Global Abdominal Surgical Robots Market Shares, Strategies, and Forecasts, 2015 to 2021

Abdominal surgical robot device markets at $2.2 billion in 2014 are anticipated to reach $10.5 billion by 2021 as next generation devices, systems, and instruments are introduced to manage surgery through small ports in the body instead of large open wounds.

Market Research announces that it has published a new study Abdominal Surgical Robots: Market Shares, Strategy, and Forecasts, Worldwide, 2015 to 2021. The 2015 study has 416 pages, 176 tables and figures. Worldwide abdominal surgical robot markets are poised to achieve significant growth as next generation systems provide a way to improve traditional open surgery and decrease the number of ports needed for minimally invasive surgery.

Intuitive Surgical owns the market as the sole participant with measurable market share in abdominal surgical robots. This leadership position will need to be defended as other products, now in clinical trials come to market. Advanced technology, an impressive installed base and a well trained group of surgeons able to manage the robots give Intuitive Surgical market advantage. Patients fare better when the surgery is done by surgical robots. The documentation of improvements in care delivery, the ability to ensure better outcomes from surgery promise that abdominal surgical robotics is a strong growth market.

Abdominal robotic surgery is poised to eclipse open surgery. It is used in the categories of general surgery, urologic surgery, head and neck surgery, and gynecological surgery. Surgical robots are positioned to become the standard of care for hospitals in the delivery of abdominal surgery. The emerging group of several abdominal surgical robotic companies will collectively have enough marketing dollars and enough marketing clout to drive replacement of all open surgery.

Abdominal surgical robots are evolving platforms that are useful for surgeons seeking to achieve excellence and repeatability in every surgery. Intuitive Surgical now dominates, is alone in the market, but several vendors with specialized products are targeting the large and rapidly growing abdominal robotic surgery market. The vendors expertise in a specialty gives them strategic advantage to address a large and growing market.

Every surgeon working to perform gynecological surgery wants to practice at a hospital that has those abdominal robotic surgical devices, thus in order to attract physicians and patients, the hospitals have to purchase the robot surgical equipment. The penetration of the hospitals will go from 21% to 100% in the US within five years, as the surgeons migrate to the places that have the robotic surgical equipment. The abdominal surgical robots permit better surgery and the surgeons and patients know this.

The technology uses metal tubes attached to the arms are inserted through the ports, and the cutting and visualization instruments are introduced through the tubes into the patient’s body. The surgeon performs the procedure while sitting at a console, manipulating the instrument controls and viewing the operation through a vision system. When a surgeon needs to change an instrument the instrument is withdrawn from the surgical field using the controls at the console and the nursing assistants switch instruments as per the physician instruction. This is done many times during an operation.

Key elements of abdominal surgical robot strategy include a focus on key procedures. This study has a concentration on procedure analysis as that is the essence of the market. Existing procedures are easier, safer and more cost-effective than the alternative methods. The strategy is to broaden the number of procedures performed using a robotic surgical system and to educate surgeons, hospitals and patients as to the benefits of robotic surgery while understanding the numbers relating to procedure implementation.

An analysis of abdominal robotic procedure volumes and variety procedures leads to the conclusion that Intuitive Surgical market position will be difficult to dislodge. Intuitive Surgical dominant position is based on technological excellence that keeps being improved. Competitors will have a difficult time catching up, much less improving on the Intuitive Surgical technology. True bedside units and lower cost will help other competitors emerge

Intuitive Surgical has achieved close to market saturation in colorectal surgery in the US, it will work on increasing its presence in other surgical market sectors. The leading robotic surgical companies are poised to grow through acquisition, purchasing smaller companies that have developed as specialized product and gained FDA approval. As detailed in the market research study there are a lot of those in every medical specialty and more to come.

The surgical robot market is characterized enormous variety and innovation. A surgical robot recurring revenue business model is essentially a large one time purchase for a system complimented by replaceable or disposable instruments that cumulatively make the market a much larger and sustainable ongoing market. Vendors make money from the one time sale of a system and recurring revenue from sale of devices used in every operation.

Initially, a vendor sells and installs the surgical system into new customer accounts. Once systems are sold into customer accounts, the vendor generates recurring revenue as our customers use the system to perform surgery. To do abdominal surgeries, the customers need to buy and consume instruments and accessory products. Vendors also generate recurring revenue from system service.

The automated process revolution in surgery and communications is being implemented via robots. Robots automation of systems is providing significant improvement in the accuracy of surgery and the repeatability of process.

According to Susan Eustis, lead author of the study, “Existing open abdominal surgery can be replaced in large part by robotic abdominal surgery during the forecast period. Abdominal robotic surgical approaches complement existing open surgery techniques. Soon, all surgery will be undertaken with at least come aspects of robotic surgery replacing or complementing open surgery.”

The aging US population has supported demand, since the occurrence of health issues that require medical devices is higher in the elderly population. Buoyed by strong demand and sales, industry profit margins have increased considerably during the past five years.

Hospitals are adopting robotic surgical devices to improve their outcomes numbers. Hospitals are measured on outcomes, robots for surgery, when used by a trained physician are improving outcomes significantly. Hundreds of universities worldwide have research programs in robotics and many are awarding degrees in robotics. These “roboticists” are increasingly being hired by Global 2000 organizations to link mobile robots (mobile computers) into existing IT systems.

Robot-assisted surgery gives the surgeon better control over the surgical instruments and a better view of the surgical site. Surgeons no longer have to stand throughout the surgery and do not tire as quickly. Hand tremors are filtered out by the robot’s computer software. The surgical robot can continuously be used by rotating surgery teams.

Abdominal surgical robot device markets at $2.2 billion in 2014 are anticipated to reach $10.5 billion by 2021 as next generation devices, systems, and instruments are introduced to manage surgery through small ports in the body instead of large open wounds.

The complete report provides a comprehensive analysis including procedure numbers, units sold, market value, forecasts, as well as a detailed competitive market shares and analysis of major players’ success, challenges, and strategies in each segment and sub-segment. The reports cover markets for abdominal robotic surgery medical specialties and sub-specialties.

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Market Research is an independent research organization funded by the sale of market research studies all over the world and by the implementation of ROI models that are used to calculate the total cost of ownership of equipment, services, and software. The company has 35 distributors worldwide, including Global Information Info Shop, Market Research.com, Research and Markets, Bloomberg, and Thompson Financial. Market Research is positioned to help customers facing challenges that define the modern enterprises. The increasingly global nature of science, technology and engineering is a reflection of the implementation of the globally integrated enterprise. Customers trust Market research to work alongside them to ensure the success of the participation in a particular market segment.

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Table of Contents

Abdominal Surgical Robot Executive Summary 33
Abdominal Surgical Robot Market Driving Forces 33
Surgical Robotics Market Driving Forces 37
Healthcare Abdominal Robotics Enabling Technology 42
Abdominal Robot-Assisted Surgery Market Driving Forces 42
Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing
To Larger Companies 44
Surgical Robot Market Risks 45
Medical Abdominal Surgical Robots: Market Shares 46
Robotic Abdominal Surgery Market Forecasts 49

1. Abdominal Surgical Robots Market Description and Market Dynamics 51
1.1 Abdominal Robotic Surgical System 51
1.1.1 Market Strategy for the Robotic Surgical System 56
1.1.2 Focus on Key Institutions 58
1.2 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 58
1.2.1 Maintain Market Leadership 59
1.2.2 Develop Industry Alliances 59
1.2.3 Increase Patient Awareness 60
1.3 Clinical Applications For Technology 60
1.4 Elder Assistance Robot Market Strategy 61
1.4.1 InTouch Platforms Integrate Seamlessly With da Vinci Systems 62

2. Abdominal Surgical Robot Market Shares and Forecasts 63
2.1 Abdominal Surgical Robot Market Driving Forces 63
2.1.1 Surgical Robotics Market Driving Forces 67
2.1.2 Healthcare Abdominal Robotics Enabling Technology 72
2.1.3 Abdominal Robot-Assisted Surgery Market Driving Forces 72
2.1.4 Entrepreneurial Manufacturers with FDA-Approved Products Provide Sourcing To Larger Companies 74
2.1.5 Surgical Robot Market Risks 75
2.2 Medical Abdominal Surgical Robots: Market Shares 76
2.2.1 Intuitive Surgical Robotics da Vinci® System 83
2.2.2 Intuitive Surgical Overcomes The Difficulty Of Market Saturation 85
2.2.3 Intuitive Surgical 86
2.2.4 Intuitive Surgical Potential Competition From Google and Johnson & Johnson 89
2.2.5 Intuitive Surgical Robotic Surgery Strategic Positioning 89
2.2.6 Google and Johnson & Johnson 92
2.2.7 Titan Robot 93
2.2.8 Titan Robot Partners 96
2.2.9 Titan Prospectus 97
2.3 Robotic Abdominal Surgery Market Forecasts 99
2.3.1 Surgical Robot Systems Forecasts 102
2.3.2 Medical Robotic Surgery Challenges 109
2.3.3 Surgical Robot Disposable Instruments Forecasts 113
2.3.4 Surgical Robot Systems vs. Disposable Instruments Forecasts 115
2.3.5 Surgical Robot Application Forecasts 117
2.3.6 Robotic Surgery Market Segment Forecasts 118
2.3.7 Medical Robot Systems Market Drivers 119
2.3.8 Cancer Robotic Surgery Learning Curves 123
2.3.9 Robotic Surgery Equipment 123
2.3.10 Medicare and Medicaid Impact 124
2.3.11 Medical Robotic Surgery by Segment 125
2.4 Abdominal Surgical Robot Installed Systems and Procedure Volumes by Country 125
2.4.1 Intuitive Surgical Robotic Surgery Installed Systems, Number, Regional Analysis By Country, 2014 127
2.4.2 Gynecological Procedure Volumes 136
2.4.3 Gynecologic Surgery 137
2.4.4 Intuitive Surgical Sacrocolpopexy 138
2.4.5 Urologic Procedure Volumes 139
2.4.6 Urologic Prostatectomy Surgery 141
2.4.7 Intuitive Surgical da Vinci Prostatectomy (dVP) 141
2.4.8 Urology Robotic Surgery Partial Nephrectomy 142
2.4.9 Robotic General Surgery Procedure Volumes 144
2.4.10 General Surgery Robotic Procedures 145
2.4.11 General Surgery Cholecystectomy 147
2.4.12 Abdominal Surgical Robot Procedure Analysis 149
2.4.13 Intuitive Surgical Benign Gynecology Procedure Adoption Trends 150
2.4.14 Intuitive Surgical da Vinci Prostatectomy Cholecystectomy 151
2.4.15 Intuitive Surgical Procedure Mix 151
2.4.16 General Surgery Intuitive Surgical Robotic Procedures by Country 152
2.4.17 Gynecology Robotic Surgery Procedures By Country 161
2.4.18 Urology Robotic Surgery Procedures by Country 174
2.4.20 Head and Neck Surgery 183
2.4.19 Head and Neck Surgery 186
2.4.20 Head and Neck Surgery 186
2.4.21 Abdominal Surgical Robot Regional Analysis 187
2.5 Abdominal General Surgery, Gynecology, and Urology Surgical Robot Procedure Category Discussion 192
2.5.1 Abdominal General Surgery, Gynecological, And Urological Robotic Surgery Procedures By Country 193
2.5.2 Robotic Urologic Prostatectomy Surgery 200
2.5.3 Intuitive Surgical Procedure Mix 202
2.5.4 Robotic Myomectomy 203
2.5.5 Intuitive Surgical da Vinci Surgical System Procedure Volume 204
2.5.6 Intuitive Surgical Investments to Improve Surgery 212
2.5.7 Gynecology Total and Robotic Surgery Procedure Forecasts and Open Surgery Penetration Forecasts 215
2.6 Open and Robotic Surgery Procedure Detail Forecasts, US and Worldwide219
2.6.1 Gynecology Total Surgeries: Procedure Forecasts 220
2.6.2 General Surgery Total Surgeries: Cholecystectomy and Colorectal Procedure Forecasts 221
2.6.3 Urology Procedure Forecasts 222
2.6.4 Open and Robotic Surgeries: Head and Neck Procedure Forecasts, 223
2.6.5 Intuitive Surgical Head and Neck Cancer Robotic Surgery 223
2.6.6 Small Hospitals Lack The Procedure Volume To Justify The Upfront Investment In A Robotic Surgery System 224
2.7 Key Players In The Global Medical Surgical Robots Market 224
2.8 Robotic Surgery Equipment Prices 225
2.8.1 Intuitive Surgical da Vinci Surgical System Prices 227
2.9 Abdominal Robotic Surgery Equipment Regional Market Segments 230
2.9.1 Intuitive Surgical Regional Revenue 233
2.9.2 Intuitive Surgical European Demand 234
2.9.3 Intuitive Surgical in Japan 234
2.9.4 U.S. Robotic Surgical Procedures 234
2.9.5 Chinese Imported Surgical Robots 235
2.9.6 Chinese Development of Surgical Robots 236
2.9.7 Chinese and Taiwanese Markets for Minimally Invasive Spinal Devices 236
2.9.8 BRIC (Brazil, Russia, India, China) countries 237
2.9.9 Aging Taiwanese Population 237
2.9.10 Korea Focusing On Creating A Growth Engine In Research & Development 238
2.9.11 Korea 238
2.9.12 Brazil 239

3. Surgical Robots Product Description 240
3.1 Key Players In The Global Medical Robots 240
3.2 General Surgery, Gynecology, Urology 241
3.3 Intuitive Surgical da Vinci Xi® 241
3.3.1 Intuitive Surgical da Vinci Xi Surgical System Minimally Invasive Surgery 244
3.3.2 Intuitive Surgical da Vinci Surgical System 245
3.3.3 Intuitive Surgical da Vinci Surgical System Components 252
3.3.4 Intuitive Surgical Patient-Side Cart and Electromechanical Surgical Arms 255
3.3.5 Intuitive Surgical 3-D Vision System 256
3.3.6 Intuitive Surgical Firefly Fluorescence Imaging 256
3.3.7 Intuitive Surgical da Vinci Skills Simulator 257
3.3.8 Intuitive Surgical Instruments and Accessories 257
3.3.9 Intuitive Surgical da Vinci Single-Site 258
3.3.10 Intuitive Surgical EndoWrist One Vessel Sealer 259
3.3.11 Intuitive Surgical Accessory Products 259
3.3.12 Intuitive Surgical Da Vinci Minimally Invasive Surgical Product 260
3.3.13 Intuitive Surgical Cardiac Surgery 261
3.4 Titan Medical 268
3.4.1 Titan Medical SPORT™ Surgical Next Generation System 273
3.4.2 Titan Visualization Viewing Portal
3.4.3 Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal Cavity 287
3.4.4 Titan Medical Surgical Robotic System 288
3.4.5 Titan Robotic Single Incision Platform: 289
3.4.6 Titan Medical Amadeus Robotic Surgical System 289
3.5 Johnson & Johnson 291
3.5.1 Johnson & Johnson Ethicon 291
3.6 MedRobotics 293
3.6.1 Medrobotics Flex® Retractor 295
3.6.2 Medrobotics Flexible Robot Platform 296
3.6.3 Medrobotics Snakelike Robots for Oropharynx, Hypopharynx and Larynx Surgery297
3.7 meerecompany 300
3.7.1 Meerecompany Purpose of Developing Surgical Robot 301
3.8 Olympus 307
3.9 IMRIS 307
3.9.1 IMRIS Image Guided Therapy Solutions 308
3.10 TransEnterix / SOFAR S.p.A. 309
3.10.1 TransEnterix Technology Innovations In Laparoscopic Surgery 312
3.10.2 TransEnterix SurgiBot System 315
3.10.3 TransEnterix Flex Instruments 316
3.10.4 TransEnterix SPIDER 317
3.11 Changzhou Kangxin Medical Instruments Co., Ltd. 317
3.12 Guangzhou Baitang Medical Instrument Co., Ltd. 318
3.13 Guangzhou Beco Electronic Technology Co., Ltd. 318

4. Abdominal Surgical Robot Technology and Research 319
4.1 Robotic Surgical Clinical Applications 319
4.1.1 Robotic Cardiothoracic Surgery 321
4.1.2 Robotic Internal Thoracic Artery Dissection 322
4.1.3 Robotic Thoracoscopy 322
4.1.4 Cardiothoracic Surgery 323
4.1.5 Cardiothoracic Surgery Mitral Valve Repair. 324
4.1.6 Intuitive Surgical Cardiothoracic Surgeries 325
4.1.7 Robotic Coronary Artery Bypass 326
4.2 Government Regulation 332
4.2.1 International Regulation 335
4.2.2 United States Regulatory Process 336
4.2.3 California Regulation 338
4.2.4 European Union and Canada Regulatory Process 338
4.3 Third Party Reimbursement 339

5. Surgical Robots Company Description 342
5.1 Chinese Surgical Robots 342
5.2 Freehand 346
5.2.1 Freehand 2010 / Prosurgics 346
5.3 Intuitive Surgical 347
5.3.1 Intuitive Surgical Robotics da Vinci® Surgical System 353
5.3.2 Intuitive Surgical Robotics da Vinci Surgical System Xi 354
5.3.3 Intuitive Surgical Business Strategy 357
5.3.4 Intuitive Surgical Systems 359
5.3.5 Intuitive Surgical Patient Value As Equal To Procedure Efficacy /
5.3.6 Intuitive Surgical Business Model 361
5.3.7 Intuitive Surgical Revenue 362
5.3.8 Intuitive Surgical Regulatory Activities 363
5.3.9 Intuitive Surgical Economic Environment. 364
5.4 Johnson and Johnson / DePuy Synthes 364
5.4.1 Google Collaborating With Johnson & Johnson To Develop Surgical Robots 365
5.4.2 DePuy 365
5.4.3 Johnson & Johnson 366
5.4.4 Johnson & Johnson / Ethicon 366
5.5 Medrobotics 368
5.5.1 Medrobotics Closes On $10 Million Financing 370
5.5.2 Medrobotics Several Generations Of Snake Robot Platforms 371
5.5.3 Medrobotics Advances Clinical Development of Snake Robot for Surgery 372
5.5.4 Medrobotics Positioning 372
5.5.5 Medrobotics Cardiac Surgery Gold Standard 373
5.5.6 Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical And Interventional Applications 374
5.5.7 Medrobotics Technology & Research Center 376
5.6 Medtronic 377
5.6.1 Medtronic PLC 379
5.6.2 Medtronic O-arm Surgical Imaging System 381
5.7 Meerecompany / Eterne 385
5.8 Titan Medical 386
5.8.1 Titan Medical General Surgery Robot Market Opportunities 393
5.8.2 Titan Medical Robotic Surgery Target Opportunity 394
5.9 TransEnterix Acquires the ALF-X Surgical Robotic System 396
5.9.1 TransEnterix Strategic Positioning 396
5.9.2 TransEnterix 398
5.9.3 TransEnterix / Sofar 399
5.10 Surgical Robot Companies 404

List of Tables and Figures

Table ES-1 34

Abdominal Surgical Robot Medical Specialties Addressed 34

Table ES-2 35

Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 35

Table ES-3 36

Innovative Surgical Robot Features 36

Table ES-4 36

Surgical Robot Market Positioning 36

Table ES-5 38

Surgical Robotics Market Driving Forces 38

Table ES-6 39

Surgical Robot Key Factors Driving Market Growth 39

Table ES-7 40

Surgical Robot Key Market Challenges 40

Table ES-8 41

Abdominal Surgery Robotics Market Driving Factors 41

Table ES-9 42

Healthcare Abdominal Robotics Enabling Technologies 42

Table ES-10 43

Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 43

Figure ES-11 48

Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 201448

Table ES-12 50

Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological,

Head and Neck, and Urological Forecasts Dollars, Worldwide, 2015-2021 50

Figure 1-1 52

Medical Multi Articulating Arms 52

Figure 1-2 53

Instruments That Support Multiple Approach Paths To A Surgical Target 53

Figure 1-3 55

Robotic Surgery Improved Visualization Features 55

Table 1-4 57

Robotic Surgical Specialties Procedure Marketing Efforts Focus 57

Table 2-1 64

Abdominal Surgical Robot Medical Specialties Addressed 64

Table 2-2 65

Surgical Robot General Surgery Gynecology, and Urology Conditions Treated 65

Table 2-3 66

Innovative Surgical Robot Features 66

Table 2-4 66

Surgical Robot Market Positioning 66

Table 2-5 68

Surgical Robotics Market Driving Forces 68

Table 2-6 69

Surgical Robot Key Factors Driving Market Growth 69

Table 2-7 70

Surgical Robot Key Market Challenges 70

Table 2-8 71

Abdominal Surgery Robotics Market Driving Factors 71

Table 2-9 72

Healthcare Abdominal Robotics Enabling Technologies 72

Table 2-10 73

Robotic-Assisted Minimally Invasive Abdominal Surgery Market Driving Forces 73

Figure 2-11 78

Abdominal Surgical Robots Market Shares, Shipments, Dollars, Worldwide 201478

Table 2-12 79

Abdominal Surgical Robot: General Surgical, Gynecological, and Urological

Market Shares, Dollars, Worldwide, 2014 79

Figure 2-13 81

Surgical Robot Systems Hospital Market Trends 81

Figure 2-14 82

Surgical Robot Systems Hospital Return on Investment (ROI) 82

Table 2-15 84

Intuitive Surgical daVinci Installed Base and Product Shipments 84

Units and Dollars, Worldwide, 2014 84

Figure 2-16 90

How Intuitive Surgical Gained Dominant Position in Robotic Surgery 90

Figure 2-17 91

Intuitive Surgical Robotic Surgery Strategic Positioning 91

Figure 2-18 94

Titan Medical Novel Robotic Platform for Single Port Access Surgery 94

Figure 2-19 95

Titan Medical Amadeus Composer Surgical System 95

Table 2-20 98

Titan Medical Prospectus Timeline for SPORTTM Surgical System 98

Table 2-21 100

Abdominal Surgical Robot Forecasts, Combined General Surgery, Gynecological,

Head and Neck, and Urological Forecasts Dollars, Worldwide, 2015-2021 100

Table 2-22 101

Surgical Robot Forecasts Dollars, Worldwide, 2015-2021 101

Table 2-23 102

Surgical Robot Systems Forecasts 102

Table 2-24 102

Abdominal Surgical Robot Market Systems by Segment, Gynecological,

Urological, and General Surgery, Forecasts, Dollars and Units, Worldwide, 2015-

2021 102

Figure 2-25 102

Abdominal Surgical Robot Market Segment Forecasts, Systems,

Disposable Instruments, and Services, Dollars and Units, Worldwide, 2015-2021

102

Table 2-24 104

Abdominal Surgical Robot Market Systems by Segment, Gynecological,

Urological, and General Surgery, Forecasts, Dollars and Units, Worldwide, 2015-

2021 104

Table 2-24 (Continued) 105

Abdominal Surgical Robot Market Systems by Segment, Gynecological,

Urological, and General Surgery, Forecasts, Dollars and Units, Worldwide, 2015-

2021 105

Figure 2-26 107

Surgical Robot Systems Forecasts, Dollars, Worldwide, 2015-2021 107

Table 2-27 110

Challenges of Open Surgery and Minimally Invasive Surgery 110

Table 2-28 111

Challenges of Developing Medical Robotic Surgery Systems 111

Table 2-29 112

Surgical Robotic Product Development Challenges 112

Figure 2-30 113

Surgical Robot Disposable Instruments Forecasts, Dollars, Worldwide, 2015-2021

113

Figure 2-31 115

Surgical Robot Systems vs. Disposable Instruments Forecasts, Dollars, Worldwide,

2015-2021 115

Table 2-32 116

Surgical Robot Market Segment Forecasts, Dollars and Units, Worldwide, 2015-

2021 116

Table 2-33 118

Surgical Robot Market Challenges 118

Table 2-34 119

Intuitive Surgical Issues Addressed Successfully 119

Table 2-35 120

Benefits of Robotic Surgery For The Surgeon 120

Table 2-36 121

Benefits of Robotic Surgery For The Patient 121

Table 2-37 122

Benefits of Robotic Surgery For The Hospital 122

Table 2-38 128

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 128

Table 2-38 (Continued) 129

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 129

Table 2-38 (Continued) 130

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 130

Table 2-39 131

Abdominal Robotic General Surgery, Gynecology, 131

and Urology, Number of Procedures, 131

US and Worldwide, 2014 131

Table 2-40 134

Number Intuitive Abdominal Gynecological, General Surgical, and

Urological Robotic Procedures, Regional Analysis by Procedure Type, 2014 134

Table 2-41 136

Number Intuitive Robotic Surgical Procedures, Detail of Gynecology,

Regional Analysis by Country, 2014 136

Table 2-42 139

Intuitive Surgical Robotic Gynecologic Surgery 139

Table 2-43 140

Number Intuitive Robotic Surgical Procedures, Detail of Urology,

Regional Analysis by Country, 2014 140

Table 2-44 141

Intuitive Surgical Urology Procedures 141

Table 2-45 144

Number Intuitive Robotic Surgical Procedures, Detail of General Surgery,

Regional Analysis by Country, 2014 144

Table 2-46 148

General Surgery 148

Table 2-47 153

General Robotic Surgery Procedures by Country 153

Table 2- 47 Continued) 154

General Robotic Surgery Procedures by Country 154

Table 2-48 155

General Robotic Surgery Procedures, Single port By Country 155

Table 2-48 (Continued) 156

General Robotic Surgery Procedures, Single port By Country 156

Table 2-49 157

General Robotic Surgery Procedures, Multi port By Country 157

Table 2-49 (Continued) 158

General Robotic Surgery Procedures, Multi port By Country 158

Table 2-50 159

General Robotic Surgery Coloracteral Procedures By Country 159

Table 2-50 (Continued) 160

General Robotic Surgery Coloracteral Procedures By Country 160

Table 2-51 162

Gynecology Robotic Surgery Procedures By Country 162

Table 2-51 (Continued) 163

Gynecology Robotic Surgery Procedures By Country 163

Table 2-52 164

# Gynecology Robotic Surgery Procedures by Country 164

Benign Hysterectomy 164

Table 2-52 (Continued) 165

# Gynecology Robotic Surgery Procedures by Country 165

Benign Hysterectomy 165

Table 2-53 166

# Gynecology Robotic Surgery Procedures 166

Malignant Hysterectomy, by Country 166

Table 2-53 (Continued) 167

# Gynecology Robotic Surgery Procedures 167

Malignant Hysterectomy, by Country 167

Table 2-54 168

# Gynecology Robotic Surgery Procedures 168

Sacral Colpopexy, by Country 168

Table 2-54 (Continued) 169

# Gynecology Robotic Surgery Procedures 169

Sacral Colpopexy, by Country 169

Table 2-55 170

# Gynecology Robotic Surgery Procedures 170

Myomectomy, by Country 170

Table 2-55 (Continued) 171

# Gynecology Robotic Surgery Procedures 171

Myomectomy, by Country 171

Table 2-56 172

# Gynecology Robotic Surgery Procedures 172

Endriometriosis Resection, by Country 172

Table 2-56 (Continued) 173

# Gynecology Robotic Surgery Procedures 173

Endriometriosis Resection, by Country 173

Table 2-57 175

# Urology Robotic Surgery Procedures by Country 175

Table 2-57 176

# Urology Robotic Surgery Procedures by Country 176

Table 2-58 177

# Urology Robotic Surgery Procedures 177

Prostrate, by Country 177

Table 2-58 (Continued) 178

# Urology Robotic Surgery Procedures 178

Prostrate, by Country 178

Table 2-59 179

# Urology Robotic Surgery Procedures 179

Kidney, Partial Nephrectomy, by Country 179

Table 2-59 (Continued) 180

# Urology Robotic Surgery Procedures 180

Kidney, Partial Nephrectomy, by Country 180

Table 2-60 181

# Urology Surgery Procedures 181

Pyeloplasty: Plastic Repair Of The Renal Pelvis 181

Table 2-60 (Continued) 182

# Urology Surgery Procedures 182

Pyeloplasty: Plastic Repair Of The Renal Pelvis 182

Table 2-61 184

# Head and Neck Surgery Procedures 184

Table 2-61 (Continued) 185

# Head and Neck Surgery Procedures 185

Table 2-62 188

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 188

Table 2-62 (Continued) 189

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 189

Table 2-62 (Continued) 190

Intuitive Surgical Robotic Surgery Installed Systems, Number,

Regional Analysis by Country, 2014 190

Table 2-63 194

Definition of Abdominal Surgical Robot Categories 194

Table 2-63 (Continued) 195

Definition of Abdominal Surgical Robot Categories 195

Table 2-64 196

Abdominal General Surgery, Gynecological, and Urological Robotic Surgery

Procedures by Country 196

Table 2-64 (Continued) 197

Abdominal General Surgery, Gynecological, and Urological Robotic Surgery

Procedures by Country 197

Figure 2-65 198

Abdominal Robotic General Surgery Gynecology, and Urology, Number of

Procedures, US and Worldwide, 2014 198

Figure 2-65 (Continued) 199

Abdominal Robotic General Surgery Gynecology, and Urology, Number of

Procedures, US and Worldwide, 2014 199

Table 2-66 201

Intuitive Surgical da Vinci Surgical System Improved Visualization Of The

Gross Anatomy 201

Figure 2-67 205

Intuitive Surgical Procedure Aspects 205

Table 2-68 206

Reported Clinical Benefits of da Vinci® Hysterectomy Procedures for Benign

Conditions 206

Figure 2-69 212

Intuitive Surgical da Vinci Xi Product 212

Table 2-70 215

Gynecology Total and Robotic Surgery Procedure Forecasts and Open Surgery

Penetration Forecasts Worldwide, 2015-2021 215

Table 2-71 216

Urology Total and Robotic Surgery Procedure Forecasts and Open Surgery

Penetration Forecasts Worldwide, 2015-2021 216

Table 2-72 217

General Surgery Total and Robotic Surgery Procedure Forecasts and Open

Surgery

Penetration Forecasts, Worldwide, 2015-2021 217

Table 2-73 218

Head and Neck Surgery Total and Robotic Surgery Procedure Forecasts and Open

Surgery

Penetration Forecasts, Worldwide, 2015-2021 218

Table 2-74 220

Open and Robotic Surgeries: Gynecology Procedure Forecasts, Benign

Hysterectomy,

Malignant Hysterectomy, Sacrocolpopexy, Myomectomy, and Endometriosis

Resection,

Number US and Worldwide, 2015-2021 220

Table 2-75 221

Open and Robotic Surgeries: General Surgery, Cholecystectomy and

Colorectal Procedure Forecasts Number US and Worldwide, 2015-2021 221

Table 2-76 222

Open and Robotic Surgeries: Urology Procedure Forecasts, Prostatectomy,

Partial Nephrectomy, and Pyeloplasty, Number US and Worldwide, 2015-2021222

Table 2-77 223

Open and Robotic Surgeries: Head and Neck Procedure Forecasts,

Number US and Worldwide, 2015-2021 223

Figure 2-78 228

Surgical Robot Recurring Revenue Model 228

Figure 2-79 229

Intuitive Surgical Average Cost to Hospital by Procedure Type 229

Figure 2-80 231

Surgical Robot Regional Market Segments, Dollars, 2014 231

Figure 2-81 232

Surgical Robot Regional Market Segments, 2014 232

Table 3-1 240

Key Players In The Global Medical Robots Market 240

Figure 3-2 245

Intuitive Surgical da Vinci Surgical System 245

Figure 3-3 247

Intuitive Surgical. da Vinci Surgical System EndoWrist® Instruments 247

Figure 3-4 249

Intuitive Surgical. da Vinci Surgical System Vision System 249

Table 3-5 251

Intuitive Surgical da Vinci Surgical System Features 251

Table 3-6 253

Intuitive Surgical da Vinci Xi Surgical System Surgeon Console Features 253

Figure 3-7 254

Intuitive Surgical. da Vinci Surgical System Surgeon Console 254

Figure 3-8 255

Intuitive Surgical. da Vinci Surgical System Patient-Side Cart 255

Figure 3-9 260

Intuitive Surgical Da Vinci Surgery 260

Table 3-10 261

Intuitive Surgical Da Vinci Surgical System Components 261

Table 3-11 263

Minimally Invasive Da Vinci Surgery Benefits To Cardiac Patients 263

Figure 3-12 264

Intuitive Surgical da Vinci System State-Of-The-Art Robotic Surgical Platform 264

Table 3-13 264

Intuitive Surgical da Vinci Si Surgical System Core Benefits: 264

Figure 3-14 265

Intuitive Surgical da Vinci SI Surgical System Dual Console Used For Training And

Collaboration 265

Figure 3-15 266

Intuitive Surgical da Vinci Surgical System, Surgeon Operates Seated Comfortably

At A Console 266

Figure 3-16 267

Intuitive Surgical da Vinci Surgical System Patient Side Cart 267

Figure 3-17 268

Titan Single Port Orifice Robotic Technology SPORT™ Surgical System 268

Figure 3-18 269

Titan SPORT™ Surgical System: 269

Table 3-19 271

Titan MedicalSPORT™ Surgical System Patient Benefits: 271

Table 3-20 272

Titan MedicalSPORT™ Surgical System Surgeon Benefits: 272

Table 3-21 273

Titan MedicalSPORT™ Surgical System Hospital Benefits: 273

Table 3-22 274

Titan Medical next generation SPORT™ Surgical System Uses 274

Figure 3-23 275

Titan Medical Next Generation SPORT™ Surgical System Market Opportunity 275

Figure 3-24 276

Titan Medical Next Generation SPORT™ Surgical System Competitive Positioning

276

Figure 3-25 277

Titan Medical Next Generation SPORT™ Surgical System Market Business Model

277

Figure 3-26 278

Titan Medical Next Generation SPORT™ Surgical System Development Strategy

278

Figure 3-27 279

Titan Medical Next Generation SPORT™ Surgical Instruments 279

Table 3-28 280

Titan Medical Next Generation Sport™ Surgical Instruments Metrics 280

Table 3-29 281

Titan Medical Next Generation SPORT™ Surgical Instruments 281

Figure 3-30 282

Titan Medical Next Generation SPORT™ Surgical Instrument Controlability 282

Table 3-31 283

Titan Medical Next Generation SPORT™ Surgical Instrument Usability Studies and

Data Analysis 283

Figure 3-32 284

Titan Medical Next Generation SPORT™ Surgical Instrument Visualization 284

Figure 3-33 286

Titan Medical Next Generation SPORT™ Surgical Instruments 286

Table 3-34 287

Titan Integration Successful Deployments Into Single 25mm Incision in Abdominal

Cavity 287

Table 3-35 288

Titan Robotic Surgical System Benefits: 288

Table 3-36 290

Titan Amadeus Features 290

Table 3-37 292

Johnson & Johnson Ethicon Minimally Invasive Procedures As They Apply To

Specific Conditions 292

Figure 3-38 295

Medrobotics Flex® Retractor 295

Figure 3-39 298

Medrobotics Snakelike Robot Tested for Heart Surgery 298

Table 3-40 299

Medrobotics Medical Field Target Markets 299

Figure 3-41 303

Meerecompany Cabinet 303

Figure 3-42 304

Meerecompany Instruments 304

Table 3-43 304

Meerecompany Eterne Composition 304

Table 3-44 305

Meerecompany Surgical Applications 305

Table 3-45 306

Meerecompany Surgical Operation Procedure 306

Table 3-46 306

Meerecompany Advantages of Surgical Robots 306

Figure 3-47 312

TransEnterix Surgical Robot Technology 312

Figure 3-48 313

TransEnterix Provide Patients With Less Invasive Surgery 313

Table 3-49 314

TransEnterix Device is Patient-Side 314

Figure 3-50 314

TransEnterix Device is Patient-Side 314

Figure 3-51 315

TransEnterix SurgiBot™ System Reduces-Incisions 315

Figure 3-52 316

TransEnterix Flex Instruments 316

Table 4-1 320

Robotic Surgery Surgical Specialty Focus 320

Table 4-2 324

Intuitive Surgical Robotic Cardiac Procedures 324

Table 4-3 329

Abdominal / Cardio Thoracic Robotic Surgery Procedures By Country 329

329

Table 4-3 (Continued) 330

Abdominal / Cardio Thoracic Robotic Surgery Procedures By Country 330

Table 4-4 331

Cardio Thoracic Robotic Surgery Procedure Forecasts, Lobectomy,

Mitrial Valve Repair, Vascular Surgery, Number of Procedures, Worldwide, 2015-

2021 331

Table 4-5 332

Surgical Robot Cardiothoracic Conditions Treated 332

Figure 5-1 343

Tianjin Municipality Micro Hand A Chinese Surgical Robots 343

Figure 5-2 345

China’s First Surgical Robot For Minimally Invasive Surgery At Tianjin

Municipality 345

Figure 5-3 354

Intuitive Surgical Platform, daVinci Xi 354

Table 5-4 358

Intuitive Surgical Strategy To Improve Candidate Surgical Procedures 358

Table 5-5 364

Johnson and Johnson Family of Companies Comprises: 364

Table 5-6 368

Medrobotics Positioning 2015 368

Table 5-7 374

Medrobotics Cardiac Surgery Improvements 374

Table 5-8 375

Medrobotics Snake Robot Technologies For Use In A Wide Range Of Surgical

And Interventional Applications 375

Table 5-9 376

Medrobotics Snake Robot Technologies Specialist Areas Served 376

Table 5-10 379

Medtronic O-arm® Surgical Imaging StealthStation® Navigation Functions 379

Table 5-11 380

Medtronic O-arm Surgical Imaging System Benefits 380

Table 5-12 382

Medtronic O-arm Surgical Imaging System 382

Table 5-13 383

Medtronic O-arm Surgical Imaging System Benefits 383

Figure 5-14 384

Medtronic Lumbar Imaging 384

Table 5-15 387

Titan Medical Investment Summary 387

Figure 5-16 388

Titan Medical Business Goals and Timetable 388

Figure 5-17 393

Titan Medical Describes Robotic General Surgery Market Potential 393

Figure 5-18 395

Titan Medical Robotic Surgery Target Opportunity 395

Table 5-19 397

TransEnterix Strategic Positioning 397

Figure 5-20 400

TELELAP Robotic Surgical Unit 400

Figure 5-21 402

Telelap ALF-X Robotic Surgery 402

Figure 5-22 403

TELELAP ALF-X Breaking Barriers Supporting Precision 403

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