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U.S. Markets for Specialty Endoscopic Surgery Products
Report #A569 - June 2010
288 Pages – 106 Exhibits - 11 Company Profiles


Specialty endoscopic procedures—defined by the scope of this report as including arthroscopic; ear, nose and throat (ENT); neurologic/spine; and thorascopic procedures—continue to expand at a healthy pace, driven by increased demand for higher volume arthroscopic and ENT procedures but also by several advantages of endoscopic surgery, including reduced trauma, reduced scarring, and shorter patient recovery and cost.

The U.S. specialty endoscopic surgery products market (which primarily includes revenues derived from specialty endoscopes, hand instruments and trocars) totaled more than $1 billion in 2009. Over the next five years—despite the ongoing economic recession and uncertainty—this market is expected to grow at a compound annual rate of 5.7%, approaching nearly $1.4 billion in 2014.

Note: This report excludes general/laparoscopic/pelvic (including gastrointestinal) endoscopic surgery and products, which are the focus of recently published U.S. Markets for General and Pelvic Endoscopic Surgery Products, Report #A568.

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U.S. Markets for Specialty Endoscopic Surgery Products

A569

June 2010

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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.    Specialty Endoscopic Surgery

ii.    Specialty Endoscopic Surgery Products

a.   Specialty Trocars

b.   Specialty Endoscopes

c.   Endoscopic Video Products

d.   Specialty Hand Instruments

e.   Suction/Irrigation and Fluid Management Systems

iii.   Specialty Endoscopic Surgery Products Market

iv.   Methodology

 

Exhibit ES-1:    Selected Specialty Endoscopic Surgery, Procedures Volumes Forecast, 2009-2014

Exhibit ES-2:    2010, Selected Specialty Endoscopic Surgery Products and Instrumentation

Exhibit ES-3:    Selected Specialty Endoscopic Surgery Products, Combined Market Forecast, 2009-2014

Exhibit ES-4:    2009, Selected Specialty Endoscopic Surgery Products Market, Share by Segment

Exhibit ES-5:    2014, Selected Specialty Endoscopic Surgery Products Market, Share by Segment

 

1. ENDOSCOPY OVERVIEW

1.1 Advantages, Disadvantages, and Risks

1.2 Specialty Endoscopic Surgery Products

1.2.1 Specialty Trocars

1.2.2 Endoscopes

1.2.2.1 Specialty Endoscopes

1.2.2.2 Endoscopic Video Products

1.2.3 Specialty Hand Instruments

1.2.3.1 Scissors

1.2.3.2 Forceps

1.2.3.3 Graspers and Retractors

1.2.3.4 Pencils and Dissectors

1.2.4 Suction/Irrigation and Fluid Management Systems

1.2.5 Electrosurgical Systems

1.2.6 Robotic Surgical Systems

 

Exhibit 1-1:      2010, Selected Specialty Endoscopic Surgery Products and Instrumentation

 

2. SPECIALTY ENDOSCOPIC SURGICAL PROCEDURES

2.1 Arthroscopy

2.1.1 Arthroscopic Joint Repair

2.1.1.1 Instrumentation

2.1.1.2 Surgical Technique

2.2 Ear, Nose, and Throat Procedures

2.2.1 Adenoidectomy

2.2.1.1 Instrumentation

2.2.1.2 Surgical Technique

2.2.2 Ear Surgery

2.2.2.1 Instrumentation

2.2.2.2 Surgical Technique

2.2.3 Laryngeal Surgery

2.2.3.1 Instrumentation

2.2.3.2 Surgical Technique

2.2.4 Sinus and Nasal Surgery

2.2.4.1 Instrumentation

2.2.4.2 Surgical Technique

2.2.5 Thyroidectomy

2.2.5.1 Instrumentation

2.2.5.2 Surgical Technique

2.2.6 Tonsillectomy

2.2.6.1 Instrumentation

2.2.6.2 Surgical Technique

2.2.7 Uvulopalatoplasty

2.2.7.1 Instrumentation

2.2.7.2 Surgical Technique

2.3 Neuroendoscopy

2.3.1 Deep Brain Biopsy

2.3.1.1 Instrumentation

2.3.1.2 Surgical Technique

2.3.2 Cyst Drainage

2.3.2.1 Instrumentation

2.3.2.2 Surgical Technique

2.3.3 Ventriculostomy

2.3.3.1 Instrumentation

2.3.3.2 Surgical Technique

2.4 Spinal Arthroscopy

2.4.1 Arthroscopic Microdiscectomy

2.4.1.1 Instrumentation

2.4.1.2 Surgical Technique

2.5 Thoracoscopy

2.5.1 Esophagectomy

2.5.1.1 Instrumentation

2.5.1.2 Surgical Technique

2.5.2 Exploration and Lung Biopsy

2.5.2.1 Instrumentation

2.5.2.2 Surgical Technique

2.5.3 Mediastinal Cyst and Tumor Resection

2.5.3.1 Instrumentation

2.5.3.2 Surgical Technique

2.5.4 Pneumonectomy

2.5.4.1 Instrumentation

2.5.4.2 Surgical Technique

2.5.5 Spontaneous Pneumothorax Treatment

2.5.5.1 Instrumentation

2.5.5.2 Surgical Technique

2.5.6 Transthoracic Sympathectomy

2.5.6.1 Instrumentation

2.5.6.2 Surgical Technique

2.5.7 Video-Assisted Thoracoscopic Lobectomy

2.5.7.1 Instrumentation

2.5.7.2 Surgical Technique

2.6 Procedure Volumes Forecast

 

Exhibit 2-1:      Selected Specialty Endoscopic Surgery, Procedure Volumes Forecast, 2009-2014

 

3. SPECIALTY TROCARS

3.1 Products

3.1.1 Aesculap/B. Braun Melsungen

3.1.2 Autosuture/Covidien

3.1.3 ConMed

3.1.4 Ethicon Endo-Surgery/Johnson & Johnson

3.1.5 Smith & Nephew

3.1.6 Stryker

3.2 Market Analysis

3.3 Competitive Analysis

 

Exhibit 3-1:      Autosuture’s THORACOPORT Single-Use Trocars

Exhibit 3-2:      Autosuture’s BLUNTPORT Plus Trocars

Exhibit 3-3:      ConMed’s Universal and Disposable Cannula Sets

Exhibit 3-4:      ConMed’s Clear Flexible Cannula Set

Exhibit 3-5:      Ethicon Endo-Surgery’s ENDOPATH Resposable Dilating Tip Obturator and Housing Assembly System

Exhibit 3-6:      Smith & Nephew’s CLEAR-TRAC COMPLETE Cannula System

Exhibit 3-7:      Smith & Nephew’s CLEAR-TRAC FLEXIBLE Cannula System

Exhibit 3-8:      Smith & Nephew’s ARTHROGARDE Hip Access Cannula Line and CROSSTRAC Hip Guide System

Exhibit 3-9:      Stryker’s Arthroscopy Cannulae with Speed-Lock Technology

Exhibit 3-10:    Stryker’s Dri-Lok Disposable Cannulae

Exhibit 3-11:    Specialty Trocars, Market Forecast, 2009-2014

Exhibit 3-12:    2009, Specialty Trocars Market, Share by Supplier

 

4. SPECIALTY ENDOSCOPES

4.1 Endoscopic Technology

4.1.1 Flexible Endoscopes

4.1.2 Rigid Endoscopes

4.1.3 Endoscopic Video Products

4.2 Arthroscopes

4.2.1 Olympus America/Olympus

4.2.2 Smith & Nephew

4.2.3 Karl Storz

4.2.4 Stryker

4.2.5 Richard Wolf

4.3 Bronchoscopes

4.3.1 Fujinon/Fujifilm Holdings

4.3.2 Olympus America/Olympus

4.3.3 Vision Sciences

4.3.4 Richard Wolf

4.4 Ear, Nose, and Throat Endoscopes

4.4.1 KayPENTAX/PENTAX/HOYA

4.4.2 Olympus America/Olympus

4.4.3 Medtronic

4.4.4 Richard Wolf

4.5 Neuroendoscopes

4.5.1 Aesculap/B. Braun Melsungen

4.5.2 Integra LifeSciences

4.6 Spinal Endoscopes

4.6.1 Karl Storz

4.6.2 Richard Wolf

4.7 Market Analysis

4.8 Competitive Analysis

 

Exhibit 4-1:      Olympus America’s TrueView Line of Arthroscopes

Exhibit 4-2:      Smith & Nephew’s Direct View Arthroscope and VideoArthroscope

Exhibit 4-3:      Karl Storz’s Hopkins II Arthroscope

Exhibit 4-4:      Stryker’s Stainless Steel Arthroscope

Exhibit 4-5:      Richard Wolf’s Panoview Arthroscope

Exhibit 4-6:      Fujinon’s Fiber Optic and Video Bronchoscopes

Exhibit 4-7:      Olympus America’s BF-UC160F-OL8 EXERA Ultrasound Bronchoscope

Exhibit 4-8:      Olympus America’s BF-XP60 Fiber Optic Bronchoscope

Exhibit 4-9:      Vision Sciences’ BRS-5000 Bronchoscopy System

Exhibit 4-10:    Richard Wolf’s Texas R.I.B. and Hemer Bronchoscopes

Exhibit 4-11:    KayPENTAX’s VNL-1590STi High-Definition Videonasolaryngoscope

Exhibit 4-12:    Olympus America’s PortaView LF-GP Laryngoscope

Exhibit 4-13:    Olympus America’s ENF-VQ Video Rhinolaryngoscope

Exhibit 4-14:    Olympus America’s ENF-VT2 Video Rhinolaryngoscope

Exhibit 4-15:    Olympus America’s EVIS EXERA II Universal Platform

Exhibit 4-16:    Medtronic’s ENT-5000 Video Endoscopy System

Exhibit 4-17:    Richard Wolf’s Adjustable Laryngoscope by Pototschnig

Exhibit 4-18:    Aesculap’s Angled Neuroendoscope acc. PERNECZKY

Exhibit 4-19:    Aesculap’s MINOP TR Endoscopic System

Exhibit 4-20:    Aesculap’s MINOP TREND Endoscopic System

Exhibit 4-21:    Aesculap’s PaediScope Intraventricular Endoscopic System

Exhibit 4-22:    Integra LifeSciences’ NeuroView Endoscope

Exhibit 4-23:    Karl Storz’s EasyGO! Endoscopic Spine System

Exhibit 4-24:    Richard Wolf’s YESS and Vertibris Spinal Endoscopes

Exhibit 4-25:    Specialty Endoscopes, Market Forecast, 2009-2014

Exhibit 4-26:    2009, Specialty Endoscopes Market, Share by Supplier

 

5. SPECIALTY ENDOSCOPIC HAND INSTRUMENTS

5.1 Arthroscopic Hand Instruments

5.1.1 Arthrex

5.1.2 ArthroCare

5.1.3 ConMed

5.1.4 DePuy Mitek/Johnson & Johnson

5.1.5 Integra LifeSciences

5.1.6 Smith & Nephew

5.1.7 Karl Storz

5.1.8 Stryker

5.1.9 Richard Wolf

5.2 Ear, Nose, and Throat Hand Instruments

5.2.1 Medtronic

5.2.2 Karl Storz

5.3 Neurosurgical Hand Instruments

5.3.1 Aesculap/B. Braun Melsungen

5.3.2 Integra LifeSciences

5.4 Spine Hand Instruments

5.4.1 DePuy Spine/Johnson & Johnson

5.4.2 Integra LifeSciences

5.4.3 Medtronic

5.4.4 Karl Storz

5.5 Thoracoscopic Hand Instruments

5.5.1 Bryan

5.5.2 Karl Storz

5.5.3 Richard Wolf

5.6 Market Analysis

5.7 Competitive Analysis

 

Exhibit 5-1:      Arthex’s ClearCut Burr and Serrated Tooth Resector

Exhibit 5-2:      ArthroCare’s Atlantech Double Tooth Cutting Jaws and Integral Pivot Hinge System

Exhibit 5-3:      ConMed’s Shutt Series 210 Manual Micro Scissors and            Selected Forceps

Exhibit 5-4:      ConMed’s Shutt Line of Suction Punch Forceps and Graspers

Exhibit 5-5:      Integra LifeSciences’ EndoRelease Endoscopic Cubital Tunnel Release System

Exhibit 5-6:      Smith & Nephew’s DYONICS ElectroBlade Resector

Exhibit 5-7:      Smith & Nephew DYONICS Arthroscopic Resection System

Exhibit 5-8:      Smith & Nephew’s ECTRA II Carpal Ligament System

Exhibit 5-9:      Stryker’s Conquest Line of Manual Instruments

Exhibit 5-10:    Stryker’s Powered Shaver Systems

Exhibit 5-11:    Richard Wolf’s Family of ARTHROLine Punches

Exhibit 5-12:    Medtronic’s XPS Powered T&A Blade Set

Exhibit 5-13:    Medtronic’s Henry Endoscopic Parathyroid Instrument Set

Exhibit 5-14:    Medtronic’s Terris Thyroidectomy Instrument Set

Exhibit 5-15:    Medtronic’s FUSION ENT Navigation System

Exhibit 5-16:    Aesculap’s MINOP Modular Neuroendoscopy System

Exhibit 5-17:    Integra LifeSciences’ Padgett Supercut Scissors

Exhibit 5-18:    DePuy Spine’s SPOTLIGHT Access System

Exhibit 5-19:    Discectomy, Traditional versus Minimally Invasive Using Medtronic’s METRx MicroDiscectomy System

Exhibit 5-20:    Bryan’s Black X-Line Family of Instruments

Exhibit 5-21:    Richard Wolf’s PleuroLution Uniport Thoracoscopy Set

Exhibit 5-22:    Specialty Endoscopic Hand Instruments,  Market Forecast, 2009-2014

Exhibit 5-23:    2009, Specialty Endoscopic Hand Instruments Market, Share by Supplier

 

6. ELECTROSURGICAL PRODUCTS

6.1 Products

6.1.1 Aesculap/B. Braun Melsungen

6.1.2 Arthrex

6.1.3 ArthroCare

6.1.4 ConMed

6.1.5 Covidien

6.1.6 DePuy Mitek/Johnson & Johnson

6.1.7 ERBE USA/ERBE Elektromedizin

6.1.8 Smith & Nephew

6.1.9 Stryker

6.1.10 Richard Wolf

6.2 Market Analysis

6.2.1 ArthroCare and Coblation Technology

 

Exhibit 6-1:      Aesculap’s GN060 Bipolar Electrosurgical Unit

Exhibit 6-2:      Coblation versus Conventional Electrosurgery

Exhibit 6-3:      ArthroCare’s Atlas System

Exhibit 6-4:      ArthroCare’s Quantum 2 Ablation System and StarVac 90 ICW

Exhibit 6-5:      ConMed’s Hyfrecator 2000 Electrosurgical Unit

Exhibit 6-6:      ConMed’s System 5000 Electrosurgical Unit

Exhibit 6-7:      Covidien’s AutoSonix Ultrasonic Coagulation Device

Exhibit 6-8:      Valleylab’s FORCE EZ and FORCE FX Electrosurgical Generators and Accessories

Exhibit 6-9:      Valleylab’s Tungsten Microsurgical Needles

Exhibit 6-10:    Valleylab’s Arthroscopic Electrodes

Exhibit 6-11:    Valleylab’s Cool-Tip RF Ablation System and Switching Controller

Exhibit 6-12:    ERBE USA’s VIO 300D Electrosurgical Generator

Exhibit 6-13:    Smith & Nephew’s Vulcan Electrothermal Arthroscopy System

Exhibit 6-14:    Stryker’s SERFAS Energy RF Ablation System and Crossfire Integrated Arthroscopy System

Exhibit 6-15:    Richard Wolf’s Surgi-Max Plus Generator

Exhibit 6-16:    2009, ArthroCare’s Revenues and Growth

 

7. SUCTION/IRRIGATION AND FLUID MANAGEMENT SYSTEMS

7.1 Products

7.1.1 ConMed

7.1.2 Davol/C.R. Bard

7.1.3 DePuy/Johnson & Johnson

7.1.4 Smith & Nephew

7.1.5 Stryker

7.2 Market Analysis

7.3 Competitive Analysis

 

Exhibit 7-1:      ConMed’s Big Yank Suction System

Exhibit 7-2:      ConMed’s 24k Fluid System

Exhibit 7-3:      DePuy’s Fms Duo+ Pump and Shaver System

Exhibit 7-4:      Smith & Nephew’s DYONICS 25 Fluid Management System

Exhibit 7-5:      Stryker’s FloControl Arthroscopy Pump and Accessories

Exhibit 7-6:      Stryker’s InterPulse Battery-Powered Pump

Exhibit 7-7:      Stryker’s Neptune Waste Management System

Exhibit 7-8:      Specialty Endoscopy Suction/Irrigation and Fluid Management Systems, Market Forecast, 2009-2014

Exhibit 7-9:      2009, Specialty Endoscopy Suction/Irrigation and Fluid Management Systems Market, Share by Supplier

 

8. ROBOTIC-ASSISTED MINIMALLY INVASIVE SURGERY MARKET AND SURGICAL NAVIGATION SYSTEMS

8.1 Robotic-Assisted Surgical Systems

8.1.1 Intuitive Surgical

8.1.2 Curexo Technology

8.1.3 Market Forecast

8.1.4 Emerging Technologies in Robotic-Assisted Surgery

8.2 Surgical Navigation Systems

8.2.1 BrainLAB

8.2.2 GE Healthcare/General Electric

8.2.3 MediGuide/St. Jude Medical

8.2.4 Medtronic

8.2.5 Stryker

8.2.6 Visionsense

 

Exhibit 8-1:      Selected Procedures Facilitated by the da Vinci Surgical System

Exhibit 8-2:      Intuitive Surgical’s da Vinci S HD Surgical System

Exhibit 8-3:      Intuitive Surgical’s da Vinci Si HD Surgical System

Exhibit 8-4:      Intuitive Surgical’s EndoWrist Instrument

Exhibit 8-5:      2009, Intuitive Surgical’s Financial and Procedural Growth

Exhibit 8-6:      Procedures that Employ Intuitive Surgical’s da Vinci Surgical System

Exhibit 8-7:      Targeted Procedures for which the da Vinci  Surgical System May Be Employed

Exhibit 8-8:      Robotic-Assisted Minimally Invasive Surgical Systems, Market Forecast, 2009-2014

Exhibit 8-9:      Selected Screenshot of the BrainLAB Knee Essential Software

Exhibit 8-10:    GE Healthcare’s InstaTrak 3500 Plus Surgical Navigation System

Exhibit 8-11:    Medtronic’s FUSION Electromagnetic ENT Navigation System

Exhibit 8-12:    Stryker’s iNtellect ENT Navigation Software  and InfraVision Imaging System

Exhibit 8-13:    Visionsense’s VSII Stereoscopic Vision System

 

9. COMPANY PROFILES

9.1       Arthrex, Inc.

9.2       ArthroCare Corporation

9.3       B. Braun Melsungen AG

9.4       ConMed Corporation

9.5       Covidien PLC

9.6       Johnson & Johnson

9.7       Olympus America, Inc./Olympus Corporation

9.8       Smith & Nephew PLC

9.9       Karl Storz GmbH & Co. KG

9.10     Stryker Corporation

9.11     Richard Wolf GmbH

APPENDIX: COMPANY LISTING

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