THIS REPORT CONTAINS
- The global market for MIS devices and instruments was worth an estimated
$13.4 billion in 2010. The market is expected to reach $14.4 billion in 2011
and $21.1 billion by 2016, a compound annual growth rate (CAGR) of 7.9%
between 2011 and 2016.
- Cardiothoracic surgery was the largest application segment for MIS devices
and equipment in 2010, representing 68% of the total market.
- Orthopedic surgery is the fastest growing application segment, with a CAGR
of 11.2% between 2011 and 2016, followed by cardiothoracic surgery (8%) and
vascular surgery (7.8%).
MINIMALLY INVASIVE SURGERY
Minimally invasive surgery is performed without making a major incision or
opening, resulting in fewer traumas for the patient and yielding significant
cost savings. These are results of shorter hospitalization times and reduced
therapy requirements. Other benefits of minimally invasive surgery are less
pain, less need for postsurgical pain medication, less scarring, and less
likelihood of complications related to the incision.
Thus, minimally invasive surgery is defined either as based on the operative
procedure (e.g., small incisions) or the outcome (reduced surgical
complications or costs). However, minimally invasive is not the same as minor
surgery. Some "minimally invasive" procedures, (e.g., coronary artery bypass
surgery), are still major operations requiring a hospital stay.
In minimally invasive surgery, a miniature camera is introduced into the body
through a small incision. It transmits images to a video monitor, enabling
the physician to diagnose and, if necessary, treat a variety of conditions.
To do this, the physician inserts surgical instruments and auxiliary devices,
such as irrigation and drainage devices, through one or more small incisions.
Minimally invasive procedures share some important characteristics with
minimally invasive surgery, but should not be confused with either ambulatory
("walk-in") or noninvasive surgery.
MINIMALLY INVASIVE SURGERY VS. AMBULATORY SURGERY
Some types of minimally invasive surgery can be performed in an ambulatory
(nonhospital) setting, but minimally invasive surgery is not necessarily
identical with ambulatory surgery. Attempts to delineate minimally invasive
surgery from ambulatory surgery, on the basis of incision size or use of an
endoscope or other device to look inside the patient' s body, run into too many
exceptions to be very useful.
Perhaps the best way to distinguish minimally invasive surgery from other
types of ambulatory surgery is to define it as surgery that if performed using
conventional open-incision techniques, requires hospital admission. This
definition excludes such minor surgical procedures as vasectomies. These
almost never are performed separately in a hospital setting.
MINIMALLY INVASIVE SURGERY VS. NONINVASIVE SURGERY
In a sense, the ultimate minimally invasive surgery does not require any
incision or physical entry into the patient' s body. Examples include the use
of ultrasound to break up gallstones and radiation to shrink or kill tumors.
For purposes of this report, only those surgical procedures that involve
physical access to the body through an incision or a natural orifice are
considered minimally invasive surgery.
A growing number of surgical procedures are carried out using minimally
invasive techniques. This has created a multibillion-dollar market for
specialized devices and instruments used for these procedures. They include
monitors and imaging equipment, electrosurgical devices, handheld instruments,
auxiliary devices, and accessories.
Because the use of these products is increasing so rapidly, there is a
pressing need to develop an up-to-date base of market information to better
understand the dynamics of the market for minimally invasive surgical devices
and instruments. More than two years have passed since BCC Research published
the previous edition of this study, "Trends in the Noninvasive and Minimally
invasive Medical Device Market" (HLC051E). It analyzed key growth areas and
developed quantitative market projections.
Since then, the market has continued to evolve. The population served by
established markets is aging, bringing new surgical needs, while new markets
are opening up. Technological advances have expanded the range of surgical
procedures that can be performed using minimally invasive techniques, while
giving physicians new tools for the diagnosis and treatment of injuries and
Meanwhile, the structure of the healthcare industry is changing, as
traditional hospitals consolidate and other healthcare options become
available to consumers. This study attempts to give management readers the
information and analysis they need to deal with these challenges.
STUDY GOALS AND OBJECTIVES
This study meets these needs by analyzing global markets for minimally
invasive surgical devices and instruments (see Scope and Format for a
definition of these devices) in light of the most recent available
information. In addition to looking at current and future markets, the study
will analyze technological, demographic, and economic developments that may
have a long-term impact on the size and structure of the market for minimally
invasive devices and instruments. This report also provides an analysis of the
market for minimally invasive devices and instruments by type of surgical
procedure, device, end user, and region. The future of minimally invasive
surgical equipment also will be discussed, with forecasts for consumption of
More specific objectives are to:
- Identify and segment the main types of minimally invasive devices and
instruments that have been commercialized to date.
- Analyze the historical and current volume and value of shipments of each
of these product segments in specified end user and geographic markets.
- Identify and evaluate the impact of demographic, economic, and other
factors that will drive future demand for minimally invasive devices.
- Forecast the volume and value of shipments of the product segments by the
probabilities that future demand will be higher or lower than the baseline
- Identify promising new surgical procedures and products still in the
development and testing stage, and assess the probability that they will be
commercialized successfully in the next five years.
- Forecast the potential market for these developmental procedures and
products, taking into account the estimated probability that they will be
- Identify leading device manufacturers and analyze the structure of the
minimally invasive surgical devices industry (e.g., market shares,
concentration, and recent M&A activity).
- Assess the long-term outlook for minimally invasive surgical devices,
taking into account market opportunities, as well as technological, financial,
and economic factors.
The report has been written for the minimally invasive surgical interest
community, but it is especially tailored for readers with an interest in the
marketing and management dimensions of minimally invasive surgical (MIS)
devices and instruments. This especially includes readers in:
- The medical and surgical devices industry
- Medical research institutions
- The investment community
- The financial and analyst community
SCOPE AND FORMAT OF REPORT
This report is an analytical business tool whose primary purpose is to
describe the minimally invasive surgical devices industry and the U.S. market
for these devices. The scope of the study does not include:
- Devices and instruments used exclusively for traditional open surgical
procedures (e.g., heart-lung machines)
- Devices and equipment used exclusively in an ambulatory surgery setting
- Equipment for nonsurgical types of therapy such as radiation
The format of the study is organized around the following topics:
- Major types and applications of minimally invasive surgical devices and
- Industry structure
- Market size and segmentation, including historical data on sales by
application, product type, end-user group, and geographical market
- Market drivers
- Detailed market projections through 2016
- Competition and market shares
- Observations and conclusions regarding the future of minimally invasive
surgical devices and instruments
METHODOLOGY AND INFORMATION SOURCES
Both primary and secondary research methodologies were used in preparing this
study. Findings and conclusions are based on information gathered from
manufacturers and users of minimally invasive surgical devices, as well as
other informed sources. Interview data were combined with information
gathered from an extensive review of secondary sources, such as trade
publications, trade associations, company literature, and online databases to
produce the market estimates contained in this report.
The base year for analysis and projection is 2010. With 2010 as a baseline,
market projections were developed for 2011 to 2016. These projections are
based on a consensus of primary contacts combined with BCC Research' s
understanding of the key market drivers and their impact from a historical and
analytical perspective. The analytical methodologies used to generate the
market estimates are described in detail in the section on Detailed Market
All dollar projections presented in this report are in 2010 constant dollars.
Andrew McWilliams is the author of this report. He is a partner in the
Boston-based international technology and marketing consulting firm, 43rd
Parallel LLC. Mr. McWilliams also is the author of several other BCC Research
studies of the surgical and related healthcare markets.