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Endoscopy - US Analysis and Market Forecasts

Summary

The US Endoscopy market is a dynamic market that is expected to grow through 2021. The market is also very saturated with intense competition due to the availability of similar product offerings across market players. In the face of increasing hospital consolidation into one network and the trend of oligopoly purchasing, i.e. purchasing more products from fewer manufacturers, the adoption pattern within the endoscopy space has become not entirely product performance based, but also strong brand awareness and identity has become a necessity. Going forward, the increasing emphasis placed on value and the concomitant need to demonstrate improved clinical outcomes will become a critical point of consideration for manufacturers, and will be the most significant factor shaping the design and development of new generation of endoscopic devices.

The report provides insight into the practice patterns and adoption trends, market dynamics, competitive landscape, marketed and pipeline products, current and emerging players, as well as market outlooks within the endoscopy market in the US. The report also identifies the unmet needs in the market while providing an understanding of physicians’ perceptions and decision-making processes in using different endoscopic devices. This report is built using data and information sourced from secondary sources, primary research interviews with Key Opinion Leaders, as well as physician surveys conducted by GlobalData.

*This is an on-demand report and will be delivered within 4 working days (excluding weekends) of the purchase.

Highlights

Key Questions Answered

- What is the brand exposure of the different types of endoscopes in the US?
- What is the current and future endoscopy market outlook in the US? What trends are affecting the US endoscopy market?
- What are the key, high growth markets that endoscopy manufacturers should expand into? Which markets are growing the fastest, and what are the top-selling products in each segment?
- What are the adoption rates of different types of endoscopes in the US? What are the unmet needs with the endoscopes currently on the market?
- What are the key factors influencing a physician to use one brand of endoscope over another? What is physician perception and market outlook of endoscopic devices?
- What are the challenges and complications of endoscopic procedures that have hindered widespread adoption, for instance capsule endoscopy?
- With developing the next-generation of endoscopes, what aspects of the technology are device manufacturers focused on optimizing?

Reasons to buy

- “What Do Physicians Think” quotes provide a unique insight into how healthcare professionals are reacting to events within the industry, and what their responses could mean for industry strategists. This information is essential for all strategic decision makers in every organization allowing them to act on high quality information.

Table Of Contents

Endoscopy - US Analysis and Market Forecasts
1 Table of Contents
1.1 List of Figures
1.2 List of Figures
2 Executive Summary
2.1 Sales for the Endoscopy Market
2.2 Market Dynamics
2.3 Key Players in the Endscopy Market
2.4 Endoscopy Market Future Outlook
2.5 What Do Physicians Think?
3 Introduction
3.1 Catalyst
3.2 Related Reports
4 Industry Overview
4.1 Indications
4.1.1 Purpose of Endoscopy
4.1.2 Endoscopy for Diagnosis of Disease
4.1.3 Routine Endoscopic Screening
4.1.4 Therapeutic Endoscopy
4.2 Clinical Outcomes
4.2.1 Pulmonology and Ear, Nose, and Throat
4.2.2 Gastroenterology
4.2.3 Gynecology and Urology
4.2.4 Arthroscopy
4.3 Procedure Trends
4.3.1 Pulmonology and Ear, Nose, and Throat
4.3.2 Gastroenterology
4.3.3 Gynecology and Urology
4.4 Market Access
4.4.1 Regulatory Process
4.4.2 Reimbursement Trends
4.5 Regulatory Recalls and Disputes
4.5.1 Duodenoscope Superbug Infection Outbreak (2015)
4.5.2 Karl Storz Class II Recall of Flexible Intubation Fiberscopes (2013)
4.5.3 Pentax Medical Class I Recall of Video Endoscope Valves (2013)
4.5.4 Given Imaging and Olympus Settle Legal Disputes (2008)
4.6 Mergers, Acquisitions and Key Partnerships
4.6.1 Pentax Medical Invests in Creo Medical (September 2015)
4.6.2 Boston Scientific Acquires Stake in Frankenman Medical (April 2015)
4.6.3 Steris Acquires Synergy Health (October 2014)
4.6.4 Smith and Nephew Acquires ArthroCare (May 2014)
4.6.5 Steris Acquires Integrated Medical Systems (April 2014)
4.6.6 Stryker Acquires Pivot Medical (March 2014)
4.6.7 Covidien Acquires Given Imaging (February 2014)
4.6.8 Maquet Partners with Richard Wolf to Develop Operating Room Integration (November 2013)
4.6.9 Smart Medical Systems Enters Commercialization Agreement with Pentax (November 2013)
4.6.10 Cantel Medical Acquires Jet Prep (November 2013)
4.6.11 Richard Wolf Enters Distribution Agreement with Thermedx (October 2013)
4.6.12 Olympus and Sony Form Joint Venture Company (April 2013)
4.6.13 Sony Acquires Stake in Olympus (February 2013)
4.6.14 EndoChoice Acquires RMS Endoskopie-Technik (January 2013)
4.6.15 EndoChoice Merges with Peer Medical (January 2013)
4.6.16 Fujifilm Enters Distribution Agreement with Beacon Endoscopic (December 2012)
4.6.17 Given Imaging Acquires GI Monitoring Assets from SmartPill (October 2012)
4.6.18 Pentax Medical Acquires Digital Endoscopy (March 2012)
4.7 Economic Impact
5 Pratice Patterns and Adoption Trends
5.1 Survey Data Analysis
5.1.1 Numbers of Endoscopy Treatment Rooms
5.1.2 Patterns of Endoscope Ownership
5.1.3 Discounting
5.1.4 Endoscope Age
5.1.5 Maintenance
5.1.6 Reprocessing
5.1.7 Reasons for Performing Endoscopy
5.1.8 Type of Endoscope
5.2 Adoption Trends
5.2.1 Videoscopes vs Fiberscopes
5.2.2 Less Diagnostic and More Therapeutic Applications
5.2.3 Purchasing Decisions
5.2.4 Physician Decision-Making Process
5.2.5 Role of Group Purchasing Organizations
6 Unmet Needs
6.1 Endoscope Design Challenges
6.1.1 Imaging
6.1.2 Flexibility and Viewing Angle
6.1.3 Size and Working Channel
6.1.4 Drainage and Irrigation System
6.1.5 Cecal Intubation
6.1.6 Capsule Endoscope
6.1.7 Ureteroscope and Cystoscope
6.1.8 Laryngoscopes and Sinuscopes
6.1.9 Fluid Management System
6.2 Addressing the Complications
6.3 Polyps Detection
6.4 Removal of Large Polyps
6.5 Disinfection of Flexible Endoscopes
6.5.1 Sheathed Endoscopes
6.6 Endoscopic Sedation
6.7 Lacked of Trained Specialists
6.7.1 Endoscopists
6.7.2 Anesthesiologists
6.8 Patient Comfort
6.9 Disconnect Between Industry and Physicians
7 Market Drivers, Opportunities and Barriers
7.1 Drivers
7.1.1 Technology Advancements
7.1.2 Clinical Demand and Expanding Applications
7.1.3 National Screening Policies for Colorectal Cancer
7.1.4 Rising Prevalence
7.1.5 Patient Demand and Awareness
7.1.6 Increasing Competition and Innovation through Small Players
7.2 Opportunities
7.2.1 Minimally Invasive Surgery Preference
7.2.2 3D Laparoscopy
7.2.3 Capsule Endoscopy
7.2.4 Endobronchial Ultrasound
7.2.5 Bariatric Surgery
7.2.6 Natural Orifice Translumenal Endoscopic Surgery
7.2.7 Mergers and Acquisitions
7.3 Barriers
7.3.1 Endoscope Reprocessing
7.3.2 Steep Learning Curve
7.3.3 Reimbursement
7.3.4 Medical Device Excise Tax
7.3.5 Healthcare Cost-Cutting
7.3.6 Burden of Rising Regulation
8 Competitive Assessment
8.1 Laryngoscopes
8.1.1 Overview
8.1.2 Products
8.1.3 Brand Exposure
8.2 Bronchoscopes
8.2.1 Overview
8.2.2 Products
8.2.3 Brand Exposure
8.3 Colonoscopes
8.3.1 Overview
8.3.2 Products
8.3.3 Brand Exposure
8.4 Sigmoidoscopes
8.4.1 Overview
8.4.2 Products
8.4.3 Brand Exposure
8.5 Esophagoscopes
8.5.1 Overview
8.5.2 Products
8.5.3 Brand Exposure
8.6 Gastroscopes
8.6.1 Overview
8.6.2 Products
8.6.3 Brand Exposure
8.7 Duodenoscopes
8.7.1 Overview
8.7.2 Products
8.7.3 Brand Exposure
8.8 Cystoscopes
8.8.1 Overview
8.8.2 Products
8.8.3 Brand Exposure
8.9 Ureteroscopes
8.9.1 Overview
8.9.2 Products
8.9.3 Brand Exposure
8.10 Resectoscopes
8.10.1 Overview
8.10.2 Products
8.10.3 Brand Exposure
8.11 Hysteroscopes
8.11.1 Overview
8.11.2 Products
8.11.3 Brand Exposure
8.12 Laparoscopes
8.12.1 Overview
8.12.2 Products
8.12.3 Brand Exposure
9 Pipeline Assessment
9.1 Overview
9.2 Product Profiles
9.2.1 Laryngoscopes
9.2.2 Bronchoscopes
9.2.3 Gastroscopes
9.2.4 Colonoscopes
9.2.5 Capsule Endoscopes
9.2.6 Laparoscopes
9.2.7 Other Fiberscopes
9.2.8 Other Videoscopes
9.2.9 Endoscopy Visualization Systems
9.2.10 Endoscopic Reprocessors
10 Current and Future Players
10.1 Trends in Corporate Strategy
10.2 Company Profiles
10.2.1 Ambu
10.2.2 Arthrex
10.2.3 B. Braun Melsungen
10.2.4 Boston Scientific
10.2.5 Cook Medical
10.2.6 EndoChoice
10.2.7 Fujifilm Holdings
10.2.8 Getinge AB
10.2.9 Given Imaging
10.2.10 Hologic
10.2.11 Intuitive Surgical
10.2.12 Karl Storz
10.2.13 Medivators
10.2.14 Olympus
10.2.15 Pentax Medical
10.2.16 Richard Wolf
10.2.17 Shanghai AoHua
10.2.18 Smith and Nephew
10.2.19 Steris
10.2.20 Stryker
10.2.21 Other companies
11 Market Outlook
11.1 US
11.1.1 Overview
11.1.2 Market Analysis
12 Appendix
12.1 Bibliography
12.2 Abbreviations
12.3 Report Methodology
12.3.1 Overview
12.3.2 Coverage
12.3.3 Secondary Research
12.3.4 Forecasting Methodology
12.3.5 Primary Research - Key Opinion Leader Interviews
12.3.6 Primary Research - Physician and Industry Interviews
12.3.7 Expert Panel Validation
12.3.8 Physicians and Specialists Included in This Study
12.4 About the Authors
12.4.1 Analysts
12.5 About MediPoint
12.6 About GlobalData
12.7 Contact Us
12.8 Disclaimer

1.1 List of Figures
Table 1: Endoscopy: Key Metrics in the US, 2014-2021
Table 2: Types of Endoscopy and Areas of Visualization
Table 3: Endoscopic Surgical Procedures
Table 4: US Growth Rates for Bronchoscopy, 2012-2021
Table 5: US Growth Rates for Diagnostic Laryngoscopy, 2012-2021
Table 6: US Growth Rates for Sinus Surgery, 2012-2021
Table 7: US Growth Rates for Colonoscopy, 2012-2021
Table 8: US Growth Rates for Sigmoidoscopy, 2012-2021
Table 9: US Growth Rates for Duodenoscopy, 2012-2021
Table 10: US Growth Rates for Gastroscopy, 2012-2021
Table 11: US Growth Rates for Esophagoscopy, 2012-2021
Table 12: US Growth Rates for Cystoscopy, 2012-2021
Table 13: US Growth Rates for Ureteroscopy, 2012-2021
Table 14: US Growth Rates for Hysteroscopy, 2012-2021
Table 15: US Growth Rates for Bronchoscopy, 2012-2021
Table 16: US Growth Rates for Resectoscopy, 2012-2021
Table 17: Primary Differences Between FDA Approval and CE-Marking of Medical Devices
Table 18: Medicare National Reimbursement Rates for Gastrointestinal Endoscopic Procedures, 2015
Table 19: Medicare National Reimbursement Rates for Pulmonary Endoscopic Procedures, 2015
Table 20: Medicare National Reimbursement Rates for Endurology Procedures, 2015
Table 21: Mergers and Acquisitions/Key Partnerships, 2011-2014
Table 22: Estimated Incidence, Mortality and Prevalence of GI Tract Cancer in 2012
Table 23: Direct, Indirect, and Intangible Costs of Endoscopy Procedures
Table 24: Average Percentage of Discounting for Endoscope Purchases, by Country, 2015
Table 25: Overall Perceived Advantages of Minimally Invasive Surgery Techniques, 2007
Table 26: Overall Perceived Limitations of Minimally Invasive Surgery Techniques, 2007
Table 27: Key Marketed Laryngoscopes, 2015
Table 28: Key Marketed Bronchoscopes, 2015
Table 29: Key Marketed Colonoscopes, 2015
Table 30: Key Marketed Sigmoidoscopes, 2015
Table 31: Key Marketed Esophagoscopes, 2015
Table 32: Key Marketed Gastroscopes, 2015
Table 33: Key Marketed Duodenoscopes, 2015
Table 34: Key Marketed Cystoscopes, 2015
Table 35: Key Marketed Ureteroscopes, 2015
Table 36: Key Marketed Resectoscopes, 2015
Table 37: Key Marketed Hysteroscopes, 2015
Table 38: Key Marketed Laparoscopes, 2015
Table 39: Endoscopy Pipeline Products, by Stage of Development, 2015
Table 40: Key Laryngoscopes Pipelines, 2015
Table 41: Key Bronchoscope Pipelines, 2015
Table 42: Key Gastroscopes Pipelines, 2015
Table 43: Key Colonoscope Pipelines, 2015
Table 44: Key Capsule Endoscope Pipelines, 2015
Table 45: Key Laparoscope Pipelines, 2015
Table 46: Other Fiberscope Pipelines, 2015
Table 47: Other Videoscope Pipelines, 2015
Table 48: Key Endoscopy Visualization System Pipelines, 2015
Table 49: Key Endoscopic Reprocessor Pipelines, 2015
Table 50: Company Profile - Ambu
Table 51: Ambu's Featured Endoscopy Products
Table 52: SWOT Analysis - Ambu
Table 53: Company Profile - Arthrex
Table 54: Arthrex's Featured Endoscopy Products
Table 55: SWOT Analysis - Arthrex
Table 56: Company Profile - B. Braun
Table 57: B. Braun's Featured Endoscopy Products
Table 58: SWOT Analysis - B. Braun
Table 59: Company Profile - Boston Scientific
Table 60: Boston Scientific's Featured Endoscopy Products
Table 61: SWOT Analysis - Boston Scientific
Table 62: Company Profile - Cook Medical
Table 63: Cook Medical's Featured Endoscopy Products
Table 64: SWOT Analysis - Cook Medical
Table 65: Company Profile - EndoChoice
Table 66: EndoChoice's Featured Endoscopy Products
Table 67: SWOT Analysis - EndoChoice
Table 68: Company Profile - Fujifilm Holdings
Table 69: Fujifilm Holdings' Featured Endoscopy Products
Table 70: SWOT Analysis - Fujifilm Holdings
Table 71: Company Profile - Getinge AB
Table 72: Getinge AB's Featured Endoscopy Products
Table 73: SWOT Analysis - Getinge AB
Table 74: Company Profile - Given Imaging
Table 75: Given Imaging's Featured Endoscopy Products
Table 76: SWOT Analysis - Given Imaging
Table 77: Company Profile - Hologic
Table 78: Hologic's Featured Endoscopy Products
Table 79: SWOT Analysis - Hologic
Table 80: Company Profile - Intuitive Surgical
Table 81: Intuitive Surgical's Featured Endoscopy Products
Table 82: SWOT Analysis - Intuitive Surgical
Table 83: Company Profile - Karl Storz
Table 84: Karl Storz's Featured Endoscopy Products
Table 85: SWOT Analysis - Karl Storz
Table 86: Company Profile - Medivators
Table 87: Medivators' Featured Endoscopy Products
Table 88: SWOT Analysis - Medivators
Table 89: Company Profile - Olympus
Table 90: Olympus' Key Featured Endoscopy Products
Table 91: SWOT Analysis - Olympus
Table 92: Company Profile - Pentax Medical
Table 93: Pentax Medical's Featured Endoscopy Products
Table 94: SWOT Analysis - Pentax Medical
Table 95: Company Profile - Richard Wolf
Table 96: Richard Wolf's Featured Endoscopy Products
Table 97: SWOT Analysis - Richard Wolf
Table 98: Company Profile - Shanghai AoHua
Table 99: Shanghai AoHua's Featured Endoscopy Products
Table 100: SWOT Analysis - Shanghai AoHua
Table 101: Company Profile - Smith and Nephew
Table 102: Smith and Nephew's Featured Endoscopy Products
Table 103: SWOT Analysis - Smith and Nephew
Table 104: Company Profile - Steris
Table 105: Steris' Featured Endoscopy Products
Table 106: SWOT Analysis - Steris
Table 107: Company Profile - Stryker
Table 108: Stryker's Featured Endoscopy Products
Table 109: SWOT Analysis - Stryker
Table 110: Other Companies Involved in the Endoscopy Market, 2015
Table 111: US Endoscopy Sales Forecast ($m), 2012-2021
Table 112: Endoscopy - Primary Call Count by Country

1.2 List of Figures
Figure 1: US Endoscopy Market Revenue, 2014 and 2021
Figure 2: Bronchoscopy Procedure Volume, 2012-2021
Figure 3: Laryngoscopy Procedure Volume, 2012-2021
Figure 4: Sinus Surgery Procedure Volume, 2012-2021
Figure 5: Colonoscopy Procedure Volume, 2012-2021
Figure 6: Sigmoidoscopy Procedure Volume, 2012-2021
Figure 7: Duodenoscopy Procedure Volume, 2012-2021
Figure 8: Gastroscopy Procedure Volume, 2012-2021
Figure 9: Esophagoscopy Procedure Volume, 2012-2021
Figure 10: Cystoscopy Procedure Volume, 2012-2021
Figure 11: Ureteroscopy Procedure Volume, 2012-2021
Figure 12: Hysteroscopy Procedure Volume, 2012-2021
Figure 13: Laparoscopy Procedure Volume, 2012-2021
Figure 14: Resectoscopy Procedure Volume, 2012-2021
Figure 15: Number of Endoscopy Treatment Rooms, by Specialty, 2015
Figure 16: Endoscopy Ownership, 2015
Figure 17: Average Endoscope Age, 2015
Figure 18: Frequency of Routine Endoscope Maintenance, 2015
Figure 19: Endoscope Washing Methods, 2015
Figure 20: Endoscope Disinfection Methods, 2015
Figure 21: Endoscope Sterilization Methods, 2015
Figure 22: Reasons for Performing Endoscopy in ENT and Pulmonology, 2013 and 2019
Figure 23: Reasons for Performing Endoscopy in Gastroenterology, 2013 and 2019
Figure 24: Reason for Performing Endoscopy in Urology and Gynecology, 2013 and 2019
Figure 25: Adoption Trends for Laryngoscopes, 2013 and 2019
Figure 26: Adoption Trends for Esophagoscopes, 2013 and 2019
Figure 27: Adoption Trends for Bronchoscopes, 2013 and 2019
Figure 28: Adoption Trends for Colonoscopes, 2013 and 2019
Figure 29: Adoption Trends for Gastroscopes, 2013 and 2019
Figure 30: Adoption Trends for Sigmoidoscopes, 2013 and 2019
Figure 31: Adoption Trends for Duodenoscopes, 2013 and 2019
Figure 32: Adoption Trends for Capsule Endoscopes, 2013 and 2019
Figure 33: Adoption Trend for Hysteroscopes, 2013 and 2019
Figure 34: Adoption Trends for Ureteroscopes, 2013 and 2019
Figure 35: Adoption Trends for Cystoscopes, 2013 and 2019
Figure 36: Adoption Trends for Laparoscopes, 2013 and 2019
Figure 37: Influencers of Purchasing Decisions, 2014-2017
Figure 38: Laryngoscope Brand Exposure, 2015
Figure 39: Bronchoscope Brand Exposure, 2015
Figure 40: Colonoscope Brand Exposure, 2015
Figure 41: Sigmoidoscope Brand Exposure, 2015
Figure 42: Esophagoscope Brand Exposure, 2015
Figure 43: Gastroscope Brand Exposure, 2015
Figure 44: Duodenoscope Brand Exposure, 2015
Figure 45: Cystoscope Brand Exposure, 2015
Figure 46: Ureteroscope Brand Exposure, 2015
Figure 47: Resectoscope Brand Exposure, 2015
Figure 48: Hysteroscope Brand Exposure, 2015
Figure 49: Laparoscope Brand Exposure, 2015
Figure 50: US Endoscopy Sales Forecast ($m), 2012-2021
Figure 51: Endoscopy - Primary Call Count by Country (N=2541)
Figure 52: Breakdown of Physician Survey Participants by Therapeutic Area (N=284)

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