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The Market for Minimally Invasive Medical Devices

The Market for Minimally Invasive Medical Devices

The global market for MIS devices and equipment was about $14.5 billion in 2013. This market reached about $15.4 billion in 2014 and is expected to reach $21.5 billion in 2019, registering a compound annual growth rate (CAGR) of 6.8% for the period 2014-2019.

This report provides:

An overview of the global markets for minimally invasive medical devices and instruments.

Analyses of global market trends, with data from 2013, estimates for 2014, and projections of CAGRs through 2019.

Historical and current volume and value data for shipments, specified by end user and geographic markets.

Evaluation of demographic, economic, and other factors that will drive future demand for minimally invasive devices.

Details concerning promising new surgical procedures and products still in the development and testing stage, and assessments of the probability that they will be commercialized successfully in the next five years.

Analysis of the potential market for these developmental procedures and products, taking into account the estimated probability that they will be commercialized.

A look at the structure of the minimally invasive surgical devices industry (e.g., market shares, concentration, and recent M&A activity).


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 therapy.

The format of the study is organized around the following topics:
Major types and applications of minimally invasive surgical devices and instruments.
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 2019.
Competition and market shares.
Observations and conclusions regarding the future of minimally invasive surgical devices and instruments.

CHAPTER 1 INTRODUCTION
MINIMALLY INVASIVE SURGERY
MINIMALLY INVASIVE SURGERY VERSUS AMBULATORY SURGERY
MINIMALLY INVASIVE SURGERY VERSUS NONINVASIVE SURGERY
STUDY BACKGROUND
STUDY GOALS AND OBJECTIVES
INTENDED AUDIENCE
SCOPE AND FORMAT OF REPORT
METHODOLOGY AND INFORMATION SOURCES
ANALYST'S CREDENTIALS
RELATED BCC RESEARCH REPORTS
BCC RESEARCH WEBSITE
DISCLAIMER
CHAPTER 2 EXECUTIVE SUMMARY
SUMMARY TABLE GLOBAL MARKET FOR MIS DEVICES AND EQUIPMENT, THROUGH 2019 ($ MILLIONS)
SUMMARY FIGURE GLOBAL MARKET FOR MIS DEVICES AND EQUIPMENT, 2013-2019 ($ MILLIONS)
CHAPTER 3 OVERVIEW OF MINIMALLY INVASIVE SURGICAL DEVICES AND INSTRUMENTS
GENERAL DESCRIPTION
HISTORY OF MINIMALLY INVASIVE SURGERY
ENDOSCOPY
INSUFFLATION
SPECIALIZED SURGICAL INSTRUMENTS
MINIMALLY INVASIVE SURGICAL PROCEDURES
SURGICAL ROBOTICS
MEDICAL LASERS
SURGICAL TRENDS AND THE GROWING IMPORTANCE OF MINIMALLY INVASIVE
SURGERY
FIGURE 1 MIS PROCEDURES AS A PERCENTAGE OF ALL SURGICAL PROCEDURES PERFORMED IN THE U.S., 2013 (%)
FIGURE 2 MIS PROCEDURES AS A PERCENTAGE OF SELECTED TYPES OF SURGICAL MEASURES IN THE U.S., 2013
PRINCIPAL APPLICATIONS OF MINIMALLY INVASIVE SURGERY
FIGURE 3 SURGICAL PROCEDURES PERFORMED IN THE U.S. USING ALL MIS APPROACHES, 2013 (% OF ALL MIS PROCEDURES)
TABLE 1 SURGICAL PROCEDURES COMMONLY PERFORMED IN THE U.S. USING A MINIMALLY INVASIVE APPROACH, 2013
GASTROINTESTINAL SURGERY
Gallbladder Removal (Cholecystectomy)
Nissen Fundoplication
Adhesiolysis (Removal of Abdominal Scar Tissue)
Gastric Bypass
Appendectomy
Colon Resection
Hernia Repair
GYNECOLOGY
Hysterectomy
Myomectomy
Endometrial Ablation
Pelvic Floor Reconstruction
Adnexectomy (Removal of Adnexal Structures)
UROLOGY
Nephrectomy
Cystocele/Rectocele Repair
Pediatric Urology
Adrenalectomy
Radical Prostatectomy
COSMETIC SURGERY
Breast Augmentation
Face and Forehead Lifts
THORACIC SURGERY
Lung Biopsy
Lung Resection
Endoscopic Thoracic Sympathectomy
CARDIOTHORACIC SURGERY
Angioplasty and Other Catheterization Types
Coronary Artery Bypass
Heart Valve Repair and Replacement
Congenital Heart Defect Surgery
NONCARDIAC VASCULAR INTERVENTIONAL SURGERY
Saphenous Vein Harvest
Peripheral Vascular Bypass
Aortoiliofemoral Bypass
Abdominal Aortic Aneurism Repair
Lower Extremity Angioplasty
ORTHOPEDIC SURGERY
Joint Surgery
Arthroscopic Surgery
Arthroplasty
Damaged or Diseased Spinal Disk Surgery
Microendoscopic Diskectomy
Intradiskal Electrothermal Annuloplasty
Vertebroplasty and Kyphoplasty
PRODUCT TYPES
MONITORING/VISUALIZATION EQUIPMENT
TABLE 2 PRINCIPAL TYPES OF MONITORING/VISUALIZATION EQUIPMENT
ROBOTICALLY ASSISTED SURGICAL SYSTEMS
TABLE 3 PRINCIPAL TYPES OF SURGICAL ROBOTIC SYSTEMS
ELECTROSURGICAL EQUIPMENT
TABLE 4 ELECTROSURGICAL EQUIPMENT
MECHANICAL INSTRUMENTS
TABLE 5 PRINCIPAL TYPES OF MECHANICAL INSTRUMENTS
AUXILIARY EQUIPMENT
TABLE 6 PRINCIPAL TYPES OF AUXILIARY EQUIPMENT USED FOR MINIMALLY INVASIVE SURGERY
SURGICAL DEVICES
TABLE 7 MINIMALLY INVASIVE SURGICAL DEVICES
REGULATORY STATUS OF MIS EQUIPMENT
UNITED STATES
EUROPEAN UNION (EU)
JAPAN
OTHER COUNTRIES
Canada
China
India
Latin American Nations
Saudi Arabia
END-USER SEGMENTS
HOSPITAL SURGICAL DEPARTMENTS
FIGURE 4 U.S. HOSPITALS WITH SURGERY DEPARTMENTS, 2013 (NUMBER OF HOSPITALS)
OUTPATIENT SURGERY CENTERS
GROUP PRACTICES
INDIVIDUAL SURGEONS
FIGURE 5 U.S. SURGICAL SPECIALTIES, 2013 (% OF ALL U.S. SURGEONS)
MEDICAL SCHOOLS
CHAPTER 4 MARKET FOR MIS DEVICES AND EQUIPMENT BY TYPE, APPLICATION SEGMENTS AND USER SEGMENTS
OVERALL MARKET SIZE AND SEGMENTATION
TABLE 8 GLOBAL SALES OF MIS DEVICES AND EQUIPMENT, THROUGH 2019 ($ MILLIONS)
FIGURE 6 TRENDS IN GLOBAL SALES OF MIS DEVICES AND EQUIPMENT, 2013-2019 ($ MILLIONS)
GEOGRAPHIC SEGMENTS
TABLE 9 MARKET FOR MIS DEVICES AND EQUIPMENT SALES BY REGION, THROUGH 2019 ($ MILLIONS)
FIGURE 7 MAJOR MIS GEOGRAPHIC SEGMENTS, 2013 VS. 2019 (% OF TOTAL SALES)
APPLICATION SEGMENTS
TABLE 10 U.S. MARKETS FOR MIS DEVICES AND EQUIPMENT SALES BY APPLICATION, THROUGH 2019 ($ MILLIONS)
FIGURE 8 MAJOR U.S. MIS APPLICATION SEGMENTS, 2013 VS. 2019 (% OF TOTAL SALES)
DEVICE AND EQUIPMENT SEGMENTS
TABLE 11 U.S. MARKETS FOR MIS SALES BY EQUIPMENT TYPE, THROUGH 2019 ($ MILLIONS)
FIGURE 9 MAJOR U.S. MIS EQUIPMENT SEGMENTS, 2013 VS. 2019 (% OF TOTAL SALES)
END-USER SEGMENTS
TABLE 12 U.S. MARKETS FOR MIS DEVICES AND EQUIPMENT SALES BY END-USER TYPE, THROUGH 2019 ($ MILLIONS)
FIGURE 10 MAJOR U.S. MIS END-USER SEGMENTS, 2013 VS. 2019 (% OF TOTAL SALES)
DETAILED MARKET ANALYSIS
MINIMALLY INVASIVE GASTROINTESTINAL SURGERY
Current Status
FIGURE 11 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED IN GASTROINTESTINAL SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Demographic Trends
TABLE 13 PROJECTED NUMBER OF PERSONS 18 YEARS AND OLDER IN THE U.S., THROUGH 2019 (MILLIONS OF PEOPLE)
Trends in Obesity Surgery
Projected Market Trends
TABLE 14 PROJECTED TRENDS IN MINIMALLY INVASIVE GASTROINTESTINAL PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 15 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED FOR GASTROINTESTINAL SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE GYNECOLOGICAL SURGERY
Current Status
FIGURE 12 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED FOR GYNECOLOGICAL SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Demographic Trends
TABLE 16 PROJECTED NUMBER OF U.S. WOMEN AGES 40 TO 54, THROUGH 2019 (MILLIONS OF WOMEN)
Increasing Use of Robotic Gynecological Surgery
Projected Market Trends
TABLE 17 PROJECTED TRENDS IN MINIMALLY INVASIVE GYNECOLOGICAL PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 18 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED FOR GYNECOLOGICAL SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE UROLOGICAL SURGERY
Current Status
FIGURE 13 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED FOR UROLOGICAL SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Trends in the Incidence of Certain Cancers
TABLE 19 NUMBER OF NEW CASES OF SELECTED CANCERS, THROUGH 2014 (THOUSAND CASES)
Demographic Trends
TABLE 20 TREND IN NUMBER OF U.S. WOMEN OVER 45, THROUGH 2019 (MILLIONS)
TABLE 21 TREND IN NUMBER OF U.S. BOYS UNDER FIVE, THROUGH 2019 (MILLIONS)
Technological Trends
Projected Market Trends
TABLE 22 PROJECTED TRENDS IN MINIMALLY INVASIVE UROLOGICAL PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 23 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED FOR UROLOGICAL SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE COSMETIC SURGERY
Current Status
FIGURE 14 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED IN COSMETIC SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
FIGURE 15 TRENDS IN SELECTED U.S. COSMETIC SURGERY PROCEDURES, 2000-2013 (THOUSANDS OF PROCEDURES)
FIGURE 24 ENDOSURGICAL INSTRUMENT MARKET LEADERS, 2013 (% OF TOTAL SALES)
Projected Market Trends
TABLE 25 PROJECTED TRENDS IN MINIMALLY INVASIVE COSMETIC SURGICAL PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 26 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED FOR COSMETIC SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE THORACIC SURGICAL PROCEDURES
Current Status
FIGURE 16 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED IN THORACIC SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Incidence of Lung Cancer
TABLE 27 U.S. LUNG CANCER TRENDS, THROUGH 2013 (THOUSANDS OF NEW CASES)
Sympathectomy Trends
Projected Market Trends
TABLE 28 PROJECTED TRENDS IN MINIMALLY INVASIVE THORACIC PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 29 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED FOR THORACIC SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE CARDIOTHORACIC SURGERY
Current Status
FIGURE 17 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED FOR CARDIAC SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Demographic Trends
Trends in the Occurrence of Cardiovascular Disease
Trends in Numbers of Cardiovascular Surgeons
Development of New MIS Techniques
Transcatheter Cardiac Surgery
Transcatheter DMR
Transcatheter Hole Closure
Other Transcatheter Procedures
Robot-Assisted Cardiac Surgery
Projected Market Trends
TABLE 30 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED IN CARDIAC SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE NONCARDIAC VASCULAR INTERVENTIONAL SURGERY
Current Status
FIGURE 18 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED IN NONCARDIAC VASCULAR SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Projected Market Trends
TABLE 31 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED IN VASCULAR SURGERY, THROUGH 2019 ($ MILLIONS)
MINIMALLY INVASIVE ORTHOPEDIC SURGERY
Current Status
FIGURE 19 U.S. MARKET FOR MIS DEVICES AND EQUIPMENT USED IN ORTHOPEDIC SURGERY, 2013 (% OF TOTAL SALES)
Market Drivers
Arthroscopy Procedures
Joint Replacements
Spinal Disk Surgery
Vertebroplasty/Kyphoplasty
Projected Market Trends
TABLE 32 PROJECTED TRENDS IN MINIMALLY INVASIVE ORTHOPEDIC PROCEDURES, THROUGH 2019 (NUMBER OF PROCEDURES)
TABLE 33 PROJECTED U.S. DEMAND FOR MIS DEVICES AND EQUIPMENT USED IN ORTHOPEDIC SURGERY, THROUGH 2019 ($ MILLIONS)
MARKET BY TYPE OF DEVICE AND EQUIPMENT
TABLE 34 PROJECTED U.S. MIS MARKET DEVICE/EQUIPMENT SEGMENTS BY APPLICATION, THROUGH 2019 ($ MILLIONS)
CHAPTER 5 INDUSTRY STRUCTURE, COMPETITION AND MARKET
SHARES
INDUSTRY STRUCTURE
FIGURE 20 EMPLOYEE NUMBERS AND SALES DISTRIBUTION OF U.S. MEDICAL AND SURGICAL EQUIPMENT MANUFACTURERS, 2007* (%OF ALL ESTABLISHMENTS)
TABLE 35 U.S. MEDICAL AND SURGICAL EQUIPMENT MANUFACTURERS BY EMPLOYMENT SIZE AND SALES CATEGORY, 2007*
COMPETITION AND MARKET SHARES
MONITORING/VISUALIZATION EQUIPMENT
FIGURE 21 MONITORING/VISUALIZATION EQUIPMENT MARKET LEADERS, 2013 (% OF TOTAL SEGMENT SALES)
ROBOTICS/COMPUTER-ASSISTED SURGERY
FIGURE 22 ROBOTICS/COMPUTER-ASSISTED SURGERY MARKET LEADERS, 2013 (% OF TOTAL SALES)
ELECTROSURGICAL EQUIPMENT
FIGURE 23 GLOBAL ELECTROSURGICAL AND AUXILIARY EQUIPMENT MARKET LEADERS, 2013 (% OF TOTAL SALES)
SURGICAL INSTRUMENTS
FIGURE 24 ENDOSURGICAL INSTRUMENT MARKET LEADERS, 2013 (% OF TOTAL SALES)
SURGICAL DEVICES
FIGURE 25 CORONARY STENT MARKET LEADERS, 2013 (% OF TOTAL SALES)
CHAPTER 6 CONCLUSIONS: THE OUTLOOK FOR MINIMALLY INVASIVE
SURGICAL DEVICES AND INSTRUMENTS
MAJOR DEVELOPMENTS THAT WILL INFLUENCE THE MINIMALLY INVASIVE
SURGICAL DEVICES AND INSTRUMENTS INDUSTRY
TECHNOLOGICAL DEVELOPMENTS
Adaptation of Minimally Invasive Techniques to New Types of Surgical
Procedures
Natural Orifice Transluminal Endoscopic Surgery
New Technologies
Nonvisual Imaging Techniques
Optical Imaging Technologies
Nonoptical Imaging Technologies
"Hybrid" Optical/Nonoptical Systems
Robotics
Computer-Assisted Surgery
Transcatheter Surgery
Percutaneous Ablation
Transcatheter Methods
Radio Frequency (RF) Ablation
Microwave Ablation
Surgical Lasers
DEMOGRAPHIC AND ECONOMIC TRENDS
Aging Populations Worldwide
TABLE 36 TRENDS IN AGE COMPOSITION OF THE WORLD'S POPULATION, 2010 AND 2019 (MILLIONS)
Income Growth in Emerging Markets
TABLE 37 PROJECTED TRENDS IN PER-CAPITA REAL GROSS
DOMESTIC PRODUCT (GDP) GROWTH BY REGION, 2011-2015 (ANNUAL AVERAGE PERCENTAGE CHANGE)
CHANGING STRUCTURE OF THE HEALTHCARE INDUSTRY
Hospital Consolidation
Health Insurance Developments
LONG-TERM OUTLOOK FOR MINIMALLY INVASIVE SURGICAL DEVICES AND INSTRUMENTS
CHAPTER 7 MINIMALLY INVASIVE SURGICAL PROCEDURES
ABDOMINAL SURGERY
CARDIAC SURGERY
ENDOCRINE SURGERY
GYNECOLOGY
NEUROSURGERY
ORTHOPEDIC SURGERY
PEDIATRICS
PLASTIC SURGERY
THORACIC
UROLOGY
VASCULAR INTERVENTIONAL
CHAPTER 8 VENDOR PROFILES
ACUEITY INC./ATOSSA INC.
ARTHROCARE CORP.
B. BRAUN AESCULAP
BOSTON SCIENTIFIC
CLARUS MEDICAL LLC
COHERENT INC.
CONMED CORP.
CONVERGENT LASER TECHNOLOGIES
COOPER SURGICAL INC.
COVIDIEN PLC.
C.R. BARD INC.
CUREXO TECHNOLOGY CORP.
ENCISION INC.
ETHICON ENDO-SURGERY INC.
FREEHAND 2010 LTD.
FUJINON PHOTO OPTICAL CO. LTD.
GIVEN IMAGING LTD.
GYRUS ACMI CORP.
HANSEN MEDICAL
HITACHI MEDICAL CORP.
INTEGRATED ENDOSCOPY
INTUITIVE SURGICAL INC.
LUMENIS LTD.
MAKO SURGICAL CORP.
MEDTRONIC INC.
MEDTRONIC ENT INC.
MENTICE MEDICAL SIMULATION AB
MGB ENDOSCOPY LTD.
MICRODEXTERITY SYSTEMS INC.
OLYMPUS OPTICAL CO. LTD.
PENTAX MEDICAL
PHOTOMEDEX
PILLING SURGICAL
REMA MEDIZINTECHNIK GMBH
SMITH & NEPHEW PLC
SPECTRANETICS CORP.
KARL STORZ ENDOSKOPE BERLIN GMBH & CO.
STRYKER CORP.
SURGICAL INNOVATIONS GROUP LTD.
VALLEYLAB
VISION SCIENCES INC.
RICHARD WOLF GMBH
CHAPTER 9 INDUSTRY AND PROFESSIONAL ORGANIZATIONS
AMERICAN ASSOCIATION OF GYNECOLOGICAL LAPAROSCOPISTS
AMERICAN COLLEGE OF SURGEONS
AMERICAN MEDICAL ASSOCIATION
AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY
ASSOCIATION FOR THE ADVANCEMENT OF MEDICAL INSTRUMENTATION
EUROPEAN ASSOCIATION FOR ENDOSCOPIC SURGERY
THE INTERNATIONAL SOCIETY FOR MINIMALLY INVASIVE CARDIAC SURGERY
SOCIETY OF AMERICAN GASTROINTESTINAL ENDOSCOPIC SURGEONS
SOCIETY OF LAPAROENDOSCOPIC SURGEONS

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