The US market for surgical navigation systems - comprising navigation
platforms for neurosurgery; spine; ear, nose, and throat (ENT); and orthopedic
navigation applications - will experience moderate growth through 2016. Over
the forecast period, growth in this market will be fueled by continued
awareness of the clinical benefits associated with surgical navigation,
increasing procedure volumes, and a rising demand for minimally invasive
surgery. Hospital budget constraints will continue to be the main limiter in
the market because many smaller hospitals in the US are unable to afford
surgical navigation systems. Slight declines in average selling prices (ASPs),
however, will somewhat counteract this effect by making the systems more
affordable, which will boost system adoption, especially in the
price-conscious ENT navigation market. Overall, the advantages of these
systems will spur an increase in unit sales, which will result in continued
growth in the market through the forecast period.
METHODOLOGY
RESEARCH METHODOLOGY
This report uses a number of methodologies to gather and present data and
analysis. At the outset, a large survey of secondary sources is conducted.
These sources act as the basis for the primary research stage, which builds
and enhances the quantitative and qualitative attributes of the early research.
Secondary sources include:
government publications, such as documentation from securities
commissions, health care and statistical agencies, and regulatory and patent
authorities;
material provided by medical technology companies, including annual
reports, product brochures, and corporate profiles;
internal databases and reports, including previous reports on similar or
related topics; and
general Internet searches, medical literature, and newspaper and magazine
searches to identify various centers of specialization and articles that might
provide leads for primary research.
The secondary research stage builds the foundation for the primary research.
The primary research methodology has four steps:
Step 1: The first step involves an impartial scan of all the
information gathered during the secondary research stage to determine its
utility based on the specific requirements of this report. Each piece of
information is either discarded or marked as high- or low-priority and then
organized appropriately as determined by the structure and sectioning of the
report.
Step 2: At this stage, early assumptions are formed as to the
implications of the information for the various market segments. These
assumptions are then used to determine hypotheses using both inductive and
deductive approaches. On the quantitative front, these hypotheses result in
full historical and projected market data sets (market sizes - unit sales,
ASPs, and revenues - as well as market shares).
Step 3: At this stage, the research is in position for its most
important primary phase - expert interviews. Throughout the secondary research
phase, industry and medical experts are identified.
These experts are then contacted by telephone and asked to participate in
interviews on recent trends and developments in the industry. Interviews are
either conducted at the time of the initial call or scheduled at the
convenience of the expert. Interview questions are tailored to the expertise
of each particular interviewee, although in most cases, the most important
questions are asked of all experts.
The questions are largely based on the assumptions and hypotheses developed in
Step 2, which are then augmented, discarded, or adjusted based on the views
and positions put forth. Attempts are made, whenever possible, to cross-check
the views of various experts against each other and to reach positions of
consensus on issues and market numbers.
In some cases, a sample of relevant physicians is surveyed or interviewed.
Physicians are asked to comment on various issues and trends, both in their
own practice and in the overall market. The responses provided are then used
to strengthen or augment the assumptions and hypotheses developed during the
primary research phase.
Step 4: The final stage of primary research involves individual and
group analysis by Millennium Research Group. All research results are assessed
and cross-checked thoroughly to determine their validity, relevance, and
weight. From this process, qualitative conclusions are reached and data points
finalized.
MARKETRACK METHODOLOGY
Millennium Research Group's Marketrack methodology involves recruiting
hospital personnel responsible for the management of medical equipment and
procedures to participate by providing procedure volumes, device usage data,
and brand-level pricing information on an ongoing basis. Hospital respondents
include facility managers, nurses, administrators, and physicians. Information
is generally collected on a quarterly basis and includes, but is not limited
to, numbers and types of procedures performed and devices used.
FORECAST METHODOLOGY
In addition to the research methodology outlined above, the following
"bottom-up" methodology is used to develop forecast assumptions for the report.
A comprehensive breakdown of various procedures and device unit sales is
prepared using data from several sources, including professional associations,
government statistics, and private research/media sources. Industry experts
and practitioners are consulted to ensure accuracy and verify observed trends.
As a cross-check, total industry revenues available through annual reports and
other sources are compared against modeled industry revenues.
Using the best estimates of industry experts, practitioners, private
research/media sources, and inhouse experts, year-by-year growth rates and
ASPs are applied individually to each subcategory to derive forecasts. These
estimates are cross-checked by industry experts (marketing managers, product
managers, company executives, etc.) and further refined.
Overall findings are compared against market and procedure forecasts published
by other sources to ensure reasonable estimates.
Companies mentioned in this report:
Aesculap
B. Braun
Brainlab
COMPASS International Innovations
Corindus
DePuy
Hansen Medical
Integra LifeSciences
Medtronic
NeuroLogica
Novadaq Technologies
Pathfinder Therapeutics
Philips Healthcare
Siemens Healthcare
Stereotaxis
St. Jude Medical
Stryker
Zimmer
Table of Contents
Table of Contents
TABLE OF CONTENTS
LIST OF FIGURES AND TABLES
EXECUTIVE SUMMARY
1. COUNTRY OVERVIEW
1.1. Demographics and Economy
1.2. Health Care System
1.3. Regulatory Environment
2. CLINICAL LANDSCAPE
2.1. Background
2.1.1. Neurological Condition Overview
2.1.1.1. Hydrocephalus
2.1.1.2. Communicating Hydrocephalus
2.1.1.3. Obstructive Hydrocephalus
2.1.1.4. Normal Pressure Hydrocephalus
2.1.1.5. Brain Tumors
2.1.1.6. Intracranial Pressure
2.1.1.7. Intracranial Aneurysm
2.1.1.8. Intracranial Atherosclerosis Disease
2.1.2. Spinal Condition Overview
2.1.2.1. Herniated Disc
2.1.2.2. Spinal Stenosis
2.1.2.3. Spondylosis
2.1.2.4. Spondylolisthesis
2.1.2.5. Scoliosis
2.1.2.6. Lordosis
2.1.2.7. Kyphosis
2.1.3. ENT Condition Overview
2.1.3.1. Otitis Media
2.1.3.2. Cholesteatomas
2.1.3.3. Otosclerosis
2.1.3.4. Chronic Sinusitis
2.1.3.5. Turbinate Hypertrophy
2.1.3.6. Tonsillitis
2.1.4. Orthopedic Condition Overview
2.1.4.1. Fractures
2.1.4.2. Osteoporosis
2.1.4.3. Arthritis
2.2. Procedure Overviews
2.2.1. Surgical Navigation System Procedures
2.2.1.1. Neurosurgical Procedures
2.2.1.2. Spinal Procedures
2.2.1.3. ENT Procedures
2.2.1.4. Orthopedic Procedures
2.2.1.4.1. Reconstructive Knee Implant Procedures
2.2.1.4.2. Reconstructive Hip Implant Procedures
3. PRODUCTS
3.1. Product Descriptions
3.1.1. Revenue Recognition
3.1.2. Purchase Criteria
3.1.2.1. Accuracy
3.1.2.2. Price
3.1.2.3. Ease-of-Use
3.1.2.4. Service and Support
3.2. Surgical Navigation Technologies
3.2.1. Functions
3.2.1.1. Components of a Surgical Navigation System
3.2.1.1.1. Registration Devices
3.2.1.1.2. Intraoperative Tracking Devices
3.2.1.1.3. Hardware
3.2.1.1.4. Software
3.3. Neurosurgery Navigation Systems
3.3.1. Functions
3.4. Spine Navigation Systems
3.4.1. Functions
3.5. ENT Navigation Systems
3.5.1. Functions
3.6. Orthopedic Navigation Systems
3.6.1. Functions
3.6.1.1. Kinematic Navigation
3.6.1.2. Fluoroscopy Navigation
3.7. Future Technologies
3.7.1. Soft Tissue Navigation Systems
3.7.1.1. Navigated Cardiovascular Surgical Systems
3.7.1.1.1. Imaging Modalities
3.7.1.1.2. Robotic Catheters
3.7.1.1.3. Magnetic Navigated Catheters
3.7.1.2. Navigated Abdominal Surgical Systems
3.7.1.2.1. Image-Guided Liver Therapy Systems
3.7.1.2.2. Navigated Endoscopy Systems
3.7.1.2.3. Navigated Organ Transplant and Reconstructive Surgical
Systems
4. SURGICAL NAVIGATION SYSTEM MARKET
4.1. Market Snapshot
4.2. Detailed Market Analysis
4.3. Competitive Snapshot
4.4. Detailed Competitive Landscape
4.5. Market Shares
4.6. Recent Events
5. NEUROSURGERY NAVIGATION SYSTEM MARKET
5.1. Market Snapshot
5.2. Detailed Market Analysis
5.3. Competitive Snapshot
5.4. Market Shares
6. SPINE NAVIGATION SYSTEM MARKET
6.1. Market Snapshot
6.2. Detailed Market Analysis
6.3. Competitive Snapshot
6.4. Market Shares
7. ENT NAVIGATION SYSTEM MARKET
7.1. Market Snapshot
7.2. Detailed Market Analysis
7.3. Competitive Snapshot
7.4. Market Shares
8. ORTHOPEDIC NAVIGATION SYSTEM MARKET
8.1. Market Snapshot
8.2. Detailed Market Analysis
8.3. Competitive Snapshot
8.4. Market Shares
APPENDIX: METHODOLOGY
APPENDIX: ACRONYMS AND INITIALISMS
APPENDIX: BIBLIOGRAPHY
LIST OF FIGURES AND TABLES
TABLE OF CONTENTS
LIST OF FIGURES AND TABLES
EXECUTIVE SUMMARY
Figure 1: Surgical Navigation System Unit Sales, by Indication, US, 2010 -
2016
Table 1: Surgical Navigation System Market Landscape, US (USD), 2011 and
2016
Table 2: Surgical Navigation System Market Leaders, by Indication and Unit
Sales, US, 2011
Table 3: Companies Mentioned
Table 4: Factors Impacting the Surgical Navigation System Market, by
Product Type, US, 2011 - 2016
Table 5: Recent Novel Devices in the Surgical Navigation System Market, by
Indication, US, 2011
Table 6: Expected Key Events in the Surgical Navigation System Market, US,
2012 - 2016
Table 7: Key Report Updates
Table 8: Surgical Navigation System Procedures, by Procedure Type, US
Table 9: ICD-9-CM Procedure Codes and Descriptions
Table 10: Surgical Navigation System Market, by Indication, US
1. COUNTRY OVERVIEW
Table 11: Key Health and Economic Indicators, US
2. CLINICAL LANDSCAPE
Table 12: Common Types of Bone Fractures
Table 13: Common Neurosurgical Procedures that Use Surgical Navigation
Systems
3. PRODUCTS
Table 14: Benefits of Surgical Navigation Systems
4. SURGICAL NAVIGATION SYSTEM MARKET
Figure 2: Surgical Navigation System Market, US (USD), 2010 - 2016
Figure 3: Surgical Navigation System Installed Base, by Indication, US,
2010 - 2016
Table 15: Factors Impacting the Surgical Navigation System Market, by
Product Type, US, 2011 - 2016
Table 16: Surgical Navigation System Market, US (USD), 2010 - 2016
Table 17: Surgical Navigation System Unit Sales, by Product Type, US, 2010
- 2016
Table 18: Surgical Navigation System ASPs, by Product Type, US, 2011
Table 19: Surgical Navigation System Installed Base, by Product Type, US,
2010 - 2016
Figure 4: Leading Competitors in the Surgical Navigation System Market, by
Unit Sales, as a % of Total, US, 2011
Table 20: Leading Competitors in the Surgical Navigation System Market, by
Unit Sales, as a % of Total, US, 2011
Figure 5: Leading Competitors in the Surgical Navigation System Market, by
Installed Base, as a % of Total, US, 2011
Table 21: Leading Competitors in the Surgical Navigation System Market, by
Installed Base, as a % of Total, US, 2011
Table 22: Recent Events in the Surgical Navigation System Market, US
5. NEUROSURGERY NAVIGATION SYSTEM MARKET
Figure 6: Neurosurgery Navigation System Unit Sales, US, 2010 - 2016