U.S. MARKETS FOR GENERAL AND PELVIC ENDOSCOPIC SURGERY PRODUCTS

418 Pages | 146 Exhibits | 2004 Analysis | Forecasts Through 2013

OVERVIEW:
In the U.S., more than 5 million general and pelvic endoscopic surgical procedures were performed in 2003. The advantages of endoscopic surgery over open surgery include lower overall treatment costs, reduced patient trauma, shorter hospital stays, and faster recovery times. These benefits have resulted in the conversion of many types of open surgery procedures to endoscopic procedures, a continuing trend that is being driven by advancements in the array of endoscopic surgery products that includes access devices, access site closure devices, computer-aided instrument guidance systems, computer-aided training systems, endoscopes, hand instruments, and insufflation devices, among others.

The U.S. market for general and pelvic endoscopic surgery products--including those used in gynecologic, laparoscopic, and urologic surgery procedures--was valued at approximately $2.3 billion in 2003. Growing at a healthy compound annual rate of 9.6%, sales of these products are projected to reach an estimated $5.7 billion in the year 2013.

This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. market for general and pelvic endoscopic surgery products.

Covered topics in this report include: access needles; access site closure devices; disposable, reusable, and reposable trocars; disposable, reusable, and refurbished hand instruments such as clamps and needle-holders, clip appliers, forceps, graspers and retractors, pencils and dissectors, scissors, and staplers; flexible, rigid, and refurbished endoscopes; gasless and traditional insufflators; hand-assist systems; mechanical assist systems; position detecting systems; robotic surgery systems; simulators; smoke evacuation systems; and specimen retrieval bags.

TABLE OF CONTENTS:

EXECUTIVE SUMMARY

i.   Types of Endoscopic Surgery Procedures

ii.   The General and Pelvic Endoscopic Surgery Products Market

a. Access Devices Market

i. Access Needles

ii. Trocars

b. Endoscopes Market

i. New Rigid Endoscopes

ii. Refurbished Rigid Endoscopes

iii. New Flexible Endoscopes

iv. Refurbished Flexible Endoscopes

c. Hand Instruments

d. Insufflation Products

e. Ancillary Endoscopic Surgery Products

f.   Computer-Aided Instrument Guidance and Robotic Surgery Systems

g.   Computer-Aided Training Systems

h. Access Site Closure Devices

iii. Report Methodology

 

1. ENDOSCOPIC SURGERY OVERVIEW

1.1 Conversion from Open Surgical to Endoscopic Surgical Procedures

1.1.1 Advantages and Risks of Endoscopic Surgery

1.1.2 Cost Effectiveness of Endoscopic Surgery

1.2 Endoscopic Surgery Delivery

1.2.1 Delivery Sites

1.2.1.1 Hospitals

1.2.1.2 Outpatient Surgery Centers

1.2.1.3 Physicians' Offices

1.2.2 Healthcare Personnel Requirements

1.2.2.1 Physician Training

1.2.2.2 Anesthesiologists versus Nurse Anesthetists

1.3 Classification and Regulation of Endoscopic Surgery Devices

1.4 Third-Party Payers and Reimbursement Policies

1.5 Purchasing Strategies Affecting the Endoscopic Surgery Products Market

1.5.1 Group Purchasing Organizations

1.5.2 The Expansion of Independent Contracting

1.5.3 Custom Contracts

1.5.4 Vendor Adaptation

1.5.5 Increased Competition Among Group Purchasing Organizations

1.6 Acquisitions/Mergers in the Endoscopic Surgery Products Market

 

2. ENDOSCOPIC SURGICAL INSTRUMENTATION

2.1 Disposable, Reusable, and Reposable Instruments

2.1.1 Comparable Costs

2.1.2 Set Leasing and Processing Services

2.1.3 Inventory Services

2.1.4 Pre-Packaged Kits

2.2 Cleaning, Sterilization, and Refurbishment of Reusable Instruments

2.2.1 Cleaning

2.2.2 Chemical Sterilization

2.2.3 Hydrogen Peroxide Gas Plasma Sterilization

2.2.4 Steam Sterilization

2.2.5 Refurbishment

2.3 Access Devices

2.3.1 Access Needles

2.3.2 Trocars

2.3.3 Hand-Assist Systems

2.3.4 Access Site Closure Devices

2.4 Endoscopes

2.4.1 Rigid Endoscopes

2.4.2 Flexible Endoscopes

2.4.3 Endoscopic Video Products

2.4.3.1 Video Cameras

2.4.3.1.1 One-Chip Cameras

2.4.3.1.2 Three-Chip Cameras

2.4.3.1.3 Three-Dimensional Cameras

2.4.3.2 Peripheral Video Products

2.4.3.3 Light Sources

2.4.4 Common Types of Endoscopes

2.4.4.1 Choledochoscopes

2.4.4.2 Cystoscopes

2.4.4.3 Duodenoscopes

2.4.4.4 Falloposcopes

2.4.4.5 Hysteroscopes

2.4.4.6 Laparoscopes

2.4.4.7 Nephroscopes

2.4.4.8 Resectoscopes

2.4.4.9 Ureteroscopes

2.4.4.10 Urethroscopes

2.5 Electrosurgery, and Laser and Ultrasonic Tissue Ablation Systems

2.5.1 Electrosurgery Systems

2.5.1.1 Electrosurgery Generators

2.5.1.1.1 Monopolar

2.5.1.1.2 Bipolar

2.5.1.2 Electrosurgery Accessories

2.5.1.2.1 Active Electrodes

2.5.1.2.2 Patient Return Electrodes/Grounding Pads

2.5.1.2.3 Reusable/Disposable Cables

2.5.1.2.4 Carts

2.5.2 Laser Surgery Systems

2.5.3 Ultrasonic Surgery Systems

2.6 Hand Instruments

2.6.1 Clamps and Needle Holders

2.6.2 Clip Appliers

2.6.3 Forceps

2.6.4 Graspers and Retractors

2.6.5 Pencils and Dissectors

2.6.6 Scissors

2.6.7 Staplers

2.6.7.1 Circular

2.6.7.2 Linear

2.7 Insufflation Devices

2.7.1 Traditional Insufflation

2.7.2 Gasless Insufflation

2.8 Suction/Irrigation Devices

2.8.1 Traditional Systems

2.8.2 Hydro-Dissection Systems

2.9 Ancillary Devices

2.9.1 Mechanical Assist Products

2.9.2 Specimen Retrieval Bags

2.9.3 Surgical Smoke Evacuation Devices

2.10 Computer-Aided Instrument Guidance, Robotic Surgery, and Training Systems

 

3. ENDOSCOPIC SURGICAL PROCEDURES

3.1 Common Practices in General and Pelvic Endoscopy

3.1.1 Obtaining Endoscopic Access and Creating a Working Space

3.1.2 Insufflation

3.1.3 Trocar Insertion

3.1.4 Anesthesia Considerations

3.1.5 Clinical Considerations

3.2 General Laparoscopic Surgical Procedures

3.2.1 Adrenalectomy

3.2.1.1 Trocar Placement

3.2.1.2 Surgical Techniques

3.2.2 Appendectomy

3.2.2.1 Trocar Placement

3.2.2.2 Surgical Techniques

3.2.3 Cholecystectomy

3.2.3.1 Trocar Placement

3.2.3.2 Surgical Techniques

3.2.4 Colectomy

3.2.4.1 Trocar Placement

3.2.4.2 Surgical Techniques

3.2.5 Esophagomyotomy

3.2.5.1 Trocar Placement

3.2.5.2 Surgical Techniques

3.2.6 Fundoplication

3.2.6.1 Trocar Placement

3.2.6.2 Surgical Techniques

3.2.7 Gastroduodenal Ulcer Repair

3.2.7.1 Trocar Placement

3.2.7.2 Surgical Techniques

3.2.8 Gastroplasty and Gastric Bypass

3.2.8.1 Trocar Placement

3.2.8.2 Surgical Techniques

3.2.8.2.1 Vertical Banded Gastroplasty

3.2.8.2.2 Roux-en-Y Gastric Bypass

3.2.8.2.3 Adjustable Lap-Band Bypass

3.2.9 Inguinal Herniorrhaphy

3.2.9.1 Trocar Placement

3.2.9.2 Surgical Techniques

3.2.10 Splenectomy

3.2.10.1 Trocar Placement

3.2.10.2 Surgical Techniques

3.2.11 Procedure Volumes Forecast

3.3 Gynecologic Surgery

3.3.1 Exploration and Adhesiolysis

3.3.1.1 Trocar Placement

3.3.1.2 Surgical Techniques

3.3.2 Hysterectomy

3.3.2.1 Trocar Placement

3.3.2.2 Surgical Techniques

3.3.3 Hysteromyomectomy

3.3.3.1 Trocar Placement

3.3.3.2 Surgical Techniques

3.3.4 Oophorectomy

3.3.4.1 Trocar Placement

3.3.4.2 Surgical Techniques

3.3.5 Salpingostomy

3.3.5.1 Trocar Placement

3.3.5.2 Surgical Techniques

3.3.6 Tubal Ligation

3.3.6.1 Trocar Placement

3.3.6.2 Surgical Techniques

3.3.7 Other Gynecologic Disease/Disorder Management Procedures

3.3.7.1 Cystectomy

3.3.7.2 Falloposcopy

3.3.7.3 Hysteroscopy

3.3.7.3.1 Cryoablation

3.3.7.3.2 Endometrial Ablation

3.3.7.4 Presacral Neurectomy

3.3.8 Procedure Volumes Forecast

3.4 Urologic Surgery

3.4.1 Burch Colposuspension

3.4.1.1 Trocar Placement

3.4.1.2 Surgical Techniques

3.4.2 Nephrectomy

3.4.2.1 Trocar Placement

3.4.2.2 Surgical Techniques

3.4.3 Other Urologic Disease/Disorder Management Procedures

3.4.3.1 Renal and Ureteral Calculi Management

3.4.3.1.1 Equipment and Methods

3.4.3.1.2 Surgical Techniques

3.4.3.2 Transurethral Resection of the Prostate

3.4.3.2.1 Equipment and Methods

3.4.3.2.2 Surgical Techniques

3.4.3.3 Urethrotomy

3.4.3.3.1 Equipment and Methods

3.4.3.3.2 Surgical Techniques

3.4.4 Procedure Volumes Forecast

3.5 Clinical Challenges of Endoscopic Surgery

3.5.1 Injuries Associated with Access Needle and Trocar Insertion

3.5.2 Injuries Associated with Electrosurgery, Laser, and Ultrasonic Surgery System Utilization

3.5.3 Incidence of Infection Following Endoscopic Surgery

3.5.4 Iatrogenic Tumor Metastasis Following Endoscopic Surgery

3.5.5 Incisional Hernia Formation Following Endoscopic Surgery

 

4. ACCESS DEVICES MARKET

4.1 Types of Access Devices

4.1.1 Access Needles

4.1.1.1 Products

4.1.1.2 Market Analysis

4.1.1.3 Competitive Analysis

4.1.2 Trocars

4.1.2.1 Disposable Trocars

4.1.2.1.1 Products

4.1.2.1.2 Market Analysis

4.1.2.1.3 Competitive Analysis

4.1.2.2 Reusable Trocars

4.1.2.2.1 Products

4.1.2.2.2 Market Analysis

4.1.2.2.3 Competitive Analysis

4.1.2.3 Reposable Trocars

4.1.2.3.1 Products

4.1.2.3.2 Market Analysis

4.1.2.3.3 Competitive Analysis

4.1.2.4 Hand-Assist Systems

4.1.2.4.1 Products

4.1.2.4.2 Market Analysis

4.1.2.4.3 Competitive Analysis

4.2 Endoscopic Access Devices, Market and Competitive Analysis

4.3 Advancements in Endoscopic Access Technology

4.4 Trends in the Endoscopic Access Devices Market

 

5. ENDOSCOPES MARKET

5.1 Abdominal and Pelvic Cavity Endoscope Products

5.1.1 Choledochoscopes

5.1.2 Cystoscopes

5.1.3 Duodenoscopes

5.1.4 Hysteroscopes

5.1.5 Laparoscopes

5.1.6 Nephroscopes

5.1.7 Resectoscopes

5.1.8 Ureteroscopes

5.1.9 Urethroscopes

5.2 Rigid and Flexible Endoscopes

5.2.1 Rigid Endoscopes

5.2.1.1 New Rigid Endoscopes

5.2.1.1.1 Market Analysis

5.2.1.1.2 Competitive Analysis

5.2.1.2 Refurbished Rigid Endoscopes

5.2.1.2.1 Market Analysis

5.2.1.2.2 Competitive Analysis

5.2.2 Flexible Endoscopes

5.2.2.1 New Flexible Endoscopes

5.2.2.1.1 Market Analysis

5.2.2.1.2 Competitive Analysis

5.2.2.2 Refurbished Flexible Endoscopes

5.2.2.2.1 Market Analysis

5.2.2.2.2 Competitive Analysis

5.3 Endoscopic Devices, Market and Competitive Analysis

5.4 Advancements in Endoscope Technology

5.5 Trends in the Endoscope Products Market

 

6. ENDOSCOPIC HAND INSTRUMENTS MARKET

6.1 Types of Endoscopic Hand Instruments

6.2 Endoscopic Scissors

6.2.1 Disposable Scissors

6.2.1.1 Market Analysis

6.2.1.2 Competitive Analysis

6.2.2 Reusable Scissors

6.2.2.1 Market Analysis

6.2.2.2 Competitive Analysis

6.2.3 Refurbished Scissors

6.2.3.1 Market Analysis

6.2.3.2 Competitive Analysis

6.3 Endoscopic Forceps

6.3.1 Disposable Forceps

6.3.1.1 Market Analysis

6.3.1.2 Competitive Analysis

6.3.2 Reusable Forceps

6.3.2.1 Market Analysis

6.3.2.2 Competitive Analysis

6.3.3 Refurbished Forceps

6.3.3.1 Market Analysis

6.3.3.2 Competitive Analysis

6.4 Endoscopic Graspers and Retractors

6.4.1 Disposable Graspers and Retractors

6.4.1.1 Market Analysis

6.4.1.2 Competitive Analysis

6.4.2 Reusable Graspers and Retractors

6.4.2.1 Market Analysis

6.4.2.2 Competitive Analysis

6.4.3 Refurbished Graspers and Retractors

6.4.3.1 Market Analysis

6.4.3.2 Competitive Analysis

6.5 Endoscopic Pencils and Dissectors

6.5.1 Disposable Pencils and Dissectors

6.5.1.1 Market Analysis

6.5.1.2 Competitive Analysis

6.5.2 Reusable Pencils and Dissectors

6.5.2.1 Market Analysis

6.5.2.2 Competitive Analysis

6.5.3 Refurbished Pencils and Dissectors

6.5.3.1 Market Analysis

6.5.3.2 Competitive Analysis

6.6 Endoscopic Clamps, Handles, and Needle Holders

6.6.1 New Clamps, Handles, and Needle Holders

6.6.1.1 Market Analysis

6.6.1.2 Competitive Analysis

6.6.2 Refurbished Clamps, Handles, and Needle Holders

6.6.2.1 Market Analysis

6.6.2.2 Competitive Analysis

6.7 Endoscopic Clip Appliers

6.7.1 Disposable Clip Appliers

6.7.1.1 Market Analysis

6.7.1.2 Competitive Analysis

6.7.2 Reusable Clip Appliers

6.7.2.1 Market Analysis

6.7.2.2 Competitive Analysis

6.7.3 Refurbished Clip Appliers

6.7.3.1 Market Analysis

6.7.3.2 Competitive Analysis

6.7.4 Clip Refill Cartridges

6.7.4.1 Market Analysis

6.7.4.2 Competitive Analysis

6.7.5 Total Clip Applier and Clip Refill Cartridges, Market and Competitive Analysis

6.8 Endoscopic Staplers

6.8.1 Circular and Linear Staplers

6.8.1.1 Market Analysis

6.8.1.2 Competitive Analysis

6.8.2 Linear Stapler Refill Cartridges

6.8.2.1 Market Analysis

6.8.2.2 Competitive Analysis

6.9 Endoscopic Hand Instruments, Market and Competitive Analysis

6.10 Advancements in Hand Instruments Technology

6.11 Trends in the Endoscopic Hand Instruments Market

 

7. INSUFFLATION PRODUCTS MARKET

7.1 Types of Insufflation Products

7.1.1 Traditional and Gasless Insufflation Systems

7.1.2 Insufflation Tubing Products

7.2 Market Analysis

7.3 Competitive Analysis

7.4 Advancements in Insufflation Technology

7.5 Trends in the Insufflation Products Market

 

8. ANCILLARY ENDOSCOPIC SURGERY PRODUCTS MARKET

8.1 Types of Ancillary Endoscopic Surgery Products

8.1.1 Mechanical-Assist Devices

8.1.2 Specimen Retrieval Bags

8.1.3 Surgical Smoke Evacuation Systems

8.2 Market Analysis

8.3 Competitive Analysis

8.4 Advancements in Ancillary Endoscopic Surgery Products

8.5 Trends in the Ancillary Endoscopic Surgery Products Market

 

9. COMPUTER-AIDED INSTRUMENT GUIDANCE AND ROBOTIC SURGERY SYSTEMS MARKET

9.1 Types of Computer-Aided Instrument Guidance and Robotic Surgery Systems

9.1.1 Products

9.1.2 Market Analysis

9.1.3 Competitive Analysis

9.2 Advancements in Computer-Aided Instrument Guidance Technology

9.3 Trends in the Computer-Aided Instrument Guidance Systems Market

 

10. COMPUTER-AIDED TRAINING SYSTEMS MARKET

10.1 Types of Computer Aided Training Systems

10.1.1 Products

10.1.2 Market Analysis

10.1.3 Competitive Analysis

10.2 Advancements in Computer-Aided Training Technology

10.3 Trends in the Computer-Aided Training Systems Market

 

11. ENDOSCOPIC ACCESS SITE CLOSURE PRODUCTS MARKET

11.1 Types of Endoscopic Access Site Closure Products

11.1.1 Products

11.1.2 Market Analysis

11.1.3 Competitive Analysis

11.2 Advancements in Endoscopic Access Site Closure

11.3 Trends in the Endoscopic Access Site Closure Products Market

 

12. COMPANY PROFILES

12.1       ACMI Corporation/Fox Paine LLC

12.2       Applied Medical Resources Corporation

12.3       Boston Scientific Corporation

12.4       Cardinal Health, Inc.

12.5       Conceptus, Inc.

12.6       CooperSurgical, Inc./The Cooper Companies, Inc.

12.7       CORE Dynamics, Inc./ConMed Corporation

12.8       CorTek Endoscopy, Inc.

12.9       Ethicon Endo-Surgery, Inc./Johnson & Johnson

12.10   Fujinon, Inc./Fuji Photo Optical Company LTD

12.11   JARIT Surgical Instruments, Inc./Integra LifeSciences Holdings Corporation

12.12   Kimberly-Clark Healthcare/Kimberly-Clark Corporation

12.13   MediVision, Inc.

12.14   Olympus America, Inc./Olympus Corporation

12.15   PENTAX Medical Company/PENTAX of America/PENTAX Corporation

12.16   Pilling Surgical/Teleflex, Inc.

12.17   Ranfac Corporation

12.18   Smith & Nephew PLC

12.19   Karl Storz Endoscopy-America, Inc./Karl Storz GmbH & Company KG

12.20   Stryker Corporation

12.21   United States Surgical, Inc./Tyco International LTD

12.22   Richard Wolf Medical Instruments Corporation/Richard Wolf GmbH

 

APPENDIX:   COMPANY LISTING

 

LIST OF EXHIBITS

 

Exhibit ES-1:       General and Pelvic Endoscopic Surgery Products, Market Forecast, 2003-2013

Exhibit ES-2:       General and Pelvic Endoscopic Surgery, Procedure Volumes Forecast, 2003-2013

Exhibit ES-3:       General, Gynecologic, and Urologic Endoscopic Surgery, Procedure Volumes Forecast, by Surgery Type, 2003-2013

Exhibit ES-4:       General and Pelvic Endoscopic Surgery Products, Market Forecast, by Segment, 2003-2013

Exhibit ES-5:       Growth Rate Comparison for Selected Endoscopic Product Market Segments

Exhibit ES-6:       Reusable and Disposable Access Needles, Market Forecast, 2003-2013

Exhibit ES-7:       Disposable Trocars, Market Forecast, 2003-2013

Exhibit ES-8:       Reusable Trocars, Market Forecast, 2003-2013

Exhibit ES-9:       Reposable Trocars, Market Forecast, 2003-2013

Exhibit ES-10:     Endoscopic Hand-Assist Devices, Market Forecast, 2003-2013

Exhibit ES-11:     New Rigid Endoscopes, Market Forecast, 2003-2013

Exhibit ES-12:     Refurbished Rigid Endoscopes, Market Forecast, 2003-2013

Exhibit ES-13:     New Flexible Endoscopes, Market Forecast, 2003-2013

Exhibit ES-14:     Refurbished Flexible Endoscopes, Market Forecast, 2003-2013

Exhibit ES-15:     Endoscopic Hand Instruments, Market Forecast, 2003-2013

Exhibit ES-16:     Insufflation Products, Market Forecast, 2003-2013

Exhibit ES-17:     Mechanical Assist Products, Market Forecast, 2003-2013

Exhibit ES-18:     Specimen Retrieval Bags, Market Forecast, 2003-2013

Exhibit ES-19:     Surgical Smoke Evacuation Products, Market Forecast, 2003-2013

Exhibit ES-20:     Computer-Aided Instrument Guidance and Robotic Surgery Systems, Market Forecast, 2003-2013

Exhibit ES-21:     Computer-Aided Endoscopic Surgery Training Systems, Market Forecast, 2003-2013

Exhibit ES-22:     Endoscopic Access Site Suture Packs, Market Forecast, 2003-2013

Exhibit ES-23:     Endoscopic Access Site Closure Devices, Market Forecast, 2003-2013

 

Exhibit 1-1:           Total Surgery and General/Pelvic Endoscopic Surgery, Procedure Volumes Forecast, 2003-2010

Exhibit 1-2:           2002, Comparison of Hospital Costs for Selected Endoscopic and Open Surgical Procedures

Exhibit 1-3:           2002, Cost Data for Selected Inpatient Endoscopic Surgical Procedures

Exhibit 1-4:           2002, Cost Data for Selected Procedures Outpatient Endoscopic Surgical Procedures

Exhibit 1-5:           Endoscopic Surgery Delivery Sites, 1999, 2001, and 2002

Exhibit 1-6:           2004, Leading Group Purchasing Organizations in the United States

Exhibit 1-7:           Selected Acquisitions/Mergers Affecting the Endoscopic Surgery Products Market, 2000-2004

 

Exhibit 2-1:           2004, Selected Types of Endoscopic Surgery Instrumentation

 

Exhibit 3-1:           General Surgery, Laparoscopic Approach, Procedure Volumes Forecast, 2003-2013

Exhibit 3-2:           Gynecologic Surgery, Endoscopic Approach, Procedure Volumes Forecast, 2003-2013

Exhibit 3-3:           Urologic Surgery, Endoscopic Approach, Procedure Volumes Forecast, 2003-2013

 

Exhibit 4-1:           2004, Selected Access Needles

Exhibit 4-2:           Disposable Access Needles, Market Forecast, 2003-2013

Exhibit 4-3:           Reusable Access Needles, Market Forecast, 2003-2013

Exhibit 4-4:           Access Needles, Market Forecast, 2003-2013

Exhibit 4-5:           2003, Access Needles Market, Share by Supplier

Exhibit 4-6:           2004, Selected Disposable Trocars

Exhibit 4-7:           Disposable Trocars, Market Forecast, 2003-2013

Exhibit 4-8:           2003, Disposable Trocars Market, Share by Supplier

Exhibit 4-9:           2004, Selected Reusable Trocars

Exhibit 4-10:         Reusable Trocars, Market Forecast, 2003-2013

Exhibit 4-11:         2003, Reusable Trocars Market, Share by Supplier

Exhibit 4-12:         2004, Selected Reposable Trocars

Exhibit 4-13:         Reposable Trocars, Market Forecast, 2003-2013

Exhibit 4-14:         2004, Annual Costs of Disposable and Reusable Trocars

Exhibit 4-15:         2003, Reposable Trocars Market, Share by Supplier

Exhibit 4-16:         2004, Selected Endoscopic Surgery Hand-Assist Systems

Exhibit 4-17:         Endoscopic Surgery Hand-Assist Systems, Market Forecast, 2003-2013

Exhibit 4-18:         2003, Endoscopic Surgery Hand-Assist Systems Market, Share by Supplier

Exhibit 4-19:         Access Devices, Market Forecast, 2003-2013

 

Exhibit 5-1:           2004, Selected Choledochoscopes

Exhibit 5-2:           2004, Selected Cystoscopes

Exhibit 5-3:           2004, Selected Duodenoscopes

Exhibit 5-4:           2004, Selected Hysteroscopes

Exhibit 5-5:           2004, Selected Laparoscopes

Exhibit 5-6:           2004, Selected Nephroscopes

Exhibit 5-7:           2004, Selected Resectoscopes

Exhibit 5-8:           2004, Selected Ureteroscopes

Exhibit 5-9:           2004, Selected Urethroscopes/Cystourethroscopes

Exhibit 5-10:         New Rigid Endoscopes, Market Forecast, 2003-2013

Exhibit 5-11:         2003, New Rigid Endoscopes Market, Share by Supplier

Exhibit 5-12:         Refurbished Rigid Endoscopes, Market Forecast, 2003-2013

Exhibit 5-13:         2003, Refurbished Rigid Endoscopes Market, Share by Supplier

Exhibit 5-14:         New Flexible Endoscopes, Market Forecast, 2003-2013

Exhibit 5-15:         2003, New Flexible Endoscopes Market, Share by Supplier

Exhibit 5-16:         Refurbished Flexible Endoscopes, Market Forecast, 2003-2013

Exhibit 5-17:         2003, Refurbished Flexible Endoscopes Market, Share by Supplier

Exhibit 5-18:         Total Endoscopes, Market Forecast, 2003-2013

Exhibit 5-19:         2003, Total Endoscopes Market, Share by Supplier

 

Exhibit 6-1:           2004, Selected Endoscopic Scissors

Exhibit 6-2:           Disposable Endoscopic Scissors, Market Forecast, 2003-2013

Exhibit 6-3:           2003, Disposable Endoscopic Scissors Market, Share by Supplier

Exhibit 6-4:           Reusable Endoscopic Scissors, Market Forecast, 2003-2013

Exhibit 6-5:           2003, Reusable Endoscopic Scissors Market, Share by Supplier

Exhibit 6-6:           Refurbished Endoscopic Scissors, Market Forecast, 2003-2013

Exhibit 6-7:           2004, Selected Endoscopic Forceps

Exhibit 6-8:           Disposable Endoscopic Forceps, Market Forecast, 2003-2013

Exhibit 6-9:           2003, Disposable Endoscopic Forceps Market, Share by Supplier

Exhibit 6-10:         Reusable Endoscopic Forceps, Market Forecast, 2003-2013

Exhibit 6-11:         2003, Reusable Endoscopic Forceps Market, Share by Supplier

Exhibit 6-12:         Refurbished Endoscopic Forceps, Market Forecast, 2003-2013

Exhibit 6-13:         2004, Selected Disposable Endoscopic Graspers and Retractors

Exhibit 6-14:         2004, Selected Reusable Endoscopic Graspers and Retractors

Exhibit 6-15:         Disposable Graspers and Retractors, Market Forecast, 2003-2013

Exhibit 6-16:         2003, Disposable Graspers and Retractors Market, Share by Supplier

Exhibit 6-17:         Reusable Graspers and Retractors, Market Forecast, 2003-2013

Exhibit 6-18:         2003, Reusable Graspers and Retractors Market, Share by Supplier

Exhibit 6-19:         Refurbished Graspers and Retractors, Market Forecast, 2003-2013

Exhibit 6-20:         2004, Selected Endoscopic Pencil and Dissector Products

Exhibit 6-21:         Disposable Pencils and Dissectors, Market Forecast, 2003-2013

Exhibit 6-22:         2003, Disposable Pencils and Dissectors Market, Share by Supplier

Exhibit 6-23:         Reusable Pencils and Dissectors, Market Forecast, 2003-2013

Exhibit 6-24:         2003, Reusable Pencils and Dissectors Market, Share by Supplier

Exhibit 6-25:         Refurbished Pencils and Dissectors, Market Forecast, 2003-2013

Exhibit 6-26:         2004, Selected Endoscopic Clamps, Handles, and Needle Holders

Exhibit 6-27:         New Clamps, Handles, and Needle Holders, Market Forecast, 2003-2013

Exhibit 6-28:         2003, New Clamps, Handles, and Needles Holders Market, Share by Supplier

Exhibit 6-29:         Refurbished Clamps, Handles, and Needle Holders, Market Forecast, 2003-2013

Exhibit 6-30:         2004, Selected Disposable Endoscopic Clip Appliers

Exhibit 6-31:         2004, Selected Reusable Endoscopic Clip Appliers

Exhibit 6-32:         Disposable Clip Appliers, Market Forecast, 2003-2013

Exhibit 6-33:         2003, Disposable Clip Appliers Market, Share by Supplier

Exhibit 6-34:         Reusable Clip Appliers, Market Forecast, 2003-2013

Exhibit 6-35:         2003, Reusable Clip Appliers Market, Share by Supplier

Exhibit 6-36:         Refurbished Clip Appliers, Market Forecast, 2003-2013

Exhibit 6-37:         Clip Refill Cartridges, Market Forecast, 2003-2013

Exhibit 6-38:         2003, Clip Refill Cartridges Market, Share by Supplier

Exhibit 6-39:         Clip Appliers and Clip Refill Cartridges, Market Forecast, 2003-2013

Exhibit 6-40:         2003, Clip Appliers and Clip Refill Cartridges Market, Share by Supplier

Exhibit 6-41:         2004, Selected Endoscopic Stapler Products

Exhibit 6-42:         Disposable Endoscopic Staplers, Market Forecast, 2003-2013

Exhibit 6-43:         Reusable Endoscopic Staplers, Market Forecast, 2003-2013

Exhibit 6-44:         2003, Circular and Linear Staplers Market, Share by Supplier

Exhibit 6-45:         Linear Stapler Refill Cartridges for Use with Disposable Staplers, Market Forecast, 2003-2013

Exhibit 6-46:         Linear Stapler Refill Cartridges for Use with Reusable Staplers, Market Forecast, 2003-2013

Exhibit 6-47:         2003, Linear Stapler Refill Cartridges Market, Share by Supplier

Exhibit 6-48:         Total Endoscopic Hand Instruments, Market Forecast, 2003-2013

Exhibit 6-49:         2003, Total Endoscopic Hand Instruments Market, Share by Supplier

 

Exhibit 7-1:           2004, Selected Traditional and Gasless Insufflation Systems

Exhibit 7-2:           2004, Selected Insufflation Tubing Sets

Exhibit 7-3:           Insufflation Products, Market Forecast, 2003-2013

Exhibit 7-4:           2003, Insufflation Products Market, Share by Supplier

 

Exhibit 8-1:           2004, Selected Mechanical Assist Products

Exhibit 8-2:           2004, Selected Specimen Retrieval Bags

Exhibit 8-3:           2004, Selected Surgical Smoke Evacuation Products

Exhibit 8-4:           Ancillary Endoscopic Surgery Products, Market Forecast, 2003-2013

Exhibit 8-5:           Mechanical Assist Products, Market Forecast, 2003-2013

Exhibit 8-6:           Specimen Retrieval Bags, Market Forecast, 2003-2013

Exhibit 8-7:           Surgical Smoke Evacuation Products, Market Forecast, 2003-2013

Exhibit 8-8:           2003, Mechanical Assist Products Market, Share by Supplier

Exhibit 8-9:           2003, Specimen Retrieval Bags Market, Share by Supplier

Exhibit 8-10:         2003, Surgical Smoke Evacuation Products Market, Share by Supplier

 

Exhibit 9-1:           2004, Selected Computer-Aided Instrument Guidance Systems

Exhibit 9-2:           2004, Selected Robotic Surgery Systems

Exhibit 9-3:           Computer-Aided Instrument Guidance and Robotic Surgery Systems, Market Forecast, 2003-2013

Exhibit 9-4:           2003, Computer-Aided Instrument Guidance and Robotic Surgery Systems Market, Share by Supplier

 

Exhibit 10-1:         2004, Selected Computer-Aided Training Systems

Exhibit 10-2:         Computer-Aided Endoscopic Surgery Training Systems, Market Forecast, 2003-2013

Exhibit 10-3:         2003, Computer-Aided Training Systems Market, Share by Supplier

 

Exhibit 11-1:         2004, Selected Endoscopic Access Site Closure Devices

Exhibit 11-2:         Endoscopic Access Site Closure Products, Market Forecast, 2003-2013

Exhibit 11-3:         Endoscopic Access Site Suture Packs, Market Forecast, 2003-2013

Exhibit 11-4:         Endoscopic Access Site Closure Devices, Market Forecast, 2003-2013

Exhibit 11-5:         2003, Endoscopic Access Site Closure Products Market, Share by Supplier



COMPANIES COVERED:

  1. ACMI Corporation/Fox Paine LLC
  2. Applied Medical Resources Corporation
  3. Boston Scientific Corporation
  4. Cardinal Health, Inc.
  5. Conceptus, Inc.
  6. CooperSurgical, Inc./The Cooper Companies, Inc.
  7. CORE Dynamics, Inc./ConMed Corporation
  8. CorTek Endoscopy, Inc.
  9. Ethicon Endo-Surgery, Inc./Johnson & Johnson
  10. Fujinon, Inc./Fuji Photo Optical Company LTD
  11. JARIT Surgical Instruments, Inc./Integra LifeSciences Holdings Corporation
  12. Kimberly-Clark Healthcare/Kimberly-Clark Corporation
  13. MediVision, Inc.
  14. Olympus America, Inc./Olympus Corporation
  15. PENTAX Medical Company/PENTAX of America/PENTAX Corporation
  16. Pilling Surgical/Teleflex, Inc.
  17. Ranfac Corporation
  18. Smith & Nephew PLC
  19. Karl Storz Endoscopy-America, Inc./Karl Storz GmbH & Company KG
  20. Stryker Corporation
  21. United States Surgical, Inc./Tyco International LTD
  22. Richard Wolf Medical Instruments Corporation/Richard Wolf GmbH
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