Neuroendoscopy is a rapidly expanding field of neurosurgery. Neuroendoscopy involves the use of a small fiber-optic camera attached to an endoscope that is a few millimeters in diameter. Neuroendoscopes combine high quality fiberoptic images with flexible and steerable designs that allow neurosurgeons to visualize their target deep within the brain without disrupting other vital structures. In order to transmit extremely accurate images to the neurosurgeon, there have been innovative advances in lens design and optical physics over the last decade. Smaller fiberoptic scopes with improved image quality, as well as three-dimensional imaging, have contributed to advancements within this market. An endoscope can also be utilized with or without stereotactic techniques.
This market encompasses disposable flexible fiberscopes, glass optic endoscopes, reusable flexoscopes, videoscopes, disposable flexible fiberscope adapters and neuroendoscopic hand instruments. This market will continue to increase, driven primarily by growth in procedural volumes for their most common use. Similar trends will be seen in glass optic endoscopes as they have excellent image quality and are preferred for many neurosurgical procedures. ASP in these markets will decrease slightly for competitors to maintain market share. The market for reusable flexoscopes will experience significant growth driven by resurgence in the use of flexoscopes for pediatric applications. The market for videoscopes is expected to be the fastest growing segment, although it was the smallest segment in 2016. The market for videoscopes is increasing as practitioners adopt this technology which in some cases is justifiable despite the high price tag. Videoscopes, an up and coming technology, are expected to replace reusable flexoscopes as they feature higher image quality. However, in 2016 there was only one brand of videoscope in the market.
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TABLE OF CONTENTS I
LIST OF FIGURES IX
LIST OF CHARTS XI
EXECUTIVE SUMMARY 1
U.S. NEUROMODULATION, NEUROVASCULAR, NEUROSURGICAL AND MONITORING DEVICE MARKET OVERVIEW 1
COMPETITIVE ANALYSIS 4
MARKET TRENDS 8
MARKET DEVELOPMENTS 11
PROCEDURE NUMBERS 12
PROCEDURE CODES INVESTIGATED 13
MARKETS INCLUDED 15
KEY REPORT UPDATES 17
VERSION HISTORY 17
RESEARCH METHODOLOGY 18
1.1 RESEARCH SCOPE 18
1.2 IDATA’S 9-STEP METHODOLOGY 18
Step 1: Project Initiation & Team Selection 18
Step 2: Prepare Data Systems and Perform Secondary Research 20
Step 3: Preparation for Interviews & Questionnaire Design 21
Step 4: Performing Primary Research 22
Step 5: Research Analysis: Establishing Baseline Estimates 24
Step 6: Market Forecast and Analysis 25
Step 7: Identify Strategic Opportunities 27
Step 8: Final Review and Market Release 28
Step 9: Customer Feedback and Market Monitoring 29
DISEASE OVERVIEW 30
2.1 BASIC ANATOMY 30
2.2 DISEASE PATHOLOGY AND DISORDERS 32
2.2.1 Introduction 32
2.2.2 General Diagnostics and Neurosurgery 34
2.2.3 Tumor and Brain Cancer 36
2.2.4 Brain Arteriovenous Malformations 38
2.2.5 Ischemic Stroke 39
2.2.6 Brain Aneurysm 40
2.2.7 Disorders Related to Cerebrospinal Fluids and Intracranial Pressure 42
2.2.7.1 Hydrocephalus and Intracranial Pressure Disorder 42
2.2.7.2 Cerebral Edema 43
2.2.8 Indication for Neuromodulation 45
2.2.9 Traumatic brain injury 47
PRODUCT ASSESSMENT 48
3.1 PRODUCT PORTFOLIOS 48
3.1.1 Neuroendoscopy Devices 48
3.1.1.1 Introduction 48
3.1.1.2 Product Matrix for Neuroendoscopy: Core Companies 50
3.2 REGULATORY ISSUES AND RECALLS 51
3.2.1 Neuroendoscopy 51
3.3 CLINICAL TRIALS 52
3.3.1 Neuroendoscopy 52
NEUROENDOSCOPE MARKET 54
4.1 INTRODUCTION 54
4.2 MARKET OVERVIEW 56
4.3 MARKET ANALYSIS AND FORECAST 60
4.3.1 Disposable Flexible Fiberscope Market 60
4.3.2 Glass Optic Endoscope Market 62
4.3.3 Reusable Flexoscope Market 64
4.3.4 Videoscope Market 66
4.3.5 Disposable Flexible Fiberscope Adapter Market 68
4.3.6 Neuroendoscopic Hand Instrument Market 70
4.4 DRIVERS AND LIMITERS 72
4.4.1 Market Drivers 72
4.4.2 Market Limiters 73
4.5 COMPETITIVE MARKET SHARE ANALYSIS 75
ABBREVIATIONS 80
APPENDIX: COMPANY PRESS RELEASES 83
Chart 1 1: Neurological Device Market by Segment, U.S., 2013 – 2023 3
Chart 1 2: Neurological Device Market Overview, U.S., 2016 & 2023 3
Chart 4 1: Neuroendoscope Market by Segment, U.S., 2013 – 2023 58
Chart 4 2: Neuroendoscope Market Breakdown, U.S., 2016 59
Chart 4 3: Neuroendoscope Market Breakdown, U.S., 2023 59
Chart 4 4: Leading Competitors, Neuroendoscope Market, U.S., 2016 79
Figure 1 1: Neurological Device Market Share Ranking by Segment, U.S., 2016 (1 of 3) 5
Figure 1 2: Neurological Device Market Share Ranking by Segment, U.S., 2016 (2 of 3) 5
Figure 1 3: Neurological Device Market Share Ranking by Segment, U.S., 2016 (3 of 3) 6
Figure 1 4: Companies Researched in this Report, U.S., 2016 7
Figure 1 5: Factors Impacting the Neurological Device Market by Segment, U.S. (1 of 3) 8
Figure 1 6: Factors Impacting the Neurological Device Market by Segment, U.S. (2 of 3) 9
Figure 1 7: Factors Impacting the Neurological Device Market by Segment, U.S. (3 of 3) 10
Figure 1 8: Recent Events in the Neurological Device Market, U.S., 2014 – 2016 11
Figure 1 9: Neurological Device Markets Covered, U.S., 2016 12
Figure 1 10: Procedural Codes Investigated, U.S., 2016 (1 of 2) 13
Figure 1 11: Procedural Codes Investigated, U.S., 2016 (2 of 2) 14
Figure 1 12: Neurological Device Markets Covered, U.S., 2016 (1 of 2) 15
Figure 1 13: Neurological Device Markets Covered, U.S., 2016 (2 of 2) 16
Figure 1 14: Key Report Updates 17
Figure 1 15: Version History 17
Figure 2 1: Neurology Disease Overview 33
Figure 2 2: Brain/Other Nervous System Cancer Statistics by Type and Gender, U.S., 2016 37
Figure 3 1: Class 2 Device Recall: VSII, Visionsense, Ltd. 51
Figure 3 2: Class 2 Device Recall: ASSISTO, Geomed Medizin-Technik Gmbh & Co. 51
Figure 3 3: Class 3 Device Recall: Channel Neuroendoscope, Medtronic Neurosurgery 51
Figure 3 4: Neuroendoscopy: A Study Comparing Two Treatments for Infants With Hydrocephalus 52
Figure 3 5: Neuroendoscopy: Multicenter Clinical Study on Diagnosis and Treatment of Skull Base Trauma 52
Figure 3 6: Neuroendoscopy: Comparison Between Stereotactic Aspiration and Intra-endoscopic Surgery 53
Figure 4 1: Neuroendoscope Market by Segment, U.S., 2013 – 2023 57
Figure 4 2: Disposable Flexible Fiberscope Market, U.S., 2013 – 2023 60
Figure 4 3: Glass Optic Endoscope Market, U.S., 2013 – 2023 62
Figure 4 4: Reusable Flexoscope Market, U.S., 2013 – 2023 64
Figure 4 5: Videoscope Market, U.S., 2013 – 2023 66
Figure 4 6: Disposable Flexible Fiberscope Adapter Market, U.S., 2013 – 2023 68
Figure 4 7: Neuroendoscopic Hand Instrument Market, U.S., 2013 – 2023 70
Figure 4 8: Drivers and Limiters, Neuroendoscope Market, U.S., 2016 74
Figure 4 9: Leading Competitors, Neuroendoscope Market, U.S., 2016 78
Figure 6 1: Press Release Summary 83
Medtronic
Boston Scientific
St. Jude Medical
Cyberonics
Codman & Shurtleff
Stryker
Integra LifeSciences
InoMed
Mizuho America
RauMedic
