Laparoscopic Devices - Global Strategic Business Report

This report analyzes the worldwide markets for Laparoscopic Devices in US$ Million by the following Product Segments: Laparoscopes, Trocars, Insufflation and Suction/Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand Assist Devices, and Other Laparoscopic Devices. The report provides separate comprehensive analytics for the US, Japan, Europe and Rest of World. Annual estimates and forecasts are provided for the period 2009 through 2017. six-year historic analysis is also provided for these markets. The report profiles 77 companies including many key and niche players such as Allergan, Inc., Aesculap AG, Boston Scientific Corp., Cardinal Health, Inc., Covidien Ltd., Ethicon Endo-Surgery, Inc., Karl Storz GmbH & Co. KG, Microline Surgical, Inc., Olympus Europa GmbH., Smith & Nephew, Inc., and Stryker Corp. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources.


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LAPAROSCOPIC DEVICES
A GLOBAL STRATEGIC BUSINESS REPORT


CONTENTS


1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS 1
Study Reliability and Reporting Limitations 1
Disclaimers 2
Data Interpretation & Reporting Level 2
Quantitative Techniques & Analytics 3
Product Definition and Scope of Study 3

2. GLOBAL MARKET OVERVIEW 5
Laparoscopic Procedures - Entering New Spheres 5
Table 1: Laparoscopic Procedures in the United States, the
Largest Market Globally (2006-2015) (In thousands) (includes
corresponding Graph/Chart) 5
Worldwide Market Estimates and Forecasts 6
US Dominates the Global Laparoscopic Devices Market 6
Table 2: US and Europe Account for a Major Chunk of
Laparoscopic Devices Market: 2010 (includes corresponding
Graph/Chart) 6
Gastric Band and Hand-Assist Devices Drive Market Growth 6
Table 3: Gastric Bands to Drive the Global Laparoscopy
Market: 2009-2017 (US$ Million) (includes corresponding
Graph/Chart) 7
Key Market Drivers 7
Key Market Restraints 7
Competitive Scenario 8

3. MARKET DYNAMICS 9
Horde of Factors Drive Popularity of Laparoscopic Procedures 9
Diversifying Target Patient Groups 9
Hand-Assist Devices Eliminate Obstacles 9
Microlaparoscopy - Limited to Specific Procedures 10
Robot-Assisted Laparoscopy - Changing the Face of Laparoscopic
Surgery 10
Non-Invasive Surgical Procedures- A New Revolution in Making 11

4. MARKET TRENDS 12
Technological Advancements Drive Market Growth 12
Recent Technological Breakthroughs in Laparoscopic Devices 12
Future Technologies to Surge Adoption 13
Growing Demand for Bariatric Surgeries to Drive Laparoscopes
Market 13
Gastric Band Sales to Surge 14
Emerging Technologies to Drive Market for Devices in Bariatric
Surgeries 14
Gastric Sleeving - A Potential Threat to Gastric Banding
Procedure 14
Versatility - The Key Driver to Innovation in Laparoscopic
Instrumentation 15
Reusable Instruments Gain Prominence 15
Size and Energy Displacement Factors to Steer New Product
Development 16

5. ISSUES AND CHALLENGES 17
Functional Difficulties 17
Cost Concerns Vs. Healthcare Cost Containment 17
Additional Training Requirements - Impeding Growth in Adoption 17

6. PRODUCT OVERVIEW 18
Minimally Invasive Surgeries - Transforming the Surgical Arena 18
Endoscopy 18
Components of an Endoscope 19
Types of Endoscopy 19
Endoscopy of Gastrointestinal tract 19
Endoscopy During Pregnancy: 19
Endoscopy of Body Cavities 19
Others 19
Review of Technologies Reshaping the Market 20
Robotics in Endoscopy 20
Growing Trend Towards Integrated Operating Room Suites 20
Confocal Microendoscopes 21
High Definition Endoscopy 21
Endoscopic Ultrasound 21
Auto Fluorescence Imaging 22
Narrow Band Imaging Technology 22
Multi-Band Imaging 22
NOTES - A New Dimension to Translumenal Endoscopy 22
Competitive Scenario 23
Table 4: Leading Players in the Global Endoscopy Market
(2010): Percentage Breakdown of Value Sales for Johnson &
Johnson, Olympus, Covidien, Boston Scientific, Smith &
Nephew, Karl Storz, and Others (includes corresponding
Graph/Chart) 23

7. LAPAROSCOPY - AN OVERVIEW 24
Laparoscopic Surgery 24
A Historical Perspective 24
Process of Laparoscopy 25
Pediatric Laparoscopy 25
Imaging in Laparoscopy 25
Advantages of Laparoscopy 26
Disadvantages of Laparoscopy 26
Key Risks Involved in Laparoscopic Procedures 26
Life Threatening and Challenging Steps of Laparoscopy 27
Conversion from Laparoscopic to Open Surgery 27
Repeat Laparoscopy 27
Laparoscopy for Diagnosis and Treatment 28
Diagnostic Laparoscopy 28
Therapeutic Laparoscopy 28

8. LAPAROSCOPIC SURGICAL PROCEDURES 29
Laparoscopic Bariatric Procedures 29
Laparoscopic Cholecystectomy 29
Laparoscopic Antireflux Procedure 30
Laparoscopic Adrenalectomy 30
Laparoscopic Appendectomy 30
Laparoscopic Hernia Repair 30
Laparoscopic Splenectomy 31
Laparoscopic Cancer Treatment 31
Other Laparoscopic Procedures 31
Malrotation 31
Peritoneal Implants 31
Rectal Prolapse 32
Rectal Tumor 32
Renal Lithiasis 32

9. MARKET SEGMENTATION 33
Laparoscopes 33
Types of Laparoscopes 34
Viewing Laparoscopes 34
Video Laparoscopes 34
Diagnostic Laparoscopes 34
Operating Laparoscopes 35
Trocars 35
Insufflation and Suction/Irrigation Devices 36
Insufflation Systems 36
Suction/Irrigation Systems 36
Closure Devices 37
Staplers 37
Clip Appliers 37
Sutures 37
Knot Pushers and Needle Holders 37
Hand Instruments 38
Forceps and Scissors 38
Tissue Retractors and Tissue Removal Bags 38
Direct Energy Devices 38
Electrodes 38
Ultrasonic Instruments 39
Gastric Band 39
Adjustable Gastric Bands 39
Background 40
Available Gastric Bands 40
Adjustable Gastric Bands Marketed in the US and Europe 40
Allergan & Ethicon Vie for Global Gastric Band Market Share 41
Table 5: Leading Players in the Global Gastric Bands Market
(2010): Percentage Share Breakdown of Value Sales for
Allergan, Johnson & Johnson/Ethicon, and Others (includes
corresponding Graph/Chart) 41
Lap-Band Vs. Realize Band 41
Major Advantages of Lap-Band Vs. Realize Band 41
Hand-Assist Devices 42
Other Laparoscopic Devices 42
Female sterilization devices 42

10. PRODUCT INNOVATIONS/INTRODUCTIONS 43
TransEnterix Launches SPIDER MicroLap Instruments for
Minimally Invasive Surgery 43
Solos Endoscopy Introduces New Modifications to Laparoscopic
Instruments Line 43
Innovia Launches InnoPort™ for Single Incision Laparoscopy 43
Microline Rolls out LapFinger Laparoscopic Instrument 44
Patton Surgical Introduces “Robotic 8.5mm Endoscope PassPort”
Disposable Endoscope Trocar 44
EES Launches HARMONIC ACE® 45 cm Curved Shears 44
Steerable Technologix Rolls Out SurgiSteer Product Range 45
Covidien Launches SILS Stitch Suturing Device 45
Surgical Innovations Introduces LogiFlex 45
CareFusion to Introduce New Snowden-Pencer® Line of
Laparoscopic Devices 45
Olympus Launches New LESS Surgery Device 46
Innovative Medical Products Introduces New LapWrap Positioning
Pad for Orthopedic and Laparoscopic Surgery 46
SMI Introduces New PerClot™ Laparoscopic Hemostat 46
Covidien Introduces SILS Port 47
Researchers Bring “Wrist-like Action” into Laparoscopic
Surgical Tools 47
Neoprobe Launches New Wireless Gamma Detection Probe 47
Covidien Unveils Versaport™ Plus Bladeless Trocars 47
Covidien Rolls Out Evident™ Microwave Ablation System 48
Covidien Unveils VersaStep Plus in Europe 48
Encision Launches New Disposable Fixed-Tip Electrode
Laparoscopic Instruments 48
Encision Introduces New Line of EnTouch Handles for Advanced
Procedures 48
Covidien Launches Visiport Plus in the US 49
Covidien Unveils AbsorbaTack™ 5mm Absorbable Mesh Fixation System 49
Aragon Surgical Rolls Out LapCap 49
Innovamed Launches Laprostop™ 49
Allergan Launches LAP-BAND AP® 50
Cambridge Endo Introduces Autonomy™ Laparo- Angle™ Needle Holder 50

11. RECENT INDUSTRY ACTIVITY 51
Senko Medical and Virtual Ports Sign Distribution Agreement
for EndoGrab 51
NeatStitch and NIH sign Collaboration Agreement 51
Encision and HealthTrust Enter into Purchasing Agreement 51
USHIFU Acquires Distribution Rights and HIFU Assets from Misonix 52
CareFusion Inks Distribution Agreement with Minimally Invasive
Devices 52
Covidien Extends Agreement with Allergan 52
SurgiQuest Obtains FDA Approval for AnchorPort 52
South Fulton Purchases FreeHand® Laparoscopic Camera Controller 52
Misonix Sells Ultrasonic Laboratory to iSonix LLC 53
SurgiQuest and Intuitive Surgical Enter into Development and
Supply Agreement 53
Integra LifeSciences Inks Contract with Premier Purchasing
Partners 53
Microline PENTAX Undergoes Name Change to Microline Surgical 53
Microline Takes Over Starion 54
Bovie Medical Obtains FDA Clearance for SEER Device 54
Innovia Receives 510(k) Clearance from US FDA for InnoPort
Laparoscopy Device 54
Covidien Receives FDA Approval for SILS™ Port Multiple
Instrument Access Port 54
Integra LifeSciences Acquires Omni-Tract Surgical 55
SAES Getters Takes Over Memry Corporation 55
Bovie Medical Receives FDA Clearance for MEG Laparoscopic Line 55
Cambridge Endo Receives CE Mark for Autonomy™ Lapro- Angle™ 55
Karl Storz Ships Laparoscopic Surgery Instruments to Korle Bu
Teaching Hospital 56
Acacia Secures Patent Rights for Laparoscopic Surgery Technology 56
Olympus Acquires Medical Device Manufacturer, Gyrus 56
Covidien and Allergan Ink Co-Promotion Agreement 56
Viking Systems Partners with Biomedica Medizinprodukte 57
Allergan Acquires EndoArt 57
Viking Systems to Purchase Tuebingen Scientific Medical 57
Symmetry Medical Buys TNCO 57
Synovis Life Technologies Purchases 4Closure™ Surgical Fascia
Closure System 58
Aragon Takes Over VeriSure 58
Starion Instruments and Novare Surgical Systems Sign Agreement 58
Medical Creative Technologies Acquires Dexterity Surgical's
Intellectual Property 58

12. FOCUS ON SELECT GLOBAL PLAYERS 60
Allergan, Inc. (USA) 60
Aesculap AG (Germany) 60
Boston Scientific Corp. (USA) 61
Cardinal Health, Inc. (USA) 61
Covidien Ltd. (Bermuda) 62
Ethicon Endo-Surgery, Inc. (USA) 62
Karl Storz GmbH & Co. KG (Germany) 63
Microline Surgical, Inc. (USA) 63
Olympus Europa GmbH (Germany) 63
Smith & Nephew, Inc. (USA) 64
STRYKER Corp. (USA) 64

13. GLOBAL MARKET PERSPECTIVE 65
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 2009 through 2017
(includes corresponding Graph/Chart) 65

Table 7: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 66

Table 8: World 15-Year Perspective for Laparoscopic Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Japan, Europe and Rest of World Markets for Years 2003,
2010 & 2017 (includes corresponding Graph/Chart) 67

Table 9: 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 2009 through 2017(includes
corresponding Graph/Chart) 68

Table 10: World Historic Review for Laparoscopes by Geographic
Region - US, Japan, Europe, and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 69

Table 11: World 15-Year Perspective for Laparoscopes by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Japan, Europe and Rest of World Markets for Years 2003,
2010 & 2017 (includes corresponding Graph/Chart) 70

Table 12: 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 2009 through 2017 (includes
corresponding Graph/Chart) 71

Table 13: World Historic Review for Trocars by Geographic
Region - US, Japan, Europe, and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2003 through 2008 (includes corresponding
Graph/Chart) 72

Table 14: World 15-Year Perspective for Trocars by Geographic
Region - Percentage Breakdown of Dollar Sales for US, Japan,
Europe and Rest of World Markets for Years 2003, 2010 & 2017
(includes corresponding Graph/Chart) 73

Table 15: 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 2009 through 2017 (includes corresponding
Graph/Chart) 74

Table 16: World Historic Review 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 2003 through
2008 (includes corresponding Graph/Chart) 75

Table 17: World 15-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 2003, 2010 & 2017 (includes
corresponding Graph/Chart) 76

Table 18: 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 2009 through 2017 (includes
corresponding Graph/Chart) 77

Table 19: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 78

Table 20: World 15-Year Perspective for Closure Devices by
Geographic Region -Percentage Breakdown of Dollar Sales for
US, Japan, Europe and Rest of World Markets for Years 2003,
2010 & 2017 (includes corresponding Graph/Chart) 79

Table 21: 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 2009 through 2017(includes
corresponding Graph/Chart) 80

Table 22: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 81

Table 23: World 15-Year Perspective for Hand Instruments by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Japan, Europe and Rest of World Markets for Years 2003,
2010 & 2017 (includes corresponding Graph/Chart) 82

Table 24: 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 2009 through 2017
(includes corresponding Graph/Chart) 83

Table 25: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 84

Table 26: World 15-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
2003, 2010 & 2017 (includes corresponding Graph/Chart) 85

Table 27: 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 2009 through 2017 (includes
corresponding Graph/Chart) 86

Table 28: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 87

Table 29: World 15-Year Perspective for Gastric Bands by
Geographic Region -Percentage Breakdown of Dollar Sales for
US, Japan, Europe and Rest of World Markets for Years 2003,
2010 & 2017 (includes corresponding Graph/Chart) 88

Table 30: 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 2009 through
2017(includes corresponding Graph/Chart) 89

Table 31: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 90

Table 32: World 15-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
2003, 2010 & 2017 (includes corresponding Graph/Chart) 91

Table 33: 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 2009 through
2017(includes corresponding Graph/Chart) 92

Table 34: World Historic Review 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 2003 through 2008 (includes
corresponding Graph/Chart) 93

Table 35: World 15-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 2003, 2010 & 2017 (includes corresponding Graph/Chart) 94

14. THE UNITED STATES 95
A.Market Analysis 95
Current and Future Analysis 95
Market Overview 95
Competitive Scenario 95
Microscopes and Cameras 96
Table 36: Leading Players in Laparascopes and Surgical
Cameras (2010): Percentage Share Breakdown of Sales for
Karl Storz, Stryker, Olympus, Smith & Nephew, and Others
(includes corresponding Graph/Chart) 96
Trocars, Insufflation and Suction/Irrigation devices 96
Table 37: Leading Players in the US Trocars and
Insufflation and Suction/Irrigation Devices Market (2010):
Percentage Share Breakdown of Sales for Ethicon
Endo-Surgery, Covidien, Karl Storz and Others (includes
corresponding Graph/Chart) 96
Market Trends 97
Growing Demand for Minimally Invasive Surgeries 97
Gastric Band Market to Witness Significant Growth 97
Table 38: US Sales of Gastric Band from 2009 through 2017
(US$ Million) (includes corresponding Graph/Chart) 97
Reusable and Reposable Variants Score Over Disposable
Instruments 98
Demand for Advanced Energy Instruments on The Rise 98
Product Launches 98
Strategic Corporate Developments 104
Key Players in the Market 110
B.Market Analytics 115
Table 39: 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 2009 through 2017 (includes
corresponding Graph/Chart) 115

Table 40: US Historic Review 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 2003 through 2008 (includes corresponding
Graph/Chart) 116

Table 41: US 15-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 2003, 2010 & 2017
(includes corresponding Graph/Chart) 117

15. JAPAN 118
A.Market Analysis 118
Current and Future Analysis 118
Strategic Corporate Development 118
B.Market Analytics 119
Table 42: 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 Sales Figures in
US$ Million for Years 2009 through 2017 (includes
corresponding Graph/Chart) 119

Table 43: Japanese Historic Review 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 2003 through 2008 (includes corresponding
Graph/Chart) 120

Table 44: Japanese 15-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 2003, 2010 & 2017 (includes corresponding
Graph/Chart) 121

16. EUROPE 122
A.Market Analysis 122
Current and Future Analysis 122
Competition 122
Table 45: European Laparoscopes Market (2010): 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) 122
Minimally Invasive Surgeries - European Market Review 123
Gastric Band Market in Europe: Outlook 123
Competition 123
Product Launches 124
Strategic Corporate Developments 126
Key Players in the Market 127
B.Market Analytics 129
Table 46: 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 2009 through 2017(includes
corresponding Graph/Chart) 129

Table 47: European Historic Review 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 2003 through 2008 (includes corresponding
Graph/Chart) 130

Table 48: European 15-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
2003, 2010 & 2017 (includes corresponding Graph/Chart) 131

17. REST OF WORLD 132
A.Market Analysis 132
Current and Future Analysis 132
Indian Endoscopy Market: Overview 132
Strategic Corporate Development 132
B.Market Analytics 133
Table 49: 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 2009 through 2017 (includes
corresponding Graph/Chart) 133

Table 50: Rest of World Historic Review 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 2003 through 2008 (includes corresponding
Graph/Chart) 134

Table 51: Rest of World 15-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 2003, 2010 & 2017 (includes corresponding
Graph/Chart) 135


COMPETITIVE LANDSCAPE

Total Companies Profiled: 77 (including Divisions/Subsidiaries - 103)

------------------------------------------
Region/Country Players
------------------------------------------
The United States 49
Canada 4
Japan 3
Europe 42
France 1
Germany 28
The United Kingdom 5
Rest of Europe 8
Asia-Pacific (Excluding Japan) 2
Middle East 3
------------------------------------------

Global Laparoscopic Devices market witnessed contraction in sales in recent years, as the frequency of elective surgeries including functional endoscopic sinus procedures and laparoscopic bariatric procedures declined owing to recession. Market growth slumped due to consequent cuts in capital equipment expenditure and the same was clearly mirrored in advanced hardware and video equipment markets. However, recovering from the recessionary effects, the market is projected to be driven by higher requirement for functional efficiency, enhanced utilization of hand-assisted devices that reduce injuries and increasing volume of laparoscopic obesity and weight loss procedures, particularly gastric banding. Growth in the market is also backed by increasing acceptance of latest equipment including an advancing array of devices for therapeutic bronchoscopy and single port laparoscopy for enhanced GI lesion detection.

As stated by the Global Industry Analyst market research report on Laparoscopic Devices, the US continues to remain the single largest regional market. Growth in the Asia-Pacific countries, including India and China, is expected to increase further driven by rising patient population, growing preference for minimally invasive procedures, and increased establishment of private-run hospitals equipped with state-of-the-art facilities. Segment wise, Closure devices constitute the largest product segment. Fastest growth is projected to emerge from Gastric Band segment that is forecast to grow at a double-digit CAGR of about 14%. Increasing cases of obesity worldwide is driving volume of laparoscopic adjustable gastric banding (LAGB) procedure. The LAGB procedure significantly reduces intake of food and subsequent fat absorption, with lesser critical complications when compared to the other popular procedures including gastric bypass surgery.


Global Industry Analysts ©

- Allergan, Inc.
- Aesculap AG
- Boston Scientific Corp.
- Cardinal Health, Inc.
- Covidien Ltd.
- Ethicon Endo-Surgery Inc.
- Karl Storz GmbH & Co. KG
- Microline Surgical, Inc.
- Olympus Europa GmbH.
- Smith & Nephew, Inc.
- Stryker Corp

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