARKET 114

FIGURE 19 OTHER NORTH AND SOUTH AMERICAN MARKETS FOR MRCAS, 2011-2017 ($

MILLIONS) 114

MARKET BY COUNTRY 115

TABLE 29 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY COUNTRY, THROUGH

2017 ($ MILLIONS) 115

FIGURE 20 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET SHARES BY

INDIVIDUAL COUNTRY, 2011 AND 2017 (% OF TOTAL MARKET) 115

MARKET BY EQUIPMENT SEGMENT 117

TABLE 30 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY TYPE OF EQUIPMENT,

THROUGH 2017 ($ MILLIONS) 117

FIGURE 21 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET EQUIPMENT SHARES,

2011 AND 2017 (% OF TOTAL MARKET) 117

MARKET BY APPLICATION SEGMENT 118

TABLE 31 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY TYPE OF

APPLICATION, THROUGH 2017 ($ MILLIONS) 119

FIGURE 22 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET APPLICATION SHARES,

2011 AND 2017 (% OF TOTAL MARKET) 120

CHAPTER 7 EUROPEAN MARKETS FOR MRCAS EQUIPMENT 122

MARKET ENVIRONMENT 122

DEMOGRAPHICS 122

TABLE 32 EUROPEAN MARKET DEMOGRAPHIC INDICATORS, 2011 (MILLIONS/%) 122

ECONOMICS 122

TABLE 33 EUROPEAN MARKET ECONOMIC INDICATORS, 2010 (%/$) 122

REGULATORY ENVIRONMENT 123

European Union 123

MARKET SIZE AND SEGMENTATION 125

OVERALL MARKET 125

FIGURE 23 EUROPEAN MARKET FOR MRCAS, 2011-2017 ($ MILLIONS) 125

MARKET BY COUNTRY 125

TABLE 34 EUROPEAN MRCAS MARKET BY COUNTRY, THROUGH 2017 ($ MILLIONS) 126

FIGURE 24 EUROPEAN MRCAS MARKET INDIVIDUAL COUNTRY SHARES, 2011 AND 2017

(PERCENT OF TOTAL MARKET) 126

MARKET BY EQUIPMENT SEGMENT 127

TABLE 35 EUROPEAN MRCAS MARKET BY TYPE OF EQUIPMENT THROUGH 2017 ($

MILLIONS) 127

FIGURE 25 EUROPEAN MRCAS MARKET EQUIPMENT SHARES, 2011 AND 2017 (PERCENT

OF TOTAL MARKET) 127

MARKET BY APPLICATION SEGMENT 128

TABLE 36 EUROPEAN MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($

MILLIONS) 129

FIGURE 26 EUROPEAN MRCAS MARKET APPLICATION SHARES, 2011 AND 2017 (% OF

TOTAL MARKET) 129

CHAPTER 8 ASIA-PACIFIC AND MARKETS FOR MRCAS EQUIPMENT 132

ASIA-PACIFIC 132

MARKET ENVIRONMENT 132

Demographics 132

TABLE 37 ASIA-PACIFIC MARKET DEMOGRAPHIC INDICATORS, 2011 (MILLIONS/%) 132

Economics 133

TABLE 38 ASIA-PACIFIC MARKET ECONOMIC INDICATORS, 2010* 133

Regulatory Environment 134

Japan 134

China 134

India 135

Australia 135

New Zealand 136

MARKET SIZE AND SEGMENTATION 136

Overall Market 136

FIGURE 27 ASIA-PACIFIC REGION SALES OF MRCAS EQUIPMENT, 2011-2017 ($ MILLIONS) 136

Market by Country 136

TABLE 39 ASIA-PACIFIC MRCAS MARKET BY COUNTRY, THROUGH 2017 ($ MILLIONS) 137

FIGURE 28 ASIA-PACIFIC MRCAS MARKET SHARES BY COUNTRY, 2011 AND 2017 (PERCENT

OF TOTAL SALES) 137

Market by Equipment Segment 138

TABLE 40 ASIA-PACIFIC MRCAS MARKET BY TYPE OF EQUIPMENT THROUGH 2017 ($

MILLIONS) 138

FIGURE 29 ASIA-PACIFIC MRCAS MARKET SHARES BY EQUIPMENT SEGMENT, 2011 AND

2017 (PERCENT OF TOTAL SALES) 138

Market by Application Segment 139

TABLE 41 ASIA-PACIFIC MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($

MILLIONS) 140

FIGURE 30 ASIA-PACIFIC MRCAS MARKET SHARES BY APPLICATION SEGMENT, 2011 AND

2017 (PERCENT OF TOTAL SALES) 140

CHAPTER 9 MIDDLE EASTERN AND MISCELLANEOUS OTHER COUNTRY MARKETS FOR

MRCAS EQUIPMENT 143

MARKET ENVIRONMENT 143

DEMOGRAPHICS 143

TABLE 42 MIDDLE EASTERN AND AFRICAN MARKET DEMOGRAPHIC INDICATORS, 2011 143

ECONOMICS 143

TABLE 43 MIDDLE EASTERN AND AFRICAN MARKET ECONOMIC INDICATORS, 2010 144

REGULATORY ENVIRONMENT 144

Turkey 144

Saudi Arabia 144

MARKET SIZE AND SEGMENTATION 144

OVERALL MARKET 144

FIGURE 31 MIDDLE EASTERN AND OTHER COUNTRIES MARKET FOR MRCAS EQUIPMENT,

2011-2017 ($ MILLIONS) 145

MARKET BY COUNTRY 145

TABLE 44 MIDDLE EASTERN AND OTHER MRCAS MARKETS BY COUNTRY THROUGH 2017 ($

MILLIONS) 145

FIGURE 32 MIDDLE EASTERN AND OTHER COUNTRIES MRCAS MARKET COUNTRY SHARES,

2011 AND 2017 (PERCENT OF TOTAL SALES) 145

MARKET BY EQUIPMENT SEGMENT 146

TABLE 45 MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY TYPE OF EQUIPMENT,

THROUGH 2017 ($ MILLIONS) 147

FIGURE 33 MIDDLE EASTERN AND AFRICAN MRCAS MARKET EQUIPMENT SHARES, 2011

AND 2017 (PERCENT OF TOTAL SALES) 147

MARKET BY APPLICATION SEGMENT 148

TABLE 46 MIDDLE EASTERN AND OTHER COUNTRIES MRCAS MARKET BY TYPE OF

APPLICATION, THROUGH 2017 ($ MILLIONS) 148

FIGURE 34 MIDDLE EASTERN AND AFRICAN MRCAS MARKET APPLICATION SHARES, 2011

AND 2017 (PERCENT OF TOTAL SALES) 148

CHAPTER 10 VENDOR PROFILES 151

ANAMEDIC 151

BERCHTOLD GMBH 151

BOULDER INNOVATION GROUP 151

BRAINLAB AG 152

B. BRAUN AESCULAP 153

CAE HEALTHCARE 153

CONMED CORP. 153

CUREXO TECHNOLOGY CORP. 154

FIFTH DIMENSION TECHNOLOGIES 154

4NAVITEC GMBH 154

GE HEALTHCARE 155

GIVEN IMAGING, LTD. 155

HANSEN MEDICAL (ROBOTICS) 156

HAPTICA LTD, 156

HITACHI MEDICAL CORP. 156

INTEGRA RADIONICS, INC. 157

INTUITIVE SURGICAL, INC. 157

TABLE 47 INTUITIVE SURGICAL, INC., FINANCIAL PERFORMANCE THROUGH 2011 ($

MILLIONS) 158

KINAMED, INC. 158

MAKO SURGICAL CORP. 158

MAZOR SURGICAL TECHNOLOGIES, LTD. 159

MED-SURGICAL SERVICES INC. 159

MEDTRONIC, INC. 160

MENTICE MEDICAL SIMULATION AB 160

MERGE HEALTHCARE 160

MICRODEXTERITY SYSTEMS, INC./STRYKER 161

MUSCULOGRAPHICS, INC. 161

PRAXIM MEDIVISION 161

ROBOTIC SURGICAL TECH, INC. 162

SCHAERER MAYFIELD NEUROMATE AG/RENISHAW 162

SIEMENS HEALTHCARE 163

SIMBIONIX USA CORP. 163

SIMQUEST LLC 163

SIMSURGERY 164

SMITH & NEPHEW PLC 164

SONOWAND AS 165

STERIS CORP. 165

KARL STORZ GMBH 165

STRYKER CORP. 166

SURGICAL SCIENCE AB 166

TITAN MEDICAL INC. 167

VIKING SYSTEMS, INC. 167

VIRTAMED AG 167

VOXEL-MAN 168

VRMAGIC HOLDING AG 168

ZIMMER, INC. 168

LIST OF TABLES

SUMMARY TABLE GLOBAL SALES OF MRCAS EQUIPMENT, THROUGH 2017 ($ MILLIONS) 6TABLE 1 STANDALONE SURGICAL PLANNERS AND SIMULATORS 21TABLE 2 IMAGE-GUIDED SURGICAL NAVIGATION SYSTEMS 35TABLE 3 INTERVENTIONAL SURGICAL NAVIGATION SYSTEMS 40TABLE 4 COMPARISON OF NONFLUOROSCOPIC INTERVENTIONAL IMAGING TECHNOLOGIES 40TABLE 5 SURGICAL NAVIGATION ACCESSORIES AND ADD-ONS 44TABLE 6 SURGICAL ROBOTICS 54TABLE 7 INTELLIGENT OPERATING ROOM SOLUTIONS AND COMPONENTS 64TABLE 8 PRINCIPAL SURGICAL APPLICATIONS OF MRCAS 67TABLE 9 MAJOR INTERNATIONAL MARKETS FOR MRCAS DEVICES AND EQUIPMENT,THROUGH 2017 ($ MILLIONS) 77TABLE 10 GLOBAL MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2017 ($ MILLIONS) 78TABLE 11 GLOBAL MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($ MILLIONS) 80TABLE 12 MAJOR MRCAS VENDORS' MARKET SHARES, 2010 ($ MILLIONS) 81TABLE 13 TRENDS IN NUMBER OF AMERICANS AGE 55 AND OLDER THROUGH 2017(MILLIONS) 87TABLE 14 PROJECTED TRENDS IN MINIMALLY INVASIVE HIP AND KNEE REPLACEMENTPROCEDURES, THROUGH 2017 (NUMBER OF PROCEDURES) 88TABLE 15 U.S. MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2017 ($ MILLIONS) 97TABLE 16 U.S. MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($ MILLIONS) 99TABLE 17 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS THROUGH 2011 ($MILLIONS) 101TABLE 18 PROJECTED U.S. SALES OF PLANNERS AND SIMULATORS THROUGH 2017 ($MILLIONS) 102TABLE 19 U.S. SALES OF SURGICAL NAVIGATION SYSTEMS, THROUGH 2011 ($ MILLIONS) 103TABLE 20 PROJECTED U.S. SALES OF SURGICAL NAVIGATION SYSTEMS THROUGH 2017 ($MILLIONS) 104TABLE 21 U.S. SALES OF SURGICAL ROBOTS, THROUGH 2011 ($ MILLIONS) 105TABLE 22 U.S. SURGICAL ROBOT MARKET PENETRATION, 2011 106TABLE 23 PROJECTED U.S. SALES OF SURGICAL ROBOTS THROUGH 2017 ($ MILLIONS) 107TABLE 24 U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS, THROUGH 2011 108TABLE 25 U.S. INTELLIGENT OPERATING ROOM MARKET PENETRATION, 2011 109TABLE 26 PROJECTED U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS,THROUGH 2017 ($ MILLIONS) 110TABLE 27 OTHER NORTH AND SOUTH AMERICAN MARKET DEMOGRAPHIC INDICATORS,2011 112TABLE 28 OTHER NORTH AND SOUTH AMERICAN MARKET ECONOMIC INDICATORS, 2010 113TABLE 29 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY COUNTRY, THROUGH2017 ($ MILLIONS) 115TABLE 30 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY TYPE OF EQUIPMENT,THROUGH 2017 ($ MILLIONS) 117TABLE 31 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET BY TYPE OF APPLICATION,THROUGH 2017 ($ MILLIONS) 119TABLE 32 EUROPEAN MARKET DEMOGRAPHIC INDICATORS, 2011 (MILLIONS/%) 122TABLE 33 EUROPEAN MARKET ECONOMIC INDICATORS, 2010 (%/$) 122TABLE 34 EUROPEAN MRCAS MARKET BY COUNTRY, THROUGH 2017 ($ MILLIONS) 126TABLE 35 EUROPEAN MRCAS MARKET BY TYPE OF EQUIPMENT THROUGH 2017 ($ MILLIONS) 127TABLE 36 EUROPEAN MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($MILLIONS) 129TABLE 37 ASIA-PACIFIC MARKET DEMOGRAPHIC INDICATORS, 2011 (MILLIONS/%) 132TABLE 38 ASIA-PACIFIC MARKET ECONOMIC INDICATORS, 2010* 133TABLE 39 ASIA-PACIFIC MRCAS MARKET BY COUNTRY, THROUGH 2017 ($ MILLIONS) 137TABLE 40 ASIA-PACIFIC MRCAS MARKET BY TYPE OF EQUIPMENT THROUGH 2017 ($MILLIONS) 138TABLE 41 ASIA-PACIFIC MRCAS MARKET BY TYPE OF APPLICATION THROUGH 2017 ($MILLIONS) 140TABLE 42 MIDDLE EASTERN AND AFRICAN MARKET DEMOGRAPHIC INDICATORS, 2011 143TABLE 43 MIDDLE EASTERN AND AFRICAN MARKET ECONOMIC INDICATORS, 2010 144TABLE 44 MIDDLE EASTERN AND OTHER MRCAS MARKETS BY COUNTRY THROUGH 2017 ($MILLIONS) 145TABLE 45 MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY TYPE OF EQUIPMENT,THROUGH 2017 ($ MILLIONS) 147TABLE 46 MIDDLE EASTERN AND OTHER COUNTRIES MRCAS MARKET BY TYPE OFAPPLICATION, THROUGH 2017 ($ MILLIONS) 148TABLE 47 INTUITIVE SURGICAL, INC., FINANCIAL PERFORMANCE THROUGH 2011 ($MILLIONS) 158

LIST OF FIGURES

SUMMARY FIGURE TRENDS IN GLOBAL SALES OF MRCAS EQUIPMENT 2011-2017 ($

MILLIONS) 6

FIGURE 1 MEDICAL ROBOTIC AND COMPUTER-ASSISTED SURGICAL SYSTEMS 10

FIGURE 2 TRENDS IN THE GLOBAL MRCAS MARKET, 2011-2017 ($ MILLIONS) 76

FIGURE 3 GLOBAL MRCAS MARKET SHARES BY COUNTRY/REGION, 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 77

FIGURE 4 GLOBAL MRCAS MARKET SHARES BY EQUIPMENT SEGMENT, 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 78

FIGURE 5 GLOBAL MRCAS MARKET SHARES BY APPLICATION SEGMENT 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 80

FIGURE 6 U.S. OVERALL MRCAS MARKET LEADERS, 2011 (PERCENT OF TOTAL SALES) 81

FIGURE 7 GLOBAL SURGICAL PLANNER AND SIMULATOR MARKET LEADERS, 2011 (PERCENT

OF TOTAL SALES) 82

FIGURE 8 GLOBAL SURGICAL NAVIGATION SYSTEM MARKET LEADERS, 2011 (PERCENT OF

TOTAL SALES) 83

FIGURE 9 GLOBAL SURGICAL ROBOT MARKET SHARES, 2011 (PERCENT OF TOTAL SALES) 84

FIGURE 10 GLOBAL INTEGRATED OPERATING ROOM SOLUTIONS MARKET LEADERS, 2011

(PERCENT OF TOTAL SALES) 84

FIGURE 11 U.S. DISTRIBUTION CHANNELS FOR MRCAS EQUIPMENT (PERCENT OF TOTAL

SALES MADE THROUGH EACH CHANNEL) 93

FIGURE 12 U.S. SALES OF MRCAS EQUIPMENT, 2011-2017 ($ MILLIONS) 96

FIGURE 13 U.S. MRCAS MARKET SHARES BY TYPE OF EQUIPMENT 2011 VERSUS 2017

(PERCENT OF TOTAL SALES) 98

FIGURE 14 MAJOR MRCAS APPLICATION SEGMENTS 2011 VERSUS 2017 (PERCENT OF TOTAL

SALES) 99

FIGURE 15 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS 2000-2011 ($ MILLIONS) 101

FIGURE 16 HISTORICAL GROWTH OF SURGICAL NAVIGATION SYSTEM SALES, 2000-2011 ($

MILLIONS) 103

FIGURE 17 HISTORICAL GROWTH OF SURGICAL ROBOT SALES, 2000-2011 ($ MILLIONS) 105

FIGURE 18 HISTORICAL GROWTH OF INTELLIGENT OPERATING ROOM SALES, 2000-2011 ($

MILLIONS) 108

FIGURE 19 OTHER NORTH AND SOUTH AMERICAN MARKETS FOR MRCAS, 2011-2017 ($

MILLIONS) 114

FIGURE 20 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET SHARES BY INDIVIDUAL

COUNTRY, 2011 AND 2017 (% OF TOTAL MARKET) 115

FIGURE 21 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET EQUIPMENT SHARES,

2011 AND 2017 (% OF TOTAL MARKET) 117

FIGURE 22 OTHER NORTH AND SOUTH AMERICAN MRCAS MARKET APPLICATION SHARES,

2011 AND 2017 (% OF TOTAL MARKET) 120

FIGURE 23 EUROPEAN MARKET FOR MRCAS, 2011-2017 ($ MILLIONS) 125

FIGURE 24 EUROPEAN MRCAS MARKET INDIVIDUAL COUNTRY SHARES, 2011 AND 2017

(PERCENT OF TOTAL MARKET) 126

FIGURE 25 EUROPEAN MRCAS MARKET EQUIPMENT SHARES, 2011 AND 2017 (PERCENT OF

TOTAL MARKET) 127

FIGURE 26 EUROPEAN MRCAS MARKET APPLICATION SHARES, 2011 AND 2017 (% OF TOTAL

MARKET) 129

FIGURE 27 ASIA-PACIFIC REGION SALES OF MRCAS EQUIPMENT, 2011-2017 ($ MILLIONS) 136

FIGURE 28 ASIA-PACIFIC MRCAS MARKET SHARES BY COUNTRY, 2011 AND 2017 (PERCENT

OF TOTAL SALES) 137

FIGURE 29 ASIA-PACIFIC MRCAS MARKET SHARES BY EQUIPMENT SEGMENT, 2011 AND

2017 (PERCENT OF TOTAL SALES) 138

FIGURE 30 ASIA-PACIFIC MRCAS MARKET SHARES BY APPLICATION SEGMENT, 2011 AND

2017 (PERCENT OF TOTAL SALES) 140

FIGURE 31 MIDDLE EASTERN AND OTHER COUNTRIES MARKET FOR MRCAS EQUIPMENT,

2011-2017 ($ MILLIONS) 145

FIGURE 32 MIDDLE EASTERN AND OTHER COUNTRIES MRCAS MARKET COUNTRY SHARES,

2011 AND 2017 (PERCENT OF TOTAL SALES) 145

FIGURE 33 MIDDLE EASTERN AND AFRICAN MRCAS MARKET EQUIPMENT SHARES, 2011

AND 2017 (PERCENT OF TOTAL SALES) 147

FIGURE 34 MIDDLE EASTERN AND AFRICAN MRCAS MARKET APPLICATION SHARES, 2011

AND 2017 (PERCENT OF TOTAL SALES) 148

To order this report:Surgical_Equipment Industry: Medical Robotics and Computer-Assisted Surgery: The Global Market

Nicolas Bombourg

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