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Published: Jun, 2017 | Pages:
524 | Publisher: WinterGreen Research
Industry: Pharmaceuticals & Healthcare | Report Format: Electronic (PDF)
Treatment via a robotic approach to abdominal surgery is useful for benign and malignant gynecologic conditions. Urologic and abdominal disease conditions are being treated increasingly with robotic surgery. Challenges still exist at a systems level. Implementation of a robotic program has a long learning curve. Resistance by surgeons on the team who are not adept at using the systems, quality of life, and financial challenges are being addressed in the industry. Challenges arise because of high capital expense, and organizational challenges continue to exist on an ongoing basis. 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 2017. 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. According to Susan Eustis, lead author of the team that prepared the study, “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 from robotic surgery. Patients feel better after robotic surgery and the surgeries are more likely to be successful.” The worldwide market for abdominal surgical robots at $2.7 billion in 2016 grows to $15.8 billion by 2023. 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. WinterGreen Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, electronics.ca, and Thompson Financial. It conducts its business with integrity. The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust wintergreen research to work alongside them to ensure the success of the participation in a particular market segment. WinterGreen Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity. Companies Profiled Market Leaders • Intuitive Surgical Market Participants • 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 Topics • Abdominal Surgical Robotics • Surgical Robots • Medical Devices • Healthcare Robotics • Surgical 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 28 Abdominal Surgical Robotics Segment: Urology, Gynecology, General Surgery, Thoracic, Structural Heart, And Head/Neck 28 Abdominal Surgical Robotics Market Driving Forces 28 Surgical Robotics Market Driving Forces 31 New Entrants to Open Up Surgical Robotics Market 35 Abdominal Surgical Robot Market Driving Forces 35 Healthcare Abdominal Robotics Enabling Technology 42 Abdominal Robot-Assisted Surgery Market Driving Forces 42 Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 45 Surgical Robot Market Risks 46 Medical Abdominal Surgical Robots: Market Shares 48 Robotic Abdominal Surgery Market Forecasts 51 Abdominal Surgical Robot Systems Forecasts 52 1.1 Open surgery 56 1.1.1 Abdominal Robotic Surgery Extends The Benefits of MIS 56 1.1.2 Business Model 57 1.1.3 Abdominal Robotic Surgery Systems 58 1.1.4 Intuitive Surgical Procedure Mix / Products 59 1.1.5 Abdominal Robotic Surgical System 59 1.1.6 Robotic Surgery As The Standard All Surgical Procedures 64 1.1.7 Focus on Key Institutions 65 1.2 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 66 1.2.1 Maintain Market Leadership 66 1.2.2 Develop Industry Alliances 67 1.2.3 Increase Patient Awareness 67 1.3 Clinical Applications for Abdominal Robotic Surgery Technology 68 2. ABDOMINAL SURGICAL ROBOT MARKET SHARES AND FORECASTS 69 2.1 Abdominal Surgical Robotics Segment: Urology, Gynecology, General Surgery, Thoracic, Structural Heart, And Head/Neck 69 3.1.10 Abdominal Surgical Robotics Market Driving Forces 70 2.1.2 Surgical Robotics Market Driving Forces 73 2.1.3 New Entrants to Open Up Surgical Robotics Market 77 2.1.4 Abdominal Surgical Robot Market Driving Forces 77 2.1.5 Healthcare Abdominal Robotics Enabling Technology 84 2.1.6 Abdominal Robot-Assisted Surgery Market Driving Forces 84 2.1.7 Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 86 2.1.8 Surgical Robot Market Risks 87 2.2 Medical Abdominal Surgical Robots: Market Shares 89 2.2.1 Intuitive Surgical Dominates The Abdominal Surgical Robot Market 92 2.2.2 Intuitive Surgical Market Opportunity and Revenue 94 2.2.3 Intuitive Surgical daVinci Installed Base and Product Shipments, By Product Type, Si Systems,Si-e, Xi, Single and Dual Console, Units and Dollars, Worldwide, 2016 97 2.2.4 Intuitive Surgical Shipments by Model 103 2.2.5 Intuitive Surgical Unit Shipments 105 2.2.6 Intuitive Robotic Surgery Competitors 110 2.2.7 Intuitive Surgical Competitive Advantages 111 2.2.8 Intuitive Surgical Imaging Technologies 113 2.2.9 Intuitive Surgical Profitability 113 2.2.10 Intuitive Surgical Robotics da Vinci System 118 2.2.11 Intuitive Surgical and the Competition Overcome Market Saturation 119 2.2.12 Intuitive Surgical Recurring Revenue 120 2.2.13 Intuitive Surgical Robotic Surgery Strategic Positioning 124 2.2.14 Transenterix 126 2.2.15 TransEnterix 127 2.2.16 Google and Johnson & Johnson 128 2.2.17 Medtronic 129 2.2.18 Johnson & Johnson / Verb Surgical 130 2.2.19 Titan Robot 131 2.2.20 Titan Robot Partners 134 2.2.21 Titan Prospectus 135 2.2.23 Medicaroid 137 2.3 Robotic Abdominal Surgery Market Forecasts 137 2.3.1 Abdominal Surgical Robot Systems Forecasts 139 2.4 Segment Abdominal Surgical Robots Forecast Analysis: Systems, Instruments, and Services Dollars 142 2.4.1 Abdominal Surgical Robots Segment Analysis Products, Services, And Instruments And Accessories 143 2.4.2 Abdominal Surgical Robots Segment Analysis Gynecological, General Surgery, Urological,Cardio, and Head/Neck 145 2.4.3 Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Dollars and Units 152 2.4.4 Medical Robotic Surgery Challenges 161 2.4.5 Robotic Surgery: Risks vs. Rewards 164 2.4.6 Abdominal Surgical Robot Disposable Instruments Forecasts 168 2.4.7 Surgical Robot Systems vs. Disposable Instruments Forecasts 172 2.4.8 Robotic Surgery Market Challenges 173 2.4.9 Cancer Robotic Surgery Learning Curves 176 2.4.10 Abdominal Robotic Remote Surgery 177 2.4.11 Medicare and Medicaid Impact 177 2.5 Installed Abdominal Surgical Robot Systems 178 2.5.1 Abdominal Surgery Installed Systems Geographical Analysis 184 2.5.2 Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis By Country,2016 189 2.5.3 Surgical Robot Regional Installations 190 2.6 Procedure Volumes Abdominal Surgical Robots Systems, Instruments, and Services by Segment and by Country 192 2.6.1 Abdominal Surgical Worldwide Procedures 193 2.6.2 Abdominal Surgical U.S. Procedures 194 2.6.3 Abdominal Surgical Procedures Outside of the U.S. 194 2.6.1 Intuitive Surgical Gynecological Procedures 198 2.6.2 Gynecology Robotic Surgery Procedures By Country 201 2.6.3 Intuitive Surgical Benign Gynecology Procedure Adoption Trends 201 2.6.4 Abdominal Surgical Robot Procedure Analysis 213 2.6.5 Intuitive Surgical Sacrocolpopexy 214 2.7 Urologic Procedure Volumes 215 2.7.1 Intuitive Surgical Robotic Urology Surgery Procedures 216 2.7.2 Urology Robotic Surgery Procedures by Country 219 2.7.3 Urologic Prostatectomy Surgery 219 2.7.4 Intuitive Surgical da Vinci Prostatectomy (dVP) 220 2.7.5 Urology Robotic Surgery Partial Nephrectomy 220 2.7.6 Robotic Urologic Prostatectomy Surgery 221 2.8 General Surgery Robotic Procedures 223 2.8.1 Intuitive Surgical Robotic General Surgery Procedures 223 2.8.2 Robotic General Surgery Procedure Volumes 228 2.8.3 General Surgery Cholecystectomy 229 2.8.4 Intuitive Surgical da Vinci Prostatectomy Cholecystectomy 231 2.8.5 Intuitive Surgical Procedure Mix 231 2.9 Head and Neck Surgery 232 2.9.1 Head and Neck Transoral Surgery 232 2.10 Cardiac Abdominal Surgical Robot 234 2.11 Abdominal General Surgery, Gynecology, and Urology Surgical Robot Procedure Category Discussion 235 2.11.1 Abdominal General Surgery, Gynecological, And Urological Robotic Surgery Procedures By Country 236 2.11.2 Intuitive Surgical Procedure Mix 239 2.11.3 Robotic Myomectomy 240 2.11.4 Intuitive Surgical Investments to Improve Surgery 244 2.12 Open and Robotic Surgery Procedure Detail Forecasts, US and Worldwide 247 2.12.1 Small Hospitals Lack the Procedure Volume To Justify The Upfront Investment In A Robotic Surgery System 248 2.13 Robotic Surgery Equipment Prices 248 2.13.1 Intuitive Surgical da Vinci Surgical System Prices 250 2.14 Abdominal Robotic Surgery Equipment Regional Market Segments 251 2.14.1 Intuitive Surgical Regional Revenue 255 2.14.2 Intuitive Surgical European Demand 257 2.14.3 U.S. Robotic Surgical Procedures 259 2.14.4 Chinese Imported Surgical Robots 261 2.14.5 Chinese Development of Surgical Robots 261 2.14.6 Chinese and Taiwanese Markets for Minimally Invasive Spinal Devices 262 2.14.7 BRIC (Brazil, Russia, India, China) countries 263 2.14.8 Aging Taiwanese Population 263 2.14.9 Korea Focusing On Creating A Growth Engine In Research & Development 264 2.14.10 Korea 264 2.14.11 Brazil 265 2.14.12 Surgical Care In Emerging Markets 266 2.14.13 Shifting to a Needs-Driven Equipment Purchase Method Presents Challenges In Emerging Markets 268 2.14.14 Regional Analysis by Country 269 3 SURGICAL ROBOTS PRODUCT DESCRIPTION 272 3.2 Intuitive Surgical da Vinci Xi 272 3.2.1 da Vinci X Surgical System Provides Lower-Cost, Robotic-Assisted Surgical Option For Hospitals, Surgeons 273 3.2.2 Intuitive Surgical da Vinci Si-e, A Lower Price System 277 3.2.3 Intuitive Surgical da Vinci Xi Integrated Table Motion 277 3.2.4 Intuitive Surgical da Vinci X System 278 3.2.5 Intuitive Surgical da Vinci Xi Surgical System 283 3.2.6 Intuitive Surgical da Vinci Surgical System 285 3.2.7 Intuitive Surgical HeroSurg Robotic Platform Offers Tactile Response 291 3.2.8 Intuitive Surgical da Vinci Surgical System Components 292 3.2.9 Intuitive Surgical Patient-Side Cart and Electromechanical Surgical Arms 295 3.2.10 Intuitive Surgical 3-D Vision System 295 3.2.11 Intuitive Surgical Firefly Fluorescence Imaging 296 3.2.12 Intuitive Surgical da Vinci Skills Simulator 296 3.2.13 Intuitive Surgical Instruments and Accessories 297 3.2.14 Intuitive Surgical da Vinci Single-Site 297 3.2.15 Intuitive Surgical EndoWrist One Vessel Sealer 298 3.2.16 Intuitive Surgical, Inc. (NASDAQ:ISRG) and Shanghai Fosun Pharmaceutical (Group) Co., Ltd 298 3.2.17 Intuitive Surgical Accessory Products 300 3.2.18 Intuitive Surgical Da Vinci Minimally Invasive Surgical Product 300 3.2.19 Intuitive Surgical Cardiac Surgery 301 3.2.20 Intuitive Surgical da Vinci Mitral Valve Repair Surgery 302 3.2.21 Intuitive Surgical da Vinci Surgery - Coronary Bypass (Revascularization) Surgery 305 3.3 MedRobotics 312 3.3.1 Medrobotics Flex Retractor 317 3.3.2 Medrobotics Flexible Robot Platform 318 3.3.3 Medrobotics Snakelike Robots for Oropharynx, Hypopharynx and Larynx Surgery 318 3.4 Titan Medical 322 3.4.1 Titan Medical and Ximedica Resume Development of the Sport Surgical System 322 3.4.2 Titan Visualization Viewing Portal 341 3.4.3 Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity 343 3.4.4 Titan Medical Surgical Robotic System 344 3.4.5 Titan Robotic Single Incision Platform: 345 3.4.6 Titan Medical Amadeus Robotic Surgical System 345 3.5 Johnson & Johnson 346 3.5.1 Johnson & Johnson Ethicon 346 3.6 Verb Surgical 348 3.6.1 Verb Surgical Digital Surgery Collaboration Partners 349 3.7 Medicaroid Corporation 349 3.7.1 Medicaroid Releases “SOT-100 Vercia”, Operating Table with the Function to Move Patients 349 3.7.2 Medicaroid Corporation Commences Development of Medical Robots 351 3.8 Virtual Incision 352 3.8.1 Miniaturized Robot For Human Surgery 352 3.9 Olympus 354 3.9.1 Olympus Plasma Hysteroscopic Resection and Vaporization 354 3.9.2 Olympus EndoTherapy Solutions 356 3.9.3 Olympus Acquires Image Stream Medical 357 3.10 TransEnterix / SOFAR S.p.A. 359 3.10.1 TransEnterix Senhance Expands into Robotic Hernia Repair 359 3.10.2 TransEnterix Senhance Surgical System in Germany and France 360 3.10.3 TransEnterix Brand for Robotic Surgical System 361 3.10.4 TransEnterix Technology Innovations In Laparoscopic Surgery 366 3.10.5 TransEnterix SurgiBot System 369 3.10.6 TransEnterix Flex Instruments 370 3.10.7 TransEnterix SPIDER 371 3.11 AVRA Surgical Robotic System 371 3.11.1 AVRA Computer-Driven Automated Drill for Surgical Procedures 371 3.11.2 AVRA Light-Weight Robotic Arms 374 3.11.3 ASRS Surgeon Console 375 3.11.4 ASRS Instruments 376 3.12 Centerline Biomedical IOPS 378 3.12.1 Intra-Operative Positioning System (IOPS) 379 3.12.2 Robotic Cardiothoracic Surgery 384 3.12.3 Robotic Internal Thoracic Artery Dissection 385 3.12.4 Robotic Thoracoscopy 386 3.12.5 Cardiothoracic Surgery 387 3.12.6 Cardiothoracic Surgery Mitral Valve Repair. 388 3.12.7 Intuitive Surgical Cardiothoracic Surgeries 389 3.12.8 Robotic Coronary Artery Bypass 390 3.12.9 International Regulation 396 3.12.10 European Union and Canada Regulatory Process 397 4. ABDOMINAL SURGICAL ROBOT TECHNOLOGY AND RESEARCH 382 4.1 General Surgery, Gynecology, Urology 382 4.1 Surgical Robotic Clinical Applications 383 4.2 Government Regulation 392 4.3 Third Party Reimbursement 398 5. SURGICAL ROBOTS COMPANY DESCRIPTION 401 5.1 AdEchoTech / T-MedRobotics / 401 5.1.1 T-MedRobotics 402 5.2 Avra Robotics 402 5.3 Centerline Biomedical 403 5.4 Google 405 5.4.1 Google / Boston Dynamics 406 5.4.2 Johnson & Johnson Forms Verb Surgical In Collaboration With Google Verily 407 5.4.3 Google Robotic Division 408 5.4.4 Google Self-Driving Car 408 5.4.5 Google Cars Address Vast Majority Of Vehicle Accidents Due To Human Error 410 5.4.6 Google Business 411 5.4.7 Google Corporate Highlights 412 5.4.8 Google Search 413 5.4.9 Google Revenue 414 5.4.10 Google Third Quarter 2016 Results 415 5.4.11 Google Q4 2016 Financial Highlights 415 5.5 Intuitive Surgical 417 5.5.1 Intuitive Seeks to Replace Open Surgery 417 5.5.2 Intuitive Surgical Products Fall Into Four Broad Categories 418 5.5.3 Intuitive Surgical Procedures 419 5.5.4 Worldwide Procedures 420 5.5.5 Gynecologic Surgery 420 5.5.6 Urologic Surgery 421 5.5.7 General Surgery 422 5.5.8 Cardiothoracic Surgery 424 5.5.9 Head and Neck Surgery 425 5.5.10 Procedure Mix 425 5.5.11 Intuitive Surgical Revenue 432 5.5.12 Intuitive Surgical da Vinci Surgery Stimulates Procedure Growth 436 5.5.13 Intuitive Surgical ISI Investments 438 5.5.14 Intuitive Surgical Competition 439 5.5.15 Intuitive Surgical Market Analysis 440 5.5.16 Intuitive Surgical Procedure Efficiency 442 5.5.17 Intuitive Surgical Business Model 442 5.5.18 Intuitive Surgical Sales and Distribution Organization 443 5.5.19 Intuitive Surgical da Vinci System Leasing 443 5.5.20 Intuitive Surgical Service Revenue 444 5.5.21 Intuitive Surgical Procedures H1 2016 446 5.5.22 Intuitive Surgical Increases Share Repurchase Program to $3.0 Billion 451 5.5.23 Intuitive Surgical Robotics da Vinci Surgical System 451 5.5.24 Intuitive Surgical Robotics da Vinci Surgical System Xi 452 5.6 Johnson and Johnson / DePuy Synthes 453 5.6.1 Ethicon 510(K) Clearance For Echelon Circular Powered Stapler 454 5.6.2 Ethicon Acquires Megadyne Medical Products 455 5.6.3 Johnson & Johnson Forms Verb Surgical In Collaboration With Verily 456 5.6.4 Johnson & Johnson Business 457 5.6.5 Johnson & Johnson Consumer Segment 457 5.6.6 Johnson & Johnson Pharmaceutical Segment 458 5.6.7 Johnson and Johnson Medical Devices 459 5.6.8 Johnson and Johnson Geographic Areas 460 5.6.9 Johnson & Johnson Competition 460 5.6.10 Johnson & Johnson Management’s Discussion 461 5.6.11 Johnson & Johnson Revenue 462 5.6.12 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 465 5.6.13 Johnson and Johnson / DePuy 465 5.6.14 Johnson & Johnson Caring for the World One Person At A Time 465 5.6.15 Johnson & Johnson / Ethicon 466 5.7 Medicaroid 467 5.7.1 Medicaroid US Subsidiary Operations in Silicon Valley 468 5.7.2 Medicaroid’s Capital Increase 469 5.8 Medtronic / Mazor Robotics 470 5.8.1 Medrobotics Raises $25M to Back FDA-Cleared Transoral Surgical Robotics System 472 5.8.2 Medrobotics Closes On $10 Million Financing 476 5.8.3 Medrobotics Several Generations Of Snake Robot Platforms 477 5.8.4 Medrobotics Advances Clinical Development of Snake Robot for Surgery 478 5.8.5 Medrobotics Positioning 478 5.8.6 Medrobotics Cardiac Surgery Gold Standard 479 5.8.7 Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And Interventional Applications 481 5.8.8 Medrobotics Technology & Research Center 483 5.9 Titan Medical 483 5.9.1 Titan Medical General Surgery Robot Market Opportunities 492 5.9.2 Titan Medical Robotic Surgery Target Opportunity 493 5.10 TransEnterix 495 5.10.1 TransEnterix Acquires SOFAR Surgical Robotics Unit in $100M Deal 495 5.10.2 TransEnterix Radical Hysterectomy with Senhance Surgical Robot 497 5.10.3 TransEnterix Strategic Positioning 498 5.10.4 TransEnterix 500 5.10.5 TransEnterix / Sofar 501 5.11 Verb Surgical 506 5.11.1 Verb Corporate Culture 511 5.12 Virtual Incision 511 5.13 Selected Surgical Robot Companies 511 WINTERGREEN RESEARCH, 520 WinterGreen Research Methodology 521
List of Figures Figure 1. Abdominal Surgical Robotics Positioning for Appeal to Surgeons 30 Figure 2. Abdominal Surgical Robot Benefits 31 Figure 3. Abdominal Surgical Robotics Market Driving Forces 32 Figure 4. Surgical Robot Key Factors Driving Market Growth 33 Figure 5. Surgical Robot Key Market Challenges 34 Figure 6. Abdominal Surgery Robotics Market Driving Factors 34 Figure 7. Abdominal Surgical Robot Medical Specialties Addressed 37 Figure 8. Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 39 Figure 9. Innovative Surgical Robot Features 40 Figure 10. Surgical Robot Market Positioning 40 Figure 11. Healthcare Abdominal Robotics Enabling Technologies 42 Figure 12. Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 43 Figure 13. Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2016 50 Figure 14. Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological, Head and Neck, and Urological Forecasts Dollars, Worldwide, 2017-2023 54 Figure 15. Medical Multi Articulating Arms 61 Figure 16. Instruments That Support Multiple Approach Paths To A Surgical Target 62 Figure 17. Robotic Surgery Improved Visualization Features 63 Figure 18. Robotic Surgical Specialties Procedure Marketing Efforts Focus 65 Figure 19. Abdominal Surgical Robotics Positioning for Appeal to Surgeons 71 Figure 20. Abdominal Surgical Robot Benefits 72 Figure 21. Abdominal Surgical Robotics Market Driving Forces 74 Figure 22. Surgical Robot Key Factors Driving Market Growth 75 Figure 23. Surgical Robot Key Market Challenges 76 Figure 24. Abdominal Surgery Robotics Market Driving Factors 76 Figure 25. Abdominal Surgical Robot Medical Specialties Addressed 79 Figure 26. Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 81 Figure 27. Innovative Surgical Robot Features 82 Figure 28. Surgical Robot Market Positioning 82 Figure 29. Healthcare Abdominal Robotics Enabling Technologies 84 Figure 30. Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 85 Figure 31. Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2016 91 Figure 32. Abdominal Surgical Robots Market Shares, Worldwide 2016, Table Format 92 Figure 33. Abdominal Surgical Robots Market Shares by Segment, Systems, Services, and Instruments/ Accessories, Units and Dollars, Worldwide, 2016 93 Figure 34. Intuitive Surgical Systems and Instruments and Accessories Revenue by Segment 2016, 2015, 2014 95 Figure 35. Intuitive Surgical da Vinci Installed Base and Product Shipments for Surgical Systems Segment Analysis by Model 98 Figure 36. Intuitive Surgical Revenue, Segment Growth, and Regional Analysis Q1 2016 and Q1 2017 101 Figure 37. Intuitive Surgical Product Shipments, By Model Type, Si Systems, Si-e, Xi, Single and Dual Console (in Number of Units), 2014, 2015, and 2016 103 Figure 38. Intuitive Surgical Shipments by Model, Si, Si-e, and Xi, Q1 2017 103 Figure 39. Intuitive Surgical Shipments by Model, Si, Si-e, and Xi, 2016 104 Figure 40. Intuitive Surgical Unit Shipments 105 Figure 41. Intuitive Surgical 2016 Objectives 107 Figure 42. Abdominal Surgical Robot Systems Hospital Market Trends 108 Figure 43. Surgical Robot Systems Hospital Return on Investment (ROI) 109 Figure 44. Intuitive Surgical da Vinci Sp 115 Figure 45. Intuitive Surgical Technology Market Positioning 116 Figure 46. Intuitive Surgical Benefits 117 Figure 47. How Intuitive Surgical Gained Dominant Position in Robotic Surgery 124 Figure 48. Intuitive Surgical Robotic Surgery Strategic Positioning 125 Figure 49. Intuitive Surgical Challenges 126 Figure 50. Titan Surgical Robot 131 Figure 51. Titan Medical Novel Robotic Platform for Single Port Access Surgery 132 Figure 52. Titan Medical Amadeus Composer Surgical System 133 Figure 53. Titan Medical Prospectus Timeline for SPORTTM Surgical System 136 Figure 54. Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological, Head and Neck, and Urological Forecasts Dollars, Worldwide, 2017-2023 140 Figure 55. Abdominal Surgical Robot Forecasts Dollars, Worldwide, 2016-2022 141 Figure 56. Abdominal Surgical Robots Market Shares, Dollars, Worldwide, 2015 143 Figure 57. Abdominal Surgical Robot Market Segment Forecasts, Products, Services, and Instruments / Accessories Dollars, Worldwide, 2017-2023 144 Figure 58. Abdominal Surgical Robot Market Segment Forecasts, Products, Services, and Instruments/ Accessories Percent of Total, Worldwide, 2017-2023 145 Figure 59. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Dollars and Units, Worldwide, 2017-2023 146 Figure 60. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Cardio, Cardio Thoracic, and Head and Neck Dollars, Worldwide, 2017-2023 147 Figure 61. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological Products, Services, and Instruments / Accessories Dollars, Worldwide, 2017-2023 147 Figure 62. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological, Cardio, and Head/Neck, Products, Services, and Instruments / Accessories Percent, Worldwide, 2017-2023 149 Figure 63. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Cardio, Cardio Thoracic, and Head and Neck Dollars, Worldwide, 2016-2022 151 Figure 64. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological Dollars and Units, Worldwide, 2016-2022 152 Figure 65. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological Products, Services, and Instruments / Accessories Dollars, Worldwide, 2017-2023 153 Figure 66. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery, and Urological, Dollars and Units, Worldwide, 2017-2023 155 Figure 67. Abdominal Surgical Robot Market Segment Forecasts, Gynecological, General Surgery. And Urological, Percent Dollars, Worldwide, 2017-2023 156 Figure 68. Abdominal Surgical Robot Market Segment Forecasts, Head and Neck, Cardiac and Cardio Thoracic, Dollars and Units, Worldwide, 2017-2023 157 Figure 69. Intuitive Surgical Revenue by Segment, 2015 and 2016 159 Figure 70. Intuitive Surgical Revenue by Segment, 2014 and 2015 159 Figure 71. Challenges of Open Surgery and Minimally Invasive Surgery 162 Figure 72. Challenges of Developing Medical Robotic Surgery Systems 163 Figure 73. Surgical Robotic Product Development Challenges 164 Figure 74. Minimally Invasive Procedure Market Penetration 167 Figure 75. Abdominal Surgical Robots Instrument and Accessory Market Forecasts, Dollars,Worldwide, 2017-2023 169 Figure 76. Abdominal Surgical Robot Market Segment Forecasts, Instruments / Accessories Dollars,Worldwide, 2017-2023 170 Figure 77. Surgical Robot Instrument Types 171 Figure 78. Surgical Robot Systems vs. Disposable Instruments Forecasts, Dollars, Worldwide, 2016-2022 172 Figure 79. Surgical Robot Market Challenges 173 Figure 80. Intuitive Surgical Issues Addressed Successfully 174 Figure 81. Benefits of Robotic Surgery For The Surgeon 175 Figure 82. Benefits of Robotic Surgery For The Patient 175 Figure 83. Benefits of Robotic Surgery For The Hospital 176 Figure 84. US Robotic Surgery Treatment Penetration Rate by Procedure, Percent, 2016 179 Figure 85. US Robotic Surgery Treatment Penetration Rate by Procedure, Percent, 2016 180 Figure 86. Penetration of Open Surgery Market Opportunity 181 Figure 87. Intuitive Surgical da Vinci System installed base 2016 182 Figure 88. Number Intuitive Surgical Robotic Shipped and Installed Systems, US, Europe, Asia, and Worldwide, 2014-Q1 2017 183 Figure 89. Intuitive Surgical Robotic Surgery Installed Systems, Number Regional Analysis by Country,2014, 2015, and 2016 185 Figure 90. Number Intuitive Surgical Robotic Surgery Installed Systems, Total, US, International 2012-Q3 2016 188 Figure 91. Intuitive Surgical da Vinci System Installed Base by Region 191 Figure 92. Intuitive Surgical daVinci Target Procedures, Gynecology, General Surgery, Urology, Cardio- Thoracic, Head and Neck, Number of Procedures and Percent, US, International, and Worldwide, 2016 195 Figure 93. Intuitive Surgical daVinci Target Procedures Number of Procedures, Worldwide, 2016 195 Figure 94. Over 4 Million da Vinci Procedures Have Been Performed To Date 197 Figure 95. Intuitive Surgical Robotic Surgery Gynecological Procedures, Number Regional Analysis by Country, 2016 198 Figure 96. Intuitive Surgical Procedures 208 Figure 97. Intuitive Surgical Robotic Urology Surgery Procedures, Number Regional Analysis by Country, 2016 216 Figure 98. Intuitive Surgical Urology Procedures 219 Figure 99. Intuitive Surgical da Vinci Surgical System Improved Visualization Of The Gross Anatomy 222 Figure 100. Intuitive Surgical Robotic General Surgery Procedures, Number Regional Analysis by Country, 2016 224 Figure 101. General Surgery Colorectal Procedures 230 Figure 102. Abdominal Surgical Robot Market Segment Forecasts, Head and Neck, Cardiac and Cardio Thoracic, Dollars and Units, Worldwide, 2017-2023 232 Figure 103. Definition of Abdominal Surgical Robot Categories 237 Figure 104. Intuitive Surgical Procedure Aspects 241 Figure 105. Reported Clinical Benefits of da Vinci Hysterectomy Procedures for Benign Conditions 242 Figure 106. Intuitive Surgical da Vinci Xi Product 244 Figure 107. Intuitive Surgical Average Cost to Hospital by Procedure Type 251 Figure 108. Surgical Robot Regional Market Segments, Dollars, 2016 253 Figure 109. Abdominal Surgical Robot Regional Market Segments, 2016 255 Figure 110. Number Intuitive Robotic Surgical Procedures, Detail of General Surgery, Gynecology, Urology, Head and Neck, Cardiac and Cardio Thoracic, Regional Analysis by Region, 2015 258 Figure 111. Number Intuitive Robotic Surgical Procedures, Detail of Gynecology, Benign Hysterectomy, Malignant Hysterectomy, Sacral Colpopexy, Endirmetrosis Resection, Regional Analysis, 2015 260 Figure 112. Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis by Country, Asia and Rest of World, 2014, 2015, and 2016 269 Figure 113. da Vinci X Surgical System from Intuitive Surgical 274 Figure 114. Intuitive Surgical da Vinci Xi Surgical System Features 276 Figure 115. Intuitive Surgical da Vinci System 279 Figure 116. Intuitive Surgical da Vinci Surgical System 285 Figure 117. Intuitive Surgical. da Vinci Surgical System EndoWrist Instruments 287 Figure 118. Intuitive Surgical. da Vinci Surgical System Vision System 288 Figure 119. Intuitive Surgical da Vinci Surgical System Features 289 Figure 120. Intuitive Surgical Da Vinci Xi Surgical System Surgeon Console Features 292 Figure 121. Intuitive Surgical. da Vinci Surgical System Surgeon Console 29Figure 122. Intuitive Surgical. da Vinci Surgical System Patient-Side Cart 294 Figure 123. Intuitive Surgical Da Vinci Surgery 300 Figure 124. Intuitive Surgical Da Vinci Surgical System Components 301 Figure 125. Intuitive Surgical da Vinci Mitral Valve Repair Benefits 303 Figure 126. Minimally Invasive Da Vinci Surgery Benefits To Cardiac Patients 308 Figure 127. Intuitive Surgical da Vinci System State-Of-The-Art Robotic Surgical Platform 309 Figure 128. Intuitive Surgical da Vinci Si Surgical System Core Benefits: 309 Figure 129. Intuitive Surgical da Vinci SI Surgical System Dual Console Used For Training And Collaboration 310 Figure 130. Intuitive Surgical da Vinci Surgical System Patient Side Cart 311 Figure 131. MedRobotics Flex Robotic System 313 Figure 132. Medrobotics Flex Robotic System Target Surgical Sites 314 Figure 133. Medrobotics Technology 315 Figure 134. Medrobotics Flex Retractor 317 Figure 135. Medrobotics Snakelike Robot Tested for Heart Surgery 320 Figure 136. Medrobotics Medical Field Target Markets 321 Figure 137. Titan Single Port Orifice Robotic Technology SPORT Surgical System 322 Figure 138. Titan SPORT Surgical System: 323 Figure 139. Titan MedicalSPORT Surgical System Patient Benefits: 325 Figure 140. Titan MedicalSport Surgical System Surgeon Benefits: 326 Figure 141. Titan MedicalSport Surgical System Patient Benefits: 327 Figure 142. Titan MedicalSport Surgical System 328 Figure 143. Titan MedicalSport Surgical System User Touch Points 329 Figure 144. Titan MedicalSport Surgical System Instruments 330 Figure 145. Titan Medical Next Generation SPORT Surgical System Uses 331 Figure 146. Titan Medical Next Generation SPORT Surgical System Market Opportunity 332 Figure 147. Titan Medical Next Generation SPORT Surgical System Competitive Positioning 333 Figure 148. Titan Medical Next Generation SPORT Surgical System Market Business Model 334 Figure 149. Titan Medical Next Generation SPORT Surgical System Development Strategy 335 Figure 150. Titan Medical Next Generation SPORT Surgical Instruments 336 Figure 151. Titan Medical Next Generation Sport Surgical Instruments 337 Figure 152. Titan Medical Next Generation SPORT Surgical Instruments 338 Figure 153. Titan Medical Next Generation SPORT Surgical Instrument Controllability 339 Figure 154. Titan Medical Next Generation SPORT Surgical Instrument Usability Studies and Data Analysis 340 Figure 155. Titan Medical Next Generation SPORT Surgical Instrument Visualization 341 Figure 156. Titan Medical Next Generation SPORT Surgical Instruments 342 Figure 157. Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity 343 Figure 158. Titan Robotic Surgical System Benefits: 344 Figure 159. Titan Amadeus Features 346 Figure 160. Johnson & Johnson Ethicon Minimally Invasive Procedures As They Apply To Specific Conditions 348 Figure 161. Medicaroid SOT-100 Vercia 351 Figure 162. Olympus Plasma Hysteroscopic Resection and Vaporization 356 Figure 163. TransEnterix Senhance Surgical Robotic System 361 Figure 164. TransEnterix Rebrands the ALF-X to Senhance 362 Figure 165. TransEnterix Surgical Robot Technology 366 Figure 166. TransEnterix Provide Patients With Less Invasive Surgery 367 Figure 167. TransEnterix Device is Patient-Side 368 Figure 168. TransEnterix Device is Patient-Side 368 Figure 169. TransEnterix SurgiBot System Reduces-Incisions 369 Figure 170. TransEnterix Flex Instruments 370 Figure 171. AVRA Computer-Driven Automated Drill for Surgical Procedures 372 Figure 172. ASRS Instruments AVRA Mobility Intelligent, Independent for Surgeon Control 376 Figure 173. Centerline Biomedical Simplifies Endovascular Procedures 378 Figure 174. Endovascular Procedure Limitations 379 Figure 175. Centerline Biomedical IOPS Electromagnetic Tracking Functions 381 Figure 176. Robotic Abdominal Surgery Surgical Specialty Focus 384 Figure 177. Intuitive Surgical Robotic Cardiac Procedures 388 Figure 178. Surgical Robot Cardiothoracic Conditions Treated 391 Figure 179. Google Autonomous Vehicles Technology 409 Figure 180. Intuitive Surgical Recurring Revenue Model 447 Figure 181. Intuitive Surgical Pricing by System Model 448 Figure 182. Intuitive Surgical Tip of the Iceberg ROI Cost Factors 448 Figure 183. Intuitive Surgical da Vinci Ecosystem 449 Figure 184. Intuitive Surgical 2016 Objectives 450 Figure 185. Intuitive Surgical Platform, daVinci Xi 452 Figure 186. Johnson and Johnson Family of Companies Comprises: 464 Figure 187. Medrobotics Positioning 2016 474 Figure 188. Medrobotics Cardiac Surgery Improvements 480 Figure 189. Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And Interventional Applications 481 Figure 190. Medrobotics Snake Robot Technologies Specialist Areas Served 482 Figure 191. Titan Medical Investment Summary 486 Figure 192. Titan Medical Business Goals and Timetable 487 Figure 193. Titan Medical Describes Robotic General Surgery Market Potential 492 Figure 194. Titan Medical Robotic Surgery Target Opportunity 493 Figure 195. Titan Medical Robotic Surgery Target Opportunity 494 Figure 196. TransEnterix Strategic Positioning 499 Figure 197. TELELAP Robotic Surgical Unit 502 Figure 198. TransEnterix ALF-X Robotic Surgery 503 Figure 199. TransEnterix ALF-X Breaking Barriers Supporting Precision 505 Figure 200. Verb Surgical Digital Platform Elements: 509 Figure 201. Key Players In The Abdominal Global Medical Robots Market 518 Figure 202. Key Players In The Global Medical Robots Market 519
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