Surgical Robots for the Spine Market Shares, Strategies, and Forecasts, Worldwide, 2016 to 2022

  • Published On: Feb, 2016
  • No of pages: 313
  • Published by: WinterGreen Research
  • Format: PDF

Back conditions can result in instability and compression of the spinal nerves, causing back pain and/or radiating pain in the legs. Robotic procedures offer significant cost savings in terms of pre- and post-operation care costs and length of stay at hospitals. Technological advances and breakthroughs leverage new materials and new sensor configurations. Sophisticated software is further evolving product implementation.

In the United States, there are 1.34 million spinal operations performed annually, worldwide there are 4.83 million annually. Patients have problems with degenerative conditions and injury. 11 million people in the U.S. and 78 million people worldwide suffer from chronic back pain in 2015, indicating the potential for more surgery if the accuracy and pain relief can be alleviated with better surgery from robots.

Sacroiliac (SI) joint dysfunction is responsible for up to 30 to 35 percent of lower back pain. Surgery is performed to relieve the pain when other means do not work. Robots improve the accuracy of procedures and reduce the complication rates in spinal surgeries. The Mazor robots are flexible. Mazor Renaissance disposable kits are designed to easily adapt the RBT Device to a multitude of surgical applications and for the different mounting platforms utilized by the surgeon. Renaissance spine accessories are offered. Mazor Renaissance accessories include trays of reusable surgical tools.

Pre-operative planning of the procedure is used for intra-operative control of the system. The surgery is performed according to the pre-operative plan. Renaissance® provides increased safety and precision in corrective surgery. It allows surgeons to plan ahead before entering the operating room. Mazor Robotics advanced 3D planning software is used before surgery to create the procedure with modification and customization for each patient’s condition. During the operation, the physician does the actual work; Renaissance® guides the surgeon’s tools according to the predetermined blueprint to place the implants safely and with the highest level of accuracy in the exact planned locations.

Robot-guidance increases the accuracy and safety of surgical procedures. It allows these procedures to be performed with less intra-operative radiation exposure to patients and health care providers. Robot-guided spine surgery allows surgeons to perform less invasive surgical procedures with smaller incisions, less bleeding, faster recovery and shorter hospital stays.

Minimally invasive surgeries to increase repeatability and accuracy through the use of robots. Surgical robots improve the accuracy of procedures and thus reduce the complication rates in surgeries.

Robotic procedures offer significant cost savings in terms of pre- and post-operation care costs and length of stay at hospitals. Technological advances and breakthroughs leverage new materials and new sensor configurations. Sophisticated software is further evolving product implementation.

Clinically efficient solutions
Clinically less complex surgery
Shorter length of stay
Minimally invasive surgery
Financially lower cost
Operationally more simple

Old people have trouble making their joints last as long as they do. The patient stability and the relief from pain provided by the robot surgery is compelling. The major suppliers are looking at providing spinal robots that are based on the Mazor state of the art devices.

Spinal surgery has evolved dramatically over the years as advances in technology have made it possible to improve surgical techniques. Mazor is the market leader by far in the spinal surgical robot market, the only company with measurable market share. Spinal surgery involves the modification of the affected area of the back bones and nerves. The implantation of one or more screws or components is a very delicate surgery. The robot can achieve better precision than can a skilled surgeon. The robot is more consistent.

Reconstructive spinal surgery depends on precision instruments. Robots are expected to grow significantly in surgery.

Once, the penetration of spinal robots achieves the level of 35% of penetration in a country, all spinal surgeons will demand that hospitals offer spinal surgical robot capability because the outcomes are more predictable and better. The surgeons can give better pain relief to their patients, so naturally, given a choice of hospitals, they will pick the one that has the robot that gives superior outcomes.

Spinal surgical markets have been impacted by the reduction in insurance payments. Payment reductions have forced hospitals to act as businesses. The cost of delivering care has become as much a factor as providing quality care when making decisions about patient improvement in condition. Cost-cutting has been made in the supply chain. Suppliers are examined closely for quality and cost.

The number of suppliers is sure to increase. As Mazor grows its penetration of the market, the larger market participants in spinal surgery equipment will surely follow. Mazor is positioned to continue to dominate the market. As the first providers it builds a strong base of surgeons who are trained in using the equipment these surgeons will continue to purchase updated robots as they are offered to the market.

The new are pressured to improve prices and efficiencies. Hospitals, physicians, and care providers have been financially incentivized to create accountable care organizations (ACOs). Coordinated patient care plans and value-based purchasing were rewarded. The med device buyer shifted from physicians to the ACOs and smart buying groups.

According to Susan Eustis, lead author of the study, “Use of the robotic spinal surgery represents a key milestone in reconstructive surgery. Robots provide an opportunity to transform orthopedics. New materials and new designs are bringing that transformation forward. By furthering the growth of innovation with spinal surgery robots, patients can get better treatment. By enhancing the surgeon and patient experience is is likely that the entire market will grow rapidly.”

The worldwide market for spinal surgical robots is $26 million anticipated to reach $2.77 billon by 2022. 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 surgery medical specialties and sub-specialties.

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WinterGreen 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 and Markets, and Thompson Financial. WinterGreen Research is positioned to help customers facing challenges that define the modern enterprises.

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WinterGreen Research supports various market segment programs; provides trusted technical services to the marketing departments. It carries out accurate market share and forecast analysis services for a range of commercial and government customers globally. These are all vital market research support solutions requiring trust and integrity.

Key Topics
Spine Surgical Robot
Smart Instruments
Medical Devices
Healthcare Implant
Enabling Technology
Robotically-Assisted Minimally Invasive Surgery
Mounting Platforms, Disposables, and Accessories
Surgical Workflow Using Mazor Renaissance
Robot Three-Dimensional (3D) Synchronization
Spine Surgical Execution
Spine Robot Surgery
Spinal Fusion
Scoliosis Surgery
Renaissance® System For Robotic Guidance
Renaissance® Spine Procedures
Robotics Spine Procedures
Robotics Clinical Study
Robotics Reduced Exposure to Radiation
Spinal Surgical System
Minimally-Invasive Spinal Surgery,
Next Generation Spine RobotSurgery
Flexible Surgical Platform
Minimally Invasive Surgery

Companies Profiled
Market Leaders

Accel Spine
Alliance Spine
Alphatec Spine
Apollo Spine
Ascendx Spine
Back 2 Basics Spine

Market Participants

Accel Spine
Alliance Spine
Alphatec Spine
Apollo Spine
Ascendx Spine
Back 2 Basics Spine
Boston Scientific
Brainlab AG
Captiva Spine
Centinel Spine
Globus Medical
Life Spine
Mazor Robotics
MicroPort Scientific Corporation
NLT Spine
Precision Spine
Shenzhen Advanced Institute Spinal Surgical Robot
SIGNUS Medical
Spinal Elements
Spine Frontier
Spine Smith Partners
Spine Surgical Innovations
Spine View
Spine Wave
St. Jude Medical
Stryker / Mako
Wright / Tornier
Zyga Technology
Zimmer Biomet

Table of Contents

Spine Surgical Robot Executive Summary 23
Spine Surgical Robot Mapping 23
Spine Surgery Robotics Market Driving Forces 27
Spine Surgery Robot Market Shares 28
Surgical Robot for Spine Market Forecasts 30

1. Spinal Surgery Robots Market Description and Market Dynamics 31
1.1 Key Elements Of Spinal Robot System 31
1.2 Industry Overview - Spine 33
1.2.1 Robot Assisted Surgery 35
1.2.2 Spine Robotic Surgical Market Strategy 36
1.2.3 Focus on Key Institutions 37
1.2.4 Focus on Leading Surgeons to Drive Rapid and Broad Adoption 37
1.2.5 Maintain Market Leadership 38
1.3 Spine Surgery 38

2. Spine Surgical Robot Market Shares and Forecasts 41
2.1 Spine Surgical Robot Mapping 41
2.1.1 Spine Surgery Robotics Market Driving Forces 45
2.2 Spine Surgery Robot Market Shares 47
2.2.1 Mazor 51
2.2.2 Surgical Robots for the Spine: Mazor Robotics 51
2.2.3 Mazor Renaissance® System 55
2.2.4 Mazor Robotics Guidance System Maximizes Precision And Safety 56
2.3 Surgical Robot for Spine Market Forecasts 57
2.3.1 Surgical Robot Systems vs. Disposable Instruments Forecasts 69
2.3.2 Shenzhen Advanced Institute Spinal Surgical Robot 74
2.3.3 U.S. Minimally Invasive Spinal Implant Market To Outpace Growth In Traditional Spine Market 74
2.4 Medical Robotic Surgery Challenges 75
2.5 Key Players In The Global Medical Robots 78
2.5.1 Key Players In The Global Spinal Implant Market 81
2.5.2 Medtronic 84
2.5.3 NuVasive 84
2.5.4 SI-BONE 85
2.5.5 Minimally Invasive Surgical Instruments 85
2.5.6 Spinal Restorative Therapy Target Markets 87
2.6 Spine Surgery Robot Prices 87
2.7 Spine Surgery Robot Regional Market Segments 91
2.7.1 US 93
2.7.2 U.S.-Europe Product Introduction Swap 94
2.7.3 Asia-Pacific 95
2.7.4 China 95
2.7.5 Underdeveloped Regions 96
2.7.6 Brazil 96
2.7.7 Spinal Patients in Taiwan Receive Fast Care with Unique Reimbursement Structure; Market Led by DePuy Synthes, Medtronic 97

3. Surgical Robots Product Description 98
3.1 Mazor Robotics 98
3.1.1 Mazor Renaissance In the Operating Room 101
3.1.2 Mazor Robotics Ease of Use and Reduced Length of Stay 101
3.1.3 Mazor Products: Components of the Renaissance System 102
3.1.4 Mazor Mounting Platforms, Disposables, and Accessories 104
3.1.5 Surgical Workflow Using Mazor Renaissance 104
3.1.6 Mazor Three-Dimensional (3D) Synchronization 106
3.1.7 Mazor Spine Surgical Execution 107
3.1.8 Mazor Spine Robot Surgery Applications: 109
3.1.9 Mazor Spine Robot Surgery Applications: Spinal Fusion 110
3.1.10 Mazor Spine Robot Surgery Applications: Scoliosis Surgery 110
3.1.11 Mazor Renaissance® System For Robotic Guidance 111
3.1.12 Mazor Renaissance® Spine Procedures 113
3.1.13 Mazor Robotics Spine Procedures 117
3.1.14 Mazor Robotics Clinical Study 118
3.1.15 Mazor Robotics Reduced Exposure to Radiation 119
3.2 Medtronic 119
3.2.1 Medtronic Spinal Fusion 121
3.2.2 Medtronic Cervical Artificial Disc Products 122
3.2.3 Medtronic Biologics Products 124
3.2.4 Medtronic Minimally Invasive Spinal Surgery 124
3.2.5 Medtronic Posterior OCT Reconstruction 127
3.3 Stryker Spine Surgery 128
3.3.1 Stryker Spine Navigation Software 128
3.3.2 Stryker's VertaPlex® HV First PMMA to Receive Clearance for Treating Sacral Insufficiency Fractures 129
3.4 Exactech 131
3.5 Zimmer / Biomet Spine 132
3.6 Medacta 133
3.7 DJO 135
3.8 Johnson & Johnson / DePuy 138
3.8.1 Johnson & Johnson / Ethicon 138
3.9 NuVasive 139
3.9.1 Nuvasive Spinal Surgical Solutions 140

4. Medical Robot Technology and Disease Statistics 142
4.1.1 Healthcare Robotics Enabling Technology 142
4.1.2 Robotic-Assisted Minimally Invasive Surgery Market Driving Forces 143
4.2 Mazor Renaissance Surgical Spine Robot FDA Marketing Clearance 510(k)146
4.3 Robotic Surgical Clinical Applications 146
4.4 Mesenchymal Stem Cells (MSC) Role In Regenerative Medicine 148
4.5 Types of Spine Surgeries 148
4.6 Minimally Invasive Spine Fusion: 150
4.6.1 Scoliosis Correction Surgery: 151
4.6.2 Vertebroplasty: 152
4.6.3 Spine Biopsies: 153
4.7 Spine Surgery Device Market 154
4.8 Mazor Renaissance® Guidance System Technology 155
4.9 Government Regulation 156
4.9.1 California Regulation 159
4.9.2 International Regulation 159
4.9.3 Third Party Reimbursement 160

5. Spinal Surgical Robots Company Description 163
5.1 Accel Spine 163
5.2 Alliance Spine 163
5.2.1 Alliance Spine has Surgical Advisory Boards 164
5.2.2 Alliance Spine Bone Marrow Concentrate System 165
5.3 Alphatec 168
5.3.1 Alphatec Spine 168
5.4 Apollo Spine 170
5.5 Ascendx Spine 170
5.6 Back 2 Basics Spine 171
5.7 Boston Scientific 172
5.7.1 Boston Scientific Precision™ Plus Spinal Cord Stimulator System 172
5.7.2 Boston Scientific Pain Medicine 173
5.8 Brainlab AG 174
5.8.1 Brainlab AG Revenue 175
5.8.2 Brainlab 177
5.9 Captiva Spine 178
5.10 Centinel Spine 179
5.11 Elekta 180
5.11.1 Elekta Gamma Radio Surgery System 181
5.11.2 Elekta - Interim Report May – October 2015/16 182
5.11.3 Elekta Transformation Program On Track 184
5.12 Globus Medical 186
5.10.1 Globus Purchased Excelsius Surgical 188
5.13 K2M 188
5.14 Life Spine 190
5.15 Mazor Robotics 190
5.15.1 Mazor Robotics Creates Robotic Guidance Systems 192
5.15.2 Mazor Robotics Strategy 192
5.15.3 Research Agreement with Cleveland Clinic Foundation (CCF) 196
5.15.4 Mazor Surgical Workflow Using Renaissance for Spine Procedures 197
5.15.5 Mazor Robotic Pre-Operative Planning 198
5.16 Medacta 201
5.16.1 Medacta Business 202
5.17 Medtronic 202
5.17.1 Medtronic Revenue 203
5.17.2 Medtronic Operating Segments 206
5.17.3 Medtronic Sacroiliac Joint Fusion Device Spinal Implant Market 212
5.17.4 Medtronic Spine 213
5.17.5 Medtronic in the U.S. Spinal Implant Market 214
5.17.6 Medtronic Acquisition of Covidian 215
5.17.7 Medtronic Acquisition of RF Surgical Systems 215
5.17.8 Medtronic Acquisition of Medina Medical 215
5.17.9 Medtronic Pelvic Mesh Litigation 216
5.17.10 Medtronic Restorative Therapies Group 216
5.18 MicroPort Scientific Corporation 218
5.18.1 MicroPort Orthopedic Devices 219
5.18.2 MicroPort Acquires OrthoRecon Business from Wright Medical Technologies 219
5.18.3 Microport Hip Systems 220
5.19 NLT Spine 220
5.20 NuVasive 221
5.20.1 NuVasive Full-Year 2015 Revenue 221
5.21 Precision Spine 223
5.22 Shenzhen Advanced Institute Spinal Surgical Robot 225
5.23 Si-Bone 225
5.23.1 SI-BONE iFuse Implant System 227
5.24 SIGNUS Medical 228
5.25 Spinal Elements 230
5.26 Spineart 230
5.27 SpineGuard 231
5.28 Spine Frontier 231
5.29 Spineology 232
5.30 Spine Smith Partners 232
5.31 Spine Surgical Innovations 233
5.31.1 Spine Surgical Innovations MIMS Approach, Minimum Incision, Maximum Sight 233
5.32 Spine View 234
5.33 Spine Wave 235
5.34 St. Jude Medical 235
5.35 Stryker 236
5.35.1 Stryker / MAKO Surgical 237
5.35.2 Stryker Revenue 237
5.35.3 Stryker Results Of Operations 239
5.35.4 Stryker Segment Orthopaedics 240
5.35.5 Stryker Business Segment Operations 241
5.35.6 Stryker Revenue 242
5.35.7 Stryker Hip Recall: $1.4 Billion Settlement 243
5.35.8 Stryker Regional Revenue Segment 244
5.35.9 Stryker Robots 245
5.35.10 Stryker / MAKO Surgical 252
5.35.11 Stryker / Mako 253
5.35.12 MAKO Surgical RIO Robotic Arm 263
5.35.13 Stryker Endoscopy 264
5.35.14 Mako Surgical Business 265
5.35.15 Mako Products 266
5.35.16 Mako Surgical Strategy 269
5.35.17 Mako Surgical Revenue 272
5.35.18 Mako Surgical Business 274
5.35.19 Mako Products 275
5.35.20 Mako Surgical Strategy 278
5.35.21 Mako Surgical Revenue 281
5.36 Wenzel Spine 281
5.37 Wright Medical Technology 282
5.37.1 Wright Revenue 282
5.37.2 Wright Medical Group NV Revenue 283
5.37.3 Wright Medical Group N.V. Revenue for 2015 Third Quarter 284
5.37.4 Wright / Tornier 289
5.38 X-spine 289
5.39 Zyga Technology 291
5.40 Zimmer Biomet 293
5.40.1 Zimmer Biomet Sales by Product Category 296
5.40.2 Zimmer Biomet 297
5.40.3 Zimmer Metal-on-Metal Hip Recall 299
5.41 Spine Surgical Companies 301
5.41.1 Spine Surgical Imaging 307