U.S. MARKETS FOR IMAGE-GUIDED SURGERY PRODUCTS

353 Pages | 59 Exhibits | 2007 Analysis | Forecasts Through 2011

OVERVIEW:
Over the past decade, image-guided surgery has become a recognized standard of care in the management of a number of cranial, otorhinolaryngologic, spine, orthopedic, and cardiovascular disorders. In many cases, image-guided surgery offers significant clinical advantages over standard surgical techniques, which may result in better procedural outcomes, fewer readmissions and revisions, potential reduction in overall treatment cost, reduced complications, and shorter hospital stays and recovery times.

In 2006, U.S. sales of image-guided surgery and surgical navigation systems totaled approximately $1.4 billion; over the forecast period covered by this report, sales of these systems are expected to increase at a compound annual rate of 5.9%, reaching approximately $1.9 billion in the year 2011. In 2006, approximately 21.8 million procedures involving image-guided systems were performed in the U.S.; over the forecast period covered by this report, the number of these procedures is expected to increase at a compound annual rate of 4.0%, reaching approximately 26.5 million in the year 2011.

This new report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. market for diagnostic and therapeutic prostate disorder management products.

Major topics covered by this report include cardiac X-ray systems, computed tomography systems, contrast-enhanced magnetic resonance angiography, contrast-enhanced ultrasound, conventional X-ray imaging, Doppler imaging, duplex ultrasound, echocardiography, gamma camera imaging, hybrid positron emission tomography, the impact of managed care and cost-containment issues, intravascular ultrasound, magnetic resonance imaging, magnetic resonance angiography, multislice computed tomography, positron emission tomography, spiral computed tomography, surgical navigation systems, surgical X-ray systems, three-dimensional ultrasound, tissue harmonic imaging, and ultrasound imaging.

TABLE OF CONTENTS:

EXECUTIVE SUMMARY

i.    Image-Guided Surgery Overview

ii.    Image-Guided Surgery Applications

iii.   Imaging Systems Market Segment

iv.   Surgical Navigation Systems Market Segment

v.   Combined Market for Image-Guided Surgery Products

vi.   Methodology

 

Exhibit ES-1:    United States, Selected Population Statistics, 2000, 2010, 2020, and 2030

Exhibit ES-2:    Image-Guided Surgery Procedure Volumes Forecast, by Application, 2006-2011

Exhibit ES-3:    Interventional/Surgical Imaging, Procedure Volumes Forecast, by Modality, 2006-2011

Exhibit ES-4:    Imaging Systems, Combined Market Forecast, 2006-2011

Exhibit ES-5:    Surgical Navigation Systems, Market Forecast, 2006-2011

Exhibit ES-6:    Image-Guided Surgery Products, Combined Market Forecast, 2006-2011

 

1. IMAGE-GUIDED SURGERY OVERVIEW

1.1 Image-Guided Surgery Methods and Techniques

1.2 Clinical Benefits of Image-Guided Surgery

1.3 Issues and Trends in Image-Guided Surgery

1.3.1 Managed Care and Cost Containment

1.3.2 Reimbursement

1.3.3 End-User Perspectives

 

Exhibit 1-1:      Advantages and Disadvantages of Image-Guided Surgery Techniques

Exhibit 1-2:      Clinical Applications of Existing Image-Guided/Computer-Assisted Surgery Techniques

Exhibit 1-3:      United States, Selected Population Statistics, 2000, 2010, 2020, and 2030

Exhibit 1-4:      Considerations Influencing Adoption of Computer-Assisted Image-Guided Surgery by End-Users

 

2. IMAGE-GUIDED SURGERY APPLICATIONS

2.1 Cardiovascular Transcatheter Interventions

2.1.1 Angioplasty and Stenting

2.1.2 Balloon Valvuloplasty

2.1.3 Catheter-Directed Thrombolysis

2.1.4 Cryoplasty

2.1.5 Device-Based Endovascular Embolization

2.1.6 Endovascular Aortic Aneurysm Repair

2.1.7 Laser Atherectomy

2.1.8 Mechanical Atherectomy

2.1.9 Mechanical Thrombectomy

2.1.10 Septal Defect Repair

2.1.10.1 Percutaneous Patent Ductus Arteriosus Closure

2.1.10.2 Atrial Septal Defect Closure

2.1.10.3 Ventricular Septal Defect

2.1.10.4 Patent Foramen Ovale Repair

2.1.11 Arrhythmia Ablation

2.1.12 Vena Cava Filter Placement

2.2 Neurosurgery

2.2.1 Stereotaxy

2.2.1.1 Frame-Based Stereotactic Systems

2.2.1.2 Frameless Stereotactic Systems

2.2.1.3 Brain Shift Compensation

2.2.2 Common Image-Guided Neurosurgical Procedures

2.2.2.1 Central Nervous System Tumor Resection

2.2.2.2 Cerebrospinal Fluid Shunting and Drainage for Hydrocephalus

2.2.2.3 Aneurysm/Arteriovenous Malformation Repair and  Surgical Clipping

2.2.2.4 Epilepsy Surgery

2.2.2.5 Deep Brain Stimulation for Parkinson's Disease

2.3 Otorhinolaryngologic Surgery

2.3.1 Image-Guided Functional Endoscopic Sinus Surgery

2.4 Orthopedic Surgery

2.4.1 Total Joint Arthroplasty

2.4.1.1 Hip Replacement

2.4.1.2 Knee Replacement

2.4.1.2.1 Unicompartmental Knee Replacement

2.4.1.3 Computer-Assisted Image-Guided Techniques in Total Joint Surgery

2.4.1.4 Computer-Assisted High Tibial Osteotomy

2.4.2 Image-Guided Surgery Tools for Complex Fracture Repair

2.5 Spine Surgery

2.5.1 Common Spine Surgery Procedures

2.5.1.1 Discectomy

2.5.1.2 Laminectomy and Laminotomy

2.5.1.3 Spinal Fusion

2.5.1.3.1 Instrumented Fusion

2.5.2 Image-Guided Spine Surgery Techniques

2.5.2.1 Computer-Assisted Image-Guided Pedicle Screw Placement

 

Exhibit 2-1:      Characteristics of Cardiovascular Catheter-Based Therapeutics

Exhibit 2-2:      Cardiovascular Catheter-Based Therapeutics, Procedure Volumes Forecast, 2006-2011

Exhibit 2-3:      Comparison of Frame-Based and Frameless Neurosurgical Stereotactic Systems

Exhibit 2-4:      Characteristics of Image-Guided Neurosurgery

Exhibit 2-5:      Neurosurgery, Procedure Volumes Forecast, 2006-2011

Exhibit 2-6:      Characteristics of Image-Guided Otorhinolaryngologic Surgery

Exhibit 2-7:      Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit 2-8:      Characteristics of Image-Guided Orthopedic Surgery

Exhibit 2-9:      Orthopedic Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit 2-10:    Characteristics of Image-Guided Spine Surgery

Exhibit 2-11:    Spine Surgery, Procedure Volumes Forecast, 2006-2011

 

3. IMAGING SYSTEMS MARKET

3.1 Imaging Modalities

3.1.1 Conventional X-Ray-Based Imaging

3.1.1.1 Cardiac X-Ray-Based Imaging Applications

3.1.1.2 Surgical X-Ray-Based Imaging Applications

3.1.1.3 Procedure Volumes

3.1.2 Computed Tomography

3.1.2.1 Spiral Computed Tomography

3.1.2.2 Multislice Computed Tomography

3.1.2.2.1 Dual-Source Multislice Computed Tomography

3.1.2.3 Interventional/Surgical Computed Tomography Applications

3.1.2.4 Procedure Volumes

3.1.3 Magnetic Resonance Imaging

3.1.3.1 Magnetic Resonance Angiography

3.1.3.1.1 Contrast-Enhanced Magnetic Resonance Angiography

3.1.3.1.2 Phase-Contrast Magnetic Resonance Angiography

3.1.3.1.3 Time-of-Flight Magnetic Resonance Angiography

3.1.3.2 Functional Magnetic Resonance Imaging

3.1.3.3 Proton Magnetic Resonance Spectroscopy

3.1.3.4 Interventional/Surgical Magnetic Resonance Imaging Applications

3.1.3.5 Procedure Volumes

3.1.4 Nuclear Medicine/Molecular Imaging

3.1.4.1 Gamma Camera Imaging

3.1.4.2 Positron Emission Tomography Scanner Imaging

3.1.5.3 Fusion Imaging Techniques

3.1.4.4 Radioimmunoscintigraphy

3.1.4.5 Interventional/Surgical Nuclear Medicine/Molecular  Imaging Applications

3.1.4.6 Procedure Volumes

3.1.5 Ultrasound Imaging

3.1.5.1 Echocardiography

3.1.5.2 Tissue Harmonic Imaging

3.1.5.3 Doppler Imaging

3.1.5.4 Duplex Ultrasound

3.1.5.5 Three-Dimensional and Four-Dimensional Ultrasound

3.1.5.6 Contrast-Enhanced Ultrasound

3.1.5.7 Intravascular Ultrasound

3.1.5.8 Interventional/Surgical Ultrasound Imaging Applications

3.1.5.9 Procedure Volumes

3.2 Imaging Systems, Market Analysis

3.2.1 Conventional X-Ray-Based Imaging Systems

3.2.1.1 Products

3.2.1.2 Market Forecast

3.2.1.3 Competitive Analysis

3.2.2 Computed Tomography Systems

3.2.2.1 Products

3.2.2.2 Market Forecast

3.2.2.3 Competitive Analysis

3.2.3 Magnetic Resonance Imaging Systems

3.2.3.1 Products

3.2.3.2 Market Forecast

3.2.3.3 Competitive Analysis

3.2.4 Nuclear Medicine/Molecular Imaging Systems

3.2.4.1 Products

3.2.4.2 Market Forecast

3.2.4.3 Competitive Analysis

3.2.5 Ultrasound Imaging Systems

3.2.5.1 Products

3.2.5.2 Market Forecast

3.2.5.3 Competitive Analysis

 

Exhibit 3-1:      Selected Interventional/Surgical Conventional X-Ray-Based Imaging Applications

Exhibit 3-2:      Conventional X-Ray-Based Imaging, Procedure Volumes Forecast, 2006-2011

Exhibit 3-3:      Selected Interventional/Surgical Computed Tomography Applications

Exhibit 3-4:      Computed Tomography, Procedure Volumes Forecast, 2006-2011

Exhibit 3-5:      Selected Interventional/Surgical Magnetic Resonance Imaging Applications

Exhibit 3-6:      Magnetic Resonance Imaging, Procedure Volumes Forecast, 2006-2011

Exhibit 3-7:      Selected Interventional/Surgical Nuclear Medicine Imaging Applications

Exhibit 3-8:      Nuclear Medicine/Molecular Imaging, Procedure Volumes Forecast, 2006-2011

Exhibit 3-9:      Selected Interventional/Surgical Ultrasound Imaging Applications

Exhibit 3-10:    Ultrasound Imaging, Procedure Volumes Forecast, 2006-2011

Exhibit 3-11:    Interventional/Surgical Imaging, Procedure Volumes Forecast, 2006-2011

Exhibit 3-12:    Imaging Systems, Combined Market Forecast, 2006-2011

Exhibit 3-13:    2007, Selected Cardiac and Surgical X-Ray Systems

Exhibit 3-14:    Conventional X-Ray-Based Imaging Systems, Market Forecast, 2006-2011

Exhibit 3-15:    2006, Conventional X-Ray-Based Imaging Systems Market, Share by Supplier

Exhibit 3-16:    2007, Selected Computed Tomography Systems

Exhibit 3-17:    Computed Tomography Systems, Market Forecast, 2006-2011

Exhibit 3-18:    2006, Computed Tomography Systems Market, Share by Supplier

Exhibit 3-19:    2007, Selected Magnetic Resonance Imaging Systems

Exhibit 3-20:    Magnetic Resonance Imaging Systems, Market Forecast, 2006-2011

Exhibit 3-21:    2006, Magnetic Resonance Imaging Systems Market, Share by Supplier

Exhibit 3-22:    2007, Selected Nuclear Medicine/Molecular Imaging Systems

Exhibit 3-23:    Nuclear Medicine/Molecular Imaging Systems, Market Forecast, 2006-2011

Exhibit 3-24:    2006, Nuclear Medicine/Molecular Imaging Systems Market, Share by Supplier

Exhibit 3-25:    Selected Ultrasound and Intravascular Ultrasound Systems

Exhibit 3-26:    Ultrasound Systems, Market Forecast, 2006-2011

Exhibit 3-27:    2006, Noninvasive Ultrasound Imaging Systems Market, Share by Supplier

Exhibit 3-28:    2006, Intravascular Ultrasound Imaging Systems Market, Share by Supplier

 

4. SURGICAL NAVIGATION SYSTEMS MARKET

4.1 Intraoperative Navigation Overview

4.1.1 Registration Methods and Techniques

4.1.2 Intraoperative Tracking Devices

4.1.3 Interfaces

4.1.4 Image-Guided Surgical Instruments

4.1.5 Supporting Data Management Infrastructure

4.1.6 Navigation Technology Trends

4.1.6.1 Robotic Surgery

4.1.6.1.1 Current and Emerging Robotic Surgery Technologies

4.1.6.2 Virtualized Reality and Enhanced Visualization

4.1.6.3 Augmented Reality Visualization

4.1.6.4 Intraoperative Soft/Deformable Tissue Registration

4.2 Surgical Navigation Systems

4.2.1 Products

4.2.1.1 Aesculap/B. Braun Melsungen

4.2.1.2 BrainLAB

4.2.1.3 DePuy/Johnson&Johnson

4.2.1.4 GE Healthcare/General Electric Company

4.2.1.5 Integra Radionics/Integra LifeSciences

4.2.1.6 Kinamed

4.2.1.7 Medtronic

4.2.1.8 Northern Digital with the Center for Medical Robotics and  Computer-Assisted Surgery

4.2.1.9 ORTHOsoft

4.2.1.10 PRAXIM medivision

4.2.1.11 Smith & Nephew

4.2.1.12 Stryker

4.2.2 Market Analysis

4.2.3 Competitive Analysis

 

Exhibit 4-1:      Advantages and Disadvantages of Extrinsic and Intrinsic Registration Systems

Exhibit 4-2:      Characteristics of Selected Intraoperative Tracking Systems

Exhibit 4-3:      Advantages and Disadvantages of Robotic Surgery

Exhibit 4-4:      Selected Robotic-Assisted Surgery Applications

Exhibit 4-5:      2007, Selected Robotic Surgery Systems

Exhibit 4-6:      2007, Selected Augmented Reality Visualization Systems

Exhibit 4-7:      Advantages and Disadvantages of Laser-Based Soft Tissue Registration Tools

Exhibit 4-8:      2007, Selected Surgical Navigation Systems

Exhibit 4-9:      Surgical Navigation Systems, Market Forecast, 2006-2011

Exhibit 4-10:    2006, Surgical Navigation Systems Market, Share by Supplier

 

5. COMPANY PROFILES

5.1       BrainLAB AG

5.2       DePuy, Inc./Johnson & Johnson

5.3       GE Healthcare/General Electric Company

5.4       Hitachi Medical Systems America, Inc./Hitachi LTD

5.5       Integra Radionics, Inc./Integra LifeSciences Holdings Corporation

5.6       Medtronic, Inc.

5.7       Philips Medical Systems, Inc./Royal Philips Electronics NV

5.8       PRAXIM medivision SA

5.9       Siemens Medical Solutions USA, Inc./Siemens AG

5.10     Smith & Nephew PLC

5.11     Stryker Corporation

5.12     Toshiba America Medical Systems, Inc./Toshiba America, Inc./ Toshiba Corporation

5.13     Zimmer Holdings, Inc.



COMPANIES COVERED:

  1. BrainLAB AG
  2. DePuy, Inc./Johnson & Johnson
  3. GE Healthcare/General Electric Company
  4. Hitachi Medical Systems America, Inc./Hitachi LTD
  5. Integra Radionics, Inc./Integra LifeSciences Holdings Corporation
  6. Medtronic, Inc.
  7. Philips Medical Systems, Inc./Royal Philips Electronics NV
  8. PRAXIM medivision SA
  9. Siemens Medical Solutions USA, Inc./Siemens AG
  10. Smith & Nephew PLC
  11. Stryker Corporation
  12. Toshiba America Medical Systems, Inc./Toshiba America, Inc./ Toshiba< Corporation
  13. Zimmer Holdings, Inc.
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