Abdominal Surgical Robot Market Shares, Strategies, and Forecasts, Worldwide, 2016 to 2022

Abdominal Surgical Robot Market Shares, Strategies, and Forecasts, Worldwide, 2016 to 2022

WinterGreen, Date of Publication: Dec 19, 2016, 546 Pages
US$4,100.00
WG8572

Worldwide Abdominal Surgical Robot markets are poised to achieve significant growth with increasing use of robots to replace open surgery. Visualization of the surgical site is improving, letting surgeons better control the surgical site. The robots are more accurate and steadier than the human open surgery.

The robotic approach to surgery is useful for the treatment of benign and malignant gynecologic as well as urologic and abdominal disease conditions. Challenges still exist on a systems level. Implementation of a robotic program have a long learning curve, resistance by surgeons on the team who are not adept at using the systems, quality of life, and financial challenges based on high capital expense, and organizational challenges.

This is being addressed as more surgeons are trained and gain experience in the market. The world market for abdominal surgical robots is at $2.9 billion in 2016. The Robotic surgery equipment industry revenue is projected to increase to $12.9 billion by 2022. Robotic surgery equipment continues to comprise a fast-growing segment of the medical device industry. Demand for the less invasive procedure is high among patients and doctors. The number of procedures and disposable instruments increases.

Existing open surgery is set to be replaced by robotic-assisted surgery. Young surgeons have steady hands, but even the greatest surgeons have off days and they age. As this happens, the advantages of the robot are evident because the hand is steady every time with the robot.

During a robot assisted surgical procedure, the patient-side cart is positioned next to the operating table with the electromechanical arms arranged to provide access to the initial ports selected by the surgeon.

Technologies for abdominal robotic surgery applications has had growing adoption and commercialization. These technologies work in solving surgical approaches to many gynecology, urology, and general surgical issues. Robotic surgical procedures have reached a level of market acceptance that proves their value. Market saturation is a distance away, the industry is still in its infancy.

The technology available is becoming more sophisticated in order to overcome hurdles. The objectives of overcoming the limitations of fixed port access, limited dexterity, and limited visualization remain. The industry leader, the only company with a commercial footprint, within the robotic surgical market is Intuitive Surgical, Inc. (NASDAQ: ISRG), maker of the da Vinci® Surgical System.

“Growing acceptance of minimally invasive surgery and robotic surgery is because the robotic surgery provides an improvement over current surgical techniques. Open surgery is a difficult thing. Demand for less invasive procedures is coming as patients realize the benefits of quality of care. Patients feel better after robotic surgery and the surgeries are more likely to be successful.”

The worldwide market for abdominal surgical robots is $2.9 billion in 20016, anticipated to reach $12.9 billion by 2022. The complete report provides a comprehensive analysis of abdominal surgical robots in different categories, illustrating the diversity of uses for devices in surgery. A complete procedure analysis is done, looking at numbers of procedures and doing penetration analysis.

Companies Profiled

Market Leaders

  • Intuitive Surgical

Selected Market Participants

  • AdEchoTech / T-MedRobotics /
  • Auris Robotics
  • Avra Robotics
  • Cambridge Medical Robotics
  • Chinese Surgical Robots
  • Fosun Pharma
  • Freehand
  • Freehand 2010 / Prosurgics
  • Google
  • IMRIS
  • Johnson and Johnson / DePuy Synthes
  • Medtronic / Mazor Robotics
  • Medrobotics
  • Medtronic
  • Meerecompany / Eterne
  • OMNI
  • Smith & Nephew
  • Stryker
  • THINK Surgical
  • Titan Medical
  • TransEnterix
  • Verb Surgical
  • Virtual Incision
  • Zimmer Biomet Acquires Medtech SA, Joins Surgical Robotics
  • Selected Surgical Robot Companies

Key Words

  • Abdominal Surgical Robotics
  • Medical Devices
  • Healthcare Robotics
  • Enabling Technology
  • Robotic-Assisted Minimally Invasive Surgery
  • Robotic Surgical System
  • Medical / Surgical Delivery Robots
  • Surgical Assistive Technology
  • Hospital Robots
  • Robotic Surgery Equipment
  • Surgical Robot Applications
  • Next Generation Robotic Surgery
  • Flexible Robot Platform
  • Minimally Invasive Surgery MIS

 

TABLE OF CONTENTS

Abdominal Surgical Robot Executive Summary

Abdominal Surgical Robot Market Driving Forces 29
Surgical Robotics Market Driving Forces 34
Healthcare Abdominal Robotics Enabling Technology 38
Abdominal Robot-Assisted Surgery Market Driving Forces 38
Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 40
Surgical Robot Market Risks 41
Medical Abdominal Surgical Robots: Market Shares 42
Abdominal Robotic Surgery Market Forecasts 45

1. Abdominal Surgical Robots Market Description And Market Dynamics

1.1 Abdominal Robotic Surgical System 47
1.1.1 Market Strategy for the Robotic Surgical System 51
1.1.2 Focus on Key Institutions 52
1.2 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 53
1.2.1 Maintain Market Leadership 53
1.2.2 Develop Industry Alliances 54
1.2.3 Increase Patient Awareness 54
1.3 Clinical Applications For Technology 54
1.4 Elder Assistance Robot Market Strategy 55
1.4.1 InTouch Telepresence Platforms Integrate Seamlessly With da Vinci Systems 56

2. Abdominal Surgical Robot Market Shares And Forecasts

2.1 Abdominal Surgical Robotics Market Driving Forces 57
2.1.1 Intuitive Surgical da Vinci® Surgical System 57
2.1.2 New Entrants to Open Up Surgical Robotics Market 58
2.1.3 Abdominal Surgical Robot Market Driving Forces 58
2.1.4 Surgical Robotics Market Driving Forces 63
2.1.5 Healthcare Abdominal Robotics Enabling Technology 67
2.1.6 Abdominal Robot-Assisted Surgery Market Driving Forces 67
2.1.7 Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 69
2.1.8 Surgical Robot Market Risks 70
2.2 Medical Abdominal Surgical Robots: Market Shares 71
2.2.2 Intuitive Robotic Surgery Competitors 81
2.2.3 Intuitive Surgical Imaging Technologies 89
2.2.4 Intuitive Surgical Profitability 89
2.2.5 Intuitive Surgical Robotics da Vinci® System 93
2.2.6 Intuitive Surgical and the Competition Overcome Market Saturation 96
2.2.7 Intuitive Surgical 97
2.2.8 Intuitive Surgical Potential Competition From Google and Johnson & Johnson 101
2.2.9 Intuitive Surgical Robotic Surgery Strategic Positioning 101
2.2.10 Johnson & Johnson / Verb Surgical 104
2.2.11 Google and Johnson & Johnson 104
2.2.12 Titan Robot 105
2.2.13 Titan Robot Partners 108
2.2.14 Titan Prospectus 109
2.2.15 Medtronic 111
2.2.16 TransEnterix 111
2.3 Robotic Abdominal Surgery Market Forecasts 112
2.3.1 Abdominal Surgical Robot Systems Forecasts 113
2.4 Segment Abdominal Surgical Robots Forecast Analysis: Systems, Instruments, and Services Dollars 115
2.4.1 Abdominal Surgical Robots Segment Analysis Products, Services, And Instruments And Accessories116
2.4.2 Abdominal Surgical Robots Segment Analysis Gynecological, General Surgery, Urological, Cardio, and Head/Neck 117
2.4.3 Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Dollars and Units 121
2.4.4 Intuitive Surgical Service Revenue 126
2.4.5 Medical Robotic Surgery Challenges 129
2.4.6 Robotic Surgery: Risks vs. Rewards 131
2.4.7 Surgical Robot Disposable Instruments Forecasts 134
2.4.8 Surgical Robot Systems vs. Disposable Instruments Forecasts 137
2.4.9 Robotic Surgery Market Challenges 138
2.4.10 Medical Robot Systems Market Drivers 139
2.4.11 Cancer Robotic Surgery Learning Curves 142
2.4.12 Abdominal Robotic Remote Surgery 143
2.4.13 Medicare and Medicaid Impact 143
2.5 Installed Abdominal Surgical Robot Systems 144
2.5.1 Abdominal Surgery Installed Systems Analysis 145
2.5.2 Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis By Country, 2015147
2.5.3 Surgical Robot Regional Installations 148
2.6 Procedure Volumes Abdominal Surgical Robots Systems, Instruments, and Services by Segment and by Country 150
2.6.1 Intuitive Surgical Procedure Volumes 151
2.6.2 Abdominal Surgical Robot Procedure Analysis 154
2.6.3 Gynecological Procedure Volumes 155
2.7 Gynecologic Surgery 156
2.7.1 Intuitive Surgical Sacrocolpopexy 160
2.7.2 Gynecology Robotic Surgery Procedures By Country 160
2.8 Urologic Procedure Volumes 173
2.8.1 Urologic Prostatectomy Surgery 175
2.8.2 Intuitive Surgical da Vinci Prostatectomy (dVP) 175
2.8.3 Urology Robotic Surgery Partial Nephrectomy 176
2.8.4 Urology Robotic Surgery Procedures by Country 177
2.9 General Surgery Robotic Procedures 186
2.9.1 Robotic General Surgery Procedure Volumes 188
2.9.2 General Surgery Cholecystectomy 189
2.9.3 Intuitive Surgical Benign Gynecology Procedure Adoption Trends 191
2.9.4 Intuitive Surgical da Vinci Prostatectomy Cholecystectomy 191
2.9.5 Intuitive Surgical Procedure Mix 192
2.9.6 General Surgery Intuitive Surgical Robotic Procedures by Country 192
2.10 Head and Neck Surgery 203
2.10.1 Head and Neck Transoral Surgery 203
2.11 Cardiac Abdominal Surgical Robot 208
2.11.1 Abdominal Surgical Robot Regional Analysis 208
2.12 Abdominal General Surgery, Gynecology, and Urology Surgical Robot Procedure Category Discussion 213
2.12.1 Abdominal General Surgery, Gynecological, And Urological Robotic Surgery Procedures By Country214
2.12.2 Robotic Urologic Prostatectomy Surgery 222
2.12.3 Intuitive Surgical Procedure Mix 224
2.12.4 Robotic Myomectomy 225
2.12.5 Intuitive Surgical Investments to Improve Surgery 229
2.13 Open and Robotic Surgery Procedure Detail Forecasts, US and Worldwide 232
2.13.1 Small Hospitals Lack the Procedure Volume To Justify The Upfront Investment In A Robotic Surgery System233
2.14 Robotic Surgery Equipment Prices 234
2.14.1 Intuitive Surgical da Vinci Surgical System Prices 235
2.15 Abdominal Robotic Surgery Equipment Regional Market Segments 237
2.15.1 Intuitive Surgical Regional Revenue 239
2.15.2 Intuitive Surgical European Demand 241
2.15.3 U.S. Robotic Surgical Procedures 243
2.15.4 Chinese Imported Surgical Robots 245
2.15.5 Chinese Development of Surgical Robots 245
2.15.6 Chinese and Taiwanese Markets for Minimally Invasive Spinal Devices 246
2.15.7 BRIC (Brazil, Russia, India, China) countries 247
2.15.8 Aging Taiwanese Population 247
2.15.9 Korea Focusing On Creating A Growth Engine In Research & Development 247
2.15.10 Korea 248
2.15.11 Brazil 249
2.15.12 Surgical Care In Emerging Markets 249
2.15.13 Shifting to a Needs-Driven Equipment Purchase Method Presents Challenges In Emerging Markets 251
2.15.14 Regional Analysis by Country 252

3 Surgical Robots Product Description

3.1 Surgical Robots Product Description 256
3.2 General Surgery, Gynecology, Urology 257
3.3 Intuitive Surgical da Vinci Xi® 258
3.2.1 Intuitive Surgical da Vinci Xi Surgical System 262
3.2.2 Intuitive Surgical da Vinci Surgical System 264
3.2.3 Intuitive Surgical HeroSurg Robotic Platform Offers Tactile Response 269
3.2.4 Intuitive Surgical da Vinci Surgical System Components 270
3.2.5 Intuitive Surgical Patient-Side Cart and Electromechanical Surgical Arms 273
3.2.6 Intuitive Surgical 3-D Vision System 273
3.2.7 Intuitive Surgical Firefly Fluorescence Imaging 274
3.2.8 Intuitive Surgical da Vinci Skills Simulator 274
3.2.9 Intuitive Surgical Instruments and Accessories 275
3.2.10 Intuitive Surgical da Vinci Single-Site 275
3.2.11 Intuitive Surgical EndoWrist One Vessel Sealer 276
3.2.12 Intuitive Surgical, Inc. (NASDAQ:ISRG) and Shanghai Fosun Pharmaceutical (Group) Co., Ltd 276
3.2.13 Intuitive Surgical Accessory Products 278
3.2.14 Intuitive Surgical Da Vinci Minimally Invasive Surgical Product 278
3.2.15 Intuitive Surgical Cardiac Surgery 279
3.2.16 Intuitive Surgical da Vinci® Mitral Valve Repair Surgery 280
3.2.17 Intuitive Surgical da Vinci® Surgery - Coronary Bypass (Revascularization) Surgery 283
3.3 MedRobotics 290
3.3.1 Medrobotics Flex® Retractor 294
3.3.2 Medrobotics Flexible Robot Platform 295
3.3.3 Medrobotics Snakelike Robots for Oropharynx, Hypopharynx and Larynx Surgery 295
3.4 Titan Medical 299
3.4.1 Titan Medical SPORT™ Surgical Next Generation System 303
3.4.2 Titan Visualization Viewing Portal 314
3.4.3 Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity 316
3.4.4 Titan Medical Surgical Robotic System 317
3.4.5 Titan Robotic Single Incision Platform: 318
3.4.6 Titan Medical Amadeus Robotic Surgical System 318
3.5 Johnson & Johnson 319
3.5.1 Johnson & Johnson Ethicon 319
3.6 Virtual Incision 321
3.7 Meere Company / Eterne 322
3.8 Olympus 327
3.9 IMRIS 328
3.9.1 IMRIS Image Guided Therapy Solutions 329
3.10 TransEnterix / SOFAR S.p.A. 330
3.10.1 TransEnterix Technology Innovations In Laparoscopic Surgery 334
3.10.2 TransEnterix SurgiBot System 337
3.10.3 TransEnterix Flex Instruments 338
3.10.4 TransEnterix SPIDER 339
3.11 Changzhou Kangxin Medical Instruments Co., Ltd. 339
3.12 Guangzhou Baitang Medical Instrument Co., Ltd. 340
3.13 Guangzhou Beco Electronic Technology Co., Ltd. 340
3.14 Auris Robotics 340
3.14.1 First Surgical Robot from Auris 342
3.15 AVRA Surgical Robotic System 344
3.16.1 ASRS Surgeon Console 345
3.16.2 ASRS Instruments 346
3.17 Cambridge Medical Robotics 347

4. Abdominal Surgical Robot Technology And Research

4.1 Surgical Robotic Clinical Applications 349
4.1.1 Robotic Cardiothoracic Surgery 351
4.1.2 Robotic Internal Thoracic Artery Dissection 352
4.1.3 Robotic Thoracoscopy 352
4.1.4 Cardiothoracic Surgery 353
4.1.5 Cardiothoracic Surgery Mitral Valve Repair. 354
4.1.6 Intuitive Surgical Cardiothoracic Surgeries 355
4.1.7 Robotic Coronary Artery Bypass 356
4.2 Government Regulation 357
4.2.1 International Regulation 361
4.2.2 United States Regulatory Process 362
4.2.3 California Regulation 363
4.2.4 European Union and Canada Regulatory Process 363
4.3 Third Party Reimbursement 364

5. Surgical Robots Company Description

5.1 AdEchoTech / T-MedRobotics / 367
5.1.1 T-MedRobotics 368
5.2 Auris Robotics 368
5.2.1 Auris Surgical Robotics Acquires Hansen Medical 368
5.2.2 FDA Clears Auris Surgical's Robotic Endoscopy System 369
5.3 Avra Robotics 369
5.4 Cambridge Medical Robotics 370
5.5 Chinese Surgical Robots 371
5.6 Fosun Pharma 374
5.7 Freehand 375
5.7.1 Freehand 2010 / Prosurgics 376
5.8 Google 376
5.8.1 Google Business 376
5.8.2 Google Management Discussion 377
5.8.3 Google Daydream 378
5.8.4 Google Daydream Partners 380
5.8.5 Google Search Technology 382
5.8.6 Google Recognizes World Is Increasingly Mobile 382
5.8.7 Google Nest 383
5.8.8 Google / Nest Protect 383
5.8.9 Google / Nest Safety History 384
5.8.10 Google / Nest Learning Thermostat 386
5.8.11 Google Chromecast 387
5.8.12 Google Revenue 388
5.9 IMRIS 390
5.10 Intuitive Surgical 391
5.10.1 Intuitive Surgical ISI Investments 391
5.10.2 Intuitive Surgical Competition 392
5.10.3 Intuitive Surgical Market Analysis 393
5.10.4 Intuitive Surgical Procedures 395
5.10.5 Intuitive Surgical Worldwide Procedures 395
5.10.6 U.S. Procedures 396
5.10.7 Intuitive Surgical Procedures Outside of the U.S. 397
5.10.8 Intuitive Surgical Business Model 397
5.10.9 Intuitive Surgical Sales and Distribution Organization 398
5.10.10 Intuitive Surgical da Vinci System Leasing 399
5.10.11 Intuitive Surgical Revenue 400
5.10.12 Intuitive Surgical Service Revenue 402
5.10.13 Intuitive Surgical Revenue 409
5.10.14 Intuitive Surgical Procedures H1 2016 414
5.10.15 Intuitive Surgical Robotics da Vinci® Surgical System 418
5.10.16 Intuitive Surgical Robotics da Vinci Surgical System Xi 419
5.11 Johnson and Johnson / DePuy Synthes 421
5.11.1 Johnson & Johnson Business 421
5.11.2 Johnson & Johnson Consumer Segment 421
5.11.3 Johnson & Johnson Pharmaceutical Segment 422
5.11.4 Johnson and Johnson Medical Devices 423
5.11.5 Johnson and Johnson Geographic Areas 424
5.11.6 Johnson & Johnson Competition 424
5.11.7 Johnson & Johnson Management’s Discussion 424
5.11.8 Johnson & Johnson Revenue 425
5.11.9 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 427
5.11.10 Johnson and Johnson / DePuy 428
5.11.11 Johnson & Johnson Caring for the World One Person At A Time 428
5.11.12 Johnson & Johnson / Ethicon 428
5.12 Medtronic / Mazor Robotics 430
5.12.1 Mazor Expects Record Year As Medtronic Helps It Launch Mazor X Robot 431
5.12.2 Mazor Robotics Spine Surgery System 432
5.13 Medrobotics 433
5.13.1 Medrobotics' Flex Robotic System 433
5.13.2 Medrobotics Raises $25M to Back FDA-Cleared Transoral Surgical Robotics System 434
5.13.3 Medrobotics Closes On $10 Million Financing 438
5.13.4 Medrobotics Several Generations Of Snake Robot Platforms 439
5.13.5 Medrobotics Advances Clinical Development of Snake Robot for Surgery 440
5.13.6 Medrobotics Positioning 440
5.13.7 Medrobotics Cardiac Surgery Gold Standard 440
5.13.8 Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And Interventional Applications 442
5.13.9 Medrobotics Technology & Research Center 443
5.14 Medtronic 444
5.14.1 Medtronic Partners With, Invests In Mazor Robotics 445
5.14.2 Medtronic Surgical Robot Revenue Stream Growth 446
5.14.3 Medtronic Launches Low-Cost Hip and Knee Program, Forecasts Surgical Robot Revenue By FY 2019 448
5.14.4 Medtronic PLC 450
5.14.5 Medtronic O-arm Surgical Imaging System 453
5.15 Meerecompany / Eterne 457
5.16 OMNI 457
5.17 Smith & Nephew 458
5.17.1 Smith & Nephew World Leader In Joint Replacement Systems For Knees, Hips And Shoulders 459
5.17.2 Smith & Nephew Knee Implants 459
5.17.3 Smith & Nephew Hip Implants 461
5.17.4 Smith & Nephew Bearing Surfaces 463
5.17.5 Smith & Nephew 464
5.17.6 Smith & Nephew Revenue 465
5.17.7 Smith & Nephew Navio 467
5.18 Stryker 467
5.18.1 Stryker Acquires Sage for $2.78 Billion 468
5.18.2 Stryker / MAKO Surgical 469
5.18.3 Stryker Business Segment Operations 470
5.18.4 Stryker Revenue 471
5.18.5 Stryker Hip Recall: $1.4 Billion Settlement 471
5.18.6 Stryker Revenue 472
5.18.7 Stryker Results Of Operations 475
5.18.8 Stryker Segment Orthopaedics 476
5.18.9 Stryker Regional Revenue Segment 477
5.18.10 Stryker Robots 478
5.18.11 Stryker / MAKO Surgical 483
5.18.12 Stryker / Mako 484
5.19 THINK Surgical 493
5.19.1 THINK Surgical 494
5.19.2 THINK Surgical TPLAN™ 3D Planning Workstation 495
5.19.3 THINK Surgical TCAT™ Computer Assisted Tool 498
5.19.4 Think Surgical 500
5.19.5 Think Surgical Robodoc 501
5.20 Titan Medical 501
5.20.1 Titan Medical General Surgery Robot Market Opportunities 508
5.20.2 Titan Medical Robotic Surgery Target Opportunity 509
5.21 TransEnterix 511
5.21.1 TransEnterix Acquires SOFAR Surgical Robotics Unit in $100M Deal 511
5.21.2 TransEnterix Radical Hysterectomy with Senhance™ Surgical Robot 513
5.21.3 TransEnterix Strategic Positioning 514
5.21.4 TransEnterix 516
5.21.5 TransEnterix / Sofar 517
5.22 Verb Surgical 522
5.22.1 Verb Next-Generation Robotic Surgery 522
5.22.2 Verb Works with Johnson & Johnson’s ($JNJ) Ethicon and Alphabet’s ($GOOG) Verily 523
5.23 Virtual Incision 524
5.24 Zimmer Biomet Acquires Medtech SA, Joins Surgical Robotics 524
5.24.1 Zimmer Biomet 526
5.25 Selected Surgical Robot Companies 531
Wintergreen Research, 538
WinterGreen Research Methodology 539

List of Figures

Figure 1. Abdominal Surgical Robot Medical Specialties Addressed 31
Figure 2. Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 32
Figure 3. Innovative Surgical Robot Features 33
Figure 4. Surgical Robot Market Positioning 33
Figure 5. Surgical Robotics Market Driving Forces 35
Figure 6. Surgical Robot Key Factors Driving Market Growth 36
Figure 7. Surgical Robot Key Market Challenges 37
Figure 8. Abdominal Surgery Robotics Market Driving Factors 37
Figure 9. Healthcare Abdominal Robotics Enabling Technologies 38
Figure 10. Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 39
Figure 11. Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2015 44
Figure 12. Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological, Head and Neck, and Urological Forecasts Dollars, Worldwide, 2016-2022 46
Figure 13. Medical Multi Articulating Arms 48
Figure 14. Instruments That Support Multiple Approach Paths To A Surgical Target 49
Figure 15. Robotic Surgery Improved Visualization Features 50
Figure 16. Robotic Surgical Specialties Procedure Marketing Efforts Focus 52
Figure 17. Abdominal Surgical Robot Medical Specialties Addressed 59
Figure 18. Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 61
Figure 19. Innovative Surgical Robot Features 62
Figure 20. Surgical Robot Market Positioning 62
Figure 21. Surgical Robotics Market Driving Forces 64
Figure 22. Surgical Robot Key Factors Driving Market Growth 65
Figure 23. Surgical Robot Key Market Challenges 66
Figure 24. Abdominal Surgery Robotics Market Driving Factors 66
Figure 25. Healthcare Abdominal Robotics Enabling Technologies 67
Figure 26. Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 68
Figure 27. Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2015 74
Figure 28. Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2015, Table Format 75
Figure 29. Intuitive Surgical 2016 Objectives 76
Figure 30. Over 3 Million da Vinci® Procedures Have Been Performed To Date 77
Figure 31. Intuitive Surgical Procedures 78
Figure 32. Abdominal Surgical Robot Systems Hospital Market Trends 79
Figure 33. Surgical Robot Systems Hospital Return on Investment (ROI) 80
Figure 34. Intuitive Surgical da Vinci Sp 90
Figure 35. Intuitive Surgical Technology Market Positioning 91
Figure 36. Intuitive Surgical Benefits 92
Figure 37. Number Intuitive Surgical Robotic Surgery Installed Systems, US, International 2012-Q3 2016 94
Figure 38. Intuitive Surgical daVinci Installed Base and Product Shipments Units and Dollars, Worldwide, 2014 95
Figure 39. How Intuitive Surgical Gained Dominant Position in Robotic Surgery 102
Figure 40. Intuitive Surgical Robotic Surgery Strategic Positioning 103
Figure 41. Intuitive Surgical Challenges 104
Figure 42. Titan Surgical Robot 105
Figure 43. Titan Medical Novel Robotic Platform for Single Port Access Surgery 106
Figure 44. Titan Medical Amadeus Composer Surgical System 107
Figure 45. Titan Medical Prospectus Timeline for SPORTTM Surgical System 110
Figure 46. Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological, Head and Neck, and Urological Forecasts Dollars, Worldwide, 2016-2022 114
Figure 47. Abdominal Surgical Robot Forecasts Dollars, Worldwide, 2016-2022 115
Figure 48. Abdominal Surgical Robots Market Shares, Dollars, Worldwide, 2015 116
Figure 49. Abdominal Surgical Robot Market Segment Forecasts, Products, Services, and Instruments / Accessories Dollars, Worldwide, 2016-2022 117
Figure 50. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological Cardio, and Head/Neck Products, Services, and Instruments / Accessories Dollars, Worldwide, 2016-2022 117
Figure 51. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological Cardio, and Head/Neck Products, Services, and Instruments / Accessories Percent, Worldwide, 2016-2022 117
Figure 52. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Cardio, Cardio Thoracic, and Head and Neck Dollars, Worldwide, 2016-2022 120
Figure 53. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological Dollars and Units, Worldwide, 2016-2022 121
Figure 54. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological, Percent Dollars, Worldwide, 2016-2022 122
Figure 55. Abdominal Surgical Robot Market Segment Forecasts, Head and Neck, Cardiac and Cardio Thoracic, Dollars and Units, Worldwide, 2016-2022 123
Figure 56. Intuitive Surgical Revenue by Segment, 2014 and 2015 127
Figure 57. Challenges of Open Surgery and Minimally Invasive Surgery 129
Figure 58. Challenges of Developing Medical Robotic Surgery Systems 130
Figure 59. Surgical Robotic Product Development Challenges 131
Figure 60. Minimally Invasive Procedure Market Penetration 133
Figure 61. Abdominal Surgical Robots Instrument and Accessory Market Forecasts, Dollars, Worldwide, 2016-2022 135
Figure 62. Surgical Robot Systems vs. Disposable Instruments Forecasts, Dollars, Worldwide, 2016-2022137
Figure 63. Surgical Robot Market Challenges 138
Figure 64. Intuitive Surgical Issues Addressed Successfully 139
Figure 65. Benefits of Robotic Surgery For The Surgeon 141
Figure 66. Benefits of Robotic Surgery For The Patient 141
Figure 67. Benefits of Robotic Surgery For The Hospital 142
Figure 68. Number Intuitive Surgical Robotic Surgery Installed Systems, Total, US, International 2012-Q3 2016 146
Figure 69. Open Surgery Market Opportunity 148
Figure 70. Intuitive Surgical da Vinci System Installed Base by Region 149
Figure 71. Number Intuitive Robotic Surgical Procedures, Detail of General Surgery, Gynecology, Urology, Head and Neck, Regional Analysis by Region, 2015 152
Figure 72. Percent Intuitive Robotic Surgical Procedures, Detail of General Surgery, Gynecology, Urology, Head and Neck, Regional Analysis by Region, 2015 153
Figure 73. Intuitive Surgical Robotic Gynecologic Surgery 158
Figure 74. Number Intuitive Robotic Surgical Procedures, Detail of Gynecology, Benign Hysterectomy, Malignant Hysterectomy, Sacral Colpopexy, Endirmetrosis Resection, Regional Analysis, 2015 159
Figure 75. Gynecology Robotic Surgery Procedures By Country, 2014 161
Figure 76. # Gynecology Robotic Surgery Procedures by Country, Benign Hysterectomy, 2014163
Figure 77. # Gynecology Robotic Surgery Procedures, Malignant Hysterectomy, by Country, 2014 165
Figure 78. # Gynecology Robotic Surgery Procedures, Sacral Colpopexy, by Country, 2014 167
Figure 79. # Gynecology Robotic Surgery Procedures, Myomectomy, by Country, 2014 169
Figure 80. # Gynecology Robotic Surgery Procedures, Endriometriosis Resection, by Country171
Figure 81. Number Intuitive Robotic Surgical Procedures, Detail of Urology, Prostate, Kidney, Partial Nephrectomy, Pyeloplasty: Plastic Repair of the Renal Pelvis, Regional Analysis, 2015 174
Figure 82. Intuitive Surgical Urology Procedures 175
Figure 83. # Urology Robotic Surgery Procedures by Country, 2014 178
Figure 84. # Urology Robotic Surgery Procedures, Prostrate, by Country, 2014 180
Figure 85. # Urology Robotic Surgery Procedures, Kidney, Partial Nephrectomy, by Country, 2014 182
Figure 86. # Urology Surgery Procedures Pyeloplasty: Plastic Repair Of The Renal Pelvis, 2014184
Figure 87. Number Intuitive Robotic Surgical Procedures, Detail of General Surgery, Single Port, Multi Port, Colorectal, Regional US, Europe, Asia, South America, Middle East, 2015 186
Figure 88. General Surgery Colorectal Procedures 190
Figure 89. Intuitive Surgical Robotic Surgery Installed Systems, Number Regional Analysis by Country, 2014 and 2015 192
Figure 90. General Robotic Surgery Procedures By Country, 2014 195
Figure 91. General Robotic Surgery Procedures, Single Port By Country, 2014 197
Figure 92. General Robotic Surgery Procedures, Multi port By Country 199
Figure 93. General Robotic Surgery Coloracteral Procedures By Country, 2014 201
Figure 94. Number Intuitive Surgical Head and Neck Robotic Procedures, Regional Analysis, 2015 204
Figure 95. # Head and Neck Surgery Procedures, by Country, 2014 206
Figure 96. Number Intuitive Surgical Cardias and Cardio/Thoracic Robotic Procedures, Regional Analysis by Procedure Type, 2015 208
Figure 97. Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis by Country, 2014 209
Figure 98. Cardio Thoracic Robotic Surgery Procedure Forecasts, Lobectomy, Mitrial Valve Repair, Vascular Surgery, Number of Procedures, Worldwide, 2016-2022 213
Figure 99. Definition of Abdominal Surgical Robot Categories 216
Figure 100. Abdominal General Surgery, Gynecological, and Urological Robotic Surgery Procedures by Country, 2014 218
Figure 101. Abdominal Robotic General Surgery Gynecology, and Urology, Number of Procedures, US and Worldwide, 2014 220
Figure 102. Intuitive Surgical da Vinci Surgical System Improved Visualization Of The Gross Anatomy223
Figure 103. Intuitive Surgical Procedure Aspects 226
Figure 104. Reported Clinical Benefits of da Vinci® Hysterectomy Procedures for Benign Conditions 227
Figure 105. Intuitive Surgical da Vinci Xi Product 229
Figure 106. Intuitive Surgical Average Cost to Hospital by Procedure Type 236
Figure 107. Surgical Robot Regional Market Segments, Dollars, 2015 238
Figure 108. Abdominal Surgical Robot Regional Market Segments, 2015 239
Figure 109. Number Intuitive Robotic Surgical Procedures, Detail of General Surgery, Gynecology, Urology, Head and Neck, Cardiac and Cardio Thoracic, Regional Analysis by Region, 2015 242
Figure 110. Number Intuitive Robotic Surgical Procedures, Detail of Gynecology, Benign Hysterectomy, Malignant Hysterectomy, Sacral Colpopexy, Endirmetrosis Resection, Regional Analysis, 2015 244
Figure 111. Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis by Country, Asia and Rest of World, 2015 252
Figure 112. Key Players In The Abdominal Global Medical Robots Market 256
Figure 113. Key Players In The Global Medical Robots Market 257
Figure 114. Intuitive Surgical da Vinci System 259
Figure 115. Intuitive Surgical da Vinci Surgical System 264
Figure 116. Intuitive Surgical. da Vinci Surgical System EndoWrist® Instruments 266
Figure 117. Intuitive Surgical. da Vinci Surgical System Vision System 267
Figure 118. Intuitive Surgical da Vinci Surgical System Features 268
Figure 119. Intuitive Surgical Da Vinci Xi Surgical System Surgeon Console Features 271
Figure 120. Intuitive Surgical. da Vinci Surgical System Surgeon Console 272
Figure 121. Intuitive Surgical. da Vinci Surgical System Patient-Side Cart 272
Figure 122. Intuitive Surgical Da Vinci Surgery 278
Figure 123. Intuitive Surgical Da Vinci Surgical System Components 279
Figure 124. Intuitive Surgical da Vinci® Mitral Valve Repair Benefits 281
Figure 125. Minimally Invasive Da Vinci Surgery Benefits To Cardiac Patients 286
Figure 126. Intuitive Surgical da Vinci System State-Of-The-Art Robotic Surgical Platform 287
Figure 127. Intuitive Surgical da Vinci Si Surgical System Core Benefits: 287
Figure 128. Intuitive Surgical da Vinci SI Surgical System Dual Console Used For Training And Collaboration 288
Figure 129. Intuitive Surgical da Vinci Surgical System Patient Side Cart 289
Figure 130. MedRobotics Flex® Robotic System 290
Figure 131. Medrobotics Flex® Robotic System Target Surgical Sites 291
Figure 132. Medrobotics Technology 292
Figure 133. Medrobotics Flex® Retractor 294
Figure 134. Medrobotics Snakelike Robot Tested for Heart Surgery 297
Figure 135. Medrobotics Medical Field Target Markets 298
Figure 136. Titan Single Port Orifice Robotic Technology SPORT™ Surgical System 299
Figure 137. Titan SPORT™ Surgical System: 300
Figure 138. Titan MedicalSPORT™ Surgical System Patient Benefits: 301
Figure 139. Titan MedicalSport™ Surgical System Surgeon Benefits: 302
Figure 140. Titan MedicalSport™ Surgical System Patient Benefits: 302
Figure 141. Titan Medical Next Generation SPORT™ Surgical System Uses 304
Figure 142. Titan Medical Next Generation SPORT™ Surgical System Market Opportunity 305
Figure 143. Titan Medical Next Generation SPORT™ Surgical System Competitive Positioning306
Figure 144. Titan Medical Next Generation SPORT™ Surgical System Market Business Model307
Figure 145. Titan Medical Next Generation SPORT™ Surgical System Development Strategy308
Figure 146. Titan Medical Next Generation SPORT™ Surgical Instruments 309
Figure 147. Titan Medical Next Generation Sport™ Surgical Instruments 310
Figure 148. Titan Medical Next Generation SPORT™ Surgical Instruments 311
Figure 149. Titan Medical Next Generation SPORT™ Surgical Instrument Controllability 312
Figure 150. Titan Medical Next Generation SPORT™ Surgical Instrument Usability Studies and Data Analysis 313
Figure 151. Titan Medical Next Generation SPORT™ Surgical Instrument Visualization 314
Figure 152. Titan Medical Next Generation SPORT™ Surgical Instruments 315
Figure 153. Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity316
Figure 154. Titan Robotic Surgical System Benefits: 317
Figure 155. Titan Amadeus Features 319
Figure 156. Johnson & Johnson Ethicon Minimally Invasive Procedures As They Apply To Specific Conditions 321
Figure 157. Meerecompany Cabinet 324
Figure 158. Meerecompany Instruments 325
Figure 159. Meerecompany Eterne Composition 325
Figure 160. Meerecompany Surgical Applications 326
Figure 161. Meerecompany Surgical Operation Procedure 326
Figure 162. Meerecompany Advantages of Surgical Robots 327
Figure 163. TransEnterix Surgical Robot Technology 334
Figure 164. TransEnterix Provide Patients With Less Invasive Surgery 335
Figure 165. TransEnterix Device is Patient-Side 336
Figure 166. TransEnterix Device is Patient-Side 336
Figure 167. TransEnterix SurgiBot™ System Reduces-Incisions 337
Figure 168. TransEnterix Flex Instruments 338
Figure 169. ASRS Instruments AVRA Mobility Intelligent, Independent for Surgeon Control 346
Figure 170. Intuitive Surgical Robotic Cardiac Procedures 354
Figure 171. Surgical Robot Cardiothoracic Conditions Treated 357
Figure 172. Tianjin Municipality Micro Hand A Chinese Surgical Robots 372
Figure 173. China's First Surgical Robot For Minimally Invasive Surgery At Tianjin Municipality 374
Figure 174. Google Daydream Virtual Reality 379
Figure 175. Google / Nest Learning Thermostat 386
Figure 176. Intuitive Surgical Recurring Revenue Model 414
Figure 177. Intuitive Surgical Pricing by System Model 415
Figure 178. Intuitive Surgical Tip of the Iceberg ROI Cost Factors 416
Figure 179. Intuitive Surgical da Vinci Ecosystem 417
Figure 180. Intuitive Surgical 2016 Objectives 417
Figure 181. Intuitive Surgical Platform, daVinci Xi 419
Figure 182. Johnson and Johnson Family of Companies Comprises: 427
Figure 183. Medrobotics Positioning 2016 436
Figure 184. Medrobotics Cardiac Surgery Improvements 441
Figure 185. Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And Interventional Applications 442
Figure 186. Medrobotics Snake Robot Technologies Specialist Areas Served 443
Figure 187. Medtronic O-Arm® Surgical Imaging Stealthstation® Navigation Functions 450
Figure 188. Medtronic O-Arm Surgical Imaging System Benefits 451
Figure 189. Medtronic O-Arm Surgical Imaging System Benefits: 452
Figure 190. Medtronic O-arm® Surgical Imaging with StealthStation® Navigation Features: 453
Figure 191. Medtronic O-arm Surgical Imaging System 453
Figure 192. Medtronic O-Arm Surgical Imaging System Benefits 455
Figure 193. Medtronic Lumbar Imaging 456
Figure 194. Smith & Nephew Knee Replacement Device 460
Figure 195. Smith & Nephew Hip Replacement 462
Figure 196. Smith & Nephew OXINIUM Technology 463
Figure 197. Smith & Nephew Laser Surgical Instrument 464
Figure 198. Stryker Joint Implants 479
Figure 199. Stryker Patient Specific Pre-Operative Planning 480
Figure 200. Stryker Patient Specific Pre-Operative Planning 481
Figure 201. Stryker Better Fit Orthopedics 481
Figure 202. Stryker Osteoarthritis Affects Compartments Of The Knee 482
Figure 203. Stryker / MAKO Surgical RIO Robotic Arm Interactive System 483
Figure 204. MAKO Surgical Restoris 491
Figure 205. Name Changed From Curexo Technology 494
Figure 206. THINK Surgical TPLAN™ 3D Planning Workstation 495
Figure 207. Think Surgical TSolution 510K Clearance 496
Figure 208. THINK Surgical TPLAN™ Workstation 496
Figure 209. THINK Surgical TCAT™ Computer Assisted Tool 498
Figure 210. Think Surgical Planning 500
Figure 211. Think Surgical Robodoc 501
Figure 212. Titan Medical Investment Summary 503
Figure 213. Titan Medical Business Goals and Timetable 504
Figure 214. Titan Medical Describes Robotic General Surgery Market Potential 508
Figure 215. Titan Medical Robotic Surgery Target Opportunity 509
Figure 216. Titan Medical Robotic Surgery Target Opportunity 510
Figure 217. TransEnterix Strategic Positioning 515
Figure 218. TELELAP Robotic Surgical Unit 518
Figure 219. TransEnterix ALF-X Robotic Surgery 519
Figure 220. TransEnterix ALF-X Breaking Barriers Supporting Precision 521

Date of Publication:
Dec 19, 2016
File Format:
PDF via E-mail
Number of Pages:
546 Pages