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Medical Robotics and Computer-Assisted Surgery: The Global Market
[December 19, 2012]

Medical Robotics and Computer-Assisted Surgery: The Global Market

NEW YORK, Dec. 19, 2012 /PRNewswire via COMTEX/ -- Reportlinker.com announces that a new market research report is available in its catalogue: Medical Robotics and Computer-Assisted Surgery: The Global Market http://www.reportlinker.com/p0687754/Medical-Robotics-and-Computer-Assisted-Surgery-The-Global-Market.html#utm_source=prnewswire&utm_medium=pr&utm_campaign=Surgical_Equipment 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 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 This report is an updated and expanded version of an earlier (2011) 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 offered.

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 This report has been written for the entire MRCAS interest community, especially those in: 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 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 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 The author of this report is Andrew McWilliams. Mr. McWilliams, a partner in the Boston-based international technology and marketing consulting firm of 43rd Parallel, LLC, is the author of several other BCC Research studies of the surgical and related medical devices markets, including the previous edition of this report; HLC051F The Market for Minimally Invasive Medical Devices; HLC066B Medical Automation Technologies, Products and Markets; HLC038C Patient Monitoring; HLC016D Microelectronic Medical Implants: Products, Technologies and Opportunities; HLC072B Global Markets and Technologies for Medical Lasers; and HLC082A Emerging Markets for Advanced Medical Technologies.TABLE OF CONTENTS CHAPTER 1 INTRODUCTION 1 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 Reportlinker Email: nicolasbombourg@reportlinker.com US: (805)652-2626 Intl: +1 805-652-2626 SOURCE Reportlinker

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