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Surgical Robots: Market Shares, Strategies, and Forecasts, Worldwide, 2015-2021

May 3, 2015 | 553 Pages | WinterGreen Research | ICT

WinterGreen Research announces that it has published a new study Surgical Robots: Market Shares, Strategy, and Forecasts, Worldwide, 2015 to 2021. The 2015 study has 553 pages, 216 tables and figures. Worldwide surgical robot markets are poised to achieve significant growth as next generation systems provide a way to improve traditional open surgery and decrease the number of ports needed for minimally invasive surgery.

Intuitive Surgical has market leadership position, advanced technology, an impressive installed base and a well trained group of surgeons able to manage the robots. Patients fare better when the surgery is done by surgical robots. The documentation of improvements in care delivery, the ability to ensure better outcomes from surgery promise that surgical robotics is a strong growth market.

Intuitive Surgical will be difficult to dislodge, its dominant position is based on technological excellence that keeps being improved and competitors have a difficult time catching up, much less improving on the Intuitive Surgical technology. Other leading competitors will emerge and the group of several surgical robotic companies will collectively have enough marketing dollars and enough marketing clout to drive replacement of all open surgery. Robotic surgery is positioned to become the standard of care.

Intuitive Surgical has achieved market saturation in colorectal surgery in the US, it will work on
increasing its presence in other surgical market sectors. The leading robotic surgical companies are poised to grow through acquisition, purchasing smaller companies that have developed as specialized product and gained FDA approval. As detailed in the market research study there are a lot of those in every medical specialty and more to come.

The surgical robot market is characterized enormous variety and innovation.

Snake robots are wonderfully interesting surgical robots. Medrobotics offers a highly articulated multilinked robot. It enables minimally-invasive procedures to replace open surgical procedures. It works for many parts of the anatomy. It works in places in the body that are difficult or previously impossible to reach. The robot-assist platform includes on-board visualization. and contains multiple open device channels to accept a variety of third party surgical and interventional instruments. The robot enables physicians to operate through non-linear circuitous paths, self-supported, and through a single-site access into the body.

The maneuverability of the robot is gained from its numerous mechanical linkages with concentric mechanisms. Each mechanism can be placed into a rigid or a limp state. By employing a patented "follow-the-leader" movement strategy with these alternating states, the robot can be directed into any shape through the relative orientations of its linkages.

A surgical robot recurring revenue model business model is essentially large one time purchase for a system complimented by replaceable or disposable instruments that cumulatively market a much larger and ongoing market. Vendors make money from the one time sale of a system and recurring revenue from sale of devices used in every operation.

Initially, a vendor sells and installs the surgical system into new customer accounts. Once systems are sold into customer accounts, the vendor generates recurring revenue as our customers use the system to perform surgery. To do surgeries, the customers need to buy and consume instruments and accessory products. Vendors also generate recurring revenue from system service.

The ability to deliver such an accurate dose of radiation means that the cancer can be eradicated in patients before the patient is administered a lethal dose of radiation. This prepresents a cure for cancer once it gets working according to the promise of the systems now in place. . 

The Accuray radiation systems that address the oncology market are perhaps the most exciting
technology ever offered to any market. Because the systems are able to control the dose of radiation Amount of activity in the market, many companies, FDA approvals, way for existing vendors to improve footprint in market

In the field of radiation oncology, the Accuray CyberKnife® Robotic Radiosurgery System is universally recognized as the premier radiosurgery system capable of delivering high doses of radiation with submillimeter accuracy anywhere in the body. As validated and proven in numerous peer-reviewed publications, the precision and accuracy of the system combines with continual image guidance and robotic mobility to deliver treatments characterized by high conformality and steep dose gradients.

The newest addition to the CyberKnife product line, the CyberKnife VSI™ System, continues Accuray’s tradition of innovation. Building on a foundation of accuracy and precision in radiosurgery, the CyberKnife VSI System extends these benefits to fractionated high precision radiation therapy with Robotic IMRT™ that can be delivered anywhere in the body. The automated process revolution in surgery and communications is being implemented via robots.

Robots automation of systems is providing significant improvement in the accuracy of surgery and the repeatability of process. According to Susan Eustis, lead author of the study, “Existing open surgery can be replaced in large part by robotic minimally invasive surgery (MIS) during the ofrecast period. Minimally invasive robotic surgery, new robotic radiation treatment, and emerging robotic surgical approaches complement existing surgery techniques. Soon, all surgery will be undertaken with at least come aspects of robotic surgery replacing or complementing open surgery.”

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. Metal tubes attached to the arms are inserted through the ports, and the cutting and visualization instruments are introduced through the tubes into the patient’s body.

The surgeon performs the procedure while sitting at a console, manipulating the instrument controls and viewing the operation through a vision system. When a surgeon needs to change an instrument the instrument is withdrawn from the surgical field using the controls at the console. This is done many times during an operation.

The companies that get an early foothold in the market have significant strategic advantage. The robotic surgical technique benefits hospitals by reducing the length of patient stays, thereby enabling better cost management. This factor is driving demand for surgery robot systems. Since robotics provide surgeons with a precise, repeatable and controlled ability to perform procedures in tight spaces, they are increasingly in demand. 

Market Leaders

Intuitive Surgical                                      Accuray
Stryker / Mako                                          Hansen Medical
Medrobotics                                              Freehand 2010

Market Participants

Accel Spine
Accuray
Aesynt / Health Robotics
Alliance Spine
Alphatec Spine
Amedica
Apollo Spine
Ascendx Spine
AVRA Surgical
Back 2 Basics Spine
Captiva Spine
Centinel Spine
Corindus
Elekta AB
Freehand
Globus Medical
Hansen Medical
Healthcare Robotics Lab
Intuitive Surgical
Johnson and Johnson / DePuy
Synthes
K2M
Lanx / EBI Holdings / BioMet /
LDR
Life Spine
Mazor Robotics
Medrobotics
Medtronic
NLT Spine
NuVasive
Otto Bock HealthCare
RTI Biologics / Pioneer Surgical
Technology
Precision Spine
Restoration Robotics
SI-BONE 503
Spinal Elements
Spineart
SpineGuard
Spine Frontier
Spineology
Spine Smith Partners
Spine Surgical Innovations
Spine View
Spine Wave
Stryker / MAKO Surgical
Think Surgical
Titan Medical
TranS1
UC Berkeley
Varian Medical Systems
 Table of Contents

Surgical Robot Market Shares and Forecasts 34
Surgical Robot Market Driving Forces 34
Surgical Robotics Market Driving Forces 37
Healthcare Robotics Enabling Technology 42
Robotic-Assisted Minimally Invasive Surgery Market Driving Forces 42
Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing
To Larger Companies 44
Surgical Robot Market Risks 45
Medical Surgical Robots: Robotic Minimally Invasive Surgery Market Shares 46
Medical Surgical Robots: Robotic-Assisted Minimally Invasive Surgery Market
Shares 48
Robotic Surgery Equipment Market Forecasts 50

1. Surgical Robots Market Description and Market Dynamics 53
1.1 Robotic Surgical System 53
1.1.1 Market Strategy for the Robotic Surgical System 58
1.1.2 Focus on Key Institutions 60
1.2 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 60
1.2.1 Maintain Market Leadership 61
1.2.2 Develop Industry Alliances 61
1.2.3 Increasing Patient Awareness 61
1.3 Clinical Applications For Technology 62
1.4 Elder Assistance Robot Market Strategy 63
1.5 Medical / Surgical Delivery Robots 64
1.5.1 Assistive Technology 64
1.6 Rehabilitation Robots 66
1.7 Neuroscience Basic Mechanisms Of Neurogenesis And Neuroplasticity 67
1.7.1 Neuro-Developmental Engineering 68
1.7.2 Intelligent Rehabilitation 69
1.7.3 Bilateral and Unilateral ADL-Focused Robot Therapies 70
1.7.4 Robotic Rehabilitation Assistive Technology 71
1.7.5 Robots, Aged Care, And Emotional Bonding With Machines 74
1.7.6 InTouch Health Remote Presence 74
1.7.7 InTouch Platforms Integrate Seamlessly With da Vinci Systems 75
1.7.8 In Touch Health Remote Presence RP-7s Robot Doctors 76
1.8 Educational Robots For Children in Hospitals 76
1.9 Hospital Robots 77
1.10 Mechanized Couriers 77
1.10.1 Man vs. Machine: Robots at Japanese Hospital 78

2. Surgical Robot Market Shares and Forecasts 80
2.1 Surgical Robot Market Driving Forces 80
2.1.1 Surgical Robotics Market Driving Forces 83
2.1.2 Healthcare Robotics Enabling Technology 88
2.1.3 Robotic-Assisted Minimally Invasive Surgery Market Driving Forces 88
2.1.4 Entrepreneurial Manufacturers with FDA-Approved Products Provide
Sourcing To Larger Companies 90
2.1.5 Surgical Robot Market Risks 91
2.2 Medical Surgical Robots: Robotic Minimally Invasive Surgery Market Shares
92
2.2.1 Medical Surgical Robots: Robotic-Assisted Minimally Invasive Surgery
Market Shares94
2.2.2 Medical Surgical Robots Markets And Systems Shares, Units And
Dollars, Worldwide, 2014 97
2.2.3 Medical Robotic Surgery by Segment 103
2.2.4 Intuitive Surgical Robotics da Vinci® System 103
2.2.5 Intuitive Surgical Cardiothoracic Surgeries 104
2.2.6 Intuitive Surgical Head and Neck Cancer 105
2.2.7 Intuitive Surgical Improve Its Procedure Volumes 105
2.2.8 Intuitive Surgical Overcomes The Difficulty Of Market Saturation 108
2.2.9 Intuitive Surgical 109
2.2.10 Intuitive Surgical Potential Competition From Google and Johnson &
Johnson 110
2.2.11 Google and Johnson & Johnson 111
2.2.12 Hansen Medical 112
2.2.13 Think Surgical 113
2.2.14 iRobot and InTouch Health 114
2.2.15 MAKO Surgical 114
2.2.16 Accuray 114
2.2.17 Accuray CyberKnife Robotic Radiosurgery System 116
2.2.18 Accuray Results 117
2.2.19 Restoration Robotics 119
2.2.20 Titan Robot 120
2.2.21 Titan Robot Partners 123
2.2.22 Medrobotics Positioning 126
2.3 Robotic Surgery Equipment Market Forecasts 126
2.3.1 Surgical Robot Systems Forecasts 129
2.3.2 Medical Robotic Surgery Challenges 132
2.3.3 Surgical Robot Disposable Instruments Forecasts 136
2.3.4 Surgical Robot Systems vs. Disposable Instruments Forecasts 138
2.3.5 Surgical Robot Application Forecasts 140
2.3.6 Growth Of Laparoscopic Robotic Prostatectomy 140
2.3.7 Medical Robot Systems Market Drivers 144
2.3.8 Surgical Robot Market Segment Forecasts Dollars and Units 145
2.3.9 Cancer Robotic Surgery Learning Curves 150
2.3.10 Robotic Surgery Equipment 150
2.3.11 U.S. Minimally Invasive Spinal Implant Market To Outpace Growth In
Traditional Spine Market 151
2.3.12 Medtronic Dominates MIS Spine Markets 153
2.3.13 Asia - Pacific Minimally Invasive Surgery Spinal Device Market 154
2.3.14 Medicare and Medicaid Impact 154
2.3.15 Hip and Knee Robotic Surgery 154
2.4 Surgical Robot Applications 154
2.4.1 Urology 155
2.4.2 Gynecology 155
2.4.3 General Surgery 156
2.4.4 Cardiac 156
2.4.5 Head and Neck Surgery 156
2.4.6 US Target Procedures: 156
2.4.7 Intuitive Surgical da Vinci Surgical System Procedure Volume 158
2.4.8 Reported Clinical Benefits of da Vinci® Hysterectomy Procedures for
Benign Conditions 161
2.4.9 Robotic Surgery ENT Opportunity 164
2.4.10 General Surgery Robot Market Opportunities 165
2.4.11 Radiation Oncology 166
2.4.12 Number of Surgeries Incidence of Disease 168
2.4.13 Hair Loss 168
2.5 Robotic Surgery Equipment Prices 169
2.5.1 Intuitive Surgical da Vinci Surgical System Prices 169
2.5.2 Accuray 171
2.6 Robotic Surgery Equipment Regional Market Segments 171
2.6.1 Intuitive Surgical Regional Revenue 173
2.6.2 Intuitive Surgical European Demand 174
2.6.3 Intuitive Surgical in Japan 175
2.6.4 Chinese and Taiwanese Markets for Minimally Invasive Spinal Devices
175
2.6.5 China Emerging as a Surgical Robot Market 176
2.6.6 Aging Taiwanese Population 176
2.6.7 Brazil 176

3. Surgical Robots Product Description 177
3.1 Key Players In The Global Medical Robots 177
3.2 General Surgery, Gynecology, Urology 178
3.3 Intuitive Surgical da Vinci Xi® 178
3.3.1 Intuitive Surgical da Vinci Xi Surgical System Minimally Invasive Surgery
181
3.3.2 Intuitive Surgical da Vinci Surgical System 182
3.3.3 Intuitive Surgical da Vinci Surgical System Components 189
3.3.4 Intuitive Surgical Patient-Side Cart and Electromechanical Surgical
Arms 192
3.3.5 Intuitive Surgical 3-D Vision System 193
3.3.6 Intuitive Surgical Firefly Fluorescence Imaging 193
3.3.7 Intuitive Surgical da Vinci Skills Simulator 194
3.3.8 Intuitive Surgical Instruments and Accessories 194
3.3.9 Intuitive Surgical da Vinci Single-Site 195
3.3.10 Intuitive Surgical EndoWrist One Vessel Sealer 196
3.3.11 Intuitive Surgical Accessory Products 196
3.3.12 Intuitive Surgical Da Vinci Minimally Invasive Surgical Product 197
3.3.13 Intuitive Surgical Cardiac Surgery 198
3.4 Titan Medical 205
3.4.1 Titan Medical SPORT™ Surgical Next Generation System 210
3.4.2 Titan Visualization Viewing Portal 221
3.4.3 Titan Integration Successful Deployments Into Single 25mm Incision in
Abdominal Cavity 224
3.4.4 Titan Medical Surgical Robotic System 225
3.4.5 Titan Robotic Single Incision Platform: 226
3.4.6 Titan Medical Amadeus Robotic Surgical System 226
3.5 Cardiac / Vascular Surgery 227
3.5.1 Varicose Veins 228
3.6 Hansen Medical Magellan™ Robotic System 230
3.6.1 Hansen Medical Magellan Robotic System 231
3.6.2 Magellan™ Robotic System Benefits 232
3.6.3 Hansen Medical Magellan Robotic System 234
3.6.4 Hansen Medical Magellan Robotic Catheter Intravascular Navigation
236
3.6.5 Hansen Sensei® X Robotic Catheter System 237
3.6.6 Hansen Medical Magellan 1 mm Tip Movement 240
3.6.7 Hansen Medical Sensei® Robotic System Indications for Use 241
3.6.8 Hansen Advanced Robotic Solution for Arrhythmias 242
3.6.9 Hansen Medical Sensei X Robotic System 243
3.7 Spine Surgery 245
3.7.1 Scoliosis an Abnormal Curvature Of The Spine 246
3.8 Mazor Robotics 247
3.8.1 Mazor Robotics Renaissance® Spine Procedures 249
3.8.2 Mazor Robotics Leading Spine Surgery Innovation 255
3.8.3 Mazor Robotics Spine Procedures 255
3.8.4 Mazor Robotics Minimally Invasive Spine Fusion: 257
3.8.5 Mazor Robotics Scoliosis Correction Surgery: 258
3.8.6 Mazor Robotics Vertebroplasty: 259
3.8.7 Mazor Robotics Spine Biopsies: 260
3.9 Cancer Surgery 260
3.9.1 Lumpectomy 261
3.9.2 Modified Radical Mastectomy 262
3.9.3 Lung Cancer Surgery 263
3.10 Accuray CyberKnife M6 Series 265
3.10.1 Accuray CyberKnife M6 FIM System 270
3.10.2 Accuray / CyberKnife VSI System 275
3.10.3 Accuray CyberKnife Robotic Radiosurgery System 277
3.10.4 Accuray / TomoTherapy System 277
3.10.5 Accuray CyberKnife G4 System 279
3.10.6 Accuray Multileaf Collimator 280
3.10.7 Class A User Licenses for Accuray Products Awarded to 16 Hospitals in
China 281
3.10.8 Accuray Solutions 282
3.10.9 Accuray TomoTherapy System 283
3.11 Knee and Hip Surgery 283
3.11.1 Hip Replacement 284
3.12 Stryker / MAKO Surgical 285
3.12.1 Stryker Robotic Joint Surgical 303
3.12.2 MAKO Surgical RIO Robotic Arm 308
3.13 Pharmacy and Compounding Automation 310
3.14 Aesynt / Health Robotics / Robot-Rx® 310
3.14.1 Aesynt MedCarousel® 311
3.14.2 Aesynt PROmanager-Rx™ 311
3.14.3 Aesynt MedShelf-Rx™ 312
3.14.4 Aesynt NarcStation™ 312
3.14.5 Health Robotics Part of Aesynt 313
3.14.6 Health Robotics S.R.L. 313
3.14.7 Health Robotics S.R.L. i.v.STATION® ONCO 316
3.15 Minimally Invasive Surgery Products 319
3.16 Freehand 319
3.16.1 FreeHand Robotic Camera Controller for MIS 319
3.16.2 FreeHand OR Productivity Prosurgics Robotic Value and Challenges 324
3.16.3 FreeHand Disposable Supplies 325
3.16.4 FreeHand Robotic Camera Controller for MIS 325
3.16.5 FreeHand 328
3.17 Restoration Robotics Artas Robotic System 330
3.17.1 Restoration Robotics Strengths and Challenges 339
3.18 THINK Surgical 339
3.18.1 THINK Surgical TCAT™ Computer Assisted Tool 341
3.18.2 THINK Surgical Independent Clinical Studies 344
3.18.3 THINK Surgical ® Surgical Assistant Strengths and Challenges 344
3.19 Robotic Angioplasty / Interventional Cardiology 345
3.20 Corindus 346
3.20.1 CorPath Robotic Angioplasty 347
3.20.2 Corindus Command. Control CorPath® 200 System 347
3.20.3 Corindus Standard in Precision PCI. 349
3.21 Motion Computing Motion C5v Tablet 353
3.22 Vycor Brain Access System (VBAS) 354
3.22.1 Vycor's VBAS Minimally Invasive Neurosurgical Device 355
3.23 Shoulder 356
3.24 Tornier 357
3.25 Image Guided Surgery 358
3.26 Covidian 361
3.27 AVRA Surgical 367
3.27.1 AVRA Surgical Light-Weight Robotic Arms on Surgeon Console 368
3.27.2 AVRA Robotic Surgical Instruments 369
3.28 Medrobotics Techonology 370
3.28.1 Medrobotics Cardiac Surgery Snake Robot 371
3.28.2 Medrobotics Flex® Retractor 372
3.28.3 Medrobotics Flexible Robot Platform 373
3.28.4 Medrobotics Snakelike Robots for Heart Surgery 373
3.28.5 Medrobotics Cardiac Surgery Snake Robot 375
3.28.6 Minimally Invasive Surgery Positioning: 378
3.29 Changzhou Kangxin Medical Instruments Co., Ltd. 379
3.30 Guangzhou Baitang Medical Instrument Co., Ltd. 380
3.31 Guangzhou Beco Electronic Technology Co., Ltd. 380

4. Medical Robot Technology and Disease Statistics 381
4.1 Robotic Surgical Clinical Applications 381
4.1.1 Surgical Procedures 383
4.1.2 U.S. Robotic Surgical Procedures 384
4.1.3 Robotic Urologic Prostatectomy Surgery 384
4.1.4 Robotic Gynecologic Surgery 386
4.1.5 Robotic Myomectomy 386
4.1.6 Robotic Cardiothoracic Surgery 387
4.1.7 Robotic Internal Thoracic Artery Dissection 388
4.1.8 Robotic Thoracoscopy 388
4.1.9 Robotic Coronary Artery Bypass 389
4.1.10 Robotic General Surgery 390
4.1.11 Types of Spinal Condiitons for Which Surgery is Needed 392
4.2 Incidence of CHF 394
3.31.1 US Inpatient Surgery 2014 395
4.3 Transmyocardial Laser Revascularization 396
4.4 AI Robot 397
4.4.1 Korea Focusing On Creating A Growth Engine In Research &
Development 397
4.5 Care-O-bot Robot Mechanics 399
4.5.1 Care-O-bot Architecture 400
4.6 Government Regulation 402
4.6.1 California Regulation 405
4.6.2 International Regulation 405
4.7 Third Party Reimbursement 406

5. Surgical Robots Company Description 409
5.1 Accel Spine 409
5.2 Accuray 409
5.2.1 Accuray Revenue for Second Quarter of Fiscal Year 2015 410
5.2.2 Accuray CyberKnife System 415
5.2.3 Accuray Strategy 418
5.2.4 Accuray International Presence 421
5.2.5 Accuray Competition 421
5.2.6 Accuray Noteworthy Awards: 425
5.2.7 Accuray Installed Base 426
5.2.8 New Data Validates CyberKnife SBRT for Prostate Cancer Treatment
427
5.3 Aesynt / Health Robotics 427
5.3.1 Aesynt / Health Robotics S.R.L. 428
5.4 Alliance Spine 429
5.5 Alphatec Spine 430
5.6 Amedica 434
5.7 Apollo Spine 435
5.8 Ascendx Spine 435
5.9 AVRA Surgical 436
5.9.1 AVRA Portable Lightweight And Maneuverable Robotic Adaptable
Platform 437
5.9.2 AVRA Surgeon’s Console 437
5.10 Back 2 Basics Spine 438
5.11 Captiva Spine 439
5.12 Centinel Spine 439
5.13 Corindus 440
5.13.1 FDA Clears Corindus Robotic-Assisted System For Coronary Artery
Disease Stent 443
5.14 Elekta AB 446
5.14.1 Elekta Radiosurgery Solutions, -Guided Cancer Care 449
5.14.2 Elekta Radiosurgery Solutions 449
5.11.3 Elekta AB Information-Guided Cancer Care 449
5.14.3 Elekta AB Advanced Brachytherapy Solutions 450
5.12 Freehand 450
5.12.3 Freehand 2010 / Prosurgics 451
5.13 Globus Medical 452
5.14 Hansen Medical 452
5.14.3 Hansen Medical Sensei System 454
5.14.4 Hansen Medical Magellan Robotic System 456
5.14.5 Hansen Medical Competition 456
5.14.6 Hansen Medical Revenue 458
5.14.7 Hansen Revenue 459
5.15 Healthcare Robotics Lab 462
5.16 Intuitive Surgical 463
5.16.1 Intuitive Surgical Robotics da Vinci® Surgical System 467
5.16.2 Intuitive Surgical Robotics da Vinci Surgical System Xi 468
5.16.3 Intuitive Surgical Business Strategy 471
5.16.4 Intuitive Surgical Systems 473
5.16.5 Intuitive Surgical Patient Value As Equal To Procedure Efficacy /
Invasiveness 474
5.16.6 Intuitive Surgical Business Model 475
5.16.7 Intuitive Surgical Revenue 476
5.16.8 Intuitive Surgical Regulatory Activities 477
5.16.9 Intuitive Surgical Economic Environment. 477
5.17 Johnson and Johnson / DePuy Synthes 478
5.17.1 Google Collaborating With Johnson & Johnson To Develop Surgical
Robots 479
5.17.1 DePuy 479
5.18 K2M 479
5.19 Lanx / EBI Holdings / BioMet / 480
5.19.1 BioMet 480
5.19.2 EBI Holdings, 481
5.19.3 Lanx 481
5.20 LDR 482
5.21 Life Spine 483
5.22 Mazor Robotics 483
5.22.1 Mazor Robotics 2014 Revenue 483
5.23 Medrobotics 486
5.23.1 Medrobotics Closes On $10 Million Financing 488
5.23.2 Medrobotics Several Generations Of Snake Robot Platforms 489
5.23.3 Medrobotics Advances Clinical Development of Snake Robot for
Surgery 489
5.23.4 Medrobotics Positioning 489
5.23.5 Medrobotics Cardiac Surgery Gold Standard 490
5.23.6 Medrobotics Snake Robot Technologies For Use In A Wide Range Of
Surgical And Interventional Applications 491
5.23.7 Medrobotics Technology & Research Center 493
5.24 Medtronic 494
5.25 NLT Spine 496
5.26 NuVasive 496
5.27 Otto Bock HealthCare 497
5.28 RTI Biologics / Pioneer Surgical Technology 499
5.29 Precision Spine 500
5.30 Restoration Robotics 501
5.30.1 ARTAS Technology Series: Patient Movement Compensation 501
5.31 SI-BONE 503
5.32 Spinal Elements 505
5.33 Spineart 505
5.34 SpineGuard 506
5.35 Spine Frontier 506
5.36 Spineology 507
5.37 Spine Smith Partners 507
5.38 Spine Surgical Innovations 508
5.39 Spine View 508
5.40 Spine Wave 508
5.41 Stryker / MAKO Surgical 509
5.41.1 Stryker Revenue 510
5.41.2 Stryker Orthopaedics 511
5.41.3 Mako Robotic Arm Technology Assists in Total Hip Replacement 512
5.41.4 Mako Surgical Business 513
5.41.5 Mako Products 514
5.41.6 Mako Surgical Strategy 517
5.41.7 Mako Surgical Revenue 520
5.42 Think Surgical 520
5.42.1 Think Surgical Technology Virtual Model Of a Patient Joint 521
5.42.2 Think Surgical's Next-Generation Robodoc® Assists In Surgery 522
5.42.3 THINK Surgical Receives 510(k) Clearance from the United States Food
and Drug Administration (FDA) 524
5.43 Titan Medical 526
5.44 TranS1 529
5.45 UC Berkeley 530
5.46 Varian Medical Systems. 530
5.47 Vecna Robotics 532
5.48 Victrex plc / Invibio 533
5.49 Vycor 536
5.50 Wenzel Spine 538
5.51 X-spine 539
5.52.1 X-spine Systems 540
5.53 Zyga Technology 540
5.54 Surgical Robot Companies 541
Tables and Figures

Table ES-1 34
Surgical Robot Medical Specialties Addressed 34
Table ES-2 35
Types Of Procedures Performed Using Robotic Surgical System 35
Table ES-3 36
Innovative Surgical Robot Features 36
Table ES-4 36
Surgical Robot Market Positioning 36
Table ES-5 38
Surgical Robotics Market Driving Forces 38
Table ES-6 39
Surgical Robot Key Factors Driving Market Growth 39
Table ES-7 40
Surgical Robot Key Market Challenges 40
Table ES-8 41
Robotics Market Driving Factors 41
Table ES-9 42
Healthcare Robotics Enabling Technologies 42
Table ES-10 43
Robotic-Assisted Minimally Invasive Surgery Market Driving Forces 43
Figure ES-11 49
Medical Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2014 49
Table ES-12 52
Surgical Robot Forecasts Dollars, Worldwide, 2015-2021 52
Figure 1-1 54
Medical Multi Articulating Arms 54
Figure 1-2 55
Instruments That Support Multiple Approach Paths To A Surgical Target 55
Figure 1-3 57
Robotic Surgery Improved Visualization Features 57
Table 1-4 59
Robotic Surgical Specialties Procedure Marketing Efforts Focus 59
Table 2-1 80
Surgical Robot Medical Specialties Addressed 80
Table 2-2 81
Types Of Procedures Performed Using Robotic Surgical System 81
Table 2-3 82
Innovative Surgical Robot Features 82
Table 2-4 82
Surgical Robot Market Positioning 82
Table 2-5 84
Surgical Robotics Market Driving Forces 84
Table 2-6 85
Surgical Robot Key Factors Driving Market Growth 85
Table 2-7 86
Surgical Robot Key Market Challenges 86
Table 2-8 87
Robotics Market Driving Factors 87
Table 2-9 88
Healthcare Robotics Enabling Technologies 88
Table 2-10 89
Robotic-Assisted Minimally Invasive Surgery Market Driving Forces 89
Figure 2-11 95
Medical Surgical Robots Market Shares, Shipments, Dollars, Worldwide 2014 95
Table 2-12 96
Medical Surgical Robots Market Shares, Dollars, Worldwide, 2014 96
Table 2-13 97
Medical Surgical Robots Markets and Systems Shares, Units and Dollars,
Worldwide, 2014 97
Table 2-14 98
Medical Surgical Robots Units and Installed Base, Units, Worldwide, 2014 98
Figure 2-15 99
Surgical Robot Systems Hospital Market Trends 99
Figure 2-16 100
Surgical Robot Systems Hospital Return on Investment (ROI) 100
Table 2-17 101
Surgical Robots Number of Procedures by Vendor, Worldwide, 2014 101
Table 2-18 102
Surgical Robots Number of Procedures by Type, Cardiac, Thoracic, Urology,
Gynecologic, Joint Replacement, Colorectal, Pediatric, and General Surgical,
Number, Worldwide, 2014 102
Table 2-19 107
Intuitive Surgical daVinci Installed Base and Product Shipments 107
Units and Dollars, Worldwide, 2014 107
Table 2-20 113
Hansen Medical Sensei® X Robotic Catheter System 113
Figure 2-21 113
Think Surgical Robodoc 113
Figure 2-22 121
Titan Medical Novel Robotic Platform for Single Port Access Surgery 121
Figure 2-23 122
Titan Medical Amadeus Composer Surgical System 122
Figure 2-24 124
Titan Medical Robotic Surgery Target Opportunity 124
Figure 2-25 125
Titan Medical Robotic Surgery Opportunity Analysis 125
Table 2-26 128
Surgical Robot Forecasts Dollars, Worldwide, 2015-2021 128
Table 2-27 129
Surgical Robot Forecasts Dollars, Worldwide, 2015-2021 129
Figure 2-28 130
Surgical Robot Systems Forecasts, Dollars, Worldwide, 2015-2021 130
Table 2-29 133
Challenges of Open Surgery and Minimally Invasive Surgery 133
Table 2-30 134
Challenges of Developing Medical Robotic Surgery Systems 134
Table 2-31 135
Surgical Robotic Product Development Challenges 135
Figure 2-32 136
Surgical Robot Disposable Instruments Forecasts, Dollars, Worldwide, 2015-2021
136
Figure 2-33 138
Surgical Robot Systems vs. Disposable Instruments Forecasts, Dollars, Worldwide,
2015-2021 138
Table 2-34 139
Surgical Robot Market Segment Forecasts, Dollars and Units, Worldwide, 2015-
2021 139
Table 2-35 141
Robotic Surgery Market Segment Forecasts, Dollars, Worldwide, 2015-2021 141
Table 2-36 142
Robotic Surgery Market Segment Forecasts, Percent, Worldwide, 2015-2021 142
Table 2-37 143
Surgical Robot Market Challenges 143
Table 2-38 145
Surgical Robot Market Segment Forecasts Dollars and Units, Worldwide, 2015-
2021 145
Table 2-39 147
Benefits of Robotic Surgery For The Surgeon 147
Table 2-40 148
Benefits of Robotic Surgery For The Patient 148
Table 2-41 149
Benefits of Robotic Surgery For The Hospital 149
Figure 2-42 159
Intuitive Surgical Prostatectomy Procedure Growth 159
Figure 2-43 160
Intuitive Surgical Prostatectomy Procedure Growth 160
Figure 2-44 162
Intuitive Surgical Hysterectomy Procedure Growth 162
Figure 2-45 163
Intuitive Surgical Hysterectomy Market Potential 163
Figure 2-46 164
Titan Medical Describes Surgical Robot ENT Market Potential 164
Figure 2-47 165
Titan Medical Describes Robotic General Surgery Market Potential 165
Table 2-48 167
Accuray CyberKnife M6 Series Benefits: 167
Figure 2-49 170
Surgical Robot Recurring Revenue Model 170
Figure 2-50 172
Surgical Robot Regional Market Segments, Dollars, 2014 172
Figure 2-51 173
Surgical Robot Regional Market Segments, 2014 173
Table 3-1 177
Key Players In The Global Medical Robots Market 177
Figure 3-2 182
Intuitive Surgical da Vinci Surgical System 182
Figure 3-3 184
Intuitive Surgical. da Vinci Surgical System EndoWrist® Instruments 184
Figure 3-4 186
Intuitive Surgical. da Vinci Surgical System Vision System 186
Table 3-5 188
Intuitive Surgical da Vinci Surgical System Features 188
Table 3-6 190
Intuitive Surgical da Vinci Xi Surgical System Surgeon Console Features 190
Figure 3-7 191
Intuitive Surgical. da Vinci Surgical System Surgeon Console 191
Figure 3-8 192
Intuitive Surgical. da Vinci Surgical System Patient-Side Cart 192
Figure 3-9 197
Intuitive Surgical Da Vinci Surgery 197
Table 3-10 198
Intuitive Surgical Da Vinci Surgical System Components 198
Table 3-11 200
Minimally Invasive Da Vinci Surgery Benefits To Cardiac Patients 200
Figure 3-12 201
Intuitive Surgical da Vinci System State-Of-The-Art Robotic Surgical Platform 201
Table 3-13 201
Intuitive Surgical da Vinci Si Surgical System Core Benefits: 201
Figure 3-14 202
Intuitive Surgical da Vinci SI Surgical System Dual Console Used For Training And
Collaboration 202
Figure 3-15 203
Intuitive Surgical da Vinci Surgical System, Surgeon Operates Seated Comfortably
At A Console 203
Figure 3-16 204
Intuitive Surgical da Vinci Surgical System Patient Side Cart 204
Figure 3-17 205
Titan Single Port Orifice Robotic Technology SPORT™ Surgical System 205
Figure 3-18 206
Titan SPORT™ Surgical System: 206
Table 3-19 208
Titan MedicalSPORT™ Surgical System Patient Benefits: 208
Table 3-20 209
Titan MedicalSPORT™ Surgical System Surgeon Benefits: 209
Table 3-21 210
Titan MedicalSPORT™ Surgical System Hospital Benefits: 210
Table 3-22 211
Titan Medical next generation SPORT™ Surgical System Uses 211
Figure 3-23 212
Titan Medical Next Generation SPORT™ Surgical System Market Opportunity 212
Figure 3-24 213
Titan Medical Next Generation SPORT™ Surgical System Competitive Positioning
213
Figure 3-25 214
Titan Medical Next Generation SPORT™ Surgical System Market Business Model
214
Figure 3-26 215
Titan Medical Next Generation SPORT™ Surgical System Development Strategy
215
Figure 3-27 216
Titan Medical Next Generation SPORT™ Surgical Instruments 216
Table 3-28 217
Titan Medical Next Generation Sport™ Surgical Instruments Metrics 217
Table 3-29 218
Titan Medical Next Generation SPORT™ Surgical Instruments 218
Figure 3-30 219
Titan Medical Next Generation SPORT™ Surgical Instrument Controlability 219
Table 3-31 220
Titan Medical Next Generation SPORT™ Surgical Instrument Usability Studies and
Data Analysis 220
Figure 3-32 221
Titan Medical Next Generation SPORT™ Surgical Instrument Visualization 221
Figure 3-33 223
Titan Medical Next Generation SPORT™ Surgical Instruments 223
Table 3-34 224
Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal
Cavity 224
Table 3-35 225
Titan Robotic Surgical System Benefits: 225
Table 3-36 227
Titan Amadeus Features 227
Figure 3-37 231
Hansen Medical Magellan Robotic System 231
Table 3-38 232
Hansen Medical Magellan™ Robotic System Benefits 232
Table 3-39 233
Hansen Medical Magellan Peripheral Vascular Intervention Impact On Medical
Care 233
Figure 3-40 234
Hansen Medical Magellan Robotic System 234
Table 3-41 235
Hansen Medical Magellan Robotic Catheter Functions: 235
Table 3-42 236
Hansen Medical Magellan Features 236
Figure 3-43 237
Hansen Sensei X 237
Figure 3-44 238
Hansen Medical Sensei Robotic System 238
Figure 3-45 239
Hansen Intellisense Force Feedback Visual Display 239
Figure 3-46 241
Hansen Sensei Robotic System 241
Table 3-47 242
Hansen Advanced Robotic Solution for Arrhythmias Features 242
Figure 3-48 243
Hansen Medical Sensei X Robotic System 243
Table 3-49 244
Hansen Medical Sensei® X Robotic Catheter System 244
Figure 3-50 248
Mazor Robotics’ Renaissance® System For Robotic Guidance 248
Figure 3-51 250
Mazor Robotics Adult Reconstructive Surgery 250
Figure 3-52 251
Mazor Robotics Biopsies 251
Figure 3-53 252
Mazor Robotics Leading Spine Surgery Innovation: Minimally-Invasive Surgery,
Scoliosis Surgery, Spinal Fusion, Vertebroplasty 252
Figure 3-54 256
Mazor Robotics Renaissance® Guidance System 256
Figure 3-55 261
Lumpectomy 261
Figure 3-56 262
Modified Radical Mastectomy 262
Figure 3-57 264
Lung Cancer Surgery 264
Table 3-58 265
Accuray CyberKnife M6 Series Benefits: 265
Table 3-59 266
Accuray CyberKnife M6 Series Functions 266
Table 3-60 267
Accuray CyberKnife M6 Series Uses 267
Table 3-61 268
Accuray CyberKnife M6 Series Features 268
Table 3-62 269
Accuray CyberKnife M6 Patient Comfort Features 269
Figure 3-63 270
Accuray CyberKnife M6 FIM System 270
Table 3-64 271
Accuray CyberKnife M6 FIM System Features 271
Figure 3-65 272
Accuray CyberKnife M6 FM System 272
Table 3-66 273
Accuray CyberKnife M6 FM System Design Features 273
Figure 3-67 274
Accuray CyberKnife M6 FI System 274
Figure 3-68 275
Accuray / CyberKnife VSI System 275
Table 3-69 278
Accuray TomoTherapy System Benefits 278
Figure 3-70 286
Stryker RIO Robotic Arm Interactive System 286
Figure 3-71 287
Stryker reproducible surgical precision Knee Repair 287
Table 3-72 288
Stryker Robotic Surgical Instruments for Knee Replacement Benefits 288
Table 3-73 289
Stryker Patient Specific Pre-Operative Planning 289
Figure 3-74 290
Stryker Anatomic Implant Fit 290
Table 3-75 291
Stryker Anatomic Implant Fit 291
Figure 3-76 292
Anatomic Implant Fit Components 292
Table 3-77 293
Anatomic Implant Fit Components 293
Table 3-78 294
Stryker Bicompartmental Knee Surgery Solution 294
Figure 3-79 295
Stryker Preserving Bone with Restoris MCK BiCOmpartmental 295
Figure 3-80 296
Stryker Preserving Bone 296
Figure 3-81 297
Stryker Preserving Bone and Planning 297
Figure 3-82 298
Stryker Real-Time Intra-Operative Adjustments 298
Table 3- 83 299
Real-Time Intra-Operative Adjustments 299
Figure 3-84 300
Surgeon-Controlled Robotic Arm Assisted Reaming and Cup Impaction 300
Table 3-85 301
Stryker Surgeon-controlled Robotic Arm Assisted Reaming and Cup Impaction301
Figure 3-86 302
Stryker Robotic Surgical Results Summary 302
Figure 3-87 303
Stryker Robotic Joint Surgical Summary 303
Figure 3-88 304
Stryker Robotic Joint Surgical Summary 304
Figure 3-89 305
Stryker RESTORIS® Tapered Femoral Stem and RESTORIS® PST® Acetabular Cup
Hip Implant System 305
Figure 3-90 307
Mako Robotic Arm Technology Assists in Total Hip Replacement 307
Figure 3-91 308
MAKO Surgical Resurfaces Rather Than Replaces Joints 308
Figure 3-92 309
Stryker Robotic Arm Total Hip Replacement Tool 309
Table 3-93 315
Health Robotics i.v.STATION®, i.v.SOFT®, and i.v.STATION® ONCO Functions 315
Table 3-94 316
Health Robotics i.v.STATION®, i.v.SOFT®, and i.v.STATION® ONCO Benefits 316
Figure 3-95 318
Aesynt i.v.Station Onco 318
Table 3-96 319
FreeHand Robotic Camera Controller for MIS 319
Figure 3-97 321
FreeHand Next Generation Camera Controller For Minimally Invasive Surgery 321
Figure 3-98 323
FreeHand OR Productivity Prosurgics 323
Table 3-99 325
FreeHand Camera Holder Functions 325
Figure 3-100 328
OR Productivity Prosurgics FreeHand 328
Figure 3-101 330
Restoration Robotics ARTAS® Robotic System 330
Table 3-102 331
ARTAS Robotic System Key Features 331
Table 3-103 333
ARTAS Robotic System Key Technology 333
Table 3-104 334
ARTAS® Robotic System Two-Needle System and Skin Tensioner 334
Table 3-105 335
ARTAS Robotic System Key Features 335
Figure 3-106 336
Restoration Robotics ARTAS 336
Table 3-107 337
Restoration Robotics ARTAS Hair Transplant System Functions 337
Table 3-108 338
Restoration Robotics ARTAS System Features: 338
Figure 3-109 340
THINK Surgical TPLAN™ 3D Planning Workstation 340
Figure 3-110 342
THINK Surgical TCAT™ Computer Assisted Tool 342
Figure 3-111 346
Corindus CorPath Robotic Angioplasty 346
Table 3-112 349
Corindus Robotic-Assisted Control Benefits 349
Figure 3-113 351
Occupational Hazards in Cath Lab 351
Figure 3-114 352
Corindus Robotic Assisted PCI 352
Table 3-115 359
Interventional and Surgical Imaging Applications 359
Figure 3-116 362
Covidian Surgical Instruments: Stapling, Vessel Sealing, Ultrasonic Dissection,
Hernia Repair, Hand Instruments & Ligation Devices 362
Figure 3-117 372
Medrobotics Flex® Retractor 372
Table 3-118 376
Medrobotics Medical Field Target Markets 376
Figure 3-119 377
Federal Reserve Chairman Ben Bernanke Looking At Snaking Robot Camera Made
by Medrobotics 377
Table 4-1 382
Robotic Surgery Surgical Specialty Focus 382
Table 4-2 385
Intuitive Surgical da Vinci Surgical System Improved Visualization Of The Gross
Anatomy 385
Table 4-3 392
Types of Spinal Condiitons for Which Surgery is Needed 392
Table 4-4 393
Spinal Disorder Treatments 393
Table 4-5 395
US Inpatient Surgery 2014 Statistics 395
Figure 4-6 399
Care-O-bot Robot Mechanics 399
Figure 4-7 401
Care-O-bot Architecture 401
Table 5-1 417
Key Features of CyberKnife System and CyberKnife® VSI™ System 417
Table 5-2 419
Accuray Strategy 419
Table 5-3 420
Accuray Key Elements Of Strategy 420
Table 5-4 423
Factors Impacting Accuray Marketing 423
Figure 5-5 442
Corindus CorPath Study Results 442
Figure 5-6 448
Elekta AB Product Positioning 448
Table 5-7 457
Hansen Medical Robotic-Assisted Minimally Invasive Surgery Principal
Competitive Factors 457
Figure 5-8 468
Intuitive Surgical Platform, daVinci Xi 468
Table 5-9 472
Intuitive Surgical Strategy To Improve Candidate Surgical Procedures 472
Table 5-10 478
Johnson and Johnson Family of Companies Comprises: 478
Table 5-11 486
Medrobotics Positioning 2015 486
Table 5-12 491
Medrobotics Cardiac Surgery Improvements 491
Table 5-13 492
Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And
Interventional Applications 492
Table 5-14 493
Medrobotics Snake Robot Technologies Specialist Areas Served 493
Table 5-15 497
Otto Bock HealthCare Product Solutions 497
Table 5-16 498
Otto Bock HealthCare Service Solutions: 498
Figure 5-17 500
Pioneer Surgical International Products 500
Figure 5-18 504
SI-BONE SI Joint Repairs 504
Figure 5-19 512
Mako Robotic Arm Technology Assists in Total Hip Replacement 512
Table 5-20 517
MAKO Robotic Surgery Benefits 517
Table 5-21 527
Titan Medical Investment Summary 527
Figure 5-22 528
Titan Medical Business Goals and Timetable 528
Table 5-23 535
Invibio Medical-grade PEEK* technology Research projects 535 



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