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Intraoperative Neuromonitoring Market in US 2016-2020

  • November 2015
  • -
  • Infiniti Research Limited
  • -
  • 94 pages

An overview of the intraoperative neuromonitoring market in the US
Technavio market research analyst expects the intraoperative neuromonitoring (IONM) market in the US to grow at a CARG of over 9% during the forecast period. IONM, which is a combination of surgical medicine and neuroscience, is one of the fastest-growing areas in the US. Many start-up companies started offering neuromonitoring services to surgeons, and hospitals for orthopaedic, neurosurgery, spine and vascular surgeries in the US. Companies such as Medtronic, Natus, and NuVasive provide advanced intraoperative neuromonitoring devices to service providers and hospitals.
IONM systems are used to monitor the central nervous system (CNS) and alert the surgeons before an individual reaches the threshold for injury, hence they play a vital role by emphasizing the safety of the patient. This focus on patient safety is one of the major factors contributing to the growth of the market. These systems also play a crucial role during serious surgeries such as spinal surgeries that involve the insertion of instruments near the nerves or the spinal area and may cause damage to the CNS.
Segmentation of the intraoperative neuromonitoring market in the US by source type
- Outsourced IONM
- Insourced IONM
In 2015, the intraoperative neuromonitoring market was dominated by the insourced IONM segment, accounting for more than 50% of the overall market share. As per Technavio’s market analysis, this segment will continue to lead the market because of its cost-effective feature and consolidation of hospitals with clinics and surgical centers.
Intraoperative neuromonitoring market segmentation in the US by application
- Neurosurgery
- Spinal surgery
- Cardiovascular surgery
- ENT surgery
- Orthopedic surgery
- Other surgeries
IONM technology helps monitor neurosurgeries such as spine surgeries, brachial plexus or peripheral nerve exploration, brain surgeries, discectomies, craniotomies, facial nerve surgeries, cortical brain mappings, and extracranial-intracranial (EC-IC) bypass procedures. Nearly 61% of service providers offer IONM services for neurosurgeries.

Competitive landscape and key vendors
The intraoperative neuromonitoring market in the US has many large- and medium-sized manufacturers and service providers. The market consists of a number of service providers compared to vendors manufacturing intraoperative monitoring systems. However, since the market is dominated by manufacturers, local service providers, and implant companies need to implement an innovative method to boost their market share.

The top vendors in the market are -
- Biotronic NeuroNetwork
- Computational Diagnostics
- Medtronic
- Natus Medical
- NuVasive
- Sentient Medical Systems
- SpecialtyCare
The other prominent vendors in this market include Accurate Monitoring, Advanced Medical Resources, American Intraoperative Monitoring, Axiom Intraoperative Monitoring, Bovie Medical, Bromedicon, Cadwell, Checkpoint Surgical, Emotiv, Inomed, IntraNerve, Medsurant Monitoring, Neurological Monitoring Associates, NeuroMonitoring Technologies, NeuroSentinel, Neurostatus, Nihon Kohden, ORIMtec, PRN Read, ProPep Surgical, Spine-Tek Neuromonitoring, and Zynex.

Key questions answered in the report include

- What will the market size and the growth rate be in 2020?
- What are the key factors driving the intraoperative neuromonitoring market in the US?
- What are the key market trends impacting the growth of the intraoperative neuromonitoring market in the US?
- What are the challenges to market growth?
- Who are the key vendors in the intraoperative neuromonitoring market in the US?
- What are the market opportunities and threats faced by the vendors in the intraoperative neuromonitoring market in the US?
- What are the key outcomes of the five forces analysis of the intraoperative neuromonitoring market in the US?


Related reports
- Global Spine Surgery Market 2015-2019
- Global Bio-Implant Market 2015-2019

Table Of Contents

Intraoperative Neuromonitoring Market in US 2016-2020
PART 01: Executive summary
Highlights
PART 02: Scope of the report
Market overview
Top-vendor offerings
PART 03: Market research methodology
Research methodology
Economic indicators
PART 04: Introduction
Key market highlights
PART 05: Market landscape
Market overview
Market size and forecast
Five forces analysis
PART 06: IONM: An overview
History
Flowchart of IONM
Steps in IONM
Advantages of IONM during surgery
Potential benefits and risks related to IONM
Selection criteria for IONM
PART 07: Consolidation of the US healthcare system
Background
Types of consolidation
Benefits and disadvantages of consolidation
Impact of consolidation
PART 08: Reimbursement scenario
Coverage and limitations of reimbursement
PART 09: Market segmentation by methodology
EEG monitoring
EMG monitoring
EP monitoring
PART 10: Market segmentation by source type
Insourced IONM
Outsourced IONM
Insourced IONM market in US
Outsourced IONM market in US
PART 11: Market segmentation by application
Neurosurgery
Spinal surgery
Cardiovascular surgery
ENT surgery
Orthopedic surgery
Other surgeries
IONM services provided by vendors for surgical procedures
PART 12: Market drivers
High volume of surgeries
Advances in technology
Focus on patient safety
PART 13: Impact of drivers
PART 14: Market challenges
High cost of surgery with IONM
Limited skilled surgeons and technicians
Intense competition
Complications of IONM
PART 15: Impact of drivers and challenges
PART 16: Market trends
Increase in acquisitions
Consolidation of healthcare systems
Emergence of remote IONM
PART 17: Vendor landscape
Competitive scenario
Key-vendor analysis 2015
PART 18: Appendix
List of abbreviations
PART 19: Explore Technavio

List of Exhibits
Exhibit 01: Product and service offerings
Exhibit 02: IONM market in US ($ billions)
Exhibit 03: Intraoperative neuromonitoring market growth cycle in the US
Exhibit 04: Five forces analysis
Exhibit 05: Brief history of IONM
Exhibit 06: Flowchart of IONM
Exhibit 07: Steps in IONM
Exhibit 08: Potential benefits and risks related to IONM
Exhibit 09: Number of healthcare systems 2014 and 2024
Exhibit 10: Types of consolidation
Exhibit 11: Acquisitions of hospitals: Average deal size 2007 and 2013 (millions)
Exhibit 12: Top three acquisitions of healthcare systems in US 2013
Exhibit 13: Non-government health system landscape
Exhibit 14: IONM reimbursement codes
Exhibit 15: Guidance for CPT codes 95940 and 95941
Exhibit 16: Reimbursement by Medicare
Exhibit 17: Reimbursement by private insurance
Exhibit 18: Segmentation of IONM market in US by methodology
Exhibit 19: EEG procedure
Exhibit 20: EMG procedure
Exhibit 21: Types of EP monitoring
Exhibit 22: Types of SSEP monitoring
Exhibit 23: Segmentation of IONM market in US by methodology 2015
Exhibit 24: EP monitoring: Revenue share in US 2015
Exhibit 25: IONM market in US by source type
Exhibit 26: Difference between insourced and outsourced IONM
Exhibit 27: Pros and cons of insourced and outsourced IONM
Exhibit 28: Segmentation of IONM market in US by source type 2015
Exhibit 29: Insourced IONM market in US 2015-2020 ($ millions)
Exhibit 30: Outsourced IONM market in US 2015-2020 ($ millions)
Exhibit 31: Segmentation of IONM market in US by source type 2015-2020 ($ millions)
Exhibit 32: Segmentation of IONM market in US by source type 2015-2020
Exhibit 33: IONM market in US by application
Exhibit 34: IONM services provided by vendors for surgeries
Exhibit 35: Impact of drivers
Exhibit 36: Comparison of parameters with and without IONM
Exhibit 37: Comparison of costs, surgical time, and length of stay in monitored and unmonitored individuals
Exhibit 38: Impact of drivers and challenges
Exhibit 39: Companies providing services, products, and both
Exhibit 40: Challenges for new market players
Exhibit 41: Strategies for market entry
Exhibit 42: Differences between market entry strategies
Exhibit 43: Vendors offering IONM products
Exhibit 44: Vendors offering IONM services
Exhibit 45: Biotronic NeuroNetwork: Monitoring modalities
Exhibit 46: Biotronic NeuroNetwork: Key takeaways
Exhibit 47: Computational Diagnostics: Business segmentation
Exhibit 48: Computational Diagnostics: Key takeaways
Exhibit 49: Sentient Medical Systems: Key services
Exhibit 50: Sentient Medical Systems: Key takeaways
Exhibit 51: SpecialtyCare: Key services
Exhibit 52: SpecialtyCare: Key takeaways
Exhibit 53: Medtronic: Business segmentation by revenue 2015
Exhibit 54: Medtronic: Business segmentation by revenue 2014 and 2015
Exhibit 55: Medtronic: Geographical segmentation by revenue 2015
Exhibit 56: Medtronic: Key takeaways
Exhibit 57: Natus Medical: Business segmentation by revenue 2014
Exhibit 58: Natus Medical: Business segmentation by revenue 2013 and 2014
Exhibit 59: Natus Medical: Geographical segmentation by revenue 2014
Exhibit 60: Natus Medical: Key takeaways
Exhibit 61: NuVasive: Business segmentation by revenue 2014
Exhibit 62: NuVasive: Business segmentation by revenue 2013 and 2014
Exhibit 63: NuVasive: Geographical segmentation by revenue 2014
Exhibit 64: NuVasive: Key takeaways

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