U.S. Market for Image Guided Surgery and Surgical Robotics 2009 TABLE OF CONTENTS TABLE OF CONTENTS............................I LIST OF FIGURES............................IV LIST OF CHARTS.............................VI EXECUTIVE SUMMARY........................... 1 1.1 INTRODUCTION ............................ 1 1.2 IMAGE GUIDED SURGERY SYSTEMS.................... 2 1.2.1 Combined IGS System Market .................... 2 1.2.2 IGS Systems with Ear, Nose, and Throat (ENT) Software Applications..... 3 1.2.3 IGS Systems with Neurosurgical Software Applications .......... 4 1.2.4 IGS Systems with Spinal Software Applications .............. 5 1.2.5 IGS Systems with Orthopedic Software Applications ............ 5 1.3 SURGICAL ROBOTIC SYSTEMS....................... 6 1.4 TOTAL MARKET DRIVERS AND LIMITERS ................. 7 1.4.1 Market Drivers.......................... 7 1.4.2 Market Limiters............................ 8 1.5 COMPETITIVE ANALYSIS ......................... 9 RESEARCH METHODOLOGY........................ 10 2.1 RESEARCH SCOPE ............................ 10 2.2 IDATA’S 9-STEP METHODOLOGY ...................... 10 Step 1: Project Initiation & Team Selection .................. 11 Step 2: Prepare Data Systems and Perform Secondary Research......... 12 Step 3: Preparation for Interviews & Questionnaire Design .......... 13 Step 4: Performing Primary Research.................. 14 Step 5: Research Analysis: Establishing Baseline Estimates .......... 16 Step 6: Market Forecast and Analysis .................. 16 Step 7: Identify Strategic Opportunities .................. 18 Table of Contents © iData Research Inc., 2009 www.idataresearch.net ii Step 8: Final Review and Market Release .................. 19 Step 9: Customer Feedback and Market Monitoring.............. 20 COMBINED IMAGE GUIDED SURGERY MARKET ............. 21 3.1 INTRODUCTION ............................. 21 3.1.1 IGS System Components ........................ 22 3.1.2 IGS System Segments ....................... 23 3.1.3 IGS System Revenues ....................... 25 3.1.4 Advantages and Disadvantages of IGS Systems ............... 26 3.2MARKET FORECAST......................... 28 3.2.1 Total IGS Systems Placed ...................... 30 3.3 STRATEGIC ALLIANCES OF IGS COMPETITORS ................ 32 3.4 DRIVERS AND LIMITERS ........................ 33 3.4.1 Market Drivers........................... 33 3.4.2 Market Limiters.......................... 34 3.5 IGS SYSTEM MARKET SHARES....................... 37 EAR, NOSE, AND THROAT IMAGE GUIDED SURGERY MARKET....... 39 4.1 INTRODUCTION ............................. 39 4.2MARKET FORECAST......................... 40 4.2.1 IGS Systems Placed ......................... 40 4.2.2 ENT Procedures......................... 43 4.2.3 Revenues from System Sales ..................... 44 4.2.4 Total Market Value .......................... 44 4.3 COMPETITIVE ANALYSIS ....................... 47 NEUROSURGERY IMAGE GUIDED SURGERY MARKET........... 49 5.1 INTRODUCTION ............................. 49 5.2MARKET FORECAST......................... 49 5.2.1 Systems Placed........................... 49 5.2.2 Revenue from System Sales....................... 52 5.2.3 Total Market Revenue......................... 52 5.3 COMPETITIVE ANALYSIS ....................... 55 SPINAL IMAGE GUIDED SURGERY MARKET ............... 57 Table of Contents © iData Research Inc., 2009 www.idataresearch.net iii 6.1 INTRODUCTION ............................. 57 6.2MARKET FORECAST......................... 57 6.2.1 Systems Placed........................... 57 6.2.2 Revenue from System Sales....................... 60 6.2.3 Total Market Value .......................... 60 6.3 COMPETITIVE ANALYSIS ....................... 63 ORTHOPEDIC IMAGE GUIDED SURGERY MARKET............ 65 7.1 INTRODUCTION ............................. 65 7.2MARKET FORECAST......................... 66 7.2.1 Systems Placed........................... 66 7.2.2 Revenue from System Sales....................... 68 7.2.3 Total Market Value .......................... 68 7.3 COMPETITIVE ANALYSIS ....................... 71 SURGICAL ROBOTIC DEVICE MARKET................... 73 8.1 INTRODUCTION ............................. 73 8.2MARKET FORECAST......................... 75 8.2.1 Minimally Invasive Surgery Robotic Device Market ........... 75 8.2.2 Endoscopic Holder Robotic Device Market ............... 80 8.2.3 Orthopedic Robotic Device Market ................... 81 8.2.4 Neurosurgery Robotics Market.................... 83 8.2.5 Interventional Radiology and Radiotherapy Robotic Devices Market ..... 84 8.3 DRIVERS AND LIMITERS ........................ 85 8.3.1 Market Drivers........................... 85 8.3.2 Market Limiters.......................... 86 8.4 COMPETITIVE ANALYSIS ....................... 88 ABBREVIATIONS............................. 89 List of Figures © iData Research Inc., 2009 www.idataresearch.net iv LIST OF FIGURES EXECUTIVE SUMMARY..................... 1 RESEARCH METHODOLOGY.................... 10 COMBINED IMAGE GUIDED SURGERY MARKET .......... 21 Figure 3-1: IGS Systems Sold by Application, U.S., 2005 – 2015 ...... 23 Figure 3-2: Sources of Revenue in the IGS Market, U.S., 2008....... 26 Figure 3-3: Advantages and Disadvantages of IGS Systems......... 27 Figure 3-4: Combined Market for IGS Systems, U.S., 2005 – 2015....... 28 Figure 3-5: Total IGS Systems Placed Per Year, U.S., 2005 – 2015 ...... 30 Figure 3-6: Drivers and Limiters for the Combined IGS System Market, U.S., 2008 ............................. 36 Figure 3-7: Market Shares for Competitors in the Market for IGS Systems, U.S., 2008 ............................. 38 EAR, NOSE, AND THROAT IMAGE GUIDED SURGERY MARKET ...... 39 Figure 4-1: IGS Systems Placed with ENT Applications, U.S., 2005 – 2015 .. 41 Figure 4-2: Penetration Rate of IGS for ENT Procedures, U.S., 2005 – 2015 .... 43 Figure 4-3: System Sales and Total Market Value for the ENT IGS Market, U.S., 2005 – 2015........................... 45 Figure 4-4: Leading Competitors in the ENT IGS System Market, U.S., 2008 ... 48 NEUROSURGERY IMAGE GUIDED SURGERY MARKET ......... 49 Figure 5-1: Number of Neurosurgical IGS Systems Placed, U.S., 2005 – 2015.. 50 Figure 5-2: System Sales and Market Value of the Neurosurgical IGS System Market, U.S., 2005 – 2015 .................... 53 Figure 5-3: Leading Competitors in the Neurosurgical IGS System Market, U.S., 2008 ............................. 56 SPINAL IMAGE GUIDED SURGERY MARKET.............. 57 Figure 6-1: IGS Systems Placed with Spinal Applications, U.S., 2005 – 2015... 58 Figure 6-2: System Sales and Total Market Value for IGS Systems with Spinal Applications, U.S., 2005 – 2015.................. 61 List of Figures © iData Research Inc., 2009 www.idataresearch.net v Figure 6-3: Leading Competitors in the Spinal IGS System Market, U.S., 2008 ... 64 ORTHOPEDIC IMAGE GUIDED SURGERY MARKET.......... 65 Figure 7-1: Number of Orthopedic IGS Systems Placed, U.S., 2005 – 2015 ... 66 Figure 7-2: System Sales and Total Market Value for IGS Systems with Orthopedic Applications, U.S., 2005 – 2015 ............... 69 Figure 7-3: Leading Competitors in the Orthopedic IGS System Market, U.S., 2008 ............................. 72 SURGICAL ROBOTIC DEVICE MARKET.............. 73 Figure 8-1: MIS Robotic Systems Sales Market, U.S., 2005 – 2015 ...... 76 Figure 8-2: Total Market for Articulated Robotic Surgical Systems, U.S., 2005 – 2015 ........................ 78 Figure 8-3: Drivers and Limiters for the Surgical Robotic Devices Market, U.S., 2008 ............................. 87 Figure 8-4: Leading Competitors in the Articulated Robotic Device Market, U.S., 2008 ............................. 88 ABBREVIATIONS ....................... 89 List of Charts © iData Research Inc., 2009 www.idataresearch.net vi LIST OF CHART S EXECUTIVE SUMMARY..................... 1 Chart 1-1: Combined IGS Systems Market, U.S., 2003 – 2013 ......... 2 Chart 1-2: IGS Systems Placed Per Year with ENT Applications, U.S., 2005 – 2015 ............................ 3 Chart 1-3: IGS Systems with Neurosurgical Applications Market, U.S., 2005 – 2015 ............................ 4 Chart 1-4: Unit Sales Revenues for the Surgical Robotics Market, U.S., 2005 – 2015 ....................... 6 Chart 1-5:Leading Competitors in the Combined IGS Market, U.S., 2015 ..... 9 RESEARCH METHODOLOGY.................... 10 COMBINED IMAGE GUIDED SURGERY MARKET .......... 21 Chart 3-1: IGS Systems Sold by Application, U.S., 2005 – 2015 ....... 24 Chart 3-2: Combined Market Value and Growth Rate for IGS Systems, U.S., 2005 – 2015........................... 29 Chart 3-3: Total Number and Growth Rate of IGS Systems Placed Per Year, U.S., 2005 – 2015........................... 31 EAR, NOSE, AND THROAT IMAGE GUIDED SURGERY MARKET ...... 39 Chart 4-1: IGS Systems Placed with ENT Applications, U.S., 2005 – 2015.... 42 NEUROSURGERY IMAGE GUIDED SURGERY MARKET ......... 49 Chart 5-1: Number and Growth Rate of Neurosurgical IGS Systems Placed, U.S., 2005 – 2015........................... 51 Chart 5-2: Total Market Value and Growth Rate of the Neurosurgical IGS System Market, U.S., 2005 – 2015 ................. 54 SPINAL IMAGE GUIDED SURGERY MARKET.............. 57 Chart 6-1: IGS Systems Placed with Spinal Applications, U.S., 2005 – 2015 .... 59 Chart 6-2 – Total Market Value and Growth Rate of the Spinal IGS System Market, U.S., 2005 – 2015 .................... 62 ORTHOPEDIC IMAGE GUIDED SURGERY MARKET.......... 65 List of Charts © iData Research Inc., 2009 www.idataresearch.net vii Chart 7-1: Number of Orthopedic IGS Systems Placed, U.S., 2005 – 2015..... 67 Chart 7-2: Total Market Value and Growth Rate of the Orthopedics IGS Market, U.S., 2005 – 2015 ........................ 70 SURGICAL ROBOTIC DEVICE MARKET.............. 73 Chart 8-1: MIS Robotic System Sales Market, U.S., 2005 – 2015 ...... 77 Chart 8-2: Total Market Value and Growth Rate for Articulated Robotic Surgical Systems, U.S., 2005 – 2015................... 79 ABBREVIATIONS ....................... 89