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

Published: Dec, 2015 | Pages: 416 | Publisher: WinterGreen Research
Industry: Medical Equipments | Report Format: Electronic (PDF)

Worldwide abdominal surgical robots market was valued over $2.2 billion in 2012 and is expected to cross over $ 10 billion by 2021. A remarkable installed base and superior technology provides instinctive growth to the industry. The capability to ensure improved outcomes from surgery coupled with records of development in care delivery are factors anticipated to boost the abdominal surgical robotics market.

The penetration of the hospitals will rise from 21% to 100% in the U.S within few years, as the surgeons having robotic surgical equipment migrate from one place to the other. During the process, metal tubes are inserted through the ports which are attached to the patient’s arms and then visualization and cutting instruments (through the tubes) are introduced into the body. Furthermore, the complete procedure is performed by surgeon while sitting at a console, viewing and manipulating the operation through a vision system. The instrument is withdrawn from the surgical field when surgeon needs to change an instrument. This same routine is repeated many times during an operation.

Abdominal surgical robots are also majorly used in head and neck surgery, general surgery, gynecological surgery and urologic surgery. Furthermore, surgical robots are sited to turn out to be the standard of care for hospitals in the abdominal surgery deliverance. The developing group of numerous abdominal surgical robotic firms is likely to have enough marketing influence to drive a substitute of open surgery, which is further expected to impact the overall abdominal surgical robots market.

Focus of critical procedures is the major aspect for growth in abdominal surgical robot industry. Current procedures are cost effective, easier and safer than other substitute techniques. The main strategy is to educate, patients, hospitals and surgeons and to widen the number of procedures performed using robotic surgical system.

Abdominal surgical robots are developing platforms that are functional for surgeons looking for repeatability and excellence in every surgery. Currently, intuitive surgical dominates the market and its position is very difficult to dislodge, although, various vendors with specific products are predictable to further support in the market growth. Dominant position of intuitive surgical is majorly based on continuous technological advancement that keeps on improving. Although, lower cost and accurate bedside units will assist in several market players to emerge over the forecast period.

 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	284
Abdominal Surgical Robot Table of Contents
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 Surgery 297	
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 / Invasiveness	360			
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, 2015-2021 222
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 SPORTSurgical System	268
Figure 3-18	269
Titan SPORTSurgical System:	269
Table 3-19	271
Titan MedicalSPORTSurgical System Patient Benefits:	271
Table 3-20	272
Titan MedicalSPORTSurgical System Surgeon Benefits:	272
Table 3-21	273
Titan MedicalSPORTSurgical System Hospital Benefits:	273
Table 3-22	274
Titan Medical next generation SPORTSurgical System Uses	274
Figure 3-23	275
Titan Medical Next Generation SPORTSurgical System Market Opportunity 275
Figure 3-24	276
Titan Medical Next Generation SPORTSurgical System Competitive Positioning
276	
Figure 3-25	277
Titan Medical Next Generation SPORTSurgical System Market Business Model
277	
Figure 3-26	278
Titan Medical Next Generation SPORTSurgical System Development Strategy
278	
Figure 3-27	279
Titan Medical Next Generation SPORTSurgical Instruments		279
Table 3-28			280
Titan Medical Next Generation SportSurgical Instruments Metrics		280
Table 3-29			281
Titan Medical Next Generation SPORTSurgical Instruments		281
Figure 3-30			282
Titan Medical Next Generation SPORTSurgical Instrument Controlability	282
Table 3-31			283
Titan Medical Next Generation SPORTSurgical Instrument Usability Studies and
Data Analysis			283
Figure 3-32			284
Titan Medical Next Generation SPORTSurgical Instrument Visualization	284
Figure 3-33			286
Titan Medical Next Generation SPORTSurgical 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 SurgiBotSystem 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