Global Endoscopy Systems Industry

  • July 2013
  • -
  • Global Industry Analysts
  • -
  • 334 pages

This report analyzes the worldwide markets for Endoscopy Systems in US$ Million by the following Product Segments: Endoscopes, and Visualization Equipment.

The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2010 through 2018. Also, a six-year historic analysis is provided for these markets.

The report profiles 108 companies including many key and niche players such as Boston Scientific Corporation, Conmed Corporation, Ethicon Endo-Surgery, Inc., FujiFilm Corporation, Given Imaging Ltd., Hoya Corporation, Karl Storz GmbH & Co. KG, Medtronic, Inc., Olympus Corporation, Richard Wolf Medical Instruments Corporation, Smith & Nephew, and Stryker Corporation.

Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs.

Table Of Contents




I. INTRODUCTION, METHODOLOGY and PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations I-1
Disclaimers I-2
Data Interpretation and Reporting Level I-2
Quantitative Techniques and Analytics I-3
Product Definitions and Scope of Study I-3
Endoscopes I-3
Rigid Endoscope I-3
Flexible Endoscopes I-4
Visualization Equipment I-4


II. EXECUTIVE SUMMARY

1. INDUSTRY OVERVIEW II-1
Endoscopy Device Market to Exhibit Rapid Growth II-1
Current and Future Analysis II-1
Regional Analysis II-1
Segment Analysis II-1
Endoscopic Devices Make Inroads into Emerging Countries II-2
Endoscopy Equipment Devices - Gaining Foothold in Surgery II-2
A Snapshot of Major Market Drivers II-2
Influx of New Technologies to Supplement Growth II-3
Factors Hindering Growth II-3
Key Statistics II-4
Table 1: Global Recent Past, Current and Future Analysis for
Endoscopes by Product Segment - Flexible, Rigid and Capsule
Endoscope Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2009 through 2018 (includes
corresponding Graph/Chart) II-4

Table 2: Global Recent Past, Current and Future Analysis for
Capsule Endoscopy Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2009 through 2018
(includes corresponding Graph/Chart) II-5

Table 3: Global Recent Past, Current and Future Analysis for
Surgical Endoscopic Energy Devices by Geographic Region - US,
Canada, Japan, Europe, Asia-Pacific (excluding Japan), Latin
America and Rest of World Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2009 through
2018 (includes corresponding Graph/Chart) II-6

Table 4: Global Recent Past, Current and Future Analysis for
Endo-Therapy Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2009 through 2018
(includes corresponding Graph/Chart) II-7

2. TRENDS and ISSUES II-8
Recession Spurs Demand for Refurbished Equipment II-8
Product Developments Continue to Mark Endoscopic Visualization
Devices Market II-8
Primary Growth Drivers II-8
Lifestyle Diseases II-8
Aging Population II-8
Minimally Invasive Endoscopy Surgery II-9
Low Costs II-9
Technological Advancements II-9
Enhanced Applications II-9
New Applications Drive Rigid Endoscopy Market II-9
A Focus on Proprietary Endoscope Imaging Technologies II-10
Narrow Band Imaging - Advancing the Digital Chromoendoscopy
Technology II-10
Present Applications of NBI II-10
Capsule Endoscopy - Current and Future Applications II-11
FDA Approvals of Capsule Endoscopy II-11
PillCamâ„¢ (Given Imaging Ltd.) II-11
Is Capsule Endoscopy a Threat to GI Endoscopy? II-12
AGILEâ„¢ Patency System - An Overview II-13
Sluggish Developments in New Approvals to Marr Growth in
Capsule Endoscopy II-13
Technological Breakthroughs II-13
Innovative and Feature-Rich Devices Swarm the Market II-14
CMOS Chips to Oust CCD II-14
Increasing Miniaturization in Scope Design II-15
Endoscopes Continue to Move on the Evolutionary Path II-15
Issues Prevent Widespread Adoption of Chromoendoscopy II-16
New Gallbladder Endoscopy Negates the Need for Cholecystectomy II-16
Micro-Endoscope - A Major Breakthrough in Endoscopy II-17
Autofluorescence Endoscopy - Marred with False Positive Issues II-17
Confocal Laser Endomicroscopy - Limited by Use II-18

3. COMPETITIVE SCENARIO II-19
Endoscopy Equipment: A Highly Consolidated Market II-19
Competition in the Endoscopy Market II-19
Table 5: Leading Players in the Global Endoscopy Market
(2012): Percentage Breakdown of Revenues for Johnson and
Johnson, Olympus, Covidien, Boston Scientific, Stryker and
Others (includes corresponding Graph/Chart) II-19
Endoscopes II-20
Rigid Endoscope II-20
Table 6: Leading Players in the Global Fixed/Rigid
Endoscopes Market (2012): Percentage Breakdown of Revenues
for Karl Storz, Olympus, Strykar and Others (includes
corresponding Graph/Chart) II-20
Flexible Endoscopes II-20
Competition in the Global Flexible Endoscope Market II-20
Table 7: Leading Players in the Global Market for Flexible
Endoscopes (2011-2013): Percentage Breakdown of Revenues for
Olympus, Hoya and Fujifilm (includes corresponding
Graph/Chart) II-21
Competition in Endoscopic Visualization Market II-21
Competitive Scenario in the Other Segments II-21
Table 8: Leading Players in the Global Endoscopic Energy
Devices Market (2012): Percentage Breakdown of Value Sales
for Covidien, Johnson and Johnson and Others (includes
corresponding Graph/Chart) II-21

Table 9: Leading Players in the Global Endotherapy Devices
Market (2012): Percentage Breakdown of Value Sales for Boston
Scientific, Cook Medical and Others (includes corresponding
Graph/Chart) II-22
Competitive Advantage of Olympus in Endoscopy Market II-22
Olympus Safeguards its Market Share despite Internal Issues II-22
High Switching Costs Helps Olympus Maintain Market Share II-23
Developed Markets - the Major Revenues Generator for Olympus II-23
Periodic Upgrades - the Olympus Mantra for Success II-23
New Products to Surge Olympus’s Endoscope Revenues II-23
The Exera Series of Olympus II-24
The Lucera Series of Olympus II-24
Developing Markets - the New Growth Avenue for Olympus II-25
Competitors Yearn to Wrest Market Share Away from Olympus II-25
Mindray’s Market Entry Not a Major Threat to Olympus Domination II-25
Competition in the Capsule Endoscopy Market II-26
Table 10: Leading Players in the Global Capsule Endoscopy
Market (2012): Percentage Breakdown of Revenues for GIVEN
Imaging and Others (includes corresponding Graph/Chart) II-26
A Comparison of Specifications of Select Key Capsule
Endoscopy Systems II-26
Approval Timelines of PillCam and EndoCapsule in US, Japan
and the EU by Indication II-27
Smith and Nephew - Inching Out of Endoscopic Visualization
Systems Market II-27
Endoscopes - A Small Segment in Hoya II-27
Stryker - More Inclined towards Instruments and Visualization
Segments II-27

4. PRODUCT OVERVIEW II-28
Minimally Invasive Surgery II-28
Benefits of MIS II-28
What is Endoscopy? II-28
Classification of Endoscopy Systems II-28
What is Endoscope? II-29
Rigid Endoscopes II-29
Flexible Endoscopes II-29
Rigid and Flexible Endoscopes: A Comparison II-30
Percutaneous Fiberscopes II-30
Fiberoptic Instruments II-30
Video Endoscopes II-30
Video Endoscopes or Fiberoptics: Which One Offers a Better
Solution ? II-31
Evolution of Endoscopes II-31
Modern Endoscopes II-32
Drawbacks of Endoscopic Surgery II-32
Types of Endoscopes II-32
Laparoscope II-33
Types of Laparoscope II-33
Viewing Laparoscopes II-34
Video Laparoscopes II-34
Diagnostic Laparoscopes II-34
Operating Laparoscopes II-34
Gastroscope II-34
Colonoscope and Sigmoidoscope II-35
Choledochoscope II-36
Duodenoscope II-36
Enteroscope II-36
Laryngoscope II-36
Bronchoscope II-37
Flexible Bronchoscope II-37
Angioscope II-38
Arthroscope II-38
Cystoscope II-38
Hysteroscope II-38
Resectoscope II-38
Fetoscope II-39
Endoscopic Equipment II-39
Visualization Equipment II-39
Cameras and Monitors II-39
Light Sources II-39
White Light Endoscopy II-39
Recorders and Printers II-40
Other Products II-40
Endotherapy Devices II-40
Endoscopic Energy Devices II-40
Suction and Irrigation Equipment II-40
Insufflators II-40
Endoscopic Accessories II-40
Suction Traps II-40
Trocars and Cannulae II-41
Fluid Flushing Devices II-41
Tissue Sampling Devices II-41
Overtubes II-41
Major Areas of Endoscopy Applications II-41
Gastrointestinal II-41
Capsule Endoscopy II-41
Upper Intestinal Endoscopy II-42
Colonoscopy II-42
Duodenoscopy II-42
Cholangiopancreatography II-42
Laparoscopic Appendectomy II-42
Bowel Laparoscopy II-43
Gastrotomy II-43
Gastric Volvulus II-43
Gastric Leiomyoma II-43
Eosinophilic Gastroenteritis II-43
Laparoscopic Cholecystectomy / Gallstone Disease
(Cholelithiasis) II-43
Diaphragmatic Injury II-44
Eosinophilic Gastroenteritis II-44
Malrotation II-44
Peritoneal Implants II-44
Rectal Prolapse II-44
Rectal Tumor II-45
Renal Lithiasis II-45
Enteroscopy II-45
Intra-Operative Enteroscopy II-45
Push Enteroscopy II-45
Sonde Enteroscopy II-45
Sigmoidoscopy II-46
Choledoscopy II-46
Esophagogastroduodenoscopy / Gastroscopy / Upper Endoscopy II-46
Small Bowel Radiograph II-46
Barium Follow Through Technique II-46
Enteroclysis II-46
Tagged Red Blood Cells II-46
Angiography II-46
Virtual Endoscopy II-47
Arthroscopy II-47
Neuroendoscopy II-47
Urology II-47
Cystoscopy II-47
Surgical Process II-47
Hernial Laparoscopy II-48
Ear, Nose and Throat (ENT) II-48
Laryngoscopy II-48
Respiratory Tract II-48
Bronchoscopy II-48
Thoracic Laparoscopy II-49
Blebectomy II-49
Intubation Endoscopes II-49
Otoscopy II-49
Sinoscopy II-49
Pharyngolaryngoscopy II-49
Obstetrics/Gynecology II-50
Fallopian and Ovarian Laparoscopy II-50
Endometriosis II-50
Tubal Ligation II-50
Vagina Creation II-50
Laparoscopic Myomectomies II-50
Ovarian Cystectomy II-51
Female Infertility II-51
Female Sterilization II-51
Pelvic Inflammation II-51
General Surgery Applications II-52
Laparoscopy Relieves Pain in CABG Surgery II-52
Laparoscopic Vagotomy for Ulcer Treatment II-52
Laparoscopic Splenectomy II-52
Splenic Aneurysms II-52
Treatment of Liver Disease II-52
Nephrectomy II-53
Treatment of Polycystic Kidney Disease II-53
Asymptomatic Pheochromocytoma II-53
Aortoiliac Reconstruction II-53
Carpal Tunnel Syndrome II-53
Catheter Disconnections II-53
Catheter Malfunctioning II-53
Colorectal Cancer II-53
Cushing’s Disease II-54
Dialysis Catheter II-54
Hirschsprung’s Disease II-54
Bypass Surgery II-54
Fetoscopy II-54
Bariatric Surgery II-54
Confocal Laser Endoscopy II-54
Interventional Pulmonology II-54
Endoscopic Approaches II-55
Anticoagulation II-55
Nutritional Disorders II-55
Percutaneous Endoscopic Gastrotomy (PEG) II-55
Percutaneous Endoscopic Gastrostomy Jejunostomy (PEGJ) II-55
Direct Percutaneous Endoscopic Jejunostomy (DPEJ) II-55
Processing and Storing of Endoscopes II-55
Storing II-55
Cleaning II-56

5. PRODUCT INTRODUCTIONS/INNOVATIONS II-57
Olive Medical Rolls Out New OVS1 ALL-IN-ONE HD Visualization
System II-57
Ultrafine Unveils Ultra-Small Endoscope II-57
Vision-Sciences Introduces Innovative Video Endoscopy System II-57
Beacon Endoscopic Unveils New BNX System II-58
Boston Scientific Unveils New Expectâ„¢ 19 Flex Endoscopic
Ultrasound Aspiration Needle II-58
Estech Unveils Novel Cobra Fusion Ablation System II-59
Olympus Medical Systems Unveils EVIS EXERA III Endoscopic System II-59
Olympus Medical Systems Rolls Out Axeon Endoscopic Videoscope
System II-60
Optim Unveils New FEES System II-61
PENTAX Introduces i10 Range of Endoscopes and EPK-i7000 Video
Processor II-61
PENTAX Medical Rolls Out New EG-3270UK Endoscope II-62
Richard Wolf Medical Instruments Rolls Out 5514 Endocam
Performance HD Endocam II-62
Boston Scientific Launches Expect Endoscopic Ultrasound
Aspiration Needle II-63
CardioFocus Releases HeartLight Endoscopic Ablation System II-63
Cook Medical Launches endogo® HD Portable Endoscopic Imaging
System II-63
Cook Medical Launches EchoTip ProCore Ultrasound Biopsy Needle II-64
Medigus Develops Ultra-compact Video Camera II-64
PENTAX Lifecare Introduces EB-1990i HD Bronchoscope II-65
Steris Rolls Out New Revital-Ox Endoscopy Products Family II-65
Sorin Group Introduces VascuClearâ„¢ Endoscopic Vessel
Harvesting System II-66
MAQUET Cardiovascular Introduces New VASOVIEW 6 PRO Endoscopic
Vessel Harvesting System II-66
EndoChoice Introduces AutoBandâ„¢ Ligator II-67
Lighthouse Imaging Launches New EndoBenchâ„¢ Image Quality Testers II-67
Cook Medical Unveils EchoTip ProCore High Definition
Ultrasound Biopsy Needle II-67
Medigus Rolls Out Miniature Video Camera II-68
Integra Lifesciences Unveils New Size Model of Integraâ„¢
Endoscopic Gastroc Release System II-68
PerkinElmer Introduces LED Fiber Optic Illuminator Module II-68
Integra LifeSciences Introduces New Integraâ„¢ EGR Variant II-69
Olympus Medical Develops GF-UCT260 High- Resolution Ultrasound
Gastroscope II-69
Terumo Cardiovascular Systems Launches VirtuoSaph Plus
Endoscopic Vessel Harvesting System II-69
EndoChoice Rolls Out Compliance EndoKit II-69
Lighthouse Imaging Unveils Endolumeâ„¢ II-70
EndoChoice Introduces TrapEase Multi-Chamber Polyp Traps II-70
MAQUET Cardiovascular Rolls Out VASOVIEW HEMOPRO 2 Endoscopic
Vessel Harvesting System II-70
Given Imaging Unveils PillCam Express and PillCam SB 2-EX II-70
Olympus Unveils OER-Pro Reprocessor II-71
Olympus Launches GIF-H180J Model Gastroscope II-71

6. RECENT INDUSTRY ACTIVITY II-72
EndoChoice and Peer Medical Enter into an Agreement II-72
EndoChoice Takes Over RMS Endoskopie-Technik II-72
Medigus Inks Distribution Agreement with Sinopharm II-72
Mindray Medical International Acquires SMOIF II-73
Beacon Endoscopic Inks Partnership Agreement with Fujifilm II-73
NEDO and NRCT Sign MOU to Implement Collaborative Project in
Thailand II-73
novoGI and Endopix Ink Agreement II-74
Otsuka Medical Devices and Pioneer Form Alliance II-74
Sony Forms Partnership with Olympus for Endoscopy Equipment II-74
StatLink Systems Acquires AccuRead Endoscopy II-75
STERIS Acquires US Endoscopy to Expand Healthcare Market Standing II-75
Beijing Century Real Technology and Given Imaging Ink
Memorandum of Cooperation II-75
Crospon Inks Collaborative Agreement with Smart Medical Systems II-75
Fujifilm Takes Over FILMED II-76
Lumenis Inc., Inks Pact with Endoscopic Division of Boston
Scientific II-76
Olympus Acquires Spirus Medical II-77
OMD Acquires Share in Era II-77
Optim Acquires Precision Endoscopic Technologies II-77
Pentax Medical Renews Collaboration with Hitachi-Aloka Medical II-77
Titan Medical Inks Development Contract with D2 Videoâ„¢ II-78
Verisante Technology Acquires Assets of Perceptronix Medical II-78
Vision-Sciences Inks Supply Agreement with Novation II-78
Nexcore Technologies Acquires Meditron Product Range from
Cooper Surgical II-79
Fujinon Merges into Fujifilm II-79
Nexcore Technologies Takes Over Cooper Surgical’s Meditron
Portfolio II-79
Olympus to Takeover Spiration II-79
Vision Sciences Inks Exclusive Supply Agreement with Stryker II-80
Fujifilm and FCCC Ink Joint RandD Agreement II-80
AED and Amerinet Enter Into Agreement II-80
SterilMed Enters Into Agreement with Amerinet II-81

7. FOCUS ON SELECT PLAYERS II-82
Boston Scientific Corporation (US) II-82
Conmed Corporation (US) II-82
Ethicon Endo-Surgery (US) II-82
Fujifilm Corporation (Japan) II-83
Given Imaging Ltd. (Israel) II-83
HOYA CORPORATION (Japan) II-84
KARL STORZ GmbH and Co. KG (Germany) II-84
Medtronic, Inc. (US) II-85
Olympus Corporation (Japan) II-86
Richard Wolf Medical Instruments Corporation (Germany) II-86
Smith and Nephew (UK) II-87
Stryker Corporation (US) II-87

8. GLOBAL MARKET PERSPECTIVE II-88
Table 11: Global Recent Past, Current and Future Analysis for
Endoscopy Systems by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific (excluding Japan), Latin America and Rest
of World Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-88

Table 12: Global Historic Review for Endoscopy Systems by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2004 through 2009 (includes corresponding
Graph/Chart) II-89

Table 13: Global 15-Year Perspective for Endoscopy Systems by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2004, 2013
and 2018 (includes corresponding Graph/Chart) II-90
Endoscopy Systems Market by Product Segment II-91
Table 14: Global Recent Past, Current and Future Analysis for
Endoscopes by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific (excluding Japan), Latin America and Rest of
World Markets Independently Analyzed with Annual Sales Figures
in US$ Million for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-91

Table 15: Global Historic Review for Endoscopes by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific (excluding
Japan), Latin America and Rest of World Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2004 through 2009 (includes corresponding Graph/Chart) II-92

Table 16: Global 15-Year Perspective for Endoscopes by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific (excluding Japan),
Latin America and Rest of World Markets for Years 2004, 2013
and 2018 (includes corresponding Graph/Chart) II-93

Table 17: Global Recent Past, Current and Future Analysis for
Visualization Equipment by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific (excluding Japan), Latin America
and Rest of World Markets Independently Analyzed with Annual
Sales Figures in US$ Million for Years 2010 through 2018
(includes corresponding Graph/Chart) II-94

Table 18: Global Historic Review for Visualization Equipment
by Geographic Region - US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2004 through 2009 (includes corresponding
Graph/Chart) II-95

Table 19: Global 15-Year Perspective for Visualization
Equipment by Geographic Region - Percentage Breakdown of
Dollar Sales for US, Canada, Japan, Europe, Asia-Pacific
(excluding Japan), Latin America and Rest of World Markets for
Years 2004, 2013 and 2018 (includes corresponding Graph/Chart) II-96


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Current and Future Analysis III-1
Factors Propelling Growth III-1
Growing Demand for Minimally Invasive Surgeries III-1
Reimbursement Policies III-1
Technological Advancements and Reimbursement Policies to
Spur Demand for Endoscopic Devices III-1
Endoscopy as Outpatient Surgery III-2
Product Bundling Increases Purchases III-2
Rising Awareness of GI and Endoluminal Procedures III-2
Obesity III-2
Gastrointestinal Endoscopy Devices Market - An Overview III-3
Endoscope Manufacturing Scenario - 2011 III-3
Laparoscopic Procedures III-4
Table 20: US Recent Past, Current, and Future Analysis for
Laparoscopic Procedural Volumes in Thousands for the years
2009 through 2018 (includes corresponding Graph/Chart) III-4
Competitive Scenario III-4
Olympus’s Endoscope Sales Weaken in 2012 III-5
Key Statistics III-6
Table 21: Leading Players in the US Endoscopy Systems
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Karl Storz, Pentax/Hoya, Fujifilm and Others
(includes corresponding Graph/Chart) III-6

Table 22: Leading Players in the US Gastrointestinal
Endoscopy Market (2012): Percentage Breakdown of Value
Sales for Olympus, Pentax/Hoya and Others (includes
corresponding Graph/Chart) III-6

Table 23: Leading Players in the US Laparoscopic
Visualization Systems Market (2012): Percentage Breakdown
of Value Sales for Karl Storz, Stryker, Olympus, Smith and
Nephew and Others (includes corresponding Graph/Chart) III-6

Table 24: Leading Players in the US Pulmonary Endoscopes
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Karl Storz, Pentax/Hoya, Fujifilm and Others
(includes corresponding Graph/Chart) III-7

Table 25: Leading Players in the US Arthroscopes Market
(2012): Percentage Breakdown of Value Sales for Smith and
Nephew, Stryker, Conmed and Others (includes corresponding
Graph/Chart) III-7

Table 26: Leading Players in the US Urology Endoscopes
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Pentax/Hoya and Others (includes corresponding
Graph/Chart) III-7
FDA Issues New Guidelines to Prevent Endoscopy Related
Infections III-8
Product Launches III-8
Strategic Corporate Developments III-18
Key Players III-23
B.Market Analytics III-26
Table 27: US Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-26

Table 28: US Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-27

Table 29: US 15-Year Perspective for Endoscopy Systems by
Product Segment - Percentage Breakdown of Dollar Sales for
Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-28

Table 30: US Recent Past, Current and Future Analysis for
Endoscopes by Application Area-GI Endoscopes, Pulmonary
Endoscopes, Urology Endoscopes, Gynecology Endoscopes,
Laparoscopes, Arthroscopes and Others Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2009 through 2018 (includes corresponding Graph/Chart) III-29

2. CANADA III-30
A.Market Analysis III-30
Current and Future Analysis III-30
An Overview of GI Endoscopy Devices Market III-30
Strategic Corporate Developments III-30
B.Market Analytics III-31
Table 31: Canadian Recent Past, Current and Future Analysis
for Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-31

Table 32: Canadian Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-32

Table 33: Canadian 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-33

3. JAPAN III-34
A.Market Analysis III-34
Market Overview III-34
Current and Future Analysis III-34
Key Statistics III-34
Table 34: Leading Players in the Japanese Fiber Scope
(Flexible Endoscopes) Market (2012): Percentage Breakdown
of Value Sales for Olympus, Fujifilm and Pentax/Hoya
(includes corresponding Graph/Chart) III-34

Table 35: Leading Players in the Japanese Videoscopes
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Fujifilm and Pentax/Hoya (includes corresponding
Graph/Chart) III-35
Product Launches III-35
Strategic Corporate Developments III-38
Key Players III-39
B.Market Analytics III-42
Table 36: Japanese Recent Past, Current and Future Analysis
for Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-42

Table 37: Japanese Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-43

Table 38: Japanese 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-44

4. EUROPE III-45
A.Market Analysis III-45
Market Overview III-45
Current and Future Analysis III-45
Aftermath of Recession III-45
GI Endoscopy Devices to Witness Growth III-46
Key Growth Factors III-46
CRC Screening - Leading Growth Contributor III-46
Factors Hindering Growth III-46
Competitive Scenario III-46
Key Statistics III-47
Market by Segment III-47
Table 39: European Market for Endoscopes by Type (2012):
Percentage Breakdown of Value Sales for Gastrointestinal
Endoscopes, Urology Endoscopes, Laparoscopes, Gynecology
Endoscopes, Arthroscopes, Neuroendoscopes and Pulmonary
Endoscopes (includes corresponding Graph/Chart) III-47
Competition III-47
Table 40: Leading Players in European Gastro-Intestinal
Endoscopes Market (2012): Percentage Breakdown of Value
Sales for Olympus, Karl Storz, Pentax/Hoya and Others
(includes corresponding Graph/Chart) III-47

Table 41: Leading Players in European Urology Endoscopes
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Karl Storz and Others (includes corresponding
Graph/Chart) III-48

Table 42: Leading Players in European Gynecology
Endoscopes Market (2012): Percentage Breakdown of Value
Sales for Olympus, Karl Storz and Others (includes
corresponding Graph/Chart) III-48

Table 43: Leading Players in European Pulmonary Endoscopes
Market (2012): Percentage Breakdown of Value Sales for
Olympus, Karl Storz, Pentax/Hoya, Fujifilm and Others
(includes corresponding Graph/Chart) III-48

Table 44: Leading Players in European Arthroscopes Market
(2012): Percentage Breakdown of Value Sales for Smith and
Nephew, Stryker, Conmed and Others (includes corresponding
Graph/Chart) III-49

Table 45: Leading Players in European Laparoscopes Market
(2012): Percentage Breakdown of Value Sales for Karl
Storz, Olympus, Stryker and Others (includes corresponding
Graph/Chart) III-49
B.Market Analytics III-50
Table 46: European Recent Past, Current and Future Analysis
for Endoscopy Systems by Geographic Region - France,
Germany, Italy, UK, Spain, Russia and Rest of Europe Markets
Independently Analyzed with Annual Sales Figures in US$
Million for Years 2010 through 2018 (includes corresponding
Graph/Chart) III-50

Table 47: European Recent Past, Current and Future Analysis
for Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-51

Table 48: European Historic Review for Endoscopy Systems by
Geographic Region - France, Germany, Italy, UK, Spain,
Russia and Rest of Europe Markets Independently Analyzed
with Annual Sales Figures in US$ Million for Years 2004
through 2009 (includes corresponding Graph/Chart) III-52

Table 49: European Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-53

Table 50: European 15-Year Perspective for Endoscopy Systems
by Geographic Region - Percentage Breakdown of Dollar Sales
for France, Germany, Italy, UK, Spain, Russia and Rest of
Europe Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) III-54

Table 51: European 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-55

4a. FRANCE III-56
A.Market Analysis III-56
Current and Future Analysis III-56
Endoscopy Device Market III-56
Market Overview III-56
Growth Drivers and Challenges III-56
France: Embracing New Technology III-56
Major Players III-57
Import Market Scenario III-57
B.Market Analytics III-57
Table 52: French Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-57

Table 53: French Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-58

Table 54: French 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-59

4b. GERMANY III-60
A.Market Analysis III-60
Market Overview III-60
Current and Future Analysis III-60
Attractive Market for Foreign Players III-60
Major Players III-60
Key Customers for Medical Equipment in Germany III-60
Challenges to Reckon III-61
Product Launch III-61
Strategic Corporate Development III-61
Key Players III-62
B.Market Analytics III-63
Table 55: German Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-63

Table 56: German Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-64

Table 57: German 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-65

4c. ITALY III-66
A.Market Analysis III-66
Current and Future Analysis III-66
Key Customers III-66
Major Players III-66
Growth Factors III-66
Challenges III-66
Strategic Corporate Development III-67
B.Market Analytics III-68
Table 58: Italian Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-68

Table 59: Italian Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-69

Table 60: Italian 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-70

4d. THE UNITED KINGDOM III-71
A.Market Analysis III-71
Market Scenario III-71
Current and Future Analysis III-71
UK: A Lucrative Market for Foreign Exporters III-71
Major Players III-71
Product Launches III-72
Smith and Nephew - A Key UK-Based Endoscopic Device Manufacturer III-72
B.Market Analytics III-73
Table 61: UK Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-73

Table 62: UK Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-74

Table 63: UK 15-Year Perspective for Endoscopy Systems by
Product Segment - Percentage Breakdown of Dollar Sales for
Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-75

4e. SPAIN III-76
A.Market Analysis III-76
Current and Future Analysis III-76
B.Market Analytics III-76
Table 64: Spanish Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-76

Table 65: Spanish Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-77

Table 66: Spanish 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-78

4f. RUSSIA III-79
Market Analysis III-79
Table 67: Russian Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-79

Table 68: Russian Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-80

Table 69: Russian 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-81

4g. REST OF EUROPE III-82
A.Market Analysis III-82
Current and Future Analysis III-82
Strategic Corporate Developments III-82
B.Market Analytics III-84
Table 70: Rest of Europe Recent Past, Current and Future
Analysis for Endoscopy Systems by Product Segment -
Endoscopes and Visualization Equipment Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2010 through 2018 (includes corresponding Graph/Chart) III-84

Table 71: Rest of Europe Historic Review for Endoscopy
Systems by Product Segment - Endoscopes and Visualization
Equipment Markets Independently Analyzed with Annual Sales
Figures in US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-85

Table 72: Rest of Europe 15-Year Perspective for Endoscopy
Systems by Product Segment - Percentage Breakdown of Dollar
Sales for Endoscopes and Visualization Equipment Markets for
Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-86

5. ASIA-PACIFIC III-87
A.Market Analysis III-87
Market Overview III-87
Current and Future Analysis III-87
B.Market Analytics III-88
Table 73: Asia-Pacific Recent Past, Current and Future
Analysis for Endoscopy Systems by Geographic Region - China,
India and Rest of Asia-Pacific Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2010 through 2018 (includes corresponding Graph/Chart) III-88

Table 74: Asia-Pacific Recent Past, Current and Future
Analysis for Endoscopy Systems by Product Segment -
Endoscopes and Visualization Equipment Markets Independently
Analyzed with Annual Sales Figures in US$ Million for Years
2010 through 2018 (includes corresponding Graph/Chart) III-89

Table 75: Asia-Pacific Historic Review for Endoscopy Systems
by Geographic Region - China, India and Rest of Asia-Pacific
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-90

Table 76: Asia-Pacific Historic Review for Endoscopy Systems
by Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-91

Table 77: Asia-Pacific 15-Year Perspective for Endoscopy
Systems by Geographic Region - Percentage Breakdown of
Dollar Sales for China, India and Rest of Asia-Pacific
Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) III-92

Table 78: Asia-Pacific 15-Year Perspective for Endoscopy
Systems by Product Segment - Percentage Breakdown of Dollar
Sales for Endoscopes and Visualization Equipment Markets for
Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-93

5a. CHINA III-94
A.Market Analysis III-94
Market Insight III-94
Current and Future Analysis III-94
Ample Room for Growth in the Chinese Endoscopy Market III-94
Growing Adoption of HD Endoscopes to Promote Robust Growth
of Chinese Endoscopes Market III-94
Chinese Government Acts to Address the Issue of Lower
Surgeon Count III-95
Initiatives of Chinese Government III-95
Manufacturers’ Efforts to Fuel Adoption III-95
Competitive Scenario III-96
Olympus Dominates Endoscopy Devices Market in China III-96
Foreign Players Eye the Local Endoscopic Market III-96
Acquisitions and Mergers to Outweigh Other Business Prospects III-96
Strategic Corporate Developments III-97
B.Market Analytics III-99
Table 79: Chinese Recent Past, Current and Future Analysis for
Endoscopy Systems by Product Segment - Endoscopes and
Visualization Equipment Markets Independently Analyzed with
Annual Sales Figures in US$ Million for Years 2010 through
2018 (includes corresponding Graph/Chart) III-99

Table 80: Chinese Historic Review for Endoscopy Systems by
Product Segment - Endoscopes and Visualization Equipment
Markets Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2004 through 2009 (includes
corresponding Graph/Chart) III-100

Table 81: Chinese 15-Year Perspective for Endoscopy Systems
by Product Segment - Percentage Breakdown of Dollar Sales
for Endoscopes and Visualization Equipment Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) III-101

5b. INDIA III-102
A.Market Analysis III-102
Market Overview III-102
Current and Future Analysis III-102
Indian Market for Endoscopes - A Review III-102
Table 82: Indian Endoscopic Devices Market (2012):
Percentage Breakdown of Value Sales by Segment - Rigid
Endoscopy and Flexible Endoscopy (includes corresponding
Graph/Chart) III-103
Competitive Scenario III-103
Urology Endoscopic Devices to Witness Growth III-103
Technological Breakthroughs to Add Fillip to the Market III-103
GI Endoscopic Devices Market - India III-104
Factors Propelling Growth

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