| In 2009, the U.S. market for gastrointestinal | | | | 7.4.2 Market Limiters 116 |
| endoscopic devices was valued at over $1.8 billion, | | | | 7.5 COMPETITIVE ANALYSIS 118 |
| representing an increase of nearly 7% over 2008. | | | | STENTING AND DILATION DEVICES 120 |
| The GI endoscopic market includes: | | | | 8.1 INTRODUCTION 120 |
| GI endoscopes | | | | 8.2 PROCEDURE NUMBERS 121 |
| Capsule endoscopic devices | | | | 8.3 ESOPHAGEAL STENT MARKET 123 |
| Virtual colonoscopy software | | | | 8.3.1 Market Analysis and Forecast 123 |
| Stenting devices | | | | 8.3.2 Market for Esophageal Coated-Metal Stents |
| Dilation balloons | | | | 125 |
| Endoscopic retrograde cholangiopancreatography | | | | 8.3.3 Market for Esophageal Bare-Metal Stents 127 |
| (ERCP) devices | | | | 8.3.4 Competitive Analysis 129 |
| Biopsy forceps | | | | 8.3.5 Market for Esophageal Plastic Stents 131 |
| Polypectomy snares | | | | 8.3.6 Market Drivers 133 |
| Fine aspiration needles | | | | 8.3.7 Market Limiters 134 |
| Specimen and foreign body retrieval devices | | | | 8.4 DUODENAL STENT MARKET 135 |
| Hemostasis devices | | | | 8.4.1 Market Analysis and Forecast 135 |
| Anti-reflux devices | | | | 8.4.2 Market Drivers 137 |
| Enteral feeding devices | | | | 8.4.3 Market Limiters 137 |
| In 2009, more than 55 million procedures were | | | | 8.4.4 Competitive Analysis 138 |
| performed with GI endoscopic devices. Nearly | | | | 8.5 BILIARY STENT MARKET 139 |
| 50% of these procedures were colonoscopies, | | | | 8.5.1 Market Analysis and Forecast 139 |
| reflecting the growing frequency of regular colon | | | | 8.5.2 Market for Biliary Coated-Metal Stents 141 |
| exams for early diagnosis of colorectal cancer. | | | | 8.5.3 Market for Biliary Bare-Metal Stents 143 |
| Within the gastrointestinal endoscopic device | | | | 8.5.4 Competitive Analysis 145 |
| market, companies such as Boston Scientific, | | | | 8.5.5 Market for Biliary Plastic Stents 147 |
| Cook Medical, Given Imaging, Olympus and Pentax | | | | 8.5.6 Market Drivers 151 |
| lead the market, among many others. This report | | | | 8.5.7 Market Limiters 151 |
| provides a comprehensive and detailed analysis of | | | | 8.6 MARKET FOR ESOPHAGEAL DILATION |
| market revenues by device type, market | | | | BALLOONS 152 |
| forecasts through 2016, unit sales, average selling | | | | 8.6.1 Market Analysis and Forecast 152 |
| prices, market drivers and limiters and a detailed | | | | 8.6.2 Market for Multi-Stage Esophageal Balloons |
| competitive analysis, including manufacturer | | | | 154 |
| market shares and product portfolios. | | | | 8.6.3 Market for Single-Stage Esophageal Balloons |
| Table of Contents I | | | | 156 |
| 1.1 MARKET ANALYSIS AND FORECAST 1 | | | | 8.6.4 Market Drivers 158 |
| 1.2 MARKET BY SEGMENT 2 | | | | 8.6.5 Market Limiters 159 |
| 1.3 TREND ANALYSIS 3 | | | | 8.6.6 Competitive Analysis 160 |
| 1.4 GI ENDOSCOPES 4 | | | | 8.7 MARKET FOR COLONIC DILATION |
| 1.5 CAPSULE ENDOSCOPY 5 | | | | BALLOONS 162 |
| 1.6 VIRTUAL COLONOSCOPY 5 | | | | 8.7.1 Market Analysis and Forecast 162 |
| 1.7 STENTING AND DILATION DEVICES 6 | | | | 8.7.2 Market Drivers 164 |
| 1.8 ERCP DEVICES 7 | | | | 8.7.3 Market Limiters 164 |
| 1.9 BIOPSY FORCEPS 8 | | | | 8.7.4 Competitive Analysis 165 |
| 1.10 POLYPECTOMY SNARES 9 | | | | 8.8 MARKET FOR DUODENAL DILATION |
| 1.11 FINE ASPIRATION NEEDLES 9 | | | | BALLOONS 166 |
| 1.12 SPECIMEN AND FOREIGN BODY REMOVAL | | | | 8.8.1 Market Analysis and Forecast 166 |
| DEVICES 9 | | | | 8.8.2 Market Drivers 167 |
| 1.13 HEMOSTASIS DEVICES 10 | | | | 8.8.3 Market Limiters 167 |
| 1.14 ANTI-REFLUX DEVICES 11 | | | | 8.8.4 Competitive Analysis 168 |
| 1.15 ENTERAL FEEDING DEVICES 11 | | | | ERCP DEVICES 169 |
| 1.16 COMPETITIVE ANALYSIS 12 | | | | 9.1 INTRODUCTION 169 |
| RESEARCH METHODOLOGY 13 | | | | 9.2 PROCEDURE NUMBERS 170 |
| 2.1 RESEARCH SCOPE 13 | | | | 9.3 MARKET ANALYSIS AND FORECAST 171 |
| 2.2 IDATA'S 9-STEP METHODOLOGY 13 | | | | 9.4 SPHINCTEROTOMES 176 |
| 2.2.1 Step 1: Project Initiation & Team | | | | 9.5 BILIARY STONE REMOVAL BALLOONS 178 |
| Selection 14 | | | | 9.6 BILIARY STONE REMOVAL BASKETS 180 |
| 2.2.2 Step 2: Prepare Data Systems and Perform | | | | 9.7 BILIARY DILATION BALLOONS 182 |
| Secondary Research 15 | | | | 9.8 BILIARY LITHOTRIPTERS 184 |
| 2.2.3 Step 3: Preparation for Interviews & | | | | 9.9 ERCP GUIDEWIRES 186 |
| Survey Design 16 | | | | 9.10 ERCP CANNULAS 188 |
| 2.2.4 Step 4: Performing Primary Research 17 | | | | 9.11 MARKET DRIVERS AND LIMITERS 190 |
| 2.2.5 Step 5: Research Analysis: Establishing | | | | 9.11.1 Market Drivers 190 |
| Baseline Estimates 18 | | | | 9.11.2 Market Limiters 191 |
| 2.2.6 Step 6: Market Forecasting 19 | | | | 9.12 COMPETITIVE ANALYSIS 192 |
| 2.2.7 Step 7: Identify Strategic Opportunities 21 | | | | BIOPSY FORCEPS, POLYPECTOMY SNARES, |
| 2.2.8 Step 8: Final Review and Market Release 22 | | | | AND FNA DEVICES 195 |
| 2.2.9 Step 9: Customer Feedback and Market | | | | 10.1 INTRODUCTION 195 |
| Monitoring 23 | | | | 10.2 MARKET FOR BIOPSY FORCEPS 196 |
| OVERVIEW OF GASTROINTESTINAL | | | | 10.2.1 Biopsy Procedures 196 |
| ENDOSCOPIC DEVICES 24 | | | | 10.2.2 Market Analysis and Forecast 197 |
| 3.1 INTRODUCTION 24 | | | | 10.2.3 Market for Disposable Biopsy Forceps 200 |
| 3.2 PROCEDURE NUMBERS 25 | | | | 10.2.4 Hot Biopsy Forceps 202 |
| 3.3 MARKET ANALYSIS AND FORECAST 25 | | | | 10.2.5 Reusable Biopsy Forceps 204 |
| 3.4 MARKET BY SEGMENT 28 | | | | 10.2.6 Market Drivers 206 |
| 3.5 TREND ANALYSIS BY MARKET SEGMENT 35 | | | | 10.2.7 Market Limiters 206 |
| 3.6 MARKET DRIVERS 37 | | | | 10.2.8 Competitive Analysis 207 |
| 3.6.1 Colorectal Cancer Screening 37 | | | | 10.3 MARKET FOR POLYPECTOMY SNARES 209 |
| 3.6.2 Technological Advancements 37 | | | | 10.3.1 Tumor and Polyp Removal Procedures 209 |
| 3.6.3 Aging Population 37 | | | | 10.3.2 Market Analysis and Forecast 210 |
| 3.7 MARKET LIMITERS 39 | | | | 10.3.3 Market Drivers 212 |
| 3.7.1 Reimbursement Issues 39 | | | | 10.3.4 Market Limiters 212 |
| 3.7.2 Increasing Competition 39 | | | | 10.3.5 Competitive Analysis 213 |
| 3.8 COMPETITIVE ANALYSIS 40 | | | | 10.4 MARKET FOR FINE ASPIRATION NEEDLES |
| 3.8.1 Market Concentration 45 | | | | 215 |
| 3.9 MERGERS AND ACQUISITIONS 47 | | | | 10.4.1 Market Drivers 217 |
| 3.9.1 Boston-Scientific and Guidant 47 | | | | 10.4.2 Market Limiters 217 |
| 3.9.2 Olympus and Gyrus/ACMI 47 | | | | 10.4.3 Competitive Analysis 218 |
| 3.9.3 Nestlé and Novartis 47 | | | | SPECIMEN AND FOREIGN BODY REMOVAL |
| 3.10 BANKRUPTCIES 48 | | | | DEVICES 220 |
| 3.10.1 Curon Medical 48 | | | | 11.1 INTRODUCTION 220 |
| 3.10.2 NDO Surgical 48 | | | | 11.2 FOREIGN BODY REMOVAL DEVICES 221 |
| 3.11 LITIGATION ISSUES 48 | | | | 11.2.1 Foreign Body Removal Procedures 221 |
| 3.11.1 Olympus and Given Imaging 48 | | | | 11.2.2 Market Analysis and Forecast 222 |
| PROCEDURE NUMBERS 49 | | | | 11.2.3 Market Drivers 224 |
| 4.1 TOTAL PROCEDURES 49 | | | | 11.2.4 Market Limiters 224 |
| 4.2 GI ENDOSCOPES 50 | | | | 11.2.5 Competitive Analysis 225 |
| 4.2.1 Colonoscopy Procedure Numbers 50 | | | | 11.3 SPECIMEN RETRIEVAL DEVICES 227 |
| 4.2.2 Sigmoidoscopy Procedures 51 | | | | 11.3.1 Specimen Retrieval Procedures 227 |
| 4.2.3 Ultrasound Endoscopy Procedures 52 | | | | 11.3.2 Market Analysis and Forecast 228 |
| 4.3 CAPSULE ENDOSCOPY 53 | | | | 11.3.3 Market Drivers 230 |
| 4.4 VIRTUAL COLONOSCOPY 54 | | | | 11.3.4 Market Limiters 230 |
| 4.5 STENTING AND DILATION PROCEDURES 55 | | | | 11.3.5 Competitive Analysis 231 |
| 4.6 ERCP PROCEDURES 56 | | | | HEMOSTASIS DEVICES 232 |
| 4.7 BIOPSY FORCEPS AND POLYPECTOMY | | | | 12.1 INTRODUCTION 232 |
| SNARES PROCEDURES 57 | | | | 12.2 PROCEDURE NUMBERS 233 |
| 4.7.1 Biopsy Procedures 57 | | | | 12.3 MARKET ANALYSIS AND FORECAST 234 |
| 4.7.2 Tumor and Polyp Removal Procedures 58 | | | | 12.4 ELECTROSURGICAL PROBES 239 |
| 4.8 SPECIMEN AND FOREIGN BODY RETRIEVAL | | | | 12.4.1 Overall Market for Electrosurgical Probes |
| PROCEDURES 59 | | | | 239 |
| 4.8.1 Foreign Body Retrieval Procedures 59 | | | | 12.4.2 U.S. Market for Conventional Electrosurgical |
| 4.8.2 Specimen Retrieval Procedures 60 | | | | Probes 241 |
| 4.9 HEMOSTASIS PROCEDURES 61 | | | | 12.4.3 Market for Injection-Needle Probes 242 |
| 4.10 ANTI-REFLUX PROCEDURES 62 | | | | 12.5 HEAT PROBES 243 |
| 4.11 ENTERAL FEEDING DEVICES 63 | | | | 12.6 LIGATION BANDS 245 |
| GASTROINTESTINAL ENDOSCOPES 64 | | | | 12.7 LIGATION CLIPS 247 |
| 5.1 INTRODUCTION 64 | | | | 12.8 SCLEROTHERAPY NEEDLES 249 |
| 5.2 MARKET ANALYSIS AND FORECAST 65 | | | | 12.9 ARGON PLASMA COAGULATION PROBES |
| 5.3 MARKET FOR GI ENDOSCOPES BY TYPE 69 | | | | 251 |
| 5.3.1 Colonoscopes 69 | | | | 12.10 ELECTROSURGICAL GENERATORS 253 |
| 5.3.2 Sigmoidoscopes 72 | | | | 12.11 MARKET DRIVERS AND LIMITERS 255 |
| 5.3.3 Gastroscopes 75 | | | | 12.11.1 Market Drivers 255 |
| 5.3.4 Duodenoscopes 77 | | | | 12.11.2 Market Limiters 256 |
| 5.3.5 Enteroscopes 79 | | | | 12.12 COMPETITIVE ANALYSIS 257 |
| 5.3.6 Ultrasound Endoscopes 81 | | | | ANTI-REFLUX DEVICES 260 |
| 5.3.7 Double-Balloon Endoscopes 84 | | | | 13.1 INTRODUCTION 260 |
| 5.3.8 Transnasal Endoscopes 86 | | | | 13.2 POTENTIAL MARKET 261 |
| 5.3.9 Natural Orifice Transluminal Endoscopy 88 | | | | 13.3 PROCEDURE NUMBERS 262 |
| 5.4 REFURBISHMENT AND REPAIR MARKET 88 | | | | 13.4 MARKET ANALYSIS AND FORECAST 263 |
| 5.5 MARKET DRIVERS AND LIMITERS 92 | | | | 13.5 MARKET DRIVERS AND LIMITERS 265 |
| 5.5.1 Market Drivers 92 | | | | 13.5.1 Market Drivers 265 |
| 5.5.2 Market Limiters 93 | | | | 13.5.2 Market Limiters 266 |
| 5.6 COMPETITIVE ANALYSIS 94 | | | | 13.6 COMPETITIVE ANALYSIS 268 |
| CAPSULE ENDOSCOPY 96 | | | | ENTERAL FEEDING DEVICES 270 |
| 6.1 INTRODUCTION 96 | | | | 14.1 INTRODUCTION 270 |
| 6.2 PROCEDURE NUMBERS 97 | | | | 14.2 PROCEDURE NUMBERS 271 |
| 6.3 MARKET ANALYSIS AND FORECAST 98 | | | | 14.3 MARKET ANALYSIS AND FORECAST 272 |
| 6.4 MARKET FOR CAMERA CAPSULES 100 | | | | 14.4 MARKET FOR INITIAL ENTERAL FEEDING |
| 6.5 MARKET FOR WORKSTATIONS 102 | | | | KITS 277 |
| 6.6 MARKET FOR DATA RECORDERS 104 | | | | 14.4.1 Market for PEG Kits 277 |
| 6.7 MARKET DRIVERS AND LIMITERS 106 | | | | 14.4.2 Market for PEJ Kits 279 |
| 6.7.1 Market Drivers 106 | | | | 14.4.3 Market for PEG/J Kits 281 |
| 6.7.2 Market Limiters 106 | | | | 14.5 MARKET FOR ENTERAL FEEDING |
| 6.8 COMPETITIVE ANALYSIS 108 | | | | REPLACEMENT DEVICES 283 |
| VIRTUAL COLONOSCOPY 109 | | | | 14.5.1 Market for Low Profile Balloons 283 |
| 7.1 INTRODUCTION 109 | | | | 14.5.2 Market for Low-Profile Buttons 285 |
| 7.2 PROCEDURE NUMBERS 110 | | | | 14.5.3 Market for Replacement Tubes 287 |
| 7.2.1 Potential Market 112 | | | | 14.6 MARKET DRIVERS AND LIMITERS 289 |
| 7.3 MARKET ANALYSIS AND FORECAST 114 | | | | 14.6.1 Market Drivers 289 |
| 7.4 MARKET DRIVERS AND LIMITERS 116 | | | | 14.6.2 Market Limiters 290 |
| 7.4.1 Market Drivers 116 | | | | 14. |