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Global Laparoscopic Devices Industry

  • March 2015
  • -
  • Global Industry Analysts
  • -
  • 333 pages

This report analyzes the worldwide markets for Laparoscopic Devices in US$ Thousands 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 Laparoscopic 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 2014 through 2020. Also, a seven-year historic analysis is 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 79 companies including many key and niche players such as -

B. Braun Melsungen AG
Boston Scientific Corp.
Conmed Corporation
Medtronic, Inc.
Ethicon Endo-Surgery, Inc.

Table Of Contents

Global Laparoscopic Devices Industry



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 (2015) (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
Global Healthcare Spending - A Review II-3
Aging Population Buoys Demand for Laparoscopic Devices II-4
Table 2: Life Expectancy (in Yrs) at Age 60 and 80 Years of
Age - (2010-2015), (2020-2025) and (2045-2050) (includes
corresponding Graph/Chart) II-5
Table 3: Life Expectancy at Birth for Select Countries (2012)
(includes corresponding Graph/Chart) II-6
Table 4: Global Aging Population by Age Group: 1975-2050 (In
Million) (includes corresponding Graph/Chart) II-7
Table 5: Aging Population by Age Group in More Developed
Countries (1975-2050) (includes corresponding Graph/Chart) II-7
Developing Nations Offer Lucrative Opportunities II-8
Table 6: Healthcare Spending as a Percentage of GDP in Select
Developing Countries - Lower Share Promising Potential: 2012
(includes corresponding Graph/Chart) II-8
Minimally Invasive Procedures Charge up Laparascopic Devices
Market II-8
Competitive Scenario II-9

2. MARKET DYNAMICS II-10
Robot-Assisted Laparoscopy - Changing the Face of Laparoscopic
Surgery II-10
Non-Invasive Surgical Procedures- A New Revolution in the Making II-10
Hand-Assist Devices Continue to Garner Demand II-10
Microlaparoscopy - Limited to Specific Procedures II-11

3. MARKET TRENDS II-12
Focus Grows on Reducing Laparoscopy Procedure Costs II-12
Technological Advancements Drive Market Growth II-12
Recent Technological Breakthroughs in Laparoscopic Devices II-13
Growing Popularity of Single-Incision Laparoscopic Surgery II-14
Reviving Interest in ‘Mini' Laparoscopic Instrumentation II-15
Growing Emphasis on Modular Laparoscopic Instruments II-16
Focus on Devices for Optimal Visualization of the Target Tissue II-16
Multi-Function Instruments System Gain Ground II-17
Thermal Plasma based Energy-based Surgical Systems - A New
Advancement II-18
3D Systems to Oust 2D Systems II-18
Innovative 3D Camera Systems and Laparoscopes Swamp the Market II-19
Companies Focus on Effective Port Site Closure Devices II-19
Next Generation Closure Technologies Offer Lucrative
Opportunities II-20
Emerging Technologies to Drive Market for Devices in Bariatric
Surgeries II-21
Waning Demand for Gastric Banding Procedures II-22
Gastric Sleeving gains Traction II-23
Versatility - The Key Driver to Innovation II-23
Size and Energy Displacement Factors to Steer New Product
Development II-23

4. ISSUES AND CHALLENGES II-24
Functional Difficulties II-24
Cost Concerns vs. Healthcare Cost Containment II-24
Additional Training Requirements - Impeding Growth in Adoption II-25

5. PRODUCT OVERVIEW II-26
Minimally Invasive Surgeries - Transforming the Surgical Arena II-26
Endoscopy II-26
Components of an Endoscope II-27
Types of Endoscopy II-27
Endoscopy of Gastrointestinal tract II-27
Endoscopy during Pregnancy II-27
Endoscopy of Body Cavities II-27
Others II-27
Review of Technologies Reshaping the Market II-28
Robotics in Endoscopy II-28
Growing Trend towards Integrated Operating Room Suites II-28
Confocal Microendoscopes II-29
High Definition Endoscopy II-29
Endoscopic Ultrasound II-29
Auto Fluorescence Imaging II-29
Narrow Band Imaging Technology II-30
Multi-Band Imaging II-30
NOTES - A New Dimension to Translumenal Endoscopy II-30
Competitive Scenario II-31

6. LAPAROSCOPY - AN OVERVIEW II-32
Laparoscopic Surgery II-32
A Historical Perspective II-32
Process of Laparoscopy II-33
Pediatric Laparoscopy II-33
Imaging in Laparoscopy II-33
Advantages of Laparoscopy II-34
Disadvantages of Laparoscopy II-34
Key Risks Involved in Laparoscopic Procedures II-34
Life Threatening and Challenging Steps of Laparoscopy II-35
Conversion from Laparoscopic to Open Surgery II-35
Repeat Laparoscopy II-35
Laparoscopy for Diagnosis and Treatment II-36
Diagnostic Laparoscopy II-36
Therapeutic Laparoscopy II-36

7. LAPAROSCOPIC SURGICAL PROCEDURES II-37
Laparoscopic Bariatric Procedures II-37
Laparoscopic Cholecystectomy II-37
Laparoscopic Antireflux Procedure II-38
Laparoscopic Adrenalectomy II-38
Laparoscopic Appendectomy II-38
Laparoscopic Hernia Repair II-38
Laparoscopic Splenectomy II-39
Laparoscopic Cancer Treatment II-39
Other Laparoscopic Procedures II-39
Malrotation II-39
Peritoneal Implants II-39
Rectal Prolapse II-39
Rectal Tumor II-40
Renal Lithiasis II-40

8. MARKET SEGMENTATION II-41
Laparoscopes II-41
Types of Laparoscopes II-42
Viewing Laparoscopes II-42
Video Laparoscopes II-42
Diagnostic Laparoscopes II-42
Operating Laparoscopes II-42
Trocars II-43
Insufflation and Suction/Irrigation Devices II-44
Insufflation Systems II-44
Suction/Irrigation Systems II-44
Closure Devices II-44
Staplers II-44
Clip Appliers II-45
Sutures II-45
Knot Pushers and Needle Holders II-45
Hand Instruments II-45
Forceps and Scissors II-45
Tissue Retractors and Tissue Removal Bags II-46
Direct Energy Devices II-46
Electrodes II-46
Ultrasonic Instruments II-46
Gastric Band II-47
Adjustable Gastric Bands II-47
Background II-47
Available Gastric Bands II-47
Adjustable Gastric Bands Marketed in the US and Europe II-48
Hand-Assist Devices II-48
Other Laparoscopic Devices II-49
Female sterilization devices II-49

9. PRODUCT INNOVATIONS/INTRODUCTIONS II-50
Sony Introduces New 27-inch Surgical Monitor II-50
Cardica Launches New Version of MicroCutter XCHANGE® 30 Five-
Millimeter Surgical Stapler II-50
Medivators Introduces Endoscopic Flushing Device II-50
CareFusion Introduces a Comprehensive Range of Micro-
Laparoscopic Instruments II-50
Sony Launches Medical Head Mount Display System II-50
Covidien Introduces Symbotexâ„¢ Composite Mesh II-50
Minimally Invasive Devices Introduces Robotic FloShieldâ„¢ II-50
Covidien Introduces ReliaTackâ„¢ II-51
Life Care Medical Devices Introduces KeyHole Cup Device II-51
NovaTract Showcases the NovaTractâ„¢ Dynamic Retractor II-51
Covidien Unveils New Hernia Care Products II-51
CareFusion Introduces Snowden-Pencer® Take-Apart Laparoscopic
Scissors II-51
Ethicon Endo-Surgery Unveils ENSEAL G2 Articulating Tissue Sealer II-51
SonaCare Medical Launches Two New Products with HIFU Technology II-51
Olympus Launches New 3D Laparoscopy System and 3D Laparoscope II-51
Teleflex Acquires Innolap Surgical II-52
Ethicon Endo-Surgery Introduces HARMONIC ACE®+ Shears II-52
Olympus Medical Systems Unveils EVIS EXERA III Endoscopic System II-52
Aesculap Launches Caiman® 5 Cutting and Sealing Device II-52
CooperSurgical Unveils Carter-Thomason II Port Closure System
for Laparoscopic Surgeries II-52
OmniGuide Rolls Out New Laparoscopic Instruments II-52
SurgiQuest Rolls Out AnchorPort® Trocar and AirSeal® Access
System Product Line II-52
Teleflex Releases Comprehensive Range of Weck Access Devices
for Laparoscopic Procedures II-53
Ethicon Endo-Surgery Introduces Comprehensive Solution for
Laparoscopic Sleeve Gastrectomy II-53
Covidien Unveils Novel Cordless Surgical Instruments II-53
Ethicon Endo-Surgery Unveils ECHELON FLEXâ„¢ Powered ENDOPATH
Stapler II-53
Ethicon Endo-Surgery Launches EES Solution for Laparoscopic
Sleeve Gastrectomy II-53
Covidien Launches V-Locâ„¢ Knotless Suturing Reload for Single-
Incision and Laparoscopic Procedures II-53
Olympus Releases THUNDERBEAT II-54
Hamad Medical Introduces AirSeal Integrated Access System II-54
Covidien Introduces Three Ground-Breaking Surgical Devices II-54

10. RECENT INDUSTRY ACTIVITY II-55
Medtronic Takes over Covidien II-55
FDA Appends ‘Boxed Warning' to Uterine Fibroids Removal Devices II-55
Intuitive Surgical Receives FDA Clearance for da Vinci® Xi™
Surgical System II-55
Intuitive Surgical Given CE Mark for the da Vinci® Xi™
Surgical System II-55
Integra Purchases Instrument Lines from Medtronic II-55
Intuitive Surgical Gets FDA Clearance II-55
Medigus Sets Up New Division to Support Expansion of its
Camera Business II-56
Mitsubishi Corporation Enters Agreement with Minimally
Invasive Devices II-56
Johnson and Johnson Stops Availability of Fibroid Surgery Device
from Market II-56
Encision Secures FDA Clearance for Safer Monopolar Laparoscopy II-56
Cardinal Health Acquires AccessClosure II-56
Hospital Clinic and Olympus Corporation Enter a Partnership
Agreement II-56
Intuitive Surgical and Teleflex Enter Partnership Agreement II-56
Teleflex Enters Agreement with Amerinet II-56
Allergan Sells Obesity Intervention Business to Apollo
Endosurgery, Inc. II-57
Teleflex Acquires InnoLap Surgical Micro-Laparoscopy Technology II-57
Encision Inks Exclusive Distribution Agreement with Virtual
Ports for Laparoscopic Surgery Devices II-57
Eli Lilly Takes Over Origin Medsystems II-57
Surgical Innovations Signs Exclusive Distribution Agreement
with CareFusion II-57
Teleflex Acquires Axiom Technology Partners II-57
Ethicon Obtains 510(k) Clearance for HARMONIC ACE®+ Shears II-58
Ethicon Endosurgery Obtains FDA Approval for Percutaneous
Surgical Set II-58
Surgical Innovations Receives FDA Approval for Reusable
PretzelFlexTM Laparoscopic Retractor II-58

11. FOCUS ON SELECT GLOBAL PLAYERS II-59
B. Braun Melsungen AG (Germany) II-59
Aesculap AG (Germany) II-59
Boston Scientific Corp. (US) II-60
Conmed Corporation (US) II-60
Medtronic, Inc. (US) II-60
Ethicon Endo-Surgery, Inc. (US) II-61
Intuitive Surgical, Inc. (US) II-62
Karl Storz GmbH and Co. KG (Germany) II-62
Microline Surgical, Inc. (US) II-62
Olympus Europa Holding GmbH (Germany) II-63
Smith and Nephew, Inc. (US) II-63
STRYKER Corp. (US) II-64
Teleflex Medical (US) II-65

12. GLOBAL MARKET PERSPECTIVE II-66
Table 7: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-66

Table 8: 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 2007
through 2013 (includes corresponding Graph/Chart) II-67

Table 9: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-68

Table 10: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-69

Table 11: 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 2007 through 2013
(includes corresponding Graph/Chart) II-70

Table 12: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-71

Table 13: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-72

Table 14: 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 2007 through 2013
(includes corresponding Graph/Chart) II-73

Table 15: World 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) II-74

Table 16: 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 2014 through 2020
(includes corresponding Graph/Chart) II-75

Table 17: 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 2007 through 2013 (includes
corresponding Graph/Chart) II-76

Table 18: World 14-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
2007, 2015 and 2020 (includes corresponding Graph/Chart) II-77

Table 19: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-78

Table 20: 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 2007
through 2013 (includes corresponding Graph/Chart) II-79

Table 21: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-80

Table 22: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-81

Table 23: 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 2007
through 2013 (includes corresponding Graph/Chart) II-82

Table 24: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-83

Table 25: 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 2014 through 2020 (includes
corresponding Graph/Chart) II-84

Table 26: 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 2007
through 2013 (includes corresponding Graph/Chart) II-85

Table 27: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-86

Table 28: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-87

Table 29: 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 2007
through 2013 (includes corresponding Graph/Chart) II-88

Table 30: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-89

Table 31: 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 2014 through 2020 (includes corresponding
Graph/Chart) II-90

Table 32: 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 2007
through 2013 (includes corresponding Graph/Chart) II-91

Table 33: World 14-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 2007, 2015 and 2020 (includes
corresponding Graph/Chart) II-92

Table 34: 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 2014 through 2020 (includes
corresponding Graph/Chart) II-93

Table 35: 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 2007 through 2013 (includes corresponding
Graph/Chart) II-94

Table 36: World 14-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 2007, 2015 and 2020
(includes corresponding Graph/Chart) II-95


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-2
Table 37: Surgical Procedure Volumes in the US (2014E):
Percentage Share Breakdown by Type (includes corresponding
Graph/Chart) III-2

Table 38: US Recent Past, Current, and Future Analysis for
Laparoscopic Procedural Volumes in Thousands for the years
2014 through 2020 (includes corresponding Graph/Chart) III-3

Table 39: US Historic Review for Laparoscopic Procedural
Volumes in Thousands for the years 2009 through 2013
(includes corresponding Graph/Chart) III-4

Table 40: US 12-Year Perspective for Laparoscopic
Procedural Volumes in Thousands for the years 2009, 2015,
2020 (includes corresponding Graph/Chart) III-5
Competitive Scenario III-5
Microscopes and Cameras III-5
Table 41: Leading Players in Laparoscopes and Surgical
Cameras (2014E): Percentage Share Breakdown of Sales for
Karl Storz, Olympus, Smith and Nephew, Stryker, and Others
(includes corresponding Graph/Chart) III-6
Trocars, Insufflation and Suction/Irrigation devices III-6
Table 42: Leading Players in the US Trocars and
Insufflation and Suction/Irrigation Devices Market
(2014E): Percentage Share Breakdown of Sales for Covidien,
Ethicon Endo-Surgery, Karl Storz, and Others (includes
corresponding Graph/Chart) III-6
Market Trends III-6
Demand for Advanced Direct Energy Devices on the Rise III-6
Single-Port Procedures Gains Traction III-7
Competition III-7
Intuitive Surgicals Witnesses High Growth Following FDA
Approvals III-8
Bariatric Surgery - Ultimate Option for Obesity Treatment III-8
Economy Slowdown Hits Demand for Bariatric Procedures III-9
Gastric Banding Procedures Witness Sharp Decline III-9
Reimbursement Fact Sheets III-10
Table 43: 2014 Bariatric Surgery Reimbursements III-10

Table 44: 2014 Select Laparoscopic Procedures
Reimbursement Sheet III-11
Product Launches III-12
Strategic Corporate Developments III-15
Key Players III-18
B.Market Analytics III-23
Table 45: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-23

Table 46: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-24

Table 47: US 14-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 2007, 2015 and 2020
(includes corresponding Graph/Chart) III-25

2. CANADA III-26
Market Analysis III-26
Table 48: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-26

Table 49: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-27

Table 50: Canadian 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-28

3. JAPAN III-29
A.Market Analysis III-29
Current and Future Analysis III-29
Product Launches III-29
Strategic Corporate Development III-29
B.Market Analytics III-30
Table 51: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-30

Table 52: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-31

Table 53: Japanese 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-32

4. EUROPE III-33
A.Market Analysis III-33
Outlook III-33
Market Overview III-33
Competition III-34
Table 54: European Laparoscopes Market (2014E): 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-34
Minimally Invasive Surgeries - European Market Review III-34
Bariatric Surgery in Europe III-35
Gastric Banding Loses Ground to Gastric Bypass III-35
Leading Players in the Gastric Band Device Market III-36
Product Launches III-36
Key Players III-36
B.Market Analytics III-39
Table 55: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-39

Table 56: 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 2007
through 2013 (includes corresponding Graph/Chart) III-40

Table 57: European 14-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 2007, 2015 and 2020
(includes corresponding Graph/Chart) III-41

Table 58: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-42

Table 59: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-43

Table 60: European 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-44

4a. FRANCE III-45
A.Market Analysis III-45
Outlook III-45
B.Market Analytics III-46
Table 61: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-46

Table 62: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-47

Table 63: French 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-48

4b. GERMANY III-49
A.Market Analysis III-49
Outlook III-49
B.Market Analytics III-50
Table 64: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-50

Table 65: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-51

Table 66: German 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-52

4c. ITALY III-53
Market Analysis III-53
Table 67: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-53

Table 68: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-54

Table 69: Italian 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-55

4d. THE UNITED KINGDOM III-56
A.Market Analysis III-56
Strategic Corporate Development III-56
B.Market Analytics III-57
Table 70: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-57

Table 71: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-58

Table 72: UK 14-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 2007, 2015 and 2020
(includes corresponding Graph/Chart) III-59

4e. SPAIN III-60
A.Market Analysis III-60
Strategic Corporate Development III-60
B.Market Analytics III-61
Table 73: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-61

Table 74: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-62

Table 75: Spanish 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-63

4f. RUSSIA III-64
Market Analysis III-64
Table 76: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-64

Table 77: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-65

Table 78: Russian 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-66

4g. REST OF EUROPE III-67
Market Analysis III-67
Table 79: 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 2014 through 2020
(includes corresponding Graph/Chart) III-67

Table 80: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-68

Table 81: Rest of Europe 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-69

5. ASIA-PACIFIC III-70
Market Analysis III-70
Table 82: 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
2014 through 2020 (includes corresponding Graph/Chart) III-70

Table 83: 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 2007 through 2013
(includes corresponding Graph/Chart) III-71

Table 84: Asia-Pacific 14-Year Perspective for Laparoscopic
Devices by Geographic Region - Percentage Breakdown of
Dollar Sales for China, India and Rest of Asia-Pacific
Markets for Years 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-72

Table 85: 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 2014 through 2020
(includes corresponding Graph/Chart) III-73

Table 86: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-74

Table 87: Asia-Pacific 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-75

5a. CHINA III-76
Market Analysis III-76
Table 88: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-76

Table 89: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-77

Table 90: Chinese 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-78

5b. INDIA III-79
Market Analysis III-79
Table 91: 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 2014 through 2020 (includes
corresponding Graph/Chart) III-79

Table 92: 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 2007 through 2013 (includes corresponding
Graph/Chart) III-80

Table 93: Indian 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-81

5c. REST OF ASIA-PACIFIC III-82
Market Analysis III-82
Table 94: Rest of 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 2014 through 2020
(includes corresponding Graph/Chart) III-82

Table 95: Rest of 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 2007 through 2013 (includes
corresponding Graph/Chart) III-83

Table 96: Rest of Asia-Pacific 14-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 2007, 2015 and 2020 (includes corresponding
Graph/Chart) III-84

6. MIDDLE EAST

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