Medical Robotics and Computer-Assisted Surgery

Table of Contents

Medical Robotics and Computer-Assisted Surgery

Chapter-1: EXECUTIVE SUMMARY

• SUMMARY TABLE U.S. SALES OF MRCAS EQUIPMENT, THROUGH 2014 ($ MILLIONS)
• SUMMARY FIGURE TRENDS IN U.S. SALES OF MRCAS EQUIPMENT, 2008-2014 ($ MILLIONS)
• EXECUTIVE SUMMARY (CONTINUED)

Chapter-2: OVERVIEW OF MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY

• GENERAL DESCRIPTION AND DEFINITION OF MRCAS
  • FIGURE 1 MEDICAL ROBOTIC AND COMPUTER-ASSISTED SURGICAL SYSTEMS
• HISTORY OF MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY
• SURGICAL IMAGING TECHNOLOGIES
• IMAGE REGISTRATION TECHNIQUES
• IMAGE REGISTRATION TECHNIQUES (CONTINUED)
• COMPUTER IMAGE PROCESSING
• SURGICAL ROBOTS
• “THE INTELLIGENT OPERATING ROOM”
• SURGICAL SIMULATION
• TECHNOLOGIES AND PRODUCTS
• STAND-ALONE SURGICAL PLANNERS AND SIMULATORS
• Technology
• Modeling of Organs and Deformations
• Simulation of Actions and Force Feedback Reactions
• Emerging Technologies
• Web-Based Surgical Simulators
• Virtual Surgery Tables
• Recent Patents
• Advantages of Surgical Planners and Simulators
• Products
  • TABLE 1 STAND-ALONE SURGICAL PLANNERS AND SIMULATORS
• Fifth Dimension Technologies
• Bronchoscope and Gastroscope Training Simulators
• Haptica
• ProMIS
• Immersion Medical
• AccuTouch
• Mentice Medical Simulation
• Procedicus
• Merge Healthcare
• Cedara OrthoWorks
• Simbionix
• Mentor Simulator Series
  • GI Mentor, URO Mentor, PERC Mentor, LAP Mentor (Simbionix)
• SimSurgery
• SimSurgery Education Platform
• Surgical Science
• LapSim
• SURGICAL NAVIGATION SYSTEMS
• Technologies
• Imaging Technologies
• Multi-Modal Imaging
• Fluoroscopic Imaging
• Video-Enhanced Imagery
• Microscopic Imagery
• Endoscopic Imagery
• Dynamic (Interventional) Imaging
• Compact MRI Scanners
• Intraoperative CT
• Intraoperative Ultrasound
• Tracking Technologies
• Optical Tracking
• Electromagnetic Tracking
• Display Technologies
• Multiplanar Displays
• Three-Dimensional Displays
• Stereoscopic Displays
• Virtual and Augmented Reality
• Heads-Up Displays
• Recent Patents
• Recent ... (Continued)
• Advantages of Surgical Navigation Systems
• Products
• Image-Guided Surgical Navigation Systems
  • TABLE 2 IMAGE-GUIDED SURGICAL NAVIGATION SYSTEMS
• Boulder Innovation Group
  • FlashPoint 5500
• BrainLAB AG
  • VectorVision
  • Kolibri
• CASurgica
  • HipNav
• CBYON
  • CBYON Suite (CBYON)
• GE Medical Systems
  • InstaTrak
  • Other Surgical Navigation Products
• Integra Radionics
  • OmniSight EXcel
• Medtronic
  • StealthStation
• Orthosoft
  • Navitrack
• PraximMedivision
  • Surgetics Station
• Siemens Healthcare
  • NaviVision
  • NaviLink
• Stryker Corp.
  • Stryker Navigation System II
  • ENLite
  • NavSuite
• Interventional Navigation Systems
  • TABLE 3 INTERVENTIONAL SURGICAL NAVIGATION SYSTEMS
  • TABLE 4 COMPARISON OF NON-FLUOROSCOPIC INTERVENTIONAL IMAGING TECHNOLOGIES
• B. Braun Aesculap
  • OrthoPilot
• Kinamed
  • NaviPro
• MISON
  • SonoWand
• Odin Medical Technologies
  • Polestar
• Smith & Nephew
  • PiGalileo
• Surgical Navigation Accessories and Add-Ons
  • TABLE 5 SURGICAL NAVIGATION ACCESSORIES AND ADD-ONS
• Microvision
  • Nomad
• Viking Stems
  • Endosite 3Di System
  • 3D-HD Personal Head Display and Infomatix
• 4Navitec
  • Pointers, Trackers, Adapters, and Other Accessories
• SURGICAL ROBOTS
• Technology
• Robotically Assisted Micro-Manipulation
• Steady-Hand Systems
• Robotic “Wrists” and Other Dexterity Enhancements
• Preprogrammed Robots
• Constraint Robots
• Voice Control
• Other Emerging Technologies
• New Robotic Arm Designs
• Remote Surgery
• Natural-Orifice Surgery
• Microbots
• Recent Patents
• Recent ... (Continued)
• Recent ... (Continued)
• Advantages of Robotics
• Products
  • TABLE 6 SURGICAL ROBOTICS
• Acrobot
• Sculptor
• Curexo Technology
• ROBODOC
• Given Imaging
• Given Imaging Diagnostic System
• Hansen Medical
• Sensei
• Hitachi Medical Systems
• Magnetic Resonance Image-Guided Surgical Robotic System
• Intuitive Surgical Systems
• Da Vinci
• Mazor Surgical Technologies
• SpineAssist
• MicroDexterity
• MicroDex
• Prosurgics
• EndoAssist
• Pathfinder
• Robotic Systems and Technologies
• Penelope
• Schaerer Mayfield
• NeuroMate
• DIGITAL OPERATING ROOMS AND EQUIPMENT
• Technologies
• Data Routing
• User Interface
• Open System Architectures
• Recent Patents
• Advantages
• Products
  • TABLE 7 INTELLIGENT OPERATING ROOM SOLUTIONS AND COMPONENTS
• Stryker
• iSuite Operating Room of the Future
• SIDNE
• Karl Storz
• OR 1
• Smith & Nephew
• Digital Operating Room
• Intuitive Surgical
• HERMES
• Steris Corp.
• Amsco 3085 SP Operating Table/Harmony Surgical Lighting System
• Skytron Surgical
• STELLAR Surgical Lighting Systems (Skytron Surgical)
• Berchtold GmbH
• CHROMOPHARE Surgical Lighting Systems
• ValleyLab
• Force FX Electrosurgical Generator
• PRINCIPAL SURGICAL APPLICATIONS OF MRCAS
  • TABLE 8 PRINCIPAL SURGICAL APPLICATIONS OF MRCAS
  • TABLE 8 (CONTINUED)
• ORTHOPEDIC APPLICATIONS
• Hip Replacement
• Knee Replacement
• Trauma
• Pedicle Screw Fixation and Other Spinal Procedures
• NEUROSURGICAL APPLICATIONS
• Stereotactic Biopsy
• Craniotomy
• Shunt
• Implants
• Deep Brain Stimulation
• EAR, NOSE, AND THROAT (ENT) APPLICATIONS
• Functional Endoscopic Sinus Surgery
• CARDIAC APPLICATIONS
• Coronary Bypass Surgery
• Heart Valve Repair and Replacement
• OTHER ENDOSCOPIC APPLICATIONS
• GOVERNMENTAL ISSUES
• REGULATORY APPROVAL OF MIS EQUIPMENT
• Regulatory Approval ... (Continued)
• Regulatory Approval ... (Continued)
• REIMBURSEMENT

Chapter-3: THE U.S. MARKET FOR MRCAS EQUIPMENT

• OVERALL MARKET SIZE AND SEGMENTATION
• OVERALL MARKET
  • FIGURE 2 U.S. SALES OF MRCAS EQUIPMENT, 2008-2014 ($ MILLIONS)
• MARKET BY EQUIPMENT SEGMENT
  • TABLE 9 U.S. MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2014 ($ MILLIONS)
  • FIGURE 3 U.S. MRCAS MARKET SHARES BY TYPE OF EQUIPMENT, 2008 VS. 2014 (PERCENT OF TOTAL SALES)
• MARKET BY APPLICATION SEGMENT
  • TABLE 10 U.S. MRCAS MARKET BY TYPE OF APPLICATION, THROUGH 2014 ($ MILLIONS)
  • FIGURE 4 MAJOR MRCAS APPLICATION SEGMENTS, 2008 VS. 2014 (PERCENT OF TOTAL SALES)
  • FIGURE 4 (CONTINUED)
• DETAILED MARKET ANALYSIS AND PROJECTIONS
• Surgical Planners and Simulators
• Historical Sales
  • TABLE 11 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS, THROUGH 2008 ($ MILLIONS)
  • FIGURE 5 U.S. SALES OF SURGICAL PLANNERS AND SIMULATORS, 2000 AND 2008 ($ MILLIONS)
• Projected Sales
  • TABLE 12 PROJECTED U.S. SALES OF PLANNERS AND SIMULATORS, THROUGH 2014 ($ MILLIONS)
• Risk Factors
• Surgical Navigation Systems
• Historical Sales
  • TABLE 13 U.S. SALES OF SURGICAL NAVIGATION SYSTEMS, THROUGH 2008 ($ MILLIONS)
  • FIGURE 6 HISTORICAL GROWTH OF SURGICAL NAVIGATION SYSTEM SALES, 2000 AND 2008 ($ MILLIONS)
• Sales Projections
  • TABLE 14 PROJECTED U.S. SALES OF SURGICAL NAVIGATION SYSTEMS, THROUGH 2014 ($ MILLIONS)
• Risk Factors
• Surgical Robots
• Sales
  • FIGURE 7 HISTORICAL GROWTH OF SURGICAL ROBOT SALES, 2000 AND 2008 ($ MILLIONS)
• Market Penetration
  • TABLE 15 U.S. SURGICAL ROBOT MARKET PENETRATION, 2008
• Projected Sales
  • TABLE 16 PROJECTED U.S. SALES OF SURGICAL ROBOTS, THROUGH 2014 ($ MILLIONS)
• Risk Factors
• Intelligent Operating Room Solutions
• Sales
  • TABLE 17 U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS, THROUGH 2008
  • FIGURE 8 HISTORICAL GROWTH OF INTELLIGENT OPERATING ROOM SALES, 2000 AND 2008 ($ MILLIONS)
• Market Penetration
  • TABLE 18 U.S. INTELLIGENT OPERATING ROOM MARKET PENETRATION, 2008
• Projected Sales
  • TABLE 19 PROJECTED U.S. SALES OF INTELLIGENT OPERATING ROOM SOLUTIONS THROUGH 2014 ($ MILLIONS)
• Risk Factors
• INDUSTRY STRUCTURE AND COMPETITION
• OVERALL MARKET
  • TABLE 20 MAJOR MRCAS VENDORS' U.S. SALES, 2008
  • FIGURE 9 U.S. OVERALL MRCAS MARKET LEADERS, 2008 (PERCENT OF TOTAL SALES)
• SURGICAL PLANNERS AND SIMULATORS
  • FIGURE 10 U.S. SURGICAL PLANNER AND SIMULATOR MARKET LEADERS, 2008 (PERCENT OF TOTAL SALES)
• SURGICAL NAVIGATION SYSTEMS
  • FIGURE 11 U.S. SURGICAL NAVIGATION SYSTEM MARKET LEADERS, 2008 (PERCENT OF TOTAL SALES
• SURGICAL ROBOTS
  • FIGURE 12 U.S. SURGICAL ROBOT MARKET SHARES, 2008 (PERCENT OF TOTAL SALES)
• INTELLIGENT OPERATING ROOM SOLUTIONS
  • FIGURE 13 U.S. INTEGRATED OPERATING ROOM SOLUTIONS MARKET LEADERS, 2008 (PERCENT OF TOTAL SALES)
• DISTRIBUTION CHANNELS
  • FIGURE 14 U.S. DISTRIBUTION CHANNELS FOR MRCAS EQUIPMENT (PERCENT OF TOTAL SALES MADE THROUGH EACH CHANNEL)
• OUTLOOK FOR THE U.S. MARKET
• DEMOGRAPHIC TRENDS
  • TABLE 21 TRENDS IN NUMBER OF AMERICANS AGED 55 AND OLDER, 2008 - 2014 (THOUSANDS)
• TRENDS IN THE INCIDENCE OF CERTAIN DISEASES OR CONDITIONS
• Trends in Cardiac Disease
• Trends in Hip and Knee Replacement
  • TABLE 22 PROJECTED TRENDS IN MINIMALLY INVASIVE HIP AND KNEE REPLACEMENT PROCEDURES, THROUGH 2014 (NUMBER OF PROCEDURES)
• TECHNOLOGICAL DEVELOPMENTS
• Adaptation of Minimally Invasive Techniques to New Types of Surgical Procedures
• New Products and Technologies
• Development of Lower-Cost Systems
• Increasing Patient Access to Minimally Invasive Surgery
• Facilitating Surgeon Awareness and Training in Minimally Invasive Procedures
• Offsetting Manpower Constraints and Reducing Hospital Labor Costs
• CHANGING STRUCTURE OF THE U.S. HEALTH CARE INDUSTRY
• Hospital Consolidation
• Developments in Health Insurance
• CONCLUSIONS

Chapter-4: INTERNATIONAL MARKETS FOR MRCAS

• MARKET SIZE AND SEGMENTATION
• SUMMARY
  • TABLE 23 U.S. VS. NON-U.S. MARKETS FOR MRCAS DEVICES AND EQUIPMENT BY MAJOR MARKET SEGMENT, THROUGH 2014
  • FIGURE 15 TRENDS IN THE GLOBAL MRCAS MARKET, 2008-2014 ($ MILLIONS)
• U.S. COMPANIES' SHARE OF NON-U.S. MARKETS
• FOREIGN REGULATORY ISSUES
• European Union
• European Union (Continued)
• Japan

Chapter-5: VENDOR PROFILES

• ACROBOT COMPANY, LTD. (SURGICAL PLANNERS, NAVIGATORS, ROBOTS)
• ANAMEDIC (SURGICAL SIMULATION SOFTWARE)
• BERCHTOLD GMBH (INTELLIGENT OPERATING ROOM EQUIPMENT)
• BOULDER INNOVATON GROUP
• BRAINLAB AG (NAVIGATION SYSTEMS)
• B. BRAUN AESCULAP (NAVIGATION SYSTEMS)
• CASURGICA, INC. (NAVIGATION SYSTEMS)
• CBYON, INC. (NAVIGATION SYSTEMS)
• CONMED CORP. (INTELLIGENT OPERATING ROOM EQUIPMENT)
• CUREXO TECHNOLOGY CORP. (SURGICAL ROBOTS)
• FIFTH DIMENSION TECHNOLOGIES
• 4NAVITEC GMBH (SURGICAL NAVIGATION ACCESSORIES)
• GE HEALTHCARE (NAVIGATION SYSTEMS)
• GIVEN IMAGING, LTD. (ROBOTICS)
• HANSEN MEDICAL (ROBOTICS)
• HAPTICA (SURGICAL SIMULATORS)
• HITACHI MEDICAL CORP.
• IMMERSION MEDICAL (SURGICAL SIMULATORS)
• INTUITIVE SURGICAL, INC. (ROBOTICS)
  • TABLE 24 INTUITIVE SURGICAL, INC., FINANCIAL PERFORMANCE, THROUGH 2008 ($ MILLIONS)
• KINAMED, INC. (SURGICAL NAVIGATION)
• MAZOR SURGICAL TECHNOLOGIES, LTD.
• MEDTRONIC, INC. (NAVIGATION SYSTEMS)
• MENTICE MEDICAL SIMULATION AB (SURGICAL SIMULATORS)
• MERGE HEALTHCARE (SURGICAL SIMULATORS)
• MICRODEXTERITY SYSTEMS, INC. (ROBOTICS)
• MICROVISION, INC. (SURGICAL NAVIGATION ACCESSORIES)
• MISON (NAVIGATION SYSTEMS)
• MUSCULOGRAPHICS, INC. (SURGICAL SIMULATION SOFTWARE)
• ODIN MEDICAL TECHNOLOGIES
• ORTHOSOFT INC. (NAVIGATION SYSTEMS)
• PRAXIM MEDIVISION
• PROSURGICS, LTD. (ROBOTICS)
• RADIONICS, INC. (NAVIGATION SYSTEMS)
• ROBOTIC SURGICAL TECH, INC.
• SCHAERER MAYFIELD NEUROMATE AG (SURGICAL ROBOTS)
• SIEMENS HEALTHCARE (NAVIGATION SYSTEMS)
• SIMBIONIX USA CORP. (SURGICAL SIMULATORS)
• SIMSURGERY (SURGICAL SIMULATORS)
• SMITH & NEPHEW PLC (INTELLIGENT OPERATING ROOM)
• STERIS CORP. (INTELLIGENT OPERATING ROOM EQUIPMENT)
• KARL STORZ GMBH (INTELLIGENT OPERATING ROOMS)
• STRYKER CORP. (NAVIGATION SYSTEMS, INTELLLIGENT OPERATING ROOMS)
• SURGICAL SCIENCE AB (SURGICAL SIMULATORS)
• VEREFI TECHNOLOGIES, INC. (SURGICAL SIMULATION)
• VIKING SYSTEMS, INC. (SURGICAL NAVIGATION)