Global Laparoscopic Devices Industry

  • October 2013
  • -
  • Global Industry Analysts
  • -
  • 312 pages

This report analyzes the worldwide markets for Laparoscopic Devices in US$ Thousand by the following Product Segments: Laparoscopes, Trocars, Insufflation and Suction/Irrigation Devices, Closure Devices, Hand Instruments, Direct Energy Devices, Gastric Band, Hand Assist Devices, and Other Devices.

The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Middle East, and Latin America. Annual estimates and forecasts are provided for the period 2010 through 2018. Also, a six-year historic analysis is also provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs.

The report profiles 82 companies including many key and niche players such as -
Allergan, Inc.
B. Braun Melsungen AG
Aesculap AG
Boston Scientific Corp.
Cardinal Health, Inc.
Conmed Corporation
Covidien Ltd.

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-2
Product Definition and Scope of Study I-3


II. EXECUTIVE SUMMARY

1. GLOBAL MARKET OVERVIEW II-1
Laparoscopy - An Evolving Surgical Standard II-1
Outlook II-2
US Dominates the Global Laparoscopic Devices Market II-2
Table 1: Global Laparoscopic Devices Market: Percentage
Breakdown of Revenues by Region (includes corresponding
Graph/Chart) II-2
Asia Pacific and Latin America to Drive Future Growth II-2
Direct Energy Devices and Hand-Assist Devices Leads Market
Growth II-3
Key Market Drivers II-3
Key Market Restraints II-3
Healthcare Economics Amidst a Weak Economy II-3
Competitive Scenario II-5

2. MARKET DYNAMICS II-6
Hand-Assist Devices Eliminate Obstacles II-6
Microlaparoscopy - Limited to Specific Procedures II-6
Robot-Assisted Laparoscopy - Changing the Face of Laparoscopic
Surgery II-6
Non-Invasive Surgical Procedures- A New Revolution in the Making II-7

3. MARKET TRENDS II-8
Technological Advancements Drive Market Growth II-8
Recent Technological Breakthroughs in Laparoscopic Devices II-8
Growing Popularity of Single-Incision Laparoscopic Surgery II-10
Clinical Trials Held for Single-Incision Laparoscopic
Technique (2008-2012) II-11
Reviving Interest in ‘Mini’ Laparoscopic Instrumentation II-12
Growing Emphasis on Modular Laparoscopic Instruments II-12
Focus on Devices for Optimal Visualization of the Target Tissue II-13
Multi-Function Instruments System Gaining Ground II-13
3D Systems to Oust 2D Systems II-14
Innovative 3D Camera Systems and Laparoscopes Swamp the Market II-15
Companies Focus on Effective Port Site Closure Devices II-15
Emerging Technologies to Drive Market for Devices in Bariatric
Surgeries II-16
Waning Demand for Gastric Banding Procedures II-17
Gastric Sleeving is Fast Replacing Gastric Banding Procedure II-17
Versatility - The Key Driver to Innovation II-18
Reusable Instruments Gain Prominence II-18
Size and Energy Displacement Factors to Steer New Product
Development II-18

4. ISSUES AND CHALLENGES II-19
Functional Difficulties II-19
Cost Concerns Vs. Healthcare Cost Containment II-19
Additional Training Requirements - Impeding Growth in Adoption II-19

5. PRODUCT OVERVIEW II-20
Minimally Invasive Surgeries - Transforming the Surgical Arena II-20
Endoscopy II-20
Components of an Endoscope II-21
Types of Endoscopy II-21
Endoscopy of Gastrointestinal tract II-21
Endoscopy During Pregnancy II-21
Endoscopy of Body Cavities II-21
Others II-21
Review of Technologies Reshaping the Market II-21
Robotics in Endoscopy II-21
Growing Trend towards Integrated Operating Room Suites II-22
Confocal Microendoscopes II-22
High Definition Endoscopy II-23
Endoscopic Ultrasound II-23
Auto Fluorescence Imaging II-23
Narrow Band Imaging Technology II-23
Multi-Band Imaging II-24
NOTES - A New Dimension to Translumenal Endoscopy II-24
Competitive Scenario II-24
Table 2: 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-25

6. LAPAROSCOPY - AN OVERVIEW II-26
Laparoscopic Surgery II-26
A Historical Perspective II-26
Process of Laparoscopy II-27
Pediatric Laparoscopy II-27
Imaging in Laparoscopy II-27
Advantages of Laparoscopy II-28
Disadvantages of Laparoscopy II-28
Key Risks Involved in Laparoscopic Procedures II-28
Life Threatening and Challenging Steps of Laparoscopy II-29
Conversion from Laparoscopic to Open Surgery II-29
Repeat Laparoscopy II-29
Laparoscopy for Diagnosis and Treatment II-30
Diagnostic Laparoscopy II-30
Therapeutic Laparoscopy II-30

7. LAPAROSCOPIC SURGICAL PROCEDURES II-31
Laparoscopic Bariatric Procedures II-31
Laparoscopic Cholecystectomy II-31
Laparoscopic Antireflux Procedure II-32
Laparoscopic Adrenalectomy II-32
Laparoscopic Appendectomy II-32
Laparoscopic Hernia Repair II-32
Laparoscopic Splenectomy II-33
Laparoscopic Cancer Treatment II-33
Other Laparoscopic Procedures II-33
Malrotation II-33
Peritoneal Implants II-33
Rectal Prolapse II-34
Rectal Tumor II-34
Renal Lithiasis II-34

8. MARKET SEGMENTATION II-35
Laparoscopes II-35
Types of Laparoscopes II-36
Viewing Laparoscopes II-36
Video Laparoscopes II-36
Diagnostic Laparoscopes II-36
Operating Laparoscopes II-36
Trocars II-37
Insufflation and Suction/Irrigation Devices II-37
Insufflation Systems II-38
Suction/Irrigation Systems II-38
Closure Devices II-38
Staplers II-38
Clip Appliers II-39
Sutures II-39
Knot Pushers and Needle Holders II-39
Hand Instruments II-39
Forceps and Scissors II-39
Tissue Retractors and Tissue Removal Bags II-40
Direct Energy Devices II-40
Electrodes II-40
Ultrasonic Instruments II-40
Gastric Band II-40
Adjustable Gastric Bands II-41
Background II-41
Available Gastric Bands II-41
Adjustable Gastric Bands Marketed in the US and Europe II-42
Table 3: Leading Players in the Global Gastric Bands Market
(2010): Percentage Share Breakdown of Value Sales for
Allergan, Johnson and Johnson/Ethicon, and Others (includes
corresponding Graph/Chart) II-42
Hand-Assist Devices II-42
Other Laparoscopic Devices II-43
Female sterilization devices II-43

9. PRODUCT INNOVATIONS/INTRODUCTIONS II-44
Life Care Medical Devices Introduces KeyHole Cup Device II-44
Ethicon Endo-Surgery Introduces HARMONIC ACE®+ Shears II-44
NovaTract Showcases the NovaTractTM Dynamic Retractor at
Scientific Congregations Held in the US II-44
Covidien Unveils New Hernia Care Products II-45
CareFusion Introduces Snowden-Pencer® Take-Apart Laparoscopic
Scissors II-45
Ethicon Endo-Surgery Unveils ENSEAL G2 Articulating Tissue Sealer II-46
Olympus Launches New 3D Laparoscopy System and 3D Laparoscope II-46
SonaCare Medical Launches Two New Products with HIFU Technology II-47
Olympus Medical Systems Unveils EVIS EXERA III Endoscopic System II-47
Integra LifeSciences Launches Jarit Take-Apart Laparoscopic
Instrument Line II-48
Aesculap Launches Caiman® 5 Cutting and Sealing Device II-48
CooperSurgical Unveils Carter-Thomason II Port Closure System
for Laparoscopic Surgeries II-49
OmniGuide Rolls Out New Laparoscopic Instruments II-49
SurgiQuest Rolls Out AnchorPort® Trocar and AirSeal® Access
System Product Line II-49
Teleflex Releases Comprehensive Range of Weck Access Devices
for Laparoscopic Procedures II-50
Ethicon Endo-Surgery Introduces Comprehensive Solution for
Laparoscopic Sleeve Gastrectomy II-50
Covidien Unveils Novel Cordless Surgical Instruments II-50
Ethicon Endo-Surgery Unveils ECHELON FLEXâ„¢ Powered ENDOPATH
Stapler II-51
Ethicon Endo-Surgery Launches EES Solution for Laparoscopic
Sleeve Gastrectomy II-52
Covidien Launches V-Locâ„¢ Knotless Suturing Reload for Single-
Incision and Laparoscopic Procedures II-52
Olympus Releases THUNDERBEAT II-53
Hamad Medical Introduces AirSeal Integrated Access System II-53
Covidien Introduces Three Ground-Breaking Surgical Devices II-53
Olympus Medical Systems Unveils EVIS EXERA III Endoscopic System II-54
Minimally Invasive Devices Introduces FloShield PLUS
Laparoscopic Visualization System II-55
Ethicon Endo-Surgery Unveils ENDOPATH XCEL with OPTIVIEW
Technology Trocar II-56
Surgical Innovations to Introduce 3mm ResposableTM Product Line II-56
Covidien Unveils V-Locâ„¢ PBT Uni-Directional, Non-Absorbable
Knotless Suture II-56
Aesculap Launches the New Reusable Trocar System II-57
Ethicon Introduces ETHICON SECURESTRAPâ„¢ 5mm Absorbable Strap
Fixation Device II-57
TransEnterix Launches SPIDER MicroLap Instruments for
Minimally Invasive Surgery II-57
Solos Endoscopy Introduces New Modifications to Laparoscopic
Instruments Line II-58
Innovia Launches InnoPortâ„¢ for Single Incision Laparoscopy II-58
PolyTouch Obtains FDA Approval PatchAssistâ„¢ Laparoscopic
Surgical Instrument II-58
Palmyra Medical Center Exploits SPIDERâ„¢ Surgical System II-59
Microline Rolls out LapFinger Laparoscopic Instrument II-59
Patton Surgical Introduces “Robotic 8.5mm Endoscope PassPort”
Disposable Endoscope Trocar II-59
EES Launches HARMONIC ACE® 45 cm Curved Shears II-60
Steerable Technologix Rolls Out SurgiSteer Product Range II-60
Covidien Launches SILS Stitch Articulating Suturing Device II-60
Healthier Weight Unveils Gastric Band Patient Card II-61
PolyTouch Develops PatchAssistâ„¢ Laparoscopic Surgical Instrument II-61
Ethicon Introduces New Realizeâ„¢ Adjustable Gastric Band-C II-61
Surgical Innovations Introduces LogiFlex II-62
CareFusion to Introduce New Snowden-Pencer® Line of
Laparoscopic Devices II-62
Olympus Launches New LESS Surgery Device II-62
Innovative Medical Products Introduces New LapWrap Positioning
Pad for Orthopedic and Laparoscopic Surgery II-62
SMI Introduces New PerClotâ„¢ Laparoscopic Hemostat II-62
Covidien Introduces SILS Port II-63
Researchers Bring “Wrist-like Action” into Laparoscopic
Surgical Tools II-63

10. RECENT INDUSTRY ACTIVITY II-64
Teleflex Acquires InnoLap Surgical Micro-Laparoscopy Technology II-64
Encision Inks Exclusive Distribution Agreement with Virtual
Ports for Laparoscopic Surgery Devices II-64
Eli Lilly Takes Over Origin Medsystems II-64
Teleflex Clinches Two New Contracts from Premier II-65
Surgical Innovations Signs Exclusive Distribution Agreement
with CareFusion II-65
Teleflex to Acquire Axiom Technology Partners II-65
Eon Surgical Seeks FDA Clearance for InterTipâ„¢ Surgical System II-66
Ethicon Obtains 510(k) Clearance for HARMONIC ACE®+ Shears II-66
Ethicon Endosurgery Obtains FDA Approval for Percutaneous
Surgical Set II-67
Surgical Innovations Receives FDA Approval for Reusable
PretzelFlexTM Laparoscopic Retractor II-67
Microline Surgical Merges with Starion Instruments II-67
Intuitive Surgical Receives FDA Approval for Da Vinci Single-
Site LAP Chole System II-67
Covidien to Showcase Latest Advancements in Surgical
Instrumentation II-68
Allergen Receives FDA Approval for Expanded Use of Lap-Band
Gastric Band in the US II-69
Aesculap Takes Over Aragon Surgical II-69
Senko Medical and Virtual Ports Sign Distribution Agreement
for EndoGrab II-69
NeatStitch and NIH sign Collaboration Agreement II-69
Encision and HealthTrust Enter into Purchasing Agreement II-70
USHIFU Acquires Distribution Rights and HIFU Assets from Misonix II-70
CareFusion Inks Distribution Agreement with Minimally Invasive
Devices II-70
Covidien Extends Agreement with Allergan II-70
SurgiQuest Obtains FDA Approval for AnchorPort II-71
South Fulton Purchases FreeHand® Laparoscopic Camera Controller II-71
Misonix Sells Ultrasonic Laboratory to iSonix LLC II-71
SurgiQuest and Intuitive Surgical Enter into Development and
Supply Agreement II-71
Integra LifeSciences Inks Contract with Premier Purchasing
Partners II-71
Microline PENTAX Undergoes Name Change to Microline Surgical II-72
Microline Takes Over Starion II-72
Bovie Medical Obtains FDA Clearance for SEER Device II-72
Innovia Receives 510(k) Clearance from US FDA for InnoPort
Laparoscopy Device II-72
Covidien Receives FDA Approval for SILSâ„¢ Port Multiple
Instrument Access Port II-73
Integra LifeSciences Acquires Omni-Tract Surgical II-73

11. FOCUS ON SELECT GLOBAL PLAYERS II-74
Allergan, Inc. (US) II-74
B. Braun Melsungen AG (Germany) II-74
Aesculap AG (Germany) II-75
Boston Scientific Corp. (US) II-75
Cardinal Health, Inc. (US) II-76
Conmed Corporation (US) II-76
Covidien Ltd. (Ireland) II-77
Ethicon Endo-Surgery, Inc. (US) II-77
Intuitive Surgical, Inc. (US) II-78
Karl Storz GmbH and Co. KG (Germany) II-79
Microline Surgical, Inc. (US) II-79
Olympus Europa Holding GmbH (Germany) II-79
Smith and Nephew, Inc. (US) II-80
STRYKER Corp. (US) II-80
Teleflex Medical (US) II-81

12. GLOBAL MARKET PERSPECTIVE II-82
Table 4: World Recent Past, Current and Future Analysis for
Laparoscopic Devices by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-82

Table 5: World Historic Review for Laparoscopic Devices by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-83

Table 6: World 15-Year Perspective for Laparoscopic Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-84

Table 7: World Recent Past, Current and Future Analysis for
Laparoscopes by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-85

Table 8: World Historic Review for Laparoscopes by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Thousand for Years 2004 through 2009
(includes corresponding Graph/Chart) II-86

Table 9: World 15-Year Perspective for Laparoscopes by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-87

Table 10: World Recent Past, Current and Future Analysis for
Trocars by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-88

Table 11: World Historic Review for Trocars by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Thousand for Years 2004 through 2009
(includes corresponding Graph/Chart) II-89

Table 12: World 15-Year Perspective for Trocars by Geographic
Region - Percentage Breakdown of Dollar Sales for US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin American
Markets for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) II-90

Table 13: World Recent Past, Current and Future Analysis for
Insufflation and Suction/ Irrigation Devices by Geographic
Region - US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin American Markets Independently Analyzed with Annual
Sales Figures in US$ Thousand for Years 2010 through 2018
(includes corresponding Graph/Chart) II-91

Table 14: World Historic Review for Insufflation and
Suction/Irrigation Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2004 through 2009 (includes
corresponding Graph/Chart) II-92

Table 15: World 15-Year Perspective for Insufflation and
Suction/Irrigation Devices by Geographic Region - Percentage
Breakdown of Dollar Sales for US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin American Markets for Years
2004, 2013 and 2018 (includes corresponding Graph/Chart) II-93

Table 16: World Recent Past, Current and Future Analysis for
Closure Devices by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-94

Table 17: World Historic Review for Closure Devices by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-95

Table 18: World 15-Year Perspective for Closure Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-96

Table 19: World Recent Past, Current and Future Analysis for
Hand Instruments by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-97

Table 20: World Historic Review for Hand Instruments by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-98

Table 21: World 15-Year Perspective for Hand Instruments by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-99

Table 22: World Recent Past, Current and Future Analysis for
Direct Energy Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-100

Table 23: World Historic Review for Direct Energy Devices by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-101

Table 24: World 15-Year Perspective for Direct Energy Devices
by Geographic Region - Percentage Breakdown of Dollar Sales
for US, Canada, Japan, Europe, Asia-Pacific, Middle East and
Latin American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-102

Table 25: World Recent Past, Current and Future Analysis for
Gastric Bands by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-103

Table 26: World Historic Review for Gastric Bands by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-104

Table 27: World 15-Year Perspective for Gastric Bands by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-105

Table 28: World Recent Past, Current and Future Analysis for
Hand-Assist Devices by Geographic Region - US, Canada, Japan,
Europe, Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2010 through 2018 (includes corresponding
Graph/Chart) II-106

Table 29: World Historic Review for Hand-Assist Devices by
Geographic Region - US, Canada, Japan, Europe, Asia-Pacific,
Middle East and Latin American Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) II-107

Table 30: World 15-Year Perspective for Hand-Assist Devices by
Geographic Region - Percentage Breakdown of Dollar Sales for
US, Canada, Japan, Europe, Asia-Pacific, Middle East and Latin
American Markets for Years 2004, 2013 and 2018 (includes
corresponding Graph/Chart) II-108

Table 31: World Recent Past, Current and Future Analysis for
Other Laparoscopic Devices by Geographic Region - US, Canada,
Japan, Europe, Asia-Pacific, Middle East and Latin American
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) II-109

Table 32: World Historic Review for Other Laparoscopic Devices
by Geographic Region - US, Canada, Japan, Europe,
Asia-Pacific, Middle East and Latin American Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) II-110

Table 33: World 15-Year Perspective for Other Laparoscopic
Devices by Geographic Region - Percentage Breakdown of Dollar
Sales for US, Canada, Japan, Europe, Asia-Pacific, Middle East
and Latin American Markets for Years 2004, 2013 and 2018
(includes corresponding Graph/Chart) II-111


III. MARKET

1. THE UNITED STATES III-1
A.Market Analysis III-1
Outlook III-1
Market Overview III-1
Growth Drivers in a Nut Shell III-2
Laparoscopic Procedures III-3
Table 34: US Recent Past, Current, and Future Analysis for
Laparoscopic Procedural Volumes in Thousands for the years
2009 through 2018 (includes corresponding Graph/Chart) III-3
Competitive Scenario III-3
Microscopes and Cameras III-4
Table 35: Leading Players in Laparoscopes and Surgical
Cameras (2013E): Percentage Share Breakdown of Sales for
Karl Storz, Stryker, Olympus, Smith and Nephew, and Others
(includes corresponding Graph/Chart) III-4
Trocars, Insufflation and Suction/Irrigation devices III-4
Table 36: Leading Players in the US Trocars and
Insufflation and Suction/Irrigation Devices Market
(2013E): Percentage Share Breakdown of Sales for Ethicon
Endo-Surgery, Covidien, Karl Storz and Others (includes
corresponding Graph/Chart) III-4
Market Trends III-5
Demand for Advanced Direct Energy Devices on the Rise III-5
Single-Port Procedures Gains Traction III-5
Competition III-5
Bariatric Surgery - Ultimate Option for Obesity Treatment III-6
Uncertain Economy Affects Demand for Bariatric Procedures III-6
Gastric Banding Procedures Witness Sharp Decline III-7
Table 37: US Sales of Gastric Band from 2010 through 2018
(US$ Million) (includes corresponding Graph/Chart) III-8

Table 38: Leading Gastric Banding Devices in the US
(2010): Percentage Share Breakdown of Procedure Volume
(includes corresponding Graph/Chart) III-8
Reimbursement Fact Sheets III-9
Table 39: 2013 Bariatric Surgery Reimbursements III-9
Table 40: Outpatient Facility III-9
Table 41: 2013 Cholecystectomy Reimbursement Sheet III-10
Recession Spurs Demand for Reprocessed Equipment III-10
Product Launches III-11
Strategic Corporate Developments III-24
Key Players in The Market III-32
B.Market Analytics III-39
Table 42: US Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-39

Table 43: US Historic Review for Laparoscopic Devices by
Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-40

Table 44: US 15-Year Perspective for Laparoscopic Devices by
Segment - Percentage Breakdown of Dollar Sales for
Laparoscopes, Trocars, Insufflation and Suction/Irrigation
Devices, Closure Devices, Hand Instruments, Direct Energy
Devices, Gastric Band, Hand-Assist Devices and Other
Laparoscopic Devices Markets for Years 2004, 2013 and 2018
(includes corresponding Graph/Chart) III-41

2. CANADA III-42
Market Analysis III-42
Table 45: Canadian Recent Past, Current and Future Analysis
for Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-42

Table 46: Canadian Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-43

Table 47: Canadian15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-44

3. JAPAN III-45
A.Market Analysis III-45
Current and Future Analysis III-45
Product Launch III-45
Strategic Corporate Development III-45
B.Market Analytics III-46
Table 48: Japanese Recent Past, Current and Future Analysis
for Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-46

Table 49: Japanese Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-47

Table 50: Japanese 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-48

4. EUROPE III-49
A.Market Analysis III-49
Outlook III-49
Market Overview III-49
Competition III-50
Table 51: European Laparoscopes Market (2013E): Percentage
Breakdown of Revenues from Laparoscopes Ranked by Leading
Companies - Karl Storz, Olympus Europa Gmbh, Stryker
Corporation, Smith and Nephew and Others (includes
corresponding Graph/Chart) III-50
Minimally Invasive Surgeries - European Market Review III-50
Bariatric Surgery in Europe III-51
Gastric Banding Loses Ground to Gastric Bypass III-51
Leading Players in the Gastric Band Device Market III-52
Product Launches III-52
Strategic Corporate Developments III-56
Key Players III-58
B.Market Analytics III-60
Table 52: European Recent Past, Current and Future Analysis
for Laparoscopic Devices by Geographic Region - France,
Germany, Italy, UK, Spain, Russia and Rest of European
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-60

Table 53: European Historic Review for Laparoscopic Devices
by Geographic Region - France, Germany, Italy, UK, Spain,
Russia and Rest of European Markets Independently Analyzed
with Annual Sales Figures in US$ Thousand for Years 2004
through 2009 (includes corresponding Graph/Chart) III-61

Table 54: European 15-Year Perspective for Laparoscopic
Devices by Geographic Region - Percentage Breakdown of
Dollar Sales for France, Germany, Italy, UK, Spain, Russia
and Rest of European Markets for Years 2004, 2013 and 2018
(includes corresponding Graph/Chart) III-62

Table 55: European Recent Past, Current and Future Analysis
for Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-63

Table 56: European Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-64

Table 57: European 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-65

4a. FRANCE III-66
A.Market Analysis III-66
Outlook III-66
B.Market Analytics III-66
Table 58: French Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/ Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-66

Table 59: French Historic Review for Laparoscopic Devices by
Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-67

Table 60: French 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-68

4b. GERMANY III-69
A.Market Analysis III-69
Outlook III-69
B.Market Analytics III-69
Table 61: German Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-69

Table 62: German Historic Review for Laparoscopic Devices by
Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-70

Table 63: German 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-71

4c. ITALY III-72
Market Analysis III-72
Table 64: Italian Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-72

Table 65: Italian Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-73

Table 66: Italian 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-74

4d. UNITED KINGDOM III-75
Market Analysis III-75
Table 67: UK Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/ Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018
(includescorresponding Graph/Chart) III-75

Table 68: UK Historic Review for Laparoscopic Devices by
Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-76

Table 69: UK 15-Year Perspective for Laparoscopic Devices by
Segment - Percentage Breakdown of Dollar Sales for
Laparoscopes, Trocars, Insufflation and Suction/Irrigation
Devices, Closure Devices, Hand Instruments, Direct Energy
Devices, Gastric Band, Hand-Assist Devices and Other
Laparoscopic Devices Markets for Years 2004, 2013 and 2018
(includes corresponding Graph/Chart) III-77

4e. SPAIN III-78
Market Analysis III-78
Table 70: Spanish Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/ Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-78

Table 71: Spanish Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-79

Table 72: Spanish 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-80

4f. RUSSIA III-81
Market Analysis III-81
Table 73: Russian Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-81

Table 74: Russian Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-82

Table 75: Russian 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-83

4g. REST OF EUROPE III-84
Market Analysis III-84
Table 76: Rest of Europe Recent Past, Current and Future
Analysis for Laparoscopic Devices by Segment - Laparoscopes,
Trocars, Insufflation and Suction/Irrigation Devices,
Closure Devices, Hand Instruments, Direct Energy Devices,
Gastric Band, Hand-Assist Devices and Other Laparoscopic
Devices Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2010 through 2018
(includes corresponding Graph/Chart) III-84

Table 77: Rest of Europe Historic Review for Laparoscopic
Devices by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-85

Table 78: Rest of Europe 15-Year Perspective for
Laparoscopic Devices by Segment - Percentage Breakdown of
Dollar Sales for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-86

5. ASIA-PACIFIC III-87
Market Analysis III-87
Table 79: Asia-Pacific Recent Past, Current and Future
Analysis for Laparoscopic Devices by Geographic Region -
China, India and Rest of Asia-Pacific Markets Independently
Analyzed with Annual Sales Figures in US$ Thousand for Years
2010 through 2018 (includes corresponding Graph/Chart) III-87

Table 80: Asia-Pacific Historic Review for Laparoscopic
Devices by Geographic Region - China, India and Rest of
Asia-Pacific Markets Independently Analyzed with Annual
Sales Figures in US$ Thousand for Years 2004 through 2009
(includes corresponding Graph/Chart) III-88

Table 81: Asia-Pacific 15-Year Perspective for Laparoscopic
Devices 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-89

Table 82: Asia-Pacific Recent Past, Current and Future
Analysis for Laparoscopic Devices by Segment - Laparoscopes,
Trocars, Insufflation and Suction/ Irrigation Devices,
Closure Devices, Hand Instruments, Direct Energy Devices,
Gastric Band, Hand-Assist Devices and Other Laparoscopic
Devices Markets Independently Analyzed with Annual Sales
Figures in US$ Thousand for Years 2010 through 2018
(includes corresponding Graph/Chart) III-90

Table 83: Asia-Pacific Historic Review for Laparoscopic
Devices by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-91

Table 84: Asia-Pacific 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-92

5a. CHINA III-93
Market Analysis III-93
Table 85: Chinese Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/ Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-93

Table 86: Chinese Historic Review for Laparoscopic Devices
by Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-94

Table 87: Chinese 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding
Graph/Chart) III-95

5b. INDIA III-96
Market Analysis III-96
Table 88: Indian Recent Past, Current and Future Analysis for
Laparoscopic Devices by Segment - Laparoscopes, Trocars,
Insufflation and Suction/ Irrigation Devices, Closure
Devices, Hand Instruments, Direct Energy Devices, Gastric
Band, Hand-Assist Devices and Other Laparoscopic Devices
Markets Independently Analyzed with Annual Sales Figures in
US$ Thousand for Years 2010 through 2018 (includes
corresponding Graph/Chart) III-96

Table 89: Indian Historic Review for Laparoscopic Devices by
Segment - Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
Independently Analyzed with Annual Sales Figures in US$
Thousand for Years 2004 through 2009 (includes corresponding
Graph/Chart) III-97

Table 90: Indian 15-Year Perspective for Laparoscopic
Devices by Segment - Percentage Breakdown of Dollar Sales
for Laparoscopes, Trocars, Insufflation and
Suction/Irrigation Devices, Closure Devices, Hand
Instruments, Direct Energy Devices, Gastric Band,
Hand-Assist Devices and Other Laparoscopic Devices Markets
for Years 2004, 2013 and 2018 (includes corresponding

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