This report is an updated and expanded version of an earlier (2009) BCC Research analysis of U.S. and global markets for MRCAS equipment. The updated report is based on the most recent market information available, and analyzes technological, economic, and regulatory developments that may have a long-term impact on the size and structure of the MRCAS market

1. Medical Robotics and Computer-Assisted Surgery: The Global Market (focus on
Asia-Pacific and Emerging Markets)
Published:September 2011
No.Of Pages:147
Price:US $ 3900
INTRODUCTION
STUDY BACKGROUND
Information technology plays a key role in an ever-widening range of human activities,
including surgery. Computers, working in tandem with a variety of microprocessor-enabled
equipment and instruments, support and facilitate the work of the surgeon and have
brought a level of safety and precision to surgery that would have been inconceivable just a
few years ago.
These computers, electronic equipment, and instruments are referred to collectively as
medical robotics and computer-assisted surgery (MRCAS) or, more dramatically, “the
operating room of the future.” MRCAS is used in a growing number of operating rooms
around the world, largely as a result of the growing popularity of minimally invasive surgical
(MIS) techniques. Minimally invasive, or “keyhole” surgery is an alternative to traditional
open-incision surgery in a growing number of procedures. MIS utilizes special instruments
that can be inserted and manipulated through small incisions (sometimes no more than a
few millimeters long) under remote optical or video guidance, greatly reducing patient
trauma and recovery times.
The need to perform delicate surgical procedures safely in tight spaces where the surgeon
cannot see directly has created a growing market for devices that act as extensions of the
surgeon’s eyes and hands: remote imaging, data processing and feedback, and robotics.
Meanwhile, MRCAS technology has been evolving, as have the medical and economic
environments in which it is used. Populations are aging, increasing demand for a wide range
of age-related surgical procedures such as heart and orthopedic surgery. Technological
advances have expanded the range of surgical procedures that can be performed using
minimally invasive techniques, making them accessible to even more people.
The structure of the hospital industry, the main user of MRCAS, is also changing as hospitals
consolidate and other health care options such as walk-in surgical clinics become available
to consumers. Private and government health insurers around the world are becoming more
cost-conscious, forcing hospitals to re-evaluate their capital spending plans but
strengthening the case for technologies that can reduce the cost of surgical procedures.
Medical malpractice suits continue to be common in markets like the United States, so
technologies that increase the precision and accuracy of surgery have obvious appeal.

2. In such a fast-moving field, there is a pressing need to develop and maintain an up-to-date
base of market information in order to better understand the dynamics of the market for
MRCAS devices and equipment.
GOALS AND OBJECTIVES
This report is an updated and expanded version of an earlier (2009) BCC Research analysis
of U.S. and global markets for MRCAS equipment. The updated report is based on the most
recent market information available, and analyzes technological, economic, and regulatory
developments that may have a long-term impact on the size and structure of the MRCAS
market. The new report also contains a more in-depth and detailed analysis of selected
foreign markets than its predecessor.
More specific objectives of this report are to:
* Identify and segment the main types of MRCAS devices that have been commercialized to
date.
* Analyze the historical and current volume and value of shipments of each of these product
segments in specified applications and geographical markets.
* Identify and evaluate the impact of demographic, economic, and other factors that will
drive future demand for MRCAS devices.
* Forecast the volume and value of product shipments by equipment type and application
and by probabilities that future demand will be higher or lower than the baseline forecast.
* Identify promising new surgical procedures and products still in the development and
testing stage and assess the probability that they will be commercialized successfully within
the next 5 years,
* Forecast the potential market for these developmental procedures and products, taking
into account the estimated probability that they will be commercialized.
* Identify leading manufacturers of the devices and analyze the structure of the MRCAS
industry (e.g., market shares, concentration, and recent M&A activity).
* Assess the long-term outlook for MRCAS equipment, taking into account market
opportunities as well as technological, financial, and economic factors.
INTENDED AUDIENCE
This report has been written for the entire MRCAS interest community, especially those in:
* The medical and surgical devices industry
* Medical research institutions
* Investors
* The financial and analyst community
Although the report is structured around specific technologies, it is largely non-technical in
nature. That is, it is concerned less with theory and jargon than with what works, how much
of the latter the market is likely to purchase, and at what price.
As such, the report’s main audience is executive management and marketing and financial
analysts. It is not written specifically for scientists and technologists, (although findings
which concern the markets for their work, including the availability of government and

3. corporate research funding for different technologies and applications) should interest them
as well.
SCOPE AND FORMAT
This report is an analytical business tool with the primary purpose of describing the MRCAS
equipment industry and the global market for these devices. MRCAS equipment is defined
as computer- or microprocessor-enabled devices and accessories that are physically
situated in the operating room and directly assist the surgeon in planning and carrying out
surgical procedures. Thus, the scope of the study does not include:
* Devices that provide images and other information but are not an integral part of the
MRCAS system, such as preoperative imaging (e.g., CT, MRI) equipment, laboratory and
other analytical devices.
* Computerized medical records systems.
* Electronic operating room equipment such as heart monitors that enable the surgical team
to monitor the patient’s condition but do not assist the surgeon directly in carrying out the
operation.
* Other nonelectronic operating room equipment.
The format of the study is organized around the following topics:
* Major types and applications of MRCAS
* Industry structure
* Market size and segmentation, including historical data on sales by application, product
type, and geographical market
* Market drivers
* Detailed market projections through 2016
* Competition and market shares
* Observations and conclusions regarding the future of the Medical Robotics and Computer-
Assisted Surgery market
METHODOLOGY AND INFORMATION SOURCES
Both primary and secondary research methodologies were used in preparing this report. The
findings and conclusions of this report are based on information gathered from
manufacturers and users of MRCAS and other informed sources. Interview data was
combined with information gathered through an extensive review of secondary sources such
as trade publications, trade associations, company literature, and online databases to
produce the baseline market estimates contained in this report.
The base year for analysis and projection is 2010. With 2010 as a baseline, market
projections were developed for 2011 to 2016. The market projections are “consensus”
projections, obtained by averaging market scenarios obtained from industry and other
sources or developed independently by BCC. The analytical methodologies BCC used to
generate the market estimates are described in detail in the section on detailed market
projections.
All dollar projections presented in this report are in 2010 constant dollars.

4. ANALYST CREDENTIALS
The author of this report is Andrew McWilliams. Mr. McWilliams, a partner in the Boston-
based international technology and marketing consulting firm of 43rd Parallel, LLC, is the
author of several other BCC Research studies of the surgical and related medical devices
markets, including the previous edition of this report; HLC051F − The Market for Minimally
Invasive Medical Devices; HLC066B − Medical Automation Technologies, Products, and
Markets; HLC038C − Patient Monitoring; HLC016D − Microelectronic Medical Implants:
Products, Technologies, and Opportunities; HLC072A − Medical Lasers: Technologies and
Global Markets; and HLC082A − Emerging Markets for Advanced Medical Technologies.
Table Of Contents
Chapter- 1: INTRODUCTION - Complimentary5$0
STUDY BACKGROUND
GOALS AND OBJECTIVES
INTENDED AUDIENCE
SCOPE AND FORMAT
METHODOLOGY AND INFORMATION SOURCES
ANALYST CREDENTIALS
RELATED BCC RESEARCH
BCC ONLINE SERVICES
DISCLAIMER
Chapter- 2: EXECUTIVE SUMMARY 2 $150
Table : GLOBAL SALES OF MRCAS EQUIPMENT, THROUGH 2016
Figure : TRENDS IN GLOBAL SALES OF MRCAS EQUIPMENT, 2010-2016
Chapter- 3: OVERVIEW 85 $5928
GENERAL DESCRIPTION AND DEFINITION OF MRCAS
HISTORY OF MEDICAL ROBOTICS AND COMPUTER-ASSISTED SURGERY
TECHNOLOGIES AND PRODUCTS
PRINCIPAL SURGICAL APPLICATIONS OF MRCAS
Table 8 : PRINCIPAL SURGICAL APPLICATIONS OF MRCAS
Chapter- 4: THE GLOBAL MARKET FOR MRCAS EQUIPMENT 12 $837
GLOBAL MRCAS MARKET
MARKET BY COUNTRY/REGION
MARKET BY TYPE OF EQUIPMENT
MARKET BY TYPE OF APPLICATION
INDUSTRY STRUCTURE AND COMPETITION
Chapter- 5: ASIA-PACIFIC AND REST-OF-WORLD MARKETS FOR MRCAS
EQUIPMENT 12 $837
ASIA-PACIFIC
Chapter- 6: MIDDLE EASTERN AND AFRICAN MARKET FOR MRCAS EQUIPMENT 9
$628
MARKET ENVIRONMENT
MARKET SIZE AND SEGMENTATION

5. Chapter- 7: VENDOR PROFILES 22 $1534
ANAMEDIC
BERCHTOLD GMBH
BOULDER INNOVATION GROUP
BRAINLAB AG
B. BRAUN AESCULAP
CAE HEALTHCARE
CONMED CORP.
CUREXO TECHNOLOGY CORP.
FIFTH DIMENSION TECHNOLOGIES
4NAVITEC GMBH
GE HEALTHCARE
GIVEN IMAGING, LTD.
HANSEN MEDICAL (ROBOTICS)
HAPTICA
HITACHI MEDICAL CORP.
IMMERSION CORP.
INTEGRA RADIONICS, INC.
INTUITIVE SURGICAL, INC.
KINAMED, INC.
MAKO SURGICAL CORP.
MAZOR SURGICAL TECHNOLOGIES, LTD.
MED-SURGICAL SERVICES INC.
MEDTRONIC, INC.
MENTICE MEDICAL SIMULATION AB
MERGE HEALTHCARE
MICRODEXTERITY SYSTEMS, INC.
MUSCULOGRAPHICS, INC.
ODIN MEDICAL TECHNOLOGIES
PRAXIM MEDIVISION
PROSURGICS, LTD.
ROBOTIC SURGICAL TECH, INC.
SCHAERER MAYFIELD NEUROMATE AG
SIEMENS HEALTHCARE
SIMBIONIX USA CORP.
SIMSURGERY
SMITH & NEPHEW PLC
SONOWAND
STERIS CORP.
KARL STORZ GMBH
STRYKER CORP.
SURGICAL SCIENCE AB
TITAN MEDICAL INC.
VIKING SYSTEMS, INC.
ZIMMER, INC.
List of Tables
Summary Table : GLOBAL SALES OF MRCAS EQUIPMENT, THROUGH 2016
Table 1 : STANDALONE SURGICAL PLANNERS AND SIMULATORS
Table 2 : IMAGE-GUIDED SURGICAL NAVIGATION SYSTEMS

6. Table 3 : INTERVENTIONAL SURGICAL NAVIGATION SYSTEMS
Table 4 : COMPARISON OF NONFLUOROSCOPIC INTERVENTIONAL IMAGING
TECHNOLOGIES
Table 5 : SURGICAL NAVIGATION ACCESSORIES AND ADD-ONS
Table 6 : SURGICAL ROBOTICS
Table 7 : INTELLIGENT OPERATING ROOM SOLUTIONS AND COMPONENTS
Table 8 : PRINCIPAL SURGICAL APPLICATIONS OF MRCAS
Table 9 : MAJOR INTERNATIONAL MARKETS FOR MRCAS DEVICES AND EQUIPMENT,
THROUGH 2016
Table 10 : GLOBAL MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2016
Table 11 : GLOBAL MRCAS MARKET BY TYPE OF APPLICATION, THROUGH 2016
Table 12 : MAJOR MRCAS VENDORS’ MARKET SHARES, 2010
Table 13 : ASIA-PACIFIC MARKET DEMOGRAPHIC INDICATORS, 2010
Table 14 : ASIA-PACIFIC MARKET ECONOMIC INDICATORS, 2010
Table 15 : ASIA-PACIFIC MRCAS MARKET BY COUNTRY, THROUGH 2016
Table 16 : ASIA-PACIFIC MRCAS MARKET BY TYPE OF EQUIPMENT, THROUGH 2016
Table 17 : ASIA-PACIFIC MRCAS MARKET BY TYPE OF APPLICATION, THROUGH 2016
Table 18 : MIDDLE EASTERN AND AFRICAN MARKET DEMOGRAPHIC INDICATORS, 2010
Table 19 : MIDDLE EASTERN AND AFRICAN MARKET ECONOMIC INDICATORS, 2010
Table 20 : OECD; WHO; and various others
Table 21 : MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY TYPE OF EQUIPMENT,
THROUGH 2016
Table 22 : MIDDLE EASTERN AND AFRICAN MRCAS MARKET BY TYPE OF APPLICATION,
THROUGH 2016
Table 23 : INTUITIVE SURGICAL, INC., FINANCIAL PERFORMANCE, THROUGH 2010
List of Figures
Summary Figure : TRENDS IN GLOBAL SALES OF MRCAS EQUIPMENT, 2010-2016
Figure 1 : MEDICAL ROBOTIC AND COMPUTER-ASSISTED SURGICAL SYSTEMS
Figure 2 : TRENDS IN THE GLOBAL MRCAS MARKET, 2010-2016
Figure 3 : GLOBAL MRCAS MARKET SHARES BY COUNTRY/REGION, 2010 VERSUS 2016
Figure 4 : GLOBAL MRCAS MARKET SHARES BY EQUIPMENT SEGMENT,
Figure 5 : GLOBAL MRCAS MARKET SHARES BY APPLICATION SEGMENT, 2010 VERSUS
2016
Figure 6 : U.S. OVERALL MRCAS MARKET LEADERS, 2010
Figure 7 : GLOBAL SURGICAL PLANNER AND SIMULATOR MARKET LEADERS, 2010
Figure 8 : GLOBAL SURGICAL NAVIGATION SYSTEM MARKET LEADERS, 2010
Figure 9 : GLOBAL SURGICAL ROBOT MARKET SHARES, 2010
Figure 10 : GLOBAL INTEGRATED OPERATING ROOM SOLUTIONS MARKET LEADERS, 2010
Figure 11 : ASIA-PACIFIC REGION SALES OF MRCAS EQUIPMENT, 2010-2016
Figure 12 : ASIA-PACIFIC MRCAS MARKET SHARES BY COUNTRY, 2010 VERSUS 2016
Figure 13 : ASIA-PACIFIC MRCAS MARKET SHARES BY EQUIPMENT SEGMENT, 2010
VERSUS 2016
Figure 14 : ASIA-PACIFIC MRCAS MARKET SHARES BY APPLICATION SEGMENT, 2010
VERSUS 2016
Figure 15 : MIDDLE EASTERN AND AFRICAN MARKET FOR MRCAS EQUIPMENT, 2010
THROUGH 2016
Figure 16 : MIDDLE EASTERN AND AFRICAN MRCAS MARKET, COUNTRY SHARES, 2010
VERSUS 2016
Figure 17 : MIDDLE EASTERN AND AFRICAN MRCAS MARKET EQUIPMENT SHARES, 2010

7. VERSUS 2016
Figure 18 : MIDDLE EASTERN AND AFRICAN MRCAS MARKET APPLICATION SHARES, 2010
VERSUS 2016
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