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US Market Report for Gastrointestinal Endoscopes 2017 - MedCore

US Market Report for Gastrointestinal Endoscopes 2017 - MedCore

The value of the total U.S. market for GI endoscopes increased in 2016. Growth is expected to persist throughout the forecasted period and will be driven by increases in unit sales countered by a decline in the ASP. The majority of total GI endoscopes unit sales consisted of colonoscopes used in the hospital setting, either at a designated endoscopy room or general surgery suite, with the balance being used in the outpatient centers.

One major factor driving ASPs down is the on-going consolidation on the demand end of the market with hospitals and outpatients centers combining resources into Group Purchasing Organizations (GPOs), thus negotiating lower purchase prices. This trend affects the majority of units and will have continuing effect on the ASP downtrend.

As a rule of thumb, Olympus, the market leader by a large margin, on average has the highest pricing overall, followed by Pentax and Fujifilm relatively close to each other.

The U.S. market for gastrointestinal (GI) endoscopes defined in this report as colonoscopes, sigmoidoscopies, duodenoscopes, enteroscopes, ultrasound endoscopes, double-balloon endoscopes, gastroscopes, and third-party resale. The largest segment in the total GI endoscope market was the colonoscope segment. The relatively large size of this segment is mainly due to the device being used in the most prevalent GI procedure, colonoscopy. On average, scopes are used 2.5 times per day with product life expectancy ranging from five to seven years depending on the usage rate and reprocessing routine. The market units are expected to continue growing in line with the macro trends such as aging population and growing popularity of screening programs. The prices, however, are trending down, fueled by negative reimbursement changes. Overall, the GI endoscope market is expected to grow steadily at a single-digit rate over the forecast period.


EXECUTIVE SUMMARY
U.S. GASTROINTESTINAL ENDOSCOPIC DEVICE MARKET OVERVIEW
COMPETITIVE ANALYSIS
MARKET TRENDS
MARKET DEVELOPMENTS
PROCEDURE NUMBERS
PROCEDURE CODES INVESTIGATED
MARKETS INCLUDED
1.1 KEY REPORT UPDATES
VERSION HISTORY
RESEARCH METHODOLOGY
1.1 RESEARCH SCOPE
1.2 IDATA’S 9-STEP 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
DISEASE OVERVIEW
2.1 BASIC ANATOMY
2.2 GASTROINTESTINAL DISEASE: TREATMENT AND DIAGNOSTICS
2.2.1 Gastro-Esophageal Reflux Disease (GERD)
2.2.2 Barrett's Esophagus
2.2.3 Digestive Cancer
2.2.4 Gastrointestinal bleeding
2.2.5 Bile Duct Disorders
2.2.6 Crohn’s disease
2.2.7 Ulcer
2.2.8 Ogilvie Syndrome or Intestinal Pseudo-Obstruction
2.3 PATIENT DEMOGRAPHICS
2.3.11 Patient Demographics
2.3.11.1 All Digestive Diseases
2.3.11.2 Abdominal Wall Hernia
2.3.11.3 Chronic Constipation
2.3.11.4 Diverticular Disease
2.3.11.5 Prescriptions
2.3.11.6 Gastroesophageal Reflux Disease
2.3.11.7 Gastrointestinal Infections
2.3.11.8 Hemorrhoids
2.3.11.9 Inflammatory Bowel Disease
2.3.11.10 Liver Disease
2.3.11.11 Pancreatitis
2.3.11.12 Peptic Ulcer Diseases
2.3.12 Digestive Cancer
PRODUCT ASSESSMENT
3.1 PRODUCT PORTFOLIOS
3.1.1 Gastrointestinal Endoscopes
3.1.1.1 Introduction
3.1.1.1.1 Product Matrix for GI Endoscope Market
3.2 REGULATORY ISSUES AND RECALLS
3.2.1 Gastrointestinal endoscopes
3.2.2 Refurbishment endoscopes
3.3 CLINICAL TRIALS
3.3.1 Gastrointestinal Endoscopes
3.4 PRODUCT PIPELINES
3.4.1 Boston Scientific
3.4.1.1 AXIOS™ Stent and Electrocautery Enhanced Delivery System
3.4.1.2 Acquire™ Endoscopic Ultrasound Fine Needle Biopsy (FNB) Device
3.4.1.3 Safe Enteral Feeding Product
3.4.1.4 Rotatable Snare
3.4.2 Cook Inc.
3.4.2.1 Lehman Manometry Catheter
3.4.3 Olympus
3.4.3.1 Olympus EZ Shot 3 Plus - a single-use aspiration needle
3.4.3.2 Olympus ESG-200 Electrosurgical Generator
3.4.3.3 Retooled GI Benchmarking Service
3.4.3.4 Big Screen Surgery In 4K: VISERA 4K UHD System
3.4.3.5 TJF-Q180V Duodenoscope
3.4.3.6 From AR 2015 – new strategy plan for General Surgery Unit
3.4.4 Medtronic / Covidien
3.4.4.1 Safe Enteral Feeding Product line 2016
3.4.4.2 Barrx 360 Express RFA balloon catheter for Barrett's Esophagus
3.4.5 Avantis Medical Systems
3.4.5.1 Third Eye Panoramic Colonoscopy Device
3.4.6 Pentax Medical/ HOYA
3.4.6.1 H OPTIVISTA-EPK-i7010 Video Processor for endoscopy
3.4.7 Fujifilm
3.4.7.1 Sonart SU-1 Endoscopic Ultrasonic Processors
3.4.7.2 Double Balloon Endoscope (EN-580T)
3.4.8 US Endoscopy
3.4.8.1 Moray® micro forceps
3.4.9 CONMED Corporation
3.4.9.1 ABC D-Flex Probes
3.4.10 EndoChoice
3.4.10.1 FDA clearance for Orca™ Sterile, Single-Use Air/Water and Suction Valves
3.4.10.2 Third generation Fuse® Full Spectrum Endoscopy® System
3.4.10.3 RescueNet™ retrieval device
3.4.10.4 Lumos™ Adaptive Matrix Imaging System
3.4.11 Endogastric Solution
3.4.11.1 Next-generation version of EsophyX® Device - EsophyX® Z
3.4.12 Mederi Therapeutics
3.4.12.1 Stretta RFT3 Technology
3.4.13 C2 Therapeutics
3.4.13.1 Coldplay III Trial Validating the C2 CryoBalloon™ Focal Ablation System for treating Barret’s Esophagus
3.4.14 Medigus
3.4.14.1 Next generation MUSE™ System for the long-term treatment of GERD
3.4.15 Merit Medical Systems, Inc.
3.4.15.1 Corvocet Biopsy System
3.4.16 Medivators, Inc.
3.4.16.1 AmplifEYE™ endoscopic overtube
3.4.17 Fujifilm Medical Systems USA, Inc.
3.4.17.1 Fujifilm Diathermic Slitter (flushknife) and Fujifilm Diathermic Slitter (clutchcutter)
3.4.17.2 New additions for Double Balloon Endoscopy (DBE) platform and the Advanced Endoscopic Platform including FlushKnife and ClutchCutter
3.4.18 Cook Medical
3.4.18.1 New study “A Multicenter Trial, Comparing a 25G EUS Fine Needle Aspiration (FNA) Device With a 20G EUS ProCore Fine Needle Biopsy (FNB) Device (ASPRO)”
3.4.19 Vital Images, Inc.
3.4.19.1 Vitrea CT Colon Analysis
GASTROINTESTINAL ENDOSCOPE MARKET
4.1 MARKET OVERVIEW
4.2 MARKET ANALYSIS AND FORECAST
4.2.1 Total Gastrointestinal Endoscope Market.
4.2.2 Colonoscope Market
4.2.3 Sigmoidoscope Market
4.2.4 Duodenoscope Market
4.2.5 Enteroscope Market
4.2.6 Ultrasound Endoscope Market
4.2.7 Double-Balloon Endoscope Market
4.2.8 Gastroscope Market
4.2.9 Third Party Endoscope Resale Market
4.3 DRIVERS AND LIMITERS
4.3.1 Market Drivers
4.3.2 Market Limiters
4.4 COMPETITIVE MARKET SHARE ANALYSIS
4.4.1 Gastrointestinal Endoscope
4.4.2 Third Party Endoscope Resale and Repair Market
ABBREVIATIONS
List of Charts
Chart 1 1: Gastrointestinal Endoscopic Device Market by Segment, U.S., 2013 – 2023
Chart 1 2: Gastrointestinal Endoscopic Device Market Overview, U.S., 2016 & 2023
Chart 2 1: Male Incidence, Digestive Cancer, U.S., 2016
Chart 2 2: Male Deaths, Digestive Cancer, U.S., 2016
Chart 2 3: Female Incidence, Digestive Cancer, U.S., 2016
Chart 2 4: Female Deaths, Digestive Cancer, U.S., 2016
Chart 4 1: Gastrointestinal Endoscope Market by Segment, U.S., 2013 – 2023
Chart 4 2: Gastrointestinal Endoscope Market Breakdown, U.S., 2016
Chart 4 3: Gastrointestinal Endoscope Market Breakdown, U.S., 2023
Chart 4 4: Total Gastrointestinal Endoscope Market, U.S., 2013 – 2023
Chart 4 5: Colonoscope Market, U.S., 2013 – 2023
Chart 4 6: Sigmoidoscope Market, U.S., 2013 – 2023
Chart 4 7: Duodenoscope Market, U.S., 2013 – 2023
Chart 4 8: Enteroscope Market, U.S., 2013 – 2023
Chart 4 9: Ultrasound Endoscope Market, U.S., 2013 – 2023
Chart 4 10: Double-Balloon Endoscope Market, U.S., 2013 – 2023
Chart 4 11: Gastroscope Market, U.S., 2013 – 2023
Chart 4 12: Third Party Endoscope Refurbishment Market, U.S., 2013 – 2023
Chart 4 13: Leading Competitors, Gastrointestinal Endoscope Market, U.S., 2016
Chart 4 14: Leading Competitors, Third Party Endoscope Refurbishment and Repair Market, U.S., 2016
List of Figures
Figure 1 1: Gastrointestinal Endoscopic Device Market Share Ranking by Segment, U.S., 2016 (1 of 2)
Figure 1 2: Gastrointestinal Endoscopic Device Market Share Ranking by Segment, U.S., 2016 (2 of 2)
Figure 1 3: Companies Researched in this Report, U.S., 2016
Figure 1 4: Factors Impacting the Gastrointestinal Endoscopic Device Market by Segment, U.S. (1 of 2)
Figure 1 5: Factors Impacting the Gastrointestinal Endoscopic Device Market by Segment, U.S. (2 of 2)
Figure 1 6: Recent Events in the Gastrointestinal Endoscopic Device Market, U.S., 2012 – 2016
Figure 1 7: Gastrointestinal Endoscopic Device Markets Covered, U.S., 2016
Figure 1 8: Procedure Codes Investigated, U.S., 2016
Figure 1 9: Gastrointestinal Endoscopic Device Markets Covered, U.S., 2016 (1 of 4)
Figure 1 10: Gastrointestinal Endoscopic Device Markets Covered, U.S., 2016 (2 of 4)
Figure 1 11: Gastrointestinal Endoscopic Device Markets Covered, U.S., 2016 (3 of 4)
Figure 1 12: Gastrointestinal Endoscopic Device Markets Covered, U.S., 2016 (4 of 4)
Figure 1 13: Key Report Updates
Figure 1 14: Version History
Figure 2 1: Leading Physician Diagnoses for GI Disorders, U.S., 2009
Figure 2 2: General Statistic of Digestive Diseases: All Digestive Diseases, U.S., 2004 – 2010 (1 of 2)
Figure 2 3: General Statistic of Digestive Diseases: All Digestive Diseases, U.S., 2004 – 2010 (2 of 2)
Figure 2 4: Digestive Cancer Statistics by Type and Gender, U.S., 2016
Figure 3 1: Core Companies, GI Endoscope Market, U.S., 2016 (1 of 3)
Figure 3 2: Core Companies, GI Endoscope Market, U.S., 2016 (2 of 3)
Figure 3 3: Core Companies, GI Endoscope Market, U.S., 2016 (3 of 3)
Figure 3 4: Class 2 Device Recall Olympus Duodenoscope
Figure 3 5: Class 2 Device Recall Olympus Gastroscope
Figure 3 6: Class 2 Device Recall Fujifilm Duodenoscope
Figure 3 7: Class 2 Device Recall Fujifilm Image processor for Endoscopy
Figure 3 8: Class 2 Device Recall Fujifilm Duodenoscopes
Figure 3 9: Class 2 Device Recall Fujifilm Ultrasound Endoscope
Figure 3 10: Class 2 Device Recall EndoChoice Colonoscope
Figure 3 11: Class 2 Device Recall Pentax Ultrasound Video Gastroscopes
Figure 3 12: Class 2 Device Recall Pentax
Figure 3 13: Class2 Device Recall Integrated Medical Systems Inc., Olympus refurbishment flexible endoscopes
Figure 3 14: GI Endoscopes –Exploratory Study of Upper and Lower Endoscopic Fuse System
Figure 3 15: GI Endoscopes – Infrared Endoscope for diagnosis gastric cancer
Figure 3 16: GI Endoscopes – Assessing Endoscopic Mucosal Resection Site Using Different Endoscopic Imaging Methods
Figure 3 17: GI Endoscopes – A 4-arm Clinical Trial of Fuse®, EndoCuff™, EndoRings™ and Standard Colonoscopy
Figure 3 18: GI Endoscopes – Cap Assisted Balloon Enteroscopy Versus Conventional Balloon Enteroscopy
Figure 3 19: GI Endoscopes – Transnasal Endoscopy
Figure 3 20: GI Endoscopes – Post-marketing Study of SC20 Colonoscope (SC20 Scope)
Figure 3 21: GI Endoscopes – ENdocuff Optimisation of Mucosal Abnormalities
Figure 3 22: GI Endoscopes – Cap-assisted Endoscopy
Figure 3 23: GI Endoscopes – Visualization Balloon for Colonoscopy
Figure 3 24: GI Endoscopes – Third Eye Panoramic Device
Figure 3 25: GI Endoscopes – Disposable Sheathed Gastroscopic System
Figure 3 26: GI Endoscopes – Motus GI CleanUp System for Colonoscopy
Figure 3 27: GI Endoscopes – The Peerscope System™ for Polyp Detection
Figure 3 28: GI Endoscopes – Double-balloon Colonoscopy
Figure 3 29: GI Endoscopes – Magnetic Endoscope Imaging (MEI) in Single-balloon Enteroscopy
Figure 3 30: GI Endoscopes – ColoAssist vs. Magnetic Endoscope Imaging
Figure 3 31: GI Endoscopes – Visualization Technique in Colonoscopy
Figure 3 32: GI Endoscopes – Imaging Techniques
Figure 4 1: Gastrointestinal Endoscope Market by Segment, U.S., 2013 – 2023 (US$M) (1 of 2)
Figure 4 2: Gastrointestinal Endoscope Market by Segment, U.S., 2013 – 2023 (US$M) (2 of 2)
Figure 4 3: Total Gastrointestinal Endoscope Market, U.S., 2013 – 2023
Figure 4 4: Colonoscope Market, U.S., 2013 – 2023
Figure 4 5: Sigmoidoscope Market, U.S., 2013 – 2023
Figure 4 6: Duodenoscope Market, U.S., 2013 – 2023
Figure 4 7: Enteroscope Market, U.S., 2013 – 2023
Figure 4 8: Ultrasound Endoscope Market, U.S., 2013 – 2023
Figure 4 9: Double-Balloon Endoscope Market, U.S., 2013 – 2023
Figure 4 10: Gastroscope Market, U.S., 2013 – 2023
Figure 4 11: Third Party Endoscope Resale Market, U.S., 2013 – 2023
Figure 4 12: Drivers and Limiters, Gastrointestinal Endoscope Market, U.S., 2016
Figure 4 13: Leading Competitors, Gastrointestinal Endoscope Market, U.S., 2016 (1 of 2)
Figure 4 14: Leading Competitors, Gastrointestinal Endoscope Market, U.S., 2016 (2 of 2)
Figure 4 15: Leading Competitors, Third Party Endoscope Resale and Repair Market, U.S., 2016

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