U.S. MARKETS FOR NONFUSION SPINAL TECHNOLOGIES AND DISC DIAGNOSTIC DEVICES

227 Pages | 75 Exhibits | 2013 Analysis | Forecasts Through 2017

OVERVIEW:
Degenerative disc disease affects approximately half of the United States (U.S.) population age 40 and older. Caused by gradual disc damage, degenerative disc disease often results in disc herniation and chronic back or neck pain.

This new report from Medtech Insight includes analyses of products, competitors, and opportunities in the U.S. market for nonfusion spinal technologies and disc diagnostic devices. This market, as covered by the scope of this report, includes artificial discs, minimally invasive discectomy devices, nucleus replacement technologies, powered traction systems, spinal diagnostic and visualization devices, and emerging technologies for spinal disc repair (including cell-based therapies and products for annulus fibrosus repair).

The U.S. market for nonfusion spinal technologies and disc diagnostic devices is projected to reach an estimated value of $1.1 billion in the year 2017. The largest segment of this market is represented by minimally invasive discectomy devices (approximately 46.5% of sales in 2012), followed by spinal diagnostic/visualization devices (28.6%), artificial discs (20.6%), powered traction systems (3.6%), and cell-based therapies (0.6%).

TABLE OF CONTENTS:
EXECUTIVE SUMMARY

i. Artificial Discs 
ii. Disc Nucleus Replacement Technologies 
iii. Minimally Invasive Discectomy Devices 
iv. Spinal Diagnostic and Visualization Devices 
v. Powered Traction Systems 
vi. Emerging Technologies for Spinal Disc Repair 
	a. Annulus Fibrosus Repair 
	b. Cell-Based Therapies 
vii. Combined Market Forecast 
viii. Methodology 

Exhibit ES-1: Artificial Discs, Market Forecast, 2012-2017 
Exhibit ES-2: Minimally Invasive Discectomy Devices, Market Forecast, 2012-2017 
Exhibit ES-3: Spinal Diagnostic and Visualization Devices, Market Forecast, 2012-2017 
Exhibit ES-4: Powered Traction Systems, Market Forecast, 2012-2017 
Exhibit ES-5: Cell-Based Therapies for Disc Repair and Regeneration, Market Forecast, 2012-2017 
Exhibit ES-6: Nonfusion Spinal Technologies and Disc Diagnostic Devices,  Combined Market Forecast, 2012-2017 
Exhibit ES-7: United States Population Growth Trends 
Exhibit ES-8: Number of Overweight and Obese People, 2012 and 2017 

1. CLINICAL OVERVIEW

1.1 Spinal Anatomy 
1.2 Selected Spinal Disorders 
	1.2.1 Disc Herniation 
	1.2.2 Degenerative Disc Disease 
		1.2.2.1 Arthritis 
			1.2.2.1.1 Osteoarthritis 
			1.2.2.1.2 Rheumatoid Arthritis 
			1.2.2.1.3 Ankylosing Spondylitis 
		1.2.2.2 Osteoporosis 
		1.2.2.3 Spondylosis 
	1.2.3 Abnormal Curvature of the Spine 
		1.2.3.1 Scoliosis 
		1.2.3.2 Kyphosis and Lordosis 
	1.2.4 Spondylolisthesis 
	1.2.5 Stenosis 
	1.2.6 Spinal Tumors 
	1.2.7 Traumatic Spinal Injuries 
	1.2.8 Vertebral Fractures 

Exhibit 1-1: Illustration of the Human Spine 
Exhibit 1-2: Projected Incidence of Selected Spinal Diseases/Disorders, 2012-2017 
Exhibit 1-3: Projected Prevalence of Selected Spinal Diseases/Disorders, 2012-2017 
Exhibit 1-4: Illustration of a Herniated Disc 

2. TOTAL DISC REPLACEMENT

2.1 Materials and Designs 
2.2 Artificial Cervical Discs 
	2.2.1 Products 
		2.2.1.1 DePuy Synthes/Johnson & Johnson 
		2.2.1.2 Globus Medical 
		2.2.1.3 LDR 
		2.2.1.4 Medtronic 
		2.2.1.5 NuVasive 
	2.2.2 Emerging Products 
		2.2.2.1 Amedica 
		2.2.2.2 DePuy Synthes/Johnson & Johnson 
		2.2.2.3 Medtronic 
	2.2.3 Pipeline Products No Longer Under Development 
		2.2.3.1 Orthofix 
		2.2.3.2 Spinal Kinetics 
		2.2.3.3 SpinalMotion 
		2.2.3.4 Stryker 
	2.2.4 Selected Products Available Outside the United States 
		2.2.4.1 Alphatec Spine 
		2.2.4.2 Ranier Technology 
	2.2.5 Reimbursement
	2.2.6 Market Analysis 
	2.2.7 Competitive Analysis 
2.3 Artificial Lumbar Discs 
	2.3.1 Products 
		2.3.1.1 DePuy Synthes/Johnson & Johnson 
		2.3.1.2 ProDisc-L 
		2.3.1.3 The Charite
	2.3.2 Emerging Products 
		2.3.2.1 AxioMed Spine 
		2.3.2.2 Globus Medical 
	2.3.3 Pipeline Products No Longer Under Development 
	2.3.4 Reimbursement 
	2.3.5 Market Analysis 
	2.3.6 Competitive Analysis 
2.4 Combined Procedure Volumes Forecast 
2.5 Combined Market Forecast 

Exhibit 2-1: The ProDisc-C Artificial Cervical Disc 
Exhibit 2-2: The SECURE-C Artificial Cervical Disc 
Exhibit 2-3: The Mobi-C Artificial Cervical Disc 
Exhibit 2-4: The Prestige Artificial Cervical Disc 
Exhibit 2-5: The Bryan Artificial Cervical Disc 
Exhibit 2-6: The PCM Artificial Cervical Disc 
Exhibit 2-7: 2013, Selected Artificial Cervical Discs 
Exhibit 2-8: The Discover Artificial Cervical Disc 
Exhibit 2-9: Selected Emerging Artificial Cervical Discs 
Exhibit 2-10: The M6-C Artificial Cervical Disc 
Exhibit 2-11: The Kineflex|C Artificial Cervical Disc 
Exhibit 2-12: The CerviCore Artificial Cervical Disc 
Exhibit 2-13: The Discocerv Artificial Cervical Disc 
Exhibit 2-14: The Cadisc-C Artificial Cervical Disc 
Exhibit 2-15: Artificial Cervical Discs, Market Forecast, 2012-2017 
Exhibit 2-16: 2012, Artificial Cervical Discs Market, Share by Supplier 
Exhibit 2-17: The ProDisc-L Artificial Lumbar Disc 
Exhibit 2-18: The Charite Artificial Lumbar Disc 
Exhibit 2-19: The Freedom Artificial Lumbar Disc 
Exhibit 2-20: The Triumph Artificial Lumbar Disc 
Exhibit 2-21: Selected Emerging Artificial Lumbar Discs 
Exhibit 2-22: Artificial Lumbar Discs, Market Forecast, 2012-2017 
Exhibit 2-23: 2012, Artificial Lumbar Discs Market, Share by Supplier 
Exhibit 2-24: Total Disc Replacement, Procedure Volumes Forecast, 2012-2017 
Exhibit 2-25: Artificial Discs, Market Forecast, 2012-2017 

3. DISC NUCLEUS REPLACEMENT TECHNOLOGIES

3.1 Product Development Programs 
3.2 Market Analysis 

Exhibit 3-1: The Prosthetic Disc Nucleus 
Exhibit 3-2: The NeuDisc 
Exhibit 3-3: The Percutaneous Nucleus Replacement 
Exhibit 3-4: The Satellite Nucleus Replacement 

4. MINIMALLY INVASIVE DISCECTOMY DEVICES

4.1 Percutaneous Discectomy/Decompression 
	4.1.1 Percutaneous Mechanical Discectomy/Decompression 
		4.1.1.1 Products 
			4.1.1.1.1 Clarus Medical 
			4.1.1.1.2 Karl Storz 
			4.1.1.1.3 Stryker 
		4.1.1.2 Clinical Evidence and Practice Guidelines 
			4.1.1.2.1 Automated Percutaneous Discectomy 
			4.1.1.2.2 Endoscopic Discectomy 
		4.1.1.3 Reimbursement 
	4.1.2 Laser Discectomy/Decompression 
		4.1.2.1 Products 
			4.1.2.1.1 Clarus Medical 
			4.1.2.1.2 LISA Laser USA/LISA Laser Products 
			4.1.2.1.3 Lumenis 
			4.1.2.1.4 Quanta System 
			4.1.2.1.5 Trimedyne 
		4.1.2.2 Clinical Evidence and Practice Guidelines 
		4.1.2.3 Reimbursement 
	4.1.3 Radiofrequency-Based Discectomy/Decompression 
		4.1.3.1 Intradiscal Nucleotomy 
			4.1.3.1.1 ArthroCare 
			4.1.3.1.2 NeuroTherm 
			4.1.3.1.3 Richard Wolf 
			4.1.3.1.4 Clinical Evidence and Practice Guidelines 
			4.1.3.1.5 Reimbursement 
		4.1.3.2 Intradiscal Annuloplasty 
			4.1.3.2.1 Intradiscal Biacuplasty 
			4.1.3.2.2 Intradiscal Electrothermal Therapy 
			4.1.3.2.3 Clinical Evidence and Practice Guidelines 
				4.1.3.2.3.1 Intradiscal Biacuplasty 
				4.1.3.2.3.2 Intradiscal Electrothermal Therapy 
			4.1.3.2.4 Reimbursement 
	4.1.4 Emerging Technology 
4.2 Market Analysis 
4.3 Competitive Analysis 

Exhibit 4-1: 2013, Selected Percutaneous Discectomy Products 
Exhibit 4-2: The Nucleotome Automated Percutaneous Discectomy System 
Exhibit 4-3: The Endospine Operating Tube and Telescope Bridge 
Exhibit 4-4: The Dekompressor Percutaneous Discectomy Device 
Exhibit 4-5: 2013, Selected Laser Discectomy Systems 
Exhibit 4-6: The Laser-Assisted Spinal Endoscopy Kit 
Exhibit 4-7: The RevoLix Duo Laser System 
Exhibit 4-8: The UltraPulse SurgiTouch and VersaPulse PowerSuite Laser Systems 
Exhibit 4-9: The LitHO Laser System 
Exhibit 4-10: The OmniPulse MAX Laser System 
Exhibit 4-11: 2013, Selected Radiofrequency Energy-Based Discectomy Systems 
Exhibit 4-12: The Plasma Disc Decompression (Coblation) Procedure 
Exhibit 4-13: The Surgi-Max Plus Generator 
Exhibit 4-14: Intradiscal Biacuplasty Using the TransDiscal System 
Exhibit 4-15: The SpineCATH Intradiscal Catheter 
Exhibit 4-16: Minimally Invasive Discectomy Devices, Market Forecast, 2012-2017 
Exhibit 4-17: 2012, Minimally Invasive Discectomy Systems Market, Share by Supplier 

5. SPINAL DIAGNOSTIC AND VISUALIZATION DEVICES

5.1 Clinical Overview 
5.2 Products 
	5.2.1 Disc Pressure Meters 
		5.2.1.1 Integra LifeSciences 
		5.2.1.2 Stryker 
	5.2.2 Endoscopes 
		5.2.2.1 Karl Storz 
		5.2.2.2 Richard Wolf 
	5.2.3 Radiography/Fluoroscopy Systems 
		5.2.3.1 Philips Healthcare/Royal Philips Electronics 
5.3 Market Analysis 
5.4 Competitive Analysis 

Exhibit 5-1: The Discmonitor Diagnostic Device 
Exhibit 5-2: The Vitom Spine Telescope 
Exhibit 5-3: The Vertebris Spine Endoscope 
Exhibit 5-4: The MultiDiagnost Eleva Radiography/Fluoroscopy System 
Exhibit 5-5: Spinal Diagnostic and Visualization Devices, Market Forecast, 2012-2017 
Exhibit 5-6: 2012, Spinal Diagnostic and Visualization Devices Market, Share by Supplier 

6. POWERED TRACTION SYSTEMS

6.1 Clinical Overview 
6.2 Products 
	6.2.1 CERT Health Sciences 
	6.2.2 Lordex 
	6.2.3 North American Medical 
	6.2.4 VAX-D Medical Technologies 
6.3 Regulatory Issues 
6.4 Reimbursement 
6.5 Market Forecast 
6.6 Competitive Analysis 

Exhibit 6-1: 2013, Selected Powered Traction Systems 
Exhibit 6-2: The SpineMED System 
Exhibit 6-3: The Lumbar Decompression Therapy System 
Exhibit 6-4: The Accu-SPINA System 
Exhibit 6-5: The VAX-D Genesis System 
Exhibit 6-6: Powered Traction Systems, Market Forecast, 2012-2017 
Exhibit 6-7: 2012, Powered Traction Systems Market, Share by Supplier 

7. EMERGING TECHNOLOGIES FOR SPINAL DISC REPAIR

7.1 Annulus Fibrosis Repair
	7.1.1 Technology 
		7.1.1.1 Anulex Technologies 
			7.1.1.1.1 The Xclose Tissue Repair System 
				7.1.1.1.1.1 Clinical Evidence 
			7.1.1.1.2 The Inclose Surgical Mesh 
		7.1.1.2 Intrinsic Therapeutics 
	7.1.2 Market Analysis 
7.2 Cell-Based Therapies 
	7.2.1 Stem Cell Therapy 
		7.2.1.1 Technologies 
			7.2.1.1.1 Arthro Kinetics 
			7.2.1.1.2 Cytori Therapeutics 
			7.2.1.1.3 Mesoblast 
			7.2.1.1.4 NuVasive 
	7.2.2 Chondrocyte Transplantation 
	7.2.3 Market Forecast 

Exhibit 7-1: Herniated Disc 
Exhibit 7-2: The Inclose and Xclose Annular Repair Technologies 
Exhibit 7-3: The Barricaid Annular Prosthesis 
Exhibit 7-4: Cell-Based Therapies for Disc Repair and Regeneration, Market Forecast, 2012-2017 

8. COMPANY PROFILES

8.1 CERT Health Sciences LLC 
8.2 Johnson & Johnson 
8.3 Medtronic, Inc. 
8.4 NuVasive, Inc. 
8.5 Karl Storz GmbH 
8.6 Stryker Corporation 
8.7 Richard Wolf GmbH 

APPENDIX:  COMPANY LISTING 



COMPANIES COVERED:

  1. Amedica Corporation
  2. Anulex Technologies, Inc.
  3. ArthroCare Corporation
  4. Arthro Kinetics Biotechnology GmbH
  5. AxioMed Spine Corporation
  6. Axiom Worldwide, Inc.
  7. Baxano Surgical, Inc.
  8. Baylis Medical Company
  9. Biomet, Inc.
  10. Centinel Spine, Inc.
  11. CERT Health Sciences LLC
  12. Clarus Medical LLC
  13. Cytori Therapeutics, Inc.
  14. Davol, Inc./C.R. Bard, Inc.
  15. DePuy Synthes, Inc./Johnson & Johnson
  16. DiscForce LLC
  17. Ethicon, Inc./Johnson & Johnson
  18. GE Healthcare/General Electric Company
  19. Gentis, Inc.
  20. Globus Medical, Inc.
  21. Integra LifeSciences Corporation
  22. Intrinsic Therapeutics, Inc.
  23. Isto Technologies, Inc.
  24. Karl Storz GmbH
  25. Kimberly-Clark Corporation
  26. Koros Surgical Instruments, Inc.
  27. Laurimed LLC
  28. LDR Holding Corporation
  29. LISA Laser USA/LISA Laser Products OHG
  30. Lordex, Inc.
  31. Lumenis LTD
  32. Medtronic, Inc.
  33. Mesoblast LTD
  34. NeuroTherm, Inc.
  35. North American Medical Corporation
  36. NuVasive, Inc.
  37. Olympus Corporation
  38. Orthofix International NV
  39. Philips Healthcare/Royal Philips NV
  40. Quanta System SpA
  41. Ranier Technology LTD
  42. Relievant Medsystems, Inc.
  43. Replication Medical, Inc.
  44. Richard Wolf Medical Instruments Corporation/Richard Wolf GmbH
  45. Scient'x/Alphatec Spine, Inc.
  46. Shimadzu Corporation
  47. Siemens Healthcare/Siemens Corporation
  48. Smith & Nephew PLC
  49. Spinal Kinetics, Inc.
  50. SpinalMotion, Inc.
  51. Spine Wave, Inc.
  52. Stryker Corporation
  53. Toshiba Medical Systems Corporation
  54. Trimedyne, Inc.
  55. VAX-D Medical Technologies LLC
  56. Zimmer Holdings, Inc.
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