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Global Neurosurgical Product Markets

193 Pages | 106 Exhibits | Forecasts Through 2015
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Overview

Common conditions necessitating the use of neurosurgical products include hydrocephalus, aneurysms, arteriovenous malformations (AVMs), and pituitary and intracranial tumors. Intracranial shunts are often used to treat hydrocephalus. Aneurysms and AVMs may be treated using surgical clips or, increasingly, embolization products that may be deployed during endovascular procedures. Pituitary and intracranial tumors may be removed during open surgery, endoscopic surgery, or stereotactic radiosurgery (SRS).

The market for minimally invasive (MI) neurosurgical technologies for intracranial applications is expected to reach $3.7 billion by 2015. This in-depth report analyzes the trends and opportunities in the global neurosurgical products market and provides details on the current and future outlook for the patient populations, procedures, and competitors driving growth and innovation.

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 Forecast by Region, 2007-2015	
Exhibit 1-2: Neurosurgical Products, Global Market Forecast by Product Segment, 2007-2015	
Exhibit 1-3: Factors Driving the U.S. Market, 2007-2015	
Exhibit 1-4: U.S. Market Forecast by Product, 2007-2015	
Exhibit 1-5: Factors Driving International Markets, 2007-2015	
Exhibit 1-6: International Market Forecast by Product, 2007-2015	

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, 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 2008	
Exhibit 3-7: Selected Clinical Studies Examining Shunt Systems and Products
Exhibit 3-8: Methods of Treating Aneurysm, AVM, and SAH	
Exhibit 3-9: Advantages and Disadvantages of Aneurysm/AVM Clips	
Exhibit 3-10: Features of Aneurysm and AVM Clips	
Exhibit 3-11: Selected Aneurysm and AVM Clips and Products in 2008	

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	Proton 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 2008	
Exhibit 4-7: Endoscopic Neurosurgery, Techniques and Conditions	
Exhibit 4-8: Features of Neurosurgical Endoscopes	
Exhibit 4-9: Selected Neurosurgical Endoscopes in 2008	
Exhibit 4-10: Types of Stereotactic Radiosurgery Systems in 2008	
Exhibit 4-11: Selected Studies of the Gamma Irradiation Radiosurgery for Epilepsy and Movement Disorders	
Exhibit 4-12: Gamma Irradiation Radiosurgery for Epilepsy, PD & ET	
Exhibit 4-13: Features of Neurosurgical Linear Accelerator Systems	
Exhibit 4-14: Features of Proton Beam Radiation Therapy Systems	
Exhibit 4-15: Advantages and Disadvantages of PBRT	
Exhibit 4-16: Stereotactic Radiosurgery, Companies & Products in 2008	

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, 2007-2015	
Exhibit 5-2: Neurosurgical Products, Global Forecast by Region, 2007-2015	
Exhibit 5-3: Intracranial Shunts, Global Procedure Forecast, 2007-2015	
Exhibit 5-4: U.S. Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015	
Exhibit 5-5: U.S. Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015	
Exhibit 5-6: New Shunt Placements in Pediatric and Adult Patients in the U.S., 2007-2015	
Exhibit 5-7: U.S. Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015	
Exhibit 5-8: European Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015	
Exhibit 5-9: European Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015	
Exhibit 5-10: European Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015	
Exhibit 5-11: AP & ROW Procedure Forecast, New Shunt Placements in Pediatric Patients, 2007-2015	
Exhibit 5-12: European Procedure Forecast, New Shunt Placements in Adult Patients, 2007-2015	
Exhibit 5-13: AP & ROW Procedure Forecast, New Shunt Placements and Revision Surgeries, 2007-2015	
Exhibit 5-14: Global Market Forecast, Shunt Products, 2007-2015	
Exhibit 5-15: U.S. Forecast, New & Replacement Units & Accessories, 2007-2015	
Exhibit 5-16: U.S. Market Forecast, Types of Shunt Systems, 2007-2015	
Exhibit 5-17: U.S. Market Forecast, Shunt Systems, 2007-2015	
Exhibit 5-18: European Forecast, Units and Accessories, 2007-2015	
Exhibit 5-19: European Market Forecast, Types of Shunt Systems, 2007-2015	
Exhibit 5-20: European Market Forecast, Shunt Systems, 2007-2015	
Exhibit 5-21: AP & ROW Forecast, Units and Accessories,2007-2015	
Exhibit 5-22: AP & ROW Market Forecast, Types of Shunt Systems, 2007-2015	
Exhibit 5-23: AP & ROW Market Forecast, Shunt Systems, 2007-2015	
Exhibit 5-24: Intracranial Shunt Suppliers and Market Shares in 2008	
Exhibit 5-25: Surgical Clipping Procedures for Aneurysm and AVM, Global Forecast, 2007-2015
Exhibit 5-26: Surgical Clipping Procedures, U.S. Forecast, 2007-2015	
Exhibit 5-27: Surgical Clipping Procedures, European Forecast, 2007-2015	
Exhibit 5-28: Surgical Clipping Procedures, AP & ROW Forecast, 2007-2015	
Exhibit 5-29: Global Market Forecast, Clips and Accessories, 2007-2015	
Exhibit 5-30: Aneurysm and AVM Clips, U.S. Unit Forecast, 2007-2015	
Exhibit 5-31: Clips and Accessories, U.S. Market Forecast, 2007-2015	
Exhibit 5-32: Aneurysm and AVM Clips, European Unit Forecast, 2007-2015	
Exhibit 5-33: Clips and Accessories, European Market Forecast, 2007-2015	
Exhibit 5-34: Aneurysm and AVM Clips, AP & ROW Unit Forecast, 2007-2015	
Exhibit 5-35: Clips and Accessories, AP & ROW Market Forecast, 2007-2015	
Exhibit 5-36: Aneurysm & AVM Clips, Suppliers and Market Shares in 2008	
Exhibit 5-37: Global Procedure Forecast for Embolization Products, 2007-2015	
Exhibit 5-38: U.S. Procedure Forecast, Embolization Products, 2007-2015	
Exhibit 5-39: European Procedure Forecast, Embolization Products, 2007-2015	
Exhibit 5-40: AP & ROW Procedure Forecast, Embolization Products, 2007-2015	
Exhibit 5-41: Aneurysm and AVM Products, Global Market Forecast, 2007-2015	
Exhibit 5-42: Embolization Products, U.S. Market Forecast, 2007-2015	
Exhibit 5-43: Embolization Products, European Market Forecast, 2007-2015	
Exhibit 5-44: Embolization Products, AP & ROW Market Forecast, 2007-2015	
Exhibit 5-45: Intracranial Shunt Revenues and Market Shares in 2008	
Exhibit 5-46: Neurosurgical Endoscopy, Global Procedure Forecast, 2007-2015	
Exhibit 5-47: Factors Driving & Limiting Neuroendoscopy in the Global Market	
Exhibit 5-48: Endoscopic Neurosurgeries, U.S. Procedure Forecast, 2007-2015	
Exhibit 5-49: Endoscopic Neurosurgeries by Type, U.S. Procedure Forecast, 2007-2015	
Exhibit 5-50: Endoscopic Neurosurgeries, European Procedure Forecast, 2007-2015	
Exhibit 5-51: Endoscopic Neurosurgeries by Type, European Procedure Forecast, 2007-2015	
Exhibit 5-52: Endoscopic Neurosurgeries, AP & ROW Forecast, 2007-2015	
Exhibit 5-53: Endoscopic Neurosurgeries by Type, AP & ROW Procedure Forecast, 2007-2015
Exhibit 5-54: Neurosurgical Endoscopy, Global Market Forecast, 2007-2015	
Exhibit 5-55: Neurosurgical Endoscopy Products, U.S. Market Forecast, 2007-2015	
Exhibit 5-56: Neurosurgical Endoscopy Products, International Market Forecast, 2007-2015	
Exhibit 5-57: Neuroendoscopy Products, Suppliers and Market Shares in 2008	
Exhibit 5-58: SRS Procedures for Intracranial Applications, Global Procedure Forecast, 2007-2015	
Exhibit 5-59: Intracranial SRS Procedures, U.S. Procedure Forecast, 2007-2015
Exhibit 5-60: Intracranial SRS Procedures, European Procedure Fcst, 2007-2015	
Exhibit 5-61: Intracranial SRS Procedures, AP&ROW Procedure Fcst, 2007-2015	
Exhibit 5-62: Intracranial SRS, Global Market Forecast, 2007-2015	
Exhibit 5-63: Intracranial SRS Products, U.S. Market Forecast, 2007-2015	
Exhibit 5-64: Intracranial SRS Products, European Market Forecast, 2007-2015	
Exhibit 5-65: Intracranial SRS Products, AP & ROW Market Forecast, 2007-2015	
Exhibit 5-66: Neuroendoscopy Products, Suppliers and Market Shares in 2008	

6.	COMPANY PROFILES	

Exhibit 6-1:	Selected Suppliers of Neurosurgical Products in 2008

Companies Covered

Accuray
Aesculap (B. Braun)
American Radiosurgery
Boston Scientific
BrainLAB
Cardinal Health
Clarus Medical Systems
Codman & Shurtleff (Johnson & Johnson)
Cordis (Johnson & Johnson)
Elekta
ev3
GammaStar Group
Hitachi
Integra LifeSciences
Ion Beam Applications
Johnson & Johnson
KARL STORZ Endoscopy
Kirwan Surgical Products
Machida Endoscope
Medicon
Medtronic
Micro Therapeutics/EV3
Microvention/Terumo
Micrus Endovascular
Mizuho America
Nfocus Neuromedical
Olympus
Optivus Proton Therapy
Peter Lazic
Rebstock-Instrumente
Scanlan International
Siemens
Sophysa
Still River Systems
TomoTherapy
Varian Medical Systems
Visionsense
Von Zeppelin
VYGON Neuro
Zeppelin Medical Instruments