U.S. MARKETS FOR NEUROSURGICAL AND NEUROINTERVENTIONAL PRODUCTS

116 Pages | 36 Exhibits | 2014 Analysis | Forecasts Through 2018 Product Family: Market Reports




OVERVIEW:
This dynamic, new report from Medtech Insight includes analyses of selected products, current/forecast markets, surgical procedure volumes, competitors, market share by supplier, and opportunities in the U.S. Neurosurgical and Neurointerventional Products Market. Specifically, this report covers neurosurgical, neurointerventional and image-guided surgical navigation and brain radiotherapy systems used for the treatment of several acute and chronic disorders such as benign and malignant neoplasms, hemorrhagic and ischemic stroke, hydrocephalus, intracranial aneurysms and arterio-venous malformations, and epilepsy.

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%.

TABLE OF CONTENTS:
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
		3.3.1.1 Market Analysis
		3.3.1.2 Competitive Analysis
	3.3.2 External Beam Radiotherapy Systems Segment
		3.3.2.1 Market Forecast
		3.3.2.2 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


COMPANIES COVERED:

  1. Abbott Vascular/Abbott Laboratories
  2. Accuray Incorporated
  3. ACRA-CUT, Inc.
  4. Aesculap/B. Braun Melsungen AG
  5. BestNomos
  6. Biomet Microfixation/Biomet, Inc.
  7. Brainlab Corporation
  8. Carefusion Corporation
  9. Codman Neuro/DePuy Synthes/Johnson & Johnson
  10. ConMed
  11. Cordis/Johnson & Johnson
  12. Covidien plc
  13. Elekta AB
  14. GE Healthcare/GE
  15. Integra LifeSciences Corporation
  16. Johnson & Johnson
  17. Kinamed, Inc.
  18. Medtronic
  19. MicroVention Terumo
  20. Mizuho America, Inc./Mizuho Corporation
  21. Penumbra, Inc.
  22. Philips Healthcare/Royal Philips
  23. Soring GmbH
  24. Stryker
  25. Varian Medical Systems
  26. Zimmer
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