Nearly 6 million general and pelvic endoscopic surgical procedures were performed in the U.S. in 2006.  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 enabled by advancements in the array of products used to perform endoscopic surgery.

The U.S. market for general and pelvic endoscopic surgery products—including access devices, access site closure products, ancillary products, computer-aided instrument guidance and robotic surgery systems, computer-aided training systems, endoscopes, hand instruments, and insufflation devices—was valued at approximately $2.9 billion in 2006.  During the forecast period covered by this report (2005 through the year 2015), sales of these products are projected to grow at a healthy compound annual rate of 8.3%, reaching an estimated $5.9 billion in the year 2015.

This essential, new 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 products; 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; endoscopic surgery training systems; flexible, rigid, and refurbished endoscopes; hand-assist systems; insufflation systems; mechanical assist products; mergers and acquisitions; procedure volumes; robotic surgery systems; smoke evacuation systems; and specimen retrieval bags; among others.

TABLE OF CONTENTS

EXECUTIVE SUMMARY

i.    General and Pelvic Endoscopic Surgery, Procedure Volumes

ii.    General and Pelvic Endoscopic Surgery Products, Market Summary

a.   Access Devices Market Segment

b.   Endoscope Products Market Segment

c.    Hand Instruments Market Segment

d.   Insufflation Products Market Segment

e.   Ancillary Endoscopic Surgery Products Market Segment

f.    Computer-Aided Instrument Guidance and Robotic Surgery Systems Market Segment

g.   Computer-Aided Training Systems Market Segment

h.   Endoscopic Access Site Closure Products Market Segment

iii.   Methodology

Exhibit ES-1:    General and Pelvic Endoscopy, Procedure Volumes Forecast, 2005-2015

Exhibit ES-2:    General and Pelvic Endoscopic Surgery Products, Combined Market Forecast, by Segment, 2005-2015

Exhibit ES-3:    Endoscopic Access Devices, Combined Market Forecast, 2005-2015

Exhibit ES-4:    Endoscope Products, Combined Market Forecast, 2005-2015

Exhibit ES-5:    Endoscopic Hand Instruments, Combined Market Forecast, 2005-2015

Exhibit ES-6:    Insufflation Products, Combined Market Forecast, 2005-2015

Exhibit ES-7:    Ancillary Endoscopic Surgery Products, Combined Market Forecast, 2005-2015

Exhibit ES-8:    Computer-Aided Instrument Guidance and Robotic Surgery Systems, Combined Market Forecast, 2005-2015

Exhibit ES-9:    Computer-Aided Training Systems, Market Forecast, 2005-2015

Exhibit ES-10:  Endoscopic Access Site Closure Products, Combined Market Forecast, 2005-2015

1. ENDOSCOPIC SURGERY OVERVIEW

1.1 Advantages and Risks of Endoscopic versus Open 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 Reimbursement and Third-Party Payers

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 Evolution of Group Purchasing Organizations

1.5.4 Vendor Adaptation

1.5.5 Healthcare Group Purchasing Industry Initiative

1.6 Acquisitions/Mergers in the Endoscopic Surgery Products Market

1.7 General and Pelvic Endoscopic Surgery Products Market Summary

Exhibit 1-1:      General and Pelvic Endoscopic Surgery, Procedure Volumes Forecast, 2005-2015

Exhibit 1-2:      2003, Comparison of Hospital Charges for Selected Endoscopic and Open Surgical Procedures

Exhibit 1-3:      2003, Cost Data for Selected Inpatient Endoscopic Surgical Procedures

Exhibit 1-4:      2003, Cost Data for Selected Outpatient Endoscopic Surgical Procedures

Exhibit 1-5:      Endoscopic Surgery Delivery Sites, 1999, 2002, and 2005

Exhibit 1-6:      2007, Selected Group Purchasing Organizations in the United States

Exhibit 1-7:      Selected Acquisitions/Mergers Affecting the Endoscopic Surgery Products Market, 2002-2007

Exhibit 1-8:      General and Pelvic Endoscopic Surgery Products, Combined Market Forecast,  by Segment, 2005-2015

2. ENDOSCOPIC SURGERY INSTRUMENTATION

2.1 Disposable, Reusable, and Reposable Instruments

2.1.1 Reprocessing

2.1.2 Comparable Costs

2.1.3 Set Leasing and Processing Services

2.1.4 Inventory Services

2.1.5 Custom 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 Access Site Closure Devices

2.3.4 Hand-Assist Systems

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 Disposable/Reusable 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 and Fluid Management Systems

2.8.1 Suction/Irrigation Systems

2.8.2 Fluid Management Systems

2.9 Ancillary Devices Used in Endoscopic Surgical Procedures

2.9.1 Mechanical Assist Devices

2.9.2 Specimen Retrieval Bags

2.9.3 Surgical Smoke Evacuation Devices

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

Exhibit 2-1:      2007, Selected Types of Endoscopic Surgery Instrumentation

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

3.2.9 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

3.3.7.4 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

3.4.3.2 Transurethral Resection of the Prostate

3.4.3.3 Urethrotomy

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

Exhibit 3-1:      General Surgery, Endoscopic Approach, Procedure Volumes Forecast, 2005-2015

Exhibit 3-2:      Gynecologic Surgery, Endoscopic Approach, Procedure Volumes Forecast, 2005-2015

Exhibit 3-3:      Urologic Surgery, Endoscopic Approach, Procedure Volumes Forecast, 2005-2015

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

4.1.3 Hand-Assist Systems

4.1.3.1 Products

4.1.3.2 Market Analysis

4.1.3.3 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

Exhibit 4-1:      2007, Selected Access Needles

Exhibit 4-2:      Disposable Access Needles, Market Forecast, 2005-2015

Exhibit 4-3:      Reusable Access Needles, Market Forecast, 2005-2015

Exhibit 4-4:      Total Access Needles, Market Forecast, 2005-2015

Exhibit 4-5:      2006, Total Access Needles Market, Share by Supplier

Exhibit 4-6:      Total Trocars, Market Forecast, 2005-2015

Exhibit 4-7:      2007, Selected Disposable Trocars

Exhibit 4-8:      Disposable Trocars, Market Forecast, 2005-2015

Exhibit 4-9:      2006, Disposable Trocars Market, Share by Supplier

Exhibit 4-10:    2007, Selected Reusable Trocars

Exhibit 4-11:    Reusable Trocars, Market Forecast, 2005-2015

Exhibit 4-12:    2006, Reusable Trocars Market, Share by Supplier

Exhibit 4-13:    2007, Selected Reposable Trocars

Exhibit 4-14:    Reposable Trocars, Market Forecast, 2005-2015

Exhibit 4-15:    2006, Reposable Trocars Market, Share by Supplier

Exhibit 4-16:    2007, Selected Endoscopic Surgery Hand-Assist Systems

Exhibit 4-17:    Endoscopic Surgery Hand-Assist Systems, Market Forecast, 2005-2015

Exhibit 4-18:    2006, Endoscopic Surgery Hand-Assist Systems Market, Share by Supplier

Exhibit 4-19:    Total Access Devices, Market Forecast, 2005-2015

5. ENDOSCOPE PRODUCTS MARKET

5.1 Abdominal and Pelvic Cavity Endoscopes

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 Total Endoscope Products, Market and Competitive Analysis

5.4 Advancements in Endoscope Technology

5.5 Trends in the Endoscope Products Market

Exhibit 5-1:      2007, Selected Choledochoscopes

Exhibit 5-2:      2007, Selected Cystoscopes

Exhibit 5-3:      2007, Selected Duodenoscopes

Exhibit 5-4:      2007, Selected Hysteroscopes

Exhibit 5-5:      2007, Selected Laparoscopes

Exhibit 5-6:      2007, Selected Nephroscopes

Exhibit 5-7:      2007, Selected Resectoscopes

Exhibit 5-8:      2007, Selected Ureteroscopes

Exhibit 5-9:      2007, Selected Urethroscopes/Cystourethroscopes

Exhibit 5-10:    New Rigid Endoscopes, Market Forecast, 2005-2015

Exhibit 5-11:    2006, New Rigid Endoscopes Market, Share by Supplier

Exhibit 5-12:    Refurbished Rigid Endoscopes, Market Forecast, 2005-2015

Exhibit 5-13:    2006, Refurbished Rigid Endoscopes Market, Share by Supplier

Exhibit 5-14:    New Flexible Endoscopes, Market Forecast, 2005-2015

Exhibit 5-15:    2006, New Flexible Endoscopes Market, Share by Supplier

Exhibit 5-16:    Refurbished Flexible Endoscopes, Market Forecast, 2005-2015

Exhibit 5-17:    2006, Refurbished Flexible Endoscopes Market, Share by Supplier

Exhibit 5-18:    Total Endoscopes, Market Forecast, 2005-2015

Exhibit 5-19:    2006, Total Endoscopes Market, Share by Supplier

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 Endoscopic Clip Appliers

6.7.1.1 Market Analysis 

6.7.1.2 Competitive Analysis

6.7.2 Reusable Endoscopic Clip Appliers

6.7.2.1 Market Analysis

6.7.2.2 Competitive Analysis

6.7.3 Refurbished Endoscopic Clip Appliers

6.7.3.1 Market Analysis

6.7.3.2 Competitive Analysis

6.7.4 Endoscopic Clip Refill Cartridges

6.7.4.1 Market Analysis

6.7.4.2 Competitive Analysis

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

6.8 Endoscopic Staplers

6.8.1 Disposable Endoscopic Staplers

6.8.1.1 Market Analysis

6.8.1.2 Competitive Analysis

6.8.2 Reusable Endoscopic Staplers

6.8.2.1 Market Analysis

6.8.2.2 Competitive Analysis

6.8.3 Disposable Endoscopic Stapler Refill Cartridges

6.8.3.1 Market Analysis

6.8.3.2 Competitive Analysis

6.8.4 Reusable Endoscopic Stapler Refill Cartridges

6.8.4.1 Market Analysis

6.8.4.2 Competitive Analysis

6.8.5 Total Endoscopic Stapler and Stapler Refill Cartridges Market and Competitive Analysis

6.9 Total Endoscopic Hand Instruments, Market and Competitive Analysis

6.10 Advancements in Hand Instruments Technology

6.11 Trends in the Endoscopic Hand Instruments Market

Exhibit 6-1:      2007, Selected Endoscopic Scissors

Exhibit 6-2:      Disposable Endoscopic Scissors, Market Forecast, 2005-2015

Exhibit 6-3:      2006, Disposable Endoscopic Scissors Market, Share by Supplier

Exhibit 6-4:      Reusable Endoscopic Scissors, Market Forecast, 2005-2015

Exhibit 6-5:      2006, Reusable Endoscopic Scissors Market, Share by Supplier

Exhibit 6-6:      Refurbished Endoscopic Scissors, Market Forecast, 2005-2015

Exhibit 6-7:      2007, Selected Endoscopic Forceps

Exhibit 6-8:      Disposable Endoscopic Forceps, Market Forecast, 2005-2015

Exhibit 6-9:      2006, Disposable Endoscopic Forceps Market, Share by Supplier

Exhibit 6-10:    Reusable Endoscopic Forceps, Market Forecast, 2005-2015

Exhibit 6-11:    2006, Reusable Endoscopic Forceps Market, Share by Supplier

Exhibit 6-12:    Refurbished Endoscopic Forceps, Market Forecast, 2005-2015

Exhibit 6-13:    2007, Selected Disposable Endoscopic Graspers and Retractors

Exhibit 6-14:    2007, Selected Reusable Endoscopic Graspers and Retractors

Exhibit 6-15:    Disposable Graspers and Retractors, Market Forecast,  2005-2015

Exhibit 6-16:    2006, Disposable Graspers and Retractors Market, Share by Supplier

Exhibit 6-17:    Reusable Graspers and Retractors, Market Forecast, 2005-2015

Exhibit 6-18:    2006, Reusable Graspers and Retractors Market, Share by Supplier

Exhibit 6-19:    Refurbished Graspers and Retractors, Market Forecast,  2005-2015

Exhibit 6-20:    2007, Selected Endoscopic Pencil and Dissector Products

Exhibit 6-21:    Disposable Pencils and Dissectors, Market Forecast, 2005-2015

Exhibit 6-22:    2006, Disposable Pencils and Dissectors Market, Share by Supplier

Exhibit 6-23:    Reusable Pencils and Dissectors, Market Forecast, 2005-2015

Exhibit 6-24:    2006, Reusable Pencils and Dissectors Market, Share by Supplier

Exhibit 6-25:    Refurbished Pencils and Dissectors, Market Forecast, 2005-2015

Exhibit 6-26:    2007, Selected Endoscopic Clamps, Handles, and Needle Holders

Exhibit 6-27:    New Clamps, Handles, and Needle Holders, Market Forecast, 2005-2015

Exhibit 6-28:    2005, New Clamps, Handles, and Needle Holders Market, Share by Supplier

Exhibit 6-29:    Refurbished Clamps, Handles, and Needle Holders, Market Forecast, 2005-2015

Exhibit 6-30:    2007, Selected Disposable Endoscopic Clip Appliers

Exhibit 6-31:    2007, Selected Reusable Endoscopic Clip Appliers

Exhibit 6-32:    Disposable Endoscopic Clip Appliers, Market Forecast,  2005-2015

Exhibit 6-33:    2006, Disposable Endoscopic Clip Appliers Market, Share by Supplier

Exhibit 6-34:    Reusable Endoscopic Clip Appliers, Market Forecast, 2005-2015

Exhibit 6-35:    2006, Reusable Endoscopic Clip Appliers Market, Share by Supplier

Exhibit 6-36:    Refurbished Endoscopic Clip Appliers, Market Forecast,  2005-2015

Exhibit 6-37:    Endoscopic Clip Refill Cartridges, Market Forecast, 2005-2015

Exhibit 6-38:    2006, Total Endoscopic Clip Refill Cartridges Market, Share by Supplier

Exhibit 6-39:    Total Endoscopic Clip Appliers and Clip Refill Cartridges, Market Forecast, 2005-2015

Exhibit 6-40:    2007, Selected Endoscopic Stapler Products

Exhibit 6-41:    Disposable Endoscopic Staplers, Market Forecast, 2005-2015

Exhibit 6-42:    2006, Disposable Endoscopic Staplers Market, Share by Supplier

Exhibit 6-43:    Reusable Endoscopic Staplers, Market Forecast, 2005-2015

Exhibit 6-44:    2006, Reusable Endoscopic Staplers Market, Share by Supplier

Exhibit 6-45:    Disposable Endoscopic Stapler Refill Cartridges, Market Forecast, 2005-2015

Exhibit 6-46:    2006, Disposable Endoscopic Stapler Refill Cartridges Market, Share by Supplier

Exhibit 6-47:    Reusable Endoscopic Stapler Refill Cartridges, Market Forecast, 2005-2015

Exhibit 6-48:    2006, Reusable Endoscopic Stapler Refill Cartridges Market, Share by Supplier

Exhibit 6-49:    Total Endoscopic Stapler and Stapler Refill Cartridges, Market Forecast, 2005-2015

Exhibit 6-50:    Total Endoscopic Hand Instruments, Market Forecast, 2005-2015

Exhibit 6-51:    2006, Total Endoscopic Hand Instruments Market, Share by Supplier

7. INSUFFLATION PRODUCTS MARKET

7.1 Types of Insufflation Products

7.1.1 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

Exhibit 7-1:      2007, Selected Insufflation Systems

Exhibit 7-2:      2007, Selected Insufflation Tubing Sets

Exhibit 7-3:      Insufflation Products, Market Forecast, 2005-2015

Exhibit 7-4:      2006, Insufflation Products Market, Share by Supplier

8. ANCILLARY ENDOSCOPIC SURGERY PRODUCTS MARKET

8.1 Types of Ancillary Endoscopic Surgery Products

8.1.1 Mechanical Assist Devices

8.1.1.1 Market Analysis

8.1.1.2 Competitive Analysis

8.1.2 Specimen Retrieval Bags

8.1.2.1 Market Analysis

8.1.2.2 Competitive Analysis

8.1.3 Surgical Smoke Evacuation Products

8.1.3.1 Market Analysis

8.1.3.2 Competitive Analysis

8.2 Total Ancillary Endoscopic Surgery Products, Market and Competitive Analysis

8.3 Advancements in Ancillary Endoscopic Surgery Products

8.4 Trends in the Ancillary Endoscopic Surgery Products Market

Exhibit 8-1:      2007, Selected Mechanical Assist Products

Exhibit 8-2:      Mechanical Assist Products, Market Forecast, 2005-2015

Exhibit 8-3:      2006, Mechanical Assist Products Market, Share by Supplier

Exhibit 8-4:      2007, Selected Specimen Retrieval Bags

Exhibit 8-5:      Specimen Retrieval Bags, Market Forecast, 2005-2015

Exhibit 8-6:      2006, Specimen Retrieval Bags Market, Share by Supplier

Exhibit 8-7:      2007, Selected Surgical Smoke Evacuation Product

Exhibit 8-8:      Surgical Smoke Evacuation Products, Market Forecast, 2005-2015

Exhibit 8-9:      2006, Surgical Smoke Evacuation Products Market, Share by Supplier

Exhibit 8-10:    Total Ancillary Endoscopic Surgery Products, Market Forecast, 2005-2015

Exhibit 8-11:    2006, Total Ancillary Endoscopic Surgery Products Market, Share by Supplier

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

Exhibit 9-1:      2007, Selected Computer-Aided Instrument Guidance Systems

Exhibit 9-2:      2007, Selected Robotic Surgery Systems

Exhibit 9-3:      Computer-Aided Instrument Guidance and Robotic Surgery Systems, Market Forecast, 2005-2015

Exhibit 9-4:      2006, Computer-Aided Instrument Guidance and Robotic Surgery Systems Market, Share by Supplier

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

Exhibit 10-1:    2007, Selected Computer-Aided Training Systems

Exhibit 10-2:    Computer-Aided Training Systems, Market Forecast, 2005-2015

Exhibit 10-3:    2006, Computer-Aided Training Systems Market, Share by Supplier

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 Technology

11.3 Trends in the Endoscopic Access Site Closure Products Market

Exhibit 11-1:    2007, Selected Endoscopic Access Site Closure Products

Exhibit 11-2:    Endoscopic Access Site Suture Packs, Market Forecast, 2005-2015

Exhibit 11-3:    Endoscopic Access Site Closure Devices, Market Forecast, 2005-2015

Exhibit 11-4:    Total Endoscopic Access Site Closure Products, Market Forecast, 2005-2015

Exhibit 11-5:    2006, Endoscopic Access Site Closure Products Market, Share by Supplier

12. COMPANY PROFILES

12.1     Aesculap AG & Company KG/B. Braun Melsungen AG

12.2     Applied Medical Resources Corporation

12.3     Cardinal Health, Inc.

12.4     ConMed Corporation

12.5     Fujinon, Inc./Fuji Photo Optical Company LTD

12.6     Gyrus ACMI, Inc./Gyrus Group PLC

12.7     Immersion Medical, Inc./Immersion Corporation

12.8     Integra LifeSciences Holdings Corporation

12.9     Intuitive Surgical, Inc.

12.10   Johnson & Johnson

12.11   Mentice AB

12.12   Olympus America, Inc./Olympus Corporation

12.13   PENTAX Medical/PENTAX of America, Inc./PENTAX Corporation

12.14   Smith & Nephew, Inc./Smith & Nephew PLC

12.15   Stackhouse/VIASYS Healthcare, Inc.

12.16   Karl Storz Endoscopy-America, Inc./Karl Storz GmbH & Co. KG

12.17   Stryker Corporation

12.18   Tyco International LTD

12.19   Richard Wolf Medical Instruments Corporation/Richard Wolf GmbH

APPENDIX: COMPANY LISTING