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United States Markets for Image-Guided Surgery Products
Report #A540 - August 2012
270 Pages – 56 Exhibits – 6 Company Profiles

Imaging plays a crucial role in the growing domain of image-guided surgery (IGS) and endoluminal interventions. Advances in imaging technologies and graphic data management capabilities are expected to expand the scope of practical clinical applications of IGS/interventional techniques and expedite their broader acceptance by increasingly cost-conscious healthcare providers.

The United States (U.S.) market for IGS products comprises two categories: imaging systems that are used in conjunction with catheter-based and open surgical interventions and computer-assisted intraoperative surgical navigation systems. Imaging systems covered by the scope of this report include computed tomography, magnetic resonance imaging, nuclear medicine/molecular imaging, noninvasive and intravascular ultrasound, and X-ray systems.

The combined U.S. market for IGS products is projected to grow moderately during the forecast period covered by this report, reaching an estimated $1,700.9 million in the year 2016. Interventional and surgical imaging will be supported by growth in less invasive and interventional procedures and the increasing availability of sophisticated informatics-loaded imaging tools, as well as the use of image-guided procedures for previously untouched indications.

This new report from Medtech Insight includes analyses of competitors, products, sales, and opportunities in the U.S. market for IGS systems. Company profiles are provided for the leading suppliers of imaging equipment and surgical navigation systems to the U.S.

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 Report# Publication
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United States Markets for Image-Guided Surgery Products

A540

August 2012

$4,750
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Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

 

EXECUTIVE SUMMARY

i.      Image-Guided Surgery Applications

a.     Procedure Volumes, by Application

i.      Cardiovascular and Peripheral Vascular Transcatheter Interventions

ii.     Neurosurgical Interventions

iii.    Orthopedic Procedures

iv.    Otorhinolaryngologic Procedures

v.     Spine Surgery

b.     Procedure Volumes, by Modality

ii.     Imaging Systems

a.       Market Analysis

iii.    Surgical Navigation Systems

a.       Market Analysis

iv.    Combined Market Forecast

v.     Methodology

 

Exhibit ES-1:   Image-Guided Surgery, Procedure Volumes Forecast, by Application, 2011-2016

Exhibit ES-2:   Interventional/Surgical Imaging, Procedure Volumes Forecast, by Modality, 2011-2016

Exhibit ES-3:   Imaging Systems, Market Forecast, 2011-2016

Exhibit ES-4:   Surgical Navigation Systems, Market Forecast, 2011-2016

Exhibit ES-5:   Image-Guided Surgery Products, Combined Market Forecast, 2011-2016

 

1. IMAGE-GUIDED SURGERY OVERVIEW

1.1 Technology

1.1.1 “Imageless” Image-Guided Surgery

1.1.2 Standard Image-Guided Surgery

1.1.3 Hybrid Image-Guided Surgery

1.1.4 Continuous Real-Time Image-Guided Surgery

1.2 Clinical Benefits

1.3 Adoption Issues and Trends

1.3.1 Reimbursement

1.3.2 Cost-Effectiveness Analysis

 

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

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

Exhibit 1-3:     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 Catheter-Directed Thrombolysis

2.1.3 Cryoangioplasty

2.1.4 Device-Based Endovascular Embolization

2.1.5 Endovascular Repair of Aortic Aneurysms

2.1.5.1 Endovascular Repair of Abdominal Aortic Aneurysms

2.1.5.2 Endovascular Repair of Thoracic Aortic Aneurysms

2.1.6 Laser Atherectomy

2.1.7 Mechanical Atherectomy

2.1.8 Mechanical Thrombectomy

2.1.9 Management of Myocardial Disorders

2.1.9.1 Balloon Valvuloplasty

2.1.9.2 Septal Defect Repair

2.1.9.2.1 Percutaneous Patent Ductus Arteriosus Closure

2.1.9.2.2 Atrial Septal Defect Closure

2.1.9.2.3 Ventricular Septal Defect

2.1.9.2.4 Patent Foramen Ovale Repair

2.1.9.3 Percutaneous Valve Repair

2.1.10 Arrhythmia Ablation

2.1.11 Vena Cava Filter Placement

2.1.12 Procedure Volumes, Image-Guided Cardiovascular and Peripheral Vascular Transcatheter Interventions

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

2.2.3 Procedure Volumes, Image-Guided Neurosurgery

2.3 Otorhinolaryngologic Surgery

2.3.1 Image-Guided Functional Endoscopic Sinus Surgery

2.3.2 Procedure Volumes, Image-Guided Otorhinolaryngologic 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 Surgical Navigation in Total Joint Surgery

2.4.1.4 Computer-Assisted High Tibial Osteotomy

2.4.2 Image-Guided Surgery Tools for Complex Fracture Repair

2.4.3 Procedure Volumes, Computer-Assisted Surgical Navigation in Orthopedic Surgery

2.5 Spine Surgery

2.5.1 Discectomy

2.5.2 Laminectomy and Laminotomy

2.5.3 Spinal Fusion

2.5.4 Procedure Volumes, Computer-Assisted Surgical Navigation in Spine Surgery

 

Exhibit 2-1:     Characteristics of Cardiovascular and Peripheral Vascular Catheter-Based Therapeutics

Exhibit 2-2:     Cardiovascular and Peripheral Vascular Transcatheter Therapeutics, Procedure Volumes Forecast, 2011-2016

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

Exhibit 2-4:     Characteristics of Image-Guided Neurosurgery

Exhibit 2-5:     Image-Guided Neurosurgical Interventions, Procedure Volumes Forecast, 2011-2016

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

Exhibit 2-7:     Image-Guided Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2011-2016

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

Exhibit 2-9:     Image-Guided Orthopedic Surgery, Procedure Volumes Forecast, 2011-2016

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

Exhibit 2-11:   Image-Guided Spine Surgery, Procedure Volumes Forecast, 2011-2016

 

3. MEDICAL IMAGING MODALITIES

3.1 X-Ray Imaging

3.1.1 Conventional X-Ray Imaging

3.1.1.1 Digital X-Ray

3.1.1.1.1 Computed Radiography

3.1.1.1.2 Direct Digital Radiography

3.1.1.2 Fluoroscopy

3.1.1.3 Cardiac X-Ray Imaging Applications

3.1.1.4 Surgical X-Ray Imaging Applications

3.1.1.5 Procedure Volumes

3.2 Computed Tomography

3.2.1 Spiral Computed Tomography

3.2.2 Multislice Computed Tomography

3.2.2.1 Dual-Source Multislice Computed Tomography

3.2.3 Computed Tomography Angiography

3.2.4 Perfusion Computed Tomography

3.2.5 Interventional and Surgical Computed Tomography Applications

3.2.6 Procedure Volumes

3.3 Magnetic Resonance Imaging

3.3.1 Magnetic Resonance Angiography

3.3.1.1 Contrast-Enhanced Magnetic Resonance Angiography

3.3.1.2 Phase-Contrast Magnetic Resonance Angiography

3.3.1.3 Time-of-Flight Magnetic Resonance Angiography

3.3.2 Functional Magnetic Resonance Imaging

3.3.3 Proton Magnetic Resonance Spectroscopy

3.3.4 Interventional and Surgical Magnetic Resonance Imaging Applications

3.3.5 Procedure Volumes

3.4 Nuclear Medicine/Molecular Imaging

3.4.1 Gamma Camera Imaging

3.4.2 Positron Emission Tomography

3.4.3 Fusion Techniques

3.4.4 Radioimmunoscintigraphy

3.4.5 Interventional and Surgical Nuclear Medicine/ Molecular Imaging Applications

3.4.6 Procedure Volumes

3.5 Ultrasound Imaging

3.5.1 Echocardiography

3.5.2 Tissue Harmonic Imaging

3.5.3 Doppler Imaging

3.5.4 Duplex Ultrasound

3.5.5 Three-Dimensional and Four-Dimensional Ultrasound

3.5.6 Contrast-Enhanced Ultrasound

3.5.7 Intravascular Ultrasound

3.5.8 Interventional and Surgical Ultrasound Imaging Applications

3.5.9 Procedure Volumes

3.6 Combined Procedure Volumes Forecast

 

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

Exhibit 3-2:     X-Ray Imaging, Procedure Volumes Forecast, 2011-2016

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

Exhibit 3-4:     Computed Tomography, Procedure Volumes Forecast, 2011-2016

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

Exhibit 3-6:     Magnetic Resonance Imaging, Procedure Volumes Forecast, 2011-2016

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

Exhibit 3-8:     Nuclear Medicine/Molecular Imaging, Procedure Volumes Forecast, 2011-2016

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

Exhibit 3-10:   Ultrasound Imaging, Procedure Volumes Forecast, 2011-2016

Exhibit 3-11:   Interventional and Surgical Imaging, Combined Procedure Volumes Forecast, 2011-2016

 

4. MEDICAL IMAGING SYSTEMS MARKET

4.1 Conventional X-Ray Imaging Systems

4.1.1 Products

4.1.2 Market Forecast

4.1.3 Competitive Analysis

4.2. Computed Tomography Systems

4.2.1 Products

4.2.2 Market Forecast

4.2.3 Competitive Analysis

4.3 Magnetic Resonance Imaging Systems

4.3.1 Products

4.3.2 Market Forecast

4.3.3 Competitive Analysis

4.4 Nuclear Medicine/Molecular Imaging Systems

4.4.1 Products

4.4.2 Market Forecast

4.4.3 Competitive Analysis

4.5 Ultrasound Imaging Systems

4.5.1 Products

4.5.2 Market Forecast

4.5.3 Competitive Analysis

4.6 Imaging Systems, Combined Market Analysis

 

Exhibit 4-1:     2012, Selected Cardiac and Surgical X-Ray Systems

Exhibit 4-2:     X-Ray Imaging Systems, Market Forecast, 2011-2016

Exhibit 4-3:     2011, X-Ray Imaging Systems Market, Share by Supplier

Exhibit 4-4:     2012, Selected Computed Tomography Systems

Exhibit 4-5:     Computed Tomography Systems, Market Forecast, 2011-2016

Exhibit 4-6:     2011, Computed Tomography Systems Market, Share by Supplier

Exhibit 4-7:     2012, Selected Magnetic Resonance Imaging Systems

Exhibit 4-8:     Magnetic Resonance Imaging Systems, Market Forecast, 2011-2016

Exhibit 4-9:     2011, Magnetic Resonance Imaging Systems Market, Share by Supplier

Exhibit 4-10:   2012, Selected Nuclear Medicine/Molecular Imaging Systems

Exhibit 4-11:   Nuclear Medicine/Molecular Imaging Systems, Market Forecast, 2011-2016

Exhibit 4-12:   2011, Nuclear Medicine/Molecular Imaging Systems Market, Share by Supplier

Exhibit 4-13:   2012, Selected Noninvasive Ultrasound Systems

Exhibit 4-14:   2012, Selected Intravascular Ultrasound Systems

Exhibit 4-15:   Ultrasound Systems, Market Forecast, 2011-2016

Exhibit 4-16:   2011, Noninvasive Ultrasound Imaging Systems Market, Share by Supplier

Exhibit 4-17:   2011, Intravascular Ultrasound Imaging Systems Market, Share by Supplier

Exhibit 4-18:   Imaging Systems, Combined Market Forecast, 2011-2016

 

5. SURGICAL NAVIGATION SYSTEMS MARKET

5.1 Intraoperative Navigation Overview

5.1.1 Registration Methods and Techniques

5.1.2 Intraoperative Tracking Devices

5.1.3 Interfaces

5.1.4 Image-Guided Surgical Instruments

5.1.5 Supporting Data Management Infrastructure

5.2 Surgical Navigation Systems

5.2.1 Products

5.2.2 Market Analysis

5.2.3 Competitive Analysis

5.3 Robotic Surgery

 

Exhibit 5-1:     Advantages and Disadvantages of Extrinsic and Intrinsic Image/Anatomy Registration Techniques

Exhibit 5-2:     Characteristics of Selected Intraoperative Tracking Systems

Exhibit 5-3:     2012, Selected Surgical Navigation Systems

Exhibit 5-4:     Surgical Navigation Systems, Market Forecast, 2011-2016

Exhibit 5-5:     2011, Surgical Navigation Systems Market, Share by Supplier

Exhibit 5-6:     Advantages and Disadvantages of Robotic Surgery

Exhibit 5-7:     Selected Robotic Surgery Applications

Exhibit 5-8:     2012, Selected Robotic Surgical Systems

 

6. COMPANY PROFILES

6.1       Boston Scientific Corporation

6.2       Brainlab AG

6.3       General Electric Company

6.4       Medtronic, Inc

6.5       Royal Philips Electronics NV

6.6       Siemens AG

 

APPENDIX: COMPANY LISTING

 

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