U.S. MARKETS FOR DIRECTED ENERGY-BASED SURGICAL SYSTEMS

418 Pages | 102 Exhibits | 2008 Analysis | Forecasts Through 2011

OVERVIEW:
Tissue-altering directed energy-based surgical systems utilizing cryogenic, laser, microwave, radiofrequency, or ultrasound technologies are widely used in an array of applications including aesthetic, cardiovascular, dental, gynecologic, oncologic, orthopedic, otorhinolaryngologic, and urologic surgical procedures.

In 2007, approximately 16.2 million procedures involving directed energy-based surgical systems were performed in the U.S. Expanding at a compound annual rate of 7.4%, sales of directed energy-based surgical systems are projected to climb from approximately $3.1 billion in 2007 to an estimated $4.1 billion in the year 2011.

This new report from Medtech Insight presents analyses of products, current and emerging markets, competitors, and opportunities in the U.S. directed energy-based surgical systems market.

Major topics covered by this report include aesthetics applications of directed energy-based surgical systems including cellulite treatment and body contouring, cutaneous vascular lesion management, hair removal, and skin resurfacing and rejuvenation; cardiovascular applications such as atherectomy, catheter-based and surgical arrhythmia ablation, lead removal, peripheral endovascular therapies, stroke management, and transmyocardial revascularization; cosmetic, general, and periodontic dentistry applications; gynecologic applications including menorrhagia management utilizing minimally invasive treatment systems; ophthalmic applications including age related macular degeneration, cataract surgery, diabetic retinopathy, glaucoma management, retinal detachment management, and vision correction; orthopedic applications including laser-assisted spinal surgery and radiofrequency-based spinal surgery; otorhinolaryngologic applications such as ablation/excision of laryngeal lesions, myringotomy, sinus surgery, stapedectomy, tonsillectomy, turbinectomy, and uvula palatoplasty; urologic applications including benign prostatic hyperplasia management, cryotherapy, extracorporeal shockwave lithotripsy, intracorporeal lithotripsy, photoselective vaporization of the prostate, transurethral microwave thermotherapy, and transurethral needle ablation.

TABLE OF CONTENTS:
EXECUTIVE SUMMARY

i.             Directed Energy-Based Surgery Overview

ii.           Aesthetic Applications

iii.           Cardiovascular Applications

iv.         Dental Applications

v.           Otorhinolaryngologic Applications

vi.         Gynecologic Applications

vii.         Ophthalmic Applications

viii.       Orthopedic Applications

ix.         Urologic Applications

x.           Combined Market Forecast

xi.         Methodology

 

Exhibit ES-1:       Clinical Applications of Cryogenic-Based Technologies

Exhibit ES-2:       Clinical Applications of Laser-Based Technologies

Exhibit ES-3:       Clinical Applications of Microwave-Based Technologies

Exhibit ES-4:       Clinical Applications of Radiofrequency-Based Technologies

Exhibit ES-5:       Clinical Applications of Ultrasound-Based Technologies

Exhibit ES-6:       Directed Energy-Based Aesthetic Systems, Market Forecast, 2006-2011

Exhibit ES-7:       Directed Energy-Based Cardiovascular Therapy Products, Market Forecast, 2006-2011

Exhibit ES-8:       Directed Energy-Based Dental Surgical Systems, Market Forecast, 2006-2011

Exhibit ES-9:       Directed Energy-Based Otorhinolaryngologic Systems, Market Forecast, 2006-2011

Exhibit ES-10:   Directed Energy-Based Global Endometrial Ablation Products, Market Forecast, 2006-2011

Exhibit ES-11:   Directed Energy-Based Ophthalmic Surgery Systems, Market Forecast, 2006-2011

Exhibit ES-12:   Directed Energy-Based Orthopedic Therapy Systems, Market Forecast, 2006-2011

Exhibit ES-13:   Directed Energy-Based Urologic Therapy Products, Market Forecast, 2006-2011

Exhibit ES-14:   Directed Energy-Based Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit ES-15:   Directed Energy-Based Surgical Systems, Market Forecast, 2006-2011

 

 

1. OVERVIEW OF DIRECTED ENERGY BASED SURGICAL SYSTEMS

1.1 Laser-Based Technologies

1.1.1 Types of Devices

1.1.1.1 Gaseous Laser Systems

1.1.1.2 Liquid Laser Systems

1.1.1.3 Semiconductor Laser Systems

1.1.1.4 Solid State Laser Systems

1.1.2 Clinical Applications

1.2 Microwave-Based Technologies

1.2.1 Clinical Applications

1.3 Radiofrequency-Based Technologies

1.3.1 Types of Devices

1.3.1.1 Monopolar Systems

1.3.1.2 Bipolar Systems

1.3.2 Clinical Applications

1.4 Ultrasound-Based Technologies

1.4.1 Types of Devices

1.4.1.1 Ultrasonic Aspiration Systems

1.4.1.2 Ultrasonic Cutting and Coagulation Systems

1.4.2 Clinical Applications

1.5 Cryogenic-Based Technologies

1.5.1 Clinical Applications

 

Exhibit 1-1:           Characteristic Features of Selected Medical Lasers

Exhibit 1-2:           Clinical Applications of Laser-Based Technologies

Exhibit 1-3:           Clinical Applications of Microwave-Based Technologies

Exhibit 1-4:           Clinical Applications of Radiofrequency-Based Technologies

Exhibit 1-5:           Clinical Applications of Ultrasound-Based Technologies

Exhibit 1-6:           Clinical Applications of Cryogenic-Based Technologies

 

2. AESTHETIC APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

2.1. Hair Removal/Reduction

2.1.1 Techniques/Products

2.1.2 Procedure Volumes

2.2 Aesthetic Skin Treatment

2.2.1 Ablative Skin Resurfacing Techniques/Products

2.2.2 Nonablative Skin Resurfacing Techniques/Products

2.2.3 Procedure Volumes

2.3 Cutaneous Vascular Lesion Treatment

2.3.1 Techniques/Products

2.3.2 Procedure Volumes

2.4 Cellulite/Body Contouring Treatment

2.4.1 Techniques/Products

2.4.2 Procedure Volumes

2.5 Directed Energy-Based Aesthetic Systems Market

2.5.1 Combined Market Forecast

2.5.2 Competitive Analysis

 

Exhibit 2-1:           2008, Selected Permanent Hair Removal/Reduction Systems

Exhibit 2-2:           Permanent Hair Removal/Reduction, Procedure Volumes Forecast, 2006-2011

Exhibit 2-3:           2008, Selected Skin Resurfacing/Rejuvenation Systems

Exhibit 2-4:           Skin Resurfacing/Rejuvenation, Procedure Volumes Forecast, 2006-2011

Exhibit 2-5:           2008, Selected Systems for the Treatment of Cutaneous Vascular Lesions

Exhibit 2-6:           Cutaneous Vascular Lesion Treatment, Procedure Volumes Forecast, 2006-2011

Exhibit 2-7:           2008, Selected Cellulite/Body Contouring Treatment Systems

Exhibit 2-8:           Cellulite/Body Contouring Treatment, Procedure Volumes Forecast, 2006-2011

Exhibit 2-9:           Directed Energy-Based Aesthetic Treatment, Combined Procedure Volumes Forecast, 2006-2011

Exhibit 2-10:       Directed Energy-Based Aesthetic Systems, Combined Market Forecast, 2006-2011

Exhibit 2-11:       2007, Combined Directed Energy-Based Aesthetic Systems Market, Share by Supplier

 

3. CARDIOVASCULAR APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

3.1 Cardiac Rhythm Management

3.1.1 Catheter-Based Arrhythmia Ablation

3.1.1.1 Techniques/Products

3.1.1.2 Procedure Volumes

3.1.2 Surgical Arrhythmia Ablation

3.1.2.1 Techniques/Products

3.1.2.2 Procedure Volumes

3.1.3 Cardiac Rhythm Management Device Lead Removal

3.1.3.1 Techniques/Products

3.1.3.2 Procedure Volumes

3.1.4 Combined Procedure Volumes Forecast

3.2 Coronary/Peripheral Reperfusion

3.2.1 Peripheral Endovascular Cryotherapy

3.2.1.1 Techniques/Products

3.2.1.2 Procedure Volumes

3.2.2 Laser Atherectomy

3.2.2.1 Techniques/Products

3.2.2.2 Procedure Volumes

3.2.3 Transmyocardial Revascularization

3.2.3.1 Techniques/Products

3.2.3.2 Procedure Volumes

3.2.4 Treatment of Acute Ischemic Stroke

3.2.4.1 Emerging Techniques/Technologies

3.2.5 Combined Procedure Volumes Forecast

3.3 Market Analysis

3.3.1 Cardiac Rhythm Management

3.3.1.1 Market Forecast

3.3.1.2 Competitive Analysis

3.3.2 Coronary/Peripheral Reperfusion

3.3.2.1 Market Forecast

3.3.2.2 Competitive Analysis

 

Exhibit 3-1:           2008, Selected Catheter-Based Arrhythmia Ablation Products

Exhibit 3-2:           Catheter-Based Arrhythmia Ablation, Procedure Volumes Forecast, 2006-2011

Exhibit 3-3:           2008, Selected Surgical Arrhythmia Ablation Systems

Exhibit 3-4:           Surgical Arrhythmia Ablation, Procedure Volumes Forecast, 2006-2011

Exhibit 3-5:           Cardiac Rhythm Management Device Lead Removal, Procedure Volumes Forecast, 2006-2011

Exhibit 3-6:           Cardiac Rhythm Management, Procedure Volumes Forecast, 2006-2011

Exhibit 3-7:           Peripheral Cryoplasty Therapy, Procedure Volumes Forecast, 2006-2011

Exhibit 3-8:           2008, Selected Laser Atherectomy Products

Exhibit 3-9:           Laser Atherectomy, Procedure Volumes Forecast, 2006-2011

Exhibit 3-10:       2008, Selected Transmyocardial Revascularization Systems

Exhibit 3-11:       Transmyocardial Revascularization, Procedure Volumes Forecast, 2006-2011

Exhibit 3-12:       Directed Energy-Based Coronary/Peripheral Reperfusion, Combined Procedure Volumes Forecast, 2006-2011

Exhibit 3-13:       Directed Energy-Based Cardiovascular Therapy, Procedure Volumes Forecast, 2006-2011

Exhibit 3-14:       Directed Energy-Based Cardiovascular Therapy Products, Market Forecast, 2006-2011

Exhibit 3-15:       Directed Energy-Based Cardiac Rhythm Management Products, Combined Market Forecast, 2006-2011

Exhibit 3-16         2007, Catheter-Based Arrhythmia Ablation Systems Market, Share by Supplier

Exhibit 3-17:       2007, Surgical Arrhythmia Ablation Systems Market, Share by Supplier

Exhibit 3-18:       Directed Energy-Based Coronary/Peripheral Reperfusion Products, Combined Market Forecast, 2006-2011

Exhibit 3-19:       2007, Transmyocardial Revascularization Products Market, Share by Supplier

 

4. DENTAL APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

4.1 General Dentistry

4.1.2 Treatment of Dental Caries

4.2 Periodontal Dentistry

4.2.1 Treatment of Gingivitis/Periodontitis

4.3 Prosthetic Dentistry

4.3.1 Treatment of Endentulism

4.4 Oral and Maxillofacial Surgery

4.5 Procedure Volumes Forecast

4.6 Dental Lasers Market

4.6.1 Products

4.6.1.1 Argon Laser Systems

4.6.1.2 Carbon Dioxide Laser Systems

4.6.1.3 Diode Laser Systems

4.6.1.4 Neodymium:Yttrium-Aluminum-Garnet Laser Systems

4.6.1.5 Erbium:Yttrium-Aluminum-Garnet Laser Systems

4.6.1.6 Hydrokinetic Erbium Laser Systems

4.7 Combined Market Forecast

4.8 Competitive Analysis

 

Exhibit 4-1:           Clinical Applications of Dental Laser Systems

Exhibit 4-2:           Advantages of Dental Laser Systems Compared to Standard/Mechanical Techniques

Exhibit 4-3:           Laser-Based Dental Techniques, Procedure Volumes Forecast, 2006-2011

Exhibit 4-4:           2008, Selected Dental Laser Systems

Exhibit 4-5:           Dental Laser Systems, Market Forecast, 2006-2011

Exhibit 4-6:           2007, Dental Laser Systems Market, Share by Supplier

 

5. OTORHINOLARYNGOLOGIC APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

5.1 Excision/Ablation of Laryngeal Lesions

5.2 Myringotomy

5.3 Sinus Surgery

5.4 Stapedotomy

5.5 Tonsillectomy

5.6 Turbinectomy

5.7 Uvulopalatoplasty

5.8 Techniques/Products

5.9 Procedure Volumes Forecast

5.10 Market Forecast

5.11 Competitive Analysis

 

Exhibit 5-1:           Otorhinolaryngologic Applications of Directed Energy-Based Technologies

Exhibit 5-2:           2008, Selected Directed Energy-Based Systems for Otorhinolaryngologic Applications

Exhibit 5-3:           Directed Energy-Based Otorhinolaryngologic Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit 5-4:           Directed Energy-Based Otorhinolaryngologic Systems, Market Forecast, 2006-2011

Exhibit 5-5:           2007, Directed Energy-Based Otorhinolaryngologic Systems Market, Share by Supplier

 

6. GYNECOLOGIC SURGERY APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

6.1 Abnormal Uterine Bleeding/Menorrhagia Management

6.1.1 Abnormal Uterine Bleeding/Menorrhagia Treatment

6.1.1.1 Dilation and Curettage

6.1.1.2 Hysterectomy

6.1.1.3 Hysteroscopy

6.1.1.4 Standard Endometrial Ablation

6.1.1.5 Global Endometrial Ablation

6.1.1.5.1 Hot Water Balloon Systems

6.1.1.5.2 Circulating Heated Saline Systems

6.1.1.5.3 Cryoablation Systems

6.1.1.5.4 Microwave Ablation Systems

6.1.1.5.5 Radiofrequency Ablation Systems

6.1.2 Procedure Volumes

6.1.3 Market Forecast

6.1.4 Competitive Analysis

 

Exhibit 6-1:           2008, Selected Global Endometrial Ablation Systems

Exhibit 6-2:           Advantages and Disadvantages of Selected Global Endometrial Ablation Technologies

Exhibit 6-3:           Global Endometrial Ablation, Procedure Volumes Forecast, 2006-2011

Exhibit 6-4:           Directed Energy-Based Global Endometrial Ablation Products, Market Forecast, 2006-2011

Exhibit 6-5:           2007, Directed Energy-Based Global Endometrial Ablation Products Market, Share by Supplier

 

7. OPHTHALMIC SURGERY APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

7.1 Ocular/Vitreoretinal Surgical Procedures

7.1.1 Age-Related Macular Degeneration

7.1.1.1 Visudyne Therapy

7.1.1.2 Transpupillary Thermotherapy Photocoagulation

7.1.1.3 Retinal Photocoagulation

7.1.2 Cataracts

7.1.2.1 Ultrasonic Phacoemulsification

7.1.2.2 Laser-Based Cataract Removal

7.1.3 Diabetic Retinopathy

7.1.4 Glaucoma

7.1.5 Retinal Detachment

7.1.6 Products

7.1.7 Procedure Volumes

7.2 Refractive Surgical Procedures

7.2.1 Vision Correction Techniques

7.2.1.1 Photorefractive Keratectomy

7.2.1.2 Laser In Situ Keratomileusis

7.2.1.2.1 Laser Epithelial Keratomileusis

7.2.1.2.2 Custom Laser In Situ Keratomileusis

7.2.1.3 Nonablative Vision Correction

7.2.2 Products

7.2.3 Procedure Volumes

7.3 Directed Energy-Based Ophthalmic Surgery Systems Market

7.3.1 Market Analysis

7.3.2 Competitive Analysis

 

Exhibit 7-1:           2008, Selected Ocular/Vitreoretinal Surgery Systems

Exhibit 7-2:           Directed Energy-Based Ocular/Vitreoretinal Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit 7-3:           2008, Selected Refractive Surgery Systems

Exhibit 7-4:           Directed Energy-Based Refractive Surgery, Procedure Volumes Forecast, 2006-2011

Exhibit 7-5:           Directed Energy-Based Ophthalmic Surgery Systems, Combined Market Forecast, 2006-2011

Exhibit 7-6:           Directed Energy-Based Ocular/Vitreoretinal Surgery Systems, Market Forecast, 2006-2011

Exhibit 7-7:           Directed Energy-Based Refractive Surgery Systems, Market Forecast, 2006-2011

Exhibit 7-8:           2007, Directed Energy-Based Cataract Surgery Systems Market, Share by Supplier

Exhibit 7-9:           2007, Directed Energy-Based Vitreoretinal Surgery Systems Market, Share by Supplier

Exhibit 7-10:       2007, Directed Energy-Based Refractive Surgery Systems Market, Share by Supplier

 

8. ORTHOPEDIC SURGERY APPLICATIONS OF DIRECTED ENERGY BASED TECHNOLOGIES

8.1 Directed Energy-Based Techniques for Arthroscopy Applications

8.1.1 Clinical Indications

8.1.2 Procedure Volumes

8.1.3 Products

8.2 Directed Energy-Based Techniques for Spine Surgery Applications

8.2.1 Discectomy

8.2.2 Laminectomy/Laminotomy

8.2.3 Spinal Fusion

8.2.4 Laser-Assisted Spine Surgery

8.2.5 Radiofrequency-Based Spine Surgery

8.2.6 Procedure Volumes

8.3 Market Analysis

8.4 Competitive Analysis

 

Exhibit 8-1:           Arthroscopy, Procedure Volumes Forecast, 2006-2011

Exhibit 8-2:           2008, Selected Arthroscopic Surgery Systems

Exhibit 8-3:           2008, Selected Arthroscopic Spine Surgery Systems

Exhibit 8-4:           Spinal Decompression, Procedure Volumes Forecast, 2006-2011

Exhibit 8-5:           Directed Energy Based Orthopedic Therapy Systems, Market Forecast, 2006-2011

Exhibit 8-6:           Directed Energy-Based Arthroscopy Products, Market Forecast, 2006-2011

Exhibit 8-7:           Directed Energy-Based Spine Surgery Systems, Market Forecast, 2006-2011

Exhibit 8-8:           2007, Directed Energy-Based Arthroscopy Products Market, Share by Supplier

Exhibit 8-9:           2007, Directed Energy-Based Spine Surgery Systems Market, Share by Supplier

 

9. UROLOGIC APPLICATIONS OF DIRECTED ENERGY BASED TECHOLOGIES

9.1 Benign Prostatic Hyperplasia

9.1.1 Transurethral Microwave Thermotherapy

9.1.2 Transurethral Needle Ablation

9.1.3 Laser-Based Therapy

9.1.3.1 Visual Laser Ablation of the Prostate

9.1.3.2 Interstitial Laser Coagulation

9.1.3.3 Holmium Laser Enucleation of the Prostate

9.1.3.4 Photoselective Vaporization of the Prostate

9.1.4 Water-Induced Thermotherapy

9.1.5 Products

9.1.6 Procedure Volumes

9.1.7 Market Forecast

9.1.8 Competitive Analysis

9.2 Prostate Cancer

9.2.1 Cryotherapy

9.2.2 Products

9.2.3 Procedure Volumes

9.2.4 Market Forecast

9.2.5 Competitive Analysis

9.3 Urinary Stone Disease

9.3.1 Extracorporeal Shock Wave Lithotripsy

9.3.1.1 Products

9.3.1.2 Procedure Volumes

9.3.2 Intracorporeal Lithotripsy

9.3.2.1 Electrohydraulic Lithotripters

9.3.2.2 Laser Lithotripsy

9.3.2.3 Pneumatic Lithotripsy

9.3.2.4 Ultrasonic Lithotripsy

9.3.2.5 Products

9.3.2.6 Procedure Volumes

9.3.3 Market Forecast

9.3.4 Competitive Analysis

9.4 Directed Energy-Based Urologic Therapy Systems Market

 

Exhibit 9-1:           2008, Selected Minimally Invasive Benign Prostatic Hyperplasia Therapy Products

Exhibit 9-2:           Minimally Invasive Benign Prostatic Hyperplasia Therapy, Procedure Volumes Forecast, 2006-2011

Exhibit 9-3:           Minimally Invasive Benign Prostatic Hyperplasia Therapy Products, Market Forecast, 2006-2011

Exhibit 9-4:           2007, Minimally Invasive Benign Prostatic Hyperplasia Therapy Products Market, Share by Supplier

Exhibit 9-5:           2008, Selected Prostate Cancer Cryotherapy Systems

Exhibit 9-6:           Prostate Cancer Cryotherapy, Procedure Volumes Forecast, 2006-2011

Exhibit 9-7:           Prostate Cancer Cryotherapy Products, Market Forecast, 2006-2011

Exhibit 9-8:           2007, Prostate Cryotherapy Products Market, Share by Supplier

Exhibit 9-9:           2008, Selected Extracorporeal Shock Wave Lithotripsy Systems

Exhibit 9-10:       Extracorporeal Shock Wave Lithotripsy, Procedure Volumes Forecast, 2006-2011

Exhibit 9-11:       2008, Selected Intracorporeal Lithotripsy Systems

Exhibit 9-12:       Intracorporeal Lithotripsy, Procedure Volumes Forecast, 2006-2011

Exhibit 9-13:       Urinary Stone Management Products, Combined Market Forecast, 2006-2011

Exhibit 9-14:       2007, Extracorporeal Shock Wave Lithotripsy Products Market, Share by Supplier

Exhibit 9-15:       2007, Intracorporeal Lithotripsy Products Market, Share by Supplier

Exhibit 9-16:       Directed Energy-Based Urologic Therapy Products, Combined Market Forecast, 2006-2011

 

10. COMPANY PROFILES

10.1         Advanced Medical Optics, Inc.

10.2         Alcon, Inc./Nestle SA

10.3         American Medical Systems Holdings, Inc.

10.4         ArthroCare Corporation

10.5         AtriCure, Inc.

10.6         Bausch & Lomb, Inc.

10.7         BIOLASE Technology, Inc.

10.8         Boston Scientific Corporation

10.9         Cutera, Inc.

10.10     Dornier MedTech

10.11     Endocare, Inc.

10.12     Cardiogenesis Corporation

10.13     Gyrus ACMI/Olympus Corporation

10.14     Hologic, Inc.

10.15     Johnson & Johnson

10.16     Lumenis LTD

10.17     Medtronic, Inc.

10.18     Palomar Medical Technologies, Inc.

10.19     Smith & Nephew PLC

 

APPENDIX:   COMPANY LISTING

COMPANIES COVERED:

  1. Advanced Medical Optics, Inc.
  2. Alcon, Inc./Nestle SA
  3. American Medical Systems Holdings, Inc.
  4. ArthroCare Corporation
  5. AtriCure, Inc.
  6. Bausch & Lomb, Inc.
  7. BIOLASE Technology, Inc.
  8. Boston Scientific Corporation
  9. Cutera, Inc.
  10. Dornier MedTech
  11. Endocare, Inc.
  12. Cardiogenesis Corporation
  13. Gyrus ACMI/Olympus Corporation
  14. Hologic, Inc.
  15. Johnson & Johnson
  16. Lumenis LTD
  17. Medtronic, Inc.
  18. Palomar Medical Technologies, Inc.
  19. Smith & Nephew PLC
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