Arthroscopy is defined as procedures which are performed using percutaneous instruments under the guidance of arthroscopes.  The majority of arthroscopic procedures are performed on the knee (more than 1 million interventions and almost 2 million diagnoses each year).  Repairing torn or damaged menisci of the knee is the most common arthroscopic treatment—the driving force in arthroscopy—with an estimated 875,000 annual meniscal repair procedures.  Repair of torn anterior cruciate ligaments (ACLs) are the second most common arthroscopic procedure, at an estimated 250,000 annual procedures.  The most common arthroscopic shoulder procedure is repair of a torn rotator cuff, with over 230,000 arthroscopic procedures performed annually. 

This report focuses on several core arthroscopy product areas for the repair of knee and shoulder, including:  implants, accessories, and arthroscopic equipment, including arthroscopes and instrumentation.  These products defined a U.S. arthroscopy products market worth over $640 million in 2004. This market is growing at an annual rate of approximately 4%, projected to reach more than $1.1 billion in 2010. 

This dynamic report from Medtech Insight includes analyses of core arthoscopy products and technologies and presents competitors, market forecasts, and opportunities.  Covered topics include:  interference screws, suture anchors, meniscus tacks, rotary shavers/burrs, radiofrequency probes, disposable cannulas, tubing sets, drill bits, guidewires, suture passing devices, capsular shrinkage devices and arthroscopes and instrumentation.

TABLE OF CONTENTS AND LIST OF EXHIBITS

EXECUTIVE SUMMARY

i.   Knee and Shoulder Arthroscopy Market

ii.   Knee Arthroscopy Market

iii.  Shoulder Arthroscopy Market

iv.  Knee and Shoulder Arthroscopy Products, by Product Segment

v.  Knee and Shoulder Arthroscopy Products, by Procedure Type

Exhibit ES-1:  Knee and Shoulder Arthroscopy, Procedure Volumes Forecast, 2004-2010

Exhibit ES-2:  Knee Arthroscopy Products, Market Forecast, 2004-2010

Exhibit ES-3:  Shoulder Arthroscopy Products, Market Forecast, 2004-2010

Exhibit ES-4:  Knee and Shoulder Arthroscopy Products, by Product Segment, Market Forecast, 2004-2010

Exhibit ES-5:  Knee and Shoulder Arthroscopy Products, by Procedure Type, Market Forecast, 2004-2010

1. ARTHROSCOPIC TREATMENT OVERVIEW

1.1 Background

1.2 Knee Injuries

1.2.1 Arthroscopic Treatment

1.2.1.1 Torn Meniscus

1.2.1.2 Torn Anterior Cruciate Ligament

1.2.1.3 Cartilage Defects/Osteochondral Autograft Transfer

1.2.1.4 Tightening of the Lateral Retinaculum

1.3 Shoulder Injuries

1.3.1 Arthroscopic Treatment

1.3.1.1 Torn Rotator Cuff

1.3.1.2 Labral Injuries

1.3.1.3 Shoulder Dislocation

Exhibit 1-1:    Arthroscopic Access Ports for the Knee

Exhibit 1-2:    Anatomy of the Knee

Exhibit 1-3:    Common Knee Injuries

Exhibit 1-4:    Meniscal Repair

Exhibit 1-5:    Anterior Cruciate Ligament Repair

Exhibit 1-6:    Anatomy of the Glenoid Cavity

Exhibit 1-7:    Anatomy of the Rotator Cuff

Exhibit 1-8:    Rotator Cuff Repair

Exhibit 1-9:    Labral Repair

2. KNEE AND SHOULDER ARTHROSCOPY PRODUCTS

2.1 Arthroscopic Implants

2.1.1 Interference Screws

2.1.2 Suture Anchors

2.1.3 Meniscus Tacks

2.2 Accessories

2.2.1 Rotary Shavers or Burs

2.2.2 Radiofrequency Probes

2.2.3 Capsular Shrinkage Devices

2.2.4 Drill Bits

2.2.5 Disposable Cannulas

2.2.6 Tubing Sets

2.2.7 Suture-Passing Devices

2.2.7.1 Automatic Arthroscopic Suturing Devices

2.2.8 Osteochondral Autograft Transfer Harvesting Punches

2.3 Arthroscopy Capital Equipment

2.3.1 Arthroscopes

2.3.2 Camera Systems

2.3.3 Arthroscopy Instruments

2.3.4 Fluid-Circulating Pump Controllers

Exhibit 2-1:    Polymers Used in Arthroscopic Implants and Sutures

Exhibit 2-2:    Phases of Bioresorbable Implant Degradation

Exhibit 2-3:    Diagram of an Interference Screw

Exhibit 2-4:    2005, Selected Resorbable Interference Screws for Cruciate Ligament Repair

Exhibit 2-5:    2005, Selected Nonresorbable Interference Screws for Cruciate Ligament Repair

Exhibit 2-6:    2005, Selected Alternative Fixation Devices for Cruciate Ligament Repair

Exhibit 2-7:    Diagram of a Suture Anchor

Exhibit 2-8:    Selected Sutures and their Properties

Exhibit 2-9:    Comparison of Failure Modes for Selected Suture Anchors

Exhibit 2-10:  2005, Selected Resorbable Suture Anchors for Shoulder Repair

Exhibit 2-11:  2005, Selected Nonresorbable Suture Anchors for Shoulder Repair

Exhibit 2-12:  Diagram of a Meniscus Tack

Exhibit 2-13:  2005, Selected Resorbable Meniscus Tacks

Exhibit 2-14:  2005, Selected Radiofrequency Probe Instruments Offered by ArthroCare

Exhibit 2-15:  2005, Selected Automatic Arthroscopic Suturing Devices

Exhibit 2-16:  2005, Selected Arthroscopes

3. KNEE AND SHOULDER ARTHROSCOPY PRODUCTS MARKET

3.1 Population Demographics

3.2 Procedure Volumes Forecast

3.2.1 Knee Arthroscopy

3.2.2 Shoulder Arthroscopy

3.2.3 Elbow and Hip Arthroscopy

3.3 Market Analysis

3.3.1 Implants

3.3.1.1 Knee Implants

3.3.1.2 Shoulder Implants

3.3.2 Accessories

3.3.2.1 Knee Accessories

3.3.2.2 Shoulder Accessories

3.3.3 Arthroscopes and Instrumentation

3.3.3.1 Knee Arthroscopes

3.3.3.2 Shoulder Arthroscopes

3.3.4 Market Forecast

3.3.4.1 Knee Arthroscopy Products

3.3.4.2 Shoulder Arthroscopy Products

3.3.4.3 Knee and Shoulder Arthroscopy Products, by Product Segment

3.3.4.4 Knee and Shoulder Arthroscopy Products, by Procedure Type

3.4 Competitive Analysis

3.4.1 Implants, Competitive Analysis

3.4.2 Accessories, Competitive Analysis

3.4.3 Arthroscopes and Instrumentation, Competitive Analysis

3.4.4 Total Arthroscopy Products Market, Competitive Analysis

Exhibit 3-1:    Population Forecast, by Age Group, 2000-2005 and 2005-2010

Exhibit 3-2:    Knee and Shoulder Arthroscopy, Procedure Volumes Forecast, 2004-2010

Exhibit 3-3:    Interference Screws Used in Arthroscopic Knee Ligament Repair, Market Forecast, 2004-2010

Exhibit 3-4:    Meniscus Tacks Used in Arthroscopic Meniscal Repair, Market Forecast, 2004-2010

Exhibit 3-5:    Suture Anchors Used in Arthroscopic Rotator Cuff Repair, Market Forecast, 2004-2010

Exhibit 3-6:    Suture Anchors and Tacks Used in Arthroscopic Labral Repair, Market Forecast, 2004-2010

Exhibit 3-7:    Accessories Used in Arthroscopic Knee Ligament Repair, Market Forecast, 2004-2010

Exhibit 3-8:    Accessories Used in Arthroscopic Meniscal Repair, Market Forecast, 2004-2010

Exhibit 3-9:    Accessories Used in Arthroscopic Rotator Cuff Repair, Market Forecast, 2004-2010

Exhibit 3-10:  Accessories Used in Arthroscopic Labral Repair, Market Forecast, 2004-2010

Exhibit 3-11:  Arthroscopes and Instrumentation Used in Knee Ligament Repair, Market Forecast, 2004-2010

Exhibit 3-12:  Arthroscopes and Instrumentation Used in Meniscal Repair, Market Forecast, 2004-2010

Exhibit 3-13:  Arthroscopes and Instrumentation Used in Rotator Cuff Repair, Market Forecast, 2004-2010

Exhibit 3-14:  Arthroscopes and Instrumentation Used in Labral Repair, Market Forecast, 2004-2010

Exhibit 3-15:  Knee Arthroscopy Products, Market Forecast, 2004-2010

Exhibit 3-16:  Shoulder Arthroscopy Products, Market Forecast, 2004-2010

Exhibit 3-17:  Knee and Shoulder Arthroscopy Products, by Product Segment, Market Forecast, 2004-2010

Exhibit 3-18:  Knee and Shoulder Arthroscopy Products, by Procedure Type, Market Forecast, 2004-2010

Exhibit 3-19:  2005, Knee and Shoulder Arthroscopy Implants Market, Share by Supplier

Exhibit 3-20:  2005, Knee and Shoulder Arthroscopy Accessories Market, Share by Supplier

Exhibit 3-21:  2005, Knee and Shoulder Arthroscopes and Instrumentation Market, Share by Supplier

Exhibit 3-22:  2005, Total Knee and Shoulder Arthroscopy Products Market, Share by Supplier

4. COMPANY PROFILES

4.1   Arthrex, Inc.

4.2   ArthroCare Corporation

4.3   DePuy, Inc./Johnson & Johnson

4.4   ConMed Linvatec, Inc./ConMed Corporation

4.5   Olympus America/Olympus Corporation

4.6   Richard Wolf Medical Instruments Corporation/Richard Wolf GmbH

4.7   Smith & Nephew PLC

4.8   Stryker Corporation

4.9   United States Surgical/Tyco International LTD

APPENDIX:  COMPANY LISTING

Copyright 2005, Medtech Insight, LLC