Ultrasonic aspirators are used to remove unwanted tissue that is adjacent or attached to vital structures in a minimally invasive fashion. By converting electrical energy into high-frequency sonic waves, ultrasonic aspirators break down soft tissues through vibration in order to preserve surrounding fibrous tissue while simultaneously irrigating and aspirating the area. Ultrasonic aspirators are designed to maximize selectivity of tissue to give the neurosurgeon greater control. Neurosurgeons can use ultrasonic aspirators to remove tumors in hard-to-reach areas by cavitation. Tissues with moderate or high fluid content are easiest to fragment, like tumors, parenchyma and fat. However, most devices on the market today have the capability to also break down tougher tissues, such as fine bones.
Ultrasonic aspirators have been used in neurosurgery for over 30 years and because of this, it is a relatively mature market with limited growth potential. The majority of the growth in ultrasonic aspirators will occur in their growth in other specialties but growth in the neurological space is fairly stable. In this space the ultrasonic aspirator market has become a replacement business, and technological advances have slowed, therefore unit sales are expected to remain relatively flat over the forecast period. The price for the capital equipment includes the aspirator unit as well as the associated hand pieces, with an average of 1.5 hand pieces per unit. The ASP has come down significantly over the years, with a downward market trend beginning in 2009 due to price pressure but is now relatively stable. Only the capital equipment is included in the market value included in this segment. The capital equipment only accounts for approximately 40% of the total ultrasonic aspirator market value.
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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 Ultrasonic Aspiration Devices 48
3.1.1.1 Introduction 48
3.1.1.2 Product Matrix for Ultraconic Aspiration Device: Core Companies 50
3.2 REGULATORY ISSUES AND RECALLS 51
3.2.1 Ultrasonic Aspiration 51
3.3 CLINICAL TRIALS 53
3.3.1 Ultrasonic Aspiration 53
ULTRASONIC ASPIRATOR MARKET 54
4.1 INTRODUCTION 54
4.2 MARKET ANALYSIS AND FORECAST 55
4.2.1 Ultrasonic Aspirator Market 55
4.2.2 Installed Base 58
4.2.3 Ultrasonic Aspirator Disposable Probe Tips 59
4.2.4 Ultrasonic Aspirator Disposable Tubing 61
4.3 DRIVERS AND LIMITERS 63
4.3.1 Market Drivers 63
4.3.2 Market Limiters 64
4.4 COMPETITIVE MARKET SHARE ANALYSIS 65
ABBREVIATIONS 68
APPENDIX: COMPANY PRESS RELEASES 71
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: Ultrasonic Aspirator Market, U.S., 2013 – 2023 57
Chart 4 2: Ultrasonic Aspirator Disposable Probe Tip Market, U.S., 2013 – 2023 60
Chart 4 3: Ultrasonic Aspirator Disposable Tubing Market, U.S., 2013 – 2023 62
Chart 4 4: Leading Competitors, Ultrasonic Aspirator Market, U.S., 2016 67
Medtronic
Boston Scientific
St. Jude Medical
Cyberonics
Codman & Shurtleff
Stryker
Integra LifeSciences
InoMed
Mizuho America
RauMedic