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Endoscopy Systems - Global Strategic Business Report

Price:
USD $4,500.00
ISBN/SKU #:
GIA-MCP1500
Research Group:
Global Industry Analysts
Date of Publication:
October 2011
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Summary

This report analyzes the worldwide markets for Endoscopy Systems in US$ Million by the following Product Segments: Endoscopes, and Visualization Equipment. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, Latin America, and Rest of World. Annual estimates and forecasts are provided for the period 2009 through 2017. A six-year historic analysis is also provided for these markets. The report profiles 109 companies including many key and niche players such as Boston Scientific Corporation, Conmed Corporation, Ethicon Endo-Surgery, Inc., FujiFilm Corporation, Given Imaging, Hoya Corporation, Karl Storz GmbH & Co. KG, Karl Storz Endoscopy-America, Inc., Karl Storz Endoscopy Japan K.K., Medtronic Neurologic Technologies, Olympus Corporation, Richard Wolf Medical Instruments Corporation, Smith & Nephew, Plc., and Stryker Corporation. Market data and analytics are derived from primary and secondary research.


TABLE OF CONTENTS

ENDOSCOPY SYSTEMS								MCP-1500
A GLOBAL STRATEGIC BUSINESS REPORT


                                            CONTENTS


  1. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONS                       1
      Study Reliability and Reporting Limitations                          1
      Disclaimers                                                          2
      Data Interpretation & Reporting Level                                3
       Quantitative Techniques & Analytics                                 3
      Product Definitions and Scope of Study                               3
       Endoscopes                                                          4
        Rigid Endoscope                                                    4
        Flexible Endoscopes                                                4
       Visualization Equipment                                             4

  2. INDUSTRY ANALYSIS                                                     5
      Endoscopy Systems - Global Market Overview and Analysis              5
      Market Dynamics                                                      5
       Recession Spurs Demand for Refurbished Equipment                    5
       Minimally Invasive Surgeries Drive Growth 6 Use of
        Disposables On Rise                                                6
       Growing Market for GI Endoscopy                                     6
       Review of Technologies Reshaping the Market                         7
        Robotics in Endoscopy                                              7
        Growing Trend Toward Integrated Operating Room Suites              7
        Confocal Microendoscopes                                           8
        Capsule Endoscopy                                                  8
        High Definition Endoscopy                                          9
        Endoscopic Ultrasound                                              10
        Auto Fluorescence Imaging                                          10
        Narrow Band Imaging Technology                                     10
        Multi-Band Imaging                                                 10
        NOTES - A New Dimension to Translumenal Endoscopy                  10
        Other Technology Advancements Over The Years                       11
         Lymph Endoscopy                                                   11
         Endoscopic Carpal Tunnel Release                                  11
         Endoscopic Metal Halide Technology                                11

  3. COMPETITIVE SCENARIO                                                  12
      Endoscopy Equipment: A Highly Consolidated Market                    12
       Table 1: Leading Players in the Global Endoscopy Market
       (2010): Percentage Breakdown of Value Sales for Johnson &
       Johnson, Olympus, Covidien, Boston Scientific, Smith &
       Nephew, Karl Storz, and Others (includes corresponding
       Graph/Chart)                                                        12
      Competitive Landscape: Leading Players in Endoscopy Systems
       Market                                                              13
      Endoscopes                                                           13
       Rigid Endoscope                                                     13
        Table 2: Leading Players in the Global Rigid Endoscope
        Market (2007): Percentage Breakdown of Value Sales for Karl
        Storz, Olympus, Smith & Nephew, Stryker, Richard Wolf, and
        Others (includes corresponding Graph/Chart)                        13
       Flexible Endoscopes                                                 14
        Table 3: Leading Players in the Global Flexible Endoscopes
        Market (2010): Percentage Breakdown of Value Sales for
        Olympus, Fujifilm, and Pentax (includes corresponding
        Graph/Chart)                                                       14
       Capsule Endoscopy                                                   14
        Table 4: Leading Players in the Global Capsule Endoscopes
        Market (2010): Percentage Breakdown of Value Sales for Given
        Imaging and Others (includes corresponding Graph/Chart)            14
      Visualization Equipment                                              14

  4. PRODUCT OVERVIEW                                                      15
      Minimally Invasive Surgery                                           15
       Benefits of MIS                                                     15
      What is Endoscopy?                                                   15
      Classification of Endoscopy Systems                                  15
      What is Endoscope?                                                   16
       Table 5: World Endoscopy Market (2010): Percentage Breakdown
       of Value Sales by Application - Gastrointestinal,
       Arthroscopy, Laparoscopy, Urology, and Others (includes
       corresponding Graph/Chart)                                          16
       Rigid Endoscopes                                                    16
       Flexible Endoscopes                                                 16
       Rigid and Flexible Endoscopes: A Comparison                         17
      Percutaneous Fiberscopes                                             17
      Fiberoptic Instruments                                               18
      Video Endoscopes                                                     18
       Video Endoscopes or Fiberoptics: Which One Offers a Better
        Solution                                                           18
      Evolution of Endoscopes                                              18
      Modern Endoscopes                                                    19
      Drawbacks of Endoscopic Surgery                                      20
      Types of Endoscopes                                                  20
       Laparoscope                                                         20
        Types of Laparoscope                                               21
         Viewing Laparoscope                                               21
         Video Laparoscope                                                 21
         Diagnostic Laparoscope                                            22
         Operating Laparoscope                                             22
       Gastroscope                                                         22
       Colonoscope & Sigmoidoscope                                         23
       Choledochoscope                                                     24
       Duodenoscope                                                        24
       Enteroscope                                                         24
       Laryngoscope                                                        25
       Bronchoscope                                                        25
        Flexible Bronchoscope                                              25
       Angioscope                                                          26
       Arthroscope                                                         26
       Cystoscope                                                          26
       Hysteroscope                                                        26
       Resectoscope                                                        27
       Fetoscope                                                           27
      Endoscopic Equipment                                                 27
       Visualization Equipment                                             27
        Cameras & Monitors                                                 27
        Light Sources                                                      27
         White Light Endoscopy                                             28
        Recorders & Printers                                               28
       Suction and Irrigation Equipment                                    28
       Insufflators                                                        28
      Endoscopic Accessories                                               28
       Suction Traps                                                       28
       Trocars and Cannulae                                                29
       Fluid Flushing Devices                                              29
       Tissue Sampling Devices                                             29
       Overtubes                                                           29
      Major Areas of Endoscopy Application                                 29
       Gastrointestinal                                                    29
        Capsule Endoscopy                                                  30
        Upper Intestinal Endoscopy                                         30
        Colonoscopy                                                        30
        Duodenoscopy                                                       30
        Cholangiopancreatography                                           30
        Laparoscopic Appendectomy                                          31
        Bowel Laparoscopy                                                  31
        Laparoscopic Cholecystectomy / Gallstone Disease                   32
        Diaphragmatic Injury                                               32
        Eosinophilic Gastroenteritis                                       32
        Malrotation                                                        32
        Peritoneal Implants                                                33
        Rectal Prolapse                                                    33
        Rectal Tumor                                                       33
        Renal Lithiasis                                                    33
        Enteroscopy                                                        33
         Intra-Operative Enteroscopy                                       33
         Push Enteroscopy                                                  34
         Sonde Enteroscopy.                                                34
        Sigmoidoscopy.                                                     34
        Choledoscopy.                                                      34
        Esophagogastroduodenoscopy / Gastroscopy / Upper Endoscopy         34
        Small Bowel Radiograph.                                            34
         Barium Follow Through Technique                                   34
         Enteroclysis.                                                     34
         Tagged Red Blood Cells                                            35
         Angiography                                                       35
        Virtual Endoscopy                                                  35
       Arthroscopy                                                         35
       Neuroendoscopy                                                      35
       Urology                                                             36
       Cystoscopy                                                          36
        Surgical Process                                                   36
       Hernial Laparoscopy                                                 36
       Ear, Nose and Throat (ENT)                                          37
        Laryngoscopy                                                       37
       Respiratory Tract                                                   37
        Bronchoscopy                                                       37
        Thoracic Laparoscopy                                               37
        Blebectomy                                                         37
        Intubation Endoscopes                                              38
        Otoscopy                                                           38
        Sinoscopy                                                          38
        Pharyngolaryngoscopy                                               38
       Obstetrics/Gynecology                                               38
        Fallopian & Ovarian Laparoscopy                                    38
        Endometriosis                                                      39
        Tubal Ligation                                                     39
        Vagina Creation                                                    39
        Laparoscopic Myomectomies                                          39
        Ovarian Cystectomy                                                 39
        Female Infertility                                                 40
        Female Sterilization                                               40
        Pelvic Inflammation                                                40
       General Surgery Applications                                        40
        Laparoscopy Relieves Pain in CABG Surgery                          41
        Laparoscopic Vagotomy for Ulcer Treatment                          41
        Laparoscopic Splenectomy                                           41
        Splenic Aneurysms                                                  41
        Treatment of Liver Disease                                         41
        Nephrectomy                                                        41
        Treatment of Polycystic Kidney Disease                             42
        Asymptomatic Pheochromocytoma                                      42
        Aortoiliac Reconstruction                                          42
        Carpal Tunnel Syndrome                                             42
        Catheter Disconnections                                            42
        Catheter Malfunctioning                                            42
        Colorectal Cancer                                                  42
        Cushing’s Disease                                                  42
        Dialysis Catheter                                                  43
        Hirschsprung’s Disease                                             43
        Bypass Surgery                                                     43
        Fetoscopy                                                          43
       Bariatric Surgery                                                   43
       Confocal Laser Endoscopy                                            43
       Interventional Pulmonology                                          43
      Endoscopic Approaches                                                44
       Anticoagulation                                                     44
       Nutritional Disorders                                               44
        Percutaneous Endoscopic Gastrotomy                                 44
        Percutaneous Endoscopic Gastrostomy Jejunostomy (PEGJ)             44
        Direct Percutaneous Endoscopic Jejunostomy                         44
      Processing and Storing of Endoscopes                                 44
       Storing                                                             44
       Cleaning                                                            45

  5. PRODUCT INNOVATIONS/INTRODUCTIONS                                     46
      Sorin Group Introduces VascuClearTM Endoscopic Vessel
       Harvesting System                                                   46
      MAQUET Cardiovascular Introduces New VASOVIEW 6 PRO Endoscopic
       Vessel Harvesting System                                            46
      EndoChoice Introduces AutoBandTM Ligator                             46
      Lighthouse Imaging Launches New EndoBenchTM Image Quality Testers    47
      Cook Medical Unveils EchoTip ProCore High Definition
       Ultrasound Biopsy Needle                                            47
      Medigus Rolls Out Miniature Video Camera                             47
      Integra LifeSciences Introduces New IntegraTM EGR Variant            48
      Olympus Medical Develops GF-UCT260 High-Resolution Ultrasound
       Gastroscope                                                         48
      Terumo Cardiovascular Systems Launches VirtuoSaph Plus
       Endoscopic Vessel Harvesting System                                 48
      EndoChoice Rolls Out Compliance EndoKit                              49
      Lighthouse Imaging Unveils Endolume™                                 49
      EndoChoice Introduces TrapEase Multi-Chamber Polyp Traps             49
      MAQUET Cardiovascular Rolls Out VASOVIEW HEMOPRO 2 Endoscopic
       Vessel Harvesting System                                            49
      Given Imaging Unveils PillCam Express and PillCam SB 2-EX            50
      Olympus Unveils OER-Pro Reprocessor                                  50
      Olympus Launches GIF-H180J Model Gastroscope                         51
      Solos Launches MammoView                                             51
      Olympus to Introduce Universal Endoscopic Ultrasound System          51
      Endo Optiks Introduces New Micro-Endoscopes                          52
      Smith & Nephew Introduces Truclear System                            52
      Olympus Medical to Introduce Concept Model Endoscopic System         52
      Fujinon Unveils Fully Digital Endoscope System                       53
      Smith & Nephew Introduces New Hip Access Cannula                     53
      Conmed Releases New Endoscopy Products                               53
      Smith & Nephew Endoscopy Unleashes Bioraptor™ 2.3 PK Suture
       Anchor                                                              53
      Olympus Introduces Capsule Endoscope                                 54
      FDA Approves Video-Based Endoscopes by Vision-Sciences               54
      PENTAX Medical Launches Video Endoscopic System                      54
      Olympus Introduces Gastrointestinal Endoscopy System                 55
      KARL STORZ Introduces Flexible Video Cystoscope                      55
      Smith & Nephew Endoscopy Introduces High-Definition Surgical
       Camera System                                                       55
      Smith & Nephew Endoscopy Introduces New CLEAR- TRAC?
       Disposable Cannulas                                                 55
      Sonora Medical Systems Unleashes Unique Product for Endoscopy        56
      Olympus Develops Latest Technology Multispectral Video
       Endoscope System                                                    56
      Olympus Releases New Single Balloon Enteroscope System               56
      Olympus Launches Two Innovative Gastrointestinal Video-Scopes        56
      Solos Endoscopy Launches Solos Breast Endoscopy System               56
      CONMED Unveils New Product Lines                                     57
      Hawthorn Medical Launches New HD Endoscopy System                    57
      Smith & Nephew Launches New Surgical Image Management System         57
      Olympus Offers New EFP250 Flushing Pump                              57
      KARL STORZ Introduces Video Podcasts of Surgeries                    58
      OmniVision Unveils Smallest NTSC CameraChip                          58
      IntroMedic Launches Capsule Endoscope                                58
      Boston Scientific Launches New EVH Solutions                         58
      KARL STORZ Unveils AUTOCON® II 400 ESU and Bipolar Resectoscope      58

  6. RECENT INDUSTRY ACTIVITY                                              59
      Beijing Century Real Technology Signs Memo of Cooperation with
       Given Imaging                                                       59
      Hitachi-Aloka Inks Collaboration Agreement with Pentax               59
      Fujinon Merges into Fujifilm                                         59
      Nexcore Technologies Takes Over CooperSurgical’s Meditron
       Portfolio                                                           59
      Olympus to Takeover Spiration                                        60
      Vision Sciences Inks Exclusive Supply Agreement with Stryker         60
      Fujifilm and FCCC Ink Joint R&D Agreement                            60
      AED and Amerinet Enter Into Agreement                                61
      SterilMed Enters Into Agreement with Amerinet                        61

  7. CORPORATE INITIATIVES IN THE RECENT PAST- A PERSPECTIVE BUILDER       62
      Solos Endoscopy Acquires Purchase Order from University of
       Arkansas                                                            62
      Misonix Divests Labcaire                                             62
      Amerinet and Life Systems Make a Deal for Endoscope Disposition      62
      Simbionix Collaborates with VirtaMed to Offer a Novel Product        62
      ISEE3D Partners with Battelle for 3D Project                         62
      Olympus Acquires Gyrus ACMI                                          63
      Fujifilm to Merge Fujinon’s Endoscopy Business                       63
      McKesson Buys Rosebud Solutions                                      63
      Given Imaging to Sell Capsule Endoscopy Device in Japan              63
      Pentax Merger with HOYA                                              64
      Smith & Nephew Endoscopy Divests Vascular Business                   64
      Seattle Development Stage Company Purchases SafeStitch               64
      Cantel Medical Acquires Small Endoscope Leak-Detection
       Equipment Business                                                  64
      Novadaq Takes Over Xillix                                            64
      Integrated Endoscopy Establishes Joint Venture in Europe             65
      PuriCore and Minntech Sign Distribution Agreement                    65
      Solos Inks an Agreement With Dynamic Surgical Inventions             65
      AMC Establishes New Endoscopy Center                                 65
      Solos Endoscopy and Tekno-Medical Ink Agreement                      65
      KGMU Establishes Endoscopy Lab                                       66
      GI Societies and Olympus Form Partnership                            66
      Sopro and Comeg Merge Operations                                     66
      Stryker Acquires Sightline Technologies                              66
      GENICON and Broadlane Ink an Agreement                               66
      Solos Endoscopy Purchases Assets of Lifeline Biotechnologies         66
      KARL STORZ Inks Agreement With Global Care Quest                     67
      Given Imaging Shifts Stock to Europe and the US                      67
      NeoGuide Obtains FDA Approval For Colonoscopy System                 67
      ViaDux Healthcare is Now Solos Endoscopy                             67
      Advanced Sterilization Obtains FDA Clearance                         67
      STERIS Obtains FDA Approval For Reliance EPS                         68
      Solos Endoscopy Files For FDA Clearance of OvaScope™ and
       MastaScope™                                                         68

  8. FOCUS ON SELECT GLOBAL PLAYERS                                        69
      Boston Scientific Corporation (USA)                                  69
      Conmed Corporation (USA)                                             69
      Ethicon Endo-Surgery, Inc. (USA)                                     69
      FujiFilm Corporation (Japan)                                         69
      Given Imaging (Israel)                                               70
      Hoya Corporation (Japan)                                             70
      Karl Storz GmbH & Co. KG (Germany)                                   70
       Karl Storz Endoscopy-America, Inc. (USA)                            71
       Karl Storz Endoscopy Japan K.K. (Japan)                             71
      Medtronic Neurologic Technologies (USA)                              71
      Olympus Corporation (Japan)                                          71
      Richard Wolf Medical Instruments Corporation (Germany)               72
      Smith & Nephew, Plc (UK)                                             72
      Stryker Corporation (USA)                                            72

  9. GLOBAL MARKET PERSPECTIVE                                             73
      Table 6: Global Recent Past, Current & Future Analysis for
      Endoscopy Systems by Geographic Region - USA, Canada, Japan,
      Europe, Asia-Pacific (excluding Japan), Latin America and 
      Rest of World Markets Independently Analyzed with Annual Sales
      Figures in US$ Million for Years 2009 through 2017 (includes
      corresponding Graph/Chart)                                           73

      Table 7: Global Historic Review for Endoscopy Systems by
      Geographic Region - USA, Canada, Japan, Europe, Asia-Pacific
      (excluding Japan), Latin America and Rest of World Markets
      Independently Analyzed with Annual Sales Figures in US$
      Million for Years 2003 through 2008 (includes corresponding
      Graph/Chart                                                          74

      Table 8: Global 15-Year Perspective for Endoscopy Systems by
      Geographic Region - USA, Canada, Japan, Europe, Asia-Pacific
      (excluding Japan), Latin America and Rest of World Markets for
      Years 2003, 2010 and 2017 (includes corresponding Graph/Chart)       75

      Table 9: Global Recent Past, Current & Future Analysis for
      Endoscopes by Geographic Region - USA, Canada, Japan, Europe,
      Asia-Pacific (excluding Japan), Latin America and Rest of
      World Markets Independently Analyzed with Annual Sales Figures
      in US$ Million for Years 2009 through 2015 (includes
      corresponding Graph/Chart)                                           76

      Table 10: Global Historic Review for Endoscopes by Geographic
      Region - USA, Canada, Japan, Europe, Asia-Pacific (excluding
      Japan), Latin America and Rest of World Markets Independently
      Analyzed with Annual Sales Figures in US$ Million for Years
      2003 through 2008 (includes corresponding Graph/Chart)               77

      Table 11: Global 15-Year Perspective for Endoscopes by
      Geographic Region - USA, Canada, Japan, Europe, Asia-Pacific
      (excluding Japan), Latin America and Rest of World Markets for
      Years 2003, 2010 and 2017 (includes corresponding Graph/Chart)       78

      Table 12: Global Recent Past, Current & Future Analysis for
      Visualization Equipment by Geographic Region - USA, Canada,
      Japan, Europe, Asia-Pacific (excluding Japan), Latin America
      and Rest of World Markets Independently Analyzed with Annual
      Sales Figures in US$ Million for Years 2009 through 2017
      (includes corresponding Graph/Chart)                                 79

      Table 13: Global Historic Review for Visualization Equipment
      by Geographic Region - USA, Canada, Japan, Europe,
      Asia-Pacific (excluding Japan), Latin America and Rest of
      World Markets Independently Analyzed with Annual Sales Figures
      in US$ Million for Years 2003 through 2008 (includes
      corresponding Graph/Chart)                                           80

      Table 14: Global 15-Year Perspective for Visualization
      Equipment by Geographic Region - USA, Canada, Japan, Europe,
      Asia-Pacific (excluding Japan), Latin America and Rest of
      World Markets for Years 2003, 2010 and 2017 (includes
      corresponding Graph/Chart)                                           81

  10. THE UNITED STATES                                                    82
      A.Market Analysis                                                    82
        Current & Future Analysis                                          82
        Growing Demand for Minimally Invasive Surgeries                    82
        Technology Advancements                                            82
        Endoscopy as Outpatient Surgery                                    82
        Product Bundling Increases Purchases                               83
        Increase in Sales for Digital Recording Systems                    83
        New Coverage for Colorectal Cancer Screening to Drive Market
         Growth for Gastrointestinal Endoscopy                             83
        GI Procedures Propel Endoscopy Market                              83
         Table 15: US Gastrointestinal Endoscopy Procedures with
         Volume in Thousands for the Years 2006 through 2010
         (includes corresponding Graph/Chart)                              84
        Capsule Endoscopy                                                  84
         Table 16: US Recent Past, Current & Future Analysis for
         Capsule Endoscopy with Annual Sales Figures in US$ Million
         for Years 2008 through 2017 (includes corresponding
         Graph/Chart)                                                      85

         Table 17: Reimbursement for Capsule Endoscopy (includes
         corresponding Graph/Chart)                                        85
        Laparascopic Procedures                                            86
         Table 18: US Recent Past, Current, and Future Analysis for
         Laparascopic Procedures with Volume in Thousand for the
         years 2008 through 2017 (includes corresponding
         Graph/Chart)                                                      86
        Reimbursement Solutions                                            86
         Table 19: Reimbursements for Select Endoscopy Procedures          87
        Competitive Scenario                                               87
         Table 20: Leading Players in the US Endoscopy Systems
         Market (2010): Percentage Share Breakdown of Sales for
         Olympus, Karl Storz, Pentax, Fujifilm, and Others (includes
         corresponding Graph/Chart)                                        88

         Table 21: Leading Players in the US Gastrointestinal
         Endoscopy Market (2010): Percentage Share Breakdown of
         Sales for Olympus, Pentax, and Others (includes
         corresponding Graph/Chart)                                        88

         Table 22: Leading Players in the US Laprascopic
         Visualization Systems Market (2010): Percentage Share
         Breakdown of Sales for Karl Storz, Stryker, Olympus, Smith &
         Nephew, and Others (includes corresponding Graph/Chart)           88

         Table 23: Leading Players in the US Pulmonary Endoscopes
         Market (2010): Percentage Share Breakdown of Sales for
         Olympus, Karl Storz, Pentax, Fujifilm, and Others (includes
         corresponding Graph/Chart)                                        89

         Table 24: Leading Players in the US Arthroscopes Market
         (2010): Percentage Share Breakdown of Sales for Smith and
         Nephew, Stryker, Conmed, Arthrex, Depuy, and Others
         (includes corresponding Graph/Chart)                              89

         Table 25: Leading Players in the US Urology Endoscopes
         Market (2010): Percentage Share Breakdown of Sales for
         Olympus, Pentax, and Others (includes corresponding
         Graph/Chart)                                                      89
        FDA Issues New Guidelines to Prevent Endoscopy Related
         Infections                                                        89
        Product Launches/Developments                                      90
        Strategic Corporate Developments                                   99
        Key Players                                                        106
      B.Market Analytics                                                   109
        Table 26: US Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes &
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               109

        Table 27: US Recent Past, Current & Future Analysis for
        Endoscopes by Application Area- GI Endoscopes, Pulmonary
        Endoscopes, Urology Endoscopes, Gynaecology Endoscopes,
        Laparascopes, Arthroscopes, and Others Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2008 through 2017 (includes corresponding Graph/Chart)             110

        Table 28: US Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes & Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       111

        Table 29: US 15-Year Perspective for Endoscopy Systems by
        Product Segment - Percentage Breakdown of Dollar Sales for
        Endoscopes and Visualization Equipment for Years 2003, 2010
        and 2017 (includes corresponding Graph/Chart)                      112

        Table 30: US 15-Year Perspective for Endoscopes by
        Application Area - Percentage Breakdown of Dollar Sales for
        GI Endoscopes, Pulmonary Endoscopes, Urology Endoscopes,
        Gynaecology Endoscopes, Laparascopes, Arthroscopes, and
        Others for Years 2008, 2009 and 2015 (includes corresponding
        Graph/Chart)                                                       113

  11. CANADA                                                               114
      A.Market Analysis                                                    114
        Current & Future Analysis                                          114
        Strategic Corporate Developments                                   114
      B.Market Analytics                                                   115
        Table 31: Canadian Recent Past, Current & Future Analysis
        for Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               115

        Table 32: Canadian Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       116

        Table 33: Canadian 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 117

  12. JAPAN                                                                118
      A.Market Analysis                                                    118
        Current & Future Analysis                                          118
        Market Overview                                                    118
        Competitive Analysis                                               118
         Table 34: Endosurgery Market in Japan (2010): Percentage
         Breakdown of Value Sales for Olympus, Stryker, Karl Storz,
         Smith & Nephew, Richard Wolf, and Others (includes
         corresponding Graph/Chart)                                        118

         Table 35: Leading Players in the Japanese Fiber Scope
         (Flexible Endoscopes) Market (2010): Percentage Breakdown
         of Value Sales for Olympus, Fujifilm, and Pentax (includes
         corresponding Graph/Chart)                                        119

         Table 36: Leading Players in the Japanese Videoscopes
         Market (2010): Percentage Breakdown of Value Sales for
         Olympus, Fujifilm, and Pentax (includes corresponding
         Graph/Chart)                                                      119
        Product Launches/Developments                                      119
        Strategic Corporate Development                                    122
        Key Players                                                        122
      B.Market Analytics                                                   124
        Table 37: Japanese Recent Past, Current & Future Analysis
        for Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               124

        Table 38: Japanese Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       125

        Table 39: Japanese 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 126

  13. EUROPE                                                               127
      A.Market Analysis                                                    127
        Current & Future Analysis                                          127
        Endoscopy Market: A Brief Overview                                 127
         Table 40: European Market for Endoscopes (2010): Percentage
         Breakdown of Value Sales by Segment - Gastrointestinal
         Endoscopes, Urology Endoscopes, Laparascopes, Gynaecology
         Endoscopes, Arthroscopes, Neuroendoscopes, and Pulmonary
         Endoscopes (includes corresponding Graph/Chart)                   127
        Factors Impacting Growth                                           128
        Competition                                                        128
         Table 41: Leading Players in European Gastro-Intestinal
         Endoscopes Market (2010): Percentage Breakdown of Sales for
         Karl Storz, Olympus, Pentax, and Others (includes
         corresponding Graph/Chart)                                        128

         Table 42: Leading Players in European Urology Endoscopes
         Market (2010): Percentage Breakdown of Sales for Karl
         Storz, Olympus, and Others (includes corresponding
         Graph/Chart)                                                      128

         Table 43: Leading Players in European Gynecology Endoscopes
         Market (2010): Percentage Breakdown of Sales for Karl
         Storz, Olympus, and Others (includes corresponding
         Graph/Chart)                                                      129

         Table 44: Leading Players in European Pulmonary Endoscopes
         Market (2010): Percentage Breakdown of Sales for Karl
         Storz, Olympus, Pentax, Fujifilm, and Others (includes
         corresponding Graph/Chart)                                        129

         Table 45: Leading Players in European Arthroscopes Market
         (2010): Percentage Breakdown of Sales for Smith & Nephew,
         Stryker, Conmed, and Others (includes corresponding
         Graph/Chart)                                                      129

         Table 46: Leading Players in European Laparascopes Market
         (2010): Percentage Breakdown of Sales for Karl Storz,
         Olympus, Stryker and Others (includes corresponding
         Graph/Chart)                                                      129
      B.Market Analytics                                                   130
        Table 47: European Recent Past, Current & Future Analysis
        for Endoscopy Systems by Region - France, Germany, UK,
        Italy, Spain and Rest of Europe Markets Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2009 through 2017 (includes corresponding Graph/Chart)             130

        Table 48: European Recent Past, Current & Future Analysis
        for Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               131

        Table 49: European Historic Review for Endoscopy Systems by
        Region - France, Germany, UK, Italy, Spain and Rest of
        Europe Markets Independently Analyzed with Annual Sales
        Figures in US$ Million for Years 2003 through 2008 (includes
        corresponding Graph/Chart)                                         132

        Table 50: European Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       133

        Table 51: European 15-Year Perspective for Endoscopy Systems
        by Geographic Region - France, Germany, UK, Italy, Spain and
        Rest of Europe Markets for Years 2003, 2010 and 2017
        (includes corresponding Graph/Chart)                               134

        Table 52: European 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 135

  13a. FRANCE                                                              136
      A.Market Analysis                                                    136
        Current & Future Analysis                                          136
        Strategic Corporate Development                                    136
      B.Market Analytics                                                   137
        Table 53: French Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               137

        Table 54: French Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       138

        Table 55: French 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 139

  13b. GERMANY                                                             140
      A.Market Analysis                                                    140
        Current & Future Analysis                                          140
        Product Launches                                                   140
        Key Players                                                        140
      B.Market Analytics                                                   141
        Table 56: German Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               141

        Table 57: German Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       142

        Table 58: German 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 143

  13c. THE UNITED KINGDOM                                                  144
      A.Market Analysis                                                    144
        Current & Future Analysis                                          144
        Strategic Corporate Developments                                   144
        Key Player                                                         145
      B.Market Analytics                                                   146
        Table 59: UK Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               146

        Table 60: UK Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       147

        Table 61: UK 15-Year Perspective for Endoscopy Systems by
        Product Segment - Percentage Breakdown of Dollar Sales for
        Endoscopes and Visualization Equipment for Years 2003, 2010
        and 2017 (includes corresponding Graph/Chart)                      148

  13d. ITALY                                                               149
      A.Market Analysis                                                    149
        Product Launches                                                   149
      B.Market Analytics                                                   150
        Table 62: Italian Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               150

        Table 63: Italian Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       151

        Table 64: Italian 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 152

  13e. SPAIN                                                               153
      A.Market Analysis                                                    153
        Current & Future Analysis                                          153
      B.Market Analytics                                                   153
        Table 65: Spanish Recent Past, Current & Future Analysis for
        Endoscopy Systems by Product Segment - Endoscopes and
        Visualization Equipment Independently Analyzed with Annual
        Sales Figures in US$ Million for Years 2009 through 2017
        (includes corresponding Graph/Chart)                               153

        Table 66: Spanish Historic Review for Endoscopy Systems by
        Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       154

        Table 67: Spanish 15-Year Perspective for Endoscopy Systems
        by Product Segment - Percentage Breakdown of Dollar Sales
        for Endoscopes and Visualization Equipment for Years 2003,
        2010 and 2017 (includes corresponding Graph/Chart)                 155

  13f. REST OF EUROPE                                                      156
      A.Market Analysis                                                    156
        Current & Future Analysis                                          156
      B.Market Analytics                                                   156
        Table 68: Rest of Europe Recent Past, Current & Future
        Analysis for Endoscopy Systems by Product Segment -
        Endoscopes and Visualization Equipment Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2009 through 2017 (includes corresponding Graph/Chart)             156

        Table 69: Rest of Europe Historic Review for Endoscopy
        Systems by Product Segment - Endoscopes and Visualization
        Equipment Independently Analyzed with Annual Sales Figures
        in US$ Million for Years 2003 through 2008 (includes
        corresponding Graph/Chart)                                         157

        Table 70: Rest of Europe 15-Year Perspective for Endoscopy
        Systems by Product Segment - Percentage Breakdown of Dollar
        Sales for Endoscopes and Visualization Equipment for Years
        2003, 2010 and 2017 (includes corresponding Graph/Chart)           158

  14. ASIA-PACIFIC                                                         159
      A.Market Analysis                                                    159
        Current & Future Analysis                                          159
        India                                                              159
         Penetration of New Technologies                                   159
        Vietnam                                                            160
         An Emerging Market                                                160
         Challenges Impacting Growth                                       160
        Strategic Corporate Developments                                   161
      B.Market Analytics                                                   162
        Table 71: Asia-Pacific Recent Past, Current & Future
        Analysis for Endoscopy Systems by Product Segment -
        Endoscopes and Visualization Equipment Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2009 through 2017 (includes corresponding Graph/Chart)             162

        Table 72: Asia-Pacific Historic Review for Endoscopy Systems
        by Product Segment - Endoscopes and Visualization Equipment
        Independently Analyzed with Annual Sales Figures in US$
        Million for Years 2003 through 2008 (includes corresponding
        Graph/Chart)                                                       163

        Table 73: Asia-Pacific 15-Year Perspective for Endoscopy
        Systems by Product Segment - Percentage Breakdown of Dollar
        Sales for Endoscopes and Visualization Equipment for Years
        2003, 2010 and 2017 (includes corresponding Graph/Chart)           164

  15. LATIN AMERICA                                                        165
      A.Market Analysis                                                    165
        Current & Future Analysis                                          165
        Market Overview                                                    165
      B.Market Analytics                                                   166
        Table 74: Latin America Recent Past, Current & Future
        Analysis for Endoscopy Systems by Product Segment -
        Endoscopes and Visualization Equipment Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2009 through 2017 (includes corresponding Graph/Chart)             166

        Table 75: Latin America Historic Review for Endoscopy
        Systems by Product Segment - Endoscopes and Visualization
        Equipment Independently Analyzed with Annual Sales Figures
        in US$ Million for Years 2003 through 2008 (includes
        corresponding Graph/Chart)                                         167

        Table 76: Latin America 15-Year Perspective for Endoscopy
        Systems by Product Segment - Percentage Breakdown of Dollar
        Sales for Endoscopes and Visualization Equipment for Years
        2003, 2010 and 2017 (includes corresponding Graph/Chart)           168

  16. REST OF WORLD                                                        169
      A.Market Analysis                                                    169
        Current & Future Analysis                                          169
        Product Launch                                                     169
        Key Player Review                                                  169
      B.Market Analytics                                                   170
        Table 77: Rest of World Recent Past, Current & Future
        Analysis for Endoscopy Systems by Product Segment -
        Endoscopes and Visualization Equipment Independently
        Analyzed with Annual Sales Figures in US$ Million for Years
        2009 through 2017 (includes corresponding Graph/Chart)             170

        Table 78: Rest of World Historic Review for Endoscopy
        Systems by Product Segment - Endoscopes and Visualization
        Equipment Independently Analyzed with Annual Sales Figures
        in US$ Million for Years 2003 through 2008 (includes
        corresponding Graph/Chart)                                         171

        Table 79: Rest of World 15-Year Perspective for Endoscopy
        Systems by Product Segment - Percentage Breakdown of Dollar
        Sales for Endoscopes and Visualization Equipment for Years
        2003, 2010 and 2017 (includes corresponding Graph/Chart)           172


  COMPETITIVE LANDSCAPE

     Total Companies Profiled: 109 (including Divisions/Subsidiaries - 171)

     ------------------------------------------
     Region/Country                     Players
     ------------------------------------------
     The United States                     65
     Canada                                11
     Japan                                  8
     Europe                                67
      France                                3
      Germany                              39
      The United Kingdom                   10
      Italy                                 2
      Spain                                 2
      Rest of Europe                       11
     Asia-Pacific (Excluding Japan)        14
     Latin America                          2
     Middle-East 			    4
     ------------------------------------------

Warranty Information

Number of Pages: 584

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