The Western European Market for Electrosurgery and Surgical Lasers


With the technological development of electrosurgical generators and end-user driven impetus for minimally invasive surgery, the market for electrosurgery and surgical laser products is expected to experience growth from 1997 onwards.

To ensure that you know what this will mean for your products and markets you need Clinica's The Western European Market for Electrosurgery and Surgical Lasers.

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Published : June 1996
Ref : CBS636E
Pages : 250
Price: £200/US$415/¥48,000

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CONTENTS
EXECUTIVE SUMMARY

CHAPTER 1 Introduction
1.1 The methods used to collate this report
1.2 The industry
1.3 The regulatory environment
1.4 The impact of the economic background
1.5 The impact of technology and product development
1.6 The impact of end-user need
1.7 Market size and growth forecasts
1.8 Market shares of leading companies
1.9 Business development

CHAPTER 2 Definitions
2.1 Acronyms used in the industry
2.2 Abbreviations used in this report
2.3 Dollar conversions
2.4 Product segmentation
2.5 Geographical market segmentation

CHAPTER 3 Products and suppliers
3.1 Background technology
3.2 A summary of core technologies
3.2.1 Low-frequency electrosurgery
3.2.2 High-frequency electrosurgery
3.2.2.1 Monopolar technology
3.2.2.2 Bipolar technology
3.2.2.3 Argon plasma systems
3.2.2.4 Applications
3.2.3 Surgical lasers
3.2.3.1 CO2 and Nd:YAG surgical lasers
3.2.3.2 Ho:YAG surgical lasers
3.2.3.3 Diode surgical lasers
3.2.3.4 Other lasers
3.2.4 Ultrasonic systems
3.2.5 Other technologies
3.3 The product supply base
3.3.1 Leading companies
3.3.2 Companies and products
3.4 Product pricing in Europe
3.5 Industry concerns in the European markets
3.5.1 Cost containment and the quality of healthcare
3.5.2 Day-surgery
3.5.3 Over-supply
3.5.4 High-cost and high-risk advanced technology
3.5.5 The cyclical peak
3.5.6 The Medical Devices Directive
3.5.7 Turnkey buyers and supplier alliances

CHAPTER 4 Market dynamics
4.1 Overview
4.1.1 The strongest influences
4.1.2 The general background
4.2 The impact of technology development
4.2.1 Continuing trends
4.2.2 The impact of alternative technology
4.3 The economic climate
4.3.1 Core Europe
4.3.1.1 Germany
4.3.1.2 France
4.3.1.3 Italy
4.3.1.4 United Kingdom
4.3.2 The rest of Europe
4.3.2.1 Scandinavia
4.3.2.2 Benelux
4.3.2.3 Iberia
4.3.2.4 Others
4.4 Regulatory influences on market development
4.5 End-user needs
4.5.1 The needs of the clinician
4.5.2 Surgical practice
4.5.2.1 Minimally invasive surgery
4.5.2.2 Day-surgery
4.5.2.3 Procedures in the context of endoscopic surgery
4.5.2.4 Lower gastrointestinal surgery
4.5.2.5 Upper gastrointestinal surgery
4.5.2.6 Orthopaedics
4.5.2.7 Urological surgery
4.5.2.8 General surgery
4.5.2.9 Pulmonary surgery
4.5.2.10 Gynaecology
4.5.2.11 ORL surgery
4.5.2.12 Other surgery

CHAPTER 5 The market size
5.1 Overview of the market dynamics
5.2 The global European market
5.3 Detailed forecasts
5.4 The trends in annual growth

CHAPTER 6 Estimated market shares of leading companies
6.1 Overview of the market
6.2 Market shares
6.2.1 Electrosurgery
6.2.2 Surgical lasers

CHAPTER 7 Market success factors
7.1 Overview of the market
7.2 Market attractiveness
7.3 Success factors

CHAPTER 8 Profiles of selected companies
8.1 Introduction
8.2 Profiles
8.2.1 Aesculap AG
8.2.2 B&K Medical A/S
8.2.3 Berchtold GmbH & Co
8.2.4 Cabot Medical Corporation
8.2.5 Candela Laser Corporation
8.2.6 Carl Zeiss
8.2.7 Ceram Optec GmbH
8.2.8 Circon Corporation (Circon ACMI)
8.2.9 Coherent Inc
8.2.10 Conmed Corporation
8.2.11 Diomed Ltd
8.2.12 Dornier Medizintechnik GmbH
8.2.13 Erbe Elektromedizin GmbH
8.2.14 GU Medical Systems Ltd
8.2.15 Heraeus Surgical Inc
8.2.16 Karl Storz GmbH KG
8.2.17 Laser Industries Ltd
8.2.18 Lasermatic Oy
8.2.19 3M Corporation
8.2.20 Martin Medizin-Technik
8.2.21 Olympus Optical Co Ltd
8.2.22 Richard Wolf GmbH
8.2.23 Smiths Industries Medical Systems Ltd
8.2.24 Surgical Laser Technologies Inc
8.2.25 Ultracision Inc
8.2.26 Valleylab Inc
8.2.27 Vida Elettronica SRL
8.2.28 WISAP
8.3 List of selected company locations

LIST OF TABLES
Table 1.1 Real GDP growth in the major country markets, 1995-1999
Table 1.2 Numbers of surgical procedures performed in all hospitals in Germany
Table 1.3 The number of surgical procedures performed in public French hospitals
Table 1.4 The number of surgical procedures performed in private French hospitals
Table 1.5 The number of surgical procedures performed in all Italian hospitals
Table 1.6 The number of procedures performed in English public hospitals
Table 1.7 Estimated and forecast laparoscopic general surgery in Europe*, 1994-2000
Table 1.8 The total Western European market, 1994-2000 ($ million)
Table 1.9 Total Western European sales revenues by region, 1994-2000 ($ million)
Table 1.10 European sales by product type, 1994-2000 ($ million)
Table 1.11 Estimated 1995 market share of the leading electrosurgery companies in Europe (market value $200 million)
Table 2.1 List of chemical terms
Table 2.2 List of clinical acronyms
Table 2.3 List of relevant key definitions in electro- and laser surgery
Table 2.4 List of general abbreviations
Table 2.5 Conversion factors to US dollars
Table 2.6 Applications segmentation
Table 2.7 Geographical segmentation - Western Europe
Table 3.1 Examples of applications of surgical lasers*
Table 3.2 Core technology and application
Table 3.3 A brief early history of lasers
Table 3.4 Selected examples of laser types used in healthcare
Table 3.5 Leading companies in the global markets, 1995
Table 3.6 The technology focus of selected companies - illustrating the market in Europe, 1995
Table 3.7 Relative prices in Europe, 1994
Table 4.1 Public hospital beds and healthcare spending in Western Europe
Table 4.2 Medium-term economic forecasts for Germany
Table 4.3 Medium-term economic forecasts for France
Table 4.4 Medium-term economic forecasts for Italy
Table 4.5 Medium-term economic forecasts for the United Kingdom
Table 4.6 Medium-term economic forecasts for Scandinavia
Table 4.7 Medium-term economic forecasts for Benelux
Table 4.8 Medium-term economic forecasts for Spain
Table 4.9 Medium-term economic forecasts for Austria and Switzerland
Table 4.10 An outline of the EU Medical Devices Directive
Table 4.11 The types of procedures appropriate for day-surgery
Table 4.12 Potential growth in selected day-surgery procedures, 1994-2000
Table 4.13 The potential increase in penetration of day-surgery practice in Western Europe (percent)
Table 4.14 Estimates of the numbers of common procedures performed endoscopically or potentially endoscopically, 1994
Table 4.15 Estimated and forecast gastrointestinal procedures, 1994-2000
Table 4.16 Estimated growth in arthroscopic surgery in Europe*, 1994-2000
Table 4.17 Estimated and forecast urological procedures, 1994-2000
Table 4.18 Estimated and forecast laparoscopic general surgery in Europe*, 1994-2000
Table 4.19 Estimated and forecast pulmonary surgery, 1994-2000
Table 4.20 Estimated and forecast gynaecological procedures, 1994-2000
Table 4.21 Estimated and forecast ORL procedures, 1994-2000
Table 4.22 Estimated neurosurgical and cardiovascular surgery, 1994-2000
Table 5.1 Estimated total Western European sales revenues, 1994-2000 ($ million)
Table 5.2 Estimated European market value by region, 1994-2000 ($ million)
Table 5.3 European sales by product type, 1994-2000 ($ million)
Table 5.4 Estimated proportions of units sales of surgical laser systems by technology, 1994 and 2000
Table 5.5 Germany - the market to 2000 ($ million)
Table 5.6 France - the market to 2000 ($ million)
Table 5.7 Italy - the market to 2000 ($ million)
Table 5.8 Iberia - the market to 2000 ($ million)
Table 5.9 United Kingdom - the market to 2000 ($ million)
Table 5.10 Benelux - the market to 2000 ($ million)
Table 5.11 Scandinavia - the market to 2000 ($ million)
Table 5.12 The other* countries of Western Europe - the market to 2000 ($ million)
Table 5.13 The market for reusable insulated surgical instruments to 2000 ($ million)
Table 5.14 The market for HFE consumables/disposables to 2000 ($ million)
Table 5.15 The market for HFE generators to 2000 ($ million)
Table 5.16 The market for HFE semi-reusables to 2000 ($ million)
Table 5.17 The market for gas tube and solid-state crystal surgical lasers to 2000 ($ million)
Table 5.18 The estimated market for diode surgical lasers to 2000 ($ million)
Table 5.19 Total and 2-year market growth by region
Table 5.20 Total and 2-year market growth by product application
Table 6.1 Electrosurgery - estimated 1995 market shares of the leading companies in Europe (total market value $200 million)
Table 6.2 Estimated leading market shares for all markets excluding reusable instruments, 1995
Table 6.3 Estimated market shares in high-frequency electrosurgery only, 1995
Table 6.4 Estimated market shares in reusable surgical instruments, 1995
Table 8.1 Summary of companies profiled
Table 8.2 Cabot Corporation, financial results prior to acquisition by Circon Corporation
Table 8.3 Cabot Corporation, domestic and export sales revenues ($ million)
Table 8.4 Candela Laser Corporation, financial performance 1991-1995 ($ million)
Table 8.5 Carl Zeiss, sales revenues 1992-1994 ($ million)
Table 8.6 Coherent Inc, financial highlights
Table 8.7 Conmed Corporation, financial results
Table 8.8 Laser Industries, financial summary
Table 8.9 3M, financial profile 1993-1995
Table 8.10 3M, net sales by product group 1993-1995 ($ million)
Table 8.11 SIMS, financial summary
Table 8.12 Surgical Laser Technologies, financial summary
Table 8.13 Pfizer, financial summary
Table 8.14 Examples of companies which have actively marketed electrosurgery and surgical laser products in Europe

LIST OF FIGURES
Figure 1.1 The total Western European market, 1994-2000
Figure 1.2 Total Western European sales revenues by region, 1994-2000
Figure 1.3 European sales by product type, 1994-2000
Figure 1.4 Estimated 1995 market share of the leading electrosurgery companies in Europe (market value $200 million)
Figure 3.1 Estimated distribution of surgical laser types in Western Europe, 1995
Figure 3.2 Estimated distribution of application disciplines for surgical lasers in Western Europe, 1995
Figure 3.3 GDP growth and growth in spending on healthcare
Figure 4.1 The Western European population
Figure 4.2 Proportion of acute-care beds by region in Western Europe
Figure 4.3 The number of acute hospitals in the major markets of Europe
Figure 4.4 Growth of population older than 65 years (as % of total population) in major population centres
Figure 4.5 The correlation of macroeconomic growth and growth in spending on healthcare
Figure 4.6 Medium-term economic forecasts for Germany
Figure 4.7 Medium-term economic forecasts for France
Figure 4.8 Medium-term economic forecasts for Italy
Figure 4.9 Medium-term economic forecasts for the UK
Figure 4.10 Medium-term economic forecasts for Scandinavia
Figure 4.11 Medium-term economic forecasts for Benelux
Figure 4.12 Medium-term economic forecasts for Spain
Figure 4.13 Medium-term economic forecasts for Austria and Switzerland
Figure 4.14 The potential increase in penetration of day-surgery practice in Western Europe (percent)
Figure 5.1 Estimated total Western European sales revenues, 1994-2000
Figure 5.2 Comparative sales revenues split by European region, 1994 and 2000
Figure 5.3 Estimated European market value by region, 1994-2000
Figure 5.4 European sales by product type, 1994-2000
Figure 5.5 Growth in European sales revenue by product type, 1994-2000
Figure 5.6 Estimated proportions of units sales of surgical laser systems by technology, 2000
Figure 5.7 Germany - the market to 2000
Figure 5.8 France - the market to 2000
Figure 5.9 Italy - the market to 2000
Figure 5.10 Iberia - the market to 2000
Figure 5.11 United Kingdom - the market to 2000
Figure 5.12 Benelux - the market to 2000
Figure 5.13 Scandinavia - the market to 2000
Figure 5.14 The other* countries of Western Europe - the market to 2000
Figure 5.15 The market for reusable insulated surgical instruments to 2000
Figure 5.16 The market for HFE consumables/disposables to 2000
Figure 5.17 The market for HFE generators to 2000
Figure 5.18 The market for HFE semi-reusables to 2000
Figure 5.19 The market for gas tube and solid-state crystal surgical lasers to 2000
Figure 5.20 The estimated market for diode surgical lasers to 2000
Figure 6.1 European sales by product type, 1994-2000
Figure 6.2 Total Western European sales revenues by region, 1994-2000
Figure 7.1 Relative market size and growth
Figure 7.2 Regional market attractiveness
Figure 8.1 Summary of Aesculap's principal shareholding earnings, 1993/4
Figure 8.2 Carl Zeiss, approximate sales by product type
Figure 8.3 Circon Corporation's financial performance, 1990-1994
Figure 8.4 Circon's 1994 sales by product type
Figure 8.5 Circon's 1994 sales by application segment
Figure 8.6 Olympus Optical, financial performance, 1992/3-1994/5
Figure 8.7 Olympus Optical, financial performance by product group, 1990-1995

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