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Global Neurosurgical Product Markets

Life Science Intelligence, March 2009, Pages: 193

Common conditions necessitating the use of neurosurgical products include hydrocephalus, aneurysms, arteriovenous malformations (AVMs), and pituitary and intracranial tumors. Intracranial shunts are often used to treat hydrocephalus. Aneurysms and AVMs may be treated using surgical clips or, increasingly, embolization products that may be deployed during endovascular procedures. Pituitary and intracranial tumors may be removed during open surgery, endoscopic surgery, or stereotactic radiosurgery (SRS).

The market for minimally invasive (MI) neurosurgical technologies for intracranial applications is expected to reach $3.7 billion by 2015. This in-depth report analyzes the trends and opportunities in the global neurosurgical products market and provides details on the current and future outlook for the patient populations, procedures, and competitors driving growth and innovation.

1. EXECUTIVE SUMMARY

1.1 Regional Analysis

1.2 Product Analysis

1.2.1 Stereotactic Radiosurgery

1.2.2 Embolization Products

1.2.3 Intracranial Shunts

1.2.4 Neurosurgical Endoscopes

1.2.5 Aneurysm and AVM Clips

Exhibit 1-1: Neurosurgical Products, Global Forecast by Region, 2007-2015

Exhibit 1-2: Neurosurgical Products, Global Market Forecast by Product Segment, 2007-2015

Exhibit 1-3: Factors Driving the U.S. Market, 2007-2015

Exhibit 1-4: U.S. Market Forecast by Product, 2007-2015

Exhibit 1-5: Factors Driving International Markets, 2007-2015

Exhibit 1-6: International Market Forecast by Product, 2007-2015

2. OVERVIEW

2.1 Hydrocephalus

2.1.1 Causes of Hydrocephalus

2.1.2 Types of Hydrocephalus

2.1.3 Global Incidence by Region

2.1.3.1 Pediatric Hydrocephalus

2.1.3.2 Adult Hydrocephalus

2.2 Aneurysm and Arteriovenous Malformation

2.2.1 Aneurysms

2.2.2 AVMs

2.2.3 Prevalence of Aneurysm and AVM

2.3 Pituitary, Skull Base and Intracranial Tumors

Exhibit 2-1: Major Indications for Intracranial, Neurovascular, and Skull Base Procedures

Exhibit 2-2: Causes and Types of Hydrocephalus

Exhibit 2-3: Selected Studies of the Incidence and Prevalence of Hydrocephalus

Exhibit 2-4: Selected Studies, Incidence & Prevalence of Aneurysm & AVM

Exhibit 2-5: Types of Skull Base and Intracranial Tumors

Exhibit 2-6: Selected Studies of the Incidence and Prevalence of Pituitary, Skull Base and Intracranial Tumors

3. NEUROSURGICAL PRODUCTS FOR OPEN SURGERY

3.1 Intracranial Shunts

3.1.1 The Procedure

3.1.2 Benefits and Challenges of Intracranial Shunts

3.1.3 Product Types

3.1.4 Products and Companies

3.1.5 Emerging Trends

3.2 Aneurysm, AVM, and Subarachnoid Hemorrhage Devices

3.2.1 Aneurysm and AVM Clips

3.2.1.1 Types of Clips

3.2.1.2 Products and Companies

Exhibit 3-1: Major Indications for Intracranial Shunts

Exhibit 3-2: Benefits and Challenges of Intracranial Shunts

Exhibit 3-3: Common Configurations of Shunt Systems

Exhibit 3-4: Types of Intracranial Shunt Systems

Exhibit 3-5: Valves and Other Shunt Products

Exhibit 3-6: Selected Shunt Systems and Products in 2008

Exhibit 3-7: Selected Clinical Studies Examining Shunt Systems and Products
Exhibit 3-8: Methods of Treating Aneurysm, AVM, and SAH

Exhibit 3-9: Advantages and Disadvantages of Aneurysm/AVM Clips

Exhibit 3-10: Features of Aneurysm and AVM Clips

Exhibit 3-11: Selected Aneurysm and AVM Clips and Products in 2008

4. NEUROVASCULAR AND MINIMALLY INVASIVE PRODUCTS

4.1 Embolization Products

4.1.1 Endovascular Coils

4.1.1.1 Types of Coils

4.1.1.2 Emerging Trends

4.1.2 AVM Embolization Products

4.1.3 Products and Companies

4.2 Endoscopic Neurosurgery

4.2.1 Endoscopic Transsphenoidal Neurosurgery

4.2.2 Endoscopic Third Ventriculostomy

4.2.3 Endoscopic Approaches for Acoustic Neuroma and Trigeminal Neuralgia

4.2.4 Other Endoscopic Approaches

4.2.5 Limitations of Endoscopic Techniques

4.2.6 Current Endoscopes

4.2.7 Products and Companies

4.3 Stereotactic Radiosurgical Systems

4.3.1 Gamma Irradiation Sytems

4.3.2 Linac Systems

4.3.3 Proton Beam Radiation Therapy Systems

4.3.4 Products and Companies

Exhibit 4-1: The Advantages and Disadvantages of Open Neurosurgery

Exhibit 4-2: Types of Products Used in Minimally Invasive Neurosurgery

Exhibit 4-3: Major Limitations of MI Products and Techniques

Exhibit 4-4: Endovascular Methods of Treating Aneurysms

Exhibit 4-5: Selected Studies of Endovascular Coiling

Exhibit 4-6: Selected Endovascular Coiling Products in 2008

Exhibit 4-7: Endoscopic Neurosurgery, Techniques and Conditions

Exhibit 4-8: Features of Neurosurgical Endoscopes

Exhibit 4-9: Selected Neurosurgical Endoscopes in 2008

Exhibit 4-10: Types of Stereotactic Radiosurgery Systems in 2008

Exhibit 4-11: Selected Studies of the Gamma Irradiation Radiosurgery for Epilepsy and Movement Disorders

Exhibit 4-12: Gamma Irradiation Radiosurgery for Epilepsy, PD & ET

Exhibit 4-13: Features of Neurosurgical Linear Accelerator Systems

Exhibit 4-14: Features of Proton Beam Radiation Therapy Systems

Exhibit 4-15: Advantages and Disadvantages of PBRT

Exhibit 4-16: Stereotactic Radiosurgery, Companies & Products in 2008

5. PROCEDURES AND PRODUCT MARKETS

5.1 Intracranial Shunts

5.1.1 Intracranial Shunts - Procedure Forecasts

5.1.1.1 U.S. Procedure Forecast

5.1.1.2 European Procedure Forecast

5.1.1.3 AP & ROW Procedure Forecast

5.1.2 Intracranial Shunts - Market Analysis

5.1.2.1 U.S. Market Analysis

5.1.2.2 European Market Forecast

5.1.2.3 AP & ROW Market Forecast

5.1.2.4 Company Analysis

5.2 Aneurysm and AVM Clips

5.2.1 Aneurysm and AVM Clips - Procedure Forecasts

5.2.1.1 U.S. Procedure Forecast

5.2.1.2 European Procedure Forecast

5.2.1.3 AP & ROW Procedure Forecast

5.2.2 Aneurysm and AVM Clips - Market Analysis

5.2.2.1 U.S. Market Analysis

5.2.2.2 European Market Forecast

5.2.2.3 AP & ROW Market Forecast

5.2.2.4 Company Analysis

5.3 Embolization Products

5.4 Embolization Products - Procedure Forecasts

5.4.1 U.S. Procedure Forecast

5.4.2 European Procedure Forecast

5.4.3 AP & ROW Procedure Forecast

5.4.4 Embolization Products - Market Analysis

5.4.4.1 U.S. Market Analysis

5.4.4.2 European Market Analysis

5.4.4.3 AP & ROW Market Analysis

5.4.4.4 Company Analysis

5.5 Neurosurgical Endoscopes

5.5.1 Procedure Forecasts

5.5.1.1 U.S. Procedure Forecast

5.5.1.2 European Procedure Forecast

5.5.1.3 AP & ROW Procedure Forecast

5.5.2 Market Analysis

5.5.2.1 U.S. Market Analysis

5.5.2.2 International Market Analysis

5.5.2.3 Company Analysis

5.6 Stereotactic Radiosurgery Systems

5.6.1 Procedure Forecasts

5.6.1.1 U.S. Procedure Forecast

5.6.1.2 European Procedure Forecast

5.6.1.3 AP & ROW Procedure Forecast

5.6.2 Market Analysis

5.6.2.1 U.S. Market Analysis

5.6.2.2 European Market Analysis

5.6.2.3 AP & ROW Market Analysis

5.6.2.4 Company Analysis

Exhibit 5-1: Neurosurgical Products, Global Forecast by Product Segment, 2007-2015
Exhibit 5-2: Neurosurgical Products, Global Forecast by Region, 2007-2015

Exhibit 5-3: Intracranial Shunts, Global Procedure Forecast, 2007-2015

Exhibit 5-4: U.S. Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015

Exhibit 5-5: U.S. Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015

Exhibit 5-6: New Shunt Placements in Pediatric and Adult Patients in the U.S., 2007-2015

Exhibit 5-7: U.S. Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015

Exhibit 5-8: European Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015

Exhibit 5-9: European Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015

Exhibit 5-10: European Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015

Exhibit 5-11: AP & ROW Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015

Exhibit 5-12: European Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015

Exhibit 5-13: AP & ROW Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015

Exhibit 5-14: Global Market Forecast, Shunt Products, 2007-2015

Exhibit 5-15: U.S. Forecast, New & Replacement Units & Accessories, 2007-2015
Exhibit 5-16: U.S. Market Forecast, Types of Shunt Systems, 2007-2015

Exhibit 5-17: U.S. Market Forecast, Shunt Systems, 2007-2015

Exhibit 5-18: European Forecast, Units and Accessories, 2007-2015

Exhibit 5-19: European Market Forecast, Types of Shunt Systems, 2007-2015

Exhibit 5-20: European Market Forecast, Shunt Systems, 2007-2015

Exhibit 5-21: AP & ROW Forecast, Units and Accessories,2007-2015

Exhibit 5-22: AP & ROW Market Forecast, Types of Shunt Systems, 2007-2015

Exhibit 5-23: AP & ROW Market Forecast, Shunt Systems, 2007-2015

Exhibit 5-24: Intracranial Shunt Suppliers and Market Shares in 2008

Exhibit 5-25: Surgical Clipping Procedures for Aneurysm and AVM, Global Forecast, 2007-2015
Exhibit 5-26: Surgical Clipping Procedures, U.S. Forecast, 2007-2015

Exhibit 5-27: Surgical Clipping Procedures, European Forecast, 2007-2015

Exhibit 5-28: Surgical Clipping Procedures, AP & ROW Forecast, 2007-2015

Exhibit 5-29: Global Market Forecast, Clips and Accessories, 2007-2015

Exhibit 5-30: Aneurysm and AVM Clips, U.S. Unit Forecast, 2007-2015

Exhibit 5-31: Clips and Accessories, U.S. Market Forecast, 2007-2015

Exhibit 5-32: Aneurysm and AVM Clips, European Unit Forecast, 2007-2015

Exhibit 5-33: Clips and Accessories, European Market Forecast, 2007-2015

Exhibit 5-34: Aneurysm and AVM Clips, AP & ROW Unit Forecast, 2007-2015

Exhibit 5-35: Clips and Accessories, AP & ROW Market Forecast, 2007-2015

Exhibit 5-36: Aneurysm & AVM Clips, Suppliers and Market Shares in 2008

Exhibit 5-37: Global Procedure Forecast for Embolization Products, 2007-2015

Exhibit 5-38: U.S. Procedure Forecast, Embolization Products, 2007-2015

Exhibit 5-39: European Procedure Forecast, Embolization Products, 2007-2015

Exhibit 5-40: AP & ROW Procedure Forecast, Embolization Products, 2007-2015

Exhibit 5-41: Aneurysm and AVM Products, Global Market Forecast, 2007-2015

Exhibit 5-42: Embolization Products, U.S. Market Forecast, 2007-2015

Exhibit 5-43: Embolization Products, European Market Forecast, 2007-2015

Exhibit 5-44: Embolization Products, AP & ROW Market Forecast, 2007-2015

Exhibit 5-45: Intracranial Shunt Revenues and Market Shares in 2008

Exhibit 5-46: Neurosurgical Endoscopy, Global Procedure Forecast, 2007-2015

Exhibit 5-47: Factors Driving & Limiting Neuroendoscopy in the Global Market

Exhibit 5-48: Endoscopic Neurosurgeries, U.S. Procedure Forecast, 2007-2015

Exhibit 5-49: Endoscopic Neurosurgeries by Type, U.S. Procedure Forecast, 2007-2015

Exhibit 5-50: Endoscopic Neurosurgeries, European Procedure Forecast, 2007-2015
Exhibit 5-51: Endoscopic Neurosurgeries by Type, European Procedure Forecast, 2007-2015

Exhibit 5-52: Endoscopic Neurosurgeries, AP & ROW Forecast, 2007-2015

Exhibit 5-53: Endoscopic Neurosurgeries by Type, AP & ROW Procedure Forecast, 2007-2015
Exhibit 5-54: Neurosurgical Endoscopy, Global Market Forecast, 2007-2015

Exhibit 5-55: Neurosurgical Endoscopy Products, U.S. Market Forecast, 2007-2015
Exhibit 5-56: Neurosurgical Endoscopy Products, International Market Forecast, 2007-2015

Exhibit 5-57: Neuroendoscopy Products, Suppliers and Market Shares in 2008

Exhibit 5-58: SRS Procedures for Intracranial Applications, Global Procedure Forecast, 2007-2015

Exhibit 5-59: Intracranial SRS Procedures, U.S. Procedure Forecast, 2007-2015
Exhibit 5-60: Intracranial SRS Procedures, European Procedure Fcst, 2007-2015

Exhibit 5-61: Intracranial SRS Procedures, AP&ROW Procedure Fcst, 2007-2015

Exhibit 5-62: Intracranial SRS, Global Market Forecast, 2007-2015

Exhibit 5-63: Intracranial SRS Products, U.S. Market Forecast, 2007-2015

Exhibit 5-64: Intracranial SRS Products, European Market Forecast, 2007-2015

Exhibit 5-65: Intracranial SRS Products, AP & ROW Market Forecast, 2007-2015

Exhibit 5-66: Neuroendoscopy Products, Suppliers and Market Shares in 2008

6. COMPANY PROFILES

Exhibit 6-1: Selected Suppliers of Neurosurgical Products in 2008

- Accuray
- Aesculap (B. Braun)
- American Radiosurgery
- Boston Scientific
- BrainLAB
- Cardinal Health
- Clarus Medical Systems
- Elekta
- ev3
- GammaStar Group
- Hitachi
- Integra LifeSciences
- Ion Beam Applications
- Johnson & Johnson
- KARL STORZ Endoscopy
- Kirwan Surgical Products
- Machida Endoscope
- Medicon
- Medtronic
- Microvention/Terumo
- Micrus Endovascular
- Mizuho America
- Optivus Proton Therapy
- Peter Lazic
- Rebstock-Instrumente
- Scanlan International
- Siemens
- Sophysa
- Still River Systems
- TomoTherapy
- Varian Medical Systems
- Visionsense
- Von Zeppelin
- VYGON Neuro
- + MORE

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