Laparoscopic Devices

Table of Contents

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

• Study Reliability and Reporting Limitations
• Disclaimers
• Data Interpretation & Reporting Level
• Quantitative Techniques & Analytics
• Product Definition and Scope of Study

II. EXECUTIVE SUMMARY

1. GLOBAL MARKET OVERVIEW

• Laparoscopic Procedures - Entering New Spheres
• Table 1: Laparoscopic Procedures in the United States, the Largest Market Globally (2006-2015) - (In thousands) (includes corresponding Graph/Chart)
• Worldwide Market Estimates and Forecasts
• US Dominates the Global Laparoscopic Devices Market
• Table 2: US and Europe Account for a Major Chunk of Laparoscopic Devices Market: 2009 (includes corresponding Graph/Chart)
• Gastric Band and Hand-Assist Devices Drive Market Growth
• Table 3: Gastric Bands to Drive the Global Laparoscopy Market: 2006-2015 (US$ Million) (includes corresponding Graph/Chart)
• Key Market Drivers
• Key Market Restraints
• Players

2. MARKET DYNAMICS

• Horde of Factors Drive Popularity of Laparoscopic Procedures
• Diversifying Target Patient Groups
• Hand-Assist Devices Eliminate Obstacles
• Microlaparoscopy - Limited to Specific Procedures
• Robot-Assisted Laparoscopy - Changing the Face of Laparoscopic Surgery
• Non-Invasive Surgical Procedures- A New Revolution in Making

3. MARKET TRENDS

• Technological Advancements Drive Market Growth
• Recent Technological Breakthroughs in Laparoscopic Devices
• Future Technologies to Surge Adoption
• Growing Demand for Bariatric Surgeries to Drive Laparoscopes Market
• Gastric Band Sales to Surge
• Emerging Technologies to Drive Market for Devices in Bariatric Surgeries
• Gastric Sleeving - A Potential Threat to Gastric Banding Procedure
• Versatility - The Key Driver to Innovation in Laparoscopic Instrumentation
• Reusable Instruments Gain Prominence
• Size and Energy Displacement Factors to Steer New Product Development

4. ISSUES AND CHALLENGES

• Functional Difficulties
• Cost Concerns Vs. Healthcare Cost Containment
• Additional Training Requirements - Impeding Growth in Adoption

5. PRODUCT OVERVIEW

• Minimally Invasive Surgeries - Transforming the Surgical Arena
• Endoscopy
• Components of an Endoscope
• Types of Endoscopy
• Endoscopy of Gastrointestinal tract
• Endoscopy During Pregnancy:
• Endoscopy of Body Cavities
• Others
• Review of Technologies Reshaping the Market
• Robotics in Endoscopy
• Growing Trend Towards Integrated Operating Room Suites
• Confocal Microendoscopes
• High Definition Endoscopy
• Endoscopic Ultrasound
• Auto Fluorescence Imaging
• Narrow Band Imaging Technology
• Multi-Band Imaging
• NOTES - A New Dimension to Translumenal Endoscopy
• Competitive Scenario
• Table 4: Leading Players in the Global Endoscopy Market (2008E): Percentage Breakdown of Value Sales for Olympus, Johnson & Johnson, Boston Scientific, Smith & Nephew, Karl Storz, Covidien, and Others (includes corresponding Graph/Chart)

6. LAPAROSCOPY - AN OVERVIEW

• Laparoscopic Surgery
• A Historical Perspective
• Process of Laparoscopy
• Pediatric Laparoscopy
• Imaging in Laparoscopy
• Advantages of Laparoscopy
• Disadvantages of Laparoscopy
• Key Risks Involved in Laparoscopic Procedures
• Life Threatening and Challenging Steps of Laparoscopy
• Conversion from Laparoscopic to Open Surgery
• Repeat Laparoscopy
• Laparoscopy for Diagnosis and Treatment
• Diagnostic Laparoscopy
• Therapeutic Laparoscopy

7. LAPAROSCOPIC SURGICAL PROCEDURES

• Laparoscopic Bariatric Procedures
• Laparoscopic Cholecystectomy
• Laparoscopic Antireflux Procedure
• Laparoscopic Adrenalectomy
• Laparoscopic Appendectomy
• Laparoscopic Hernia Repair
• Laparoscopic Splenectomy
• Laparoscopic Cancer Treatment
• Other Laparoscopic Procedures
• Malrotation
• Peritoneal Implants
• Rectal Prolapse
• Rectal Tumor
• Renal Lithiasis

8. MARKET SEGMENTATION

• Laparoscopes
• Types of Laparoscopes
• Viewing Laparoscopes
• Video Laparoscopes
• Diagnostic Laparoscopes
• Operating Laparoscopes
• Trocars
• Insufflation and Suction/Irrigation Devices
• Insufflation Systems
• Suction/Irrigation Systems
• Closure Devices
• Staplers
• Clip Appliers
• Sutures
• Knot Pushers and Needle Holders
• Hand Instruments
• Forceps and Scissors
• Tissue Retractors and Tissue Removal Bags
• Direct Energy Devices
• Electrodes
• Ultrasonic Instruments
• Gastric Band
• Adjustable Gastric Bands
• Background
• Available Gastric Bands
• Adjustable Gastric Bands Marketed in the US and Europe
• Allergan & Ethicon Vie for Global Gastric Band Market Share
• Table 5: Leading Players in the Global Gastric Bands Market (2007): Percentage Share Breakdown of Value Sales for Allergan, Johnson & Johnson/Ethicon, and Others (includes corresponding Graph/Chart)
• Lap-Band Vs. Realize Band
• Major Advantages of Lap-Band Vs. Realize Band
• Hand-Assist Devices
• Other Laparoscopic Devices
• Female sterilization devices

9. PRODUCT INNOVATIONS/INTRODUCTIONS

• Researchers Bring "Wrist-like Action" into Laparoscopic Surgical Tools
• Neoprobe Launches New Wireless Gamma Detection Probe
• Covidien Unveils Versaport(tm) Plus Bladeless Trocars
• Covidien Rolls Out Evident(tm) Microwave Ablation System
• Covidien Unveils VersaStep Plus in Europe
• Encision Launches New Disposable Fixed-Tip Electrode Laparoscopic Instruments
• Encision Introduces New Line of EnTouch Handles for Advanced Procedures
• Covidien Launches Visiport Plus in the US
• Covidien Unveils AbsorbaTack(tm) 5mm Absorbable Mesh Fixation System
• Aragon Surgical Rolls Out LapCap
• Innovamed Launches Laprostop(tm)
• Allergan Launches LAP-BAND AP(r)
• Cambridge Endo Introduces Autonomy(tm) Laparo- Angle(tm) Needle Holder

10. RECENT INDUSTRY ACTIVITY

• Covidien Receives FDA Approval for SILS(tm) Port Multiple Instrument Access Port
• Integra LifeSciences Acquires Omni-Tract Surgical
• SAES Getters Takes Over Memry Corporation
• Bovie Medical Receives FDA Clearance for MEG Laparoscopic Line
• Cambridge Endo Receives CE Mark for Autonomy(tm) Lapro- Angle(tm)
• Karl Storz Ships Laparoscopic Surgery Instruments to Korle Bu Teaching Hospital
• Acacia Secures Patent Rights for Laparoscopic Surgery Technology
• Olympus Acquires Medical Device Manufacturer, Gyrus
• Covidien and Allergan Ink Co-Promotion Agreement
• Viking Systems Partners with Biomedica Medizinprodukte
• Allergan Acquires EndoArt
• Viking Systems to Purchase Tuebingen Scientific Medical
• Symmetry Medical Buys TNCO
• Synovis Life Technologies Purchases 4Closure(tm) Surgical Fascia Closure System
• Aragon Takes Over VeriSure
• Starion Instruments and Novare Surgical Systems Sign Agreement
• Medical Creative Technologies Acquires Dexterity Surgical' s Intellectual Property

11. FOCUS ON SELECT GLOBAL PLAYERS

• Allergan, Inc. (USA)
• Aesculap AG (Germany)
• Boston Scientific Corp. (USA)
• Cardinal Health, Inc. (USA)
• Covidien Ltd. (Bermuda)
• Ethicon Endo-Surgery, Inc. (USA)
• Karl Storz GmbH & Co. KG (Germany)
• Microline Pentax, Inc. (USA)
• Olympus Medical Systems Corp. (Japan)
• Smith & Nephew, Inc. (USA)
• STRYKER Corp. (USA)

12. GLOBAL MARKET PERSPECTIVE

• Table 6: World Recent Past, Current & Future Analysis for Laparoscopic Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 7: World 10-Year Perspective for Laparoscopic Devices by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 8: World Recent Past, Current & Future Analysis for Laparoscopes by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 9: World 10-Year Perspective for Laparoscopes by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 10: World Recent Past, Current & Future Analysis for Trocars by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 11: World 10-Year Perspective for Trocars by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 12: World Recent Past, Current & Future Analysis for Insufflation and Suction/ Irrigation Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 13: World 10-Year Perspective for Insufflation and Suction/ Irrigation Devices by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 14: World Recent Past, Current & Future Analysis for Closure Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 15: World 10-Year Perspective for Closure Devices by Geographic Region -Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 16: World Recent Past, Current & Future Analysis for Hand Instruments by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 17: World 10-Year Perspective for Hand Instruments by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 18: World Recent Past, Current & Future Analysis for Direct Energy Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 19: World 10-Year Perspective for Direct Energy Devices by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 20: World Recent Past, Current & Future Analysis for Gastric Bands by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 21: World 10-Year Perspective for Gastric Bands by Geographic Region -Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 22: World Recent Past, Current & Future Analysis for Hand-Assist Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 23: World 10-Year Perspective for Hand- Assist Devices by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)
• Table 24: World Recent Past, Current & Future Analysis for Other Laparoscopic Devices by Geographic Region - US, Japan, Europe and Rest of World Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 25: World 10-Year Perspective for Other Laparoscopic Devices by Geographic Region - Percentage Breakdown of Dollar Sales for US, Japan, Europe and Rest of World Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

III. MARKET

1. THE UNITED STATES

• A. Market Analysis
• Current and Future Analysis
• Competitive Scenario
• Microscopes and Cameras
• Table 26: Leading Players in Laparascopes and Surgical Cameras (2007): Percentage Share Breakdown of Sales for Karl Storz, Stryker, Olympus,Smith & Nephew, and Others (includes corresponding Graph/Chart)
• Trocars, Insufflation and Suction/Irrigation devices
• Table 27: Leading Players in the US Trocars and Insufflation and Suction/Irrigation Devices Market (2007): Percentage Share Breakdown of Sales for Ethicon Endo-Surgery, Covedien,Karl Storz and thers (includes corresponding Graph/Chart)
• Market Trends
• Growing Demand for Minimally Invasive Surgeries
• Gastric Band Market to Witness Significant Growth
• Table 28: US Sales of Gastric Band During 2006 through 2015 (US$ Million) (includes corresponding Graph/Chart)
• Reusable and Reposable Variants Score Over Disposable Instruments
• Demand for Advanced Energy Instruments on The Rise
• Product Launches
• Strategic Corporate Developments
• Key Players in the Market
• B. Market Analytics
• Table 29: US Recent Past, Current & Future Analysis for Laparoscopic Devices by Segment - Laparoscopes,Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices- Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 30: US 10-Year Perspective for Laparoscopic Devices by Segment - Percentage Breakdown of Dollar Sales for Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices Gastric Band, Hand Assist Devices and Other Laparoscopic Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

2. JAPAN

• A. Market Analysis
• Current and Future Analysis
• B. Market Analytics
• Table 31: Japanese Recent Past, Current & Future Analysis for Laparoscopic Devices by Segment - Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices- Markets Independently Analyzed with Annual SalesFigures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 32: Japanese 10-Year Perspective for Laparoscopic Devices by Segment - Percentage Breakdown of Dollar Sales for Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

3. EUROPE

• A. Market Analysis
• Current and Future Analysis
• Competition
• Table 33: European Laparoscopes Market (2007): Percentage Breakdown of Revenues from Laparoscopes Ranked by Leading Companies- Karl Storz, Olympus Europa Gmbh, Stryker Corporation, Smith & Nephew and Others (includes corresponding Graph/Chart)
• Minimally Invasive Surgeries - European Market Review
• Product Launches
• Strategic Corporate Developments
• Key Players in the Market
• B. Market Analytics
• Table 34: European Recent Past, Current & Future Analysis for Laparoscopic Devices by Segment - Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices- Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 35: European 10-Year Perspective for Laparoscopic Devices by Segment - Percentage Breakdown of Dollar Sales for Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices Gastric Band, Hand Assist Devices and Other Laparoscopic Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

4. REST OF WORLD

• A. Market Analysis
• Current and Future Analysis
• Strategic Corporate Development
• Select Player in the Market
• B. Market Analytics
• Table 36: Rest of World Recent Past, Current & Future Analysis for Laparoscopic Devices by Segment - Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices- Markets Independently Analyzed with Annual Sales Figures in US$ Million for Years 2006 through 2015 (includes corresponding Graph/Chart)
• Table 37: Rest of World 10-Year Perspective for Laparoscopic Devices by Segment - Percentage Breakdown of Dollar Sales for Laparoscopes, Trocars, Insufflation and Suction/ Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand-Assist Devices and Other Laparoscopic Devices Markets for Years 2006, 2009 & 2015 (includes corresponding Graph/Chart)

IV. COMPETITIVE LANDSCAPE