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Global Computer Assisted Surgical (CAS) Systems Market

Friday, October 24, 2014 Corporate News
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NEW YORK, Oct. 23, 2014 /PRNewswire/ -- This report analyzes the worldwide markets for Computer Assisted Surgical (CAS) Systems in US$ by the following Product Segments: Surgical Planners and Simulators, Surgical Navigation Systems, and Surgical Robots. The report provides separate comprehensive analytics for the US, Canada, Japan, Europe, Asia-Pacific, and Rest of World. Annual estimates and forecasts are provided for the period 2013 through 2020. Also, a seven-year historic analysis is provided for these markets. Market data and analytics are derived from primary and secondary research. Company profiles are primarily based on public domain information including company URLs. The report profiles 56 companies including many key and niche players such as - 3D Systems CorporationAccuray, Inc.B. Braun Melsungen AGBrainlab AGCAE, Inc.
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I. INTRODUCTION, METHODOLOGY & PRODUCT DEFINITIONSStudy Reliability and Reporting Limitations I-1Disclaimers I-2Data Interpretation & Reporting Level I-2Quantitative Techniques & Analytics I-2Product Definitions and Scope of Study I-3Computer Assisted Surgical Systems I-3Surgical Planners I-3Surgical Simulators I-3Surgical Navigation Systems I-4Surgical Robots I-4Semi-Autonomous Surgical Robot I-4Guided Surgical Robotic System I-4Teleoperated Surgical Robot I-4
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II. EXECUTIVE SUMMARY1. INDUSTRY OVERVIEW II-1Prelude II-1Impact of Recession in Retrospect and the Road Ahead II-2Healthcare Economics Amidst a Weak Economy II-3Improving Healthcare Expenditure to Foster Growth II-4Table 1: Per-Capita Healthcare Expenditure in Select Regions(2013) (includes corresponding Graph/Chart) II-5Table 2: Top 20 Countries with the Highest HealthcareSpending as a Percentage of GDP (2012) (includescorresponding Graph/Chart) II-6Table 3: Top 10 Countries with Highest Private Spending onHealth Care (2011) (includes corresponding Graph/Chart) II-7Developing Economies: Favorable Prospects in the Long Run II-7Spurt in Medical Tourism Offers Growth Opportunities II-8Minimal/Non-invasive Procedures Favor Adoption of CAS Systems II-9Demographics Favor CAS Market Growth II-10Table 4: Elderly Population (60+ Years) as a Percentage ofthe Total Population (2012 & 2050) (includes correspondingGraph/Chart) II-10Table 5: Global Aging Population (60+) and their Proportionof Total Population (2012) (includes correspondingGraph/Chart) II-11

Table 6: Life Expectancy at Age 60 and 80 Years -(2010-2015), (2020-2025) & (2045-2050) (includescorresponding Graph/Chart) II-12Future Developments in CAS Technologies II-12Hospitals and Insurers Role in Integration of CAS Technologies II-13Challenges Lie Ahead for CAS Technologies II-13CAS Technologies for Knee/Hip Implants: Issues at the Core ofDebates II-14Open Vs Closed Implant Architecture Platforms II-14Marketing Benefits or Clinical Advantages: Making the Choice II-15Navigation Technologies: Promising but Limited Adoption II-15Growing Prominence of Custom-Made Instrumentation II-15Imaging Technologies Related to Patient Specific Instruments II-152. SURGICAL ROBOTS MARKET - A REVIEW II-16Introduction to Medical Robots II-16Surgical Robotics: A Market Analysis II-16Asia - The Fastest Growing Market for Surgical Robotic Systems II-18Robotics in Minimally Invasive Surgery (MIS) Procedures GainTraction II-19Robot-Assisted Laparoscopy - Changing the Face of LaparoscopicSurgery II-19Non-Invasive Surgical Procedures- A New Revolution in the Making II-20Robotic Systems for Hysterectomy: Adding Value or Merely aTechnological Fad? II-20Increasing Number of Robotic-Assisted Hysterectomies II-21Robotics in Prostatectomy Procedures II-21Robotic-Assisted Prostatectomies: High Success Rates II-22Controversies Fail to Deter Robotic Surgery from BecomingStandard of Care for Prostatectomies II-22Opportunities Galore for Robotic Surgeries in Complex Procedures II-23Spinal Surgery: A Promising Specialty for Robotics Surgery II-23Computer-Assisted Devices in Orthopedic Procedures: Yet toGain Ground II-23Robotic Thyroidectomy: The New Option in Thyroid Surgery II-24Development of Advanced Robots: A Step towards Wider Adoption II-24Technology Innovations in Surgical Robotics II-25Surgical Robots with Imaging Capabilities II-254D Positioning of Instruments & Prosthetic Components - AnEmerging Technology II-26Efforts on to Develop Open-Source Robotic Surgery System II-26Single Port Robotic Devices: Opportunities for New Entrants toMake a Mark II-27Mini-Invasive Diagnosis: Rising Prominence of Robots II-28Robotics to Replace Surgical Nurses? II-28Surgical Robot and IGS Vendor Woes II-28Complaints and Lawsuits Increase in Tandem with Rise inRobotic-Assisted Surgical Procedures II-28Mishaps Related to Robotic Surgical Systems: A Major Concern II-29Criticisms Surrounding Robotic-Assisted Surgical Procedures II-29Marketing Initiatives: A Major Role in Surgical Robot's Success II-30Competitive Landscape II-31Intuitive Surgical Dominates Robotic Surgery Market II-31da Vinci® Systems: Key Figures in a Nutshell II-31Table 7: Installed Base of Intuitive Surgical's da Vinci®Systems (As of March 2014) (includes correspondingGraph/Chart) II-32

Table 8: Proportion of Hospitals with at Least 1 da VinciSystem in the US: Breakdown by Hospital Size (includescorresponding Graph/Chart) II-33Slowdown in da Vinci System Sales: A Concern for IntuitiveSurgical? II-33Critics Fault Intuitive Surgical's Aggressive Marketing Strategy II-34Competitors Look to Dent da Vinci's Dominance in RoboticSurgery Market II-34A Glance at Emerging Competitors of Intuitive Surgical II-35Titan Medical's SPORT™ Surgical System II-35TransEnterix's Surigbot System II-36Telelap ALF-X Endoscopic Robotic Surgical System II-36Raven II Surgical Robots II-363. AN INSIGHT INTO SURGICAL PLANNERS & SIMULATORS MARKET II-37Medical Simulation Gains Importance II-37Virtual Reality Market on a Roll II-37Major Issues in Practical Applications of VR II-38Surgery Simulation with Haptic Feedback Opens New Avenues inMedical Education II-38VR Training Using Surgical Simulation Systems: Key Role inLaparoscopic Surgeries II-39Robots for Surgical Training II-39Procedure-Specific Simulators: The Ultimate Objective II-39

4. SURGICAL NAVIGATION SYSTEMS MARKET II-40Surgical Navigation Systems Market: An Introduction II-40Image Guided Technologies Play a Vital Role II-40Spinal Surgeons Gradually Increase Adoption of SurgicalRobotics and Navigation Platforms II-40High Cost & Technical Hurdles Hamper Adoption of SurgicalNavigation Systems II-41Emerging Economies: A Wealth of Opportunities for SurgicalNavigation Systems Market II-41Manufacturers Focus on Outpatient Facilities II-42Partnerships between Imaging Companies & Navigation SystemManufacturers II-42A Glance at Select Breakthroughs & Innovative Efforts inSurgical Navigation Market II-437D Surgical Navigation Device: Promise of Real-Time Navigation II-43Cirle's Surgical Navigation System II-43Fiagon's Navigation System II-44Medtronic's NuVent EM Sinus Dilation System for the FusionENT Navigation System II-44TLEMsafe: A European Funded Project on Patient-SpecificNavigation System II-44

5. PRODUCT OVERVIEW II-45Computer Assisted Surgical Systems II-45Contributions of CAS Technologies II-45Cost Saving Benefits from CAS Technologies II-45CAS Technologies Address Surgeon's Limitations II-45CAS Not to Substitute Surgeons II-46Potential Benefits of CAS Devices in OR II-46Machine Vs Human II-47Virtual Reality II-47Virtual Reality Applications II-47Diagnosis II-47Therapy II-48Surgery II-48Education and Training II-48Web-based Surgical Training II-48Augmented Reality II-48Surgical Planning II-49Surgical Planner II-49Surgical Simulators II-49Advantages of Surgical Simulators II-49Surgical Navigation Systems II-49Role of Medical Imaging II-50Image Guided Surgery II-50Frameless Image-Guided Surgery II-50Image Processing Technologies II-50Image Rendering II-51Dynamic or Interventional Imaging II-51Robot-assisted Surgical System II-51Surgical Robots II-51Semi-Autonomous Surgical Robot II-52Guided Surgical Robotic System II-52Teleoperated Surgical Robot II-52Technologies Developed for Robotic Surgery II-52da Vinci II-52Zeus II-53Leonardo II-53Socrates II-53Aesop II-53Hybrid Operating Room/Angiosuite II-53Endoscopes II-54Telesurgery II-54Intelligent Operating Room II-54Digital Operating Room II-54Virtual Surgery Table II-54Endoscopic Imagery II-54Compact MRI Scanners II-54Intraoperative Ultrasound II-55Intraoperative CT II-55Electromagnetic Tracking Systems II-55Surgical CAD/CAM Systems II-55Surgical Assistant Systems II-55

6. CAS IN SELECT MEDICAL DOMAINS II-56CAS Technologies in Orthopedic Cases II-56Preoperative Planning and Simulation II-56Navigation Methods II-57Surgical Robotic Systems II-58Computer-Aided Navigational Techniques in Neurosurgery II-59CAS in Spine Surgery II-59CAS in Craniofacial Surgery II-59CAS in ENT Surgery II-60

7. PRODUCT INTRODUCTIONS/INNOVATIONS/ APPROVALS II-61Intuitive Surgical Launches New da Vinci Xi Surgical System inthe US II-61Mazor Robotics to Launch Renaissance® Brain Module II-61Intuitive Surgical Bags FDA Clearance for da Vinci Sp SurgicalSystem II-61Accuray Wins Shonin Approval for CyberKnife® M6™ System inRadiation Therapy Treatment II-61Intuitive Surgical Receives CE Mark for da Vinci Xi SurgicalSystem II-61Titan Medical Achieves Major Milestone in SPORT™ SurgicalSystem Development II-61Surgical Theater Receives FDA Clearance for SurgicalNavigation Advanced Platform (SNAP) II-62Minimally Invasive Devices Launches Robotic FloShield™ for daVinci System II-62Hansen Medical to Unveil Sensei® X2 Robotic System Prototype II-62Medtronic Unveils NuVent EM Sinus Dilation System for FusionENT Navigation System II-62Mimic Technologies Launches Maestro AR™ Augmented RealitySoftware Module II-62Titan Medical Completes Functional Prototype Development ofSPORT™ Surgical System II-62Medtronic Launches CardioGuide™ Implant System II-63Zimmer Bags FDA Clearance for iASSIST™ Knee PersonalizedGuidance System™ II-63TransEnterix Develops SurgiBot Patient-Side Robotic SurgicalPlatform II-63Intuitive Surgical Bags FDA Marketing Approval for EndoWrist®One™ Vessel Sealer Instrument II-63Mazor Robotics Bags US FDA Marketing Clearance forRenaissance™ Platform II-63Mazor Robotics Bags Korean Approval for Renaissance RoboticPlatform II-63Medtronic Unveils Novel Approach for Spinal Fusion II-64Stryker Introduces CAS Technology for Hip Fractures II-64Medtronic Launches POWEREASE™ System II-64Blue Belt Technologies Bags CE Mark for Navio PFS System II-64Mazor Robotics Receives FDA Clearance for Renaissance Systemin Brain Applications II-64Mazor Robotics Enhances Renaissance System with C-OnSite II-64NeuroLogica Integrates CT Imaging into Brainlab SurgicalNavigation II-64Wright Medical Bags FDA Clearance for PROPHECY® INBONE™ Pre-Operative Navigation Alignment Guides II-65TrueVision® Bags Marketing Approval for 3D Visualization andGuidance System in Asian Countries II-65Brainlab Unveils Curve™ Navigation System II-65

8. RECENT INDUSTRY ACTIVITY II-66Mazor Robotics Inks Agreement with GPO II-66Medrobotics to Market Medrobotics Flex Device in Europe II-66Smith & Nephew Inks Agreement with Orthosensor II-66Intuitive Surgical and Adachi to Sell da Vinci System in Japan II-66Metronor Bags Contract for its Precision Guidance Systems II-66Bausch + Lomb Inks Exclusive License Agreement for Cirle's 3DSurgical Navigation Technology II-66Stryker and NeuroLogica Ink Exclusive Partnership Agreement II-67Stryker Acquires MAKO Surgical II-673D Systems Takes Over Geomagic II-67DePuy Synthes Spine Extends Collaboration with BrainLab II-67Mazor Robotics Inks Agreement for Sale of Four RenaissanceSystems II-67LifeHealthcare Places Order for Mazor's Renaissance System II-67Mazor Robotics Receives Medical Device License from Health Canada II-67Mazor Robotics Bags Marketing Approval for Renaissance in Taiwan II-68Blue Belt Technologies and DJO Surgical Enter into ImplantPartnership II-68Providien Acquires Dynaroll II-68Delray Medical Center Procures O-arm Surgical Imaging System II-68TransEnterix Completes General Surgery Procedures UsingSurgiBot™ System II-68TransEnterix's SPIDER® Surgical System Finds Use in Mini-Gastric Bypass II-68SafeStitch Medical and TransEnterix Merge Operations II-68Hansen Medical and Philips Strengthen Robotic SystemCollaboration II-69Roper Industries Acquires Ascension Technology Corporation II-69GeoMagic Takes Over Sensable Technology II-69Mazor Robotics Signs Distribution Agreement with Cicel Science& Technology II-69Mazor Robotics Inks Purchase Agreement with NSH Michigan II-69Olea Medical and NeuroLogica in Partnership II-69ENTrigue Surgical and fiagon GmbH Collaborate for Sinus Surgery II-70NeuroLogica and Medtronic Collaborate II-70Hyundai Heavy Industries Establishes Lab for Manufacture ofSurgical Robots II-70TransEnterix to Unveil SPIDER Surgical System Instruments II-70Mazor Robotics Receives Order from Advanced Medical Systems II-70

9. FOCUS ON SELECT PLAYERS II-713D Systems Corporation (USA) II-71Accuray, Inc. (USA) II-71B. Braun Melsungen AG (Germany) II-71Brainlab AG (Germany) II-72CAE, Inc. (Canada) II-72CONMED Corporation (USA) II-72Curexo Technology Corporation (USA) II-73Hansen Medical, Inc. (USA) II-73Intuitive Surgical, Inc. (USA) II-73Medtronic, Inc. (USA) II-74Mazor Robotics Ltd. (Israel) II-74Northern Digital Inc. (Canada) II-75Polhemus, Inc. (USA) II-75Simbionix USA Corp. (USA) II-75Stryker Corporation (USA) II-7610. GLOBAL MARKET PERSPECTIVE II-77Table 9: World Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Geographic Region - US,Canada, Japan, Europe, Asia-Pacific and Rest of World MarketsIndependently Analyzed with Annual Sales Figures in US$Million for Years 2013 through 2020 (includes correspondingGraph/Chart) II-77

Table 10: World Historic Review for Computer Assisted SurgicalSystems by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific and Rest of World Markets Independently Analyzedwith Annual Sales Figures in US$ Million for Years 2006through 2012 (includes corresponding Graph/Chart) II-78Table 11: World 15-Year Perspective for Computer AssistedSurgical Systems by Geographic Region - Percentage Breakdownof Dollar Sales for US, Canada, Japan, Europe, Asia-Pacificand Rest of World Markets for Years 2006, 2014 & 2020(includes corresponding Graph/Chart) II-79Table 12: World Recent Past, Current & Future Analysis forSurgical Planners & Simulators by Geographic Region - US,Canada, Japan, Europe, Asia-Pacific and Rest of World MarketsIndependently Analyzed with Annual Sales Figures in US$Million for Years 2013 through 2020 (includes correspondingGraph/Chart) II-80

Table 13: World Historic Review for Surgical Planners &Simulators by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific and Rest of World Markets Independently Analyzedwith Annual Sales Figures in US$ Million for Years 2006through 2012 (includes corresponding Graph/Chart) II-81Table 14: World 15-Year Perspective for Surgical Planners &Simulators by Geographic Region - Percentage Breakdown ofDollar Sales for US, Canada, Japan, Europe, Asia-Pacific andRest of World Markets for Years 2006, 2014 & 2020 (includescorresponding Graph/Chart) II-82Table 15: World Recent Past, Current & Future Analysis forSurgical Navigation Systems by Geographic Region - US, Canada,Japan, Europe, Asia-Pacific and Rest of World MarketsIndependently Analyzed with Annual Sales Figures in US$Million for Years 2013 through 2020 (includes correspondingGraph/Chart) II-83

Table 16: World Historic Review for Surgical NavigationSystems by Geographic Region - US, Canada, Japan, Europe,Asia-Pacific and Rest of World Markets Independently Analyzedwith Annual Sales Figures in US$ Million for Years 2006through 2012 (includes corresponding Graph/Chart) II-84Table 17: World 15-Year Perspective for Surgical NavigationSystems by Geographic Region - Percentage Breakdown of DollarSales for US, Canada, Japan, Europe, Asia-Pacific and Rest ofWorld Markets for Years 2006, 2014 & 2020 (includescorresponding Graph/Chart) II-85Table 18: World Recent Past, Current & Future Analysis forSurgical Robots by Geographic Region - US, Canada, Japan,Europe, Asia-Pacific and Rest of World Markets IndependentlyAnalyzed with Annual Sales Figures in US$ Million for Years2013 through 2020 (includes corresponding Graph/Chart) II-86Table 19: World Historic Review for Surgical Robots byGeographic Region - US, Canada, Japan, Europe, Asia-Pacificand Rest of World Markets Independently Analyzed with AnnualSales Figures in US$ Million for Years 2006 through 2012(includes corresponding Graph/Chart) II-87Table 20: World 15-Year Perspective for Surgical Robots byGeographic Region - Percentage Breakdown of Dollar Sales forUS, Canada, Japan, Europe, Asia-Pacific and Rest of WorldMarkets for Years 2006, 2014 & 2020 (includes correspondingGraph/Chart) II-88

III. MARKET1. THE UNITED STATES III-1A.Market Analysis III-1Outlook III-1Aging Demographics: Major Driving Factor III-1Table 21: North American Elderly Population by Age Group(1975-2050) (includes corresponding Graph/Chart) III-2Robotic-Assisted Surgery Market in the US III-2Table 22: Average Duration of Post Surgery Hospitalizationin the US: Comparing Robotic Surgery Vs LaparoscopicProcedure (includes corresponding Graph/Chart) III-3Opportunity Indicator III-3Table 23: Robotic Surgery Opportunity Indicator in the US(2014) - Surgical Procedure Volume for Appendectomy,Bariatric, Benign Hysterectomy, and CholecystectomyProcedures (includes corresponding Graph/Chart) III-3Table 24: Hysterectomy Market in the US (2005 & 2013):Percentage Share Breakdown of Patient Volume by ProcedureType - Laparoscopic, Open, Robotic, and Vaginal (includescorresponding Graph/Chart) III-4Robotic-Assisted Prostatectomies: High Success Rates III-4Imaging: A Vital Role to Play in Image-Guided Surgery III-5Lucrative VR Market III-5A Brief Overview of the US Image-Guided Surgery Products Market III-5Surgical Navigation Systems Market Set for Robust Growth III-5Spinal Surgeons Gradually Increase Adoption of SurgicalRobotics and Navigation Platforms III-6Navigation Technologies: Promising but Limited Adoption inOrthopedic Surgeries III-6Computer-Assisted Navigation Surgery Makes Gains in TotalKnee Replacement Procedure III-7Table 25: Total Knee Replacement Surgeries in the US -Percentage Share Breakdown of Volume by Type of Procedure(includes corresponding Graph/Chart) III-7Healthcare Spending - A Review III-8Hospital Spending to Remain Tight III-8Consolidation Hits the Hospital Market III-8Increase in ASCs & Walk-in Centers Drive Demand III-9Regulatory Scenario III-9FDA Clearance for Surgical Navigation Systems III-10Healthcare Reforms & Other Legislations: An Overview III-10Reimbursement Scenario III-11Product Introductions/Innovations/Approvals III-11Strategic Corporate Developments III-14Key Players III-17B.Market Analytics III-21Table 26: US Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-21Table 27: US Historic Review for Computer Assisted SurgicalSystems by Product Segment - Surgical Planners & Simulators,Surgical Navigation Systems, and Surgical Robots MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2006 through 2012 (includes correspondingGraph/Chart) III-22Table 28: US 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-23

2. CANADA III-24A.Market Analysis III-24Outlook III-24Strategic Corporate Developments III-24Key Players III-24B.Market Analytics III-26Table 29: Canadian Recent Past, Current & Future Analysisfor Computer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-26Table 30: Canadian Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-27Table 31: Canadian 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-28

3. JAPAN III-29A.Market Analysis III-29Outlook III-29Robot-Assisted Surgery: Concerns over Safety III-29Strategic Corporate Developments III-29B.Market Analytics III-30Table 32: Japanese Recent Past, Current & Future Analysisfor Computer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-30Table 33: Japanese Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-31Table 34: Japanese 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-32

4. EUROPE III-33A.Market Analysis III-33Outlook III-33Virtual Reality Scenario in Europe III-33Surgical Navigation Systems Market in Europe: An Overview III-33Western Europe: Strong Growth for Robot-Assisted Surgery Market III-34Product Introductions/Innovations/Approvals III-34Strategic Corporate Developments III-35B.Market Analytics III-36Table 35: European Recent Past, Current & Future Analysisfor Computer Assisted Surgical Systems by Geographic Region -France, Germany, Italy, UK, and Rest of Europe MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2013 through 2020 (includes correspondingGraph/Chart) III-36Table 36: European Historic Review for Computer AssistedSurgical Systems by Geographic Region - France, Germany,Italy, UK, and Rest of Europe Markets Independently Analyzedwith Annual Sales Figures in US$ Thousand for Years 2006through 2012 (includes corresponding Graph/Chart) III-37Table 37: European 15-Year Perspective for Computer AssistedSurgical Systems by Geographic Region - Percentage Breakdownof Dollar Sales for France, Germany, Italy, UK, and Rest ofEurope Markets for Years 2006, 2014 & 2020 (includescorresponding Graph/Chart) III-38

Table 38: European Recent Past, Current & Future Analysisfor Computer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-39Table 39: European Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-40Table 40: European 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-41

4a. FRANCE III-42Market Analysis III-42Table 41: French Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-42Table 42: French Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-43Table 43: French 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-44

4b. GERMANY III-45A.Market Analysis III-45Outlook III-45Key Players III-45B.Market Analytics III-46Table 44: German Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-46Table 45: German Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-47Table 46: German 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-48

4c. ITALY III-49Market Analysis III-49Table 47: Italian Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-49Table 48: Italian Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-50Table 49: Italian 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-51

4d. THE UNITED KINGDOM III-52Market Analysis III-52Table 50: UK Recent Past, Current & Future Analysis forComputer Assisted Surgical Systems by Product Segment -Surgical Planners & Simulators, Surgical Navigation Systems,and Surgical Robots Markets Independently Analyzed withAnnual Sales Figures in US$ Thousand for Years 2013 through2020 (includes corresponding Graph/Chart) III-52Table 51: UK Historic Review for Computer Assisted SurgicalSystems by Product Segment - Surgical Planners & Simulators,Surgical Navigation Systems, and Surgical Robots MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2006 through 2012 (includes correspondingGraph/Chart) III-53Table 52: UK 15-Year Perspective for Computer AssistedSurgical Systems by Product Segment - Percentage Breakdownof Dollar Sales for Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots Markets for Years2006, 2014 & 2020 (includes corresponding Graph/Chart) III-54

4e. REST OF EUROPE III-55Market Analysis III-55Table 53: Rest of Europe Recent Past, Current & FutureAnalysis for Computer Assisted Surgical Systems by ProductSegment - Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2013 through 2020 (includes correspondingGraph/Chart) III-55Table 54: Rest of Europe Historic Review for ComputerAssisted Surgical Systems by Product Segment - SurgicalPlanners & Simulators, Surgical Navigation Systems, andSurgical Robots Markets Independently Analyzed with AnnualSales Figures in US$ Thousand for Years 2006 through 2012(includes corresponding Graph/Chart) III-56Table 55: Rest of Europe 15-Year Perspective for ComputerAssisted Surgical Systems by Product Segment - PercentageBreakdown of Dollar Sales for Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets for Years 2006, 2014 & 2020 (includes correspondingGraph/Chart) III-57

5. ASIA-PACIFIC III-58A.Market Analysis III-58Outlook III-58Rapidly Expanding Economies Drive Demand for Image-Guided &Robotic Procedures III-58Robot-Assisted Surgery Market in Asia-Pacific - An Overview III-59India: Growing Prominence of CAS Technologies III-59Strategic Corporate Developments III-60B.Market Analytics III-61Table 56: Asia-Pacific Recent Past, Current & FutureAnalysis for Computer Assisted Surgical Systems by ProductSegment - Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2013 through 2020 (includes correspondingGraph/Chart) III-61Table 57: Asia-Pacific Historic Review for Computer AssistedSurgical Systems by Product Segment - Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets Independently Analyzed with Annual Sales Figures inUS$ Thousand for Years 2006 through 2012 (includescorresponding Graph/Chart) III-62Table 58: Asia-Pacific 15-Year Perspective for ComputerAssisted Surgical Systems by Product Segment - PercentageBreakdown of Dollar Sales for Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets for Years 2006, 2014 & 2020 (includes correspondingGraph/Chart) III-63

6. REST OF WORLD III-64A.Market Analysis III-64Outlook III-64Product Innovations/Introductions/Approvals III-64Mazor Robotics Ltd. (Israel) - A Key Player III-64B.Market Analytics III-65Table 59: Rest of World Recent Past, Current & FutureAnalysis for Computer Assisted Surgical Systems by ProductSegment - Surgical Planners & Simulators, SurgicalNavigation Systems, and Surgical Robots MarketsIndependently Analyzed with Annual Sales Figures in US$Thousand for Years 2013 through 2020 (includes correspondingGraph/Chart) III-65Table 60: Rest of World Historic Review for ComputerAssisted Surgical Systems by Product Segment - SurgicalPlanners & Simulators, Surgical Navigation Systems, andSurgical Robots Markets Independently Analyzed with AnnualSales Figures in US$ Thousand for Years 2006 through 2012(includes corresponding Graph/Chart) III-66Table 61: Rest of World 15-Year Perspective for ComputerAssisted Surgical Systems by Product Segment - PercentageBreakdown of Dollar Sales for Surgical Planners &Simulators, Surgical Navigation Systems, and Surgical RobotsMarkets for Years 2006, 2014 & 2020 (includes correspondingGraph/Chart) III-67

IV. COMPETITIVE LANDSCAPETotal Companies Profiled: 56 (including Divisions/Subsidiaries - 57)The United States (38)Canada (3)Japan (1)Europe (14)- France (1)- Germany (6)- The United Kingdom (2)- Italy (1)- Rest of Europe (4)Middle East (1)

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