Video and Integrated Operating Room Equipment Market Size, Share & Trend Analysis | United States | 2025-2031 | Includes: Surgical Camera System Market, Image Management Device, and 11 more

Description

List of Tables

The U.S. video and integrated operating room (OR) equipment market was valued at just under $4.2 billion in 2024. It is forecast to grow at a compound annual growth rate of 7.3 percent to reach nearly $6.9 billion by 2031.

This report covers integrated OR equipment, integrated OR management software, hybrid OR components, hybrid OR imaging systems, surgical displays and PACS monitors, surgical lighting, surgical booms, surgical tables, surgical headlights, surgical camera systems, image management devices, surgical light sources, and combination consoles. It quantifies unit sales, average selling prices (ASPs), market size, growth trends, and company shares, and analyzes procedure volumes, market drivers and limiters, recent mergers and acquisitions, and product portfolios. Forecasts extend to 2031, with historical data to 2021.

U.S. surgical providers are investing in digitally integrated rooms to improve efficiency and case throughput. Integrated ORs consolidate audiovisual control, device routing, and documentation in a single workflow. They offer a lower total cost than building hybrid ORs while still delivering major gains in coordination and turnover time. Hybrid OR projects continue where advanced imaging is essential, but many hospitals and ambulatory surgery centers are prioritizing integrated OR upgrades to handle rising case volumes and to standardize minimally invasive surgery (MIS) workflows. At the same time, the market is being reshaped by the conversion from HD to 4K camera systems, the rise of 3D and 8-megapixel surgical displays, and growing use of telemedicine and remote collaboration.

Market Overview

Operating rooms are capital-intensive environments where time, image quality, and coordination determine both clinical and financial outcomes. The move toward integrated ORs reflects a practical balance between performance and budget. Integration platforms consolidate touch-screen control of sources, routing matrices, video streaming, recording, and EMR-connected documentation. This reduces clutter, shortens staff training, and supports protocol-driven care across specialties.

Hybrid ORs combine surgical capabilities with fixed imaging, such as angiography, CT, or MRI. They enable complex endovascular, cardiac, and neuro procedures. However, they require major structural work, radiation shielding, and specialized staffing. For many facilities, the upgrade path begins with integrated OR projects in general surgery, orthopedics, spine, urology, gynecology, ENT, and robotic programs. Hybrid suites are prioritized for centers with high volumes of image-guided interventions.

Across both integrated and hybrid environments, providers are refreshing surgical camera systems and display fleets. The shift from HD to 4K continues as surgeons seek finer detail for dissection planes, vessel identification, and suture placement. 3D systems retain a focused role in advanced laparoscopy, while 8-megapixel UHD displays support multi-window views for complex cases. Parallel upgrades occur in image management, combination consoles, and light sources, with LED platforms replacing older illumination to reduce heat and power use.

The supply landscape is broad. Leading firms provide end-to-end integration from room design to installation, while others focus on imaging, displays, lighting, booms, and tables. Hospitals and ASCs often prefer wider portfolios that simplify procurement, ensure compatibility, and unlock volume-based discounts. This purchasing behavior encourages suppliers to expand into adjacent categories and to provide lifecycle services such as training, uptime guarantees, cybersecurity support, and remote monitoring.

Market Drivers

New technologies and deeper integration

Integration is now standard in new OR builds and many renovations. Facilities expect seamless routing, single-user interfaces, wireless casting in the room, standardized presets, and video capture that feeds quality and training programs. The rise of telemedicine and remote proctoring creates demand for secure streaming with minimal latency. As these expectations become widespread, hospitals look to keep rooms current with the latest software and hardware baselines, which supports recurring investment.

Increasing number of procedures

Surgical volumes have risen due to population growth, aging, obesity, and broader indications for MIS and image-guided surgery. Higher case counts pressure facilities to maximize on-time starts, turnover speed, and case throughput. Integrated control, better visualization, and ergonomic layouts help teams reduce errors and delays. As programs for orthopedics, robotics, and same-day surgery expand, demand grows for standardized integrated rooms that allow staff to move between cases and specialties without equipment learning curves.

Conversion to 4K camera systems

The move from HD to 4K surgical cameras is a central growth engine. 4K offers four times the pixel resolution of HD, enabling clearer tissue planes, better zoom performance, and improved confidence in MIS. For many specialties, 4K is now the default specification for new towers. Since 4K systems command a premium over HD, their adoption raises average selling prices and lifts overall market value, even where unit growth is steady.

Digital documentation and data use

Hospitals are formalizing programs for video capture, case review, and education. Image management devices and combination consoles support recording, tagging, and storing procedural content. These assets are used for credentialing, risk management, training, and cross-site standardization. As documentation becomes part of policy, facilities invest in stable capture workflows integrated with PACS and EMR.

ASC expansion

Ambulatory surgery centers continue to grow, especially in orthopedics, GI, ENT, urology, and general surgery. ASCs value compact, cost-conscious integration that still supports high image quality. Vendors offering ASC-tailored bundles for displays, cameras, light sources, and basic integration are gaining traction, expanding the market beyond large hospital systems.

Market Limiters

Higher upfront prices and budget constraints

While advanced integration and imaging improve outcomes and workflow, higher ASPs can restrict adoption. Hybrid ORs in particular require significant capital outlays, often exceeding $2 million for implementation alone, not including construction costs or staffing. Budget-constrained hospitals and smaller ASCs may phase upgrades over several fiscal years or delay projects.

Entry of new competitors and portfolio expansion

As the market matures, more companies are entering segments such as integrated OR platforms, image routing, and surgical headlights. Non-medical AV firms are adapting enterprise video technologies to healthcare. This intensifies competition and can push ASPs lower in categories where features converge. Hospitals that favor single-vendor sourcing for compatibility and service contracts may still solicit multi-bid tenders, which keeps pricing pressure high.

Refurbished equipment

Some non-computerized capital like standard surgical lighting and basic surgical tables can be refurbished at lower cost. This limits new unit sales in value-driven accounts. Conversely, products that rely on processing speed, video codecs, and secure networking are less suitable for refurbishment, so integrated OR cores and high-end imaging are less affected. Even so, the availability of refurbished options can delay full-room refresh cycles.

Installation complexity and downtime

Room closures for construction, wiring, and validation create scheduling challenges. Facilities attempt to coordinate installations with broader renovations, but the risk of downtime and overruns can slow purchasing decisions. Vendors who streamline installation and provide project management and after-hours cutovers have an advantage.

Market Coverage and Data Scope

Quantitative coverage: Market size, market shares, market forecasts, growth rates, units sold, and average selling prices.
Qualitative coverage: Growth trends, market limiters, competitive analysis and SWOT for top competitors, mergers and acquisitions, company profiles, product portfolios, FDA recalls, disruptive technologies, and OR demand drivers.
Time frame: Base year 2024, forecasts to 2031, historical data 2021-2023.
Data sources: Primary interviews with hospital and ASC leaders, clinical engineering teams, and industry executives; regulatory and procurement data; import and export records; and the iData Research internal database.
Method note: Revenue modeled as units multiplied by ASP, validated against installation counts, procedure volume trends, and replacement cycles.
Care settings: Hospital ORs and ASC ORs across community, academic, and specialty providers.

Markets Covered and Segmentation

Integrated Operating Room

Setting: Hospital OR, ASC OR

Integrated Operating Room Management Software

Device type: Hospital OR, ASC OR

Hybrid Operating Room

Hybrid Operating Room Imaging System

Device type: MRI, CT, angiography

Display and Monitors

Device type: HD surgical display, 4K surgical display, 3D surgical display, 8-megapixel UHD surgical display, PACS monitor

Surgical Lighting

Setting: Hospital, ASC

Surgical Boom

Setting: Hospital OR, ASC OR

Surgical Table

Application: General surgery, specialty
Setting: Hospital, ASC

Surgical Headlight

Surgical Camera System

Device type: HD camera system, 4K camera system, 3D camera system
Setting: Hospital, ASC

Image Management Device

Setting: Hospital, ASC

Surgical Light Source

Setting: Hospital, ASC

Combination Console

Device type: 4K, HD

Each category includes market value, units, ASPs, and forecast growth with segment-level drivers, limiters, and competitive context.

Competitive Analysis

Stryker led the U.S. video endoscopy and OR equipment market in 2025. The company's strongest positions remain in integrated OR platforms and room control, where long-standing customer relationships and a large installed base support repeat upgrades. Stryker has also advanced in surgical imaging, gaining share in surgical displays, image management, and combination consoles. Its approach pairs 4K camera systems and displays with scalable integration software, giving hospitals and ASCs a single roadmap for video, routing, and documentation.

Karl Storz ranked second. The company expanded through targeted acquisitions and continued to grow its share in combination consoles, driven by the IMAGE 1 S System(TM) platform. Karl Storz remains a major supplier of camera systems and endoscopic visualization, with a strong presence in laparoscopy, urology, ENT, and neurosurgery. Its portfolio depth and modular upgrade path appeal to sites that want to refresh imaging first and add integration features over time.

STERIS was the third-leading competitor, offering solutions across many segments. The firm gained share in the hybrid operating room market and saw strong growth with the Harmony iQ(TM) integration system. STERIS pairs integration with surgical lighting, booms, tables, and room infrastructure, which helps facilities standardize on a single vendor during construction or large renovations. Its service network and experience in capital planning are key differentiators for enterprise-scale projects.

Other participants are active in specific niches, including enterprise AV entrants that focus on routing and collaboration, specialty monitor suppliers, and lighting and table manufacturers that compete on reliability and service. While competition is intensifying, accounts with multi-year standardization plans often prioritize compatibility, service coverage, and training, which favors vendors with broader portfolios and proven execution.

Technology and Practice Trends

4K adoption curve: 4K is becoming the default for new towers in laparoscopy, arthroscopy, and many robotic-assisted procedures. Sites standardizing on 4K are also replacing legacy HD displays to avoid mixed-resolution issues.
8-megapixel and multi-view workflows: 8-megapixel UHD displays support multi-window layouts for live video, PACS images, vitals, and endoscopic feeds. This improves decision-making in complex cases.
Image management and analytics: Facilities are expanding routine video capture for quality, teaching, and research. Tagging and case analytics help identify bottlenecks and guide training.
Telepresence and remote proctoring: Secure streaming from the OR to conference rooms or remote experts supports collaboration and fellowship programs. Low-latency connections are increasingly written into specs.
LED lighting and light sources: LED platforms continue to replace legacy systems due to lower heat, longer life, and improved color rendering.
Ergonomics and infection control: Ceiling-mounted booms, cable management, sealed keyboards, and easy-clean displays support safety and faster turnovers.
Cybersecurity and software lifecycle: Integration platforms now require patching, access controls, and audit trails. Hospitals are including cybersecurity requirements in RFPs, which favors vendors with mature update programs.
ASC-optimized bundles: Vendors are packaging displays, cameras, lights, and basic routing for ASC budgets, with room to add features when volumes increase.

Geography

This edition covers the United States.

Why This Report

Where are the largest and fastest-growing opportunities across integrated ORs, hybrid suites, surgical cameras, and displays.

How the conversion to 4K and the spread of image management will shift budget priority across hospitals and ASCs.

Which vendors are positioned to win multi-room standardization deals and how Stryker, Karl Storz, and STERIS compare.

How pricing pressure, refurbished options, and new entrants will affect ASPs and contract terms.

What role telemedicine, remote proctoring, and analytics will play in future RFPs and specification checklists.

How to plan phased upgrade paths that align capital, construction windows, and staff training while minimizing downtime.

What risks could slow adoption, including budget constraints, installation complexity, and cybersecurity requirements.

The U.S. Video and Integrated OR Equipment Market Report from iData Research answers these questions with procedure-aware modeling, company share analysis, and pricing detail. Use it to size demand by category, build room-by-room refresh plans, optimize portfolio mix, and develop bids that match the evolving standards of integrated and hybrid operating rooms.

Product Code: iDATA_USVIDOR25_MS

TABLE OF CONTENT

Table Of Contents

List Of Figures

List Of Charts

U.S. Video And Integrated Operating Room Equipment Market Overview

Competitive Analysis

Market Developments

Market Trends

Market Segmentation

Key Report Updates

Version History

Research Methodology

Step 1: Project Initiation & Team Selection
Step 2: Prepare Data Systems And Perform Secondary Research
Step 3: Preparation For Interviews & Questionnaire Design
Step 4: Performing Primary Research
Step 5: Research Analysis: Establishing Baseline Estimates
Step 6: Market Forecast And Analysis
Step 7: Identify Strategic Opportunities
Step 8: Final Review And Market Release
Step 9: Customer Feedback And Market Monitoring

Impact Of Global Tariffs

U.S. Video And Integrated Operating Room Equipment Market Overview

3.1 Introduction
- 3.1.1 Operating Rooms
- 3.1.2 Video Endoscopy
3.2 Market Overview & Trend Analysis
- 3.2.1 Operating Rooms
- 3.2.2 Video Endoscopy
3.3 Drivers And Limiters
- 3.3.1 Market Drivers
- 3.3.2 Market Limiters
3.4 Competitive Market Share Analysis
3.5 Mergers And Acquisitions

Integrated Operating Room Market

4.1 Introduction
4.2 Market Overview
4.3 Market Analysis And Forecast
- 4.3.1 Integrated Operating Room Market
- 4.3.2 Hospital Integrated Operating Room Component Market
- 4.3.3 Asc Integrated Operating Room Component Market
4.4 Integrated Operating Room Installed Base Analysis
- 4.4.1 Hospital Integrated Or Installed Base
- 4.4.2 Asc Integrated Or Installed Base
- 4.4.3 Total Integrated Operating Room Installed Base By Specialty
4.5 Total Integrated Operating Room Asp Analysis
- 4.5.1 Hospital Integrated Operating Room Asp By Component
- 4.5.2 Asc Integrated Operating Room Asp By Component
4.6 Drivers And Limiters
- 4.6.1 Market Drivers
- 4.6.2 Market Limiters
4.7 Competitive Market Share Analysis

Integrated Operating Room Management Software Market

5.1 Introduction
5.2 Market Overview
5.3 Market Analysis And Forecast
- 5.3.1 Integrated Operating Room Management Software Market
- 5.3.2 Hospital Integrated Operating Room Management Software Market
- 5.3.3 Asc Integrated Operating Room Management Software Market
5.4 Total Integrated Operating Room Management Software Installed Base Analysis
- 5.4.1 Hospital Integrated Or Software Installed Base
- 5.4.2 Asc Integrated Or Software Installed Base
5.5 Drivers And Limiters
- 5.5.1 Market Drivers
- 5.5.2 Market Limiters
5.6 Competitive Market Share Analysis

Hybrid Operating Room Market

6.1 Introduction
- 6.1.1 Hybrid Operating Room Definition
6.2 Market Analysis And Forecast
6.3 Total Hybrid Operating Room Installed Base Analysis
6.4 Drivers And Limiters
- 6.4.1 Market Drivers
- 6.4.2 Market Limiters
6.5 Competitive Market Share Analysis

Hybrid Operating Room Imaging System Market

7.1 Introduction
7.2 Market Overview
7.3 Market Analysis And Forecast
- 7.3.1 Hybrid Operating Room Imaging System Market
- 7.3.2 Mri Hybrid Operating Room Imaging System Market
- 7.3.3 Ct Hybrid Operating Room Imaging System Market
- 7.3.4 Angiography Hybrid Operating Room Imaging System Market
7.4 Hybrid Operating Room Imaging System Installed Base Analysis
7.5 Drivers And Limiters
- 7.5.1 Market Drivers
- 7.5.2 Market Limiters
7.6 Competitive Market Share Analysis

Surgical Display And Pacs Monitor Market

8.1 Introduction
8.2 Market Overview
8.3 Market Analysis And Forecast
- 8.3.1 Total Surgical Display And Pacs Monitor Market
- 8.3.2 Surgical Display Market
  - 8.3.2.1 Hd Surgical Display Market
  - 8.3.2.1.1 Hd Surgical Display Market By Segment
  - 8.3.2.1.2 Hd Surgical Display Market By Care Setting
  - 8.3.2.2 4K Surgical Display Market
  - 8.3.2.2.1 4K Surgical Display Market By Segment
  - 8.3.2.2.2 4K Surgical Display Market By Care Setting
  - 8.3.2.3 3D Surgical Display Market
  - 8.3.2.3.1 3D Surgical Display Market By Care Setting
  - 8.3.2.4 8-Megapixel Uhd Surgical Display Market
  - 8.3.2.4.1 8-Megapixel Uhd Surgical Display Market By Care Setting
- 8.3.3 Pacs Monitor Market
8.4 Drivers And Limiters
- 8.4.1 Market Drivers
- 8.4.2 Market Limiters
8.5 Competitive Market Share Analysis
- 8.5.1 Surgical Display And Pacs Monitor Market By Manufacturer
- 8.5.2 Surgical Display Market By Distributor

Surgical Lighting Market

9.1 Introduction
9.2 Market Overview
9.3 Market Analysis And Forecast
- 9.3.1 Surgical Lighting Market
- 9.3.2 Hospital Or Surgical Lighting Market
- 9.3.3 Asc Or Surgical Lighting Market
9.4 Drivers And Limiters
- 9.4.1 Market Drivers
- 9.4.2 Market Limiters
9.5 Competitive Market Share Analysis

Surgical Boom Market

10.1 Introduction
10.2 Market Overview
10.3 Market Analysis And Forecast
- 10.3.1 Surgical Boom Market
  - 10.3.1.1 Equipment Boom Market
  - 10.3.1.2 Anesthesia/Nursing Boom Market
  - 10.3.1.3 Utility Boom Market
- 10.3.2 Total Surgical Boom Market By Setting
  - 10.3.2.1 Hospital Or Surgical Boom Market
  - 10.3.2.1.1 Hospital Or Equipment Surgical Boom Market
  - 10.3.2.1.2 Hospital Or Anesthesia/Nursing Surgical Boom Market
  - 10.3.2.1.3 Hospital Utility Boom Market
  - 10.3.2.2 Asc Or Surgical Boom Market
  - 10.3.2.2.1 Asc Or Equipment Surgical Boom Market
  - 10.3.2.2.2 Asc Or Anesthesia/Nursing Surgical Boom Market
  - 10.3.2.2.3 Asc Utility Boom Market
10.4 Drivers And Limiters
- 10.4.1 Market Drivers
- 10.4.2 Market Limiters
10.5 Competitive Market Share Analysis

Surgical Table Market

11.1 Introduction
11.2 Market Overview
11.3 Market Analysis And Forecast
- 11.3.1 Total Surgical Table Market
- 11.3.2 General Surgical Table Market
- 11.3.3 Specialty Surgical Table Market
  - 11.3.3.1 Orthopedic Surgical Table Market
  - 11.3.3.1.1 Standard Orthopedic Surgical Table Market
  - 11.3.3.1.2 Multifunctional Orthopedic Surgical Table Market
  - 11.3.3.2 Spinal Surgical Table Market
  - 11.3.3.3 Neurosurgical Table Market
  - 11.3.3.4 Image-Guided Surgical Table Market
  - 11.3.3.4.1 Integrated Image-Guided Surgical Table Market
  - 11.3.3.4.2 Non-Integrated Image-Guided Surgical Table Market
- 11.3.4 Total Surgical Table Market By Setting
  - 11.3.4.1 Hospital Surgical Table Market
  - 11.3.4.1.1 Hospital General Surgical Table Market
  - 11.3.4.1.2 Hospital Orthopedic Surgical Table Market
  - 11.3.4.1.3 Hospital Spinal Surgical Table Market
  - 11.3.4.1.4 Hospital Neurosurgical Table Market
  - 11.3.4.1.5 Hospital Image-Guided Surgical Table Market
  - 11.3.4.2 Asc Surgical Table Market
  - 11.3.4.2.1 Asc General Surgical Table Market
  - 11.3.4.2.2 Asc Orthopedic Surgical Table Market
  - 11.3.4.2.3 Asc Spinal Surgical Table Market
  - 11.3.4.2.4 Asc Neurosurgical Table Market
  - 11.3.4.2.5 Asc Image-Guided Surgical Table Market
11.4 Drivers And Limiters
- 11.4.1 Market Drivers
- 11.4.2 Market Limiters
11.5 Competitive Market Share Analysis

Surgical Headlight Market

12.1 Introduction
12.2 Market Analysis And Forecast
12.3 Drivers And Limiters
- 12.3.1 Market Drivers
- 12.3.2 Market Limiters
12.4 Competitive Market Share Analysis

Surgical Camera System Market

13.1 Introduction
13.2 Market Overview
13.3 Market Analysis And Forecast
- 13.3.1 Total Surgical Camera System Market
- 13.3.2 Hd Camera System Market
  - 13.3.2.1 Hd Surgical Camera Head Market
  - 13.3.2.2 Hd Camera Control Unit Market
- 13.3.3 4K Camera System Market
  - 13.3.3.1 4K Surgical Camera Head Market
  - 13.3.3.2 4K Camera Control Unit Market
- 13.3.4 3D Camera System Market
  - 13.3.4.1 3D Surgical Camera Head Market
  - 13.3.4.2 3D Camera Control Unit Market
- 13.3.5 Total Surgical Camera System Market By Setting
  - 13.3.5.1 Total Hospital Camera System Market
  - 13.3.5.1.1 Hospital Hd Camera System Market
  - 13.3.5.1.2 Hospital 4K Camera System Market
  - 13.3.5.1.3 Hospital 3D Camera System Market
  - 13.3.5.2 Total Asc Camera System Market
  - 13.3.5.2.1 Asc Hd Camera System Market
  - 13.3.5.2.2 Asc 4K Camera System Market
  - 13.3.5.2.3 Asc 3D Camera System Market
13.4 Drivers And Limiters
- 13.4.1 Market Drivers
- 13.4.2 Market Limiters
13.5 Competitive Market Share Analysis

Image Management Market

14.1 Introduction
14.2 Market Overview
14.3 Market Analysis And Forecast
- 14.3.1 Image Management Market
- 14.3.2 Hospital Or Image Management Market
- 14.3.3 Asc Or Image Management Market
14.4 Drivers And Limiters
- 14.4.1 Market Drivers
- 14.4.2 Market Limiters
14.5 Competitive Market Share Analysis

Surgical Light Sources Market

15.1 Introduction
15.2 Market Overview
15.3 Market Analysis And Forecast
- 15.3.1 Surgical Light Source Market
- 15.3.2 Hospital Or Surgical Light Sources Market
- 15.3.3 Asc Or Surgical Light Sources Market
15.4 Drivers And Limiters
- 15.4.1 Market Drivers
- 15.4.2 Market Limiters
15.5 Competitive Market Share Analysis

Combination Console Market

16.1 Introduction
16.2 Market Overview
16.3 Market Analysis And Forecast
- 16.3.1 Combination Console Market
- 16.3.2 4K Combination Console Market
- 16.3.3 Hd Combination Console Market
16.4 Drivers And Limiters
- 16.4.1 Market Drivers
- 16.4.2 Market Limiters
16.5 Competitive Market Share Analysis

Abbreviations