Trends
& Opportunities in the U.S. Markets for Ablation Technologies and Other Energy-Based
Therapies, 2004
· 248 pages
· 65 Exhibits
· 71 Company Profiles
· Pub. Date February 2004
· Report #S110
 This report is a detailed market and technology assessment and forecast of
the products and technologies in the treatment of soft tissues via
energy-based
modalities, including cryogenic energy, hydraulic energy, laser energy,
magnetic energy, mechanical energy, microwave energy, radiation energy,
radiofrequency energy, thermal energy, and ultrasonic energy. The report
describes the energy-based technologies in terms of the nature of their
effect on soft tissue, the underlying basis of the technology, the requisite
systems for their use (including capital equipment, devices and
disposables), and their strengths and weaknesses for specific clinical
applications. The report details the current and anticipated target
applications, assessing the current and forecast caseload for each
energy-based therapeutic considering competition from alternative
energy-based and other therapeutics. The report details the current and
emerging products, technologies and markets for each energy-based therapy.
The report provides a current and forecast assessment of the U.S. markets
for these technologies, with particular emphasis on the market impact of new
technologies through the coming decade, and profiles key companies in this
industry detailing their current products, current market position and
products under development.
Table of Contents
Executive Summary
Overview
Trends & Opportunities
Market Leaders
Section 1: Energy-Based Therapies, Clinical Applications
and practices by Disease State
1.1 Cancer
1.1.1 Brachytherapy
1.1.2 Cryogenic Therapy
1.1.3 FluidJet Therapy
1.1.4 Microwave Therapy
1.1.5 Radiation Therapy
1.1.6 Radiofrequency Therapy
1.1.7 Stereotactic Surgery
1.1.8 Thermal Ablation
1.1.9 Ultrasonic Ablation
1.2 Cardiovascular Disease
1.2.1 Angina Pectoris
1.2.2 Atrial Arrhythmias
1.2.2.1 Laser Ablation
1.2.2.2 Cryotherapy Ablation
1.2.2.3 Electrical Cardioversion
1.2.2.4 Microwave Ablation
1.2.2.5 RF Ablation
1.2.3 Bradycardia
1.2.4 Critical Ischemia
1.2.5 Vascular Occlusive Disease
1.2.6 Ventricular Arrhythmias
1.2.7 Wolf-Parkinson-White Disease
1.3 Elective Surgery
1.3.1 Cosmetic Surgery
1.3.1.1 Laser Hair Removal
1.3.1.2 Port Wine Stains
1.3.1.3 Psoriasis
1.3.1.4 Varicose Veins
1.3.2 Ophthalmic Surgery
1.3.2.1 Capsulotomy Surgery
1.3.2.2 Laser In-Situ Keratomileusis
(LASIK)
1.3.2.2.1 Wavefront-guided Laser
In-Situ Keratomileusis (LASIK)
1.3.2.3 Laser Epithelial
Keratomileusis (LASEK)
1.4 General Surgery
1.4.1 Fecal Incontinence
1.4.2 GERD
1.4.3 Gynecological Disorders
1.4.3.1 Hysterectomy
1.4.3.2 Menorrhagia
1.4.3.3 Bladder Neck Suspension
1.4.4 Urological Applications
1.4.4.1 Urinary Tract Stones
1.4.4.2 BPH
1.4.4.2.1 TUMT
1.4.4.2.2 TUNA
1.4.4.2.3 Vaporization of the
Prostate (PVP)
1.4.4.2.4 Water-Induced
Thermotherapy
1.4.5 Tonsillectomy
1.5 Orthopedic Therapies
1.5.1 Capsular Shrinkage
1.5.2 Carpal Tunnel Syndrome
1.5.3 Chondroplasty
1.5.4 Debridement
1.5.5 Epicondylitis & Tendinitis
1.5.6 Inflammatory Conditions
1.5.7 Nucleoplasty
Section 2: Products & Technologies by Energy Modality
2.1 Cryogenic Energy
2.2 Electrical Energy
2.2.1
Implantable Cardioverter Defibrillators (ICDs)
2.2.2
Resynchronization Systems
2.2.3
Pacing Systems
2.2.4 Pain Management
2.3 Hydromechanical Energy
2.4 Light Energy
2.4.1 Cold Lasers
2.4.2 Excimer Lasers
2.4.3 Photonic Ablation
2.4.4 Ultraviolet B (UVB) Lasers
2.5 Microwave Energy
2.6 Radiation Energy
2.6.1 Brachytherapy
2.6.2 Radiosurgery
2.6.2.1 CyberKnife
2.6.2.2 Gamma Knife
2.7 Radiofrequency Energy
2.8 Thermal Energy
2.9 Ultrasonic Energy
2.9.1 Shock Wave Therapy
2.9.2 Ultrasonic Surgical Systems
Section 3: Ablation Technologies Market
3.1 Market Overview
3.2 Market Trends
3.3 Energy-Based Systems Segmentation
3.3.1 Cardiovascular Systems
3.3.1.1 Arrhythmia Ablation Market
3.3.1.2 Implantable Energy-Based HF
Devices
3.3.2 Cancer Systems
3.3.2.1 Minimally Invasive Tumor
Ablation Systems
3.3.2.2 Radiation-based Products
3.3.2.2.1 External Beam Systems
3.3.2.2.2 RadioSeed Implants
3.3.3 Elective Surgical Systems
3.3.3.1 Cosmetic Surgical Systems
3.3.3.2 Ophthalmic Surgical Systems
3.3.4 General Surgical Systems
3.3.5 Orthopedic Systems
3.3.5.1 Soft Tissue Repair Products
3.3.5.2 Orthopedic Pain Management
Products
3.4 Market Leaders
Section 4: Company Profiles
4.1 Acoustic MedSystems
4.2 Acculaser
4.3 Accuray
4.4 ACMI/ArgoMed
4.5 AFx, Inc.
4.6 Alcon Laboratories
4.7 American Medical Systems/Cryogen
4.8 ArthroCare Corporation
4.9 ATI Medical, Inc.
4.10 AtriCure
4.11 Bard EP
4.12 Bausch & Lomb
4.13 Berchtold
4.14 Biotronik, Inc.
4.15 Biowave Corporation
4.16 Biomet EBI
4.17 Boston Scientific/BEI Medical
Systems
4.18 Candela Corporation
4.19 Cardima, Inc.
4.20 CardioGenesis Corporation
4.21 Celsion Corporation
4.22 Coherent/Lumenis
4.23 ConMed Corporation
4.24 CryoCath Technologies, Inc.
4.25 CryoCor, Inc.
4.26 Curon Medical
4.27 DirexGroup
4.28 Dornier MedTech
4.29 EDAP Technomed
4.30 Edwards Lifesciences Corporation
4.31 Endocare, Inc.
4.32 EPMedSystemsm, Inc.
4.33 ERBE Elektromedizin GmbH
4.34 Focus Surgery, Inc.
4.35 Guidant Corporation
4.36 Gyrus (Everest, Skymed, Somnus)
4.37 HealthTronics Surgical Services
4.38 HydroCision, Inc.
4.39 Implant Sciences Corporation
4.40 Irvine Biomedical, Inc.
4.41 J&J BioSense-Webster
4.42 J&J Ethicon Endo-Surgery
4.43 J&J Gynecare
4.44 J&J Mitek-DePuy
4.45 LaserScope
4.46 Light Sciences Corporation
4.47 Medtronic, Inc.
4.48 Medtronic VidaMed
4.49 Microsulis Medical Ltd
4.50 Novacept
4.51 Olympus
4.52 OmniSonics Medical Technologies,
Inc.
4.53 Oncura
4.54 Orthofix
4.55 PhotoMedex
4.56 ProSurg
4.57 Proxima Therapeutics, Inc.
4.58 RITA Medical Systems, Inc.
4.59 Smith + Nephew-Oratec
4.60 The Spectranetics Corporation
4.61 Spectrasonics Imaging, Inc.
4.62 St. Jude Medical
4.63 Starion Instruments Corporation
4.64 Stryker Instruments
4.65 SURx, Inc.
4.66 Theragenics Corporation
4.67 TissueLink Medical, Inc.
4.68 Tyco (Radionics, U.S. Surgical,
Valleylab)
4.69 Urologix, Inc.
4.70 VISX
4.71 Vivant Medical
Appendix: Company Listing
List of Exhibits
Exhibit ES-1: Overview
of the U.S. Energy-Based Therapies Market by Modality
Exhibit ES-2: Growth
of the U.S. Energy-Based Therapies Market by Modality
Exhibit ES-3 U.S. Energy Therapies Segment Mix
of Total Market
Exhibit ES-4: U.S. Energy-Based Therapies
Market by Clinical Application
Exhibit ES-5: Market Leaders in Energy-Based
Therapies
Exhibit 1-1: Energy-Based Treatment Options
for Prostate Cancer
Exhibit 1-2: Energy-Based Therapies for
Cardiovascular Diseases
Exhibit 1-3: Energy-based Therapies for Atrial
Arrhythmias
Exhibit 1-4: Energy-based Systems to Treat
Bradycardia
Exhibit 1-5: Ventricular Arrhythmia Therapies
Exhibit 1-6: Energy-based Implants for
Ventricular Arrhythmias
Exhibit 1-7: Cosmetic Lasers
Exhibit 1-8: FDA Approved Procedures by Laser
System
Exhibit 1-9: Tradition LAVH vs PK LVAH
Exhibit 1-10: Orthopedic Application of
Electrosurgical Devices
Exhibit 1-11: Collagen Types
Exhibit 1-12: Chondroplasty Systems’ Zone of
Thermal Damage
Exhibit 2-1: Energy-Based Technologies
Exhibit 2-2: Cryogenic-based Technologies
Exhibit 2-3: Electrical-based Technologies
Exhibit 2-4: Clinical Trials Status CHF
Devices
Exhibit 2-5: Newly Developed ICD Devices
Exhibit 2-6: Newly Developed Resynchronization
Devices
Exhibit 2-7: Newly Developed Pacemakers
Exhibit 2-8: Microwave Energy-based
Technologies
Exhibit 2-9: Radioactive Seed Products for
Brachytherapy
Exhibit 2-10: Radiofrequency-based
Technologies
Exhibit 2-11: Ultrasonic-based technologies
Exhibit 2-12: High Growth Applications of
Ultrasonic Surgical Systems
Exhibit 2-13: Ultrasonic Surgical Systems
Exhibit 3-1: Overview of the U.S. Energy-Based
Therapies Market by Modality
Exhibit 3-2: Market Drivers by Energy Modality
Exhibit 3-3: Overview of the U.S. Energy-Based
Therapies Market by Clinical Application
Exhibit 3-4: Arrhythmias Treated with Ablation
Therapy
Exhibit 3-5: U.S. 10 Year Market Projection
Arrhythmia Ablation Systems
Exhibit 3-6: 2003 Arrhythmia Ablation Market
Share
Exhibit 3-7: U.S. 10 Year Market Projection
Cardiac Rhythm Systems
Exhibit 3-8: U.S. Market for Energy-based
Cardiac Rhythm Products
Exhibit 3-9: U.S. Tumor Ablation Systems
Market, 2003-2013
Exhibit 3-10: U.S. Tumor Ablation Systems
Market Share 2003
Exhibit 3-11: U.S. External Beam Radiation
Equipment Market, 2003-2013
Exhibit 3-12: U.S. External Beam Radiation
Equipment Market Share
Exhibit 3-13: U.S. Brachytherapy Implant
Market, 2003-2013
Exhibit 3-14: U.S. Radioactive Seed Market
Share for Brachytherapy
Exhibit 3-15: Cosmetic Market Share of
Energy-based Systems
Exhibit 3-16: Market Leaders in Energy-based
Systems for Ophthalmic Surgery
Exhibit 3-17: General Surgical Market Segment
by Energy Modality
Exhibit 3-18: U.S. 10 Year Market Projection
Ultrasonic Surgical Systems in General Surgery
Exhibit 3-19: U.S. 10 Year Market Projection
Radiofrequency Surgical Systems in General Surgery
Exhibit 3-20: General Surgical Radiofrequency
Systems Market Shares, 2003
Exhibit 3-21: U.S. 10 Year Market Projection,
Light Surgical Systems in General Surgery
Exhibit 3-22: U.S. 10 Year Market Projection,
Thermal Surgical Systems
in General Surgery
Exhibit 3-23: General Surgery Thermal Surgical
Systems Market Shares, 2003
Exhibit 3-24: U.S. 10 Year Market Projection
Hydromechanical Surgical Systems in General Surgery
Exhibit 3-25: General Surgery Hydromechanical
Surgical Systems Market Shares, 2003
Exhibit 3-26: U.S. 10 Year Market Projection
Cryogenic Surgical Systems in General Surgery
Exhibit 3-27: General Surgery Cryogenic
Surgical Systems Market Shares, 2003
Exhibit 3-28: U.S. 10 Year Market Projection
Microwave Surgical Systems
Exhibit 3-29: General Surgery Microwave
Surgical Systems Market Shares, 2003
Exhibit 3-30: General Surgical Ultrasonic
Systems Market Share
Exhibit 3-31: U.S. 10 Year Market Projection
Orthopedic Radiofrequency Systems
Exhibit 3-32: Orthopedic Surgical
Radiofrequency Systems Market Share
Exhibit 3-33: Arthroscopic Knee & Shoulder
Procedural Volumes
Exhibit 3-34: U.S. 10 Year Market Projection
Orthopedic Pain Management Products
Exhibit 3-35: Energy-based Technologies Market
Leaders
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