Gastrointestinal Endoscopy Devices

• Publication date: July 2009

This report analyzes the US market for Gastrointestinal Endoscopy Devices in Millions of US$ analyzed by the following segments: GI Videoscopes (Video Colonoscopes, Video Gastroscopes, Video Duodenoscopes, Video Ultrasound Endoscopes, & Others (Includes Video Sigmoidoscope & Video Enteroscope)), Endoscopic Retrograde Cholangiopancreatography (ERCP) Devices, Biopsy Devices, Hemostatis Devices, Capsule Endoscopy, and Others (includes enteral feedin...

This report analyzes the US market for Gastrointestinal Endoscopy Devices in Millions of US$ analyzed by the following segments: GI Videoscopes (Video Colonoscopes, Video Gastroscopes, Video Duodenoscopes, Video Ultrasound Endoscopes, & Others (Includes Video Sigmoidoscope & Video Enteroscope)), Endoscopic Retrograde Cholangiopancreatography (ERCP) Devices, Biopsy Devices, Hemostatis Devices, Capsule Endoscopy, and Others (includes enteral feeding devices, esophageal & biliary stents, esophageal dilation balloons, retrieval devices, polypectomy snares, and anti-reflux devices). Annual forecasts are provided for the period of 2006 through 2015. The report profiles 32 companies including many key and niche players such as Boston Scientific Corporation, Conmed Corporation, Fresenius Kabi AG, Fujifilm, Given Imaging, Ltd., Hobbs Medical, Inc., Hoya Corporation, Johnson & Johnson, Ethicon Endo-Surgery, Inc., Cordis Corporation, KARL STORZ GmbH & Co. KG, KARL STORZ Endoscopy-America, Inc., Medi-Globe GmbH, Olympus Corporation, Olympus Medical Systems, Olympus America, Inc., Gyrus ACMI, Richard Wolf GmbH, and US Endoscopy. Market data and analytics are derived from primary and secondary research. Company profiles are mostly extracted from URL research and reported select online sources

Medical Imaging Industry in the United States

I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS

Study Reliability and Reporting Limitations I-1
DisclaimersI-2
Data Interpretation & Reporting Level I-3
Quantitative Techniques & Analytics I-3
Product Definitions and Scope of Study I-3
GI Videoscopes I-4
Video Colonoscopes I-4
Video Gastroscopes I-4
Video Duodenoscopes I-4
Video Ultrasound Endoscopes I-4
Other Types of GI Videoscopes I-4
Endoscopic Retrograde Cholangiopancreatography (ERCP) Devices I-4
Biopsy Devices I-5
Hemostatis Devices I-5
Capsule Endoscopy I-5
Other Gastrointestinal Endoscopy Devices I-5

II. A US MARKET REPORT

1. INDUSTRY OVERVIEW II-1
A Quick Primer II-1
Widespread Gastrointestinal Diseases Offer a Solid Business
Case II-1
Table 1: Digestive System Related Cancers in the United
States (2008): Breakdown of Number of New Cases Reported by
Gender, and Cancer Site (includes corresponding
Graph/Chart) II-2
Market Penetration of GI Endoscopes On the RiseII-3
Improved Visualization: A Hallmark of Modern
Gastrointestinal Endoscopes II-3
Less Invasive Medical Procedures: The Name of the Game II-4
Capsule Endoscopy Stands At the Forefront of Innovation II-4
Disposable Endoscopes Witness Rising PreferenceII-5
Healthcare Cost Containment Lengthens Replacement Cycles II-5
Manufacturers Stand Up to the Challenge II-5
Sanguine Growth On Cards II-5
GI Procedures On the Rise II-6
Table 2: GI Endoscopy Procedures Performed in the US
(2006): Breakdown of the Number of Procedures by Type
(includes corresponding Graph/Chart) II-6
Aging Population: A Key Demographic Driver II-7
Obesity: A Lifestyle Induced Driver II-7
Colorectal Cancer Takes Colonoscopy Procedures to a Higher
Level II-7
Colon Capsule Endoscopy: Another Major BeneficiaryII-8
Technology Innovations to Lend Traction to Growth II-8
Reimbursement: A Review of the Current ScenarioII-9
Table 3: Reimbursement for Capsule Endoscopy (includes
corresponding Graph/Chart)II-9
Virtual Colonoscopy: Is it a Substitute for Conventional
Colonoscopy? A Discussion II-10
VC Enters the Trading Range II-10
VC Offers Numerous Advantages Over Conventional Colonoscopy II-10
A Straight Talk About the Future of Conventional Colonoscopy II-11
VC: Besotted With ProblemsII-11
Competition in the Endoscopy Systems Market: A Review II-12
The New Batting Order in the Global Market II-12
Table 4: Leading Players in the Global Endoscopy Market
(2008E): Percentage Breakdown of Value Sales for Olympus,
Johnson & Johnson, Boston Scientific, Smith & Nephew, Karl
Storz, Covidien, and Others (includes corresponding
Graph/Chart) II-12

Table 5: Leading Players in the Global Rigid Endoscope
Market (2007): Percentage Breakdown of Value Sales for
Karl Storz, Olympus, Smith & Nephew, Stryker, Richard
Wolf, and Others (includes corresponding Graph/Chart) II-13

Table 6: Leading Players in the Global Flexible Endoscopes
Market (2008E): Percentage Breakdown of Value Sales for
Olympus, Hoya Corporation (Pentax) , and Fujinon (includes
corresponding Graph/Chart) II-13

Table 7: Leading Players in the Global Capsule Endoscopes
Market (2008E): Percentage Breakdown of Value Sales for
Given Imaging and Others II-13
The Batting Order in the US Market II-14
Table 8: Endoscopes Market in the United States (2008):
Percentage Breakdown of Revenues by Specialty - GI
Endoscopes, Pulmonary Endoscopes, Urology and Endourology
Endoscopes, Gynecology Endoscopes, Laparoscopes,
Arthroscopes, Neuroendoscopes, and E.N.T. Endoscopes
(includes corresponding Graph/Chart)II-14

Table 9: Leading Players in the US Endoscopy Systems Market
(2008E): Percentage Share Breakdown of Sales for Olympus,
Karl Storz, Hoya Corporation (Pentax), Fujinon, and Others
(includes corresponding Graph/Chart)II-14

Table 10: Leading Players in the US Gastrointestinal
Endoscopy Market (2008E): Percentage Share Breakdown of
Sales for Olympus, Hoya Corporation (Pentax), and Others
(includes corresponding Graph/Chart) II-15

2. PRODUCT OVERVIEW II-16
What is Endoscopy? II-16
Types of Gastrointestinal Endoscopy Devices II-16
Gastrointestinal EndoscopesII-16
Types of Gastrointestinal Endoscopes II-17
Upper G.I. EndoscopyII-17
Lower G.I. EndoscopyII-17
GI Videoscopes II-17
Video Colonoscopes II-17
Video Gastroscopes II-18
Video Duodenoscopes II-18
Video Ultrasound Endoscopes II-18
Others Types of GI Videoscopes II-19
Video Sigmoidoscopes II-19
Video Enteroscopes II-19
Endoscopic Retrograde Cholangiopancreatography (ERCP) Devices II-19
Biopsy Devices II-20
Hemostatis Devices II-20
Argon Plasma Coagulation Probe II-20
Ligation Clips/ HemoclipsII-21
Ligation Band II-21
Sclerotherapy Injection NeedlesII-21
Electrosurgery ProbeII-22
Capsule Endoscopy II-22
Drawbacks II-23
Risks II-23
Safe for Children II-23
Other Gastrointestinal Endoscopy Devices II-23
Enteral Feeding DevicesII-23
Esophageal & Biliary Stents II-24
Esophageal Dilatation Balloon II-24
Retrieval Devices II-24
Polypectomy Snare II-24
Anti-Reflux Devices II-25
Indications for GI endoscopyII-25
Diagnostic Procedures Performed During GI Endoscopy II-25
Therapeutic Procedures Performed During GI Endoscopy II-26

3. PRODUCT INNOVATIONS/INTRODUCTIONS II-27
Olympus Launches EU-ME1, First Universal Endoscopic Ultrasound
Processor II-27
TeraRecon Unveils Aquarius iNtuition Version 4.4II-27
CONMED Endoscopic Introduces Gastrointestinal Endoscopy
Solutions II-28
Fujinon Rolls out Fully Digital EPX-4400 Endoscope System II-28
Given Imaging Introduces VueSpan Diagnostic Services II-29
NDS Unveils Next-gen Visualization and Informatics Products
for Surgery II-29
NDS Unveils Latest Visualization Technologies for Endoscopy
ProceduresII-30
Olympus Launches Endo Capsule II-30
US Endoscopy Introduces BioShield ERCP Biopsy Valve II-30
US Endoscopy Rolls Out iSnare Injection Therapy and
Polypectomy System II-31
Boston Scientific Unveils SpyGlass Direct Visualization System II-31
Olympus Introduces GIF-FQ260Z and CF-FH260AZL/I GI Videoscopes II-31
PENTAX Releases i-Flex Scopes and EPK-i Video Endoscopic Systems II-32
Olympus Unveils Endo Capsule for Small Bowel Mucosa
Visualization II-32
Olympus Unveils New Multispectral Video Endoscope TechnologyII-32
Olympus Introduces High-resolution Capsule Endoscope II-33
PENTAX Unveils " i " Series Endoscopic System with Megapixel
Image Support II-33
Viatronix, Medicsight Jointly Release CAD Integrated V3D-Colon II-34

4. RECENT INDUSTRY ACTIVITYII-35
Given Imaging Inks Distribution Agreement with FUJIFILM II-35
E-Z-EM, Inc Merges with Eagle Acquisition Sub II-35
PENTAX and HOYA Merge II-35
FUJIFILM Merges Fujinon’s Endoscope Business into Medical
System Business Division II-36
Given Imaging Takes Over Bravo pH-Monitoring Business of
Medtronic II-36
Smiths Group Acquires Zhejiang Zheda Medical Instrument II-37
Olympus Takes Over Gyrus Group II-37
ICAD and ACR Image Form Partnership to Initiate Colon-CAD
Clinical Study II-37
Karl Storz Inks Deal with EndoGastric for Marketing EsophyX
and StomaphyX II-38
Toshiba PACS Unit and Medicsight Ink Commercial Agreement II-38
Visage Imaging Inks Marketing Agreement with Viatronix II-39
Given Imaging Bags a 5-Year FSS ContractII-39
Given Imaging Receives Approval for PillCam COLON II-40
Medicsight PLC Seeks FDA Approval for Marketing ColonCAD in
the US II-40
Spirus Medical Receives FDA Approval II-40
The Scope Exchange and SterilMed Announce MergerII-40
Alpine Announces Acquisition of GI Diagnostic Product
Portfolio of MedtronicII-41
Medicsight Collaborates with Visage Imaging II-41
iCAD Licenses NIH Technology and Expands Offerings for
Colonoscopy II-42
Given Imaging and Fujinon Corporation Enter into an Agreement II-42
InScope Terminates Marketing Agreement with Given Imaging II-43
Given Imaging Receives Approval for PillCam SB Capsule
Endoscope in Japan II-43
Avantis Medical Receives FDA Clearance for its Third Eye
RetroscopeII-44
Given Imaging Secures FDA Approval for Next-Generation PilCam
ESO 2 II-44
Given Imaging Receives FDA Approval for PilCam SB 2 and RAPID
5 SoftwareII-45
IntroMedic’s MiroCam Receives CE Mark Clearance II-45
IntroMedic Secures Korean FDA Approval for MiroCam II-45
Bovie Announces Acquisition of Lican II-45
Stryker Completes Acquisition of Sightline Technologies II-46

5. FOCUS ON SELECT PLAYERS II-47
Boston Scientific Corporation (USA) II-47
CONMED Corporation (USA) II-47
Fresenius Kabi AG (Germany) II-48
Fujifilm (Japan) II-48
Given Imaging, Ltd (Israel) II-48
Hobbs Medical, Inc. (USA) II-49
Hoya Corporation (Japan) II-49
Johnson & Johnson (USA)II-49
Ethicon Endo-Surgery, Inc. (USA) II-50
Cordis Corporation (USA) II-50
KARL STORZ GmbH & Co. KG (Germany)II-50
KARL STORZ Endoscopy-America, Inc. (USA) II-50
Medi-Globe GmbH (Germany) II-50
Olympus Corporation (Japan) II-51
Olympus Medical Systems (Japan) II-51
Olympus America, Inc. (USA)II-51
Gyrus ACMI (USA)II-52
Richard Wolf GmbH (Germany) II-52
US Endoscopy (USA) II-52

6. MARKET PERSPECTIVEII-53
Table 11: US Recent Past, Current & Future Analysis for
Gastrointestinal Endoscopy Devices by Product Segment - GI
Videoscopes (Video Colonoscopes, Video Gastroscopes, Video
Duodenoscopes, Video Ultrasound Endoscopes, and Others),
Endoscopic Retrograde Cholangiopancreatography (ERCP) Devices,
Biopsy Devices, Hemostatis Devices, Capsule Endoscopy, and
Others Independently Analyzed with Annual Sales Figures in
US$ Million for Years 2006 through 2015 (includes
corresponding Graph/Chart) II-53

Table 12: US 10-Year Perspective for Gastrointestinal
Endoscopy Devices by Product Segment - Percentage Breakdown
of Dollar Sales for GI Videoscopes (Video Colonoscopes, Video
Gastroscopes, Video Duodenoscopes, Video Ultrasound
Endoscopes, and Others), Endoscopic Retrograde
Cholangiopancreatography (ERCP) Devices, Biopsy Devices,
Hemostatis Devices, Capsule Endoscopy, and Others for Years
2006, 2009 & 2015 (includes corresponding Graph/Chart) II-54


III. COMPETITIVE LANDSCAPE

Total Companies Profiled: 32 (including Divisions/Subsidiaries - 58)