Neurosurgery encompasses multiplicity of surgical procedures involving various tissues of the central nervous system, and include surgical interventions performed on the brain and skull, spinal cord and spinal canal, cranial and peripheral nerves, as well as the sympathetic nerves. This report focuses on procedures and products used in traditional "open" neurosurgical interventions, or those requiring direct intracranial access, including neurosurgical instruments used for gaining access to, cutting and removing diseased tissue, electrosurgical devices used for tissue ablation and vessel coagulation in the treatment of hemorrhage, and ultrasonic aspiration systems employed in fragmentation and removal of tissue.
Neurointerventional radiology employs a variety of standard and application-specific transcatheter tools and techniques for treatment of cerebrovascular pathologies [such as aneurysms, arteriovenous malformations (AVMs), acute and chronic thromboembolic and atherosclerotic occlusions] that prompt clinically significant distortions of cerebral blood flow and carry a high risk of catastrophic breakdowns of cerebrovascular circulation manifested by hemorrhagic or ischemic stroke. This report provides a market analysis of transcatheter embolization systems for cerebral aneurysms and AVMs, adjuvant embolic coil containment stenting (used for management of wide-neck aneurysms), novel specialty stent/graft-based flow redirection devices for large wide-neck aneurysms, distally protected carotid artery stenting systems (for treatment of high-grade carotid stenosis), intracranial stents HDE-approved for management of symptomatic intracerebral stenosis, and mechanical cerebral thrombectomy systems targeting selected patient subsets with acute ischemic stroke.
The third area analyzed in this report includes image-guided neurosurgical navigation systems used for intraoperative guidance of surgical instruments in complex intracranial and other surgical procedures, and external beam radiotherapy (EBRT) systems (e.g., Gamma Knife and linear accelerator/LINAC platforms) employed in adjuvant and primary treatment of various oncological and other pathologies characterized by abnormal brain lesions.
In 2013, the total combined U.S. neurosurgical and neurointerventional products market was valued at approximately $1.5 billion. Over the forecast period covered by this report, total sales are expected to increase at a compound annual rate of 4.2%, reaching more than $1.8 billion in the year 2018.
Of the three core markets, neurointerventional systems are expected to exhibit the highest growth, with U.S. revenues forecast to increase at a moderate, single-digit (yet comparatively healthy) compound annual rate of 6.5% over the next 5 years. Gains will be supported by anticipated strong advances in distally protected carotid stenting (CAS) and cerebral thrombectomy systems revenues. In comparison, the second largest segment-the neurosurgical instrument/devices market-is expected to increase at a lower compound annual rate of 2.6%. Modest advances in the technologically and a clinically mature neurosurgical instrument/device group will be driven by organic epidemiology trends, augmented by modest device price inflation. The smallest of the three core markets discussed in this report-image-guided neurosurgical navigation and radiotherapy systems-is forecast to increase at a low yet steady compound annual rate of 1.9%.
EXECUTIVE SUMMARY i. Neurosurgery ii. Neurointerventional Radiology iii. Image-Guided Surgical Navigation Systems iv. External Beam Radiotherapy Systems v. Total U.S. Neurosurgical and Neurointerventional Products Market vi. Methodology Exhibit ES-1: Neurosurgical, Neurointerventional and Image-Guided Neurosurgical Navigation & Radiotherapy Systems, Sales by Major Segment, 2013-2018 Exhibit ES-2: 2013, Neurosurgical, Neurointerventional and Image-Guided Neurosurgical Navigation & Radiotherapy Systems, Share by Segment Exhibit ES-3: 2018, Neurosurgical, Neurointerventional and Image-Guided Neurosurgical Navigation & Radiotherapy Systems, Share by Segment Exhibit ES-4: Neurosurgical, Neurointerventional and Image-Guided Neurosurgical Navigation & Radiotherapy Systems, Combined Market Forecast, 2013-2018 1. NEUROSURGICAL DEVICES MARKET 1.1 Handheld Neurosurgical Instruments 1.1.1 Market Analysis 1.1.2 Competitive Analysis 1.2 Powered Neurosurgical Instruments and Accessories 1.2.1 Market Analysis 1.2.2 Competitive Analysis 1.3 Electrosurgical Systems 1.3.1 Market Analysis 1.3.2 Competitive Analysis 1.4 Ultrasonic Aspiration Systems 1.4.1 Market Forecast 1.4.2 Competitive Analysis 1.5 Surgical Clipping Systems for Intracranial Aneurysms and AVMs 1.5.1 Market Forecast 1.5.2 Competitive Analysis 1.6 Cerebrospinal Fluid Management Systems 1.6.1 Market Analysis 1.6.2 Competitive Analysis 1.7 Cranial Closure and Dural Repair Systems 1.7.1 Cranial Fixation and Other Skull Closure Devices 1.7.2 Bone Cement and Bone Substitute Materials 1.7.3 Dural Repair Systems 1.7.4 Market Analysis 1.7.5 Competitive Analysis Exhibit 1-1: 2014, Commonly Used Handheld Neurosurgical Instruments Exhibit 1-2: 2014, Craniotomy Tray, Representative Instruments Exhibit 1-3: Handheld Neurosurgical Instruments Market Forecast, 2013-2018 Exhibit 1-4: 2013, Handheld Neurosurgical Instruments Market, Share by Supplier Exhibit 1-5: Powered Neurosurgical Instruments Market Forecast, 2013-2018 Exhibit 1-6: 2013, Powered Neurosurgical Instruments Market, Share by Supplier Exhibit 1-7: Neurosurgery-Attributable Electrosurgical Systems Market Forecast, 2013-2018 Exhibit 1-8: 2013, Neurosurgical Electrosurgical Systems Market, Share by Supplier Exhibit 1-9: Neurosurgical Ultrasonic Aspiration Products Market Forecast, 2013-2018 Exhibit 1-10: 2013, Neurosurgical Ultrasonic Aspiration Systems, Share by Supplier Exhibit 1-11: Cerebral Aneurysm/AVM Clip Systems Market Forecast, 2013-2018 Exhibit 1-12: 2013, Cerebral Aneurysm/AVM Clip Systems, Share by Supplier Exhibit 1-13: CSF Management Products Market Forecast, 2013-2018 Exhibit 1-14: 2013, CSF Management Systems, Share by Supplier Exhibit 1-15: Cranial Fixation/Closure and Dural Repair Products Market Forecast, 2013-2018 Exhibit 1-16: 2013, Cranial Fixation/Closure Products, Share by Supplier Exhibit 1-17: 2013, Dural Repair Products, Share by Supplier 2. NEUROINTERVENTIONAL DEVICES MARKET 2.1 Cerebral Aneurysm and AVM Embolization Systems 2.1.1 Market Forecast 2.1.2 Competitive Analysis 2.2 Stent-Based Embolization Enabling Systems 2.2.1 Market Forecast 2.2.2 Competitive Analysis 2.3 Carotid Artery Stenting Systems 2.3.1 CREST Trial Results 2.3.2 Market Forecast 2.3.3 Competitive Analysis 2.4 Intracranial Stenting Systems for Ischemic Stroke Indications 2.4.1 Clinical Experience with Intracranial Stents 2.4.2 Market Forecast 2.5 Cerebral Thrombectomy Systems 2.5.1 Market Forecast 2.5.2 Competitive Analysis Exhibit 2-1: Cerebral Aneurysm & AVM Endovascular Embolization Systems Market Forecast, 2013-2018 Exhibit 2-2: 2013, Cerebral Aneurysm & AVM Endovascular Embolization Systems Market, Share by Supplier Exhibit 2-3: Wide-Neck Cerebral Aneurysm Embolization-Enabling Stent Systems Market Forecast, 2013-2018 Exhibit 2-4: 2013, Wide-Neck Cerebral Aneurysm Embolization-Enabling Stent Systems Market, Share by Supplier Exhibit 2-5: Distally Protected Carotid Artery Stenting Market Forecast, 2013-2018 Exhibit 2-6: 2013, Distally Protected Carotid Artery Stenting Systems Market, Share by Supplier Exhibit 2-7: Intracranial Stenting Systems Market Forecast, 2013-2018 Exhibit 2-8: Cerebral Thrombectomy Systems Market Forecast, 2013-2018 Exhibit 2-9: 2013 Cerebral Thrombectomy Systems Market, Share by Supplier 3. IMAGE-GUIDED NEUROSURGERY AND RADIOTHERAPY SYSTEMS MARKET 3.1 Image-Guided Surgical Navigation Systems 3.2 External Beam Radiotherapy Systems 3.2.1 Gamma Knife System 3.2.2 Linear Accelerator Systems 3.3 Image-Guided Surgical Navigation & Radiotherapy Systems Market 3.3.1 Surgical Navigation System Segment 184.108.40.206 Market Analysis 220.127.116.11 Competitive Analysis 3.3.2 External Beam Radiotherapy Systems Segment 18.104.22.168 Market Forecast 22.214.171.124 Competitive Analysis Exhibit 3-1: Selected Characteristics of Commonly Performed Image-Guided Neurosurgical Procedures Exhibit 3-2: Image-Guided Surgical Navigation and Radiotherapy Systems Market Forecast, including Estimated Neuro-Attributable Sales, 2013-2018 Exhibit 3-3: Image-Guided Surgical Navigation Systems Market Forecast, Including Estimated Neuro-Attributable Revenues, 2013-2018 Exhibit 3-4: 2013, Image-Guided Surgical Navigation Systems Market, Share by Supplier Exhibit 3-5: External Beam Radiotherapy Systems Market Forecast, Including Estimated Neuro-Attributable Revenues, 2013-2018 Exhibit 3-6: 2013, External Beam Radiotherapy Systems Market, Share by Supplier APPENDIX: COMPANY LISTING