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Description

The purpose of this report is to analyze the market for Laparoscopic Devices Worldwide. Topics discussed include laparoscopic procedures, product definitions, types of equipment, applications, market trends, business strategies, competition, and key players, epidemiology, disease and treatment trends and technology trends. The report provides detailed market estimates and forecasts for Laparoscopic devices in U.S. dollars.

Product/Market Segment Analysis and Forecasts by Region (2007-2015)

Market estimates and forecasts for Laparocopy Devices by country/region (US $, 2007– 2015) for:USA; Europe; Japan; and Rest of the World (ROW).

Detailed market forecasts (US $) for:

• 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
• Suction Irrigation Devices

This report can help in

• Assessing the market for Laparoscopic Devices, growth segments, and growth regions.
• Understanding market drivers and restraints.
• Business planning, strategic decision making and competitive strategy.
• Identifying opportunities for partnerships and alliances.

Discussions/presentations in this report include:

• Executive Summary
• Products
• Markets
• Competitive Structure
• Market Estimates & Forecasts by Country/Region
• Market Drivers & Restraints
• Competitor Reviews
• Research Methodology
• 120 Market Data Tables and 120 Graphs

Table of Contents

For table of contents in PDF format, please click here

SECTION 1 - EXECUTIVE SUMMARY

1.1. KEY TAKEAWAYS

1.2. KEY MARKET PARAMETERS (KEYMAP GRID)

1.3. LAPAROSCOPY ECOSYSTEM

1.4. SEGMENTATION

1.4.1. Market Segmentation

1.4.2. Alternative Segmentation

1.4.3. Manufacturer/Supplier Segmentation

1.5. MARKET ESTIMATES, ASSUMPTIONS AND DATA RELIABILITY

1.5.1. Revenue Forecasts

1.6. LAPAROSCOPY MARKET - LEADING COMPETITORS

1.6.1. Aesculap

1.6.2. Allergan

1.6.3. Boston Scientific

1.6.4. Cardinal Health

1.6.5. Covidien

1.6.6. Ethicon Endosurgery

1.6.7. Microline PENTAX

1.6.8. Olympus Medical

1.6.9. Smith & Nephew Endoscopy

1.6.10. Stryker

1.6.11. Competitive Factors

1.6.12. MARKETSTRAT SRCE Framework for Manufacturers

1.6.13. MARKETSTRAT Competitive Framework for Manufacturers

1.6.14. Laparoscopic Products Purchase Considerations

1.7. MARKET RANKINGS

1.7.1. Ranking of countries by Market Size - 2007 & 2015

1.7.2. Ranking of Countries/Regions by Growth Rate (2007-2015)

1.8. MARKET SHARE BY LAPAROSCOPY DEVICE (2007-2015)

1.9. LAPAROSCOPY - MARKET DRIVERS & RESTRAINTS

1.9.1. Drivers

1.9.2. Restraints

1.10. RECOMMENDATIONS FOR MANUFACTURERS

1.10.1. Sales & Marketing Strategies

1.10.2. Supply Chain Strategies

1.10.3. Field Service Operations

1.11. LAPAROSCOPIC DEVICES - TOTAL WORLD MARKET FORECASTS

1.12. LAPAROSCOPIC ACCESS DEVICES - WORLD MARKET FORECASTS

1.13. DIRECT ENERGY DEVICES - WORLD MARKET FORECASTS

1.13.1. Direct Energy Probes - World Market Forecasts

1.13.2. Direct Energy Generators - World Market Forecasts

1.14. GASTRIC BANDING DEVICES - WORLD MARKET FORECASTS

1.15. LAPAROSCOPIC HAND INSTRUMENTS - WORLD MARKET FORECASTS

1.16. LAPAROSCOPIC HAND ASSIST DEVICES - WORLD MARKET FORECASTS

1.17. LAPAROSCOPIC INSUFFLATION DEVICES - WORLD MARKET FORECASTS

1.18. INTERNAL CLOSURE DEVICES - WORLD MARKET FORECASTS

1.18.1 Laparoscopic Clip Appliers - World Market Forecasts

1.18.2. Endolinear Staplers - World Market Forecasts

1.18.3. Endostaplers - World Market Forecasts

1.18.4. Endosuturing Devices - World Market Forecasts

1.19. LAPAROSCOPES - WORLD MARKET FORECASTS

1.19.1. Rod Lens Laparoscopes - - World Market Forecasts

1.19.2. Video Laparoscopes - World Market Forecasts

1.20. LAPAROSCOPIC FEMALE STERILIZATION DEVICES - WORLD MARKET FORECASTS

1.21. REPROCESSED LAPAROSCOPIC DEVICES - WORLD MARKET FORECASTS

1.22. SUCTION/IRRIGATION DEVICES - WORLD MARKET FORECASTS

SECTION 2 - LAPAROSCOPY PRODUCTS & MARKETS

2.1. OVERVIEW OF LAPAROSCOPY PRODUCTS AND PROCEDURES

2.1.1. Procedure

2.1.2. Laparoscopy vs. Open Surgery

2.2. WORLDWIDE LAPAROSCOPIC DEVICES MARKET

2.3. EPIDEMIOLOGY

2.3.1. Common Laparoscopic Procedures

2.4. APPLICATIONS OF LAPAROSCOPY

2.4.1. Laparoscopy in Gynecology

2.4.2. Gastrointestinal Laparoscopy

2.4.3. Weight Loss Surgery

2.4.4. Cancer

2.4.5. Laparoscopic Adrenalectomy

2.4.6. Laparoscopy in Urology

2.4.7. Pediatric Laparoscopy

2.5. TECHNOLOGY TRENDS

2.5.1. Trans-cervical Systems

2.5.2. Natural Orifice Transluminal Endoscopic Surgery (NOTES)

2.5.3. Endo Grab™ from Virtual Ports Ltd.

2.5.4. The Ternamian ENDOTIP™ from Karl Storz

2.5.5. The Rebound HRD device from Minnesota Medical Development, Inc.

2.5.6. Disposable Fixed-tip Electrode and Active Electrode Monitoring (AEM) from Encision Inc.

2.6. COSTS AND REIMBURSEMENT

2.7. BUSINESS AGREEMENTS, MERGERS AND ACQUISITIONS

2.8. REGULATORY UPDATE

2.8.1. Bovie Medical Corp. Filing for ICON GP Generator

2.8.2. Covidien, 2008

2.8.3. Ethicon Endo-Surgery, Inc. Sep 2007

2.8.4. Aragon Surgical Inc., 2008

2.8.5. Innovata PLC and Baxter Healthcare Corporation, 2008

2.8.6. Minnesota Medical Development, Inc. (MMDI), 2008

2.9. LAPAROSCOPIC ACCESS DEVICES MARKET

2.9.1. Market Definition

2.9.2. Suppliers

2.9.3. Lap Access Devices - Market Estimates/Forecasts by Region

2.10. LAPAROSCOPIC DIRECT ENERGY DEVICES MARKET

2.10.1. Market Definition

2.10.2. Electrosurgical Devices

2.10.3. Energy Sources

2.10.4. Ultrasonic Energy

2.10.5. Laparoscopic Direct Energy Device Suppliers

2.10.6. Purchase Considerations/ Preferred Features

2.10.7. Total Market for Direct Energy Devices - Estimates/Forecasts by Region

2.10.8. Direct Energy Probes - Market Estimates/Forecasts by Region

2.10.9. Direct Energy Generators - Market Estimates/Forecasts by Region

2.11. LAPAROSCOPIC GASTRIC BANDING MARKET

2.11.1. Market Definition

2.11.2. Obesity Statistical Overview

2.11.3. Suppliers

2.11.4. Gastric Banding Devices - Market Estimates/Forecasts by Region

2.12. LAPAROSCOPIC HAND INSTRUMENTS MARKET

2.12.1. Market Definition

2.12.2. Reposable, Reusable and Disposable Instruments

2.12.3. Suppliers of Hand Instruments

2.12.4. Purchase Considerations for Hand Instruments

2.12.5. Hand Instruments - Market Estimates/Forecasts by Region

2.13. LAPAROSCOPIC HAND ASSIST (HAL) DEVICES MARKET

2.13.1. Market Definition

2.13.2. Dexterity® Pneumo Sleeve™ from Dexterity Surgical Inc.

2.13.3. Hand Port from Smith & Nephew

2.13.4. Gelport Hand Access Device from Applied Medical

2.13.5. OmniPort from ASC Ltd., marketed by Covidien

2.13.6. LapDisc from Ethicon/ Johnson & Johnson

2.13.7. Hand-Assist Devices - Market Estimates/Forecasts by Region

2.14. LAPAROSCOPIC INSUFFLATOR DEVICES MARKET

2.14.1. Market Definition

2.14.2. Suppliers

2.14.3. Insufflators - Market Estimates/Forecasts by Region (2007 - 2015)

2.15. LAPAROSCOPIC INTERNAL CLOSURE DEVICES MARKET

2.15.1. Market Definition

2.15.2. Suppliers

2.15.3. Total Market for Internal Closure Devices - Estimates/Forecasts by Region

2.15.4. Laparoscopic Clip Appliers - Market Estimates/Forecasts by Region

2.15.5. Laparoscopic Endolinear Staplers and Cutters - Market Estimates/Forecasts by Region

2.15.6. Laparoscopic Endostaplers and Cutters - Market Estimates/Forecasts by Region

2.15.7. Laparoscopic Endosuturing Devices - Market Estimates/Forecasts by Region

2.16. LAPAROSCOPES MARKET

2.16.1. Market Definition

2.16.2. Suppliers of Laparoscopes

2.16.3. Purchase Considerations for Laparoscopes

2.16.4. Types of Specialty Laparoscopes

2.16.5. Total Market for Laparoscopes -- Estimates/Forecasts by Region

2.16.6. Rod Lens Laparoscopes - Estimates/Forecasts by Region

2.16.7. Video Lens Laparoscopes - Estimates/Forecasts by Region

2.17. LAPAROSCOPIC FEMALE STERILIZATION DEVICES MARKET

2.17.1. Market Definition

2.17.2. Suppliers

2.17.3. Female Sterilization Devices - Estimates/Forecasts by Region

2.18. REPROCESSED LAPAROSCOPIC DEVICES MARKET

2.18.1. Market Definition

2.18.2. Reprocessed Lap Devices - Estimates/Forecasts by Region

2.19. SUCTION-IRRIGATION DEVICES MARKET

2.19.1. Market Definition & Leading Providers

2.19.2. Suction/ Irrigation Devices - Estimates/Forecasts by Region

SECTION 3 - UNITED STATES MARKET FORECASTS

3.1. TOTAL MARKET FOR LAPAROSCOPIC DEVICES

3.2. LAPAROSCOPIC ACCESS DEVICES

3.3. LAPAROSCOPIC DIRECT ENERGY DEVICES

3.3.1. Laparoscopic Direct Energy Probes

3.3.2. Laparoscopic Direct Energy Generators

3.4. LAPAROSCOPIC GASTRIC BAND DEVICES

3.5. LAPAROSCOPIC HAND INSTRUMENTS

3.6. LAPAROSCOPIC HAND ASSIST DEVICES

3.7. LAPAROSCOPIC INSUFFLATION DEVICES

3.8. LAPAROSCOPIC INTERNAL CLOSURE DEVICES

3.8.1. Laparoscopic Clip Appliers

3.8.2. Laparoscopic Endolinear Staplers and Cutters

3.8.3. Laparoscopic Endostaplers

3.8.4. Laparoscopic Endosuturing Devices

3.9. LAPAROSCOPES

3.9.1. Laparoscopic Rod Lens Laparoscopes

3.9.2. Laparoscopic Video Laparoscopes

3.10. LAPAROSCOPIC FEMALE STERILIZATION DEVICES

3.11. REPROCESSED LAPAROSCOPIC DEVICES

3.12. LAPAROSCOPIC SUCTION IRRIGATION DEVICES

SECTION 4 - EUROPEAN MARKET FORECASTS

4.1. TOTAL MARKET FOR LAPAROSCOPIC DEVICES

4.2. LAPAROSCOPIC ACCESS DEVICES

4.3. LAPAROSCOPIC DIRECT ENERGY DEVICES

4.3.1. Laparoscopic Direct Energy Probes

4.3.2. Laparoscopic Direct Energy Generators

4.4. LAPAROSCOPIC GASTRIC BAND DEVICES

4.5. LAPAROSCOPIC HAND INSTRUMENTS

4.6. LAPAROSCOPIC HAND ASSIST DEVICES

4.7. LAPAROSCOPIC INSUFFLATION DEVICES

4.8. LAPAROSCOPIC INTERNAL CLOSURE DEVICES

4.8.1. Laparoscopic Clip Appliers

4.8.2. Laparoscopic Endolinear Staplers and Cutters

4.8.3. Laparoscopic Endostaplers

4.8.4. Laparoscopic Endosuturing Devices

4.9. LAPAROSCOPES

4.9.1. Laparoscopic Rod Lens Laparoscopes

4.9.2. Laparoscopic Video Laparoscopes

4.10. LAPAROSCOPIC FEMALE STERILIZATION DEVICES

4.11. LAPAROSCOPIC REPROCESSED LAPAROSCOPIC DEVICES

4.12. LAPAROSCOPIC SUCTION IRRIGATION DEVICES

SECTION 5 - JAPANESE MARKET FORECASTS

5.1. TOTAL MARKET FOR LAPAROSCOPIC DEVICES

5.2. LAPAROSCOPIC ACCESS DEVICES

5.3. LAPAROSCOPIC DIRECT ENERGY DEVICES

5.3.1. Laparoscopic Direct Energy Probes

5.3.2. Laparoscopic Direct Energy Generators

5.4. LAPAROSCOPIC GASTRIC BAND

5.5. LAPAROSCOPIC HAND INSTRUMENTS

5.6. LAPAROSCOPIC HAND ASSIST DEVICES

5.7. LAPAROSCOPIC INSUFFLATION DEVICES

5.8. LAPAROSCOPIC INTERNAL CLOSURE DEVICES

5.8.1. Laparoscopic Clip Appliers

5.8.2. Laparoscopic Endolinear Staplers and Cutters

5.8.3. Laparoscopic Endostaplers

5.8.4. Laparoscopic Endosuturing Devices

5.9. LAPAROSCOPES

5.9.1. Laparoscopic Rod Lens Laparoscopes

5.9.2. Laparoscopic Video Laparoscopes

5.10. LAPAROSCOPIC FEMALE STERILIZATION DEVICES

5.11. LAPAROSCOPIC REPROCESSED LAPAROSCOPIC DEVICES

5.12. LAPAROSCOPIC SUCTION IRRIGATION DEVICES

SECTION 6 - REST OF THE WORLD (ROW) MARKET FORECASTS

6.1. TOTAL MARKET FOR LAPAROSCOPIC DEVICES

6.2. LAPAROSCOPIC ACCESS DEVICES

6.3. LAPAROSCOPIC DIRECT ENERGY DEVICES

6.3.1. Laparoscopic Direct Energy Probes

6.3.2. Laparoscopic Direct Energy Generators

6.4. LAPAROSCOPIC GASTRIC BAND

6.5. LAPAROSCOPIC HAND INSTRUMENTS

6.6. LAPAROSCOPIC HAND ASSIST DEVICES

6.7. LAPAROSCOPIC INSUFFLATION DEVICES

6.8. LAPAROSCOPIC INTERNAL CLOSURE DEVICES

6.8.1. Laparoscopic Clip Appliers

6.8.2. Laparoscopic Endolinear Staplers and Cutters

6.8.3. Laparoscopic Endostaplers

6.8.4. Laparoscopic Endosuturing Devices

6.9. LAPAROSCOPES

6.9.1. Laparoscopic Rod Lens Laparoscopes

6.9.2. Laparoscopic Video Laparoscopes

6.10. LAPAROSCOPIC FEMALE STERILIZATION DEVICES

6.11. LAPAROSCOPIC REPROCESSED LAPAROSCOPIC DEVICES

6.12. LAPAROSCOPIC SUCTION IRRIGATION DEVICES

SECTION 7 - LAPAROSCOPIC DEVICES COMPETITOR REVIEWS

7.1. A HENNISS

Overview

Management team

Product Matrix

7.2. ACKERMANN INSTRUMENTE GMBH

Overview

Management Team

Product Matrix

7.3. ADVANCED ENDOSCOPY DEVICES INC.

Overview

Product Matrix

7.4. AESCULAP USA

Overview

Management Team

Product Matrix for Laparoscopy

7.5. ALMEDIC

Overview

7.6. ALLERGAN, INC

Overview

Management Team

Product Matrix

Net Sales by Product Line

7.7. ANTON HIPP GMBH

Overview

Management Team

Product Matrix

7.8. APPLIED MEDICAL

Overview

Product Matrix

7.9. ARAGON

Overview

Management Team

Product Matrix

7.10. BK SURGICAL ULTRASOUND

Overview

Product Matrix

7.11. BOVIE MEDICAL CORPORATION

Overview

Management Team

Product Matrix

Financial Summary

Sales by Product Category

7.12. BUFFALOFILTER

Overview

Management Team

Product Matrix

7.13. BAUER UND HAESELBARTH-CHIRURG GMBH

Overview

Management Team

Product Matrix

7.14. BIOMED IMPORTERS PVT LTD.

Overview

Product Matrix

Product Matrix for Surgical Instruments

Orthopedic Product Matrix

7.15. BOSTON SCIENTIFIC CORP

Overview

Management Team

Product Matrix -General

Product Matrix - Accessories

Acquisitions

Financial Summary

Net Sales by Geographical Area

Net Sales by product segment

7.16. BLUEENDO

Overview

Product Matrix

7.17. BRYAN CORP

Overview

Product Matrix

7.18. C. R. BARD, INC.

Overview

Management Team

7.19. CAMBRIDGEENDO

Overview

Management Team

Product Matrix

7.20. CANADA ENDOSCOPE CORP

Overview

Management Team

Product Matrix

7.21. CARDINAL HEALTH MEDICAL PRODUCTS & SERVICES GROUP

Overview

Management Team

Product Matrix

Financial Summary

Net Sales of Product Segments

Health Supply Chain Services-Pharmaceutical

Health Supply Chain Services-Medical

Clinical Technologies and Services

Medical Products and Technologies

Recent Acquisitions

7.22. CARL ZEISS MEDITEC

Overview

Management Team

Product Matrix

Product Matrix - Medical Technologies

Financial

7.23. CIVCO

Overview

Management Team

Product Matrix

7.24. COMEG ENDOSKOPIE GMBH & CO KG

Overview

Management Team

Product matrix

7.25. CONTEC MEDICAL LTD

Overview

Management Team

Product Matrix

7.26. COOPER SURGICAL INC.

Product Matrix - General

Product Matrix of Surgical Products

Financial Summary

7.27. CORTEK ENDOSCOPY INC

Overview

Management Team

Products

7.28. CORY BROTHERS LTD

Overview

Management Team

Product Matrix

7.29. COVIDIEN

Overview

Overview Of Autosuture

Management Team

Brands

Autosuture Product Matrix

Imaging Product Matrix

Pharmaceutical Product Matrix

Nellcor Product Matrix

Puritan Bennett Product Matrix

7.30. DUFNER INSTRUMENTE GMBH

Overview

Management Team

Product Matrix for Endoscopy surgery/GYN

Product Matrix for open surgery

7.31. EFER

Overview

Management Team

Product Matrix for Industry

Product Matrix for Medicine

7.32. EISENHUT INSTRUMENTE GMBH CHIRURGIE-UND DENTALINSTRUMENTE

Overview

Product matrix

7.33. SHENYANG SHENDA ENDOSCOPE CO LTD

Overview

Management Team

Product Matrix

7.34. ELMED, INC.

Overview

Product Matrix

7.35. ENDOSCOPY SUPPORT SERVICES INC.

Overview

Management Team

Product Matrix

Product Matrix for Laproscopy

7.36. ELEKTROMEDIZIN GMBH

Overview

Management Team

Product Matrix for Laproscopy

Related Companies

Brand Names

7.37. ETHICON ENDOSURGERY

Overview

Product Matrix for Harmonic™ line

7.38. FIEGERT-ENDOTECH MEDIZINTECHNIK GMBH

Overview

Product Matrix

Brand Names

7.39. FUJINON ENDOSCOPIC SYSTEMS

Overview

Management Team

Product Matrix

Other Products

7.40. GEISTER MEDIZINTECHNIK GMBH

Overview

Product Matrix

7.41. GENICON

Overview

Product Matrix

7.42. GIMMI GMBH

Overview

Management Team

Product Matrix

7.43. GYRUS ACMI INC.

Overview

Management Team

Product Matrix

Financial Summary

7.44. HANS HERMANN GMBH

Overview

Management Team

Product Matrix

7.45. HAYDEN MEDICAL, INC

Overview

Laparoscopy Product Matrix

Product Matrix - Other Products

7.46. HENKE-SASS WOLF GMBH

Overview

Management Team

Product Matrix

7.47. HI-TEC MEDICAL GMBH

Overview

Product Matrix

7.48. IMMERSION MEDICAL

Overview

Management Team

Product Matrix

Financial Summary

7.49. INNOVAMED

Overview

Management Team

Product

7.50. INTUITIVE SURGICAL

Overview

Management Team

Products

Summary

Sales by Product Segment

da Vinci Surgical System unit sales

7.51. KARL STORZ GMBH & CO. KG

Overview

Laparoscopy Product Matrix

7.52. KARL-HEINZ HINZE OPTOENGINEERING GMBH & CO

Overview

Management Team

Product Matrix - Medical and Industrial Product Lines

Product Matrix - Medical

7.53. KENCAP LTD

Overview

Product Matrix

7.54. KS INSTRUMENTE KARL SCHAD

Overview

Product Matrix

7.55. LABOTECT LABOR-TECHNIK-GOETTINGEN GMBH

Overview

Management Team

Product Matrix

7.56. LAWTON GMBH & CO KG MEDIZINTECHNIK

Overview

Product Matrix

7.57. LEXION MEDICAL, LLC

Overview

Products

7.58. LUMENIS LTD.

Overview

Management Team

Product Matrix

7.59. MAHE INTERNATIONAL INC

Overview

Product Matrix

7.60. MARINA MEDICAL INSTRUMENTS INC

Overview

Management Team

Product Matrix

7.61. MEDICAL INNOVATIONS

Overview

Product Matrix of Meditheraphy

Product Matrix for other products

7.62. MEDICAL OPTICS

Overview

Management Team

Product Matrix

7.63. MEDICON EG

Overview

Management Team

Product Matrix for Laparoscopy

7.64. MEDIVISION INC

Overview

Management Team

Product Matrix

7.65. MICROLINE PENTAX

Overview

Product Matrix

7.66. NOVARE

Overview

Management Team

Product Matrix

7.67. OLYMPUS MEDICAL SYSTEMS GROUP

Overview

Management Team (USA)

Product matrix for Surgical Instruments

7.68. PAJUNK GMBH

Overview

Product Matrix

7.69. PALEX MEDICAL SA

Overview

Product Matrix

7.70. PATTON SURGICAL

Overview

Management Team

7.71. PILLING WECK CANADA LP

Overview

Product Matrix

7.72. PLASMA SURGICAL LIMITED

Overview

Management Team

7.73. PRECISION OPTICS CORPORATION

Overview

Product Matrix

7.74. PROSURGICS, INC.

Overview

Management team

7.75. PROXY BIOMEDICAL LIMITED

Overview

7.76. QIAO-WEI MEDICAL INSTRUMENTS CO LTD

Overview

Product Matrix

7.77. REMA MEDIZINTECHNIK GMBH

Overview

Management Team

Product Matrix

7.78. RICHARD WOLF GMBH

Overview

Management Team

Product Matrix

7.79. SCHOELLY FIBEROPTIC GMBH

Overview

Management Team

Product Matrix - Medical

Product Matrix - Industrial

7.80. SHANGHAI MEDICAL INSTRUMENTS CO LTD.

Overview

Management Team

Product Matrix

7.81. SIMULAB CORPORATION

Overview

Product Matrix

7.82. SMITH & NEPHEW ENDOSCOPY

Overview

Management Team

Endoscopy Product Matrix

General Product Matrix

SWOT Analysis

Strategy & Growth Drivers

Segment-wise Analysis

Financial Summary

Financial Summary by Region

Table : Revenues by business segment (millions USD)

7.83. SOLOS ENDOSCOPY, INC.

Overview

Management Team

Product Matrix

7.84. STARION INSTRUMENTS

Overview

Management Team

Product Matrix

7.85. STERILMED

Overview

Product Matrix

7.86. SOUTHMEDIC INC

Overview

Management Team

Product Matrix

7.87. STRYKER CORP

Overview

Management Team

General Product Matrix

Product Matrix of Surgical Instruments

Financial Summary

Financial Summary by Business Segment

Net Sales by product segment

7.88. SURGICAL SCIENCE

Overview

Management Team

Products

7.89. SURGRX, INC.

Overview

Products

7.90. TAUT INC.

Overview

Products

7.91. TEKNO-MEDICAL OPTIK CHIRURGIE GMBH & CO KG

Overview

Management Team

Product Matrix

7.92. TRENDLINES GROUP

Overview

Management Team

7.93. TROKAMED GMBH

Overview

Management Team

7.94. VALLEYLAB

Overview

7.95. VIRTUAL PORTS LTD.

Overview

Management Team

Products

7.96. WISAP GMBH

Overview

Management Team

Product Matrix

7.97. VIKING SYSTEMS INC.

Overview

Management Team

Products

7.98. W. L. GORE & ASSOCIATES, INC.

Overview

Product Matrix

7.99. XION MEDICAL GMBH

Overview

Management Team

Product Matrix

SECTION 8 - RESEARCH METHODOLOGY

8.1. PURPOSE OF THE REPORT

8.2. TARGET AUDIENCE

8.3. GEOGRAPHIC COVERAGE

8.4. MARKET SEGMENTATION

8.5. SEGMENTATION BY PRODUCT TYPE

8.6. RESEARCH METHODOLOGY

Data Collection - Primary Research

Data Collection - Secondary Research

Analysis and Interpretation

Data Presentation

Data Reliability and Limitations

Revenue Forecasts

8.7. MARKETSTRAT® ANALYTICAL FRAMEWORK

8.8. INDUSTRY TRENDS

8.9. COMPANY DISCUSSIONS

8.10. PROJECT APPROACH

Companies Discussed

Companies Profiled (99):

A Henniss, Ackermann Instrumente GmbH,, Advanced Endoscopy Devices Inc., Aesculap USA, Almedic, Allergan, Inc., Anton Hipp GmbH, Applied Medical, Aragon, BK Surgical Ultrasound, Bovie Medical Corporation, BuffaloFilter, Bauer und Haeselbarth-Chirurg GmbH, Biomed Importers Pvt Ltd., Boston Scientific Corp., Blueendo, Bryan Corp., C. R. Bard, Inc., Cambridge, Canada Endoscope Corp., Cardinal Health Medical Products & Services Group, Carl Zeiss Meditec, Civco, COMEG Endoskopie GmbH & Co KG, Contec Medical Ltd., Cooper Surgical Inc., CorTek Endoscopy Inc., Cory Brothers Ltd., Covidien/ Autosuture, Dufner Instrumente GmbH, EFER, Eisenhut Instrumente GmbH , Chirurgie-und Dentalinstrumente, Shenyang Shenda Endoscope Co Ltd., Elmed, Inc., Endoscopy Support Services Inc., Elektromedizin GmbH, Ethicon Endosurgery, Fiegert-Endotech Medizintechnik GmbH, Fujinon Endoscopic Systems, Geister Medizintechnik GmbH, GENICON, GIMMI GmbH, Gyrus ACMI Inc., Hans Hermann GmbH, Hayden Medical, Inc., Henke-Sass Wolf GmbH, Hi-TEC Medical GmbH, Immersion Medical, Innovamed, Intuitive Surgical, KARL STORZ GmbH & Co. KG, Karl-Heinz , Hinze Optoengineering GmbH & Co, Kencap Ltd., KS Instrumente Karl Schad, Labotect Labor-Technik-Goettingen GmbH, Lawton GmbH & Co KG, Medizintechnik, LEXION Medical, LLC., Lumenis Ltd., MAHE International Inc., Marina Medical Instruments, Inc., Medical Innovations, Medical Optics, Medicon eG, MediVision Inc., Microline PENTAX, Novare, Olympus Medical Systems Group, PAJUNK GmbH, Palex Medical SA, Patton Surgical, Pilling Weck Canada LP, Plasma Surgical Ltd., Precision Optics Corporation, Prosurgics, Inc., Proxy Biomedical Ltd., Qiao-Wei Medical Instruments Co Ltd., REMA Medizintechnik GmbH, Richard Wolf GmbH, Schoelly Fiberoptic GmbH, Shanghai Medical Instruments Co Ltd. , Simulab Corp., Smith & Nephew Endoscopy, SOLOS Endoscopy, Inc., Starion Instruments, SterilMed, Southmedic Inc., Stryker Corp., Surgical Science, SurgRX, Inc., TAUT Inc., Tekno-Medical Optik Chirurgie GmbH & Co KG, Trendlines Group, Trokamed GmbH, Valleylab, Virtual Ports Ltd., WISAP GmbH, Viking Systems Inc., W. L. Gore & Associates, Inc., XION Medical GmbH

Highlights

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MARKET SUMMARY

The world market for Laparoscopy devices is expected to reach $2.8 billion by the end of 2009, growing at a rate of 8.9 percent per year during the 2007-2015 period.

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 direct visualization of abdominal organs 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 occluding 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.

Leading providers of laparoscopic devices are Aesculap, Covidien (Autosuture, Valleylab), Cardinal Health, Ethicon and Gyrus ACMI/ Olympus.

Female sterilization is the smallest segment of the laparoscopy devices market (1 percent) since this is a very specific procedure. Internal closure devices account for the largest share of the market (34 percent) due to ubiquitous use of these devices in all laparoscopic procedures. Other significantly large markets are direct energy devices and access devices.

Instruments used in all or many laparoscopic procedures include internal closure devices, access devices, direct energy devices and hand instruments. Market share of these segments is influenced by Average Sale Price (ASP) and volume of procedures, which is directly correlated to instrument usability (single use or multiple uses). Apart from closure devices, all others above may be disposable, reusable or reposable. Although closure devices do not necessarily have the highest ASPs, volume of usage and the fact that they can only be used once, makes them the largest segment.

The total U.S. market for Direct Energy Devices is expected to cross $500 million in 2009. Advances in technology, targeted at increasing safety of these devices, are expected to increase their use over the forecast period. Many energy devices can be used to cut as well as coagulate/seal tissue and provide hemostasis, thereby reducing time as well as eliminating need for other more complex procedures. The US will remain the biggest market; it is estimated to have accounted for about 48 percent of the world market in 2008.

Female sterilization is the smallest segment of the laparoscopy devices market (1 percent) since this is a very specific procedure. Internal closure devices account for the largest share of the market (34 percent) due to ubiquitous use of these devices in all laparoscopic procedures. Other significantly large markets are the direct energy devices and access devices. Instruments used in all or almost all laparoscopic procedures include internal closure devices, access devices, direct energy devices and hand instruments.

Market share of these segments is influenced by Average Sale Price (ASP), volume of procedures which is directly correlated to instrument usability (single or multiple use). Apart from closure devices, all others above may be disposable, reusable or reposable. Although closure devices do not necessarily have the highest ASPs, volume of usage and the fact that they can only be used once, makes them the largest segment. Market rankings remain largely the same over the forecast period.

KEY MARKET DRIVERS

• Surgeons are increasingly finding new uses for laparoscopy and replacing traditional open surgical procedures and diagnostic procedures with laparoscopy. It is estimated that up to 70% of surgical procedures can be replaced by laparoscopy or other minimally invasive procedures.
• Increasing demand for minimally invasive procedures from patients
• Increase in number of trained surgeons, which is aided by training programs offered by device manufacturers
• Availability of hand-assist (or hand-access, HALs) devices that improve accuracy and precision of laparoscopic procedures, minimize injury to peripheral organs and improve outcomes
• A major trend across the world will be a rise in laparoscopic bariatric surgery as obesity rates rise the world over, including in developing countries. Increase in rates of obesity and laparoscopic weight loss procedures, in particular gastric banding which is less expensive and has lower mortality rates than laparoscopic gastric bypass. A recent study by Hinojosa, M W et al indicated that from 2004 to 2007 the number of laparoscopic adjustable gastric banding increased by 329%) and laparoscopic gastric bypass increased by 125%, with a simultaneous decrease by 73% in the number of open gastric bypass procedures.
• Pediatric procedures are on the increase. It is expected that gastric banding will be used in adolescents in the future. Clinical trials indicate that the LapBand is safe and effective and has less morbidity than gastric bypass in adolescents.
• Robotic systems are a major technology trend that is driving this industry. This is particularly evident in prostatectomy. Robots have improved surgical efficiency and procedural safety. Costs associated with robotic systems are expected to decrease over time and in some cases such as prostatectomy, they will be the gold standard for treatment in the future.
• Increase in rates of weightloss surgery with corresponding increase in obesity rates. An estimated 150,000 laparoscopic surgeries are performed annually in the US. There is an increasing trend in these procedures for adolescents.

KEY MARKET RESTRAINTS

• Laparoscopy is more expensive and time consuming. Costs of equipment and disposables, equipment maintenance, surgeon and nurse training, longer procedural time are all contributing factors.

• In many specialty areas, physician training and experience is a major restraint. This is particularly the case with urology.

• In some fields, such as gynecology and gastrointestinal laparoscopy, rates of peripheral organ damage are high

• Urological procedures are more complex and there is no clear evidence for improved treatment outcomes with laparoscopy over open surgery

• Female sterilization which is one of the most frequent laparoscopic procedures is likely to be replaced by less invasive procedures such as transcervical procedures.

• Reimbursement often falls short of procedural costs. Medicare reimbursement caps in the face of longer procedural time and complexity lead to fewer laparoscopic procedures.

LAPAROSCOPY APPLICATIONS

Laparoscopic surgery is an established procedure in gynecology and gastroenterology. Other specialty areas such as urology and nephrology are increasingly gaining popularity. Applications may be diagnostic or surgical.

Diagnostic Laparoscopy is done to examine various abdominal organs. It is commonly used for the female reproductive system, the most common indications being abdominal or pelvic pain. Other uses include examination of the bowel, appendix, liver and gall bladder.

Disorders most frequently diagnosed laparoscopically are:

• Endometriosis
• Pelvic inflammatory disease
• Ectopic pregnancy
• Ovarian cysts
• Appendicitis

Surgical laparoscopy is used for a wide range of procedures from biopsies to organ removal, female sterilization, weight-loss surgery, cancer treatment, etc. This is a well established procedure for:

• Cholecystectomy
• Appendectomy
• Hysterectomy
• Female sterilization
• Prostatectomy

Mini-laparoscopy is a relatively recent procedure and uses smaller incisions, ranging between 2-3 mm diameters. It is not useful for many procedures although it inflicts fewer traumas. The procedure is only suitable for patients with certain characteristics such as a thin cavity wall, few adhesions, minimal inflammation, etc., since the instruments are smaller and more fragile with weak suction-irrigation and poorer video quality. However, instruments used for mini-laparoscopic procedures are generally more expensive and fragile. The instruments are also more expensive than other laparoscopic instruments.

TECHNOLOGY TRENDS

Technological advances that have been revolutionizing the laparoscopy field include:

• Active Electrode Monitoring (AEM) from Encision Inc. that allows constant monitoring of power devices to prevent risk of stray burn injury.
• Hand-assist devices, e.g. the Hand Port from Smith & Nephew and Gelport Hand Access Device from Applied Medical Inc., give the surgeon a sense of touch and a visual advantage thereby providing more control than traditional laparoscopic surgery.
• Robotic systems are a major technology trend that is driving this industry. This is particularly evident in prostatectomy. Robots have improved surgical efficiency and procedural safety. Costs associated with robotic systems are expected to decrease over time and in some cases such as prostatectomy, they will be the gold standard for treatment in the future.
• Other new devices include the following:

• The Rebound HRD device from Minnesota Medical Development, Inc., designed to assist in the repair and/or reinforcement of hernia or other soft tissue defects with weaknesses. For these situations it is preferable to use the support of a non-absorbable material.
• Endo Grab™ from Virtual Ports Ltd. is a device for withdrawing internal organs and securing them firmly to the internal abdominal wall during laparoscopic procedures.
• The Ternamian ENDOTIP™ from Karl Storz is a second generation Visual Port System. It allows optically controllable access to the abdominal cavity and when used with the HOPKINS® II telescope, the surgeon can see and identify the different tissue layers.
• The Single-Incision Laparoscopic Surgery (SILS(TM)) Kit from Covidien. The SILS(TM) Kit contains laparoscopic devices that can be inserted through the umbilicus. This was developed through research aimed at a new surgical procedure called Natural Orifice Transluminal Endoscopic Surgery (NOTES).

The drive for increasingly minimally invasive technologies is also leading to new technologies that threaten to replace established laparoscopic procedures. For example the Adiana Transcervical Sterilization System developed recently by Hologic, Inc., is a new minimally invasive device that presents an alternative to the highly popular laparoscopic occlusion techniques. The procedure is done either transvaginally or transcervically and therefore does not need any incisions.

COMPETITIVE ACTIVITY

Competitors in the laparoscopy worldwide include the following:

A Henniss, Ackermann Instrumente GmbH,, Advanced Endoscopy Devices Inc., Aesculap USA, Almedic, Allergan, Inc., Anton Hipp GmbH, Applied Medical, Aragon, BK Surgical Ultrasound, Bovie Medical Corporation, BuffaloFilter, Bauer und Haeselbarth-Chirurg GmbH, Biomed Importers Pvt Ltd., Boston Scientific Corp., Blueendo, Bryan Corp., C. R. Bard, Inc., Cambridge, Canada Endoscope Corp., Cardinal Health Medical Products & Services Group, Carl Zeiss Meditec, Civco, COMEG Endoskopie GmbH & Co KG, Contec Medical Ltd., Cooper Surgical Inc., CorTek Endoscopy Inc., Cory Brothers Ltd., Covidien/ Autosuture, Dufner Instrumente GmbH, EFER, Eisenhut Instrumente GmbH , Chirurgie-und Dentalinstrumente, Shenyang Shenda Endoscope Co Ltd., Elmed, Inc., Endoscopy Support Services Inc., Elektromedizin GmbH, Ethicon Endosurgery, Fiegert-Endotech Medizintechnik GmbH, Fujinon Endoscopic Systems, Geister Medizintechnik GmbH, GENICON, GIMMI GmbH, Gyrus ACMI Inc., Hans Hermann GmbH, Hayden Medical, Inc., Henke-Sass Wolf GmbH, Hi-TEC Medical GmbH, Immersion Medical, Innovamed, Intuitive Surgical, KARL STORZ GmbH & Co. KG, Karl-Heinz , Hinze Optoengineering GmbH & Co, Kencap Ltd., KS Instrumente Karl Schad, Labotect Labor-Technik-Goettingen GmbH, Lawton GmbH & Co KG, Medizintechnik, LEXION Medical, LLC., Lumenis Ltd., MAHE International Inc., Marina Medical Instruments, Inc., Medical Innovations, Medical Optics, Medicon eG, MediVision Inc., Microline PENTAX, Novare, Olympus Medical Systems Group, PAJUNK GmbH, Palex Medical SA, Patton Surgical, Pilling Weck Canada LP, Plasma Surgical Ltd., Precision Optics Corporation, Prosurgics, Inc., Proxy Biomedical Ltd., Qiao-Wei Medical Instruments Co Ltd., REMA Medizintechnik GmbH, Richard Wolf GmbH, Schoelly Fiberoptic GmbH, Shanghai Medical Instruments Co Ltd., Simulab Corp., Smith & Nephew Endoscopy, SOLOS Endoscopy, Inc., Starion Instruments, SterilMed, Southmedic Inc., Stryker Corp., Surgical Science, SurgRX, Inc., TAUT Inc., Tekno-Medical Optik Chirurgie GmbH & Co KG, Trendlines Group, Trokamed GmbH, Valleylab, Virtual Ports Ltd., WISAP GmbH, Viking Systems Inc., W. L. Gore & Associates, Inc., XION Medical GmbH