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.
This dynamic report from Medtech Insight includes analyses of products, markets, competitors, and emerging technology and opportunities in the U.S. specialty endoscopic surgery products market. Product areas include: specialty endoscopes, hand instruments, trocars, suction/irrigation and fluid management systems, robotic-assisted minimally invasive surgery systems, and surgical navigation systems.
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.
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 188.8.131.52 Specialty Endoscopes 184.108.40.206 Endoscopic Video Products 1.2.3 Specialty Hand Instruments 220.127.116.11 Scissors 18.104.22.168 Forceps 22.214.171.124 Graspers and Retractors 126.96.36.199 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 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.2 Ear, Nose, and Throat Procedures 2.2.1 Adenoidectomy 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.2.2 Ear Surgery 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.2.3 Laryngeal Surgery 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.2.4 Sinus and Nasal Surgery 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.2.5 Thyroidectomy 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.2.6 Tonsillectomy 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.2.7 Uvulopalatoplasty 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.3 Neuroendoscopy 2.3.1 Deep Brain Biopsy 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.3.2 Cyst Drainage 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.3.3 Ventriculostomy 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.4 Spinal Arthroscopy 2.4.1 Arthroscopic Microdiscectomy 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.5 Thoracoscopy 2.5.1 Esophagectomy 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.5.2 Exploration and Lung Biopsy 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.5.3 Mediastinal Cyst and Tumor Resection 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.5.4 Pneumonectomy 188.8.131.52 Instrumentation 184.108.40.206 Surgical Technique 2.5.5 Spontaneous Pneumothorax Treatment 220.127.116.11 Instrumentation 18.104.22.168 Surgical Technique 2.5.6 Transthoracic Sympathectomy 22.214.171.124 Instrumentation 126.96.36.199 Surgical Technique 2.5.7 Video-Assisted Thoracoscopic Lobectomy 188.8.131.52 Instrumentation 184.108.40.206 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