The purpose of this report is to analyze and size the market for Arthroscopy Devices Worldwide, discuss key players, and identify trends impacting the market for these products. Topics discussed include product definitions, applications, types of equipment, market trends, strategies, competition, and key players. The report provides detailed market estimates and forecasts for Arthroscopy Devices in U.S. dollars.
Product/Market Segment Analysis and Forecasts by Region (2006-2014)
Market estimates and forecasts for Arthroscopy Devices by country/region (US $, 2006 – 2014) for: USA; Canada & Latin America; Europe; Japan; Rest pf Asia-Pacific (ROAPAC); and Rest of the World (ROW).
Regions Covered
- United States
- Canada & Latin America
- Europe
- Japan
- Rest of Asia-Pacific (ROAPAC)
- Rest of the World (ROW)
Detailed market forecasts (US $) for:
ACL/PCL Reconstruction Devices
Arthroscopes
Arthroscopic Hand Instruments
Fluid Management Devices
Meniscal Repair Devices
Powered Shaver Systems and Disposables
Radiofrequency Probes
Shoulder Fixation Devices
Knee Cartilage Repair Devices
Rotator Cuff Reinforcement
Reprocessed Arthroscopy Devices
This report can help in:
Assessing the market for Arthroscopy Devices, growth segments, and growth regions.
Understanding market drivers and restraints, and market segmentation.
Business planning, strategic decision making and competitive strategy.
Identifying opportunities for partnerships and alliances.
One of the most important trends in arthroscopy has been the development of resorbable, biodegradable materials such as implants for reattaching tendons and ligaments to bone such as sutures and anchors, implants to promote tissue regeneration and healing such as grafts and scaffolds etc. These devices are composed of biological materials such as hydroxyapatite and tricalcium phosphate that are naturally absorbed by the body over the course of healing. Since they are naturally absorbed within one to two years, surgical removal is not required.
Biodegradable suture anchors have both facilitated and revolutionized arthroscopic tissue-to-bone repair, especially in the knee and shoulder. New materials are not only biodegradable and biocompatible, but also have greater strength and superior qualities. Mechanical strength and biodegradability are important characteristics of these materials. Development of new compounds is aimed at reducing some of the complications arising from these implants such as problems with biocompatibility.
Robotic surgery for arthroscopy, called Arthrobotics by some, is fast gaining ground. In addition to improving access to joints, it also translates to less trauma for the patient and shorter hospital stays. Current systems allow automated motion of the arthroscope, position sensors to guide it, and force sensors for tissue proximity control. It is expected that in the future arthrobotic systems will be used for complete joint replacement.
This newly updated report from Marketstrat analyzes the market for Arthroscopy Devices Worldwide, discusses key players, and identifies trends impacting the market for these products. Topics discussed include product definitions, applications, types of equipment, market trends, strategies, competition, and key players. The report provides detailed market estimates and forecasts for Arthroscopy Devices in U.S. dollars.
The report provides market estimates and forecasts for Arthroscopy Devices by country/region (US $, 2006 - 2014) for: USA; Canada & Latin America; Europe; Japan; Rest pf Asia-Pacific (ROAPAC); and Rest of the World (ROW). Forecasts have been provided for the following segments: ACL/PCL Reconstruction Devices; Arthroscopes; Arthroscopic Hand Instruments; Fluid Management Devices; Meniscal Repair Devices; Powered Shaver Systems and Disposables; Radiofrequency Probes; Shoulder Fixation Devices; Knee Cartilage Repair Devices; Rotator Cuff Reinforcement; Reprocessed Arthroscopy Devices.
Laparoscopy is endoscopy performed on organs of the abdominal cavity. It is a minimally invasive surgical technique where the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision, about 1cm wide. Laparoscopy facilitates a direct visualization of the peritoneal cavity and organs in the abdomen including ovaries, fallopian tubes and uterus as well as the bowel and kidneys. A built-in micro camera projects a magnified real time image on a TV monitor, allowing the surgeon to see surrounding tissues. Both diagnostic and surgical procedures can be done laparoscopically. Laparoscopic surgery may be as simple as clipping fallopian tubes or as complex as organ removal.
The Laparoscopic devices universe includes the following products: Access Devices; Direct Energy Devices (Probes, Generators); Female Sterilization Devices; Gastric Banding; Hand Instruments; Insufflators; Internal Closure devices (Clip Appliers, Endolinear Staplers, Endostaplers, Endosuturing Devices); Laparoscopes (Rod Lens, Video; Reprocessed Laparoscopic Devices; and Suction Irrigation Devices.
MARKET SUMMARY
U.S. Arthroscopy Devices Market Expected to Touch $1.09 billion by the End of 2008. The world market for arthroscopy devices is expected to reach $2.24 billion by the end of 2008, growing at a rate of 6.6 percent per year during the 2006-2014 period.
Smith & Nephew is the market leader in the arthroscopy space, other leading players being Arthrex, Arthrocare, Biomet, Davol, DePuy/Mitek, Stryker, and Linvatec/Conmed.
Continued growth is expected in this market over the next few years, primarily due to increased demand for minimally invasive procedures, physician preference, increases in orthopedic problems in particular those associated with aging or sports in younger people, and demand for resorbable products.
Hip and small-joint (ankle, wrist) arthroscopy present emerging, previously undertapped markets as arthroscopic techniques gain momentum in hard-to access areas. Arthroscopic repair is the fastest growing segment and therapeutic arthroscopy is outpacing diagnostic procedures. The US will remain the largest market overall for the foreseeable future.
Europe and APAC regions including Japan are among the fastest growing regional markets where demand for minimally invasive procedures is on the rise. Reimbursement barriers for ambulatory surgical centers are expected to be reduced in the US. Momentum toward ambulatory surgery centers continues enabling greater access to arthroscopy. Entry barriers are high although sports-medicine related products are an exception. Small-joint arthroscopy is another possible entry point for new players. The drive to develop new technologies and new procedures continues. Focus of innovation will be on biologic glues and tissue, resorptive materials, multi-function instruments, and knotless systems.
Sports injuries are increasing, particularly in younger populations. US data indicate that team sports and fitness activities are the most common causes. The most common sports related injuries are knee (ACL tears) and shoulder injuries (Rotator Cuff).
Hip and small-joint (ankle, wrist) arthroscopy present emerging, previously undertapped markets as arthroscopic techniques gain momentum in hard-to access areas. Arthroscopic repair is the fastest growing segment and therapeutic arthroscopy is outpacing diagnostic procedures. The US will remain the largest market overall for the foreseeable future.
Europe and APAC regions including Japan are the fastest growing regional markets where demand for minimally invasive procedures is on the rise. Reimbursement barriers for ambulatory surgical centers are expected to be reduced in the US. Momentum toward ambulatory surgery centers continues enabling greater access to arthroscopy. Entry barriers are high although sports-medicine related products are an exception. Small-joint arthroscopy is another possible entry point for new players. The drive to develop new technologies and new procedures continues. Focus of innovation will be on biologic glues and tissue, resorptive materials, multi-function instruments, and knotless systems.
ARTHROSCOPY APPLICATIONS
Diagnosis - Meniscus tear
Shaving bone tissue to remove calcium deposits or bone spurs.
Repairing or trimming soft tissues (such as ligaments, tendons, or cartilage).
Cutting, repairing or reconstructing ligaments, enabling increased range of motion for a stiff joint.
Collecting samples of joint tissue or joint fluid for lab analysis (biopsy).
Removing scar tissue or an area of joint lining (synovium) that is inflamed.
One of the most important trends in arthroscopy has been the development of resorbable, biodegradable materials such as implants for reattaching tendons and ligaments to bone such as sutures and anchors, implants to promote tissue regeneration and healing such as grafts and scaffolds etc. These devices are composed of biological materials such as hydroxyapatite and tricalcium phosphate that are naturally absorbed by the body over the course of healing. Since they are naturally absorbed within one to two years, surgical removal is not required.
Biodegradable suture anchors have both facilitated and revolutionized arthroscopic tissue-to-bone repair, especially in the knee and shoulder. New materials are not only biodegradable and biocompatible, but also have greater strength and superior qualities. Mechanical strength and biodegradability are important characteristics of these materials. Development of new compounds is aimed at reducing some of the complications arising from these implants such as problems with biocompatibility.
The first screws and anchors were made of metal, while sutures were composed of braided polyester. The latest sutures have stronger biodegradable polymers including poly-L-lactic acid, poly-D, L lactic acid, polydioxanone, polyglycolic acid and their copolymers. They preloaded with a choice of conventional braided polyester sutures or ultrahigh molecular weight polyethylene ("super") sutures. Most new suture anchors come with 2 sutures.
The same materials can be used as scaffolds and allografts in tissue engineering. Scaffolds promote healing by allowing absorption and proliferation of bone cells. They are used to fill bone voids and as new bone tissue is formed, the biocomposite material naturally degrades.
Positioning Sytems
Smith & Nephew's Hip Positioning System for arthroscopic hip surgery is a new alternative to fracture tables used for open surgery. The system has a built-in ball joint built that enables surgeons to move the joint as needed during procedures, something which is becoming increasingly necessary as new hip arthroscopy techniques emerge. Being the largest joint in the body, the hip is hard to access and repair.
Robotic Arthroscopy
Robotic surgery for arthroscopy, called Arthrobotics by some, is fast gaining ground. In addition to improving access to joints, it also translates to less trauma for the patient and shorter hospital stays. Current systems allow automated motion of the arthroscope, position sensors to guide it, and force sensors for tissue proximity control. It is expected that in the future arthrobotic systems will be used for complete joint replacement.
ToLTech (Touch of Life Technology) launched the Knee Arthroscopy Simulator for training purposes in March 2008. The simulator was developed in collaboration with the American Academy of Orthopaedic Surgeons (AAOS), Arthroscopy Association of North America (AANA) and the American Board of Orthopedic Surgery (ABOS). It provides training to competency and complete evaluation for the proper and efficient techniques required for diagnostic arthroscopy of the knee. The simulator includes specialized hardware for knee articulation. It also incorporates haptic feedback displayed by SensAble Technologies Phantoms and a comprehensive virtual Mentor to guide, critique, and score the student on each procedure. Haptic technology is artificial touch technology.
Knotless Anchors
Provide and alternative to knots and eliminate the problems associated with knots including irritation and difficulty in tying knots. Many knotless anchors are available including the Mitek Bioknotless anchor, Linvatec UltraFix Knotless MiniMite Suture Anchor System, Arthrocare's Magnum2®, Magnum® PI and TwinLock™ System and Smith & Nephew's Kinsa.
COMPETITIVE ACTIVITY
Smith & Nephew is the market leader in the arthroscopy space, other leading players being Arthrex, Arthrocare, Biomet, Davol, DePuy/Mitek, Stryker, and Linvatec/Conmed.
Other companies in this space incldue: A Henniss; Ackermann Instrumente GmbH; Advanced Endoscopy Devices Inc; Allgaier Instrumente GmbH; Anton Hipp GmbH Medical; Arthrex, Inc.; Arthrocare Corporation; Atlantech Medical Devices Div Arthrocare; Biomet Orthopedics, Llc; Canada Endoscope Corp; Clarus Medical Llc; Comeg Endoskopie GmbH & Co KG; Cortek Endoscopy Inc; Dausch Medizintechnik GmbH; Davol Inc.; Depuy Mitek; Dufner Instrumente GmbH; EFER; Elite Surgical Supplies Pty Ltd; Endomed Endoskopie + Hygiene GmbH; Gimmi GmbH; Gyrus ACMI Inc.; Henke-Sass Wolf GmbH; Hgr Instrumente GmbH; Hi-Tec Medical GmbH; Invibio Biomaterial Solutions; Jakoubek Instrumente; Karlheinz Hinze Optoengineering GmbH & Co; Karl Storz GmbH & Co. Kg; Karl Storz Endoscopy-America Inc; Kashmir Surgical Works; Lawton GmbH & Co Kg Medizintechnik; Linvatec/CONMED; Mahe International Inc; Medical Optics; Medicon Instrumente; Medivision Inc; Nopa Instruments; Olympus Corporation; Rema Medizintechnik GmbH; Richard Wolf GmbH; Rudolf Medical; Schoelly Fiberoptic GmbH;
Schreiber GmbH; Smith & Nephew Endoscopy; Solos Endoscopy Inc; Stryker Corp; Stryker Endoscopy; Stryker Bertec; Tekno-Medical Optik Chirurgie GmbH & Co Kg; Tornier; Trokamed GmbH; Union Medical Co Ltd; Vitalitec International Medizintechnik GmbH; Vitalitec International Inc.; Wisap GmbH; Wright Medical Technology, Inc.; Xion GmbH; Zimmer Inc.