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This dynamic, new report from Medtech Insight includes analyses of selected products, current/forecast markets, surgical procedure volumes, competitors, market share by supplier, and opportunities in the U.S. Neurosurgical and Neurointerventional Products Market.
This dynamic, new report from Medtech Insight includes analyses of selected products, current/forecast markets, surgical procedure volumes, competitors, market share by supplier, and opportunities in the U.S. Neurosurgical and Neurointerventional Products Market. Specifically, this report covers neurosurgical, neurointerventional and image-guided surgical navigation and brain radiotherapy systems used for the treatment of several acute and chronic disorders such as benign and malignant neoplasms, hemorrhagic and ischemic stroke, hydrocephalus, intracranial aneurysms and arterio-venous malformations, and epilepsy.
Neurosurgery encompasses multiplicity of surgical procedures involving various tissues of the central nervous system, and include surgical interventions performed on the brain and skull, spinal cord and spinal canal, cranial and peripheral nerves, as well as the sympathetic nerves. This report focuses on procedures and products used in traditional “open” neurosurgical interventions, or those requiring direct intracranial access, including neurosurgical instruments used for gaining access to, cutting and removing diseased tissue, electrosurgical devices used for tissue ablation and vessel coagulation in the treatment of hemorrhage, and ultrasonic aspiration systems employed in fragmentation and removal of tissue.
Neurointerventional radiology employs a variety of standard and application-specific transcatheter tools and techniques for treatment of cerebrovascular pathologies [such as aneurysms, arteriovenous malformations (AVMs), acute and chronic thromboembolic and atherosclerotic occlusions] that prompt clinically significant distortions of cerebral blood flow and carry a high risk of catastrophic breakdowns of cerebrovascular circulation manifested by hemorrhagic or ischemic stroke. This report provides a market analysis of transcatheter embolization systems for cerebral aneurysms and AVMs, adjuvant embolic coil containment stenting (used for management of wide-neck aneurysms), novel specialty stent/graft-based flow redirection devices for large wide-neck aneurysms, distally protected carotid artery stenting systems (for treatment of high-grade carotid stenosis), intracranial stents HDE-approved for management of symptomatic intracerebral stenosis, and mechanical cerebral thrombectomy systems targeting selected patient subsets with acute ischemic stroke.
The third area analyzed in this report includes image-guided neurosurgical navigation systems used for intraoperative guidance of surgical instruments in complex intracranial and other surgical procedures, and external beam radiotherapy (EBRT) systems (e.g., Gamma Knife and linear accelerator/LINAC platforms) employed in adjuvant and primary treatment of various oncological and other pathologies characterized by abnormal brain lesions.
1. NEUROSURGICAL DEVICES MARKET…………………………………………….. 1-1
1.1 Handheld Neurosurgical Instruments ……………………………………….. 1-2
1.1.1 Market Analysis…………………………………………………………….. 1-5
1.1.2 Competitive Analysis ……………………………………………………… 1-7
1.2 Powered Neurosurgical Instruments and Accessories …………………. 1-7
1.2.1 Market Analysis ……………………………………………………………. 1-9
1.2.2 Competitive Analysis …………………………………………………… 1-10
1.3 Electrosurgical Systems…………………………………………………………… 1-10
1.3.1 Market Analysis ………………………………………………………….. 1-13
1.3.2 Competitive Analysis …………………………………………………… 1-15
1.4 Ultrasonic Aspiration Systems…………………………………………………… 1-15
1.4.1 Market Forecast………………………………………………………….. 1-17
1.4.2 Competitive Analysis …………………………………………………… 1-17
1.5 Surgical Clipping Systems for Intracranial Aneurysms and AVMs ….. 1-20
1.5.1 Market Forecast………………………………………………………….. 1-22
1.5.2 Competitive Analysis …………………………………………………… 1-23
1.6 Cerebrospinal Fluid Management Systems…………………………………. 1-23
1.6.1 Market Analysis ………………………………………………………….. 1-29
1.6.2 Competitive Analysis …………………………………………………… 1-29
1.7 Cranial Closure and Dural Repair Systems…………………………………. 1-32
1.7.1 Cranial Fixation and Other Skull Closure Devices……………. 1-32
1.7.2 Bone Cement and Bone Substitute Materials………………….. 1-34
1.7.3 Dural Repair Systems………………………………………………….. 1-34
1.7.4 Market Analysis ………………………………………………………….. 1-35
1.7.5 Competitive Analysis …………………………………………………… 1-36
Exhibit 1-1: 2014, Commonly Used Handheld Neurosurgical Instruments ……….. 1-3
Exhibit 1-2: 2014, Craniotomy Tray, Representative Instruments …………………… 1-4
Exhibit 1-3: Handheld Neurosurgical Instruments Market Forecast,
2013-2018 …………………………………………………………………………….. 1-6
Exhibit 1-4: 2013, Handheld Neurosurgical Instruments Market,
Share by Supplier…………………………………………………………………… 1-8
Exhibit 1-5: Powered Neurosurgical Instruments Market Forecast,
2013-2018 …………………………………………………………………………… 1-11
Exhibit 1-6: 2013, Powered Neurosurgical Instruments Market,
Share by Supplier…………………………………………………………………. 1-12
Exhibit 1-7: Neurosurgery-Attributable Electrosurgical Systems
Market Forecast, 2013-2018 ………………………………………………….. 1-14
Exhibit 1-8: 2013, Neurosurgery-Related Electrosurgical Systems Market,
Share by Supplier…………………………………………………………………. 1-16
Exhibit 1-9: Neurosurgical Ultrasonic Aspiration Products Market Forecast,
2013-2018 …………………………………………………………………………… 1-18
Exhibit 1-10: 2013, Neurosurgical Ultrasonic Aspiration Systems,
Share by Supplier…………………………………………………………………. 1-19
Exhibit 1-11: Cerebral Aneurysm/AVM Clip Systems Market Forecast,
2013-2018 …………………………………………………………………………… 1-24
Exhibit 1-12: 2013, Cerebral Aneurysm/AVM Clip Systems,
Share by Supplier…………………………………………………………………. 1-25
Exhibit 1-13: CSF Management Products Market Forecast, 2013-2018 ………….. 1-30
Exhibit 1-14: 2013, CSF Management Systems, Share by Supplier ……………….. 1-31
Exhibit 1-15: Cranial Fixation/Closure and Dural Repair Products
Market Forecast, 2013-2018 ………………………………………………….. 1-37
Exhibit 1-16: 2013, Cranial Fixation/Closure Products, Share by Supplier……….. 1-38
Exhibit 1-17: 2013, Dural Repair Products, Share by Supplier……………………….. 1-39
2. NEUROINTERVENTIONAL DEVICES MARKET…………………………………. 2-1
2.1 Cerebral Aneurysm and AVM Embolization Systems …………………….. 2-1
2.1.1 Market Forecast……………………………………………………………. 2-2
2.1.2 Competitive Analysis …………………………………………………….. 2-3
2.2 Stent-Based Embolization Enabling Systems ……………………………….. 2-7
2.2.1 Market Forecast……………………………………………………………. 2-9
2.2.2 Competitive Analysis ……………………………………………………. 2-10
2.3 Carotid Artery Stenting Systems ……………………………………………….. 2-10
2.3.1 CREST Trial Results …………………………………………………… 2-14
2.3.2 Market Forecast………………………………………………………….. 2-16
2.3.3 Competitive Analysis …………………………………………………… 2-18
2.4 Intracranial Stenting Systems for Ischemic Stroke Indications……….. 2-18
2.4.1 Clinical Experience with Intracranial Stents…………………….. 2-18
2.4.2 Market Forecast………………………………………………………….. 2-24
2.5 Cerebral Thrombectomy Systems……………………………………………… 2-24
2.5.1 Market Forecast…………………………………………………………… 2-28
2.5.2 Competitive Analysis …………………………………………………… 2-29
Exhibit 2-1: Cerebral Aneurysm & AVM Endovascular Embolization Systems
Market Forecast, 2013-2018 ……………………………………………………. 2-4
Exhibit 2-2: 2013, Cerebral Aneurysm & AVM Endovascular Embolization
Systems Market, Share by Supplier ………………………………………….. 2-6
Exhibit 2-3: Wide-Neck Cerebral Aneurysm Embolization-Enabling Stent
Systems Market Forecast, 2013-2018……………………………………… 2-11
Exhibit 2-4: 2013, Wide-Neck Cerebral Aneurysm Embolization-Enabling
Stent Systems Market, Share by Supplier………………………………… 2-13
Exhibit 2-5: Distally Protected Carotid Artery Stenting Market Forecast,
2013-2018 …………………………………………………………………………… 2-19
Exhibit 2-6: 2013, Distally Protected Carotid Artery Stenting Systems
Market, Share by Supplier……………………………………………………… 2-20
Exhibit 2-7: Intracranial Stenting Systems Market Forecast, 2013-2018………… 2-25
Exhibit 2-8: Cerebral Thrombectomy Systems Market Forecast, 2013-2018 ….. 2-30
Exhibit 2-9: 2013, Cerebral Thrombectomy Systems Market,
Share by Supplier…………………………………………………………………. 2-32
3. IMAGE-GUIDED NEUROSURGERY AND RADIOTHERAPY
SYSTEMS MARKET………………………………………………………………………… 3-1
3.1 Image-Guided Surgical Navigation Systems ………………………………. 3-1
3.1.1 Image-Guided Neurosurgery ……………………………………… 3-3
3.1.1.1 Stereotaxy ………………………………………………….. 3-3
3.1.1.1.1 Frame-Based Stereotactic Systems . 3-3
3.1.1.1.2 Frameless Stereotactic Systems …… 3-4
3.1.1.1.3 Brain Shift Compensation…………….. 3-5
3.2 External Beam Radiotherapy Systems………………………………………. 3-6
3.2.1 Gamma Knife System……………………………………………………. 3-6
3.2.2 Linear Accelerator Systems……………………………………………. 3-8
3.3 Image-Guided Surgical Navigation & Radiotherapy
Systems Market……………………………………………………………………… 3-9
3.3.1 Surgical Navigation System Segment ……………………………. 3-10
3.3.1.1 Market Analysis …………………………………………. 3-12
3.3.1.2 Competitive Analysis ………………………………….. 3-15
3.3.2 External Beam Radiotherapy Systems Segment……………… 3-15
3.3.2.1 Market Forecast………………………………………….. 3-15
3.3.2.2 Competitive Analysis ………………………………….. 3-19
Exhibit 3-1: Selected Characteristics of Commonly Performed
Image-Guided Neurosurgical Procedures ………………………………….. 3-1
Exhibit 3-2: Image-Guided Surgical Navigation and Radiotherapy Systems
Market Forecast, Including Estimated Neuro-Attributable Sales,
2013-2018 …………………………………………………………………………… 3-11
Exhibit 3-3: Image-Guided Surgical Navigation Systems Market Forecast,
Including Estimated Neuro-Attributable Revenues, 2013-2018……. 3-14
Exhibit 3-4: 2013, Image-Guided Surgical Navigation Systems Market,
Share by Supplier…………………………………………………………………. 3-16
Exhibit 3-5: External Beam Radiotherapy Systems Market Forecast,
Including Estimated Neuro-Attributable Revenues, 2013-2018……. 3-18
Exhibit 3-6: 2013, External Beam Radiotherapy Systems Market,
Share by Supplier…………………………………………………………………. 3-20
Figure: Neurosurgical, Neurointerventional and Image-Guided Neurosurgical Navigation & Radiotherapy Systems, Combined Market Forecast, 2013-2018
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