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Exoskeleton Market

  • April 2015
  • -
  • WinterGreen Research
  • -
  • 254 pages

WinterGreen Research announces that it has published a new study Exoskeleton : Market Shares, Strategy, and Forecasts, Worldwide, 2015 to 2021. The 2015 study has 254 pages, 102 tables and figures. Worldwide markets are poised to achieve significant growth as the exoskeletons are used inside rehabilitation treatment centers and at home to provide stability for paraplegics and people who need gait training. Ultimately exoskeletons will be used for the rehabilitation of all patients with serious physical injuries or physical dysfunction.

Exoskeleton robots support walking for previously wheel chair bound patients: They function as wearable robots that bring new functionality to the rehabilitation markets. Exoskeleton robots promote upright walking and relearning of lost functions in a patient needing physical therapy. Exoskeletons can play a significant role in this medical treatment process. Emerging markets promise to have dramatic and rapid growth. Exoskeletons deliver higher quality rehabilitation, provide growth strategy for clinical facilities.

Relearning of lost functions in a patient depends on stimulation of desire to conquer the disability. The Exoskeleton can show patients progress and keep the progress occurring, encouraging patients to work on getting healthier. Independent functioning of patients depends on intensity of treatment, task-specific exercises, active initiation of movements and motivation and feedback. Exoskeleton can assist with these tasks in multiple ways. Creating a gaming aspect to the rehabilitation process has brought a significant improvement in systems.

As patients get stronger and more coordinated, a therapist can program the exoskeleton robot to let them bear more weight and move more freely in different directions, walking, kicking a ball, or even lunging to the side to catch one. The robot can follow the patient’s lead as effortlessly as a ballroom dancer, its presence nearly undetectable until it senses the patient starting to drop and quickly stops a fall. In the later stages of physical therapy, the robot can nudge patients off balance to help them learn to recover.

According to Susan Eustis, principal author of the team that developed the market research study, “Exoskeleton robotic therapy stimulus of upper and lower limbs provides a way for people who cannot walk to be upright and move from a vertical position, a very exciting market development. Examples of the excellent motor recovery after stroke that can be achieved using an exoskeleton.” Lower limb systems and exoskeleton systems provide wheelchair bound patients the ability to get out of a wheelchair

The exoskeleton products that work are still emerging as commercial devices. All the products that are now commercially viable are positioned to achieve significant staying power in the market long term, providing those companies that offer them with a possibility for long term leadership position in the market.
Rehabilitation robotic technologies developed in the areas of stroke rehabilitation and SCI represent therapeutic interventions with utility at varying points of the continuum of care. Exoskeletons are a related technology, but provide dramatic support for walking for people who simply cannot walk.

Robotics has tremendous ability to reduce disability and lead to better outcomes for patients with paralysis due to traumatic injury. With the use of exoskeletons, patient recovery of function is subtle or non existent, but getting patients able to walk and move around is of substantial benefit, People using exoskeleton robots are able to make continued progress in regaining functionality even years after an injury.

It is a question of cost. The insurance will only pay for a small amount of exoskeleton rehabilitation. More marketing will have a tremendous effect in convincing people that they can achieve improvements even after years of effort.

Rehabilitation robotics includes development of devices for assisting performance of sensorimotor functions. Devices help arm, hand, leg rehabilitation by supporting repetitive motion that builds neurological pathways to support use of the muscles. Development of different schemes for assisting therapeutic training is innovative. Assessment with sensorimotor performance helps patients move parts of the body that have been damaged.

Robotic exoskeleton rehabilitation equipment is mostly used in rehabilitation clinical facilities, though there is some effort to build a home market. There is a huge opportunity for launching a homecare equipment market if it is done through sports clubs rather than through clinical facilities. People expect insurance to pay for medical equipment but are willing to spend bundles on sports trainer equipment for the home. Exoskeleton can help stroke patients years after an event, so it makes a difference if someone keeps working to improve their functioning.

Exoskeleton realistically extend the use of automated process for rehabilitation in the home. The availability of affordable devices that improve mobility is not likely to go unnoticed by the sports clubs and the baby boomer generation, now entering the over 65 age group and seeking to maintain lifestyle. As clinicians realize that more gains can be made by using Exoskeleton in the home, the pace of acquisitions will likely pick up.

The exoskeleton robot market size at $16.5 million in 2014 is expected grow dramatically to reach $2.1 billion by 2021. Exoskeleton markets will be separate and additive to the robotic rehabilitation market. A separate exoskeleton market will create growth by the weight of excellent device capabilities. Market growth is a result of the effectiveness of robotic treatment of muscle difficulty. The usefulness of the Exoskeleton is increasing. Doing more sophisticated combinations of exercise have become more feasible as the technology evolves. Patients generally practice 1,000 varied movements per session. With the robots, more sessions are possible.

Table Of Contents

Exoskeleton Market
Table of Contents

Exoskeleton Robots Market Shares, Market Strategy, and
Market Forecasts, 2015 to 2021 1
Exoskeleton Executive Summary 23
Exoskeleton Market Driving Forces 23
Exoskeletons as Rehabilitation Assistive Devices 24
Exoskeleton Rehabilitation Robots Decrease the Cost of Recovery 26
Exoskeleton Market Shares 27
Medical Exoskeleton Market Forecasts 29

1. Exoskeleton Market Description and Market Dynamics 31
1.1 Market Growth Drivers For Exoskeletons 31
1.2 Spinal Cord Injury Rehabilitation 32
1.2.1 Ekso Pulse System 34
1.2.2 Electrical Stimulation 35
1.2.3 Robotic Therapy Devices 35
1.2.4 Partial Body Weight-Supported Treadmill 36
1.2.5 Virtual Reality (including Wii-hab) 37
1.2.6 Brain Stimulation 37
1.2.7 Acupuncture 37
1.2.8 Mental Practice 38
1.2.9 Mirror Therapy 38
1.2.10 Evidence-Based Treatment Protocols 38
1.3 Traumatic Brain Injury Program 39
1.3.1 Concussion Program 39
1.4 Rehabilitation Physical Therapy Trends 40
1.4.1 Robotic Exoskeleton Team Research Studies 40
1.4.2 Exoskeleton Research in the Market For Use In Gait Training 42
1.4.3 Running with Robots 44
1.4.4 Use Of Video Game Technology In PT 45
1.4.5 Telemedicine Growing Trend In The Physical Therapy Space 46
1.5 Exoskeleton Market Definition 47
1.6 Robotic Rehabilitation Devices Based On Automated Process 49
1.6.1 Automated Process for Rehabilitation Robots 50
1.6.2 Why Rehabilitation is Essential 56
1.6.3 Rehabilitation Involves Relearning of Lost Functions 57
1.7 Robotic Exoskeletons Empower Patient Rehabilitation Achievements 60
1.7.1 Seizing the Robotics Opportunity 60
1.7.2 Modular Self-Reconfiguring Robotic Systems 61
1.8 Home Medical Exoskeletons 61
1.8.1 Telemedicine and Domestic Robots 62
1.8.2 Rehabilitation Robots Provide Intensive Training For Patients And Physical Relief For Therapists 63

2. Exoskeleton Market Shares and Market Forecasts 65
2.1 Exoskeleton Market Driving Forces 65
2.1.1 Exoskeletons as Rehabilitation Assistive Devices 66
2.1.2 Exoskeleton Rehabilitation Robots Decrease the Cost of Recovery 68
2.2 Exoskeleton Market Shares 69
2.2.1 Medical Exoskeleton Rehabilitation Robot Market Shares, Units 74
2.2.1 Ekso Exoskeleton Market Share Unit Analysis 75
2.2.2 Ekso Bionics Robotic Suit Helps Paralyzed Man Walk Again 75
2.2.3 ReWalkâ„¢ Exoskeleton Suit Home Use 77
2.2.4 AlterG Bionic Leg Customer Base 77
2.2.5 Hocoma Robotic Rehabilitation 78
2.2.6 Homoca Helping Patients To Grasp The Initiative And Reach Towards Recovery 79
2.2.7 Able-Bodied Exoskeletons 82
2.3 Medical Exoskeleton Market Forecasts 83
2.3.1 Medical Exoskeleton Robot Market Segments 86
2.3.2 Medical Extremities, Stroke CPM, And Exoskeleton Robot Market Segments 88
2.3.3 Market for Limited Mobility Devices 90
2.3.4 Spinal Cord Injuries 92
2.4 Rehabilitation Robot Market Forecasts 93
2.4.1 Rehabilitation Robots Unit Shipments 95
2.4.2 Rehabilitation Robots Market Penetration Forecasts Worldwide, 2014-2020 97
2.4.3 Gait Training 102
2.4.4 Sports Training 103
2.4.5 Exoskeletons 103
2.4.6 End-effectors 103
2.4.7 Exoskeleton-Based Rehabilitation 104
2.4.8 Mobility Training Level Of Distribution 104
2.5 Disease Incidence and Prevalence Analysis 107
2.5.1 Robotic Therapeutic Stroke Rehabilitation 107
2.5.2 Aging Of The Population 108
2.5.3 Disease Rehabilitation 109
2.5.1 Rehabilitation of Hip Injuries 110
2.6 Exoskeleton Prices 111
2.6.1 Ekso Bionics 111
2.7 Rehabilitation Robots Regional Analysis 113
2.7.1 Ekso Bionics Regional Presence 114

3. Exoskeleton Products 116
3.1 Exoskeletons 116
3.1.1 Muscle Memory 116
3.2 Ekso Bionics 117
3.2.1 Ekso Gait Training Exoskeleton Uses 123
3.2.2 Ekso Bionics Rehabilitation 128
3.2.3 Ekso Bionics Robotic Suit Helps Paralyzed Man Walk Again 131
3.2.4 Ekso Go To Market Strategy 131
3.2.5 Ekso Exoskeleton To Achieve Rehabilitation In The Home 133
3.3 Rewalk 134
3.3.1 ReWalkâ„¢ Exoskeleton Suit Home Use 136
3.3.2 ReWalkâ„¢ Personal System 140
3.3.3 ReWalkâ„¢ Rehabilitation 142
3.4 Rex Bionics 142
3.5 Berkley Robotics Laboratory Exoskeletons 144
3.5.1 Berkley Robotics and Human Engineering Laboratory ExoHiker 144
3.5.2 Berkley Robotics and Human Engineering Laboratory ExoClimber 146
3.5.3 Berkeley Lower Extremity Exoskeleton (BLEEX) 148
3.5.4 Berkley Robotics and Human Engineering Laboratory Exoskeleton 148
3.6 Hocoma Products 150
3.6.1 Hocoma ArmeoSpring Based On An Ergonomic Arm Exoskeleton 154
3.6.2 Hocoma Armeo®Spring Clinical Success 154
3.6.3 Hocoma Armeo Functional Therapy Of The Upper Extremities 156
3.6.4 Hocoma Armeo®Spring - Functional Arm and Hand Therapy 157
3.7 AlterG: PK100 PowerKnee 159
3.7.1 AlterG Bionic Leg 161
3.7.2 Alterg / Tibion Bionic Leg 163
3.7.3 AlterG Bionic Leg Customer Base 165
3.7.4 AlterG M300 165
3.7.5 AlterG M300 Robotic Rehabilitation Treadmill 169
3.8 Parker Hannifin Indego 171
3.9 Catholic University of America Arm Therapy Robot ARMin III 173
3.9.1 Catholic University of America Armin Iii Project Description: 174
3.9.2 Catholic University of America HandSOME Hand Spring Operated Movement Enhancer 175
3.10 Sarcos / Raytheon 176
3.10.1 Raytheon XOS 2: Second Generation Exoskeleton 179
3.10.2 Sarcos LC Acquires Raytheon Sarcos Unit of Raytheon 180
3.11 DARPA Funded Exoskeleton 184
3.12 The Springtail/XFV Exo-skeletor Flying Vehicle 186
3.13 HEXORR: Hand EXOskeleton Rehabilitation Robot 187
3.14 Mira Lopes Gait Rehabilitation Device 192
3.14.1 Prototype of University of Twente LOPES with 8 Actuated Degrees of Freedom 193

4. Exoskeleton Technology 196
4.1 Exoskeleton Medical Technology 196
4.2 Robotic Actuator Energy 197
4.2.1 Elastic Actuators 198
4.3 Rehabilitation Robotic Risk Mitigation 199
4.4 Exoskeleton Multi-Factor Solutions 205
4.4.1 Biometallic Materials Titanium (Ti) and its Alloys 205
4.5 Cognitive Science 206
4.6 Artificial Muscle 207
4.7 Regulations 209

5. Exoskeleton Company Profiles 211
5.1 AlterG 211
5.1.1 AlterG M300 Customers 214
5.1.2 AlterG M300 219
5.1.3 AlterGâ„¢ Acquires Tibion Bionic Leg 220
5.2 Ekso Bionics 221
5.2.1 Ekso Exoskeletons for Medical and Wellness: 222
5.2.2 Ekso Able-bodied Exoskeletons 222
5.2.3 Ekso Bionics Holdings 223
5.2.4 Ekso Fourth Quarter And Full Year 2014 Financial Results 225
5.2.5 Ekso Bionics Seeks To Lead The Technological Revolutions 226
5.2.6 Ekso Bionics HULC Technology Licensed to the Lockheed Martin Corporation 227
5.2.7 Ekso Bionics Regional Presence 227
5.2.8 Ekso Bionics Customers 228
5.3 Hocoma 236
5.3.1 Hocoma Revenue 239
5.4 Parker 240
5.4.1 Parker Revenue for Fiscal 2015 Second Quarter Sales 241
5.4.2 Parker Hannifin Segment Results Fiscal 2015 Second Quarter 242
5.5 ReWalk Robotics 242
5.5.1 ReWalk Revenue 244
5.5.2 ReWalk Year-End 2014 Financial Highlights 245
5.6 RexBionics 246
5.7 Sarcos 247
5.7.1 Sarcos LC Acquires Raytheon Sarcos Unit 247
5.8 University of Twente 248
About The Company 249
Research Methodology 250

List of Tables and Figures

Table ES-1 26
Rehabilitation Robot Market Driving Forces 26
Figure ES-2 28
Exoskeleton Market Shares, Dollars, Worldwide, 2014 28
Figure ES-3 29
Medical Exoskeleton Robot Market Shipments Forecasts Dollars, Worldwide, 2015-2021 29
Table 1-1 52
Robotic Rehabilitation Devices Automated Process Benefits 52
Table 1-2 55
Robotic Rehabilitation Devices Emerging Technologies 55
Table 1-3 56
Robotic Rehabilitation Wearable Devices Benefits 56
Table 1-4 58
Rehabilitation Involves Relearning Lost Function 58
Table 1-5 59
Rehabilitation Lost Function Relearning Initiatives 59
Table 2-1 68
Rehabilitation Robot Market Driving Forces 68
Figure 2-2 70
Exoskeleton Market Shares, Dollars, Worldwide, 2014 70
Table 2-3 71
Exoskeleton Market Shares, Dollars, Worldwide, 2014 71
Table 2-4 74
Exoskeleton Rehabilitation Robot Market Shares, Dollars and Units, Worldwide, 2014 74
Table 2-5 78
Hocoma Robotic Rehabilitation Used In Rehabilitation Medicine: 78
Figure 2-6 80
Homoca Continuum of Rehabilitation 80
Figure 2-7 81
Comparison of the Hocoma Armeo Products 81
Figure 2-8 83
Medical Exoskeleton Robot Market Shipments Forecasts Dollars, Worldwide, 2015-2021 83
Table 2-9 84
Exoskeleton Robots: Dollars Shipments, Worldwide, 2015-2021 84
Table 2-10 85
Exoskeleton Robots: Units Shipments, Worldwide, 2015-2021 85
Table 2-11 87
Low End, Units and Dollars, Worldwide, 2015-2021 87
Table 2-12 88
Medical Rehabilitation and Exoskeleton Robot Market Segments:
Extremities, Stroke CPM, and Exoskeletons, Dollars, Worldwide, 2015-2021 88
Table 2-13 89
Medical Rehabilitation Robot, Extremities, Stroke CPM, and
Exoskeleton Market Segments, Percent, Worldwide, 2015-2021 89
Table 2-14 91
Spinal Cord Injury Causes, Worldwide, 2014 91
Figure 2-15 93
Rehabilitation Robot Market Forecasts Dollars, Worldwide, 2015-2021 93
Table 2-16 94
Rehabilitation Robots Market Forecasts, Dollars, Shipments, Worldwide, 2015-2021 94
Figure 2-17 95
Rehabilitation Robots: Units Shipments, Worldwide, 2015-2021 95
Table 2-18 96
Rehabilitation Robots: Units Shipments, Worldwide, 2015-2021 96
Figure 2-19 97
Rehabilitation Robots: Facility Market Penetration Forecasts, Units, Worldwide, 2014-2020 97
Table 2-20 98
Rehabilitation Facility Robot Market Penetration Forecasts Worldwide, 2014-2020 98
Table 2-21 99
Exoskeleton Market Penetration Forecasts Worldwide,
High End Facilities, Small and Mid Size Rehabilitation Facilities, 2014-2020 99
Table 2-22 100
Exoskeleton Market Segments, Lower Extremities, Upper Extremities,
Anti-Gravity High End, Anti-Gravity Low End, and Tools Worldwide, 2014-2020 100
Table 2-23 101
Rehabilitation Small and Mid-Size Facility Robot Market Penetration
Forecasts Worldwide, 2014-2020 101
Table 2-24 102
Rehabilitation High End Facility Robot Market Penetration Forecasts, Worldwide, 2014-2020102
Table 2-25 106
Rehabilitation Robot Categories 106
Table 2-26 108
US Stroke Incidence Numbers 108
Table 2-27 111
Physical Therapy Enhances Recovery After Hip Injury 111
Figure 2-28 113
Rehabilitation Robots Regional Market Segments, Dollars, 2014 113
Table 2-29 114
Rehabilitation Robots Regional Market Segments, 2014 114
Figure 2-30 115
Ekso Bionics Regional Presence Source: Ekso Bionics. 115
Figure 3-1 120
Esko Technology 120
Figure 3-2 122
Ekso Bionics Gait Training 122
Figure 3-3 123
Ekso Bionics Gait Training Functions 123
Table 3-4 124
Ekso Gait Training Exoskeleton Functions 124
Table 3-5 125
Ekso Gait Training Exoskeleton Functions 125
Figure 3-6 126
Ekso Bionics Step Support System 126
Table 3-7 127
Ekso Bionics Operation Modes 127
3.2.2 Ekso Bionics 128
Figure 3-8 129
Figure 3-9 130
Ekso Bionics Bionic Suit 130
Table 3-10 132
Ekso GTâ„¢ Variable Assist to Physical Conditions 132
Figure 3-11 137
ReWalk Robotics Exoskeleton Technology 137
Figure 3-12 138
ReWalk Robotics Exoskeleton Wrist Technology 138
Figure 3-13 139
ReWalk Controls Movement Using Subtle Changes In Center Of Gravity, Mimics The Natural Gait Pattern Of The Legs 139
Figure 3-14 141
ReWalk Forward Tilt Of The Upper Body Is Sensed By The System, Which Triggers The First Step141
Figure 3-15 143
RexBionics Hands-Free, Robotic Walking Device 143
Figure 3-16 145
Berkley Robotics and Human Engineering Laboratory ExoHiker 145
Figure 3-17 147
Berkley Robotics and Human Engineering Laboratory ExoClimber 147
Table 3-18 148
Berkley Robotics and Human Engineering Laboratory Exoskeleton 148
Figure 3-19 150
Hocoma Lokomat Pro 150
Table 3-20 151
Hocoma Patient Rehabilitation Conditions Addressed 151
Table 3-21 152
Hocoma Robotic Improvements to Rehabilitation 152
Table 3-22 153
Hocoma Products 153
Table 3-23 153
Hocoma Rehabilitation Functional Therapy 153
Figure 3-24 156
Hocoma Armeo Power Robotic Arm Exoskeleton 156
Figure 3-25 158
Clinical Example of Patients Using the Hocoma Armeo®Spring 158
Figure 3-26 159
AlterG: PK100 PowerKnee 159
Figure 3-27 161
AlterG Bionic Neurologic And Orthopedic Therapy Leg 161
Figure 3-28 163
Tibion Bionic Leg 163
Figure 3-29 166
AlterG M300 Robotic Rehabilitation Treadmill 166
Figure 3-30 167
AlterG M300 Robotic Leg, Knee and Thigh Rehabilitation Treadmill 167
Table 3-31 168
AlterG Anti-Gravity Treadmill Precise Unweighting Technology Patient Rehabilitation Functions168
Figure 3-32 170
AlterG Anti-Gravity Treadmill Heals patient Faster 170
Figure 3-33 172
Parket Hannifin Indego Exoskeleton 172
Figure 3-34 173
ARMin III Robot For Movement Therapy Following Stroke 173
Figure 3-35 176
Sarcos Exoskeleton Developed by Raytheon 176
Figure 3-36 177
Raytheon XOS Exoframe 177
Figure 3-37 178
Raytheon XOS Exoskeleton 178
Figure 3-38 179
Raytheon XOS 2: Second Generation Exoskeleton 179
Figure 3-39 181
Sarcos Wear Exoskeleton Timeline 181
Figure 3-40 183
Raytheon Tethered Exoskeleton 183
Figure 3-41 186
The Springtail/XFV Exo-skeletor Flying Vehicle 186
Table 3-42 188
HEXORR: Hand EXOskeleton Rehabilitation Robot Technology Benefits 188
Table 3-43 189
HEXORR: Hand EXOskeleton Rehabilitation Robot Technology Monitoring 189
Table 3-44 190
HEXORR: Hand EXOskeleton Rehabilitation Robot Treatment Benefits 190
Table 3-45 191
HEXORR: Hand EXOskeleton Rehabilitation Robot Technology Force and Motion
Sensor Benefits 191
Figure 3-46 193
Prototype of LOPES with 8 actuated Degrees of Freedom by Means Of
Series Elastic Actuation 193
Table 4-1 200
Exoskeleton System Concerns Addressed During System Design 200
Table 4-5 206
Rehabilitation Robots Software Functions 206
Table 5-1 211
AlterG Anti-Gravity Treadmillsr Features 211
Built on differential air pressure technology 211
Table 5-2 212
AlterG Anti-Gravity Treadmillsr Target Markets 212
Table 5-3 213
AlterG Product Positioning 213
Figure 5-4 215
Selected US Regional AlterG M300 Customer CLusters 215
Figure 5-5 220
AlterG / Tibion Bionic Leg 220
Figure 5-6 228
Ekso Bionics Regional Presence 228
Table 5-7 237
Hocoma Robotic Rehabilitation Used In Rehabilitation Medicine: 237
Table 5-8 238
Hocoma Therapy Solutions Treatments 238

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