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(Medical-NewsWire.com, April 08, 2016 ) The 2015 study has 416 pages, 176 tables and figures. Worldwide abdominal surgical robot markets are poised to achieve significant growth as next generation systems provide a way to improve traditional open surgery and decrease the number of ports needed for minimally invasive surgery.
Intuitive Surgical owns the market as the sole participant with measurable market share in abdominal surgical robots. This leadership position will need to be defended as other products, now in clinical trials come to market. Advanced technology, an impressive installed base and a well trained group of surgeons able to manage the robots give Intuitive Surgical market advantage. Patients fare better when the surgery is done by surgical robots. The documentation of improvements in care delivery, the ability to ensure better outcomes from surgery promise that abdominal surgical robotics is a strong growth market.
Abdominal robotic surgery is poised to eclipse open surgery. It is used in the categories of general surgery, urologic surgery, head and neck surgery, and gynecological surgery. Surgical robots are positioned to become the standard of care for hospitals in the delivery of abdominal surgery. The emerging group of several abdominal surgical robotic companies will collectively have enough marketing dollars and enough marketing clout to drive replacement of all open surgery.
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Abdominal surgical robots are evolving platforms that are useful for surgeons seeking to achieve excellence and repeatability in every surgery. Intuitive Surgical now dominates, is alone in the market, but several vendors with specialized products are targeting the large and rapidly growing abdominal robotic surgery market. The vendors expertise in a specialty gives them strategic advantage to address a large and growing market.
Every surgeon working to perform gynecological surgery wants to practice at a hospital that has those abdominal robotic surgical devices, thus in order to attract physicians and patients, the hospitals have to purchase the robot surgical equipment. The penetration of the hospitals will go from 21% to 100% in the US within five years, as the surgeons migrate to the places that have the robotic surgical equipment. The abdominal surgical robots permit better surgery and the surgeons and patients know this.
The technology uses metal tubes attached to the arms are inserted through the ports, and the cutting and visualization instruments are introduced through the tubes into the patient’s body. The surgeon performs the procedure while sitting at a console, manipulating the instrument controls and viewing the operation through a vision system. When a surgeon needs to change an instrument the instrument is withdrawn from the surgical field using the controls at the console and the nursing assistants switch instruments as per the physician instruction. This is done many times during an operation.
Key elements of abdominal surgical robot strategy include a focus on key procedures. This study has a concentration on procedure analysis as that is the essence of the market. Existing procedures are easier, safer and more cost-effective than the alternative methods. The strategy is to broaden the number of procedures performed using a robotic surgical system and to educate surgeons, hospitals and patients as to the benefits of robotic surgery while understanding the numbers relating to procedure implementation.
An analysis of abdominal robotic procedure volumes and variety procedures leads to the conclusion that Intuitive Surgical market position will be difficult to dislodge. Intuitive Surgical dominant position is based on technological excellence that keeps being improved. Competitors will have a difficult time catching up, much less improving on the Intuitive Surgical technology. True bedside units and lower cost will help other competitors emerge
Intuitive Surgical has achieved close to market saturation in colorectal surgery in the US, it will work on increasing its presence in other surgical market sectors. The leading robotic surgical companies are poised to grow through acquisition, purchasing smaller companies that have developed as specialized product and gained FDA approval. As detailed in the market research study there are a lot of those in every medical specialty and more to come.
The surgical robot market is characterized enormous variety and innovation. A surgical robot recurring revenue business model is essentially a large one time purchase for a system complimented by replaceable or disposable instruments that cumulatively make the market a much larger and sustainable ongoing market. Vendors make money from the one time sale of a system and recurring revenue from sale of devices used in every operation.
Initially, a vendor sells and installs the surgical system into new customer accounts. Once systems are sold into customer accounts, the vendor generates recurring revenue as our customers use the system to perform surgery. To do abdominal surgeries, the customers need to buy and consume instruments and accessory products. Vendors also generate recurring revenue from system service.
The automated process revolution in surgery and communications is being implemented via robots. Robots automation of systems is providing significant improvement in the accuracy of surgery and the repeatability of process.
According to Susan Eustis, lead author of the study, “Existing open abdominal surgery can be replaced in large part by robotic abdominal surgery during the forecast period. Abdominal robotic surgical approaches complement existing open surgery techniques. Soon, all surgery will be undertaken with at least come aspects of robotic surgery replacing or complementing open surgery.”
The aging US population has supported demand, since the occurrence of health issues that require medical devices is higher in the elderly population. Buoyed by strong demand and sales, industry profit margins have increased considerably during the past five years.
Hospitals are adopting robotic surgical devices to improve their outcomes numbers. Hospitals are measured on outcomes, robots for surgery, when used by a trained physician are improving outcomes significantly. Hundreds of universities worldwide have research programs in robotics and many are awarding degrees in robotics. These “roboticists” are increasingly being hired by Global 2000 organizations to link mobile robots (mobile computers) into existing IT systems.
Robot-assisted surgery gives the surgeon better control over the surgical instruments and a better view of the surgical site. Surgeons no longer have to stand throughout the surgery and do not tire as quickly. Hand tremors are filtered out by the robot’s computer software. The surgical robot can continuously be used by rotating surgery teams.
Abdominal surgical robot device markets at $2.2 billion in 2014 are anticipated to reach $10.5 billion by 2021 as next generation devices, systems, and instruments are introduced to manage surgery through small ports in the body instead of large open wounds.
The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and sub-segment. The reports cover markets for abdominal robotic surgery medical specialties and sub-specialties.
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WinterGreen Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, Bloomberg, and Thompson Financial. WinterGreen Research is positioned to help customers facing challenges that define the modern enterprises. The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust wintergreen research to work alongside them to ensure the success of the participation in a particular market segment.
WinterGreen Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity.
Companies Profiled
Market Leaders
Intuitive Surgical
Market Participants
Chinese Surgical Robots
Freehand
Johnson and Johnson / DePuy Synthes
Google / Johnson & Johnson / Ethicon
Medrobotics
Medtronic
Meerecompany / Eterne
Titan Medical
TransEnterix Acquires the ALF-X Surgical Robotic System
Key Topics
Abdominal Surgical Robotics
Medical Devices
Healthcare Robotics
Enabling Technology
Robotic-Assisted Minimally Invasive Surgery
Robotic Surgical System
Minimally-Invasive Surgery,
General Robotic Surgery
Gynecological Robotic Surgery
Urinary Robotic Surgery
Gynecology
Urology
Gynecological Surgery
Robotic Surgery Equipment
Surgical Robot Applications
Next Generation Robotic Surgery
Flexible Robot Platform
Minimally Invasive Surgery
MIS
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Table of Contents
ABDOMINAL SURGICAL ROBOT EXECUTIVE SUMMARY 33
Abdominal Surgical Robot Market Driving Forces 33
Surgical Robotics Market Driving Forces 37
Healthcare Abdominal Robotics Enabling Technology 42
Abdominal Robot-Assisted Surgery Market Driving Forces 42
Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 44
Surgical Robot Market Risks 45
Medical Abdominal Surgical Robots: Market Shares 46
Robotic Abdominal Surgery Market Forecasts 49
1. ABDOMINAL SURGICAL ROBOTS MARKET DESCRIPTION AND MARKET DYNAMICS51
1.1 Abdominal Robotic Surgical System 51
1.1.1 Market Strategy for the Robotic Surgical System 56
1.1.2 Focus on Key Institutions 58
1.2 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 58
1.2.1 Maintain Market Leadership 59
1.2.2 Develop Industry Alliances 59
1.2.3 Increase Patient Awareness 60
1.3 Clinical Applications For Technology 60
1.4 Elder Assistance Robot Market Strategy 61
1.4.1 InTouch Platforms Integrate Seamlessly With da Vinci Systems 62
2. ABDOMINAL SURGICAL ROBOT MARKET SHARES AND FORECASTS 63
2.1 Abdominal Surgical Robot Market Driving Forces 63
2.1.1 Surgical Robotics Market Driving Forces 67
2.1.2 Healthcare Abdominal Robotics Enabling Technology 72
2.1.3 Abdominal Robot-Assisted Surgery Market Driving Forces 72
2.1.4 Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies74
2.1.5 Surgical Robot Market Risks 75
2.2 Medical Abdominal Surgical Robots: Market Shares 76
2.2.1 Intuitive Surgical Robotics da Vinci® System 83
2.2.2 Intuitive Surgical Overcomes The Difficulty Of Market Saturation 85
2.2.3 Intuitive Surgical 86
2.2.4 Intuitive Surgical Potential Competition From Google and Johnson & Johnson 89
2.2.5 Intuitive Surgical Robotic Surgery Strategic Positioning 89
2.2.6 Google and Johnson & Johnson 92
2.2.7 Titan Robot 93
2.2.8 Titan Robot Partners 96
2.2.9 Titan Prospectus 97
2.3 Robotic Abdominal Surgery Market Forecasts 99
2.3.1 Surgical Robot Systems Forecasts 102
2.3.2 Medical Robotic Surgery Challenges 109
2.3.3 Surgical Robot Disposable Instruments Forecasts 113
2.3.4 Surgical Robot Systems vs. Disposable Instruments Forecasts 115
2.3.5 Surgical Robot Application Forecasts 117
2.3.6 Robotic Surgery Market Segment Forecasts 118
2.3.7 Medical Robot Systems Market Drivers 119
2.3.8 Cancer Robotic Surgery Learning Curves 123
2.3.9 Robotic Surgery Equipment 123
2.3.10 Medicare and Medicaid Impact 124
2.3.11 Medical Robotic Surgery by Segment 125
2.4 Abdominal Surgical Robot Installed Systems and Procedure Volumes by Country 125
2.4.1 Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis By Country, 2014127
2.4.2 Gynecological Procedure Volumes 136
2.4.3 Gynecologic Surgery 137
2.4.4 Intuitive Surgical Sacrocolpopexy 138
2.4.5 Urologic Procedure Volumes 139
2.4.6 Urologic Prostatectomy Surgery 141
2.4.7 Intuitive Surgical da Vinci Prostatectomy (dVP) 141
2.4.8 Urology Robotic Surgery Partial Nephrectomy 142
2.4.9 Robotic General Surgery Procedure Volumes 144
2.4.10 General Surgery Robotic Procedures 145
2.4.11 General Surgery Cholecystectomy 147
2.4.12 Abdominal Surgical Robot Procedure Analysis 149
2.4.13 Intuitive Surgical Benign Gynecology Procedure Adoption Trends 150
2.4.14 Intuitive Surgical da Vinci Prostatectomy Cholecystectomy 151
2.4.15 Intuitive Surgical Procedure Mix 151
2.4.16 General Surgery Intuitive Surgical Robotic Procedures by Country 152
2.4.17 Gynecology Robotic Surgery Procedures By Country 161
2.4.18 Urology Robotic Surgery Procedures by Country 174
2.4.20 Head and Neck Surgery 183
2.4.19 Head and Neck Surgery 186
2.4.20 Head and Neck Surgery 186
2.4.21 Abdominal Surgical Robot Regional Analysis 187
2.5 Abdominal General Surgery, Gynecology, and Urology Surgical Robot Procedure Category Discussion 192
2.5.1 Abdominal General Surgery, Gynecological, And Urological Robotic Surgery Procedures By Country 193
2.5.2 Robotic Urologic Prostatectomy Surgery 200
2.5.3 Intuitive Surgical Procedure Mix 202
2.5.4 Robotic Myomectomy 203
2.5.5 Intuitive Surgical da Vinci Surgical System Procedure Volume 204
2.5.6 Intuitive Surgical Investments to Improve Surgery 212
2.5.7 Gynecology Total and Robotic Surgery Procedure Forecasts and Open Surgery Penetration Forecasts 215
2.6 Open and Robotic Surgery Procedure Detail Forecasts, US and Worldwide 219
2.6.1 Gynecology Total Surgeries: Procedure Forecasts 220
2.6.2 General Surgery Total Surgeries: Cholecystectomy and Colorectal Procedure Forecasts 221
2.6.3 Urology Procedure Forecasts 222
2.6.4 Open and Robotic Surgeries: Head and Neck Procedure Forecasts, 223
2.6.5 Intuitive Surgical Head and Neck Cancer Robotic Surgery 223
2.6.6 Small Hospitals Lack The Procedure Volume To Justify The Upfront Investment In A Robotic Surgery System 224
2.7 Key Players In The Global Medical Surgical Robots Market 224
2.8 Robotic Surgery Equipment Prices 225
2.8.1 Intuitive Surgical da Vinci Surgical System Prices 227
2.9 Abdominal Robotic Surgery Equipment Regional Market Segments 230
2.9.1 Intuitive Surgical Regional Revenue 233
2.9.2 Intuitive Surgical European Demand 234
2.9.3 Intuitive Surgical in Japan 234
2.9.4 U.S. Robotic Surgical Procedures 234
2.9.5 Chinese Imported Surgical Robots 235
2.9.6 Chinese Development of Surgical Robots 236
2.9.7 Chinese and Taiwanese Markets for Minimally Invasive Spinal Devices 236
2.9.8 BRIC (Brazil, Russia, India, China) countries 237
2.9.9 Aging Taiwanese Population 237
2.9.10 Korea Focusing On Creating A Growth Engine In Research & Development 238
2.9.11 Korea 238
2.9.12 Brazil 239
3. SURGICAL ROBOTS PRODUCT DESCRIPTION 240
3.1 Key Players In The Global Medical Robots 240
3.2 General Surgery, Gynecology, Urology 241
3.3 Intuitive Surgical da Vinci Xi® 241
3.3.1 Intuitive Surgical da Vinci Xi Surgical System Minimally Invasive Surgery 244
3.3.2 Intuitive Surgical da Vinci Surgical System 245
3.3.3 Intuitive Surgical da Vinci Surgical System Components 252
3.3.4 Intuitive Surgical Patient-Side Cart and Electromechanical Surgical Arms 255
3.3.5 Intuitive Surgical 3-D Vision System 256
3.3.6 Intuitive Surgical Firefly Fluorescence Imaging 256
3.3.7 Intuitive Surgical da Vinci Skills Simulator 257
3.3.8 Intuitive Surgical Instruments and Accessories 257
3.3.9 Intuitive Surgical da Vinci Single-Site 258
3.3.10 Intuitive Surgical EndoWrist One Vessel Sealer 259
3.3.11 Intuitive Surgical Accessory Products 259
3.3.12 Intuitive Surgical Da Vinci Minimally Invasive Surgical Product 260
3.3.13 Intuitive Surgical Cardiac Surgery 261
3.4 Titan Medical 268
3.4.1 Titan Medical SPORT™ Surgical Next Generation System 273
3.4.2 Titan Visualization Viewing Portal 284
3.4.3 Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity 287
3.4.4 Titan Medical Surgical Robotic System 288
3.4.5 Titan Robotic Single Incision Platform: 289
3.4.6 Titan Medical Amadeus Robotic Surgical System 289
3.5 Johnson & Johnson 291
3.5.1 Johnson & Johnson Ethicon 291
3.6 MedRobotics 293
3.6.1 Medrobotics Flex® Retractor 295
3.6.2 Medrobotics Flexible Robot Platform 296
3.6.3 Medrobotics Snakelike Robots for Oropharynx, Hypopharynx and Larynx Surgery 297
3.7 meerecompany 300
3.7.1 Meerecompany Purpose of Developing Surgical Robot 301
3.8 Olympus 307
3.9 IMRIS 307
3.9.1 IMRIS Image Guided Therapy Solutions 308
3.10 TransEnterix / SOFAR S.p.A. 309
3.10.1 TransEnterix Technology Innovations In Laparoscopic Surgery 312
3.10.2 TransEnterix SurgiBot System 315
3.10.3 TransEnterix Flex Instruments 316
3.10.4 TransEnterix SPIDER 317
3.11 Changzhou Kangxin Medical Instruments Co., Ltd. 317
3.12 Guangzhou Baitang Medical Instrument Co., Ltd. 318
3.13 Guangzhou Beco Electronic Technology Co., Ltd. 318
4. ABDOMINAL SURGICAL ROBOT TECHNOLOGY AND RESEARCH 319
4.1 Robotic Surgical Clinical Applications 319
4.1.1 Robotic Cardiothoracic Surgery 321
4.1.2 Robotic Internal Thoracic Artery Dissection 322
4.1.3 Robotic Thoracoscopy 322
4.1.4 Cardiothoracic Surgery 323
4.1.5 Cardiothoracic Surgery Mitral Valve Repair. 324
4.1.6 Intuitive Surgical Cardiothoracic Surgeries 325
4.1.7 Robotic Coronary Artery Bypass 326
4.2 Government Regulation 332
4.2.1 International Regulation 335
4.2.2 United States Regulatory Process 336
4.2.3 California Regulation 338
4.2.4 European Union and Canada Regulatory Process 338
4.3 Third Party Reimbursement 339
5. SURGICAL ROBOTS COMPANY DESCRIPTION 342
5.1 Chinese Surgical Robots 342
5.2 Freehand 346
5.2.1 Freehand 2010 / Prosurgics 346
5.3 Intuitive Surgical 347
5.3.1 Intuitive Surgical Robotics da Vinci® Surgical System 353
5.3.2 Intuitive Surgical Robotics da Vinci Surgical System Xi 354
5.3.3 Intuitive Surgical Business Strategy 357
5.3.4 Intuitive Surgical Systems 359
5.3.5 Intuitive Surgical Patient Value As Equal To Procedure Efficacy / Invasiveness 360
5.3.6 Intuitive Surgical Business Model 361
5.3.7 Intuitive Surgical Revenue 362
5.3.8 Intuitive Surgical Regulatory Activities 363
5.3.9 Intuitive Surgical Economic Environment. 364
5.4 Johnson and Johnson / DePuy Synthes 364
5.4.1 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 365
5.4.2 DePuy 365
5.4.3 Johnson & Johnson 366
5.4.4 Johnson & Johnson / Ethicon 366
5.5 Medrobotics 368
5.5.1 Medrobotics Closes On $10 Million Financing 370
5.5.2 Medrobotics Several Generations Of Snake Robot Platforms 371
5.5.3 Medrobotics Advances Clinical Development of Snake Robot for Surgery 372
5.5.4 Medrobotics Positioning 372
5.5.5 Medrobotics Cardiac Surgery Gold Standard 373
5.5.6 Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And
Interventional Applications 374
5.5.7 Medrobotics Technology & Research Center 376
5.6 Medtronic 377
5.6.1 Medtronic PLC 379
5.6.2 Medtronic O-arm Surgical Imaging System 381
5.7 Meerecompany / Eterne 385
5.8 Titan Medical 386
5.8.1 Titan Medical General Surgery Robot Market Opportunities 393
5.8.2 Titan Medical Robotic Surgery Target Opportunity 394
5.9 TransEnterix Acquires the ALF-X Surgical Robotic System 396
5.9.1 TransEnterix Strategic Positioning 396
5.9.2 TransEnterix 398
5.9.3 TransEnterix / Sofar 399
5.10 Surgical Robot Companies 404
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