Computer Assisted Surgical Systems - A Global Strategic Business Report

Computer Assisted Surgical Systems - A Global Strategic Business Report

Global Industry Analysts, Date of Publication: Sep 23, 2014, 276 Pages
US$4,950.00
GIA-MCP1147

This report analyzes the worldwide markets for Computer Assisted Surgical (CAS) Systems in US$ by the following Product Segments: Surgical Planners and Simulators, Surgical Navigation Systems, and Surgical Robots. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, and Rest of World. Annual estimates and forecasts are provided for the period 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. The report profiles 56 companies including many key and niche players such as -

3D Systems Corporation
Accuray, Inc.
B. Braun Melsungen AG
Brainlab AG
CAE, Inc.


TABLE OF CONTENTS

 I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS
      Study Reliability and Reporting Limitations     I-1
      Disclaimers   I-2
      Data Interpretation & Reporting Level   I-2
       Quantitative Techniques & Analytics    I-2
      Product Definitions and Scope of Study  I-3
       Computer Assisted Surgical Systems     I-3
        Surgical Planners   I-3
        Surgical Simulators I-3
        Surgical Navigation Systems  I-4
        Surgical Robots     I-4
Semi-Autonomous Surgical Robot       I-4
Guided Surgical Robotic System       I-4
Teleoperated Surgical Robot I-4


 II. EXECUTIVE SUMMARY

  1. INDUSTRY OVERVIEW      II-1
      Prelude       II-1
      Impact of Recession in Retrospect and the Road Ahead     II-2
      Healthcare Economics Amidst a Weak Economy      II-3
       Improving Healthcare Expenditure to Foster Growth       II-4
        Table 1: Per-Capita Healthcare Expenditure in Select Regions
        (2013) (includes corresponding Graph/Chart)   II-5

        Table 2: Top 20 Countries with the Highest Healthcare
        Spending as a Percentage of GDP (2012) (includes
        corresponding Graph/Chart)   II-6
        Table 3: Top 10 Countries with Highest Private Spending on
Health Care (2011) (includes corresponding Graph/Chart)        II-7
      Developing Economies: Favorable Prospects in the Long Run II-7
       Spurt in Medical Tourism Offers Growth Opportunities    II-8
      Minimal/Non-invasive Procedures Favor Adoption of CAS Systems     II-9
      Demographics Favor CAS Market Growth    II-10
       Table 4: Elderly Population (60+ Years) as a Percentage of
       the Total Population (2012 & 2050) (includes corresponding
       Graph/Chart) II-10

       Table 5: Global Aging Population (60+) and their Proportion
       of Total Population (2012) (includes corresponding
       Graph/Chart) II-11

       Table 6: Life Expectancy at Age 60 and 80 Years -
       (2010-2015), (2020-2025) & (2045-2050) (includes
       corresponding Graph/Chart)    II-12
      Future Developments in CAS Technologies II-12
      Hospitals and Insurers Role in Integration of CAS Technologies    II-13
      Challenges Lie Ahead for CAS Technologies       II-13
      CAS Technologies for Knee/Hip Implants: Issues at the Core of
       Debates      II-14
       Open Vs Closed Implant Architecture Platforms  II-14
       Marketing Benefits or Clinical Advantages: Making the Choice     II-15
       Navigation Technologies: Promising but Limited Adoption II-15
       Growing Prominence of Custom-Made Instrumentation       II-15
        Imaging Technologies Related to Patient Specific Instruments    II-15

  2. SURGICAL ROBOTS MARKET - A REVIEW        II-16
      Introduction to Medical Robots II-16
      Surgical Robotics: A Market Analysis    II-16
      Asia - The Fastest Growing Market for Surgical Robotic Systems    II-18
      Robotics in Minimally Invasive Surgery (MIS) Procedures Gain
       Traction     II-19
      Robot-Assisted Laparoscopy - Changing the Face of Laparoscopic
       Surgery      II-19
       Non-Invasive Surgical Procedures- A New Revolution in the Making II-20
      Robotic Systems for Hysterectomy: Adding Value or Merely a
       Technological Fad?   II-20
       Increasing Number of Robotic-Assisted Hysterectomies    II-21
      Robotics in Prostatectomy Procedures    II-21
       Robotic-Assisted Prostatectomies: High Success Rates    II-22
       Controversies Fail to Deter Robotic Surgery from Becoming
        Standard of Care for Prostatectomies  II-22
      Opportunities Galore for Robotic Surgeries in Complex Procedures  II-23
      Spinal Surgery: A Promising Specialty for Robotics Surgery        II-23
      Computer-Assisted Devices in Orthopedic Procedures: Yet to
       Gain Ground  II-23
      Robotic Thyroidectomy: The New Option in Thyroid Surgery II-24
      Development of Advanced Robots: A Step towards Wider Adoption     II-24
      Technology Innovations in Surgical Robotics     II-25
       Surgical Robots with Imaging Capabilities      II-25
       4D Positioning of Instruments & Prosthetic Components - An
        Emerging Technology II-26
      Efforts on to Develop Open-Source Robotic Surgery System II-26
      Single Port Robotic Devices: Opportunities for New Entrants to
       Make a Mark  II-27
      Mini-Invasive Diagnosis: Rising Prominence of Robots     II-28
      Robotics to Replace Surgical Nurses?    II-28
      Surgical Robot and IGS Vendor Woes      II-28
      Complaints and Lawsuits Increase in Tandem with Rise in
       Robotic-Assisted Surgical Procedures   II-28
       Mishaps Related to Robotic Surgical Systems: A Major Concern     II-29
      Criticisms Surrounding Robotic-Assisted Surgical Procedures       II-29
      Marketing Initiatives: A Major Role in Surgical Robot’s Success   II-30
      Competitive Landscape II-31
       Intuitive Surgical Dominates Robotic Surgery Market     II-31
        da Vinci® Systems: Key Figures in a Nutshell  II-31
Table 7: Installed Base of Intuitive Surgical’s da Vinci®
Systems (As of March 2014) (includes corresponding
Graph/Chart)       II-32

Table 8: Proportion of Hospitals with at Least 1 da Vinci
System in the US: Breakdown by Hospital Size (includes
corresponding Graph/Chart)  II-33
       Slowdown in da Vinci System Sales: A Concern for Intuitive
        Surgical?   II-33
       Critics Fault Intuitive Surgical’s Aggressive Marketing Strategy II-34
       Competitors Look to Dent da Vinci’s Dominance in Robotic
        Surgery Market      II-34
        A Glance at Emerging Competitors of Intuitive Surgical II-35
Titan Medical’s SPORT™ Surgical System       II-35
TransEnterix’s Surigbot System       II-36
Telelap ALF-X Endoscopic Robotic Surgical System      II-36
Raven II Surgical Robots    II-36

  3. AN INSIGHT INTO SURGICAL PLANNERS & SIMULATORS MARKET     II-37
      Medical Simulation Gains Importance     II-37
      Virtual Reality Market on a Roll        II-37
       Major Issues in Practical Applications of VR   II-38
      Surgery Simulation with Haptic Feedback Opens New Avenues in
       Medical Education    II-38
      VR Training Using Surgical Simulation Systems: Key Role in
       Laparoscopic Surgeries        II-39
      Robots for Surgical Training   II-39
      Procedure-Specific Simulators: The Ultimate Objective    II-39

  4. SURGICAL NAVIGATION SYSTEMS MARKET       II-40
      Surgical Navigation Systems Market: An Introduction      II-40
      Image Guided Technologies Play a Vital Role     II-40
      Spinal Surgeons Gradually Increase Adoption of Surgical
       Robotics and Navigation Platforms      II-40
      High Cost & Technical Hurdles Hamper Adoption of Surgical
       Navigation Systems   II-41
      Emerging Economies: A Wealth of Opportunities for Surgical
       Navigation Systems Market     II-41
       Manufacturers Focus on Outpatient Facilities   II-42
       Partnerships between Imaging Companies & Navigation System
        Manufacturers       II-42
      A Glance at Select Breakthroughs & Innovative Efforts in
       Surgical Navigation Market    II-43
       7D Surgical Navigation Device: Promise of Real-Time Navigation   II-43
       Cirle’s Surgical Navigation System     II-43
       Fiagon’s Navigation System    II-44
       Medtronic’s NuVent EM Sinus Dilation System for the Fusion
        ENT Navigation System        II-44
       TLEMsafe: A European Funded Project on Patient-Specific
        Navigation System   II-44

  5. PRODUCT OVERVIEW       II-45
      Computer Assisted Surgical Systems      II-45
      Contributions of CAS Technologies       II-45
      Cost Saving Benefits from CAS Technologies      II-45
      CAS Technologies Address Surgeon’s Limitations  II-45
      CAS Not to Substitute Surgeons II-46
      Potential Benefits of CAS Devices in OR II-46
      Machine Vs Human      II-47
      Virtual Reality       II-47
       Virtual Reality Applications  II-47
        Diagnosis   II-47
        Therapy     II-48
        Surgery     II-48
        Education and Training       II-48
Web-based Surgical Training II-48
      Augmented Reality     II-48
      Surgical Planning     II-49
       Surgical Planner     II-49
      Surgical Simulators   II-49
       Advantages of Surgical Simulators      II-49
      Surgical Navigation Systems    II-49
      Role of Medical Imaging        II-50
      Image Guided Surgery  II-50
       Frameless Image-Guided SurgeryII-50
      Image Processing Technologies  II-50
      Image Rendering       II-51
      Dynamic or Interventional Imaging       II-51
      Robot-assisted Surgical System II-51
       Surgical Robots      II-51
        Semi-Autonomous Surgical Robot        II-52
        Guided Surgical Robotic System        II-52
        Teleoperated Surgical Robot  II-52
      Technologies Developed for Robotic Surgery      II-52
       da Vinci     II-52
       ZeusII-53
       Leonardo     II-53
       Socrates     II-53
       Aesop        II-53
       Hybrid Operating Room/Angiosuite       II-53
       Endoscopes   II-54
      Telesurgery   II-54
      Intelligent Operating Room     II-54
      Digital Operating RoomII-54
      Virtual Surgery Table II-54
      Endoscopic Imagery    II-54
      Compact MRI Scanners  II-54
      Intraoperative Ultrasound      II-55
      Intraoperative CT     II-55
      Electromagnetic Tracking Systems        II-55
      Surgical CAD/CAM Systems       II-55
      Surgical Assistant Systems     II-55

  6. CAS IN SELECT MEDICAL DOMAINS   II-56
      CAS Technologies in Orthopedic Cases    II-56
       Preoperative Planning and Simulation   II-56
       Navigation Methods   II-57
       Surgical Robotic Systems      II-58
      Computer-Aided Navigational Techniques in Neurosurgery   II-59
      CAS in Spine Surgery  II-59
      CAS in Craniofacial Surgery    II-59
      CAS in ENT Surgery    II-60

  7. PRODUCT INTRODUCTIONS/INNOVATIONS/ APPROVALS     II-61
      Intuitive Surgical Launches New da Vinci Xi Surgical System in
       the US       II-61
      Mazor Robotics to Launch Renaissance® Brain Module       II-61
      Intuitive Surgical Bags FDA Clearance for da Vinci Sp Surgical
       System       II-61
      Accuray Wins Shonin Approval for CyberKnife® M6™ System in
       Radiation Therapy Treatment   II-61
      Intuitive Surgical Receives CE Mark for da Vinci Xi Surgical
       System       II-61
      Titan Medical Achieves Major Milestone in SPORT™ Surgical
       System Development   II-61
      Surgical Theater Receives FDA Clearance for Surgical
       Navigation Advanced Platform (SNAP)    II-62
      Minimally Invasive Devices Launches Robotic FloShield™ for da
       Vinci System II-62
      Hansen Medical to Unveil Sensei® X2 Robotic System Prototype      II-62
      Medtronic Unveils NuVent EM Sinus Dilation System for Fusion
       ENT Navigation SystemII-62
      Mimic Technologies Launches Maestro AR™ Augmented Reality
       Software Module      II-62
      Titan Medical Completes Functional Prototype Development of
       SPORT™ Surgical System        II-62
      Medtronic Launches CardioGuide™ Implant System  II-63
      Zimmer Bags FDA Clearance for iASSIST™ Knee Personalized
       Guidance System™     II-63
      TransEnterix Develops SurgiBot Patient-Side Robotic Surgical
       Platform     II-63
      Intuitive Surgical Bags FDA Marketing Approval for EndoWrist®
       One™ Vessel Sealer Instrument II-63
      Mazor Robotics Bags US FDA Marketing Clearance for
       Renaissance™ PlatformII-63
      Mazor Robotics Bags Korean Approval for Renaissance Robotic
       Platform     II-63
      Medtronic Unveils Novel Approach for Spinal Fusion       II-64
      Stryker Introduces CAS Technology for Hip Fractures      II-64
      Medtronic Launches POWEREASE™ System    II-64
      Blue Belt Technologies Bags CE Mark for Navio PFS System II-64
      Mazor Robotics Receives FDA Clearance for Renaissance System
       in Brain ApplicationsII-64
      Mazor Robotics Enhances Renaissance System with C-OnSite II-64
      NeuroLogica Integrates CT Imaging into Brainlab Surgical
       Navigation   II-64
      Wright Medical Bags FDA Clearance for PROPHECY® INBONE™ Pre-
       Operative Navigation Alignment Guides  II-65
      TrueVision® Bags Marketing Approval for 3D Visualization and
       Guidance System in Asian Countries     II-65
      Brainlab Unveils Curve™ Navigation System       II-65

  8. RECENT INDUSTRY ACTIVITY        II-66
      Mazor Robotics Inks Agreement with GPO  II-66
      Medrobotics to Market Medrobotics Flex Device in Europe  II-66
      Smith & Nephew Inks Agreement with Orthosensor  II-66
      Intuitive Surgical and Adachi to Sell da Vinci System in Japan    II-66
      Metronor Bags Contract for its Precision Guidance SystemsII-66
      Bausch + Lomb Inks Exclusive License Agreement for Cirle’s 3D
       Surgical Navigation TechnologyII-66
      Stryker and NeuroLogica Ink Exclusive Partnership Agreement       II-67
      Stryker Acquires MAKO Surgical II-67
      3D Systems Takes Over Geomagic II-67
      DePuy Synthes Spine Extends Collaboration with BrainLab  II-67
      Mazor Robotics Inks Agreement for Sale of Four Renaissance
       Systems      II-67
      LifeHealthcare Places Order for Mazor’s Renaissance System        II-67
      Mazor Robotics Receives Medical Device License from Health Canada II-67
      Mazor Robotics Bags Marketing Approval for Renaissance in Taiwan  II-68
      Blue Belt Technologies and DJO Surgical Enter into Implant
       Partnership  II-68
      Providien Acquires Dynaroll    II-68
      Delray Medical Center Procures O-arm Surgical Imaging System      II-68
      TransEnterix Completes General Surgery Procedures Using
       SurgiBot™ System     II-68
      TransEnterix’s SPIDER® Surgical System Finds Use in Mini-
       Gastric Bypass       II-68
      SafeStitch Medical and TransEnterix Merge Operations     II-68
      Hansen Medical and Philips Strengthen Robotic System
       CollaborationII-69
      Roper Industries Acquires Ascension Technology Corporation        II-69
      GeoMagic Takes Over Sensable Technology II-69
      Mazor Robotics Signs Distribution Agreement with Cicel Science
       & Technology II-69
      Mazor Robotics Inks Purchase Agreement with NSH Michigan II-69
      Olea Medical and NeuroLogica in Partnership     II-69
      ENTrigue Surgical and fiagon GmbH Collaborate for Sinus Surgery   II-70
      NeuroLogica and Medtronic Collaborate   II-70
      Hyundai Heavy Industries Establishes Lab for Manufacture of
       Surgical Robots      II-70
      TransEnterix to Unveil SPIDER Surgical System InstrumentsII-70
      Mazor Robotics Receives Order from Advanced Medical Systems       II-70

  9. FOCUS ON SELECT PLAYERSII-71
      3D Systems Corporation (USA)   II-71
      Accuray, Inc. (USA)   II-71
      B. Braun Melsungen AG (Germany)II-71
      Brainlab AG (Germany) II-72
      CAE, Inc. (Canada)    II-72
      CONMED Corporation (USA)       II-72
      Curexo Technology Corporation (USA)     II-73
      Hansen Medical, Inc. (USA)     II-73
      Intuitive Surgical, Inc. (USA) II-73
      Medtronic, Inc. (USA) II-74
      Mazor Robotics Ltd. (Israel)   II-74
      Northern Digital Inc. (Canada) II-75
      Polhemus, Inc. (USA)  II-75
      Simbionix USA Corp. (USA)      II-75
      Stryker Corporation (USA)      II-76

  10. GLOBAL MARKET PERSPECTIVE      II-77
      Table 9: World Recent Past, Current & Future Analysis for
      Computer Assisted Surgical Systems by Geographic Region - US,
      Canada, Japan, Europe, Asia-Pacific and Rest of World Markets
      Independently Analyzed with Annual Sales Figures in US$
      Million for Years 2013 through 2020 (includes corresponding
      Graph/Chart)  II-77

      Table 10: World Historic Review for Computer Assisted Surgical
      Systems by Geographic Region - US, Canada, Japan, Europe,
      Asia-Pacific and Rest of World Markets Independently Analyzed
      with Annual Sales Figures in US$ Million for Years 2006
      through 2012 (includes corresponding Graph/Chart)        II-78

      Table 11: World 15-Year Perspective for Computer Assisted
      Surgical Systems by Geographic Region - Percentage Breakdown
      of Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
      and Rest of World Markets for Years 2006, 2014 & 2020
      (includes corresponding Graph/Chart)    II-79

      Table 12: World Recent Past, Current & Future Analysis for
      Surgical Planners & Simulators by Geographic Region - US,
      Canada, Japan, Europe, Asia-Pacific and Rest of World Markets
      Independently Analyzed with Annual Sales Figures in US$
      Million for Years 2013 through 2020 (includes corresponding
      Graph/Chart)  II-80

      Table 13: World Historic Review for Surgical Planners &
      Simulators by Geographic Region - US, Canada, Japan, Europe,
      Asia-Pacific and Rest of World Markets Independently Analyzed
      with Annual Sales Figures in US$ Million for Years 2006
      through 2012 (includes corresponding Graph/Chart)        II-81

      Table 14: World 15-Year Perspective for Surgical Planners &
      Simulators by Geographic Region - Percentage Breakdown of
      Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific and
      Rest of World Markets for Years 2006, 2014 & 2020 (includes
      corresponding Graph/Chart)     II-82

      Table 15: World Recent Past, Current & Future Analysis for
      Surgical Navigation Systems by Geographic Region - US, Canada,
      Japan, Europe, Asia-Pacific and Rest of World Markets
      Independently Analyzed with Annual Sales Figures in US$
      Million for Years 2013 through 2020 (includes corresponding
      Graph/Chart)  II-83

      Table 16: World Historic Review for Surgical Navigation
      Systems by Geographic Region - US, Canada, Japan, Europe,
      Asia-Pacific and Rest of World Markets Independently Analyzed
      with Annual Sales Figures in US$ Million for Years 2006
      through 2012 (includes corresponding Graph/Chart)        II-84

      Table 17: World 15-Year Perspective for Surgical Navigation
      Systems by Geographic Region - Percentage Breakdown of Dollar
      Sales for US, Canada, Japan, Europe, Asia-Pacific and Rest of
      World Markets for Years 2006, 2014 & 2020 (includes
      corresponding Graph/Chart)     II-85

      Table 18: World Recent Past, Current & Future Analysis for
      Surgical Robots by Geographic Region - US, Canada, Japan,
      Europe, Asia-Pacific and Rest of World Markets Independently
      Analyzed with Annual Sales Figures in US$ Million for Years
      2013 through 2020 (includes corresponding Graph/Chart)   II-86

      Table 19: World Historic Review for Surgical Robots by
      Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
      and Rest of World Markets Independently Analyzed with Annual
      Sales Figures in US$ Million for Years 2006 through 2012
      (includes corresponding Graph/Chart)    II-87

      Table 20: World 15-Year Perspective for Surgical Robots by
      Geographic Region - Percentage Breakdown of Dollar Sales for
      US, Canada, Japan, Europe, Asia-Pacific and Rest of World
      Markets for Years 2006, 2014 & 2020 (includes corresponding
      Graph/Chart)  II-88


 III. MARKET

  1. THE UNITED STATES      III-1
      A.Market Analysis     III-1
        Outlook     III-1
        Aging Demographics: Major Driving Factor      III-1
Table 21: North American Elderly Population by Age Group
(1975-2050) (includes corresponding Graph/Chart)      III-2
        Robotic-Assisted Surgery Market in the US     III-2
Table 22: Average Duration of Post Surgery Hospitalization
in the US: Comparing Robotic Surgery Vs Laparoscopic
Procedure (includes corresponding Graph/Chart)        III-3
Opportunity Indicator       III-3
 Table 23: Robotic Surgery Opportunity Indicator in the US
 (2014) - Surgical Procedure Volume for Appendectomy,
 Bariatric, Benign Hysterectomy, and Cholecystectomy
 Procedures (includes corresponding Graph/Chart)      III-3

 Table 24: Hysterectomy Market in the US (2005 & 2013):
 Percentage Share Breakdown of Patient Volume by Procedure
 Type - Laparoscopic, Open, Robotic, and Vaginal (includes
 corresponding Graph/Chart) III-4
Robotic-Assisted Prostatectomies: High Success Rates  III-4
        Imaging: A Vital Role to Play in Image-Guided Surgery  III-5
        Lucrative VR Market III-5
        A Brief Overview of the US Image-Guided Surgery Products Market III-5
        Surgical Navigation Systems Market Set for Robust Growth        III-5
Spinal Surgeons Gradually Increase Adoption of Surgical
 Robotics and Navigation Platforms   III-6
        Navigation Technologies: Promising but Limited Adoption in
Orthopedic Surgeries        III-6
        Computer-Assisted Navigation Surgery Makes Gains in Total
Knee Replacement Procedure  III-7
Table 25: Total Knee Replacement Surgeries in the US -
Percentage Share Breakdown of Volume by Type of Procedure
(includes corresponding Graph/Chart) III-7
        Healthcare Spending - A Review        III-8
Hospital Spending to Remain Tight    III-8
Consolidation Hits the Hospital Market       III-8
        Increase in ASCs & Walk-in Centers Drive Demand        III-9
        Regulatory Scenario III-9
FDA Clearance for Surgical Navigation SystemsIII-10
        Healthcare Reforms & Other Legislations: An Overview   III-10
        Reimbursement Scenario       III-11
        Product Introductions/Innovations/Approvals   III-11
        Strategic Corporate Developments      III-14
        Key Players III-17
      B.Market Analytics    III-21
        Table 26: US Recent Past, Current & Future Analysis for
        Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-21

        Table 27: US Historic Review for Computer Assisted Surgical
        Systems by Product Segment - Surgical Planners & Simulators,
        Surgical Navigation Systems, and Surgical Robots Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2006 through 2012 (includes corresponding
        Graph/Chart)III-22

        Table 28: US 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-23

  2. CANADAIII-24
      A.Market Analysis     III-24
        Outlook     III-24
        Strategic Corporate Developments      III-24
        Key Players III-24
      B.Market Analytics    III-26
        Table 29: Canadian Recent Past, Current & Future Analysis
        for Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-26

        Table 30: Canadian Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-27

        Table 31: Canadian 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-28

  3. JAPAN III-29
      A.Market Analysis     III-29
        Outlook     III-29
        Robot-Assisted Surgery: Concerns over Safety  III-29
        Strategic Corporate Developments      III-29
      B.Market Analytics    III-30
        Table 32: Japanese Recent Past, Current & Future Analysis
        for Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-30

        Table 33: Japanese Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-31

        Table 34: Japanese 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-32

  4. EUROPEIII-33
      A.Market Analysis     III-33
        Outlook     III-33
        Virtual Reality Scenario in Europe    III-33
        Surgical Navigation Systems Market in Europe: An Overview       III-33
        Western Europe: Strong Growth for Robot-Assisted Surgery Market III-34
        Product Introductions/Innovations/Approvals   III-34
        Strategic Corporate Developments      III-35
      B.Market Analytics    III-36
        Table 35: European Recent Past, Current & Future Analysis
        for Computer Assisted Surgical Systems by Geographic Region -
        France, Germany, Italy, UK, and Rest of Europe Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2013 through 2020 (includes corresponding
        Graph/Chart)III-36

        Table 36: European Historic Review for Computer Assisted
        Surgical Systems by Geographic Region - France, Germany,
        Italy, UK, and Rest of Europe Markets Independently Analyzed
        with Annual Sales Figures in US$ Thousand for Years 2006
        through 2012 (includes corresponding Graph/Chart)      III-37

        Table 37: European 15-Year Perspective for Computer Assisted
        Surgical Systems by Geographic Region - Percentage Breakdown
        of Dollar Sales for France, Germany, Italy, UK, and Rest of
        Europe Markets for Years 2006, 2014 & 2020 (includes
        corresponding Graph/Chart)   III-38

        Table 38: European Recent Past, Current & Future Analysis
        for Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-39

        Table 39: European Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-40

        Table 40: European 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-41

  4a. FRANCE        III-42
       Market Analysis      III-42
        Table 41: French Recent Past, Current & Future Analysis for
        Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-42

        Table 42: French Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-43

        Table 43: French 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-44

  4b. GERMANY       III-45
      A.Market Analysis     III-45
        Outlook     III-45
        Key Players III-45
      B.Market Analytics    III-46
        Table 44: German Recent Past, Current & Future Analysis for
        Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-46

        Table 45: German Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-47

        Table 46: German 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-48

  4c. ITALYIII-49
       Market Analysis      III-49
        Table 47: Italian Recent Past, Current & Future Analysis for
        Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-49

        Table 48: Italian Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-50

        Table 49: Italian 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-51

  4d. THE UNITED KINGDOM    III-52
       Market Analysis      III-52
        Table 50: UK Recent Past, Current & Future Analysis for
        Computer Assisted Surgical Systems by Product Segment -
        Surgical Planners & Simulators, Surgical Navigation Systems,
        and Surgical Robots Markets Independently Analyzed with
        Annual Sales Figures in US$ Thousand for Years 2013 through
        2020 (includes corresponding Graph/Chart)     III-52

        Table 51: UK Historic Review for Computer Assisted Surgical
        Systems by Product Segment - Surgical Planners & Simulators,
        Surgical Navigation Systems, and Surgical Robots Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2006 through 2012 (includes corresponding
        Graph/Chart)III-53

        Table 52: UK 15-Year Perspective for Computer Assisted
        Surgical Systems by Product Segment - Percentage Breakdown
        of Dollar Sales for Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets for Years
        2006, 2014 & 2020 (includes corresponding Graph/Chart) III-54

  4e. REST OF EUROPEIII-55
       Market Analysis      III-55
        Table 53: Rest of Europe Recent Past, Current & Future
        Analysis for Computer Assisted Surgical Systems by Product
        Segment - Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2013 through 2020 (includes corresponding
        Graph/Chart)III-55

        Table 54: Rest of Europe Historic Review for Computer
        Assisted Surgical Systems by Product Segment - Surgical
        Planners & Simulators, Surgical Navigation Systems, and
        Surgical Robots Markets Independently Analyzed with Annual
        Sales Figures in US$ Thousand for Years 2006 through 2012
        (includes corresponding Graph/Chart)  III-56

        Table 55: Rest of Europe 15-Year Perspective for Computer
        Assisted Surgical Systems by Product Segment - Percentage
        Breakdown of Dollar Sales for Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets for Years 2006, 2014 & 2020 (includes corresponding
        Graph/Chart)III-57

  5. ASIA-PACIFIC   III-58
      A.Market Analysis     III-58
        Outlook     III-58
        Rapidly Expanding Economies Drive Demand for Image-Guided &
Robotic Procedures III-58
        Robot-Assisted Surgery Market in Asia-Pacific - An Overview     III-59
        India: Growing Prominence of CAS Technologies III-59
        Strategic Corporate Developments      III-60
      B.Market Analytics    III-61
        Table 56: Asia-Pacific Recent Past, Current & Future
        Analysis for Computer Assisted Surgical Systems by Product
        Segment - Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2013 through 2020 (includes corresponding
        Graph/Chart)III-61

        Table 57: Asia-Pacific Historic Review for Computer Assisted
        Surgical Systems by Product Segment - Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets Independently Analyzed with Annual Sales Figures in
        US$ Thousand for Years 2006 through 2012 (includes
        corresponding Graph/Chart)   III-62

        Table 58: Asia-Pacific 15-Year Perspective for Computer
        Assisted Surgical Systems by Product Segment - Percentage
        Breakdown of Dollar Sales for Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets for Years 2006, 2014 & 2020 (includes corresponding
        Graph/Chart)III-63

  6. REST OF WORLD  III-64
      A.Market Analysis     III-64
        Outlook     III-64
        Product Innovations/Introductions/Approvals   III-64
        Mazor Robotics Ltd. (Israel) - A Key Player   III-64
      B.Market Analytics    III-65
        Table 59: Rest of World Recent Past, Current & Future
        Analysis for Computer Assisted Surgical Systems by Product
        Segment - Surgical Planners & Simulators, Surgical
        Navigation Systems, and Surgical Robots Markets
        Independently Analyzed with Annual Sales Figures in US$
        Thousand for Years 2013 through 2020 (includes corresponding
        Graph/Chart)III-65

        Table 60: Rest of World Historic Review for Computer
        Assisted Surgical Systems by Product Segment - Surgical
        Planners & Simulators, Surgical Navigation Systems, and
        Surgical Robots Markets Independently Analyzed with Annual
        Sales Figures in US$ Thousand for Years 2006 through 2012
        (includes corresponding Graph/Chart)  III-66

        Table 61: Rest of World 15-Year Perspective for Computer
        Assisted Surgical Systems by Product Segment - Percentage
        Breakdown of Dollar Sales for Surgical Planners &
        Simulators, Surgical Navigation Systems, and Surgical Robots
        Markets for Years 2006, 2014 & 2020 (includes corresponding
        Graph/Chart)III-67


 IV. COMPETITIVE LANDSCAPE

     Total Companies Profiled: 56 (including Divisions/Subsidiaries - 57)

     The United States (38)
     Canada (3)
     Japan (1)
     Europe (14)
     - France (1)
     - Germany (6)
     - The United Kingdom (2)
     - Italy (1)
     - Rest of Europe (4)
     Middle East (1)
Additional Information:
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Date of Publication:
Sep 23, 2014
Number of Pages:
276 Pages
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