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Global Markets for Neurosurgical Products

Published January 2012 | 204 Pages | 104 Exhibits | Forecasts Through 2018

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Overview

The global market for neurosurgical products will exceed $2.7B in sales in 2013. The market is characterized by the existence of different tiers of development among mature and emerging markets. Growth in the developed markets is being driven by trends in the frequency of key conditions, such as hydrocephalus, aneurysms, arteriovenous malformations (AVMs), and pituitary and intracranial tumors, while economic constraints will continue to play an important role in product pricing and the adoption of high-end technologies. The key factor driving growth in the emerging markets is the development of neurosurgery as a discipline and its growing role in underserved countries.

The neurosurgical products covered in this report include intracranial shunts, surgical clips, embolization products, endoscopic devices, and stereotactic radiosurgery (SRS) systems. Intracranial shunts are often used to treat hydrocephalus. Aneurysms and AVMs may be treated using surgical clips or embolization products, the latter of which may be deployed during endovascular procedures. Pituitary and intracranial tumors may be removed during open surgery, endoscopic surgery, or stereotactic radiosurgery (SRS).

This in-depth report analyzes the trends and opportunities in the global neurosurgical products market; quantifies divergences in product preferences and levels of technological adoption; and provides details on the current and future outlook for the patient populations, procedures, and competitors driving growth and innovation.

Companies Covered

Accuray
Aesculap (B. Braun)
Elekta AB
Clarus Medical Systems
Codman & Shurtleff (Johnson & Johnson)
Covidien
DePuy (Johnson & Johnson)
Integra Lifesciences
Johnson & Johnson
Karl Storz
Machida Endoscope
Medtronic
Microvention (Terumo)
Nfocus Neuromedical
Penumbra
Olympus
Sophysa (Tokibo)
Stryker Neurovascular
Terumo
Visionsense
Vygon Neuro
Zeppelin Medical Instruments

Table of Contents

1. EXECUTIVE SUMMARY

1.1 Regional Analysis 
1.2 Product Analysis 
	1.2.1 Stereotactic Radiosurgery 
	1.2.2 Embolization Products 
	1.2.3 Intracranial Shunts 
	1.2.4 Neurosurgical Endoscopes 
	1.2.5 Aneurysm and AVM Clips 

Exhibit 1-1: Neurosurgical Products, Global Market Forecast by Region, 2010-2018 
Exhibit 1-2: Neurosurgical Products, Global Market Forecast by Product Segment, 2010-2018 
Exhibit 1-3: Factors Driving the U.S. Market, 2010-2018 
Exhibit 1-4: U.S. Market Forecast by Product Type, 2010-2018 
Exhibit 1-5: Factors Driving International Markets, 2010-2018 
Exhibit 1-6: International Market Forecast by Product, 2010-2018 

2. OVERVIEW

2.1 Hydrocephalus 
	2.1.1 Causes of Hydrocephalus 
	2.1.2 Types of Hydrocephalus 
	2.1.3 Global Incidence by Region 
		2.1.3.1 Pediatric Hydrocephalus 
		2.1.3.2 Adult Hydrocephalus 
2.2 Aneurysm and Arteriovenous Malformation 
	2.2.1 Aneurysms 
	2.2.2 AVMs 
	2.2.3 Prevalence of Aneurysm and AVM 
2.3 Pituitary, Skull Base and Intracranial Tumors 

Exhibit 2-1: Major Indications for Intracranial, Neurovascular, and Skull Base Procedures 
Exhibit 2-2: Causes and Types of Hydrocephalus 
Exhibit 2-3: Selected Studies of the Incidence and Prevalence of Hydrocephalus 
Exhibit 2-4: Selected Studies of the Incidence & Prevalence of Aneurysm & AVM 
Exhibit 2-5: Types of Skull Base and Intracranial Tumors 
Exhibit 2-6: Selected Studies of the Incidence and Prevalence of Pituitary, Skull Base and Intracranial Tumors 

3. NEUROSURGICAL PRODUCTS FOR OPEN SURGERY

3.1 Intracranial Shunts 
	3.1.1 The Procedure 
	3.1.2 Benefits and Challenges of Intracranial Shunts 
	3.1.3 Product Types 
	3.1.4 Products and Companies 
	3.1.5 Emerging Trends 
3.2 Aneurysm, AVM, and Subarachnoid Hemorrhage Devices 
	3.2.1 Aneurysm and AVM Clips 
		3.2.1.1 Types of Clips 
		3.2.1.2 Products and Companies 

Exhibit 3-1: Major Indications for Intracranial Shunts 
Exhibit 3-2: Benefits and Challenges of Intracranial Shunts 
Exhibit 3-3: Common Configurations of Shunt Systems 
Exhibit 3-4: Types of Intracranial Shunt Systems 
Exhibit 3-5: Valves and Other Shunt Products 
Exhibit 3-6: Selected Shunt Systems and Products in 2012 
Exhibit 3-7: Methods of Treating Aneurysm, AVM, and SAH 
Exhibit 3-8: Advantages and Disadvantages of Aneurysm/AVM Clips 
Exhibit 3-9: Features of Aneurysm and AVM Clips 
Exhibit 3-10: Selected Aneurysm and AVM Clips and Products in 2012 

4. NEUROVASCULAR AND MINIMALLY INVASIVE PRODUCTS

4.1 Embolization Products 
	4.1.1 Endovascular Coils 
		4.1.1.1 Types of Coils 
		4.1.1.2 Emerging Trends 
	4.1.2 AVM Embolization Products 
	4.1.3 Products and Companies 
4.2 Endoscopic Neurosurgery 
	4.2.1 Endoscopic Transsphenoidal Neurosurgery 
	4.2.2 Endoscopic Third Ventriculostomy 
	4.2.3 Endoscopic Approaches for Acoustic Neuroma and Trigeminal Neuralgia 
	4.2.4 Other Endoscopic Approaches 
	4.2.5 Limitations of Endoscopic Techniques 
	4.2.6 Current Endoscopes 
	4.2.7 Products and Companies 
4.3 Stereotactic Radiosurgical Systems 
	4.3.1 Gamma Irradiation Sytems 
	4.3.2 Linac Systems 
	4.3.3 Particle Beam Radiation Therapy Systems 
	4.3.4 Products and Companies 

Exhibit 4-1: The Advantages and Disadvantages of Open Neurosurgery 
Exhibit 4-2: Types of Products Used in Minimally Invasive Neurosurgery 
Exhibit 4-3: Major Limitations of MI Products and Techniques 
Exhibit 4-4: Endovascular Methods of Treating Aneurysms 
Exhibit 4-5: Selected Studies of Endovascular Coiling 
Exhibit 4-6: Selected Endovascular Coiling Products in 2012 
Exhibit 4-7: Endoscopic Neurosurgery, Techniques and Conditions 
Exhibit 4-8: Features of Neurosurgical Endoscopes 
Exhibit 4-9: Selected Neurosurgical Endoscopes in 2012 
Exhibit 4-10: Types of Stereotactic Radiosurgery Systems in 2012 
Exhibit 4-11: Selected Studies of Gamma Irradiation Radiosurgery for Epilepsy and Movement Disorders 
Exhibit 4-12: Results of Gamma Irradiation Radiosurgery for Epilepsy, PD, & ET 
Exhibit 4-13: Features of Neurosurgical Linear Accelerator Systems 
Exhibit 4-14: Features of Particle Beam Radiation Therapy Systems 
Exhibit 4-15: Advantages and Disadvantages of Proton-Beam Radiation Therapy 
Exhibit 4-16: Stereotactic Radiosurgery Systems, Companies and Products in 2012 

5. PROCEDURES AND PRODUCT MARKETS

5.1 Intracranial Shunts 
	5.1.1 Intracranial Shunts - Procedure Forecasts 
		5.1.1.1 U.S. Procedure Forecast 
		5.1.1.2 European Procedure Forecast 
		5.1.1.3 AP & ROW Procedure Forecast 
	5.1.2 Intracranial Shunts - Market Analysis 
		5.1.2.1 U.S. Market Analysis 
		5.1.2.2 European Market Forecast 
		5.1.2.3 AP & ROW Market Forecast 
		5.1.2.4 Company Analysis 
5.2 Aneurysm and AVM Clips 
	5.2.1 Aneurysm and AVM Clips - Procedure Forecasts 
		5.2.1.1 U.S. Procedure Forecast 
		5.2.1.2 European Procedure Forecast 
		5.2.1.3 AP & ROW Procedure Forecast 
	5.2.2 Aneurysm and AVM Clips - Market Analysis 
		5.2.2.1 U.S. Market Analysis 
		5.2.2.2 European Market Forecast
		5.2.2.3 AP & ROW Market Forecast 
		5.2.2.4 Company Analysis 
5.3 Embolization Products 
5.4 Embolization Products - Procedure Forecasts 
	5.4.1 U.S. Procedure Forecast 
	5.4.2 European Procedure Forecast 
	5.4.3 AP & ROW Procedure Forecast 
	5.4.4 Embolization Products - Market Analysis 
		5.4.4.1 U.S. Market Analysis 
		5.4.4.2 European Market Analysis 
		5.4.4.3 AP & ROW Market Analysis 
		5.4.4.4 Company Analysis 
5.5 Neurosurgical Endoscopes 
	5.5.1 Procedure Forecasts 
		5.5.1.1 U.S. Procedure Forecast 
		5.5.1.2 European Procedure Forecast 
		5.5.1.3 AP & ROW Procedure Forecast 
	5.5.2 Market Analysis 
		5.5.2.1 U.S. Market Analysis 
		5.5.2.2 International Market Analysis 
		5.5.2.3 Company Analysis 
5.6 Stereotactic Radiosurgery Systems 
	5.6.1 Procedure Forecasts 
		5.6.1.1 U.S. Procedure Forecast 
		5.6.1.2 European Procedure Forecast 
		5.6.1.3 AP & ROW Procedure Forecast 
	5.6.2 Market Analysis 
		5.6.2.1 U.S. Market Analysis 
		5.6.2.2 European Market Analysis 
		5.6.2.3 AP & ROW Market Analysis 
		5.6.2.4 Company Analysis 

Exhibit 5-1: Neurosurgical Products, Global Forecast by Product Segment, 2010-2018 
Exhibit 5-2: Neurosurgical Products, Global Forecast by Region, 2010-2018 
Exhibit 5-3: Intracranial Shunts, Global Procedure Forecast, 2010-2018 
Exhibit 5-4: U.S. Procedure Forecast, New Shunt Placements in Pediatric Patients, 2010-2018 
Exhibit 5-5: U.S. Procedure Forecast, New Shunt Placements in Adult Patients, 2010-2018 
Exhibit 5-6: New Shunt Placements in Pediatric and Adult Patients in the U.S., 2010-2018 
Exhibit 5-7: U.S. Procedure Forecast, New Shunt Placements and Revision Surgeries, 2010-2018 
Exhibit 5-8: European Procedure Forecast, New Shunt Placements in Pediatric Patients, 2010-2018 
Exhibit 5-9: European Procedure Forecast, New Shunt Placements in Adult Patients, 2010-2018 
Exhibit 5-10: European Procedure Forecast, New Shunt Placements and Revision Surgeries, 2010-2018 
Exhibit 5-11: AP & ROW Procedure Forecast, New Shunt Placements in Pediatric Patients, 2010-2018 
Exhibit 5-12: European Procedure Forecast, New Shunt Placements in Adult Patients, 2010-2018 
Exhibit 5-13: AP & ROW Procedure Forecast, New Shunt Placements and Revision Surgeries, 2010-2018 
Exhibit 5-14: Global Market Forecast for Hydrocephalus Shunt Products, 2010-2018   
Exhibit 5-15: U.S. Forecast, New and Replacement Units and Accessories, 2010-2018   
Exhibit 5-16: U.S. Market Forecast, Types of Shunt Systems, 2010-2018 
Exhibit 5-17: U.S. Market Forecast for Hydrocephalus Shunt Systems, 2010-2018 
Exhibit 5-18: European Forecast, New and Replacement Units and Accessories, 2010-2018  
Exhibit 5-19: European Market Forecast, Types of Shunt Systems, 2010-2018 
Exhibit 5-20: European Market Forecast for Hydrocephalus Shunt Systems, 2010-2018  
Exhibit 5-21: AP & ROW Forecast, New and Replacement Units and Accessories, 2010-2018  
Exhibit 5-22: AP & ROW Market Forecast, Types of Shunt Systems, 2010-2018 
Exhibit 5-23: AP & ROW Market Forecast for Hydrocephalus Shunt Systems, 2010-2018  
Exhibit 5-24: Intracranial Shunt Suppliers and Market Shares in 2011 
Exhibit 5-25: Surgical Clipping Procedures for Aneurysm and AVM, Global Forecast, 2010-2018 
Exhibit 5-26: Surgical Clipping Procedures for Aneurysm and AVM, U.S. Forecast, 2010-2018  
Exhibit 5-27: Surgical Clipping Procedures for Aneurysm and AVM, European Forecast, 2010-2018 
Exhibit 5-28: Surgical Clipping Procedures for Aneurysm and AVM, AP & ROW Forecast, 2010-2018 
Exhibit 5-29: Global Market Forecast for Aneurysm and AVM Clips and Accessories, 2010-2018 
Exhibit 5-30: Aneurysm and AVM Clips, U.S. Unit Forecast, 2010-2018   
Exhibit 5-31: Aneurysm and AVM Clips and Accessories, U.S. Market Forecast, 2010-2018  
Exhibit 5-32: Aneurysm and AVM Clips, European Unit Forecast, 2010-2018 
Exhibit 5-33: Aneurysm and AVM Clips and Accessories, European Market Forecast, 2010-2018 
Exhibit 5-34: Aneurysm and AVM Clips, AP & ROW Unit Forecast, 2010-2018 
Exhibit 5-35: Aneurysm and AVM Clips and Accessories, AP & ROW Market Forecast, 2010-2018 
Exhibit 5-36: Aneurysm & AVM Suppliers and Market Shares in 2011 
Exhibit 5-37: Global Procedure Forecast for Embolization Products, 2010-2018 
Exhibit 5-38: U.S. Procedure Forecast, Embolization Products, 2010-2018   
Exhibit 5-39: European Procedure Forecast, Embolization Products, 2010-2018 
Exhibit 5-40: AP & ROW Procedure Forecast, Embolization Products, 2010-2018 
Exhibit 5-41: Aneurysm and AVM Embolization Products, Global Market Forecast, 2010-2018  
Exhibit 5-42: Aneurysm and AVM Embolization Products, U.S. Market Forecast, 2010-2018  
Exhibit 5-43: Aneurysm and AVM Embolization Products, European Market Forecast, 2010-2018 
Exhibit 5-44: Aneurysm and AVM Embolization Products, AP & ROW Market Forecast, 2010-2018 
Exhibit 5-45: Embolization Product Revenues and Market Shares in 2011   
Exhibit 5-46: Neurosurgical Endoscopy, Global Procedure Forecast, 2010-2018 
Exhibit 5-47: Factors Driving & Limiting Neuroendoscopy in the Global Market 
Exhibit 5-48: Endoscopic Neurosurgeries in the U.S., Procedure Forecast, 2010-2018   
Exhibit 5-49: Endoscopic Neurosurgeries by Type, U.S. Procedure Forecast, 2010-2018  
Exhibit 5-50: Endoscopic Neurosurgeries in Europe, Procedure Forecast, 2010-2018   
Exhibit 5-51: Endoscopic Neurosurgeries by Type, European Procedure Forecast, 2010-2018  
Exhibit 5-52: Endoscopic Neurosurgeries in AP & ROW, Procedure Forecast, 2010-2018  
Exhibit 5-53: Endoscopic Neurosurgeries by Type, AP & ROW Procedure Forecast, 2010-2018  
Exhibit 5-54: Neurosurgical Endoscopy, Global Market Forecast, 2010-2018 
Exhibit 5-55: Neurosurgical Endoscopy Products, U.S. Market Forecast, 2010-2018   
Exhibit 5-56: Neurosurgical Endoscopy Products, International Market Forecast, 2010-2018  
Exhibit 5-57: Neuroendoscopy Products, Suppliers and Market Shares in 2011 
Exhibit 5-58: SRS Procedures for Intracranial Applications, Global Procedure Forecast, 2010-2018 
Exhibit 5-59: SRS Procedures for Intracranial Applications, U.S. Procedure Forecast, 2010-2018 
Exhibit 5-60: SRS Procedures for Intracranial Applications, European Procedure Forecast, 2010-2018 
Exhibit 5-61: SRS Procedures for Intracranial Applications, AP & ROW Procedure Forecast, 2010-2018 
Exhibit 5-62: Intracranial SRS Products, Global Market Forecast, 2010-2018 
Exhibit 5-63: Intracranial SRS Products, U.S. Market Forecast, 2010-2018 
Exhibit 5-64: Intracranial SRS Products, European Market Forecast, 2010-2018 
Exhibit 5-65: Intracranial SRS Products, AP & ROW Market Forecast, 2010-2018 
Exhibit 5-66: Intracranial SRS, Suppliers and Market Shares in 2011 

6. COMPANY PROFILES

6.1 Accuray 
6.2 Aesculap (B. Braun) 
6.3 Elekta AB 
6.4 Covidien 
6.5 Integra Lifesciences 
6.6 Johnson & Johnson 
6.7 Karl Storz 
6.8 Medtronic 
6.9 Stryker Neurovascular 
6.10 Terumo 
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