Toll Free: 1-888-928-9744
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Published: May, 2015 | Pages:
553 | Publisher: WinterGreen Research
Industry: ICT | Report Format: Electronic (PDF)
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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