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There are two options offered for ears, nose and throat (ENT) navigation systems. Optical navigation systems have the benefit of being highly precise and do not require a cable to be attached to the surgical instrument. During procedures where the line of sight is restricted, electromagnetic (EM) navigation can be used. Limitations of EM technology include being less accurate than optical navigation systems and being susceptible to metallic interferences.
In 2013, the medical excise tax was introduced into the U.S. and unit sales of capital equipment were basically unchanged compared to 2012. However, 2012 unit sales growth was significantly larger than that of 2013 due to many device manufacturers pushing sales, and hospitals stockpiling to avoid the tax. The introduction of new and less expensive image guided surgery (IGS) systems for ENT procedures will result in steady unit growth rates for the next couple of years. Forecasts show IGS system sales will begin to increase slightly as the average selling price (ASP) of these systems will decrease. New sales are coming from smaller facilities without an IGS system, facilities that require additional IGS systems, and facilities that need to replace older systems.
IGS was considered the standard of care for the following ENT procedures: functional endoscopic sinus surgery (FESS), revisions and skull-based procedures. As more ENT surgeons become comfortable using IGS systems and the systems increase in their simplicity, surgeons will use IGS for a higher percentage of all types of procedures. The number of ENT procedures performed in the U.S. is expected to increase and as the ENT IGS market approaches saturation, sales growth will follow suit.
The increasing trend of loaning systems under fee-per-use plans will decrease the percent attributed to system sales revenue in the overall market; however, it will add to the overall market value through loan payments. ASPs are set to decline slightly due to competition and market saturation. The revenues generated from fee-per-use loans and from the service and maintenance of existing systems pushed the overall market value higher. As the market matures, less of the total revenue will come from system sales and more will come from service and fee-per-use loans.
The navigation systems designed for ENT procedures do not have cross-platform capabilities; therefore, the price is naturally lower. The need for these systems is clearly documented; however, otolaryngologists often have a stricter budget compared to spinal surgeons and neurosurgeons. Companies such as Claron Technology Inc. are entering the U.S. market with equally impressive systems but at a considerably lower price compared to those on the market currently. This will increase competition in this field.
In 2014, Medtronic was the leading competitor in the ENT navigation system market with over 40% market share. Their Fusion™ system offers electromagnetic (EM) image guided surgery and is equipped to perform FESS and skull-based procedures. Brainlab was the second leading competitor in the ENT IGS market. Brainlab has three IGS platforms; they are the multi-specialty Kick®, Curve®, which is available with two monitors, and Kolibri®. Brainlab is known for designing different software application packages that are able to integrate imaging information. Brainlab was one of the first companies to develop software specifically for trauma procedures and recently has shifted focus toward selling more dedicated spinal systems.
For Further Information
More on the markets for ENT systems in the U.S. can be found in this latest edition report published by iData entitled U.S. Market for Surgical Navigation Systems and Robotics, which covers the U.S. as a whole, as well as market segments for neurosurgery, spine, ENT, and orthopedic navigation systems; spine, neuro, radio, and orthopedic surgery robotic assisted systems; MIS robotic devices; and robotic catheter systems. The report also includes detailed procedure number data.
Full iData reports provide a comprehensive analysis including units sold, procedure numbers, market value, forecasts, as well as detailed competitive market shares and analysis of major players’ success strategies in each market and segment. Register online or email us at [email protected] for an U.S. Market for Surgical Navigation Systems and Robotics report brochure and synopsis.
About Procedure Tracker
Procedure number data is available from iData’s Procedure Tracker service, which allows subscribers to define and analyze procedure data segmented by state, region, hospital, surgery centre, and physician. A customizable dashboard sorts procedure data for further analysis and research.
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