• Головна

Traditional electrosurgery in the United States (U.S.) involves the use of electric current to cut, cauterize, and ligate tissue and luminal structures using radiofrequency generators and instrumentation. Radiofrequency-based surgical products—including generators, instruments, accessories, and thermal ligature/vessel sealing systems— represent a billion-dollar market in the U.S. and are utilized in several million surgeries performed annually across a broad spectrum of surgical areas, cardiovascular, general, obstetrics/gynecology, and orthopedic surgery, among others.

In 2011, the total electrosurgical devices market in the U.S. was valued at more than $1.0 billion. Over the forecast period covered by this report, the value of this market is projected to grow at a compound annual rate of greater than 6.0%, increasing by more than $370.0 million in sales by the year 2016. While all segments are projected to maintain stable and moderate growth, the largest market segment––thermal ligature devices—is projected to increase at the highest compound annual rate due to strong demand, growing utilization, introduction of several new, next-generation devices, and the clinical and cost efficacy of electrothermal products.

Overall, despite the expense of capital equipment and ongoing economic constraints, growth is expected to remain stable throughout the forecast period due to an increase in non-elective/life-saving surgeries and the introduction and adoption of innovative technologies. Electrosurgical instruments/accessories will continue contributing a substantial portion of total device sales due to the high utilization of single-use instruments and requirement for specialized instruments, such as arthroscopic probes and other specialized systems.

This dynamic report from Medtech Insight includes analyses of products, markets, competitors, and emerging drugs, technology and opportunities. Covered products in this report include selected traditional and specialized electrosurgical generator systems, handheld instruments/accessories, and thermal ligature systems, including several recently launched, next-generation electrosurgical products.

TABLE OF CONTENTS

EXECUTIVE SUMMARY

i. Overview of Electrosurgical Technology

a. Radiofrequency
b. Frictional Heating and Impedance of Tissue
c. Monopolar and Bipolar Energy
d. Electrosurgical Cutting and Coagulation
e. Coagulation
f. Fulguration and Plasma Coagulation
g. Coblation

ii. Procedure Volumes Forecast
iii. Market Forecast
iv. Methodology

Exhibit ES-1: Electrical Impedance of Various Tissue Types
Exhibit ES-2: Electrosurgical Cutting of Tissue via Arc Generation
Exhibit ES-3: Electrosurgical Cutting of Tissue via Ionic Agitation
Exhibit ES-4: Coagulation of Large Tissue Areas via Fulguration
Exhibit ES-5: Coagulation of Large Tissue Areas via Plasma Spray
Exhibit ES-6: Coblation Technology
Exhibit ES-7: Selected Open and Laparoscopic Surgery, Procedure Volumes Forecast, 2011-2016
Exhibit ES-8: Electrosurgical Devices, Market Forecast, 2011-2016
Exhibit ES-9: Electrosurgical Devices, Market Forecast, by Segment, 2011-2016
Exhibit ES-10: 2011, Electrosurgical Devices Market, Share of Sales, by Segment

1. ELECTROSURGICAL TECHNOLOGY OVERVIEW

1.1 Electrosurgery

1.1.1 Radiofrequency

1.1.1.1 Frictional Heating and Impedance of Tissue
1.1.1.2 Monopolar and Bipolar Energy

1.1.1.2.1 Monopolar Devices
1.1.1.2.2 Bipolar Devices

1.1.1.3 Electrosurgical Cutting and Coagulation

1.1.1.3.1 Arc Cutting
1.1.1.3.2 Coagulation
1.1.1.3.3 Fulguration and Plasma Coagulation

1.1.1.4 Safety Considerations

1.1.1.4.1 Return Electrodes
1.1.1.4.2 Current Shunting
1.1.1.4.3 Electric Current and Neural Response and Muscle Stimulation
1.1.1.4.4 Insulation Cracks
1.1.1.4.5 Capacitive Coupling

1.1.1.5 Electrocautery Devices
1.1.1.6 Coblation

Exhibit 1-1: Electrical Impedance of Various Tissue Types
Exhibit 1-2: Electrosurgical Cutting of Tissue via Arc Generation
Exhibit 1-3: Electrosurgical Cutting of Tissue via Ionic Agitation
Exhibit 1-4: Coagulation of Large Tissue Areas via Fulguration
Exhibit 1-5: Coagulation of Large Tissue Areas via Plasma Spray
Exhibit 1-6: The AEM Monitor and Instrument
Exhibit 1-7: Coblation Technology

2. ELECTROSURGICAL DEVICES MARKET

2.1 Electrosurgical Generators

2.1.1 Bovie Medical
2.1.2 ConMed
2.1.3 Covidien
2.1.4 ERBE USA/ERBE Elektromedizin
2.1.5 Utah Medical Products
2.1.6 Others

2.2 Argon Beam Plasma Coagulators

2.2.1 ConMed
2.2.2 Covidien
2.2.3 ERBE USA/ERBE Elektromedizin
2.2.4 Plasma Surgical

2.3 Thermal Ligature Devices

2.3.1 Bovie Medical
2.3.2 ConMed
2.3.3 Covidien
2.3.4 ERBE USA/ERBE Elektromedizin
2.3.5 Ethicon Endo-Surgery/Johnson & Johnson
2.3.6 Olympus
2.3.7 Starion Instruments/Microline Surgical

2.4 Electrosurgical Instruments and Accessories

2.4.1 Electrosurgical Pencils
2.4.2 Pencil Tips and Electrodes
2.4.3 Dispersive or Return Electrode Pads
2.4.4 Bovie Medical
2.4.5 ConMed
2.4.6 Covidien
2.4.7 MEGADYNE Medical Products

2.5 Specialized Electrosurgical Products

2.5.1 Cardiovascular Surgery

2.5.1.1 Maquet/Getinge Group

2.5.2 Neurosurgery

2.5.2.1 Codman & Shurtleff/DePuy/Johnson & Johnson

2.5.3 Obstetrics/Gynecology

2.5.3.1 CooperSurgical/The Cooper Companies
2.5.3.2 Ethicon/Johnson & Johnson
2.5.3.3 Utah Medical Products

2.5.4 Orthopedic/Arthroscopic Surgery

2.5.4.1 ArthroCare
2.5.4.2 Smith & Nephew

2.5.5 Urologic Surgery

2.5.5.1 Gyrus ACMI/Olympus

2.6 Market Analysis

2.6.1 Procedure Volumes Forecast
2.6.2 Market Forecast
2.6.3 Competitive Analysis

Exhibit 2-1: The Aaron 900, 950, and 3250 Electrosurgical Generators
Exhibit 2-2: The Icon Gi Electrosurgical Generator
Exhibit 2-3: The IDS-200 and IDS-400 Electrosurgical Generators
Exhibit 2-4: The System 2450, System 5000, Sabre Genesis, and Hyfrecator 2000 Electrosurgical Generators
Exhibit 2-5: The Force EZ, Force FX, and SurgiStat II Electrosurgical Generators
Exhibit 2-6: The VIO 200 S Generator and Accessories
Exhibit 2-7: The Finesse and Finesse II Electrosurgical Generators
Exhibit 2-8: The System 7550 Argon Beam Coagulation Electrosurgical Generator
Exhibit 2-9: The Beamer CE200 Argon Electrosurgical System
Exhibit 2-10: The Force Argon II System
Exhibit 2-11: The APC 2 Coagulator
Exhibit 2-12: Selected Benefits of the PlasmaJet System
Exhibit 2-13: The Altrus Thermal Tissue Fusion System
Exhibit 2-14: Selected LigaSure Instruments
Exhibit 2-15: The BiClamp Vessel Sealing System
Exhibit 2-16: The Harmonic ACE and Harmonic FOCUS Curved Shears
Exhibit 2-17: Ethicon Endo-Surgery’s Dedicated Generator
Exhibit 2-18: The Harmonic SYNERGY Blades and Platform
Exhibit 2-19: The EnSeal G2 Super Jaw Tissue Sealer
Exhibit 2-20: The PKS SEAL Open Forceps
Exhibit 2-21: The THUNDERBEAT Vessel Sealing and Tissue Cutting Device
Exhibit 2-22: The MiSeal Reposable Thermal Ligating System and Thermal Ligating Shears Third Generation
Exhibit 2-23: The Resistick II Coated Electrodes
Exhibit 2-24: Selected Valleylab Electrosurgical Instruments and Accessories
Exhibit 2-25: The ACE Blade
Exhibit 2-26: The E-Z Clean Nonstick Electrosurgical Tips
Exhibit 2-27: The VasoView HemoPro 2 and VasoView 6 Pro Endoscopic Vessel Harvesting Systems
Exhibit 2-28: The MALIS CMC-III Bipolar Cutting and Coagulation System and IsoCool Bipolar Forceps
Exhibit 2-29: The LEEP System 1000 Workstation
Exhibit 2-30: The Gynecare Versapoint Bipolar Electrosurgery System
Exhibit 2-31: UtahLoop Round Loop and C-Letz Conization Electrodes
Exhibit 2-32: Comparison of Coblation Technology and Conventional Electrosurgery
Exhibit 2-33: The Quantum 2 Coblation Platform and Selected Wands
Exhibit 2-34: The VULCAN Generator, EFLEX Probes, and Ligament Chisel Probes
Exhibit 2-35: The DYONICS RF System
Exhibit 2-36: Selected Smith & Nephew Arthroscopic Resection Instruments
Exhibit 2-37: The PK SuperPulse Generator, PK Technology G400 WorkStation, and Selected PK Instruments
Exhibit 2-38: Selected Open and Laparoscopic Surgery, Procedure Volumes Forecast, 2011-2016
Exhibit 2-39: Electrosurgical Devices, Market Forecast, 2011-2016
Exhibit 2-40: Electrosurgical Devices, Market Forecast, by Segment, 2011-2016
Exhibit 2-41: 2011, Electrosurgical Devices Market, Share of Sales, by Segment
Exhibit 2-42: 2016, Electrosurgical Devices Market, Share of Sales, by Segment
Exhibit 2-43: 2011, Electrosurgical Devices Market, Share by Supplier

3. COMPANY PROFILES

3.1 ArthroCare Corporation
3.2 Bovie Medical Corporation
3.3 ConMed Corporation
3.4 Covidien PLC
3.5 Johnson & Johnson