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U.S. Markets for Neurostimulation Products
Report #A579 -
March 2010
228 Pages – 58 Exhibits - 14 Company Profiles


One of the most promising medical device markets to date is neurostimulation. This newest report from Medtech Insight includes analyses of products, markets, competitors, and opportunities in the United States (U.S.) neurostimulation products market. This market, as defined in this report, includes several types of implantable neurostimulation devices including cochlear implants and systems for deep brain stimulation, gastric nerve stimulation, sacral nerve stimulation, spinal cord stimulation, and vagus nerve stimulation.

Neurostimulation currently treats several debilitating conditions including chronic pain, epilepsy, essential tremor and dystonia, gastroparesis, hearing loss, incontinence, major treatment-resistant depression, obsessive-compulsive disorder, and Parkinson’s disease. Emerging and exciting areas of development include the treatment of large-population diseases and disorders including Alzheimer’s disease, blindness, chronic migraines, morbid obesity, obstructive sleep apnea, paralysis, stroke, and tinnitus, with the potential to expand to several other applications.

In addition to implantable neurostimulation systems and transcutaneous electrical nerve stimulators (TENS), this report from Medtech Insight includes analyses of transcranial magnetic nerve stimulation systems and other noninvasive electrical nerve stimulators. In addition, incidence and procedure numbers are provided for some of the most common major neurologic diseases and disorders.

The U.S. neurostimulation products market is poised for significant growth over the next decade due to factors such as the aging population, growth in age-related neurologic diseases and disorders, and the need for effective, alternative therapies. In 2009, the U.S. market for implantable neurostimulation products was estimated at $1,227.7 million; this market is expected to grow at a compound annual rate of 16.3% during the forecast period covered by this report, reaching more than $2.6 billion in the year 2014. At the same time, the market for TENS is projected to grow at a compound annual rate of 8.3%, reaching an estimated $113.8 million in the year 2014.

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U.S. Markets for Neurostimulation Products

A579

March 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.          Implantable Neurostimulation Products

a.         Market Analysis

ii.          Transcutaneous Electrical Nerve Stimulation Products

a.         Market Analysis

iii.         Methodology

 

Exhibit ES-1:    Selected Neurologic Conditions, Prevalence and Potential Neurostimulation Patient Population

Exhibit ES-2:    Neurostimulation Products, Combined Market Forecast, 2009-2014

Exhibit ES-3:    2009, Neurostimulation Products Market, Estimated Percentage of Sales, by Application

Exhibit ES-4:    Neurostimulation Products (Including Cochlear Implants), Market Forecast, 2009-2014

Exhibit ES-5:    Transcutaneous Electrical Nerve Stimulators, Market Forecast, 2009-2014

 

1. OVERVIEW OF THE NERVOUS SYSTEM AND selected neurologic diseases/DISORDERS

1.1 The Nervous System

1.1.1 Sacral Nerves

1.1.2 Vagus Nerves

1.1.3 Neurons

1.1.4 Brain

1.1.5 Spine

1.2 Neurologic and Other Diseases/Disorders

1.2.1 Alzheimer’s Disease

1.2.1.1 Etiology

1.2.1.2 Incidence

1.2.1.3 Prevalence

1.2.1.4 Treatment Options

1.2.1.4.1 Drug Therapy

1.2.1.4.2 Neurostimulation and Other Device-Based Therapies

1.2.1.4.3 Surgery

1.2.1.4.4 Prevention

1.2.2 Depression

1.2.2.1 Etiology

1.2.2.2 Incidence

1.2.2.3 Prevalence

1.2.2.4 Treatment Options

1.2.2.4.1 Drug Therapy

1.2.2.4.2 Neurostimulation

1.2.2.5 Prevention

1.2.3 Epilepsy

1.2.3.1 Etiology

1.2.3.2 Incidence

1.2.3.3 Prevalence

1.2.3.4 Treatment Options

1.2.3.4.1 Drug Therapy

1.2.3.4.2 Neurostimulation

1.2.3.4.3 Surgery

1.2.3.4.4 Prevention

1.2.4 Gastroparesis

1.2.4.1 Etiology

1.2.4.2 Incidence

1.2.4.3 Prevalence

1.2.4.4 Treatment Options

1.2.4.4.1 Drug Therapy

1.2.4.4.2 Neurostimulation

1.2.4.4.3 Surgery

1.2.4.4.4 Prevention

1.2.5 Obesity

1.2.5.1 Etiology

1.2.5.2 Incidence

1.2.5.3 Prevalence

1.2.5.4 Treatment Options

1.2.5.4.1 Drug Therapy

1.2.5.4.2 Neurostimulation

1.2.5.4.3 Surgery

1.2.5.4.4 Prevention

1.2.6 Incontinence

1.2.6.1 Etiology

1.2.6.2 Incidence

1.2.6.3 Prevalence

1.2.6.4 Treatment Options

1.2.6.4.1 Drug Therapy

1.2.6.4.2 Neurostimulation

1.2.6.4.3 Surgery

1.2.6.4.4 Prevention

1.2.7 Pain

1.2.7.1 Nociceptive Pain

1.2.7.2 Neuropathic Pain

1.2.7.3 Acute Pain

1.2.7.3.1 Etiology

1.2.7.3.2 Incidence

1.2.7.3.3 Prevalence

1.2.7.3.4 Treatment Options

1.2.7.3.4.1 Neurostimulation

1.2.7.4 Chronic Pain

1.2.7.4.1 Etiology

1.2.7.4.2 Incidence

1.2.7.4.3 Prevalence

1.2.7.4.4 Treatment Options

1.2.7.4.4.1 Drug Therapy

1.2.7.4.4.2 Neurostimulation and Other Device-Based Therapies

1.2.7.4.4.3 Alternative Therapies

1.2.7.4.5 Chronic Migraine

1.2.7.4.5.1 Neurostimulation

1.2.8 Parkinson’s Disease

1.2.8.1 Etiology

1.2.8.2 Incidence

1.2.8.3 Prevalence

1.2.8.4 Treatment Options

1.2.8.4.1 Drug Therapy

1.2.8.4.2 Neurostimulation

1.2.8.4.3 Surgery

1.2.8.4.4 Prevention

1.2.9 Other Neurologic Diseases/Disorders

 

Exhibit 1-1:      United States Population, by Age Group, Selected Years, 2000-2050

Exhibit 1-2:      Selected Neurologic Conditions, Prevalence and Potential Neurostimulation Patient Population

Exhibit 1-3:      The Sacral Nervous System

Exhibit 1-4:      The Vagus Nerve

Exhibit 1-5:      Anatomy of the Brain

Exhibit 1-6:      Anatomy of the Spine

Exhibit 1-7:      Alzheimer’s Disease, Facts and Figures

Exhibit 1-8:      2010, Alzheimer’s Disease Medications

Exhibit 1-9:      Depression, Facts and Figures

Exhibit 1-10:    Epilepsy, Facts and Figures

Exhibit 1-11:    Gastroparesis, Facts and Figures

Exhibit 1-12:    2010, Obesity Comorbidities

Exhibit 1-13:    Obesity, Facts and Figures

Exhibit 1-14:    Urinary Incontinence, Facts and Figures

Exhibit 1-15:    2010, Treatment Options for Urinary Incontinence

Exhibit 1-16:    Acute Pain, Facts and Figures

Exhibit 1-17:    Chronic Pain, Facts and Figures

Exhibit 1-18:    Migraine Headache, Facts and Figures

Exhibit 1-19:    Parkinson’s Disease, Facts and Figures

Exhibit 1-20:    Essential Tremor, Facts and Figures

Exhibit 1-21:    Obsessive-Compulsive Disorder, Facts and Figures

Exhibit 1-22:    Stroke, Facts and Figures

Exhibit 1-23:    Obstructive Sleep Apnea, Facts and Figures

Exhibit 1-24:    Tinnitus, Facts and Figures

 

2. NEUROSTIMULATION PRODUCTS MARKET

2.1 Implantable Neurostimulators

2.1.1 Cortical Stimulators

2.1.2 Deep Brain Stimulators

2.1.3 Gastric Nerve Stimulators

2.1.4 Sacral Nerve Stimulators

2.1.5 Spinal Cord Stimulators

2.1.6 Vagus Nerve Stimulators

2.1.7 Cochlear Implants

2.1.8 Hypoglossal Nerve Stimulators

2.1.9 Phrenic Nerve Stimulators

2.2 Core Treatment Areas for Implantable Neurostimulators

2.2.1 Major Depression

2.2.1.1 Cyberonics

2.2.1.2 Medtronic

2.2.1.3 Northstar Neuroscience

2.2.1.4 St. Jude Medical

2.2.2 Epilepsy

2.2.2.1 Cyberonics

2.2.2.2 Integra LifeSciences

2.2.2.3 Medtronic

2.2.2.4 NeuroPace

2.2.2.5 NeuroVista

2.2.2.6 Victhom Human Bionics

2.2.3 Gastroparesis

2.2.3.1 Medtronic

2.2.4 Hearing Loss

2.2.4.1 Advanced Bionics/Sonova Holding

2.2.4.2 Cochlear

2.2.4.3 MED-EL

2.2.5 Incontinence

2.2.5.1 Medtronic

2.2.6 Pain

2.2.6.1 Boston Scientific

2.2.6.2 Medtronic

2.2.6.3 MicroTransponder

2.2.6.4 St. Jude Medical

2.2.7 Dystonia, Essential Tremor, and Parkinson’s Disease

2.2.7.1 Medtrode

2.2.7.2 Medtronic

2.2.7.3 NeuroMEDx

2.2.7.4 St. Jude Medical

2.2.8 Sleep Apnea

2.2.8.1 Apnex Medical

2.2.8.2 Avery Biomedical Devices

2.2.8.3 Cardiac Concepts

2.2.8.4 ImThera Medical

2.2.8.5 Inspire Medical Systems

2.2.8.6 Synapse Biomedical

2.2.8.7 Victhom Human Bionics

2.3 Emerging Applications for Neurostimulation

2.3.1 Alzheimer’s Disease

2.3.1.1 Cyberonics

2.3.2 Blindness

2.3.2.1 Second Sight Medical Products

2.3.3 Chronic Headache

2.3.3.1 Boston Scientific

2.3.3.2 Medtronic

2.3.3.3 St. Jude Medical

2.3.4 Obesity

2.3.4.1 EnteroMedics

2.3.4.2 IntraPace

2.3.4.3 Johnson & Johnson

2.3.4.4 Leptos Biomedical

2.3.4.5 Medtronic

2.3.4.6 MetaCure

2.3.5 Obsessive-Compulsive Disorder

2.3.5.1 Medtronic

2.3.6 Stroke

2.3.6.1 Cyberonics

2.3.6.2 Northstar Neuroscience

2.3.7 Paralysis/Spinal Cord Injury

2.3.7.1 The BrainGate Company

2.3.7.2 NeuroMetrix

2.3.7.3 Össur with Victhom Human Bionics

2.3.7.4 Neurostream Technologies/Otto Bock HealthCare and Victhom Human Bionics

2.3.8 Tinnitus

2.3.8.1 Silere Medical Technology

2.4 Market Forecast

2.5 Competitive Analysis

 

Exhibit 2-1:      2010, Selected Advantages and Disadvantages of Neurostimulation Therapy

Exhibit 2-2:      2009, Patients Who Have Received Neurostimulation Implants, by Selected Neurologic Condition

Exhibit 2-3:      2010, Established Neurostimulation Therapies and Leading Suppliers

Exhibit 2-4:      Deep Brain Stimulation

Exhibit 2-5:      Neurostimulation in Suppressing Epileptic Seizures; NeuroPace’s Responsive Neurostimulator Therapy

Exhibit 2-6:      Neurostimulation in the Treatment of Gastroparesis, Medtronic’s Enterra

Exhibit 2-7:      Cochlear’s Nucleus Freedom Implant

Exhibit 2-8:      Medtronic’s InterStim Therapy System

Exhibit 2-9:      Medtronic’s Neurostimulators for the Treatment of Chronic Pain

Exhibit 2-10:    St. Jude Medical’s Neurostimulators for the Treatment of Chronic Pain

Exhibit 2-11:    Medtronic’s Activa Therapy for Parkinson’s Disease and Essential Tremor

Exhibit 2-12:    2010, Selected Current and Emerging Neurostimulation Systems

Exhibit 2-13:    Second Sight Medical Products’ Intraocular Retinal Prosthesis

Exhibit 2-14:    2009, Neurostimulation Products Market, Estimated Percentage of Sales, by Application

Exhibit 2-15:    Neurostimulation Products, Selected Market Drivers and Limiters

Exhibit 2-16:    Neurostimulation Products (Including Cochlear Implants), Market Forecast, 2009-2014

Exhibit 2-17:    Neurostimulation Products (Excluding Cochlear Implants), Market Forecast, 2009-2014

Exhibit 2-18:    Cochlear Implants, Market Forecast, 2009-2014

Exhibit 2-19:    2009, Neurostimulation Products Market (Including Cochlear Implants), Share by Supplier

Exhibit 2-20:    2009, Neurostimulation Products Market (Excluding Cochlear Implants), Share by Supplier

Exhibit 2-21:    2009, Cochlear Implants Market, Share by Supplier

 

3. Transcutaneous electrical nerve stimulation  products market

3.1 Overview

3.1.1 Products

3.1.1.1 American Imex

3.1.1.2 BioMedical Life Systems

3.1.1.3 Dynatronics

3.1.1.4 Empi/DJO

3.1.1.5 Neuro Resource Group

3.1.1.6 RS Medical

3.1.1.7 Zynex Medical

3.1.2 Market Analysis

3.1.3 Competitive Analysis

3.2 Other Noninvasive Electrical Stimulation Technologies

3.2.1 Transcranial Magnetic Stimulation/Other Magnetic Stimulation

3.2.1.1 Neuralieve

3.2.1.2 The Magstim Company

3.2.1.3 Neotonus

3.2.1.4 Neuronetics

3.2.1.5 Nexstim

3.2.2 Electrotherapy Technologies

3.2.2.1 Innovative Neurotronics/Hanger Orthopedic Group

3.2.2.2 Moeller Medical

3.2.2.3 Zynex Medical

 

Exhibit 3-1:      2010, Selected Conditions That May Be Treated Using Transcutaneous Electrical Nerve Stimulation

Exhibit 3-2:      Dynatronics’ Sympathetic Therapy Systems

Exhibit 3-3:      Zynex Medical’s Transcutaneous Electrical Nerve Stimulation Systems

Exhibit 3-4:      2010, Selected Transcutaneous Electrical Nerve Stimulation Devices

Exhibit 3-5:      Transcutaneous Electrical Nerve Stimulators, Market Forecast, 2009-2014

Exhibit 3-6:      2009, Transcutaneous Electrical Nerve Stimulators Market, Share by Supplier

Exhibit 3-7:      2010, Selected Transcranial and Other Magnetic Stimulation Systems

Exhibit 3-8:      Innovative Neurotronics’ WalkAide

 

4. Company Profiles

4.1 Advanced Bionics Corporation/Sonova Holding AG

4.2 Apnex Medical, Inc.

4.3 BioMedical Life Systems, Inc.

4.4 Boston Scientific Corporation

4.5 Cochlear LTD

4.6 Cyberonics, Inc.

4.7 DJO, Inc.

4.8 Dynatronics Corporation

4.9 EnteroMedics, Inc.

4.10 MED-EL Corporation

4.11 Medtronic, Inc.

4.12 RS Medical, Inc.

4.13 Second Sight Medical Products, Inc.

4.14 St. Jude Medical, Inc.

 

APPENDIX:     COMPANY LISTING

 

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